Sample records for services applied precede

  1. Critical path method applied to research project planning: Fire Economics Evaluation System (FEES)

    Treesearch

    Earl B. Anderson; R. Stanton Hales

    1986-01-01

    The critical path method (CPM) of network analysis (a) depicts precedence among the many activities in a project by a network diagram; (b) identifies critical activities by calculating their starting, finishing, and float times; and (c) displays possible schedules by constructing time charts. CPM was applied to the development of the Forest Service's Fire...

  2. 26 CFR 31.3121(b)(10)-2 - Services performed by certain students in the employ of a school, college, or university, or of a...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... example, research activities under the supervision of a faculty advisor necessary to complete the... paragraph (d) of this section at the school, college, or university. The preceding sentence shall not apply... course of study within the meaning of paragraphs (d)(1) and (2) of this section. In addition, the...

  3. 8 CFR 103.3 - Denials, appeals, and precedent decisions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Denials, appeals, and precedent decisions... POWERS AND DUTIES; AVAILABILITY OF RECORDS § 103.3 Denials, appeals, and precedent decisions. (a) Denials and appeals—(1) General—(i) Denial of application or petition. When a Service officer denies an...

  4. Creating a New Military Service: Historical Precedents

    DTIC Science & Technology

    2016-06-01

    CREATING A NEW MILITARY SERVICE: HISTORICAL PRECEDENTS BY MATTHEW HYLAND A THESIS PRESENTED TO THE FACULTY OF THE SCHOOL OF...that this thesis meets master’s-level standards of research, argumentation, and expression. ____________________________________ THOMAS D...acknowledge the help and support of several individuals, without which I would not have been able to complete this thesis . My advisor, Colonel Thomas

  5. Gender and age differences among youth, in utilization of mental health services in the year preceding suicide in Taiwan.

    PubMed

    Chang, Hsiu-Ju; Lai, Yuen-Liang; Chang, Chia-Ming; Kao, Ching-Chiu; Shyu, Meei-Ling; Lee, Ming-Been

    2012-12-01

    The primary objective of this study was to explore gender and age differences in the use of medical services during the year preceding suicide. Data were obtained from the mortality dataset of Department of Health and National Health Insurance Database. Included in the sample were 862 persons aged 12-24 years who committed suicide in Taiwan between 2001 and 2004. We compared the records of medical service utilization of adolescents (ages 12-18 years) with young adults (ages 19-24 years). Persons in both age groups contacted general practitioners more often than other types of medical providers in the year preceding suicide, with the exception of the month before suicide. Females made greater use of medical services than males in both age groups. Suicide prevention strategies should increase the emphasis in training non-psychiatric medical practitioners to identify and treat young persons at suicide risk.

  6. 8 CFR 103.10 - Precedent decisions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Precedent decisions. 103.10 Section 103.10 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS IMMIGRATION BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds, Fees § 103.10 Precedent...

  7. 8 CFR 103.10 - Precedent decisions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Precedent decisions. 103.10 Section 103.10 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS IMMIGRATION BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds, Fees § 103.10 Precedent...

  8. 8 CFR 103.10 - Precedent decisions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Precedent decisions. 103.10 Section 103.10 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS IMMIGRATION BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds, Fees § 103.10 Precedent...

  9. Interventions for Challenging Behavior in Residential Settings.

    ERIC Educational Resources Information Center

    Stancliffe, Roger J.; Lakin, K. Charlie; Hayden, Mary F.

    1999-01-01

    A study investigated the use of different interventions for 151 individuals with mental retardation in residential care: Individualized Habilitation Plan objectives concerning challenging behavior, one-to-one crisis intervention in the preceding 30 days, and behavior management professional services in the preceding 6 months. Externalized…

  10. 12 CFR 221.2 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... company; and (iii) Any other corporation, business trust, association, or other similar organization that... the preceding business day, as appearing on any regularly published reporting or quotation service; or... of the security as of the close of business on the preceding business day; or (iii) If the credit is...

  11. [Factors associated with vaccine status and health services consultation of children from a rural area of Guinea Bissau].

    PubMed

    Gonçalves, A; Ferrinho, P; Aguiar, P

    2001-01-01

    This cross-sectional survey, conducted during March-July 1992, in a rural village in Guiné-Bissau, studied the determinants of vaccination coverage in 344 children aged 2 to 9 years of age, as well as the determinants of health care service attendance during the month preceding the survey. One hundred and three (29.9%) of the children had been to a health care service during the month preceding the survey and 291 (84.6%) had completed their vaccination schedule. The following variables were found to be significantly associated with the above outcomes: father's occupation, father's literacy ant type of housing.

  12. 7 CFR 1779.63 - Conditions precedent to issuance of the Loan Note Guarantee.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Conditions precedent to issuance of the Loan Note Guarantee. 1779.63 Section 1779.63 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE (CONTINUED) WATER AND WASTE DISPOSAL PROGRAMS...

  13. 47 CFR 101.1209 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... not more than $15 million for the preceding three years. [63 FR 6106, Feb. 6, 1998; 63 FR 10781, Mar... affiliates, has average gross revenues that are not more than $40 million for the preceding three years. (2... SERVICES Competitive Bidding Procedures for the 38.6-40.0 GHz Band § 101.1209 Definitions. (a) Scope. The...

  14. 47 CFR 101.1209 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... not more than $15 million for the preceding three years. [63 FR 6106, Feb. 6, 1998; 63 FR 10781, Mar... affiliates, has average gross revenues that are not more than $40 million for the preceding three years. (2... SERVICES Competitive Bidding Procedures for the 38.6-40.0 GHz Band § 101.1209 Definitions. (a) Scope. The...

  15. 47 CFR 101.1209 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... not more than $15 million for the preceding three years. [63 FR 6106, Feb. 6, 1998; 63 FR 10781, Mar... affiliates, has average gross revenues that are not more than $40 million for the preceding three years. (2... SERVICES Competitive Bidding Procedures for the 38.6-40.0 GHz Band § 101.1209 Definitions. (a) Scope. The...

  16. 47 CFR 101.1209 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... not more than $15 million for the preceding three years. [63 FR 6106, Feb. 6, 1998; 63 FR 10781, Mar... affiliates, has average gross revenues that are not more than $40 million for the preceding three years. (2... SERVICES Competitive Bidding Procedures for the 38.6-40.0 GHz Band § 101.1209 Definitions. (a) Scope. The...

  17. 47 CFR 101.1209 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... not more than $15 million for the preceding three years. [63 FR 6106, Feb. 6, 1998; 63 FR 10781, Mar... affiliates, has average gross revenues that are not more than $40 million for the preceding three years. (2... SERVICES Competitive Bidding Procedures for the 38.6-40.0 GHz Band § 101.1209 Definitions. (a) Scope. The...

  18. 45 CFR 1355.36 - Withholding Federal funds due to failure to achieve substantial conformity or failure to...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD AND FAMILY SERVICES GENERAL... the immediately preceding child and family services review; (ii) The increased withholding of funds...

  19. Engineering Codes of Ethics and the Duty to Set a Moral Precedent.

    PubMed

    Schlossberger, Eugene

    2016-10-01

    Each of the major engineering societies has its own code of ethics. Seven "common core" clauses and several code-specific clauses can be identified. The paper articulates objections to and rationales for two clauses that raise controversy: do engineers have a duty (a) to provide pro bono services and/or speak out on major issues, and (b) to associate only with reputable individuals and organizations? This latter "association clause" can be justified by the "proclamative principle," an alternative to Kant's universalizability requirement. At the heart of engineering codes of ethics, and implicit in what it is to be a moral agent, the "proclamative principle" asserts that one's life should proclaim one's moral stances (one's values, principles, perceptions, etc.). More specifically, it directs engineers to strive to insure that their actions, thoughts, and relationships be fit to offer to their communities as part of the body of moral precedents for how to be an engineer. Understanding codes of ethics as reflections of this principle casts light both on how to apply the codes and on the distinction between private and professional morality.

  20. Examining the impact of migrant status on ethnic differences in mental health service use preceding a first diagnosis of schizophrenia.

    PubMed

    Anderson, Kelly K; McKenzie, Kwame J; Kurdyak, Paul

    2017-08-01

    Some ethnic groups have more negative contacts with health services for first-episode psychosis, likely arising from a complex interaction between ethnicity, socio-economic factors, and immigration status. Using population-based health administrative data, we sought to examine the effects of ethnic group and migrant status on patterns of health service use preceding a first diagnosis of schizophrenia or schizoaffective disorder among people aged 14-35 over a 10-year period. We compared access to care and intensity of service use for first-generation ethnic minority groups to the general population of Ontario. To control for migrant status, we restricted the sample to first-generation migrants and compared service use indicators for ethnic minority groups to the European migrant group. Our cohort included 18,080 people with a first diagnosis of schizophrenia or schizoaffective disorder, of whom 14.4% (n = 2607) were the first-generation migrants. Our findings suggest that the magnitude of ethnic differences in health service use is reduced and no longer statistically significant when the sample is restricted to first-generation migrants. Of exception, nearly, all migrant groups have lower intensity of primary care use, and Caribbean migrants are consistently less likely to use psychiatric services. We observed fewer ethnic differences in health service use preceding the first diagnosis of psychosis when patterns are compared among first-generation migrants, rather than to the general population, suggesting that the choice of reference group influences ethnic patterning of health service use. We need a comprehensive understanding of the mechanisms behind observed differences for minority groups to adequately address disparities in access to care.

  1. 20 CFR 204.1 - Introduction.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... have his or her service to a local lodge or division of a railway labor organization considered as... relation preceded his or her service to the local lodge or division. Section 204.7 defines employment...

  2. Proposed DoD (Department of Defense) Internet Protocol Standard.

    DTIC Science & Technology

    1982-07-06

    parameters fall into two categories: service quality parameters and service options. Service quality parameters influence the transmission service provided...Corporation 6 July 1982 -7- TM-7172/481/OO o Service Quality Parameters - Precedence : attempts preferential treatment for high importance datagrams...select the transmission quality. IP passes the type of service (TOS) command set for service quality to the SNP where it is mapped into subnetwork

  3. 26 CFR 1.6654-2T - Exceptions to imposition of the addition to the tax in the case of individuals (temporary).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED... means any individual whose adjusted gross income shown on the individual's return for the preceding... section, that more than 50 percent of the gross income shown on the return for the preceding taxable year...

  4. 22 CFR 62.50 - Sanctions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... of its recruitment or activity. (2) Within ten (10) days after service of the written notice to the... preceded by the imposition of any other sanction or notice. (2)(i) Within five (5) days after service of... ten (10) days after service of such written notice of intent to revoke designation, the sponsor may...

  5. 22 CFR 62.50 - Sanctions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... of its recruitment or activity. (2) Within ten (10) days after service of the written notice to the... preceded by the imposition of any other sanction or notice. (2)(i) Within five (5) days after service of... ten (10) days after service of such written notice of intent to revoke designation, the sponsor may...

  6. The Implications of Service-Learning for Technology Studies.

    ERIC Educational Resources Information Center

    Folkestad, James E.; Senior, Bolivar A.; DeMirana, Michael A.

    2002-01-01

    A "toys for tots" service-learning experience integrated into an industrial technology management course required development and planning using a process planning and costing model and work with a variety of stakeholders including an Even-Start learning center. Challenges include the lack of service-learning precedent in technology studies and…

  7. Applying PRECEDE-PROCEED to Develop an Intuitive Eating Nondieting Approach to Weight Management Pilot Program

    ERIC Educational Resources Information Center

    Cole, Renee E.; Horacek, Tanya

    2009-01-01

    Objective: To describe the use of a consolidated version of the PRECEDE-PROCEED participatory program planning model to collaboratively design an intuitive eating program with Fort Drum military spouses tailored to their readiness to reject the dieting mentality and make healthful lifestyle modifications. Design: A consolidated version of…

  8. Independence Pending: Teacher Behaviors Preceding Learner Problem Solving

    ERIC Educational Resources Information Center

    Roesler, Rebecca A.

    2017-01-01

    The purposes of the present study were to identify the teacher behaviors that preceded learners' active participation in solving musical and technical problems and describe learners' roles in the problem-solving process. I applied an original model of problem solving to describe the behaviors of teachers and students in 161 rehearsal frames…

  9. Perspectives 1989 [on Library Service Developments in New York State].

    ERIC Educational Resources Information Center

    The Bookmark, 1989

    1989-01-01

    The 10 articles in this theme issue provide 1989 prespectives on several library service developments in New York State and on the work that preceded them: (1) "Library Systems in New York State: Opportunity for Greater Service" (Statement by the Board of Regents, September 1989); (2) "King Research Report Evaluates New York's…

  10. Clinical Assessment at College Counseling Centers: The Consultant-on-Duty Model

    ERIC Educational Resources Information Center

    Schoen, Eva; McKelley, Ryan

    2012-01-01

    The consultant-on-duty (COD) clinical consultation model maximizes efficient use of services, is distinct from other university counseling center (UCC) services, and precedes therapy. This model enables clinicians to ensure optimal fit between client need and type of UCC services provided, including brief therapy. The 4 objectives of the COD model…

  11. Speaking out on Matters of Public Concern: The Precarious Nature of School Administrator Speech

    ERIC Educational Resources Information Center

    Geisel, Richard T.

    2015-01-01

    The purpose of this paper is to highlight current U.S. Supreme Court precedents regarding public employee speech on matters of public concern, and how those precedents are being applied by lower federal courts to public school administrators. Surveying the current legal landscape reveals a heightened vulnerability for school administrators…

  12. Female Health Workers at the Doorstep: A Pilot of Community-Based Maternal, Newborn, and Child Health Service Delivery in Northern Nigeria

    PubMed Central

    Uzondu, Charles A; Doctor, Henry V; Findley, Sally E; Afenyadu, Godwin Y; Ager, Alastair

    2015-01-01

    ABSTRACT Introduction: Nigeria has one of the highest maternal mortality ratios in the world. Poor health outcomes are linked to weak health infrastructure, barriers to service access, and consequent low rates of service utilization. In the northern state of Jigawa, a pilot study was conducted to explore the feasibility of deploying resident female Community Health Extension Workers (CHEWs) to rural areas to provide essential maternal, newborn, and child health services. Methods: Between February and August 2011, a quasi-experimental design compared service utilization in the pilot community of Kadawawa, which deployed female resident CHEWs to provide health post services, 24/7 emergency access, and home visits, with the control community of Kafin Baka. In addition, we analyzed data from the preceding year in Kadawawa, and also compared service utilization data in Kadawawa from 2008–2010 (before introduction of the pilot) with data from 2011–2013 (during and after the pilot) to gauge sustainability of the model. Results: Following deployment of female CHEWs to Kadawawa in 2011, there was more than a 500% increase in rates of health post visits compared with 2010, from about 1.5 monthly visits per 100 population to about 8 monthly visits per 100. Health post visit rates were between 1.4 and 5.5 times higher in the intervention community than in the control community. Monthly antenatal care coverage in Kadawawa during the pilot period ranged from 11.9% to 21.3%, up from 0.9% to 5.8% in the preceding year. Coverage in Kafin Baka ranged from 0% to 3%. Facility-based deliveries by a skilled birth attendant more than doubled in Kadawawa compared with the preceding year (105 vs. 43 deliveries total, respectively). There was evidence of sustainability of these changes over the 2 subsequent years. Conclusion: Community-based service delivery through a resident female community health worker can increase health service utilization in rural, hard-to-reach areas. PMID:25745123

  13. Skilled Antenatal Care Service Utilization and Its Association with the Characteristics of Women's Health Development Team in Yeky District, South-West Ethiopia: A Multilevel Analysis.

    PubMed

    Girmaye, Melese; Berhan, Yifru

    2016-07-01

    In response to high maternal and perinatal morbidities and mortalities in Ethiopia, "Women's Health Development Army" was established to enhance utilization of skilled maternity services including antenatal care (ANC). However, its effect on skilled ANC service utilization is not well measured. Our study was aimed to assess skilled antenatal care service utilization and its association with the characteristics of women's health development team (WHDT). A community based cross sectional study was conducted from January to February 2015. A multi-stage cluster sampling technique was applied, and a total of 748 women (15-49 years) who gave birth in one year preceding the study were included in the study. Data were entered into EPI info version 7 statistical software and exported to STATA version 11 for analysis. Bivariate and multilevel mixed effects analysis techniques were applied to check for association of selected independent variables with utilization of skilled ANC. About 71% women received skilled ANC service at least once. A significant heterogeneity was observed between WHDTs for skilled ANC utilization. Level-1 predictors of skilled ANC utilization were: preference of skilled personnel (AOR=11.0; 95%, CI, 3.02-40.04), awareness about places where to get skilled providers (AOR=51.6; 95% CI, 13.92-,190.97) and listening to radio (AOR=5.7; 95% CI, 1.46-21.94). Distance of WHDT within 2 km radius from the nearest health facility (HF) was the only level-2 significant predictor of skilled ANC service utilization (AOR=8.28; 95%CI, 1.08-62.20). Skilled ANC service utilization is the joint effect of individual and WHDT characters. Awareness and perception creation towards skilled maternity service utilization need to be enhanced. Facilities and transport services should be more accessible towards WHDTs.

  14. 77 FR 43892 - Self-Regulatory Organizations; BATS Exchange, Inc.; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-26

    ... or service offered by the Member within the three months immediately preceding the date of an... conversion'' means, in an offer or agreement to sell or provide any goods or services, a provision under which a customer receives a product or service for free for an initial period and will incur an...

  15. 77 FR 26348 - Self-Regulatory Organizations; EDGA Exchange, Inc.; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... or service offered by the Member within the three months immediately preceding the date of an... conversion'' means, in an offer or agreement to sell or provide any goods or services, a provision under which a customer receives a product or service for free for an initial period and will incur an...

  16. 77 FR 26343 - Self-Regulatory Organizations; EDGX Exchange, Inc.; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... or service offered by the Member within the three months immediately preceding the date of an... conversion'' means, in an offer or agreement to sell or provide any goods or services, a provision under which a customer receives a product or service for free for an initial period and will incur an...

  17. 75 FR 9101 - Reduced 2009 Estimated Income Tax Payments for Individuals With Small Business Income

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-01

    ... estimated income tax payments for qualified individuals with small business income for any taxable year... does not apply if the preceding taxable year was less than 12 months or if the taxpayer did not file a... preceding taxable year was income from a small business. (B) Income from a small business means income from...

  18. 78 FR 13221 - Reduced 2009 Estimated Income Tax Payments for Individuals With Small Business Income

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-27

    ... preceding taxable year does not apply if the preceding taxable year was less than 12 months or if the... calendar year 2008. The final regulations specify that the trade or business must be a bona fide trade or... taxable year was income from a small business. (B) Income from a small business means income from the...

  19. ANNUAL REPORT, JULY 1, 1958

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

    None

    1959-02-01

    This annual report of Brookhaven National Laboratory describes its program and activities for the fiscal year 1958. The progress and trends of the research program are presented along with a description of the operational, service, and administrative activities of the Laboratory. The scientific and technical details of the many research and development activities are covered more fully in scientific and technical periodicals and in the quarterly scientific progress reports and other scientiflc reports of the Laboratory. A list of all publications for July 1, 1957 to June 30, 1958, is given. Status and progress are given in fields of physics,more » accelerator development, instrumentation, applied mathematics, chemistry, nuclear engineering, biology, and medical research. (For preceding period see BNL-462.) (W.D.M.)« less

  20. Health manpower vs. mindpower.

    PubMed

    Mase, D J

    1976-12-01

    Applying mindpower to health care means planning. We can no longer afford to "guesstimate" ratios of assistants and aides to physicians, dietitians, therapists, or technologists. Mindpower also means education: First, of the consumer of our services, the patient (he must see that the health care team is made up of some two hundred occupations, not just of physician and nurse); then of our future health professionals (here the competent performance of certain tasks takes precedence over what is called "general" education). Although the recent knowledge explosion has stretched the curriculum considerably, a "professional degree" may yet mean more than a graduate degree. Mindpower is communication, cooperation, and collaboration on the job. It means being adaptable in emergencies, cutting out jealousy and pettiness, relying on preventive efforts, finding strength in unity.

  1. Innovation and design approaches within prospective ergonomics.

    PubMed

    Liem, André; Brangier, Eric

    2012-01-01

    In this conceptual article the topic of "Prospective Ergonomics" will be discussed within the context of innovation, design thinking and design processes & methods. Design thinking is essentially a human-centred innovation process that emphasises observation, collaboration, interpretation, visualisation of ideas, rapid concept prototyping and concurrent business analysis, which ultimately influences innovation and business strategy. The objective of this project is to develop a roadmap for innovation, involving consumers, designers and business people in an integrative process, which can be applied to product, service and business design. A theoretical structure comprising of Innovation perspectives (1), Worldviews supported by rationalist-historicist and empirical-idealistic dimensions (2) and Models of "design" reasoning (3) precedes the development and classification of existing methods as well as the introduction of new ones.

  2. Education for Librarianship on the Grassroots Level. Part 2. Papers.

    ERIC Educational Resources Information Center

    International Federation of Library Associations, The Hague (Netherlands).

    Papers on education for librarianship which were presented at a seminar preceding the general conference of IFLA included the following: (1) "Necessite des Services--Quel Niveau de Competences et de Qualifications et Quelles Structures Administratives Sont Necessaires pour Faire Fonctionner les Services?" (Library Service…

  3. How Equal is "Equity"?

    ERIC Educational Resources Information Center

    Segal, David R.

    1981-01-01

    Criticizes the preceding article by Michael Useem, which holds that compulsory military service in the U.S. has discriminated against the lower classes. Argues that the draft was more equitable than the current volunteer system, and that military service has been an important mobility channel for disadvantaged people. (Author/GC)

  4. Hypervelocity Impact of Unstressed and Stressed Titanium in a Whipple Configuration in Support of the Orion Crew Exploration Vehicle Service Module Propellant Tanks

    NASA Technical Reports Server (NTRS)

    Nahra, Henry K.; Christiansen, Eric; Piekutowski, Andrew; Lyons, Frankel; Keddy, Christopher; Salem, Jonathan; Miller, Joshua; Bohl, William; Poormon, Kevin; Greene, Nathanel; hide

    2010-01-01

    Hypervelocity impacts were performed on six unstressed and six stressed titanium coupons with aluminium shielding in order to assess the effects of the partial penetration damage on the post impact micromechanical properties of titanium and on the residual strength after impact. This work is performed in support of the definition of the penetration criteria of the propellant tanks surfaces for the service module of the crew exploration vehicle where such a criterion is based on testing and analyses rather than on historical precedence. The objective of this work is to assess the effects of applied biaxial stress on the damage dynamics and morphology. The crater statistics revealed minute differences between stressed and unstressed coupon damage. The post impact residual stress analyses showed that the titanium strength properties were generally unchanged for the unstressed coupons when compared with undamaged titanium. However, high localized strains were shown near the craters during the tensile tests.

  5. Hypervelocity Impact of Unstressed and Stressed Titanium in a Whipple Configuration in Support of the Orion Crew Exploration Vehicle Service Module Propellant Tanks

    NASA Technical Reports Server (NTRS)

    Nahra, Henry K.; Christiansen, Eric; Piekutowski, Andrew; Lyons, Frankel; Keddy, Christopher; Salem, Jonathan; Poormon, Kevin; Bohl, William; Miller, Joshua; Greene, Nathanael; hide

    2010-01-01

    Hypervelocity impacts were performed on six unstressed and six stressed titanium coupons with aluminium: shielding in order to assess the effects of the partial penetration damage on the post impact micromechanical properties of titanium and on the residual strength after impact. This work is performed in support of the defInition of the penetration criteria of the propellant and oxidizer tanks dome surfaces for the service module of the crew exploration vehicle where such a criterion is based on testing and analyses rather than on historical precedence. The objective of this work is to assess the effects of applied biaxial stress on the damage dynamics and morphology. The crater statistics revealed minute differences between stressed and unstressed coupon damage. The post impact residual stress analyses showed that the titanium strength properties were generally unchanged for the unstressed coupons when compared with undamaged titanium. However, high localized strains were shown near the craters during the tensile tests.

  6. 77 FR 43887 - Self-Regulatory Organizations; BATS Y-Exchange, Inc.; Notice of Filing and Immediate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-26

    ... donor. A ``customer'' is any person who is or may be required to pay for goods or services through... inquire about a product or service offered by the Member within the three months immediately preceding the... conversion'' means, in an offer or agreement to sell or provide any goods or services, a provision under...

  7. 77 FR 51076 - Self-Regulatory Organizations; National Stock Exchange, Inc.; Notice of Filing and Immediate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-23

    ... offer or agreement to sell or provide any goods or services, a provision under which a customer receives... product or service offered by the ETP Holder within the three months immediately preceding the date of an... condition of purchasing any good or service; (c) evidence the willingness of the called person to receive...

  8. Reporting of feasibility factors in publications on integrated treatment programs for women with substance abuse issues and their children: a systematic review and analysis.

    PubMed

    Henderson, Joanna; Milligan, Karen; Niccols, Alison; Thabane, Lehana; Sword, Wendy; Smith, Ainsley; Rosenkranz, Susan

    2012-12-07

    Implementation of evidence-based practices in real-world settings is a complex process impacted by many factors, including intervention, dissemination, service provider, and organizational characteristics. Efforts to improve knowledge translation have resulted in greater attention to these factors. Researcher attention to the applicability of findings to applied settings also has increased. Much less attention, however, has been paid to intervention feasibility, an issue important to applied settings. In a systematic review of 121 documents regarding integrated treatment programs for women with substance abuse issues and their children, we examined the presence of feasibility-related information. Specifically, we analysed study descriptions for information regarding feasibility factors in six domains (intervention, practitioner, client, service delivery, organizational, and service system). On average, fewer than half of the 25 feasibility details assessed were included in the documents. Most documents included some information describing the participating clients, the services offered as part of the intervention, the location of services, and the expected length of stay or number of sessions. Only approximately half of the documents included specific information about the treatment model. Few documents indicated whether the intervention was manualized or whether the intervention was preceded by a standardized screening or assessment process. Very few provided information about the core intervention features versus the features open to local adaptation, or the staff experience or training required to deliver the intervention. As has been found in reviews of intervention studies in other fields, our findings revealed that most documents provide some client and intervention information, but few documents provided sufficient information to fully evaluate feasibility. We consider possible explanations for the paucity of feasibility information and provide suggestions for better reporting to promote diffusion of evidence-based practices.

  9. The recognition of diagnosable psychiatric disorders in suicide cases' last medical contacts.

    PubMed

    Pan, Yi-Ju; Lee, Ming-Been; Chiang, Hung-Chi; Liao, Shih-Cheng

    2009-01-01

    The objective of this study is to examine physicians' awareness of diagnosable psychiatric disorders in suicide cases' last medical contacts (MCs). The contact rates and proportions of both psychiatric and somatic diagnoses in a national cohort of suicide subjects (N=3468) in Taiwan seeking psychiatric or nonpsychiatric medical services within 1 month and 1 year preceding death were examined. The overall rates of MCs were 72.6% within 1 month and 89.2% within 1 year preceding suicide. While around 99.9% of the suicide subjects who contacted psychiatrists within 1 month preceding death were diagnosed as having psychiatric disorders, only 19.7% of those visiting nonpsychiatric physicians had psychiatric diagnoses. Suicide subjects, however, frequently complained of somatic symptoms, for example, gastrointestinal discomfort, headache/dizziness and back problem during their contacts with nonpsychiatric physicians within 1 month preceding death. Despite the high rates of MCs preceding suicide, the majority of suicide subjects were not diagnosed. Emphasizing psychosomatic manifestations of psychiatric disorders in physician education programs may help enhance the awareness of psychiatric disorders/suicide risk in clinical settings.

  10. White paper : the fourth amendment : implications for radiological and nuclear detection.

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

    Levey, Brandon Seth

    The need to improve the radiation detection architecture has given rise to increased concern over the potential of equipment or procedures to violate the Fourth Amendment. Protecting the rights guaranteed by the Constitution is a foremost value of every government agency. However, protecting U.S. residents and assets from potentially catastrophic threats is also a crucial role of government. In the absence of clear precedent, the fear of potentially violating rights could lead to the rejection of effective and reasonable means that could reduce risks, possibly savings lives and assets. The goal of this document is not to apply case lawmore » to determine what the precedent may be if it exists, but rather provide a detailed outline that defines searches and seizures, identifies what precedent exists and what precedent doesn't exist, and explore what the existing (and non-existing) precedent means for the use of radiation detection used inside the nation's borders.« less

  11. 47 CFR 73.153 - Field strength measurements in support of applications or evidence at hearings.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 4 2011-10-01 2011-10-01 false Field strength measurements in support of... (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES AM Broadcast Stations § 73.153 Field strength..., groundwave field strength measurements will take precedence over theoretical values, provided such...

  12. 47 CFR 73.153 - Field strength measurements in support of applications or evidence at hearings.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Field strength measurements in support of... (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES AM Broadcast Stations § 73.153 Field strength..., groundwave field strength measurements will take precedence over theoretical values, provided such...

  13. [Common mental disorders and the use of psychoactive drugs: the impact of socioeconomic conditions].

    PubMed

    Lima, Maria Cristina Pereira; Menezes, Paulo Rossi; Carandina, Luana; Cesar, Chester Luiz Galvão; Barros, Marilisa Berti de Azevedo; Goldbaum, Moisés

    2008-08-01

    To evaluate the influence of socioeconomic conditions on the association between common mental disorders and the use of health services and psychoactive drugs. This was a population-based cross-sectional study conducted in the city of Botucatu, Southeastern Brazil. The sample was probabilistic, stratified and cluster-based. Interviews with 1,023 subjects aged 15 years or over were held in their homes between 2001 and 2002. Common mental disorders were evaluated using the Self-Reporting Questionnaire (SRQ-20). The use of services was investigated in relation to the fortnight preceding the interview and the use of psychotropic drugs, over the preceding three days. Logistic regression was used for multivariable analysis, and the design effect was taken into consideration. Out of the whole sample, 13.4% (95% CI: 10.7;16.0) had sought health services over the fortnight preceding the interview. Seeking health services was associated with female gender (OR=2.0) and the presence of common mental disorders (OR=2.2). 13.3% of the sample (95% CI: 9.2;17.5) said they had used at least one psychotropic drug, especially antidepressives (5.0%) and benzodiazepines (3.1%). In the multivariable analysis, female gender and the presence of common mental disorders remained associated with the use of benzodiazepines. Per capita income presented a direct and independent association with the use of psychoactive drugs: the greater the income, the greater the use of these drugs was. Lower income was associated with the presence of common mental disorders, but not with the use of psychotropic drugs. The association of common mental disorders and the use of psychotropic drugs in relation to higher income strengthens the hypothesis that inequality of access to medical services exists among this population.

  14. 5 CFR 752.402 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... means a period of employment or service immediately preceding an adverse action without a break in... nondisciplinary reasons. Grade means a level of classification under a position classification system. Indefinite...

  15. 5 CFR 752.402 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... means a period of employment or service immediately preceding an adverse action without a break in... nondisciplinary reasons. Grade means a level of classification under a position classification system. Indefinite...

  16. 5 CFR 752.402 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... means a period of employment or service immediately preceding an adverse action without a break in... nondisciplinary reasons. Grade means a level of classification under a position classification system. Indefinite...

  17. 5 CFR 752.402 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... means a period of employment or service immediately preceding an adverse action without a break in... nondisciplinary reasons. Grade means a level of classification under a position classification system. Indefinite...

  18. An Analysis of Televised Public Service Advertising. Drug Abuse Information Research Project.

    ERIC Educational Resources Information Center

    Hanneman, Gerhard J.; And Others

    Government regulations state that broadcasters are obligated to allot program time to matters of public interest, but neither law nor precedent have determined their commitment to present messages on social problems. To determine the amount of public service advertising (PSA) that is broadcast, particularly anti-drug appeals, a content analysis…

  19. 29 CFR 825.300 - Employer notice requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... materials exist, or by distributing a copy of the general notice to each new employee upon hiring. In either... number of months the employee has been employed by the employer, the number of hours of service worked... hours of service for the employer in the 12 months preceding the commencement of leave for the...

  20. 29 CFR 825.300 - Employer notice requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... materials exist, or by distributing a copy of the general notice to each new employee upon hiring. In either... number of months the employee has been employed by the employer, the number of hours of service worked... hours of service for the employer in the 12 months preceding the commencement of leave for the...

  1. Offering A Price Transparency Tool Did Not Reduce Overall Spending Among California Public Employees And Retirees.

    PubMed

    Desai, Sunita; Hatfield, Laura A; Hicks, Andrew L; Sinaiko, Anna D; Chernew, Michael E; Cowling, David; Gautam, Santosh; Wu, Sze-Jung; Mehrotra, Ateev

    2017-08-01

    Insurers, employers, and states increasingly encourage price transparency so that patients can compare health care prices across providers. However, the evidence on whether price transparency tools encourage patients to receive lower-cost care and reduce overall spending remains limited and mixed. We examined the experience of a large insured population that was offered a price transparency tool, focusing on a set of "shoppable" services (lab tests, office visits, and advanced imaging services). Overall, offering the tool was not associated with lower shoppable services spending. Only 12 percent of employees who were offered the tool used it in the first fifteen months after it was introduced, and use of the tool was not associated with lower prices for lab tests or office visits. The average price paid for imaging services preceded by a price search was 14 percent lower than that paid for imaging services not preceded by a price search. However, only 1 percent of those who received advanced imaging conducted a price search. Simply offering a price transparency tool is not sufficient to meaningfully decrease health care prices or spending. Project HOPE—The People-to-People Health Foundation, Inc.

  2. Adult Re-Entry Students: Experiences Preceding Entry into a Rural Appalachian Community College

    ERIC Educational Resources Information Center

    Genco, Jessica T.

    2007-01-01

    Mountain Empire Community College (MECC)'s service region covers the extreme southwestern corner of Virginia and includes four counties and one city: Dickenson, Lee, Scott, and Wise Counties, and the city of Norton. With a service region population of 93,000 residents, MECC currently serves over 5,000 students annually (Mountain Empire Community…

  3. 7 CFR 785.8 - Reports by qualifying States receiving mediation grant funds.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... counseling services, training, notification, public education, increasing resolution rates, and obtaining... preceding fiscal year, and for prior fiscal years, as appropriate, for comparisons of program activities and...

  4. 7 CFR 785.8 - Reports by qualifying States receiving mediation grant funds.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... counseling services, training, notification, public education, increasing resolution rates, and obtaining... preceding fiscal year, and for prior fiscal years, as appropriate, for comparisons of program activities and...

  5. 7 CFR 785.8 - Reports by qualifying States receiving mediation grant funds.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... counseling services, training, notification, public education, increasing resolution rates, and obtaining... preceding fiscal year, and for prior fiscal years, as appropriate, for comparisons of program activities and...

  6. 7 CFR 785.8 - Reports by qualifying States receiving mediation grant funds.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... counseling services, training, notification, public education, increasing resolution rates, and obtaining... preceding fiscal year, and for prior fiscal years, as appropriate, for comparisons of program activities and...

  7. 36 CFR 1234.20 - What rules apply if there is a conflict between NARA standards and other regulatory standards...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... regional building codes, the following rules of precedence apply: (1) Between differing levels of fire... cannot be reconciled with a requirement of this part, the local or regional code applies. (b) If any of... require documentation of the mandatory nature of the conflicting code and the inability to reconcile that...

  8. 36 CFR 1234.20 - What rules apply if there is a conflict between NARA standards and other regulatory standards...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... regional building codes, the following rules of precedence apply: (1) Between differing levels of fire... cannot be reconciled with a requirement of this part, the local or regional code applies. (b) If any of... require documentation of the mandatory nature of the conflicting code and the inability to reconcile that...

  9. 36 CFR 1234.20 - What rules apply if there is a conflict between NARA standards and other regulatory standards...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... regional building codes, the following rules of precedence apply: (1) Between differing levels of fire... cannot be reconciled with a requirement of this part, the local or regional code applies. (b) If any of... require documentation of the mandatory nature of the conflicting code and the inability to reconcile that...

  10. 36 CFR § 1234.20 - What rules apply if there is a conflict between NARA standards and other regulatory standards...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... regional building codes, the following rules of precedence apply: (1) Between differing levels of fire... cannot be reconciled with a requirement of this part, the local or regional code applies. (b) If any of... require documentation of the mandatory nature of the conflicting code and the inability to reconcile that...

  11. 7 CFR 46.14 - General.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... correctly disclose the true ownership and management of such business during the preceding four years. Such... of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE MARKETING OF PERISHABLE AGRICULTURAL COMMODITIES REGULATIONS (OTHER...

  12. Forecasting the Future Reimbursement System of Korean National Health Insurance: A Contemplation Focusing on Global Budget and Neo-KDRG-Based Payment Systems

    PubMed Central

    2012-01-01

    With the adoption of national health insurance in 1977, Korea has been utilizing fee-for-service payment with contract-based healthcare reimbursement system in 2000. Under the system, fee-for-service reimbursement has been accused of augmenting national healthcare expenditure by excessively increasing service volume. The researcher examined in this paper two major alternatives including diagnosis related group-based payment and global budget to contemplate the future of reimbursement system of Korean national health insurance. Various literature and preceding studies on pilot project and actual implementation of Neo-KDRG were reviewed. As a result, DRG-based payment was effective for healthcare cost control but low in administrative efficiency. Global budget may be adequate for cost control and improving the quality of healthcare and administrative efficiency. However, many healthcare providers disagree that excess care arising from fee-for-service payment alone has led to financial deterioration of national health insurance and healthcare institutions should take responsibility with global budget payment as an appropriate solution. Dissimilar payment systems may be applied to different types of institutions to reflect their unique attributes, and this process can be achieved step-by-step. Developing public sphere among the stakeholders and striving for consensus shall be kept as collateral to attain the desirable reimbursement system in the future. PMID:22661867

  13. Forecasting the future reimbursement system of Korean National Health Insurance: a contemplation focusing on global budget and Neo-KDRG-based payment systems.

    PubMed

    Kim, Yang-Kyun

    2012-05-01

    With the adoption of national health insurance in 1977, Korea has been utilizing fee-for-service payment with contract-based healthcare reimbursement system in 2000. Under the system, fee-for-service reimbursement has been accused of augmenting national healthcare expenditure by excessively increasing service volume. The researcher examined in this paper two major alternatives including diagnosis related group-based payment and global budget to contemplate the future of reimbursement system of Korean national health insurance. Various literature and preceding studies on pilot project and actual implementation of Neo-KDRG were reviewed. As a result, DRG-based payment was effective for healthcare cost control but low in administrative efficiency. Global budget may be adequate for cost control and improving the quality of healthcare and administrative efficiency. However, many healthcare providers disagree that excess care arising from fee-for-service payment alone has led to financial deterioration of national health insurance and healthcare institutions should take responsibility with global budget payment as an appropriate solution. Dissimilar payment systems may be applied to different types of institutions to reflect their unique attributes, and this process can be achieved step-by-step. Developing public sphere among the stakeholders and striving for consensus shall be kept as collateral to attain the desirable reimbursement system in the future.

  14. Reporting of feasibility factors in publications on integrated treatment programs for women with substance abuse issues and their children: a systematic review and analysis

    PubMed Central

    2012-01-01

    Background Implementation of evidence-based practices in real-world settings is a complex process impacted by many factors, including intervention, dissemination, service provider, and organizational characteristics. Efforts to improve knowledge translation have resulted in greater attention to these factors. Researcher attention to the applicability of findings to applied settings also has increased. Much less attention, however, has been paid to intervention feasibility, an issue important to applied settings. Methods In a systematic review of 121documents regarding integrated treatment programs for women with substance abuse issues and their children, we examined the presence of feasibility-related information. Specifically, we analysed study descriptions for information regarding feasibility factors in six domains (intervention, practitioner, client, service delivery, organizational, and service system). Results On average, fewer than half of the 25 feasibility details assessed were included in the documents. Most documents included some information describing the participating clients, the services offered as part of the intervention, the location of services, and the expected length of stay or number of sessions. Only approximately half of the documents included specific information about the treatment model. Few documents indicated whether the intervention was manualized or whether the intervention was preceded by a standardized screening or assessment process. Very few provided information about the core intervention features versus the features open to local adaptation, or the staff experience or training required to deliver the intervention. Conclusions As has been found in reviews of intervention studies in other fields, our findings revealed that most documents provide some client and intervention information, but few documents provided sufficient information to fully evaluate feasibility. We consider possible explanations for the paucity of feasibility information and provide suggestions for better reporting to promote diffusion of evidence-based practices. PMID:23217025

  15. 12 CFR 702.108 - Risk mitigation credit.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Risk mitigation credit. 702.108 Section 702.108... CORRECTIVE ACTION Net Worth Classification § 702.108 Risk mitigation credit. (a) Who may apply. A credit union may apply for a risk mitigation credit if on any of the current or three preceding effective dates...

  16. 12 CFR 702.108 - Risk mitigation credit.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 7 2013-01-01 2013-01-01 false Risk mitigation credit. 702.108 Section 702.108... CORRECTIVE ACTION Net Worth Classification § 702.108 Risk mitigation credit. (a) Who may apply. A credit union may apply for a risk mitigation credit if on any of the current or three preceding effective dates...

  17. 12 CFR 702.108 - Risk mitigation credit.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Risk mitigation credit. 702.108 Section 702.108... CORRECTIVE ACTION Net Worth Classification § 702.108 Risk mitigation credit. (a) Who may apply. A credit union may apply for a risk mitigation credit if on any of the current or three preceding effective dates...

  18. 12 CFR 702.108 - Risk mitigation credit.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Risk mitigation credit. 702.108 Section 702.108... CORRECTIVE ACTION Net Worth Classification § 702.108 Risk mitigation credit. (a) Who may apply. A credit union may apply for a risk mitigation credit if on any of the current or three preceding effective dates...

  19. 12 CFR 702.108 - Risk mitigation credit.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Risk mitigation credit. 702.108 Section 702.108... CORRECTIVE ACTION Net Worth Classification § 702.108 Risk mitigation credit. (a) Who may apply. A credit union may apply for a risk mitigation credit if on any of the current or three preceding effective dates...

  20. 30 CFR 204.2 - What definitions apply to this part?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... MANAGEMENT ALTERNATIVES FOR MARGINAL PROPERTIES General Provisions § 204.2 What definitions apply to this... preceding the calendar year for which you take or request marginal property relief. For example, if you... equivalent production means the total of all oil and gas production for the marginal property, stated in BOE...

  1. Diagnostic Criteria for the Characterization of Electrode Reactions with Chemically Coupled Reactions Preceding the Electron Transfer by Cyclic Square Wave Voltammetry.

    PubMed

    Helfrick, John C; Mann, Megan A; Bottomley, Lawrence A

    2016-08-18

    Theory for cyclic square wave voltammetry of electrode reactions with chemical reactions preceding the electron transfer is presented. Theoretical voltammograms were calculated following systematic variation of empirical parameters to assess their impact on the shape of the voltammogram. From the trends obtained, diagnostic criteria for this mechanism were deduced. When properly applied, these criteria will enable non-experts in voltammetry to assign the electrode reaction mechanism and accurately measure reaction kinetics. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  2. Sentinel Events Preceding Youth Firearm Violence: An Investigation of Administrative Data in Delaware.

    PubMed

    Sumner, Steven A; Maenner, Matthew J; Socias, Christina M; Mercy, James A; Silverman, Paul; Medinilla, Sandra P; Martin, Steven S; Xu, Likang; Hillis, Susan D

    2016-11-01

    Accurately identifying youth at highest risk of firearm violence involvement could permit delivery of focused, comprehensive prevention services. This study explored whether readily available city and state administrative data covering life events before youth firearm violence could elucidate patterns preceding such violence. Four hundred twenty-one individuals arrested for homicide, attempted homicide, aggravated assault, or robbery with a firearm committed in Wilmington, Delaware, from January 1, 2009 to May 21, 2014, were matched 1:3 to 1,259 Wilmington resident controls on birth year and sex. In 2015, descriptive statistics and a conditional logistic regression model using Delaware healthcare, child welfare, juvenile services, labor, and education administrative data examined associations between preceding life events and subsequent firearm violence. In a multivariable adjusted model, experiencing a prior gunshot wound injury (AOR=11.4, 95% CI=2.7, 48.1) and being subject to community probation (AOR=13.2, 95% CI=5.7, 30.3) were associated with the highest risk of subsequent firearm violence perpetration, though multiple other sentinel events were informative. The mean number of sentinel events experienced by youth committing firearm violence was 13.0 versus 1.9 among controls (p<0.0001). Within the sample, 84.1% of youth experiencing a sentinel event in all five studied domains ultimately committed firearm violence. Youth who commit firearm violence have preceding patterns of life events that markedly differ from youth not involved in firearm violence. This information is readily available from administrative data, demonstrating the potential of data sharing across city and state institutions to focus prevention strategies on those at greatest risk. Published by Elsevier Inc.

  3. Sentinel Events Preceding Youth Firearm Violence An Investigation of Administrative Data in Delaware

    PubMed Central

    Sumner, Steven A.; Maenner, Matthew J.; Socias, Christina M.; Mercy, James A.; Silverman, Paul; Medinilla, Sandra P.; Martin, Steven S.; Xu, Likang; Hillis, Susan D.

    2018-01-01

    Introduction Accurately identifying youth at highest risk of firearm violence involvement could permit delivery of focused, comprehensive prevention services. This study explored whether readily available city and state administrative data covering life events before youth firearm violence could elucidate patterns preceding such violence. Methods Four hundred twenty-one individuals arrested for homicide, attempted homicide, aggravated assault, or robbery with a firearm committed in Wilmington, Delaware, from January 1, 2009 to May 21, 2014, were matched 1:3 to 1,259 Wilmington resident controls on birth year and sex. In 2015, descriptive statistics and a conditional logistic regression model using Delaware healthcare, child welfare, juvenile services, labor, and education administrative data examined associations between preceding life events and subsequent firearm violence. Results In a multivariable adjusted model, experiencing a prior gunshot wound injury (AOR=11.4, 95% CI=2.7, 48.1) and being subject to community probation (AOR=13.2, 95% CI=5.7, 30.3) were associated with the highest risk of subsequent firearm violence perpetration, though multiple other sentinel events were informative. The mean number of sentinel events experienced by youth committing firearm violence was 13.0 versus 1.9 among controls (p<0.0001). Within the sample, 84.1% of youth experiencing a sentinel event in all five studied domains ultimately committed firearm violence. Conclusions Youth who commit firearm violence have preceding patterns of life events that markedly differ from youth not involved in firearm violence. This information is readily available from administrative data, demonstrating the potential of data sharing across city and state institutions to focus prevention strategies on those at greatest risk. PMID:27742157

  4. Habitat Management to Suppress Pest Populations: Progress and Prospects.

    PubMed

    Gurr, Geoff M; Wratten, Steve D; Landis, Douglas A; You, Minsheng

    2017-01-31

    Habitat management involving manipulation of farmland vegetation can exert direct suppressive effects on pests and promote natural enemies. Advances in theory and practical techniques have allowed habitat management to become an important subdiscipline of pest management. Improved understanding of biodiversity-ecosystem function relationships means that researchers now have a firmer theoretical foundation on which to design habitat management strategies for pest suppression in agricultural systems, including landscape-scale effects. Supporting natural enemies with shelter, nectar, alternative prey/hosts, and pollen (SNAP) has emerged as a major research topic and applied tactic with field tests and adoption often preceded by rigorous laboratory experimentation. As a result, the promise of habitat management is increasingly being realized in the form of practical worldwide implementation. Uptake is facilitated by farmer participation in research and is made more likely by the simultaneous delivery of ecosystem services other than pest suppression.

  5. 40 CFR 421.40 - Applicability: Description of the primary copper smelting subcategory.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... smelting subcategory. The provisions of this subpart apply to process wastewater discharges resulting from... not limited to, roasting, converting, leaching if preceded by a pyrometallurgical step, slag...

  6. 40 CFR 421.40 - Applicability: Description of the primary copper smelting subcategory.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... smelting subcategory. The provisions of this subpart apply to process wastewater discharges resulting from... not limited to, roasting, converting, leaching if preceded by a pyrometallurgical step, slag...

  7. Financial Reporting at the Washington Headquarters Services

    DTIC Science & Technology

    2001-03-15

    This report is the third, and last, in this series addressing the underlying financial reporting processes that cause abnormal balances on the trial...Forces, the Pentagon Reservation Maintenance Revolving Fund, and the Building Maintenance Fund. Preceding reports addressed financial reporting by the

  8. Conclusion of: GTR-SRS-226

    Treesearch

    Erin O. Sills; R. David Simpson; E. Evan Mercer

    2017-01-01

    This concluding chapter recommends a standardized approach to accounting for forest ecosystem services in the SouthernStates. First, we synthesize 10 principles from the preceding chapters. Next, we present a template for State forest ecosystemservice assessments, recommending a staged approach with five outputs.

  9. Inputs to quality: supervision, management, and community involvement in health facilities in Egypt in 2004.

    PubMed

    Cherlin, Emily J; Allam, Adel A; Linnander, Erika L; Wong, Rex; El-Toukhy, Essam; Sipsma, Heather; Krumholz, Harlan M; Curry, Leslie A; Bradley, Elizabeth H

    2011-10-20

    As low- and middle-income countries experience economic development, ensuring quality of health care delivery is a central component of health reform. Nevertheless, health reforms in low- and middle-income countries have focused more on access to services rather than the quality of these services, and reporting on quality has been limited. In the present study, we sought to examine the prevalence and regional variation in key management practices in Egyptian health facilities within three domains: supervision of the facility from the Ministry of Health and Population (MOHP), managerial processes, and patient and community involvement in care. We conducted a cross-sectional analysis of data from 559 facilities surveyed with the Egyptian Service Provision Assessment (ESPA) survey in 2004, the most recent such survey in Egypt. We registered on the Measure Demographic and Health Survey (DHS) website http://legacy.measuredhs.com/login.cfm to gain access to the survey data. From the ESPA sampled 559 MOHP facilities, we excluded a total of 79 facilities because they did not offer facility-based 24-hour care or have at least one physician working in the facility, resulting in a final sample of 480 facilities. The final sample included 76 general service hospitals, 307 rural health units, and 97 maternal and child health and urban health units (MCH/urban units). We used standard frequency analyses to describe facility characteristics and tested the statistical significance of regional differences using chi-square statistics. Nearly all facilities reported having external supervision within the 6 months preceding the interview. In contrast, key facility-level managerial processes, such as having routine and documented management meetings and applying quality assurance approaches, were uncommon. Involvement of communities and patients was also reported in a minority of facilities. Hospitals and health units located in Urban Egypt compared with more rural parts of Egypt were significantly more likely to have management committees that met at least monthly, to keep official records of the meetings, and to have an approach for reviewing quality assurance activities. Although the data precede the recent reform efforts of the MOHP, they provide a baseline against which future progress can be measured. Targeted efforts to improve facility-level management are critical to supporting quality improvement initiatives directed at improving the quality of health care throughout the country.

  10. 21 CFR 1303.12 - Procurement quotas.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... purposes of manufacturing, shall apply on DEA Form 250 for a procurement quota for such basic class. A... specified unit of the second basic class. DEA Form 250 shall be filed on or before April 1 of the year preceding the calendar year for which the procurement quota is being applied. Copies of DEA Form 250 may be...

  11. Female health workers at the doorstep: a pilot of community-based maternal, newborn, and child health service delivery in northern Nigeria.

    PubMed

    Uzondu, Charles A; Doctor, Henry V; Findley, Sally E; Afenyadu, Godwin Y; Ager, Alastair

    2015-03-01

    Nigeria has one of the highest maternal mortality ratios in the world. Poor health outcomes are linked to weak health infrastructure, barriers to service access, and consequent low rates of service utilization. In the northern state of Jigawa, a pilot study was conducted to explore the feasibility of deploying resident female Community Health Extension Workers (CHEWs) to rural areas to provide essential maternal, newborn, and child health services. Between February and August 2011, a quasi-experimental design compared service utilization in the pilot community of Kadawawa, which deployed female resident CHEWs to provide health post services, 24/7 emergency access, and home visits, with the control community of Kafin Baka. In addition, we analyzed data from the preceding year in Kadawawa, and also compared service utilization data in Kadawawa from 2008-2010 (before introduction of the pilot) with data from 2011-2013 (during and after the pilot) to gauge sustainability of the model. Following deployment of female CHEWs to Kadawawa in 2011, there was more than a 500% increase in rates of health post visits compared with 2010, from about 1.5 monthly visits per 100 population to about 8 monthly visits per 100. Health post visit rates were between 1.4 and 5.5 times higher in the intervention community than in the control community. Monthly antenatal care coverage in Kadawawa during the pilot period ranged from 11.9% to 21.3%, up from 0.9% to 5.8% in the preceding year. Coverage in Kafin Baka ranged from 0% to 3%. Facility-based deliveries by a skilled birth attendant more than doubled in Kadawawa compared with the preceding year (105 vs. 43 deliveries total, respectively). There was evidence of sustainability of these changes over the 2 subsequent years. Community-based service delivery through a resident female community health worker can increase health service utilization in rural, hard-to-reach areas. © Uzondu et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit http://creativecommons.org/licenses/by/3.0/. When linking to this article, please use the following permanent link: http://dx.doi.org/10.9745/GHSP-D-14-00117.

  12. 7 CFR 1717.608 - RUS approval of contracts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... preceding execution of the contract. This requirement applies regardless of the source of funding of any... contained in any power supply arrangement subject to RUS approval, which merely has the effect of either...

  13. 7 CFR 932.159 - Reallocation of handler membership.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 932.159 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE OLIVES... are made and in the preceding crop year shall each be represented by four members and four alternate...

  14. 77 FR 47826 - Inland Waterways Users Board; Request for Nominations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-10

    ... above commodity categories. d. Nomination. Reflecting preceding selection criteria, the current.... Mark R. Pointon, (703) 428-6438. SUPPLEMENTARY INFORMATION: The selection, service, and appointment of... substance of those provisions is as follows: a. Selection. Representative organizations are to be selected...

  15. Principles and Methods of Adapted Physical Education.

    ERIC Educational Resources Information Center

    Arnheim, Daniel D.; And Others

    Programs in adapted physical education are presented preceded by a background of services for the handicapped, by the psychosocial implications of disability, and by the growth and development of the handicapped. Elements of conducting programs discussed are organization and administration, class organization, facilities, exercise programs…

  16. 18 CFR 284.126 - Reporting requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... bypass. An intrastate pipeline that provides transportation (except storage) under § 284.122 to a... transportation prior to commencement. (b) Form No. 549D, Quarterly Transportation and Storage Report of... transportation and storage service provided during the preceding calendar quarter under § 284.122, the following...

  17. Anomalous transport in fluid field with random waiting time depending on the preceding jump length

    NASA Astrophysics Data System (ADS)

    Zhang, Hong; Li, Guo-Hua

    2016-11-01

    Anomalous (or non-Fickian) transport behaviors of particles have been widely observed in complex porous media. To capture the energy-dependent characteristics of non-Fickian transport of a particle in flow fields, in the present paper a generalized continuous time random walk model whose waiting time probability distribution depends on the preceding jump length is introduced, and the corresponding master equation in Fourier-Laplace space for the distribution of particles is derived. As examples, two generalized advection-dispersion equations for Gaussian distribution and lévy flight with the probability density function of waiting time being quadratic dependent on the preceding jump length are obtained by applying the derived master equation. Project supported by the Foundation for Young Key Teachers of Chengdu University of Technology, China (Grant No. KYGG201414) and the Opening Foundation of Geomathematics Key Laboratory of Sichuan Province, China (Grant No. scsxdz2013009).

  18. Prediction of human errors by maladaptive changes in event-related brain networks.

    PubMed

    Eichele, Tom; Debener, Stefan; Calhoun, Vince D; Specht, Karsten; Engel, Andreas K; Hugdahl, Kenneth; von Cramon, D Yves; Ullsperger, Markus

    2008-04-22

    Humans engaged in monotonous tasks are susceptible to occasional errors that may lead to serious consequences, but little is known about brain activity patterns preceding errors. Using functional MRI and applying independent component analysis followed by deconvolution of hemodynamic responses, we studied error preceding brain activity on a trial-by-trial basis. We found a set of brain regions in which the temporal evolution of activation predicted performance errors. These maladaptive brain activity changes started to evolve approximately 30 sec before the error. In particular, a coincident decrease of deactivation in default mode regions of the brain, together with a decline of activation in regions associated with maintaining task effort, raised the probability of future errors. Our findings provide insights into the brain network dynamics preceding human performance errors and suggest that monitoring of the identified precursor states may help in avoiding human errors in critical real-world situations.

  19. Prediction of human errors by maladaptive changes in event-related brain networks

    PubMed Central

    Eichele, Tom; Debener, Stefan; Calhoun, Vince D.; Specht, Karsten; Engel, Andreas K.; Hugdahl, Kenneth; von Cramon, D. Yves; Ullsperger, Markus

    2008-01-01

    Humans engaged in monotonous tasks are susceptible to occasional errors that may lead to serious consequences, but little is known about brain activity patterns preceding errors. Using functional MRI and applying independent component analysis followed by deconvolution of hemodynamic responses, we studied error preceding brain activity on a trial-by-trial basis. We found a set of brain regions in which the temporal evolution of activation predicted performance errors. These maladaptive brain activity changes started to evolve ≈30 sec before the error. In particular, a coincident decrease of deactivation in default mode regions of the brain, together with a decline of activation in regions associated with maintaining task effort, raised the probability of future errors. Our findings provide insights into the brain network dynamics preceding human performance errors and suggest that monitoring of the identified precursor states may help in avoiding human errors in critical real-world situations. PMID:18427123

  20. 14 CFR 91.307 - Parachutes and parachuting.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... rotting agents propagated in a moist environment; or (2) Within the preceding 60 days, if any part of the... attitude of 30 degrees relative to the horizon. (d) Paragraph (c) of this section does not apply to— (1...

  1. Diagnosis-Prescription in the Context of Instructional Management

    ERIC Educational Resources Information Center

    Besel, Ronald

    1973-01-01

    Author argues that individual assessment of the students learning style should precede the decision of which teaching method is appropriate. He applies the medical terminology of diagnosis-prescription to this method of instructional development for management. (HB)

  2. 7 CFR 1207.502 - Determination of membership.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE POTATO... be determined on the basis of the average potato production of the 3 preceding years in each State as... memberships on the Board shall be determined on the basis of the average potato, potato product, and seed...

  3. 7 CFR 1207.502 - Determination of membership.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE POTATO... be determined on the basis of the average potato production of the 3 preceding years in each State as... memberships on the Board shall be determined on the basis of the average potato, potato product, and seed...

  4. 7 CFR 1207.502 - Determination of membership.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE POTATO... be determined on the basis of the average potato production of the 3 preceding years in each State as... memberships on the Board shall be determined on the basis of the average potato, potato product, and seed...

  5. Chapter 1: Assessing pollinator habitat services to optimize conservation programs

    USGS Publications Warehouse

    Iovanna, Richard; Ando , Amy W.; Swinton, Scott; Hellerstein, Daniel; Kagan, Jimmy; Mushet, David M.; Otto, Clint R.; Rewa, Charles A.

    2017-01-01

    Pollination services have received increased attention over the past several years, and protecting foraging area is beginning to be reflected in conservation policy. This case study considers the prospects for doing so in a more analytically rigorous manner, by quantifying the pollination services for sites being considered for ecological restoration. The specific policy context is the Conservation Reserve Program (CRP), which offers financial and technical assistance to landowners seeking to convert sensitive cropland back to some semblance of the prairie (or, to a lesser extent, forest or wetland) ecosystem that preceded it. Depending on the mix of grasses and wildflowers that are established, CRP enrollments can provide pollinator habitat. Further, depending on their location, they will generate related services, such as biological control of crop pests, recreation, and aesthetics. While offers to enroll in CRP compete based on cost and some anticipated benefits, the eligibility and ranking criteria do not reflect these services to a meaningful degree. Therefore, we develop a conceptual value diagram to identify the sequence of steps and associated models and data necessary to quantify the full range of services, and find that critical data gaps, some of which are artifacts of policy, preclude the application of benefit-relevant indicators (BRIs) or monetization. However, we also find that there is considerable research activity underway to fill these gaps. In addition, a modeling framework has been developed that can estimate field-level effects on services as a function of landscape context. The approach is inherently scalable and not limited in geographic scope, which is essential for a program with a national footprint. The parameters in this framework are sufficiently straightforward that expert judgment could be applied as a stopgap approach until empirically derived estimates are available. While monetization of benefit-relevant indicators of yield changes (crop and honey) and of habitat benefits due to enhanced pollination and pest bio-control services would be relatively straightforward, the merits of proceeding when other services cannot be valued now should be carefully considered.

  6. DoD Program for Stability of Civilian Employment: Policies, Procedures, and Programs Manual

    DTIC Science & Technology

    1990-09-01

    employment outside the labor market area of the releasing activity and who elect to have the movement of household goods at the expense of the Federal...other local media . 2. Providing an informational service to the workforce, including remote serviced activities, to reinstatement eligibles, and to...program in which they are to be entered. Starting with the Social Security Number, each element of information on the form is preceded by a number in

  7. Establishing the functional connectivity of the frontotemporal network in pre-attentive change detection with Transcranial Magnetic Stimulation and event-related optical signal.

    PubMed

    Tse, Chun-Yu; Long-Yin, Yip; Lui, Troby Ka-Yan; Xiao, Xue-Zhen; Wang, Yang; Chu, Winnie Chiu Wing; Parks, Nathan Allen; Chan, Sandra Sau-Man; Neggers, Sebastiaan Franciscus Wijnandus

    2018-06-18

    Current theories of pre-attentive deviant detection postulate that before the Superior Temporal Cortex (STC) detects a change, the Inferior Frontal Cortex (IFC) engages in stimulus analysis, which is particularly critical for ambiguous deviations (e.g., deviant preceded by a short train of standards). These theories rest on the assumption that IFC and STC are functionally connected, which has only been supported by correlational brain imaging studies. We examined this functional connectivity assumption by applying Transcranial Magnetic Stimulation (TMS) to disrupt IFC function, while measuring the later STC mismatch response with the event-related optical signal (EROS). EROS can localize brain activity in both spatial and temporal dimensions via measurement of optical property changes associated with neuronal activity, and is inert to the electromagnetic interference produced by TMS. Specifically, the STC mismatch response at 120-180 ms elicited by a deviant preceded by a short standard train when IFC TMS was applied at 80 ms was compared with the STC mismatch responses in temporal control (TMS with 200 ms delay), spatial control (sham TMS at vertex), auditory control (TMS pulse noise only), and cognitive control (deviant preceded by a long standard train) conditions. The STC mismatch response to deviants preceded by the short train was abolished by TMS of the IFC at 80 ms, while the STC responses remained intact in all other control conditions. These results confirm the involvement of the IFC in the STC mismatch response and support a functional connection between IFC and STC. Copyright © 2018. Published by Elsevier Inc.

  8. 34 CFR 403.194 - What are the comparability requirements?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION STATE VOCATIONAL AND APPLIED TECHNOLOGY EDUCATION... the educational needs of educationally deprived children, including compensatory education for educationally deprived children, that were excluded in the preceding fiscal year from comparability...

  9. 34 CFR 403.194 - What are the comparability requirements?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION STATE VOCATIONAL AND APPLIED TECHNOLOGY EDUCATION... the educational needs of educationally deprived children, including compensatory education for educationally deprived children, that were excluded in the preceding fiscal year from comparability...

  10. 34 CFR 403.194 - What are the comparability requirements?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION STATE VOCATIONAL AND APPLIED TECHNOLOGY EDUCATION... the educational needs of educationally deprived children, including compensatory education for educationally deprived children, that were excluded in the preceding fiscal year from comparability...

  11. 34 CFR 403.194 - What are the comparability requirements?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION STATE VOCATIONAL AND APPLIED TECHNOLOGY EDUCATION... the educational needs of educationally deprived children, including compensatory education for educationally deprived children, that were excluded in the preceding fiscal year from comparability...

  12. 34 CFR 403.194 - What are the comparability requirements?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION STATE VOCATIONAL AND APPLIED TECHNOLOGY EDUCATION... the educational needs of educationally deprived children, including compensatory education for educationally deprived children, that were excluded in the preceding fiscal year from comparability...

  13. Effect of adhesive applied to the tooth-wood interface on metal-plate connections loaded in tension

    Treesearch

    Leslie H. Groom

    1991-01-01

    The structural behavior of metal-plate connections (MPCs) is affected not only by the isolated properties of the adjoining wood members and metal plate but also by the interfacial region between individual teeth and the surrounding wood. This study looked at maintaining a good interface by applying an epoxy adhesive to metal-plate teeth immediately preceding joint...

  14. [Introduction of long-term care insurance: changes in service usage].

    PubMed

    Matsuda, Tomoyuki; Tamiya, Nanako; Kashiwagi, Masayo; Moriyama, Yoko

    2013-09-01

    With the aging of the population, Japan's long-term care system has shifted from a welfare-placement system to a social-insurance system, which is a precedent of policies for the elderly. We examined how individuals who used care services before the implementation of long-term care insurance (LTCI) (previous service users) currently use the LTCI services, with a focus on the processes of service use. Panel data were obtained from the Nihon University Japanese Longitudinal Study of Aging database. These data were collected by interviews conducted before (November 1999 and March 2000) and after (November 2001 and December 2001) the establishment of LTCI. Among the 3992 individuals who participated in these interviews, 416 of the previous service users, aged ≥65 years, were sampled. The outcome measures were the processes of using LTCI services (application for LTCI, certification of long-term care need, and contract with LTCI service providers). Logistic regression analysis was performed to identify individual factors associated with the process of application for LTCI. There were 133 LTCI users among the 416 previous service users (32.0%). Of the service processes used, 45.5% of previous service users were applicants, 85.7% of the applicants were certified individuals, and 88.7% of those certified used services with service contracts. The application process was significantly easier for individuals with disease (odds ratio[OR], 8.34 : 95% confidence interval [CI], 1.86-37.46), those dependent for their instrumental activities of daily living (IADL) (OR, 11.21 : 95% CI, 5.22-24.07), those with an equivalent income of <1.25 million yen (OR, 2.72 : 95% CI, 1.30-5.69), and those who had used respite care (OR, 3.29 : 95% CI, 1.16-9.35) previously. In contrast, the application process was significantly difficult for community rehabilitation users (OR, 0.38 : 95% CI, 0.17-0.82). Only half of the previous service users were applicants, and they had severe diseases or were more dependent for their IADL. Our findings suggest that many individuals who were functionally independent were covered under the welfare-placement system. Additionally, low-income individuals did not refrain from applying.

  15. 7 CFR 226.11 - Program payments for centers.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    .... Base reimbursement to institutions on actual time of service counts of meals served, and multiply the... under an agreement with the State agency for the meal types specified in the agreement served at... reimbursed for meals served in accordance with provisions of the Program in the calendar month preceding the...

  16. 7 CFR 226.11 - Program payments for centers.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...) Actual counts. Base reimbursement to institutions on actual time of service counts of meals served, and... under an agreement with the State agency for the meal types specified in the agreement served at... reimbursed for meals served in accordance with provisions of the Program in the calendar month preceding the...

  17. 7 CFR 982.32 - Initial members and nomination of successor members.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF... such handler during the two marketing years preceding the marketing year in which nominations are made... nearest whole ton) recorded by the Board as handled by each handler during the two marketing years...

  18. Comprehensive Behavioral Health and School Psychology: An Implementation Agenda

    ERIC Educational Resources Information Center

    Forman, Susan G.; Ward, Caryn S.; Fixsen, Dean L.

    2017-01-01

    The preceding articles provide important examples and guidance for the provision of high-quality behavioral health services for children and adolescents in schools. In this article, we discuss (a) the conceptual framework that underlies the need to develop comprehensive integrated care, (b) the foundational implementation issues that need to be…

  19. 39 CFR 775.12 - Time frames for environmental impact statement actions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Time frames for environmental impact statement... NATIONAL ENVIRONMENTAL POLICY ACT PROCEDURES § 775.12 Time frames for environmental impact statement... environmental impact statements received in that office during the preceding week. The minimum time periods for...

  20. 76 FR 18706 - Fisheries in the Eastern Pacific Ocean; Pelagic Fisheries; Vessel Identification Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-05

    ...; Vessel Identification Requirements AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and... be required to display its official number, preceded by the characters ``USA-''. The intent of the... and will generally be posted to http://www.regulations.gov without change. All Personal Identifying...

  1. 16 CFR 308.3 - Advertising of pay-per-call services.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... same video as a commercially-prepared video directed primarily to individuals under 18, or preceding a... the same language as that principally used in the advertisement. (2) Television video and print... required disclosures shall be used in any advertisement in any medium; nor shall any audio, video or print...

  2. 16 CFR 308.3 - Advertising of pay-per-call services.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... same video as a commercially-prepared video directed primarily to individuals under 18, or preceding a... the same language as that principally used in the advertisement. (2) Television video and print... required disclosures shall be used in any advertisement in any medium; nor shall any audio, video or print...

  3. 16 CFR 308.3 - Advertising of pay-per-call services.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... same video as a commercially-prepared video directed primarily to individuals under 18, or preceding a... the same language as that principally used in the advertisement. (2) Television video and print... required disclosures shall be used in any advertisement in any medium; nor shall any audio, video or print...

  4. 16 CFR 308.3 - Advertising of pay-per-call services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... same video as a commercially-prepared video directed primarily to individuals under 18, or preceding a... the same language as that principally used in the advertisement. (2) Television video and print... required disclosures shall be used in any advertisement in any medium; nor shall any audio, video or print...

  5. 16 CFR 308.3 - Advertising of pay-per-call services.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... same video as a commercially-prepared video directed primarily to individuals under 18, or preceding a... the same language as that principally used in the advertisement. (2) Television video and print... required disclosures shall be used in any advertisement in any medium; nor shall any audio, video or print...

  6. Handbook of Labor Statistics. Bulletin 2175.

    ERIC Educational Resources Information Center

    Springsteen, Rosalind, Comp.; Epstein, Rosalie, Comp.

    This publication makes available in one volume the major series produced by the Bureau of Labor Statistics. Technical notes preceding each major section contain information on data changes and explain the services. Forty-four tables derived from the Current Population Survey (CPS) provide statistics on labor force and employment status,…

  7. 7 CFR 29.74a - Producer referenda on mandatory grading.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Section 29.74a Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE... engaged in the production of the following types of tobacco harvested in the immediately preceding crop... production of tobacco. For purposes of the referenda, persons engaged in the production of tobacco includes...

  8. 75 FR 78688 - Inland Waterways Users Board; Request for Nominations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    .... Reflecting preceding selection criteria, the current representation by the ten (10) Board members whose terms.... SUPPLEMENTARY INFORMATION: The selection, service, and appointment of Board members are covered by provisions of Section 302 of Public Law 99-662. The substance of those provisions is as follows: a. Selection. Members...

  9. REPEATED REDUCTIVE AND OXIDATIVE TREATMENTS ON GRANULAR ACTIVATED CARBON

    EPA Science Inventory

    Fenton oxidation and Fenton oxidation preceded by reduction solutions were applied to granular activated carbon (GAC) to chemically regenerate the adsorbent. No adsorbate was present on the GAC so physicochemical effects from chemically aggressive regeneration of the carbon coul...

  10. Determinants of Maternity Care Services Utilization among Married Adolescents in Rural India

    PubMed Central

    Singh, Prashant Kumar; Rai, Rajesh Kumar; Alagarajan, Manoj; Singh, Lucky

    2012-01-01

    Background Coupled with the largest number of maternal deaths, adolescent pregnancy in India has received paramount importance due to early age at marriage and low contraceptive use. The factors associated with the utilization of maternal healthcare services among married adolescents in rural India are poorly discussed. Methodology/Principal Findings Using the data from third wave of National Family Health Survey (2005–06), available in public domain for the use by researchers, this paper examines the factors associated with the utilization of maternal healthcare services among married adolescent women (aged 15–19 years) in rural India. Three components of maternal healthcare service utilization were measured: full antenatal care, safe delivery, and postnatal care within 42 days of delivery for the women who gave births in the last five years preceding the survey. Considering the framework on causes of maternal mortality proposed by Thaddeus and Maine (1994), selected socioeconomic, demographic, and cultural factors influencing outcome events were included as the predictor variables. Bi-variate analyses including chi-square test to determine the difference in proportion, and logistic regression to understand the net effect of predictor variables on selected outcomes were applied. Findings indicate the significant differences in the use of selected maternal healthcare utilization by educational attainment, economic status and region of residence. Muslim women, and women belonged to Scheduled Castes, Scheduled Tribes, and Other Backward Classes are less likely to avail safe delivery services. Additionally, adolescent women from the southern region utilizing the highest maternal healthcare services than the other regions. Conclusions The present study documents several socioeconomic and cultural factors affecting the utilization of maternal healthcare services among rural adolescent women in India. The ongoing healthcare programs should start targeting household with married adolescent women belonging to poor and specific sub-groups of the population in rural areas to address the unmet need for maternal healthcare service utilization. PMID:22355386

  11. 75 FR 35517 - Summary of Precedent Opinions of the General Counsel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-22

    ... annual income determinations for purposes of parents' dependency and indemnity compensation (DIC... income calculations applies also to parents' dependency and indemnity compensation and section 306..., section 306 pension, old-law pension, and parents' dependency and indemnity compensation. 4. Because debt...

  12. 29 CFR 548.400 - Procedures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... represented by a collective bargaining agent, a joint application of the employer and the bargaining agent... ESTABLISHED BASIC RATES FOR COMPUTING OVERTIME PAY Interpretations Rates Authorized on Application § 548.400... immediately preceding 4-week period, he should apply to the Administrator for authorization. The application...

  13. 76 FR 67510 - Self-Regulatory Organizations; C2 Options Exchange, Incorporated; Notice of Filing and Immediate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... (``QIX'') Expirations.\\10\\ In the current situation, the Exchange merely proposes to apply the precedent... continue, under current rules, for an additional fifteen minutes until 3:15 p.m. and will not be priced on...

  14. 26 CFR 1.416-1 - Questions and answers on top-heavy plans.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ..., employers under common control or affiliated service group. A partner of a partnership will not be treated... preceding plan years) of key employees, former key employees, and non-key employees. (b) All employers that... aggregated must be categorized as key employees, as former key employees, or as non-key employees. See...

  15. 26 CFR 1.416-1 - Questions and answers on top-heavy plans.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ..., employers under common control or affiliated service group. A partner of a partnership will not be treated... preceding plan years) of key employees, former key employees, and non-key employees. (b) All employers that... aggregated must be categorized as key employees, as former key employees, or as non-key employees. See...

  16. Talking Back: Teaching and Learning through Autobiographies in Multicultural Education

    ERIC Educational Resources Information Center

    Guillory, Nichole A.

    2012-01-01

    This research essay is intended to situate the curriculum in my multicultural education courses--of talking back through autobiographical inquiry--within real schools, a site where curriculum theorists rarely situate their work. The literature by curriculum theorists that precedes my study generally has focused on how pre-service teachers in…

  17. Shrubland ecosystems: Importance, distinguishing characteristics, and dynamics

    Treesearch

    E. Durant McArthur; Stanley G. Kitchen

    2007-01-01

    The importance of shrub species and shrubland ecosystems gained considerable impetus about 30 years ago with the establishment of the USDA Forest Service Shrub Sciences Laboratory and a series of workshops and symposia that preceded and accompanied the establishment of the Laboratory. Since that time, the Shrub Research Consortium and other forums have addressed...

  18. 75 FR 57698 - Hunting and Fishing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-22

    ... DEPARTMENT OF THE INTERIOR Fish and Wildlife Service 50 CFR Part 32 Hunting and Fishing CFR Correction In Title 50 of the Code of Federal Regulations, Parts 18 to 199, revised as of October 1, 2009, on page 385, in Sec. 32.43, the entry for ``Coldwater National Wildlife Refuge'' is moved to precede the...

  19. Employment and Economic Issues of Low-Income Women: Report of a Project.

    ERIC Educational Resources Information Center

    Women's Bureau (DOL), Washington, DC.

    A series of consultations between low-income women and representatives of local and State service agencies in the Department of Labor's ten regions was undertaken to examine the needs, issues, and circumstances that affect the employment opportunities of low-income women. Each central consultation was preceded by several smaller meetings, attended…

  20. 26 CFR 1.416-1 - Questions and answers on top-heavy plans.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., employers under common control or affiliated service group. A partner of a partnership will not be treated... preceding plan years) of key employees, former key employees, and non-key employees. (b) All employers that... aggregated must be categorized as key employees, as former key employees, or as non-key employees. See...

  1. 75 FR 47435 - Rules of Procedure Governing Cases Before the Office of Hearings and Appeals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-06

    ... tribunal, and these regulations are procedural by nature. These revisions codify current practices to make... decisions as precedent. These amendments also permit the filing and service of pleadings by e-mail; limit... practices that are also purely procedural in nature. Because this rule affects only the procedural...

  2. 75 FR 5769 - Inland Waterways Users Board; Request for Nominations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... preceding selection criteria, the current representation by the one (1) Board member whose term has expired... selection, service, and appointment of Board members are covered by provisions of Section 302 of Public Law 99-662. The substance of those provisions is as follows: a. Selection. Members are to be selected...

  3. Extended precedence preservative crossover for job shop scheduling problems

    NASA Astrophysics Data System (ADS)

    Ong, Chung Sin; Moin, Noor Hasnah; Omar, Mohd

    2013-04-01

    Job shop scheduling problems (JSSP) is one of difficult combinatorial scheduling problems. A wide range of genetic algorithms based on the two parents crossover have been applied to solve the problem but multi parents (more than two parents) crossover in solving the JSSP is still lacking. This paper proposes the extended precedence preservative crossover (EPPX) which uses multi parents for recombination in the genetic algorithms. EPPX is a variation of the precedence preservative crossover (PPX) which is one of the crossovers that perform well to find the solutions for the JSSP. EPPX is based on a vector to determine the gene selected in recombination for the next generation. Legalization of children (offspring) can be eliminated due to the JSSP representation encoded by using permutation with repetition that guarantees the feasibility of chromosomes. The simulations are performed on a set of benchmarks from the literatures and the results are compared to ensure the sustainability of multi parents recombination in solving the JSSP.

  4. The prediction of postpartum depression: The role of the PRECEDE model and health locus of control

    PubMed Central

    Moshki, Mahdi; Kharazmi, Akram; Cheravi, Khadijeh; Beydokhti, Tahereh Baloochi

    2015-01-01

    Background: The main purpose of this study was to investigate the effect of the PRECEDE model and health locus of control (HLC) on postpartum depression. This study used the path analysis to test the pattern of causal relations through the correlation coefficients. Materials and Method: The participants included 230 pregnant women in the north-east of Iran who were selected by convenience sampling. To analyze data, Pearson correlation and path analysis were applied to examine the relationships between variables using SPSS 20 and LISREL 8.50software. Results: The result of path analysis showed that a positive correlation exists between predisposing (knowledge, internal HLC, powerful others HLC, chance HLC) enabling and reinforcing factors with postpartum depression by GHQ score (GFI = 1, RSMEA = 000). Conclusion: The current study supported the application of the PRECEDE model and HLC in understanding the promoting behaviors in mental health and demonstrated their relationships with postpartum depression. PMID:26288792

  5. A QoS-guaranteed coverage precedence routing algorithm for wireless sensor networks.

    PubMed

    Jiang, Joe-Air; Lin, Tzu-Shiang; Chuang, Cheng-Long; Chen, Chia-Pang; Sun, Chin-Hong; Juang, Jehn-Yih; Lin, Jiun-Chuan; Liang, Wei-Wen

    2011-01-01

    For mission-critical applications of wireless sensor networks (WSNs) involving extensive battlefield surveillance, medical healthcare, etc., it is crucial to have low-power, new protocols, methodologies and structures for transferring data and information in a network with full sensing coverage capability for an extended working period. The upmost mission is to ensure that the network is fully functional providing reliable transmission of the sensed data without the risk of data loss. WSNs have been applied to various types of mission-critical applications. Coverage preservation is one of the most essential functions to guarantee quality of service (QoS) in WSNs. However, a tradeoff exists between sensing coverage and network lifetime due to the limited energy supplies of sensor nodes. In this study, we propose a routing protocol to accommodate both energy-balance and coverage-preservation for sensor nodes in WSNs. The energy consumption for radio transmissions and the residual energy over the network are taken into account when the proposed protocol determines an energy-efficient route for a packet. The simulation results demonstrate that the proposed protocol is able to increase the duration of the on-duty network and provide up to 98.3% and 85.7% of extra service time with 100% sensing coverage ratio comparing with LEACH and the LEACH-Coverage-U protocols, respectively.

  6. Determinants of postnatal care non-utilization among women in Nigeria.

    PubMed

    Somefun, Oluwaseyi Dolapo; Ibisomi, Latifat

    2016-01-11

    Although, there are several programs in place in Nigeria to ensure maternal and child health, maternal and neonatal mortality rates remain high with maternal mortality rates being 576/100,000 and neonatal mortality rates at 37/1000 live births (NDHS, 2013). While there are many studies on the utilization of maternal health services such as antenatal care and skilled delivery at birth, studies on postnatal care are limited. Therefore, the aim of this study is to examine the factors associated with the non-utilization of postnatal care among mothers in Nigeria using the Nigeria Demographic and Health Survey (NDHS) 2013. For analysis, the postnatal care uptake for 19,418 children born in the 5 years preceding the survey was considered. The dependent variable was a composite variable derived from a list of questions on postnatal care. A multinomial logistic regression model was applied to examine the adjusted and unadjusted determinants of non-utilization of postnatal care. Results from this study showed that 63% of the mothers of the 19,418 children did not utilize postnatal care services in the period examined. About 42% of the study population between 25 and 34 years did not utilize postnatal care and 61% of the women who did not utilize postnatal care had no education. Results from multinomial logistic regression show that antenatal care use, distance, education, place of delivery, region and wealth status are significantly associated with the non-utilization of postnatal care services. This study revealed the low uptake of postnatal care service in Nigeria. To increase mothers' utilization of postnatal care services and improve maternal and child health in Nigeria, interventions should be targeted at women in remote areas who don't have access to services and developing mobile clinics. In addition, it is crucial that steps should be taken on educating women. This would have a significant influence on their perceptions about the use of postnatal care services in Nigeria.

  7. Discourse Analysis and Social Construction.

    ERIC Educational Resources Information Center

    Bazerman, Charles

    1990-01-01

    A brief review of social constructivism as a general movement and how it has been applied in particular to scientific knowledge precedes a review of investigations into the role language and linguistic activities have in the social construction of knowledge. A 39-citation unannotated bibliography is included. (CB)

  8. Barriers to Effective Doctor-Patient Relationship Based on PRECEDE PROCEED Model

    PubMed Central

    Ghaffarifar, Saeideh; Ghofranipour, Fazlollah; Ahmadi, Fazlollah; Khoshbaten, Manouchehr

    2015-01-01

    Objective: This study intends to investigate interns and faculty members’ insights into constructing relationship between physicians and patients at 3 more accredited Iranian universities of medical sciences. Method: Applying PRECEDE PROCEED model, semi-structured interviews were completed with 7 interns and 14 faculty members and two themes were emerged from directed content analysis. The meaning units of the first theme, barriers to effective doctor-patient relationship, are discussed in this paper. Results: According to the participants, building doctor-patient relationship is influenced by many contextual and regulatory factors as well as content, process and perceptual skills of physicians. Conclusions: Faculty and curriculum development, as well as foundation of the department of communication skills at medical schools are recommended to eliminate the impact of poor communication on patients’ satisfaction and physicians’ self-efficacy specific to their communication skills. Practice Implications: Applying theories and models of health education and health promotion, researchers and educators can use the most predictive constructs of theories to design and implement effective interventions. PMID:26153160

  9. [The activity of drug addiction service of the Russian Federation: an assessment of statistical parameters and an analysis of results].

    PubMed

    Koshkina, E A; Kirzhanova, V V; Babicheva, L P; Mugantseva, L A

    2013-01-01

    The authors studied changes in the structure of drug addiction services, the dynamics of outpatient and inpatient referrals for drug addiction treatment and effectiveness of drug addiction services in 2011 compared to the preceding period. There was a reduction of availability of drug treatment services due to the reduction of the number of drug addiction units and the depletion of human resource potential. The lack of structural development of rehabilitation sector of drug care services and low rates of its development as well as the decrease in the number of patients seeking treatment are highlighted. It has been concluded that the drug addiction services require reorganization of its regulatory and legal framework and need innovative organizational and management decisions and human resources trained in innovative thinking and technologies.

  10. Temperature Changes During Therapeutic Ultrasound in the Precooled Human Gastrocnemius Muscle

    PubMed Central

    Rimington, Stephanie J.; Draper, David O.; Durrant, Earlene; Fellingham, Gilbert

    1994-01-01

    Therapeutic ultrasound is frequently employed as a deep heating rehabilitation modality. It is administered in one of three ways: a) ultrasound with no preceding treatment, b) ultrasound on preheated tissues, or c) ultrasound on precooled tissues. The purpose of this study was to investigate the effect of ultrasound treatments on the tissue temperature rise of precooled human gastrocnemius muscle. Sixteen male subjects had a 23-gauge hypodermic needle microprobe inserted 3 cm deep into the medial aspect of their anesthetized gastrocnemius muscles. Data were gathered on each subject for one of two randomly assigned treatments: a) ultrasound treatment on precooled tissue, or b) ultrasound with no preceding treatment. Each treatment consisted of ultrasound delivered topically at 1.5 watts/cm2 in a continuous mode for 10 minutes. Ultrasound was applied in an overlapping longitudinal motion at 4 cm/s, with temperature readings recorded at 30-second intervals. We discovered a difference between the two treatment methods [t(14) = 16.26, p < .0001]. Ultrasound alone increased tissue temperature an average of 2°C, whereas ultrasound preceded by 15 minutes of ice did not increase tissue temperature even to the original baseline level. We concluded that, at a depth of 3 cm, ultrasound alone provided a greater heating effect than ultrasound preceded by an ice treatment. PMID:16558295

  11. High-Performance CCSDS Encapsulation Service Implementation in FPGA

    NASA Technical Reports Server (NTRS)

    Clare, Loren P.; Torgerson, Jordan L.; Pang, Jackson

    2010-01-01

    The Consultative Committee for Space Data Systems (CCSDS) Encapsulation Service is a convergence layer between lower-layer space data link framing protocols, such as CCSDS Advanced Orbiting System (AOS), and higher-layer networking protocols, such as CFDP (CCSDS File Delivery Protocol) and Internet Protocol Extension (IPE). CCSDS Encapsulation Service is considered part of the data link layer. The CCSDS AOS implementation is described in the preceding article. Recent advancement in RF modem technology has allowed multi-megabit transmission over space links. With this increase in data rate, the CCSDS Encapsulation Service needs to be optimized to both reduce energy consumption and operate at a high rate. CCSDS Encapsulation Service has been implemented as an intellectual property core so that the aforementioned problems are solved by way of operating the CCSDS Encapsulation Service inside an FPGA. The CCSDS En capsula tion Service in FPGA implementation consists of both packetizing and de-packetizing features

  12. Asian motivators for health promotion.

    PubMed

    Coburn, Carolyn L; Weismuller, Penny C

    2012-04-01

    Change in health behaviors requires motivation on the part of the individual. The aim of this article is to compare elements of the motivation process across cultures. A secondary aim is to determine whether a Western model of behavior change for health promotion, such as the PRECEDE-PROCEED model, can be applied to Asian populations. An integrative review and critical analysis of research literature was done by reviewing 20 studies with observational survey design and 6 integrative literature reviews. Findings show that the motivation process is similar for Eastern and Western cultures, but the motivators are different. The findings identify 10 motivators, congruent with Asian culture, that would allow the PRECEDE-PROCEED model to be used in Asian settings.

  13. Genetic gatekeepers: regulating direct-to-consumer genomic services in an era of participatory medicine.

    PubMed

    Palmer, Jessica Elizabeth

    2012-01-01

    Should consumers be able to obtain information about their own bodies, even if it has no proven medical value? Direct-to-consumer ("DTC") genomic companies offer consumers two services: generation of the consumer's personal genetic sequence, and interpretation of that sequence in light of current research. Concerned that consumers will misunderstand genomic information and make ill-advised health decisions, regulators, legislators and scholars have advocated restricted access to DTC genomic services. The Food and Drug Administration, which has historically refrained from regulating most genetic tests, has announced its intent to treat DTC genomic services as medical devices because they make "medical claims." This Article argues that FDA regulation of genomic services as medical devices would be counterproductive. Clinical laboratories conducting genetic tests are already overseen by a federal regime administered by the Centers for Medicare and Medicaid Services. While consumers and clinicians would benefit from clearer communication of test results and their health implications, FDA's gatekeeping framework is ill-suited to weigh the safety and efficacy of genomic information that is not medically actionable in traditional ways. Playing gatekeeper would burden FDA's resources, conflict with the patient-empowering policies promoted by personalized medicine initiatives, impair individuals' access to information in which they have powerful autonomy interests, weaken novel participatory research infrastructures, and set a poor precedent for the future regulation of medical information. Rather than applying its risk-based regulatory framework to genetic information, FDA should ameliorate regulatory uncertainty by working with the Federal Trade Commission and Centers for Medicare and Medicaid Services to ensure that DTC genomic services deliver analytically valid data, market and implement their services in a truthful manner, and fully disclose the limitations of their services. Federal agencies with relevant expertise should collaborate on standards and best practices for interpreting genetic information in light of scientific uncertainty, and an adverse event reporting system should be established to collect empirical data verifying or disproving the speculative harms resulting from individual access to genetic information. Most of all, FDA should take advantage of this opportunity to adapt its regulatory process to an increasingly informational health ecosystem.

  14. Spatial Attention Modulates the Precedence Effect

    ERIC Educational Resources Information Center

    London, Sam; Bishop, Christopher W.; Miller, Lee M.

    2012-01-01

    Communication and navigation in real environments rely heavily on the ability to distinguish objects in acoustic space. However, auditory spatial information is often corrupted by conflicting cues and noise such as acoustic reflections. Fortunately the brain can apply mechanisms at multiple levels to emphasize target information and mitigate such…

  15. Functional Analyses and Treatment of Precursor Behavior

    ERIC Educational Resources Information Center

    Najdowski, Adel C.; Wallace, Michele D.; Ellsworth, Carrie L.; MacAleese, Alicia N.; Cleveland, Jackie

    2008-01-01

    Functional analysis has been demonstrated to be an effective method to identify environmental variables that maintain problem behavior. However, there are cases when conducting functional analyses of severe problem behavior may be contraindicated. The current study applied functional analysis procedures to a class of behavior that preceded severe…

  16. Functional Analysis of Precursors for Serious Problem Behavior and Related Intervention

    ERIC Educational Resources Information Center

    Langdon, Nancy A.; Carr, Edward G.; Owen-DeSchryver, Jamie S.

    2008-01-01

    Precursor behaviors are innocuous behaviors that reliably precede the occurrence of problem behavior. Intervention efforts applied to precursors might prevent the occurrence of severe problem behavior. We examined the relationship between precursor behavior and problem behavior in three individuals with developmental disabilities. First, a…

  17. An Analysis of the Health Service Support to the Centennial Campaign of 1876

    DTIC Science & Technology

    2015-06-12

    and it will be a wonder if they don’t get typhoid fever when the rains begin.”28 Paulding stated his concerns, but he did not take any actions or...malarial fever , smallpox and other types of febricula.22 These conditions doubtfully improved greatly in the year preceding the Centennial Campaign. This

  18. 29 CFR 2530.200b-2 - Hour of service.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...), layoff, jury duty, military duty or leave of absence. Notwithstanding the preceding sentence, (i) No more...). (C) Employee C spent 3 weeks on a paid vacation. C's salary is established at an annual rate but is... spent 2 weeks on vacation, for which he was paid $150. Although D has no regular work schedule, the $150...

  19. 29 CFR 2530.200b-2 - Hour of service.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...), layoff, jury duty, military duty or leave of absence. Notwithstanding the preceding sentence, (i) No more...). (C) Employee C spent 3 weeks on a paid vacation. C's salary is established at an annual rate but is... spent 2 weeks on vacation, for which he was paid $150. Although D has no regular work schedule, the $150...

  20. 29 CFR 2530.200b-2 - Hour of service.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...), layoff, jury duty, military duty or leave of absence. Notwithstanding the preceding sentence, (i) No more...). (C) Employee C spent 3 weeks on a paid vacation. C's salary is established at an annual rate but is... spent 2 weeks on vacation, for which he was paid $150. Although D has no regular work schedule, the $150...

  1. A Modest Proposal: For Preventing Space Operations from Being a Burden to the Navy, and for Making the Space Cadre Beneficial to the Community

    DTIC Science & Technology

    2007-09-01

    the panorama of overall DoD outlays must take precedence over service-specific programs and turf battles. In the National Security Space “big...reaction control systems, thermal control systems, satellite integration and test, launch vehicle integration, and satellite-to- boost-stage

  2. 76 FR 24796 - Airworthiness Directives; Rolls-Royce plc RB211-Trent 800 Series Turbofan Engines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-03

    ... bulletin and the airworthiness limitations section (ALS) of the engine manual. Doing this would account for... how an operator should interpret the differing information between the AD, the ALS of the Rolls-Royce... different data. We do not agree. The AD and the ALS take precedence over the service bulletin. Operators...

  3. A North Carolina Model for Improving Rural Health Care: 1/10 Albert Schweitzer, 9/10 ORHS.

    ERIC Educational Resources Information Center

    Coogan, Mercy Hardie

    1980-01-01

    The article describes North Carolina's precedent setting Office of Rural Health Services, its background and design, and its significant role in the development of primary health care clinics such as that in Balsom Grove which is staffed by a family nurse practitioner and enjoying wide community support. (SB)

  4. Medical service use in children with cerebral palsy: The role of child and family factors characteristics.

    PubMed

    Meehan, Elaine M; Reid, Susan M; Williams, Katrina J; Freed, Gary L; Sewell, Jillian R; Reddihough, Dinah S

    2016-06-01

    The aim of the study was to investigate the patterns of medical service use in children with cerebral palsy (CP), taking into account child and family characteristics. Nine hundred and one parents and carers of children registered with the Victorian CP Register were invited to complete a survey. Participants were asked about their child's appointments with general practitioners and public and private paediatric medical specialists over the preceding 12 months. Information on family characteristics and finances was also collected. Data on CP severity and complexity were extracted from the CP Register. Three hundred and fifty parents and carers (39%) participated. Of these, 83% reported that their child had ≥1 appointment with a general practitioner over the preceding 12 months, while 84% had ≥1 appointment with a public or private paediatric medical specialist. Overall, 58% of children saw 2-5 different paediatric medical specialists, while 9% had appointments with ≥6 clinicians. Children with severe and complex CP were more likely to have had ≥1 appointment with a publically funded paediatric medical specialist and had seen a greater number of different clinicians over the study period. Family characteristics were not associated with service use. Children with CP are managed by a number of paediatric medical specialists, and they continue to see a range of specialists throughout adolescence. In Victoria, differences in service use are not based on family characteristics; instead the highest service users are those with severe and complex CP. For this group, care co-ordination and information sharing between treating clinicians are important, if gaps in care are to be avoided. © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

  5. Effects on wetting by spray on concentrated flow erosion and intake rate

    USDA-ARS?s Scientific Manuscript database

    When water flows in dry rills (or furrows), fast wetting and aggregate slaking occur. Conversely, when rain wets the surface of the soil before applying concentrated flow, slow wetting precedes the concentrated flow, and less aggregate disintegration occurs. It is hypothesized that slow wetting by t...

  6. 48 CFR 9903.201-2 - Types of CAS coverage.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... later award of a CAS-covered contract. Full coverage applies to contractor business units that— (1) Receive a single CAS-covered contract award of $50 million or more; or (2) Received $50 million or more in net CAS-covered awards during its preceding cost accounting period. (b) Modified coverage. (1...

  7. 48 CFR 9903.201-2 - Types of CAS coverage.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... later award of a CAS-covered contract. Full coverage applies to contractor business units that— (1) Receive a single CAS-covered contract award of $50 million or more; or (2) Received $50 million or more in net CAS-covered awards during its preceding cost accounting period. (b) Modified coverage. (1...

  8. No City Is an Island: The Study of Interdependence.

    ERIC Educational Resources Information Center

    Braden, Nancy

    In this award winning project for incorporating economics study into the curriculum, a fifth grade class studied economic interdependence as it applied to their community (Barling, Arkansas). Class readings of several books dealing with the development of an economic community preceded the students' creation of a mini-Barling with elected…

  9. 14 CFR 91.409 - Inspections.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... applied in determining inspection due times under the new program. (Approved by the Office of Management... for hire in an aircraft which that person provides, unless within the preceding 100 hours of time in... time used to reach a place where the inspection can be done must be included in computing the next 100...

  10. Lexical Entrainment and Lexical Differentiation in Reference Phrase Choice

    ERIC Educational Resources Information Center

    Van Der Wege, Mija M.

    2009-01-01

    Speakers reuse prior references to objects when choosing reference phrases, a phenomenon known as lexical entrainment. One explanation is that speakers want to maintain a set of previously established referential precedents. Speakers may also contrast any new referents against this previously established set, thereby avoiding applying the same…

  11. 34 CFR 643.7 - What definitions apply?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... taxable income did not exceed 150 percent of the poverty level amount in the calendar year preceding the year in which the individual initially participated in the project. The poverty level amount is determined by using criteria of poverty established by the Bureau of the Census of the U.S. Department of...

  12. 34 CFR 644.7 - What definitions apply?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... family's taxable income did not exceed 150 percent of the poverty level amount in the calendar year preceding the year in which the individual initially participated in the project. The poverty level amount is determined by using criteria of poverty established by the Bureau of the Census of the U.S...

  13. 34 CFR 647.7 - What definitions apply?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... income did not exceed 150 percent of the poverty level in the calendar year preceding the year in which the individual participates in the project. Poverty level income is determined by using criteria of poverty established by the Bureau of the Census of the U.S. Department of Commerce. Summer internship...

  14. 8 CFR 103.3 - Denials, appeals, and precedent decisions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... IMMIGRATION BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds... represented by an attorney or representative in accordance with part 292 of this chapter. (C) Record of proceeding. An appeal and any cross-appeal or briefs become part of the record of proceeding. (D) Appeal...

  15. 8 CFR 103.3 - Denials, appeals, and precedent decisions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... IMMIGRATION BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds... represented by an attorney or representative in accordance with part 292 of this chapter. (C) Record of proceeding. An appeal and any cross-appeal or briefs become part of the record of proceeding. (D) Appeal...

  16. 8 CFR 103.3 - Denials, appeals, and precedent decisions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... IMMIGRATION BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds... represented by an attorney or representative in accordance with part 292 of this chapter. (C) Record of proceeding. An appeal and any cross-appeal or briefs become part of the record of proceeding. (D) Appeal...

  17. 49 CFR 544.5 - General requirements for reports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... which this part applies shall submit a report annually before October 25, beginning on October 25, 1986...: (1) Have a heading preceding its text that includes the words “Insurer Report”; (2) Identify the...; (7) Include a glossary defining all acronyms and terms of art used in the report, unless those...

  18. 40 CFR 302.8 - Continuous releases.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... that the release is continuous and stable in quantity and rate; (2) Change in the normal range. If... section, continuous and stable in quantity and rate. (b) Definitions. The following definitions apply to... conditions during the preceding year. Only releases that are both continuous and stable in quantity and rate...

  19. Prevalence and predictors of posttraumatic stress disorder among victims of violence applying for state compensation.

    PubMed

    Kunst, Maarten; Winkel, Frans Willem; Bogaerts, Stefan

    2010-09-01

    Many studies have focused on the predictive value of victims' emotions experienced shortly after violence exposure to identify those vulnerable for development of posttraumatic stress disorder (PTSD). However, many victims remain unidentified during the initial recovery phase, yet may still be highly in need of psychological help after substantial time since victimization has passed. Professionals involved in the settlement of civil damage claims filed by victims of violence may play an important role in referring victims with current psychological problems to appropriate treatment services, as they are likely to maintain relations with victims until all compensation possibilities have been exhausted. As an exploratory examination of this topic, the current study investigates the potential utility of file characteristics as predictors of chronic PTSD among 686 victims of violence who had applied for state compensation with the Dutch Victim Compensation Fund (DVCF) in 2006. Identification of significant predictors is preceded by estimating prevalence rates of PTSD. Results indicate that approximately 1 of 2 victims applying for state compensation in the Netherlands still have PTSD many years after victimization and claim settlement. Age, female sex, time since victimization, acquaintance with the perpetrator, violence-related hospitalization, and compensation for immaterial damage prove to be predictive of PTSD, although female sex and immaterial damage compensation fail to reach significance after adjusting for recalled peritraumatic distress severity. Implications for policy practice as well as strengths and limitations of the study are discussed.

  20. Power and privileges in medical care: an analysis of medical services in post-colonial Nigeria.

    PubMed

    Ogoh Alubo, S

    1987-01-01

    Subsequent Nigerian Governments since independence have been committed to a policy of health-for-all. The right to medical care is now constitutionally guaranteed. But it takes more than the constitution to translate medical, and indeed all rights, to reality. In practice, as this study reveals, status, power and privileges determine whether or not one gets Western medical services and of what type in contemporary Nigeria. Further, medical services for the generality of the people have remained a second rate priority of post-colonial governments, very much like the situation in colonial days. The care for state employees and other elites continues to take precedence.

  1. Suicides, mental health care and interdisciplinary specialised addiction services in the Agder counties 2004-13.

    PubMed

    Haaland, Vegard Øksendal; Bjørkholt, Marianne; Freuchen, Anne; Ness, Ewa; Walby, Fredrik A

    2017-10-03

    Most of those who commit suicide suffer from one or more mental disorders. We wished to identify the proportion that had been in contact with mental health care or interdisciplinary specialised addiction services during their lifetime and in the year prior to their death, and to describe characteristics of these patients. Information on suicides in the Agder counties in the years 2004–2013 was retrieved from the Cause of Death Registry. Patient records from Sørlandet Hospital were reviewed with the aid of a structured form. Altogether 329 suicides were included in the study. Of these, 66.6 % had at some point in life been in contact with mental health care or interdisciplinary specialised addiction services, 46.2 % during the year preceding their suicide. Altogether 28.6 % were actively undergoing treatment. The proportion who had been in contact in the preceding year tended to be lower among patients younger than 20 when compared to other age groups. Among those who had completed their treatment, there were more patients with adaptation disorder than in the group that remained in treatment; among those who remained in treatment there were more patients with psychotic disorders than among those who had completed their treatment. A higher proportion of those who committed suicide in the Agder counties were in contact with mental health care and interdisciplinary specialised addiction services than what has been found in equivalent international studies. The findings underscore the need to develop effective measures to prevent suicides in these groups of patients.

  2. Institutional delivery service utilization and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji Zone, Oromia, Southern Ethiopia: a cross sectional study.

    PubMed

    Wako, Wako Golicha; Kassa, Dejene Hailu

    2017-05-15

    Globally, an estimated 289,000 maternal deaths occurred in 2013. Majority of these deaths occurred in sub-Saharan Africa and Southern Asia. Mobility of pastoralists is a well-recognized survival strategy in arid and semi-arid land of sub-Saharan Africa. However governments often encourage settlement as a solution to the difficulty of providing health services for mobile pastoralists. This study aimed to assess utilization of institutional delivery and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji zone, Oromia, Ethiopia. A Community based cross-sectional survey was conducted among the mobile pastoralist community of the Liban District. Seven hundred ninety-one (791) randomly selected women, who had birth within the last 2 years preceding the survey, were interviewed using a pretested structured questionnaire. Data were entered into Epi-Info version 3.5.4 and analyzed by Statistical Package for Social Science (SPSS) version 16. Bivariate and multivariate analyses were done. Out of 791 women who gave birth within the last 2 years preceding the survey, only 110 (13.9%) gave birth in health institutions. Majority (74.1%) of the women gave birth at their home. Ninety-one women (11.5%) gave birth at traditional birth attendant's home; assisted by traditional birth attendants. Multiple logistic regression shows that women who had readily available cash at the onset of labor (aOR 2.79, 95% CI: 1.29-6.25), delivered the birth preceding the most recent birth in a health institution (aOR 6.8, 95% CI: 3.44-13.45) and had birth related complications during the birth preceding the most recent birth (aOR 1.90, 95% CI: 1.08-3.36) were more likely to deliver at health institutions. Majority of the pastoral women seek institutional delivery, only when labor related complications are perceived. Mechanisms of alleviating indirect health care costs affecting institutional delivery need to be addressed in future studies.

  3. Comparative Analysis of Manual and Automated AFEES

    DTIC Science & Technology

    1976-05-14

    paragraphs 2.3.1.3 and 2.4.1.6). A report of 11 PRECEDING PAflS BUWfcJWf FILMED ...: ^. . . . ..., .J. -.- -. ■- * > - Milk ...L^Jt.:k,-aV:-,,Ji--’..^-i%fm^!!’J,t-A^^>V- ’ ’«;’,-"l. ’%i[*’ • rvf -’" ■ .»’ ^.T^. ’ basically the same for all services. 2.4

  4. 26 CFR 1.32-2 - Earned income credit for taxable years beginning after December 31, 1978.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... after December 31, 1978. 1.32-2 Section 1.32-2 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY INCOME TAX INCOME TAXES Credits Against Tax § 1.32-2 Earned income credit for taxable... thereunder relating to joint returns of income tax by husband and wife). The requirements of the preceding...

  5. USSR Report, Military Affairs

    DTIC Science & Technology

    1984-12-12

    extracted - Unfamiliar names rendered phonetically or transliterated are enclosed in parentheses. Words or names preceded by a question mark and...warrant officers, and six NCO’s and soldiers raised their scores. Moreover, St Lieutenants Ye. Shavrov, S. Boldin , and V. Radionov became specialists...absence—a scientific essay on the selected specialty; notarized copies of the VUZ graduation diploma and an extract from the academic record; service

  6. Politics, Education and Pedagogy: Ruptures, Continuities and Discontinuities (Spain 1936-1939)

    ERIC Educational Resources Information Center

    Viñao, Antonio

    2015-01-01

    Until around 10 years ago, the conventional wisdom in educational historiography held that the start of the Civil War (1936-1939), marking as it did the placing of education at the service of the war effort, involved a rupture, in both the Republican government and the "rebel" or Franco camp, with the preceding years as to the…

  7. A Four-Level Hierarchy for Organizing Wildland Stream Resource Information

    Treesearch

    Harry Parrott; Daniel A. Marion; R. Douglas Perkinson

    1989-01-01

    An analysis of current USDA Forest Service methods of collecting and using wildland stream resource data indicates that required information can be organized into a four-level hierarchy. Information at each level is tiered with information at the preceding level. Level 1 is the ASSOCIATION, which is differentiated by stream size and flow regime. Level 2, STREAM TYPE,...

  8. Worldwide Report. Telecommunications Policy, Research, and Development.

    DTIC Science & Technology

    1985-11-06

    important conclusions of the second meeting of the Andean Satellite Telecommunications Commission in Caracas , Venezuela , at which Colombia was represented...including many of the larger exchanges in the government telephone system, died by the wayside. In Metro Manila, there were two giant telephone...telephone services. The telecom- munications de - cade The telecommunications decade for the Philippines has preceded the ESCAP sponsored

  9. 39 CFR 3010.21 - Calculation of annual limitation when notices of rate adjustment are 12 or more months apart.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... the Postal Service files its notice of rate adjustment and dividing the sum by 12 (Recent Average... values immediately preceding the Recent Average and dividing the sum by 12 (Base Average). Finally, the full year limitation is calculated by dividing the Recent Average by the Base Average and subtracting 1...

  10. Utilisation of formal and informal care and services at home among persons with dementia: a cross-sectional study.

    PubMed

    Bökberg, Christina; Ahlström, Gerd; Karlsson, Staffan

    2017-09-04

    The progression of dementia disease implies increasing needs for both informal and formal care and services but also risk of institutionalisation. To better adjust care and services in the phase preceding institutionalisation it is important to find out whether utilisation of formal and informal care and services is determined by increased needs and by who meets the needs. The aim was to compare persons with dementia (65+) with different levels of cognitive impairment, regarding utilisation of formal and informal care and service at home. The participants consisted of 177 persons with dementia ≥65 years old and at risk of nursing home admission, divided into groups according to their cognitive function. Structured interviews were conducted based on questionnaires about type and amount of formal and informal care utilised, as well as questions regarding cognitive impairment, dependency in activities of daily living (ADLs) and neuropsychiatric symptoms. To analyse the data, descriptive and comparative statistics were used. The findings revealed that the group with severe dementia used significantly more help with ADLs and supervision in terms of time (number of hours and days) provided by the informal caregiver, compared with the group with moderate dementia. Utilisation of formal care and services was highest in the group with the most severe cognitive impairments (Standardized Mini-Mental State Examination score of <9). The group with severe dementia were more dependent in ADLs and had more neuropsychiatric symptoms (hallucinations and motor disturbances). They were younger and more often cohabitated with the informal caregiver, compared with the group with moderate dementia. This study shows that in the phase preceding institutionalisation the ADL and supervision needs due to progression of dementia appear to tend to be met first and foremost by the informal caregivers. © 2017 Nordic College of Caring Science.

  11. Tree planting experiences in the eastern interior coal province

    Treesearch

    Charles Medvick

    1980-01-01

    Fruit trees were planted successfully in 1918 and organized afforestation began in 1928. Professional foresters had a hand in some of the very earliest planting projects. Formal reclamation research played an important role in applying science to early reclamation technology; however, considerable work has preceded the scientists. Some success has been experienced with...

  12. 26 CFR 1.972-1 - Consolidation of group of export trade corporations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... decrease in investments in export trade assets to which section 970(b) applies as described in paragraph (c... consolidate a chain of export trade corporations shall terminate for the first taxable year of the foreign... foreign corporation which was included in such consolidation for the preceding taxable year ceases to...

  13. Power and Authority in Adult Education

    ERIC Educational Resources Information Center

    Alsobaie, Mohammed Fahad

    2015-01-01

    This paper covers power and authority in adult education, focusing on the modern definitions of power and authority in the educational context, then moving into past precedents of the use of power and authority of classrooms. Finally, the optimal types of power and authority to apply to adult education are examined. Power defines a relationship…

  14. 40 CFR 63.3176 - What definitions apply to this subpart?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... facility which assembles automobiles or light-duty trucks, including coating facilities and processes. Bake oven air seal means an entry or entry vestibule to or an exit or exit vestibule from a bake oven which isolates the bake oven from the area immediately preceding (for an entry or entry vestibule) or immediately...

  15. 40 CFR 63.3176 - What definitions apply to this subpart?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... facility which assembles automobiles or light-duty trucks, including coating facilities and processes. Bake oven air seal means an entry or entry vestibule to or an exit or exit vestibule from a bake oven which isolates the bake oven from the area immediately preceding (for an entry or entry vestibule) or immediately...

  16. 40 CFR 63.3176 - What definitions apply to this subpart?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... facility which assembles automobiles or light-duty trucks, including coating facilities and processes. Bake oven air seal means an entry or entry vestibule to or an exit or exit vestibule from a bake oven which isolates the bake oven from the area immediately preceding (for an entry or entry vestibule) or immediately...

  17. Transformational Grammar and Psycholinguistics as Applied to Teaching Comprehension of German. Final Report.

    ERIC Educational Resources Information Center

    Reeds, James A.

    The relevance to elementary foreign language instruction of certain findings of child language development (native language) and the psychology of language acquisition is examined. A set of premises is proposed for a new scheme for the teaching of German based on these findings, namely, that comprehension precedes production, that language…

  18. What are applied ethics?

    PubMed

    Allhoff, Fritz

    2011-03-01

    This paper explores the relationships that various applied ethics bear to each other, both in particular disciplines and more generally. The introductory section lays out the challenge of coming up with such an account and, drawing a parallel with the philosophy of science, offers that applied ethics may either be unified or disunified. The second section develops one simple account through which applied ethics are unified, vis-à-vis ethical theory. However, this is not taken to be a satisfying answer, for reasons explained. In the third section, specific applied ethics are explored: biomedical ethics; business ethics; environmental ethics; and neuroethics. These are chosen not to be comprehensive, but rather for their traditions or other illustrative purposes. The final section draws together the results of the preceding analysis and defends a disunity conception of applied ethics.

  19. Effect of Women's autonomy on maternal health service utilization in Nepal: a cross sectional study.

    PubMed

    Adhikari, Ramesh

    2016-05-13

    Women's role has been a priority area not only for sustainable development, but also in reproductive health since ICPD 1994. However, very little empirical evidence is available about women's role on maternal health service utilization in Nepal. This paper explores dimensions of women's autonomy and their relationship to utilization of maternal health services. The analysis uses data from the Nepal Demographic and Health Survey, 2011. The analysis is confined to women who had given birth in the 5 years preceding the survey (n = 4,148). Women's autonomy related variables are taken from the standard DHS questionnaire and measured based on decision in household about obtaining health care, large household purchases and visit to family or relative. The net effect of women's autonomy on utilization of maternal health services after controlling for the effect of other predictors has been measured through multivariate logistic regression analysis. The findings indicate only about a half of the women who had given birth in the past 5 years preceding the survey had 4 or more ANC check up for their last birth. Similarly, 40 % of the women had delivered their last child in the health facilities. Furthermore, slightly higher than two-fifth women (43 %) had postnatal check up for their last child. Only slightly higher than a fourth woman (27 %) had utilized all the services (adequate ANC visit, delivered at health institution and post natal check up) for their last child. This study found that many socio-demographic variables such as age of women, number of children born, level of education, ethnicity, place of residence and wealth index are predicators of utilizing the maternal health services of recent child. Notably, higher level autonomy was associated with higher use of maternal health services [adjusted odds ratio (aOR) =1.40; CI 1.18-1.65]. Utilization of maternal health services for the recent child among women is very low. The study results suggest that policy actions that increase women's autonomy at home could be effective in helping assure good maternal health.

  20. INCREASING CULTURALLY COMPETENT NEUROPSYCHOLOGICAL SERVICES FOR ETHNIC MINORITY POPULATIONS: A CALL TO ACTION

    PubMed Central

    Mindt, Monica Rivera; Byrd, Desiree; Saez, Pedro; Manly, Jennifer

    2010-01-01

    US demographic and sociopolitical shifts have resulted in a rapidly growing need for culturally competent neuropsychological services. However, clinical neuropsychology as a field has not kept pace with the needs of ethnic minority clients. In this discussion we review: historical precedents and the limits of universalism in neuropsychology; ethical/professional guidelines pertinent to neuropsychological practice with ethnic minority clients; critical cultural considerations in neuropsychology; current disparities germane to practice; and challenges to the provision of services to racial/ethnic minority clients. We provide a call to action for neuropsychologists and related organizations to advance multiculturalism and diversity within the field by increasing multicultural awareness and knowledge, multicultural education and training, multicultural neuropsychological research, and the provision of culturally competent neuropsychological services to racial/ethnic minority clients. Lastly, we discuss strategies for increasing the provision of culturally competent neuropsychological services, and offer several resources to meet these goals. PMID:20373222

  1. The Privileges of Rank

    PubMed Central

    MacLean, Alair

    2010-01-01

    This article examines the effects of peacetime cold war military service on the life course according to four potentially overlapping theories that state that military service (1) was a disruption, (2) was a positive turning point, (3) allowed veterans to accumulate advantage, and (4) was an agent of social reproduction. The article argues that the extent to which the effect of military service on veterans' lives corresponds with one or another of the preceding theories depends on historical shifts in three dimensions: conscription, conflict, and benefits. Military service during the peacetime draft era of the late 1950s had a neutral effect on the socioeconomic attainment of enlisted veterans. However, it had a positive effect on veterans who served as officers, which partly stemmed from status reproduction and selection. Yet net of pre-service and educational differences by rank, officers in this peacetime draft era were still able to accumulate advantage. PMID:20842210

  2. Scientific misconduct and research integrity for the bench scientist.

    PubMed

    Pascal, C B

    2000-09-01

    This paper describes the role of the Office of Research Integrity (ORI), a component of the Public Health Service (PHS), in defining scientific misconduct in research supported with PHS funds and in establishing standards for responding to allegations of misconduct. The principal methods by which ORI exercises its responsibilities in this area are defining what types of behaviors undertaken by research investigators constitute misconduct, overseeing institutional efforts to investigate and report misconduct, and recommending to the Assistant Secretary for Health (ASH) PHS administrative actions when misconduct is identified. ORI also takes affirmative steps to promote research integrity through education, training, and other initiatives. The role of the research institution in responding to misconduct and promoting research integrity is complementary and overlapping with ORI's efforts but, as the employer of research investigators and front-line manager of the research, the institution has a greater opportunity to promote the highest standards of integrity in the day-to-day conduct of research. Finally, legal precedent established through civil litigation has played an important role in defining the standards that apply in determining when a breach of research integrity has occurred.

  3. Impacts of Urbanization on Precipitation and Storms: Physical Insights and Vulnerabilities

    Treesearch

    J. M. Shepherd

    2013-01-01

    On January 19, 2011, an unusual weather event occurred. The National Weather Service Web site (http://www.crh.noaa. gov/news/display_cmsstory.php?wfo¼ddc&storyid¼62980& source¼0) described the event in the following way: “the atmosphere was cold and moist with low clouds and fog preceding the formation of the snow.

  4. Contraceptive Behavior in Young Women

    DTIC Science & Technology

    1993-01-01

    They found the sample of teens perceived birth control as being dangerous to their health. Other important reasons included postponement until the...contraceptive services were fear of parents knowledge, fear of a pelvic exam and the belief that CONTRACEPTIVE BEHAVIOR 14 birth control was dangerous to their...experimentation generally precedes formation and acceptance of gender identity (Kastner, 1984). Kastner observed that teens using birth control more effectively

  5. Movement of the Organized Blind in India: From Passive Recipients of Services to Active Advocates of Their Rights

    ERIC Educational Resources Information Center

    Chander, Jagdish

    2012-01-01

    In recent years, the subject of the newborn disability rights movement in India has been attracting the attention of researchers, but there has been very little effort to document the movement of blind people in India for their rights, which preceded the broader disability rights movement. I therefore conducted a qualitative study of this movement…

  6. Using Software: A Guide to the Ethical and Legal Use of Software for Members of the Academic Community.

    ERIC Educational Resources Information Center

    Interuniversity Communications Council (EDUCOM), Washington, DC.

    The purpose of this brochure, which was produced as a service to the academic community, is to provide a brief outline of what can and cannot be done legally with software, and to clarify the implications and restrictions of the U.S. Copyright Law. Relevant facts concerning copying software precede the EDUCOM statement of principle on intellectual…

  7. Faculty and staff health promotion: results from the School Health Policies and Programs Study 2006.

    PubMed

    Eaton, Danice K; Marx, Eva; Bowie, Sara E

    2007-10-01

    US schools employ an estimated 6.7 million workers and are thus an ideal setting for employee wellness programs. This article describes the characteristics of school employee wellness programs in the United States, including state-, district-, and school-level policies and programs. The Centers for Disease Control and Prevention conducts the School Health Policies and Programs Study every 6 years. In 2006, computer-assisted telephone interviews or self-administered mail questionnaires were completed by state education agency personnel in 49 states plus the District of Columbia and among a nationally representative sample of school districts (n=445). Computer-assisted personal interviews were conducted with personnel in a nationally representative sample of elementary, middle, and high schools (n=873). During the 2 years preceding the study, 67.3% of states provided assistance to districts or schools on how to develop or implement faculty and staff health promotion activities or services. Although nearly all schools offered at least 1 health promotion service or activity, few schools offered coordinated activities and services within a comprehensive employee wellness program. During the 12 months preceding the study, none of the health screenings were offered by more than one third of schools; only a few of the health promotion activities and services were offered by more than one third of schools; about one third of schools offered physical activity programs, employee assistance programs, and subsidies or discounts for off-site health promotion activities; and only 1 in 10 schools provided health-risk appraisals for faculty and staff. More schools should implement comprehensive employee wellness programs to improve faculty and staff health behaviors and health status.

  8. Managing Highway Maintenance: Standards for Maintenance Work, Part 3, Unit 8, Level 2.

    ERIC Educational Resources Information Center

    Federal Highway Administration (DOT), Washington, DC. Offices of Research and Development.

    Part of the series "Managing Highway Maintenance," the unit explains various uses of maintenance standards and how standards should be interpreted and communicated to formen and crew leaders. Several examples are given of the decisions made when applying the standards to routine work. The preceding units on standards (parts 1 and 2)…

  9. College-Going Benefits of High School Sports Participation: Race and Gender Differences over Three Decades

    ERIC Educational Resources Information Center

    Shifrer, Dara; Pearson, Jennifer; Muller, Chandra; Wilkinson, Lindsey

    2015-01-01

    The long touted athlete advantage in college enrollment has been tempered by assertions that this advantage is actually due to characteristics that precede participation. Moreover, it remains unclear whether the benefits of sports extend into contemporary times and apply equally to female and racial minority athletes. This study uses three…

  10. 17 CFR 270.5b-1 - Definition of “total assets.”

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., shall mean the gross assets of the company with respect to which the computation is made, taken as of the end of the fiscal quarter of the company last preceding the date of computation. This section shall not apply to any company which has adopted either of the alternative methods of valuation...

  11. 34 CFR 299.5 - What maintenance of effort requirements apply to ESEA programs?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... funds only if the SEA finds that either the combined fiscal effort per student or the aggregate... preceding fiscal year was not less than 90 percent of the combined fiscal effort per student or the... Technology Resources). (4) Part A of title IV (Safe and Drug-Free Schools and Communities) (other than...

  12. The value of auditing negative lower GI investigations preceding a final diagnosis of colorectal cancer.

    PubMed

    Somasekar, A; James, L; Stephenson, B M; Thompson, I W; Vellacott, K D; Allison, M C

    2009-09-01

    To review all preceding 'negative' large bowel investigations in patients with a final diagnosis of colorectal cancer, and to examine whether delayed diagnosis was associated with worse outcome. Details were gathered on all patients with a new diagnosis of colorectal adenocarcinoma presenting over 4.5 years. For each patient the hospital's clinical workstation and radiology and endoscopy databases were interrogated for all flexible sigmoidoscopies, colonoscopies and barium enemas during the 5 years prior to diagnosis. Among the 570 patients, 28 (5%) had undergone colonoscopy and/or flexible sigmoidoscopy that had not shown colorectal cancer during the 5 years preceding final diagnosis, and a further 28 (5%) had undergone 'negative' barium enemas. Polyp surveillance might have missed four lesions destined to become malignant. Correspondingly there were three patients undergoing IBD surveillance found to have CRC, having had a negative complete colonoscopy within the preceding 5 years. Among patients undergoing de novo colonoscopy for diagnosis the true miss rate was only one patient per year. At August 2007, 29 (58%) of those with delayed diagnosis were still alive, compared with 216 (42%) of those diagnosed during initial investigation (chi2 = 5.04, P < 0.05). Colonoscopic miss rates are in line with previous studies. The application of simple clinical ground rules will avoid most pitfalls. The methodology described herein may assist in auditing the quality assurance of lower gastrointestinal diagnostic services. Despite the delay, late diagnosis was found to be associated with improved survival and a lower likelihood of metastatic disease.

  13. Statistical Analysis of Factors Affecting Child Mortality in Pakistan.

    PubMed

    Ahmed, Zoya; Kamal, Asifa; Kamal, Asma

    2016-06-01

    Child mortality is a composite indicator reflecting economic, social, environmental, healthcare services, and their delivery situation in a country. Globally, Pakistan has the third highest burden of fetal, maternal, and child mortality. Factors affecting child mortality in Pakistan are investigated by using Binary Logistic Regression Analysis. Region, education of mother, birth order, preceding birth interval (the period between the previous child birth and the index child birth), size of child at birth, and breastfeeding and family size were found to be significantly important with child mortality in Pakistan. Child mortality decreased as level of mother's education, preceding birth interval, size of child at birth, and family size increased. Child mortality was found to be significantly higher in Balochistan as compared to other regions. Child mortality was low for low birth orders. Child survival was significantly higher for children who were breastfed as compared to those who were not.

  14. Mechanical Dyssynchrony Precedes QRS Widening in ATP‐Sensitive K+ Channel–Deficient Dilated Cardiomyopathy

    PubMed Central

    Yamada, Satsuki; Arrell, D. Kent; Kane, Garvan C.; Nelson, Timothy J.; Perez‐Terzic, Carmen M.; Behfar, Atta; Purushothaman, Saranya; Prinzen, Frits W.; Auricchio, Angelo; Terzic, Andre

    2013-01-01

    Background Contractile discordance exacerbates cardiac dysfunction, aggravating heart failure outcome. Dissecting the genesis of mechanical dyssynchrony would enable an early diagnosis before advanced disease. Methods and Results High‐resolution speckle‐tracking echocardiography was applied in a knockout murine surrogate of adult‐onset human cardiomyopathy caused by mutations in cardioprotective ATP‐sensitive K+ (KATP) channels. Preceding the established criteria of cardiac dyssynchrony, multiparametric speckle‐based strain resolved nascent erosion of dysfunctional regions within cardiomyopathic ventricles of the KATP channel–null mutant exposed to hemodynamic stress. Not observed in wild‐type counterparts, intraventricular disparity in wall motion, validated by the degree, direction, and delay of myocardial speckle patterns, unmasked the disease substrate from asymptomatic to overt heart failure. Mechanical dyssynchrony preceded widening of the QRS complex and exercise intolerance and progressed into global myocardial discoordination and decompensated cardiac pump function, precipitating a low output syndrome. Conclusions The present study, with the use of high‐resolution imaging, prospectively resolved the origin and extent of intraventricular motion disparity in a KATP channel–knockout model of dilated cardiomyopathy. Mechanical dyssynchrony established as an early marker of cardiomyopathic disease offers novel insight into the pathodynamics of dyssynchronous heart failure. PMID:24308936

  15. U.S. Case Law and Legal Precedent Affirming the Due Process Rights of Immigrants Fleeing Persecution.

    PubMed

    Sidhu, Shawn S; Boodoo, Ramnarine

    2017-09-01

    The political discourse on domestic immigration policy has shifted rapidly in recent years, mirrored by similar shifts in the geopolitical climate worldwide. However, a nuanced assessment of the legal basis backing such rhetoric is sorely lacking. This article examines the historical, legal, and case law precedent as it pertains specifically to immigrants who are fleeing persecution and residing within the United States. Due process rights emerged from the Fifth, Sixth, and Fourteenth Constitutional Amendments and have been expanded to include this population through several sequential United States Supreme Court Cases. We review the 1951 Convention Related to the Status of Refugees and 1967 Protocol Relating to the Status of Refugees and examine subsequent case law and legal precedent. We then present evidence documenting widespread violations of due process rights for immigrants fleeing persecution. Specifically, we address the right to a fair hearing for individuals fearing for their lives upon return to their home country, the right against wrongful detainment, and the right to apply for asylum regardless of religion or country of origin. We conclude by addressing potential counterarguments to our thesis, future directions, and the role of forensic psychiatrists. © 2017 American Academy of Psychiatry and the Law.

  16. The dorsomedial prefrontal cortex mediates the interaction between moral and aesthetic valuation: a TMS study on the beauty-is-good stereotype.

    PubMed

    Ferrari, Chiara; Nadal, Marcos; Schiavi, Susanna; Vecchi, Tomaso; Cela-Conde, Camilo J; Cattaneo, Zaira

    2017-05-01

    Attractive individuals are perceived as possessing more positive personal traits than unattractive individuals. This reliance on aesthetic features to infer moral character suggests a close link between aesthetic and moral valuation. Here we aimed to investigate the neural underpinnings of the interaction between aesthetic and moral valuation by combining transcranial magnetic stimulation (TMS) with a priming paradigm designed to assess the Beauty-is-Good stereotype. Participants evaluated the trustworthiness of a series of faces (targets), each of which was preceded by an adjective describing desirable, undesirable, or neutral aesthetic qualities (primes). TMS was applied between prime and target to interfere with activity in two regions known to be involved in aesthetic and moral valuation: the dorsomedial prefrontal cortex (dmPFC, a core region in social cognition) and the dorsolateral prefrontal cortex (dlPFC, critical in decision making). Our results showed that when TMS was applied over vertex (control) and over the dlPFC, participants judged faces as more trustworthy when preceded by positive than by negative aesthetic primes (as also shown in two behavioral experiments). However, when TMS was applied over the dmPFC, primes had no effect on trustworthiness judgments. A second Experiment corroborated this finding. Our results suggest that mPFC plays a causal role linking moral and aesthetic valuation. © The Author (2017). Published by Oxford University Press.

  17. The dorsomedial prefrontal cortex mediates the interaction between moral and aesthetic valuation: a TMS study on the beauty-is-good stereotype

    PubMed Central

    Ferrari, Chiara; Nadal, Marcos; Schiavi, Susanna; Vecchi, Tomaso; Cela-Conde, Camilo J.

    2017-01-01

    Abstract Attractive individuals are perceived as possessing more positive personal traits than unattractive individuals. This reliance on aesthetic features to infer moral character suggests a close link between aesthetic and moral valuation. Here we aimed to investigate the neural underpinnings of the interaction between aesthetic and moral valuation by combining transcranial magnetic stimulation (TMS) with a priming paradigm designed to assess the Beauty-is-Good stereotype. Participants evaluated the trustworthiness of a series of faces (targets), each of which was preceded by an adjective describing desirable, undesirable, or neutral aesthetic qualities (primes). TMS was applied between prime and target to interfere with activity in two regions known to be involved in aesthetic and moral valuation: the dorsomedial prefrontal cortex (dmPFC, a core region in social cognition) and the dorsolateral prefrontal cortex (dlPFC, critical in decision making). Our results showed that when TMS was applied over vertex (control) and over the dlPFC, participants judged faces as more trustworthy when preceded by positive than by negative aesthetic primes (as also shown in two behavioral experiments). However, when TMS was applied over the dmPFC, primes had no effect on trustworthiness judgments. A second Experiment corroborated this finding. Our results suggest that mPFC plays a causal role linking moral and aesthetic valuation. PMID:28158864

  18. Beyond recidivism: changes in health and social service involvement following exposure to drug treatment court.

    PubMed

    Rezansoff, Stefanie N; Moniruzzaman, Akm; Clark, Elenore; Somers, Julian M

    2015-10-31

    The majority of Drug Treatment Court (DTC) research has examined the impact of DTCs on criminal recidivism. Comparatively little research has addressed the association between DTC participation and engagement with community-based health and social services. The present study investigated changes in participant involvement with outpatient healthcare and income assistance within a DTC cohort. We hypothesized that involvement with community-based (outpatient) health and social services would increase post-DTC participation, and that service levels would be higher among program graduates and offenders with histories of co-occurring mental and substance use disorders. Participants were 631 offenders at the DTC in Vancouver, Canada (DTCV). Administrative data representing hospital, outpatient medical care, and income assistance were examined one-year pre/post program to assess differences over time. Generalized estimating equations were used to investigate the association between changes in service use and program involvement. We also examined the relationship between level of service use and offender characteristics. Members of the cohort were disproportionately Aboriginal (33 %), had been sentenced 2.7 times in the 2 years preceding their index offence, and 50 % had been diagnosed with a non substance-related mental disorder in the five years preceding the index offence. The mean number of outpatient services post DTCV was 51, and the mean amount of social assistance paid was $5,897. Outpatient service use increased following exposure to DTCV (Adjusted Rate Ratio (ARR) = 1.45) and was significantly higher among women (ARR = 1.47), program graduation (ARR = 1.23), and those previously diagnosed with concurrent substance use and mental disorders (ARR = 4.92). Overall, hospital admissions did not increase post-program, although rates were significantly higher among women (ARR = 1.76) and those with concurrent disorders (ARR = 2.71). Income assistance increased significantly post program (ARR = 1.16), and was significantly higher among women (ARR = 1.03), and those diagnosed with substance use disorders (ARR = 1.42) and concurrent disorders (ARR = 1.72). These findings suggest that the DTCV was a catalyst for increased participant engagement with community health and social supports, and that rates of service use were consistently higher among women and individuals with concurrent disorders. Research is needed to investigate the potential link between health and social support and reductions in recidivism associated with DTCs.

  19. Soviet business chaos seen lasting 5 years

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

    Not Available

    1991-12-16

    This paper reports that companies seeking work in the collapsing Soviet Union can expect political uncertainty for another 5 years. PW discussed changes in the Soviet Union and offered advice on dealing with officials of the central government and Soviet republics at a recent meeting in Houston with executives of oil field service companies. That meeting preceded reports of the Russian federation, Ukraine, and Byelorussia agreeing to form a Slavic commonwealth.

  20. 34 CFR 366.31 - What happens if the amount of earmarked funds does not equal or exceed the amount of Federal...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true What happens if the amount of earmarked funds does not equal or exceed the amount of Federal funds for a preceding fiscal year? 366.31 Section 366.31 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF...

  1. 34 CFR 366.31 - What happens if the amount of earmarked funds does not equal or exceed the amount of Federal...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false What happens if the amount of earmarked funds does not equal or exceed the amount of Federal funds for a preceding fiscal year? 366.31 Section 366.31 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF...

  2. 34 CFR 366.31 - What happens if the amount of earmarked funds does not equal or exceed the amount of Federal...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false What happens if the amount of earmarked funds does not equal or exceed the amount of Federal funds for a preceding fiscal year? 366.31 Section 366.31 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF...

  3. 34 CFR 366.31 - What happens if the amount of earmarked funds does not equal or exceed the amount of Federal...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true What happens if the amount of earmarked funds does not equal or exceed the amount of Federal funds for a preceding fiscal year? 366.31 Section 366.31 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF...

  4. 34 CFR 366.31 - What happens if the amount of earmarked funds does not equal or exceed the amount of Federal...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false What happens if the amount of earmarked funds does not equal or exceed the amount of Federal funds for a preceding fiscal year? 366.31 Section 366.31 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF...

  5. ANNUAL REPORT, JULY 1, 1957

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

    None

    1958-10-31

    The progress and trends of research are presented along with a description of operational, service, end administrative activities. Some scientific and technical details are given on research programs in the physical sciences, life sciences, and engineering, however, more complete technical information is available in quarterly progress reports, BNL technical reports, and scientific and technical periodicals. A bibliography of these publications is appended. (For preceding period see BNL-426.) (D.E.B.)

  6. Stressful life events preceding the onset of depression in Asian patients with major depressive disorder.

    PubMed

    Park, Subin; Hatim, Ahmad; Si, Tian-Mei; Jeon, Hong Jin; Srisurapanont, Manit; Bautista, Dianne; Liu, Shen-ing; Chua, Hong Choon; Hong, Jin Pyo

    2015-12-01

    Previous studies have identified the significant role of stressful life events in the onset of depressive episodes. However, there is a paucity of cross-national studies on stressful life events that precede depression. We aimed to compare types of stressful life events associated with the onset of depressive episodes in patients with major depressive disorder (MDD) in five Asian countries. A total of 507 outpatients with MDD were recruited in China (n = 114), South Korea (n = 101), Malaysia (n = 90), Thailand (n = 103) and Taiwan (n = 99). All patients were assessed with the Mini-International Neuropsychiatric Interview and the List of Threatening Experiences. The prevalence of each type of stressful life events was calculated and compared between each country. The type of stressful life event that preceded the onset of a depressive episode differed between patients in China and Taiwan and those in South Korea, Malaysia and Thailand. Patients in China and Taiwan were less likely to report interpersonal relationship problems and occupational/financial problems than patients in South Korea, Malaysia and Thailand. Understanding the nature and basis of culturally determined susceptibilities to specific stressful life events is critical for establishing a policy of depression prevention and providing effective counseling services for depressed patients. © The Author(s) 2015.

  7. The rate of mental health service use in New Zealand as analysed by ethnicity.

    PubMed

    Tapsell, Rees; Hallett, Charlene; Mellsop, Graham

    2018-06-01

    To compare by ethnicity the rates of apparent new referrals and admissions to mental health services for selected major diagnostic groupings. Using a Ministry of Health database covering all referrals and admissions to New Zealand's Mental Health services in 2014 and who had not been patients in the preceding six years, population adjusted rates of presentation were calculated and compared across the two major New Zealand ethnic groupings. Population corrected rates of apparently new cases of schizophrenia are more than twice as common in Māori as in non-Māori. Major depression is also significantly more common in Māori. That same trend was not evident for bipolar patients. These ethnically associated apparent differences in the rates of schizophrenia and depression need both confirmation and explanation.

  8. Occurrence, Distribution, Instantaneous Loads, and Yields of Dissolved Pesticides in the San Joaquin River Basin, California, During Summer Conditions, 1994 and 2001

    USGS Publications Warehouse

    Brown, Larry R.; Panshin, Sandra Y.; Kratzer, Charles R.; Zamora, Celia; Gronberg, JoAnn M.

    2004-01-01

    Water samples were collected from 22 drainage basins for analysis of 48 dissolved pesticides during summer flow conditions in 1994 and 2001. Of the 48 pesticides, 31 were reported applied in the basin in the 28 days preceding the June 1994 sampling, 25 in the 28 days preceding the June 2001 sampling, and 24 in the 28 days preceding the August 2001 sampling. The number of dissolved pesticides detected was similar among sampling periods: 26 were detected in June 1994, 28 in June 2001, and 27 in August 2001. Concentrations of chlorpyrifos exceeded the California criterion for the protection of aquatic life from acute exposure at six sites in June 1994 and at five sites in June 2001. There was a single exceedance of the criterion for diazinon in June 1994. The number of pesticides applied in tributary basins was highly correlated with basin area during each sampling period (Spearman's r = 0.85, 0.70, and 0.84 in June 1994, June 2001, and August 2001, respectively, and p < 0.01 in all cases). Larger areas likely include a wider variety of crops, resulting in more varied pesticide use. Jaccard's similarities, cluster analysis, principal components analysis, and instantaneous load calculations generally indicate that west-side tributary basins were different from east-side tributary basins. In general, west-side basins had higher concentrations, instantaneous loads, and instantaneous yields of dissolved pesticides than east-side basins, although there were a number of exceptions. These differences may be related to a number of factors, including differences in basin size, soil texture, land use, irrigation practices, and stream discharge.

  9. Nonlocal approach to the analysis of the stress distribution in granular systems. II. Application to experiment

    NASA Astrophysics Data System (ADS)

    Scott, J. E.; Kenkre, V. M.; Hurd, A. J.

    1998-05-01

    A theory of stress propagation in granular materials developed recently [Kenkre, Scott, Pease, and Hurd, preceding paper, Phys. Rev. E 57, 5841 (1998)] is applied to the compaction of ceramic and metal powders in pipes with previously unexplained experimental features such as nonmonotonic density and stress variation along the axis of cylindrical compacts.

  10. Consumption, a Modern Affliction: Branding Culture, Youth Identity and College Admission

    ERIC Educational Resources Information Center

    Tokuhama, Chris

    2011-01-01

    In order to understand the effects that consumer culture may have on modern youth, this article first traces a brief history of branding in the United States throughout the 20th Century to develop a context and precedent for the argument that the current generation of students applying to college has developed in a society saturated with branding,…

  11. 14 CFR 61.313 - What aeronautical experience must I have to apply for a sport pilot certificate?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... you must log at least . . . Which must include at least . . . (a) Airplane category and single-engine... training from an authorized instructor in a single-engine airplane and at least 5 hours of solo flight... preceding 2 calendar months from the month of the test. (e) Lighter-than-air category and airship class...

  12. 14 CFR 61.313 - What aeronautical experience must I have to apply for a sport pilot certificate?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... you must log at least . . . Which must include at least . . . (a) Airplane category and single-engine... training from an authorized instructor in a single-engine airplane and at least 5 hours of solo flight... preceding 2 calendar months from the month of the test. (e) Lighter-than-air category and airship class...

  13. 14 CFR 61.313 - What aeronautical experience must I have to apply for a sport pilot certificate?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... you must log at least . . . Which must include at least . . . (a) Airplane category and single-engine... training from an authorized instructor in a single-engine airplane and at least 5 hours of solo flight... preceding 2 calendar months from the month of the test. (e) Lighter-than-air category and airship class...

  14. Tutorial Workshop on Robotics and Robot Control.

    DTIC Science & Technology

    1982-10-26

    J^V7S US ARMY TANK-AUTOMOTIVE COMMAND, WARREN MICHIGAN US ARMY MATERIEL SYSTEMS ANALYSIS ACTIVITY, ABERDEEN PROVING GROUNDS, MARYLAND ^ V&S...Technology Pasadena, California 91103 M. Vur.kovic Senior Research Associate Institute for Technoeconomic Systems Department of Industrial...Further investigation of the action precedence graphs together with their appli- cation to more complex manipulator tasks and analysis of J2. their

  15. 26 CFR 1.665(e)-1A - Preceding taxable year.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., since the Internal Revenue Code of 1939 applies to those years. (b) Simple trusts. A taxable year of a trust during which the trust was a simple trust (that is, was subject to subpart B) for the entire year... widow W. The terms of the trust require that the income be distributed currently (i.e., it is a simple...

  16. 26 CFR 1.864-3 - Rules for determining income effectively connected with U.S. business of nonresident aliens or...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... determining whether income, gain, or loss shall be treated as effectively connected for a taxable year... trade or business in the United States, no income, gain, or loss shall be treated as effectively... rule prescribed by the preceding sentence shall apply even though the income, gain, or loss would have...

  17. 26 CFR 1.149(e)-1 - Information reporting requirements for tax-exempt bonds.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... filed with respect to the issue. In the case of any constitutional home rule city (as defined in section 146(d)(3)(C)), the preceding sentence is applied by substituting “city” for “state” and “chief... an extension of time to file any form or attachment required under this section if the Commissioner...

  18. On the Adequacy of Bayesian Evaluations of Categorization Models: Reply to Vanpaemel and Lee (2012)

    ERIC Educational Resources Information Center

    Wills, Andy J.; Pothos, Emmanuel M.

    2012-01-01

    Vanpaemel and Lee (2012) argued, and we agree, that the comparison of formal models can be facilitated by Bayesian methods. However, Bayesian methods neither precede nor supplant our proposals (Wills & Pothos, 2012), as Bayesian methods can be applied both to our proposals and to their polar opposites. Furthermore, the use of Bayesian methods to…

  19. A web-based intervention to promote applications for rehabilitation: a study protocol for a randomized controlled trial.

    PubMed

    Spanier, Katja; Streibelt, Marco; Ünalan, Firat; Bethge, Matthias

    2015-09-29

    The German welfare system follows the principle "rehabilitation rather than pension," but more than the half of all disability pensioners did not utilize medical rehabilitation before their early retirement. A major barrier is the application procedure. Lack of information about the opportunity to utilize rehabilitation services restricts the chance to improve work ability and to prevent health-related early retirement by rehabilitation programs. The establishment of new access paths to medical rehabilitation services was, therefore, identified as a major challenge for rehabilitation research in a recent expertise. Thus, a web-based information guide was developed to support the application for a medical rehabilitation program. For this study, the development of a web-based information guide was based on the health action process approach. Four modules were established. Three modules support forming an intention by strengthening risk perception (module 1), positive outcome expectancies (module 2) and self-efficacy (module 3). A fourth module aims at the realization of actual behavior by offering instructions on how to plan and to push the application process. The study on the effectiveness of the web-based information guide will be performed as a randomized controlled trial. Persons aged 40 to 59 years with prior sick leave benefits during the preceding year will be included. A sample of 16,000 persons will be randomly drawn from the registers of 3 pension insurance agencies. These persons will receive a questionnaire to determine baseline characteristics. Respondents of this first survey will be randomly allocated either to the intervention or the control group. Both study groups will then receive letters with general information about rehabilitation. The intervention group will additionally receive a link to the web-based information guide. After 1 year, a second survey will be conducted. Additionally, administrative data will be used to determine if participants apply for rehabilitation and finally start a rehabilitation program. The primary outcomes are the proportion of applied and utilized medical rehabilitation services. Secondary outcomes are cognitions on rehabilitation, self-rated work ability, health-related quality of life and perceived disability, as well as days with sick leave benefits and days of regular employment. The randomized controlled trial will provide highest ranked evidence to clarify whether theory-driven web-based information supports access to rehabilitation services for people with prior sickness benefits. German Clinical Trials Register (Identifier: DRKS00005658 , 16 January 2014).

  20. Pesticide poisoning: a major health problem in Sri Lanka.

    PubMed

    Van der Hoek, W; Konradsen, F; Athukorala, K; Wanigadewa, T

    1998-01-01

    Acute pesticide poisoning is a major public health problem in Sri Lanka. In several agricultural districts, it precedes all other causes of death in government hospitals. Most of the acute poisoning cases are intentional (suicide) and occur among young adults, mainly males. Poisoning due to occupational exposure is also common, but less well documented. In an irrigation area in Sri Lanka a very high incidence of serious pesticide poisoning was observed, with 68% due to intentional ingestion of liquid pesticides. It is argued that the easy availability and widespread use of highly hazardous pesticides is the most important reason for this high number of poisoning cases. The frequent application of highly hazardous pesticides in high concentrations was often irrational and posed serious health and financial risks to the farmers. Sales promotion activities and credit facilities promoted this excessive pesticide use, which was not counteracted by an agricultural extension service. Hazardous practices when spraying pesticides were due to the impossibility of applying recommended protective measures under the local conditions, rather than to lack of knowledge. Current emphasis on programs that promote the safe use of pesticides through education and training of farmers will be ineffective in Sri Lanka because knowledge is already high and most poisoning cases are intentional. Instead, enforcement of legislation to restrict availability of the most hazardous pesticides would result in an immediate health benefit. Improved agricultural extension services to promote alternative non-chemical methods of pest control is the most important strategy, in the long term, to prevent acute pesticide poisoning.

  1. Peripheral Vision Horizon Display (PVHD). Corrected Copy

    NASA Technical Reports Server (NTRS)

    1984-01-01

    A Canadian invention, the peripheral vision horizon display (PVHD), shows promise in alleviating vertigo or disorientation in pilots flying under instrument conditions and easing the piloting task when flying in weather or other conditions requiring close attention to aircraft attitude instruments. A diversity of research and applied work was being done to investigate and validate the benefits of the PVHD during the years immediately preceding this conference. Organizers of the conference were able to assemble a group of outstanding presenters representing academic, industrial, and military. The theoretical foundation and applied use of the PVHD are discussed, and results from operational tests are presented.

  2. Skilled delivery service utilization and its association with the establishment of Women's Health Development Army in Yeky district, South West Ethiopia: a multilevel analysis.

    PubMed

    Negero, Melese Girmaye; Mitike, Yifru Berhan; Worku, Abebaw Gebeyehu; Abota, Tafesse Lamaro

    2018-01-30

    Because of the unacceptably high maternal and perinatal morbidity and mortality, the government of Ethiopia has established health extension program with a community-based network involving health extension workers (HEWs) and a community level women organization which is known as "Women's Health Development Army" (WHDA). Currently, the HEWs and WHDA network is the approach preferred by the government to register pregnant women and encourage them to link in the healthcare system. However, its association with skilled delivery service utilization is not well known. A community-based cross-sectional study was conducted from January to February 2015. Within 380 clusters of WHDA, a total of 748 reproductive-age women who gave birth in 1 year preceding the study, were included using multistage sampling technique. The data were entered into EPI info version 7 statistical software and exported to STATA version 11 for analysis. Multilevel analysis technique was applied to check for an association of selected variables with a utilization of skilled delivery service. About 45% of women have received skilled delivery care. A significant heterogeneity was observed between "Women's Health Development Teams (clusters)" for skilled delivery care service utilization which explains about 62% of the total variation. Individual-level predictors including urban residence [AOR (95% CI) 35.10 (4.62, 266.52)], previous exposure of complications [AOR (95% CI) 3.81 (1.60, 9.08)], at least four ANC visits [AOR (95% CI) 7.44 (1.48, 37.42)] and preference of skilled personnel [AOR (95% CI) 8.11 (2.61, 25.15)] were significantly associated with skilled delivery service use. Among cluster level variables, the distance of clusters within 2 km radius from the nearest health facility was significantly associated [AOR (95% CI) 6.03 (1.92, 18.93)] with skilled delivery service utilization. In this study, significant variation among clusters of WHDA was observed. Both individual and cluster level variables were identified to predict skilled delivery service utilization. Encouraging women to have frequent ANC visits (- 4 and above), enhancing awareness creation towards the delivery care attendance, constructing more health facilities and roads in hard to reach areas and establishing telemedicine services are recommended.

  3. 47 CFR 25.254 - Special requirements for ancillary terrestrial components operating in the 1610-1626.5 MHz/2483.5...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...: The preceding rules of § 25.254 are based on cdma2000 and IS-95 system architecture. To the extent that a Big LEO MSS licensee is able to demonstrate that the use of different system architectures would... section, an MSS licensee is permitted to apply for ATC authorization based on another system architecture...

  4. 47 CFR 25.254 - Special requirements for ancillary terrestrial components operating in the 1610-1626.5 MHz/2483.5...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...: The preceding rules of § 25.254 are based on cdma2000 and IS-95 system architecture. To the extent that a Big LEO MSS licensee is able to demonstrate that the use of different system architectures would... section, an MSS licensee is permitted to apply for ATC authorization based on another system architecture...

  5. Applying Asynchronous Solutions to the Multi-Tasking Realities of a Teacher Education Faculty Unit: Case Study

    ERIC Educational Resources Information Center

    Moffett, David W.; Claxton, Melba S.; Jordan, Skye L.; Mercer, Patricia P.; Reid, Barbara K.

    2007-01-01

    The case study describes the early stages of building and using a learning management system (LMS) to aid in the productivity of an education faculty unit. Little to no research exists regarding teacher education units using LMSs to create an online web group for work purposes. The literature review preceding the case study illuminated some of the…

  6. 25 CFR 20.600 - Who can apply for financial assistance or social services?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false Who can apply for financial assistance or social services... FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Administrative Procedures § 20.600 Who can apply for financial assistance or social services? (a) You can apply for financial assistance or social services under...

  7. 25 CFR 20.600 - Who can apply for financial assistance or social services?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true Who can apply for financial assistance or social services... FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Administrative Procedures § 20.600 Who can apply for financial assistance or social services? (a) You can apply for financial assistance or social services under...

  8. 25 CFR 20.600 - Who can apply for financial assistance or social services?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false Who can apply for financial assistance or social services... FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Administrative Procedures § 20.600 Who can apply for financial assistance or social services? (a) You can apply for financial assistance or social services under...

  9. 25 CFR 20.600 - Who can apply for financial assistance or social services?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false Who can apply for financial assistance or social services... FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Administrative Procedures § 20.600 Who can apply for financial assistance or social services? (a) You can apply for financial assistance or social services under...

  10. 25 CFR 20.600 - Who can apply for financial assistance or social services?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Who can apply for financial assistance or social services... FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Administrative Procedures § 20.600 Who can apply for financial assistance or social services? (a) You can apply for financial assistance or social services under...

  11. Terminology modeling for an enterprise laboratory orders catalog.

    PubMed

    Zhou, Li; Goldberg, Howard; Pabbathi, Deepika; Wright, Adam; Goldman, Debora S; Van Putten, Cheryl; Barley, Amanda; Rocha, Roberto A

    2009-11-14

    Laboratory test orders are used in a variety of clinical information systems at Partners HealthCare. At present, each site at Partners manages its own set of laboratory orders with locally defined codes. Our current plan is to implement an enterprise catalog, where laboratory test orders are mapped to reference terminologies and codes from different sites are mapped to each other. This paper describes the terminology modeling effort that preceded the implementation of the enterprise laboratory orders catalog. In particular, we present our experience in adapting HL7's "Common Terminology Services 2 - Upper Level Class Model" as a terminology metamodel for guiding the development of fully specified laboratory orders and related services.

  12. Terminology Modeling for an Enterprise Laboratory Orders Catalog

    PubMed Central

    Zhou, Li; Goldberg, Howard; Pabbathi, Deepika; Wright, Adam; Goldman, Debora S.; Van Putten, Cheryl; Barley, Amanda; Rocha, Roberto A.

    2009-01-01

    Laboratory test orders are used in a variety of clinical information systems at Partners HealthCare. At present, each site at Partners manages its own set of laboratory orders with locally defined codes. Our current plan is to implement an enterprise catalog, where laboratory test orders are mapped to reference terminologies and codes from different sites are mapped to each other. This paper describes the terminology modeling effort that preceded the implementation of the enterprise laboratory orders catalog. In particular, we present our experience in adapting HL7’s “Common Terminology Services 2 – Upper Level Class Model” as a terminology metamodel for guiding the development of fully specified laboratory orders and related services. PMID:20351950

  13. Provision of ambulatory health services in Poland: a case study from Krakow.

    PubMed

    Chawla, Mukesh; Berman, Peter; Windak, Adam; Kulis, Marzena

    2004-01-01

    This study provides a comprehensive picture of the organization and delivery of ambulatory health care services in Poland. A main finding of the study is that, following the introduction of health insurance in 1999, the newly introduced Sickness Funds have become the main players in the medical services market, introducing new bidding procedures and contracts for provision of medical services. Contracts, and negotiations which precede them, have introduced elements of market competition, which has affected the number and types of services provided by health care centers operating under a contract. The health financing reforms have led to an even playing field for public and non-public providers, marked by a proliferation of structurally smaller health units. The introduction of a market environment has changed the way in which providers are compensated, with a discernible shift away from salary-based systems to capitation and fee-for-service compensation. The analysis of the provider market for outpatient care underscores the importance of understanding the organization and supply of health services, particularly insofar as it relates to the design of appropriate financial and other incentives for providers of health services and of policy interventions necessary for achieving systemic changes.

  14. [Addictions and the workplace: what are the issues at stake for occupational health services?].

    PubMed

    Durand, Eric

    2008-01-01

    The existing high prevalence and increase in the consumption of psychoactive substances among active employees in the workforce has created a new challenge for occupational health services. Addressing the issue of addictions in the workplace environment remains delicate due to the regulation stating that "the purpose of occupational medicine is essentially preventative, i.e., to prevent any deterioration in health due to work". Discussions have primarily focused on screening for psychoactive substances, whose use may have potential negative and damaging consequences on a workers aptitude and capability to perform. A descriptive inventory gathered from results of research carried out on the situation of psychoactive substance consumption among workers precedes a presentation of prevention tools currently available to companies and occupational health services. Ethical and legal aspects of their implementation and use are discussed.

  15. Women and firesetting: a qualitative analysis of context, meaning, and development.

    PubMed

    Cunningham, Eimear M; Timms, Jo; Holloway, Gerrie; Radford, Shirley A

    2011-06-01

    To explore subjective experiences of women in secure services of their firesetting behaviour, its personal meaning and the factors that contributed to its development. An interview-based study using Interpretative Phenomenological Analysis. Interviews were carried out with nine women, in medium secure services, with histories of firesetting. Three overarching but interlinked themes emerged, reflecting a narrative progression from the context of life experiences that preceded firesetting (including subthemes: distressing experiences and isolation from support), through the experience and meaning of the firesetting act (influencing others and getting help, achievement and control, and not thought through), to the individual's current position regarding past actions. The clinical implications of the findings are considered in the context of the existing male-orientated firesetting knowledge base and emerging models of service delivery to women in secure settings. ©2010 The British Psychological Society.

  16. Coordinated neuronal activity enhances corticocortical communication

    PubMed Central

    Zandvakili, Amin; Kohn, Adam

    2015-01-01

    Summary Relaying neural signals between cortical areas is central to cognition and sensory processing. The temporal coordination of activity in a source population has been suggested to determine corticocortical signaling efficacy, but others have argued that coordination is functionally irrelevant. We reasoned that if coordination significantly influenced signaling, spiking in downstream networks should be preceded by transiently elevated coordination in a source population. We developed a metric to quantify network coordination in brief epochs, and applied it to simultaneous recordings of neuronal populations in cortical areas V1 and V2 of the macaque monkey. Spiking in the input layers of V2 was preceded by brief epochs of elevated V1 coordination, but this was not the case in other layers of V2. Our results indicate that V1 coordination influences its signaling to direct downstream targets, but that coordinated V1 epochs do not propagate through multiple downstream networks as in some corticocortical signaling schemes. PMID:26291164

  17. Temporal Precedence Checking for Switched Models and its Application to a Parallel Landing Protocol

    NASA Technical Reports Server (NTRS)

    Duggirala, Parasara Sridhar; Wang, Le; Mitra, Sayan; Viswanathan, Mahesh; Munoz, Cesar A.

    2014-01-01

    This paper presents an algorithm for checking temporal precedence properties of nonlinear switched systems. This class of properties subsume bounded safety and capture requirements about visiting a sequence of predicates within given time intervals. The algorithm handles nonlinear predicates that arise from dynamics-based predictions used in alerting protocols for state-of-the-art transportation systems. It is sound and complete for nonlinear switch systems that robustly satisfy the given property. The algorithm is implemented in the Compare Execute Check Engine (C2E2) using validated simulations. As a case study, a simplified model of an alerting system for closely spaced parallel runways is considered. The proposed approach is applied to this model to check safety properties of the alerting logic for different operating conditions such as initial velocities, bank angles, aircraft longitudinal separation, and runway separation.

  18. Preventive aspects in children's caries treatments preceding dental care under general anaesthesia.

    PubMed

    Savanheimo, Nora; Vehkalahti, Miira M

    2008-03-01

    In Helsinki Public Dental Service (PDS) the Special Oral Health Care Unit (SOHCU) provides comprehensive dental treatments under general anaesthesia (GA). For the present study, all dental treatment given under GA for generally healthy children (n = 102) below 16 years of age (range 2.3-15.8) during a 1-year period and dental treatment and visits of these children in the preceding 2 years in Helsinki PDS was recorded in detail. These children were referred to the SOHCU because of serious difficulties in dental care due to large treatment needs or failures in psychological and chemical management, including sedation. To describe treatments given to generally healthy children under GA and to evaluate preventive aspects of their dental care in the preceding 2 years. The study was cross-sectional and retrospective. Data came from the patients' individual records. Treatments under GA included an average of 6.0 restorations (SD = 2.7, range 0-12) and 1.7 extractions (SD = 2.1, range 0-10). In the 2 preceding years, these children had visited dentist an average of 5.1 times (SD = 2.7, range 1-14) with an average of 2.4 restorations (SD = 1.9, range 0-12) and 0.5 extractions (SD = 1.4, range 0-10). Of the restorations made, 36% were temporary. Of all visits, those with an operative approach accounted for 35%, preventive for 37%, operative and preventive for 5%, and visits with total uncooperation for 23%. Of the children, 90% had at least one preventive visit. Children treated under conscious sedation in the preceding 2 years received less prevention (P = 0.02). Remaining without preventive measures was most likely for those children exhibiting visits with total uncooperation (odds ratio = 4.6; P = 0.004) and for those receiving numerous temporary fillings (odds ratio = 4.1; P = 0.0005). The uncooperative high-caries children pose a demanding challenge to PDS. The early identification of high-caries risk and efforts of intensive preventive care are in key position to reduce the number of children receiving treatment under GA due to high levels of dentinal decay.

  19. Cloud Based Electronic Health Record Applications are Essential to Expeditionary Patient Care

    DTIC Science & Technology

    2017-05-01

    security46 and privacy concerns47). Privacy/Security Risks of Cloud Computing A quantitative study based on the preceding literature review...to medical IT wherever there is a Wi-Fi connection and a computing device (desktop, laptop , tablet, phone, etc.). In 2015 the DoD launched MiCare, a...Hosting Services: a Study on Students’ Acceptance,” Computers in Human Behavior, 2013. Takai, Teri. DoD CIO’s 10-Point Plan for IT Modernization

  20. Substance use and other risk factors for unprotected sex: results from an event-based study of homeless youth.

    PubMed

    Tucker, Joan S; Ryan, Gery W; Golinelli, Daniela; Ewing, Brett; Wenzel, Suzanne L; Kennedy, David P; Green, Harold D; Zhou, Annie

    2012-08-01

    This study used an event-based approach to understand condom use in a probability sample of 309 homeless youth recruited from service and street sites in Los Angeles County. Condom use was significantly less likely when hard drug use preceded sex, the relationship was serious, the partners talked about "pulling out", or sex occurred in a non-private place (and marginally less likely when heavier drinking preceded sex, or the partnership was monogamous or abusive). Condom use was significantly more likely when the youth held positive condom attitudes or were concerned about pregnancy, the partners talked about condom use, and the partners met up by chance. This study extends previous work by simultaneously examining a broad range of individual, relationship, and contexual factors that may play a role in condom use. Results identify a number of actionable targets for programs aimed at reducing HIV/STI transmission and pregnancy risk among homeless youth.

  1. Substance Use and Other Risk Factors for Unprotected Sex: Results From An Event-Based Study of Homeless Youth

    PubMed Central

    Tucker, Joan S.; Ryan, Gery W.; Golinelli, Daniela; Munjas, Brett; Wenzel, Suzanne L.; Kennedy, David P.; Green, Harold D.; Zhou, Annie

    2011-01-01

    This study used an event-based approach to understand condom use in a probability sample of 309 homeless youth recruited from service and street sites in Los Angeles County. Condom use was significantly less likely when hard drug use preceded sex, the relationship was serious, the partners talked about “pulling out”, or sex occurred in a non-private place (and marginally less likely when heavier drinking preceded sex, or the partnership was monogamous or abusive). Condom use was significantly more likely when the youth held positive condom attitudes or were concerned about pregnancy, the partners talked about condom use, and the partners met up by chance. This study extends previous work by simultaneously examining a broad range of individual, relationship, and contexual factors that may play a role in condom use. Results identify a number of actionable targets for programs aimed at reducing HIV/STI transmission and pregnancy risk among homeless youth. PMID:21932093

  2. 47 CFR 213.5 - Precedence designators.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 5 2012-10-01 2012-10-01 false Precedence designators. 213.5 Section 213.5 Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL GOVERNMENT AND PUBLIC CORRESPONDENCE TELECOMMUNICATIONS PRECEDENCE SYSTEM § 213.5 Precedence designators. (a) The following precedence...

  3. 47 CFR 213.5 - Precedence designators.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Precedence designators. 213.5 Section 213.5 Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL GOVERNMENT AND PUBLIC CORRESPONDENCE TELECOMMUNICATIONS PRECEDENCE SYSTEM § 213.5 Precedence designators. (a) The following precedence...

  4. 47 CFR 213.5 - Precedence designators.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 5 2013-10-01 2013-10-01 false Precedence designators. 213.5 Section 213.5 Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL GOVERNMENT AND PUBLIC CORRESPONDENCE TELECOMMUNICATIONS PRECEDENCE SYSTEM § 213.5 Precedence designators. (a) The following precedence...

  5. 47 CFR 213.5 - Precedence designators.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 5 2014-10-01 2014-10-01 false Precedence designators. 213.5 Section 213.5 Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL GOVERNMENT AND PUBLIC CORRESPONDENCE TELECOMMUNICATIONS PRECEDENCE SYSTEM § 213.5 Precedence designators. (a) The following precedence...

  6. 47 CFR 213.5 - Precedence designators.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false Precedence designators. 213.5 Section 213.5 Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL GOVERNMENT AND PUBLIC CORRESPONDENCE TELECOMMUNICATIONS PRECEDENCE SYSTEM § 213.5 Precedence designators. (a) The following precedence...

  7. Does Interpersonal Loss Preceding Panic Disorder Onset Moderate Response to Psychotherapy? An Exploratory Study

    PubMed Central

    Klass, Ellen Tobey; Milrod, Barbara L.; Leon, Andrew C.; Kay, Sarah J.; Schwalberg, Michael; Li, Chunshan; Markowitz, John C.

    2013-01-01

    Background Little research has addressed moderators of treatment outcome for anxiety disorders, and none has considered interpersonal loss as a predictor of outcome. Purpose To examine the effect of interpersonal loss events within the six weeks preceding panic disorder (PD) onset as a moderator of outcome in a randomized controlled trial of Panic-Focused Psychodynamic Therapy (PFPP) and Applied Relaxation Therapy (ART). Researchers hypothesized that such loss events would predict better outcome in PFPP but would not affect ART outcome. Method Forty-nine subjects with PD were randomly assigned to a 12-week course of PFPP or ART. Independent raters blinded to treatment condition and study hypotheses rated subjects on the Panic Disorder Severity Scale (PDSS) and Sheehan Disability Scale. Exploratory analyses assessed between-group effect size for PFPP and ART following standard moderator analytic procedures. Results Three-quarters of subjects reported a narrowly defined interpersonal loss (LOSS) in the 6 weeks preceding PD onset. Subjects had a mean duration of PD of 8.2 (9.5) years. PFPP was more efficacious than ART, but LOSS did not moderate PFPP outcome. An unexpected finding was that LOSS moderated ART outcome: subjects without LOSS showed no response to ART (PDSS change= 0.00 [2.90]), whereas LOSS had a pre/post effect size of 4.29 (5.60). Neither examination of various potential confounding variables nor sensitivity analyses of assumptions regarding attrition altered these findings. Conclusions Interpersonal loss events preceding onset of panic disorder were common. These losses moderated outcome in ART, a therapy that does not focus on such losses. Implications and need for future research are discussed. PMID:19026262

  8. Spontaneous pre-stimulus fluctuations in the activity of right fronto-parietal areas influence inhibitory control performance

    PubMed Central

    Chavan, Camille F.; Manuel, Aurelie L.; Mouthon, Michael; Spierer, Lucas

    2013-01-01

    Inhibitory control refers to the ability to suppress planned or ongoing cognitive or motor processes. Electrophysiological indices of inhibitory control failure have been found to manifest even before the presentation of the stimuli triggering the inhibition, suggesting that pre-stimulus brain-states modulate inhibition performance. However, previous electrophysiological investigations on the state-dependency of inhibitory control were based on averaged event-related potentials (ERPs), a method eliminating the variability in the ongoing brain activity not time-locked to the event of interest. These studies thus left unresolved whether spontaneous variations in the brain-state immediately preceding unpredictable inhibition-triggering stimuli also influence inhibitory control performance. To address this question, we applied single-trial EEG topographic analyses on the time interval immediately preceding NoGo stimuli in conditions where the responses to NoGo trials were correctly inhibited [correct rejection (CR)] vs. committed [false alarms (FAs)] during an auditory spatial Go/NoGo task. We found a specific configuration of the EEG voltage field manifesting more frequently before correctly inhibited responses to NoGo stimuli than before FAs. There was no evidence for an EEG topography occurring more frequently before FAs than before CR. The visualization of distributed electrical source estimations of the EEG topography preceding successful response inhibition suggested that it resulted from the activity of a right fronto-parietal brain network. Our results suggest that the fluctuations in the ongoing brain activity immediately preceding stimulus presentation contribute to the behavioral outcomes during an inhibitory control task. Our results further suggest that the state-dependency of sensory-cognitive processing might not only concern perceptual processes, but also high-order, top-down inhibitory control mechanisms. PMID:23761747

  9. Institutional Delivery Service Utilization among Women from Rural Districts of Wolaita and Dawro Zones, Southern Ethiopia; a Community Based Cross-Sectional Study

    PubMed Central

    Arba, Mihiretu Alemayehu; Darebo, Tadele Dana; Koyira, Mengistu Meskele

    2016-01-01

    Introduction The highest number of maternal deaths occur during labour, delivery and the first day after delivery highlighting the critical need for good quality care during this period. Therefore, for the strategies of institutional delivery to be effective, it is essential to understand the factors that influence individual and household factors to utilize skilled birth attendance and institutions for delivery. This study was aimed to assess factors affecting the utilization of institutional delivery service of women in rural districts of Wolaita and Dawro Zones. Methods A community based cross-sectional study was done among mothers who gave birth within the past one year preceding the survey in Wolaita and Dawro Zones, from February 01 –April 30, 2015 by using a three stage sampling technique. Initially, 6 districts were selected randomly from the total of 17 eligible districts. Then, 2 kebele from each district was selected randomly cumulating a total of 12 clusters. Finally, study participants were selected from each cluster by using systematic sampling technique. Accordingly, 957 mothers were included in the survey. Data was collected by using a pretested interviewer administered structured questionnaire. The questionnaire was prepared by including socio-demographic variables and variables of maternal health service utilization factors. Data was entered using Epi-data version 1.4.4.0 and exported to SPSS version 20 for analysis. Bivariate and multiple logistic regressions were applied to identify candidate and predictor variables respectively. Result Only 38% of study participants delivered the index child at health facility. Husband’s educational status, wealth index, average distance from nearest health facility, wanted pregnancy, agreement to follow post-natal care, problem faced during delivery, birth order, preference of health professional for ante-natal care and maternity care were predictors of institutional delivery. Conclusion The use of institutional delivery service is low in the study community. Eventhough antenatal care service is high; nearly two in every three mothers delivered their index child out of health facility. Improving socio-economic status of mothers as well as availing modern health facilities to the nearest locality will have a good impact to improve institutional delivery service utilization. Similarly, education is also a tool to improve awareness of mothers and their husbands for the improvement of health care service utilization. PMID:26986563

  10. Institutional Delivery Service Utilization among Women from Rural Districts of Wolaita and Dawro Zones, Southern Ethiopia; a Community Based Cross-Sectional Study.

    PubMed

    Arba, Mihiretu Alemayehu; Darebo, Tadele Dana; Koyira, Mengistu Meskele

    2016-01-01

    The highest number of maternal deaths occur during labour, delivery and the first day after delivery highlighting the critical need for good quality care during this period. Therefore, for the strategies of institutional delivery to be effective, it is essential to understand the factors that influence individual and household factors to utilize skilled birth attendance and institutions for delivery. This study was aimed to assess factors affecting the utilization of institutional delivery service of women in rural districts of Wolaita and Dawro Zones. A community based cross-sectional study was done among mothers who gave birth within the past one year preceding the survey in Wolaita and Dawro Zones, from February 01 -April 30, 2015 by using a three stage sampling technique. Initially, 6 districts were selected randomly from the total of 17 eligible districts. Then, 2 kebele from each district was selected randomly cumulating a total of 12 clusters. Finally, study participants were selected from each cluster by using systematic sampling technique. Accordingly, 957 mothers were included in the survey. Data was collected by using a pretested interviewer administered structured questionnaire. The questionnaire was prepared by including socio-demographic variables and variables of maternal health service utilization factors. Data was entered using Epi-data version 1.4.4.0 and exported to SPSS version 20 for analysis. Bivariate and multiple logistic regressions were applied to identify candidate and predictor variables respectively. Only 38% of study participants delivered the index child at health facility. Husband's educational status, wealth index, average distance from nearest health facility, wanted pregnancy, agreement to follow post-natal care, problem faced during delivery, birth order, preference of health professional for ante-natal care and maternity care were predictors of institutional delivery. The use of institutional delivery service is low in the study community. Eventhough antenatal care service is high; nearly two in every three mothers delivered their index child out of health facility. Improving socio-economic status of mothers as well as availing modern health facilities to the nearest locality will have a good impact to improve institutional delivery service utilization. Similarly, education is also a tool to improve awareness of mothers and their husbands for the improvement of health care service utilization.

  11. [Inter-Occupational Cooperation Levels in a Day Care Service and Its Subjects - From the Viewpoint of Multiple Occupations].

    PubMed

    Ugai, Chizuru; Hata, Kiyomi

    2016-12-01

    We clarified the role of cooperation of nursing personnel who work in day care services, to precede our examination of inter-occupational cooperation. The study results revealed that there were four cooperation levels. Subjects for the cooperation included:"difficulty in sharing information,"difficulty in understanding the whole picture,"difficulty in finding directions, "and"difficulty in dealing with emergency cases."The purpose of this study was to clarify the inter-occupational cooperation levels in a day care service and its subjects. We also conducted semi-structured interviews with 13 persons of differing occupations(other than nurses), and who worked in day-care services in A prefecture. As a result, it was revealed that there were three inter-occupational cooperation levels and its subjects included:"difficulty in sharing information" (which was answered the same as the nurses),"difficulty in sharing goals"(which were different among individual occupations), "lack of consistency in care,"necessity of learning because of insufficient knowledge,"and"hesitation to notify."

  12. Six stirrup handled Moche ceramic vessels from pre-Colombian Peru: a technical study applying PIXE spectrometry

    NASA Astrophysics Data System (ADS)

    Swann, C. P.; Caspi, Sara; Carlson, Janice

    1999-04-01

    Much has been said recently concerning the Moche culture of Peru (100 B.C. to 700 A.D. ) which preceded the more widely known Inca society. Since there was no written language, what is known about the Moche people has been through the artifacts produced, their design and craftsmanship. This study concerns the PIXE analysis of the matrix and the red and white surface patterns of six stirrup handled earthenware vessels. The results suggest different techniques were applied for producing the coloring and surface designs and that a common source of clays was not used in the construction.

  13. Vortex multiplication in applied flow: A precursor to superfluid turbulence.

    PubMed

    Finne, A P; Eltsov, V B; Eska, G; Hänninen, R; Kopu, J; Krusius, M; Thuneberg, E V; Tsubota, M

    2006-03-03

    A surface-mediated process is identified in 3He-B which generates vortices at a roughly constant rate. It precedes a faster form of turbulence where intervortex interactions dominate. This precursor becomes observable when vortex loops are introduced in low-velocity rotating flow at sufficiently low mutual friction dissipation at temperatures below 0.5Tc. Our measurements indicate that the formation of new loops is associated with a single vortex interacting in the applied flow with the sample boundary. Numerical calculations show that the single-vortex instability arises when a helical Kelvin wave expands from a reconnection kink at the wall and then intersects again with the wall.

  14. Bell Test experiments explained without entanglement

    NASA Astrophysics Data System (ADS)

    Boyd, Jeffrey

    2011-04-01

    by Jeffrey H. Boyd. Jeffreyhboyd@gmail.com. John Bell proposed a test of what was called "local realism." However that is a different view of reality than we hold. Bell incorrectly assumed the validity of wave particle dualism. According to our model waves are independent of particles; wave interference precedes the emission of a particle. This results in two conclusions. First the proposed inequalities that apply to "local realism" in Bell's theorem do not apply to this model. The alleged mathematics of "local realism" is therefore wrong. Second, we can explain the Bell Test experimental results (such as the experiments done at Innsbruck) without any need for entanglement, non-locality, or particle superposition.

  15. Maternal characteristics and treatment needs as predictors of dental health services utilisation among Mexican school children.

    PubMed

    Vallejos-Sánchez, A A; Medina-Solís, C E; Minaya-Sánchez, M; Villalobos-Rodelo, J J; Márquez-Corona, M L; Islas-Granillo, H; Maupomé, G

    2012-12-01

    To determine whether maternal characteristics and treatment needs are associated with dental health services utilization (DHSU) in school children. A cross-sectional study in 1373 school children aged 6- 12 years in elementary schools in Campeche, Mexico collected family and sociodemographic characteristics; an oral examination was conducted. The dependent variable was DHSU in the year preceding the study. DHSU prevalence was 65.5%. The variables associated (p<0.05) with DHSU in the final multivariate model were age (OR=1.27), maternal schooling (OR=1.07), mother's attitude toward oral health (OR=1.39), frequency of tooth brushing (OR=1.83), enamel defects (OR=1.55), and unmet oral health needs (moderate: OR=1.42 and high: OR=2.30). Specific sociodemographic and maternal variables were associated with DHSU. Strategies are needed to increase appropriate and timely use of services to improve health status.

  16. Public health initiatives in South Africa in the 1940s and 1950s: lessons for a post-apartheid era.

    PubMed

    Yach, D; Tollman, S M

    1993-07-01

    Inspiration drawn from South African public health initiatives in the 1940s played an important role in the development of the network of community and migrant health centers in the United States. The first such center at Pholela in Natal emphasized the need for a comprehensive (preventive and curative) service that based its practices on empirical data derived from epidemiological and anthropological research. In addition, community consultation preceded the introduction of new service or research initiatives. The Institute of Family and Community Health in Durban pioneered community-based multidisciplinary training and developed Pholela and other sites as centers for service, teaching, and research. Several important lessons for South African health professionals emerge from the Pholela experience. First, public health models of the past need to be reintroduced locally; second, the training of public health professionals needs to be upgraded and reoriented; third, appropriate research programs need to respond to community needs and address service demands; fourth, community involvement strategies need to be implemented early on; and fifth, funding sources for innovation in health service provision should be sought.

  17. A Double-Coil TMS Method to Assess Corticospinal Excitability Changes at a Near-Simultaneous Time in the Two Hands during Movement Preparation

    PubMed Central

    Wilhelm, Emmanuelle; Quoilin, Caroline; Petitjean, Charlotte; Duque, Julie

    2016-01-01

    Background: Many previous transcranial magnetic stimulation (TMS) studies have investigated corticospinal excitability changes occurring when choosing which hand to use for an action, one of the most frequent decision people make in daily life. So far, these studies have applied single-pulse TMS eliciting motor-evoked potential (MEP) in one hand when this hand is either selected or non-selected. Using such method, hand choices were shown to entail the operation of two inhibitory mechanisms, suppressing MEPs in the targeted hand either when it is non-selected (competition resolution, CR) or selected (impulse control, IC). However, an important limitation of this “Single-Coil” method is that MEPs are elicited in selected and non-selected conditions during separate trials and thus those two settings may not be completely comparable. Moreover, a more important problem is that MEPs are computed in relation to the movement of different hands. The goal of the present study was to test a “Double-Coil” method to evaluate IC and CR preceding the same hand responses by applying Double-Coil TMS over the two primary motor cortices (M1) at a near-simultaneous time (1 ms inter-pulse interval). Methods: MEPs were obtained in the left (MEPLEFT) and right (MEPRIGHT) hands while subjects chose between left and right hand key-presses in blocks using a Single-Coil or a Double-Coil method; in the latter blocks, TMS was either applied over left M1 first (TMSLRM1 group, n = 12) or right M1 first (TMSRLM1 group, n = 12). Results: MEPLEFT were suppressed preceding both left (IC) and right (CR) hand responses whereas MEPRIGHT were only suppressed preceding left (CR) but not right (IC) hand responses. This result was observed regardless of whether Single-Coil or Double-Coil TMS was applied in the two subject groups. However, in the TMSLRM1 group, the MEP suppression was attenuated in Double-Coil compared to Single-Coil blocks for both IC and CR, when probed with MEPLEFT (elicited by the second pulse). Conclusions: Although Double-Coil TMS may be a reliable method to assess bilateral motor excitability provided that a RM1-LM1 pulse order is used, further experiments are required to understand the reduced MEPLEFT changes in Double-Coil blocks when the LM1-RM1 pulse order was used. PMID:27014020

  18. Optics Education In The United Kingdom

    NASA Astrophysics Data System (ADS)

    Smith, Robin

    1989-04-01

    In this paper we review optics teaching at the postgraduate MSc level in the UK. We precede this with some personal comments based on 20 years teaching experience in the Applied Optics MSc Course at Imperial College, London. As one might expect much of the MSc teaching in the UK is based at centres of research in optics. There are other centres of research where "modern" optics is only taught in undergraduate (BSc) option courses.

  19. Progressions of Qualitative Models as a Foundation for Intelligent Learning Environments

    DTIC Science & Technology

    1986-05-01

    knowledge form is that in addition to being efficient and powerul knowledge structures for studeiis to possess, they are also efficient and powerful ...reason "on their feet" about circuit behavibr, and is potentially a very powerful instructional task. Conventionally, however, troubleshooting is preceded...also be applied to a light bulb. 4. Kowledge differentiation -- The student learns about the differences &1 r 41 between two concepts. For instance

  20. Service Use and Unmet Needs in Youth Suicide: A Study of Trajectories

    PubMed Central

    Renaud, Johanne; Séguin, Monique; Lesage, Alain D; Marquette, Claude; Choo, Bettina; Turecki, Gustavo

    2014-01-01

    Objective: While 90% of suicide victims have suffered from mental health disorders, less than one-half are in contact with a mental health professional in the year preceding their death. Service use in the last year of life of young suicide victims and control subjects was studied in Quebec. We wanted to determine what kinds of health care services were needed and if they were actually received by suicide victims. Method: We recruited 67 consecutive suicide victims and 56 matched living control subjects (aged 25 years and younger). We evaluated subjects’ psychopathological profile and determined which services would have been indicated by conducting a needs assessment. We then compared this with what services were actually received. Results: Suicide victims were more likely than living control subjects to have a psychiatric diagnosis. They were most in need of services to address substance use disorder, depression, interpersonal distress, and suicide-related problems. There were significant deficits in the domains of coordination and continuity of care, mental health promotion and training, and governance. Conclusions: Our results show that we need to urgently take action to address these identified deficits to prevent further loss of life in our young people. PMID:25565685

  1. Service use and unmet needs in youth suicide: a study of trajectories.

    PubMed

    Renaud, Johanne; Séguin, Monique; Lesage, Alain D; Marquette, Claude; Choo, Bettina; Turecki, Gustavo

    2014-10-01

    While 90% of suicide victims have suffered from mental health disorders, less than one-half are in contact with a mental health professional in the year preceding their death. Service use in the last year of life of young suicide victims and control subjects was studied in Quebec. We wanted to determine what kinds of health care services were needed and if they were actually received by suicide victims. We recruited 67 consecutive suicide victims and 56 matched living control subjects (aged 25 years and younger). We evaluated subjects' psychopathological profile and determined which services would have been indicated by conducting a needs assessment. We then compared this with what services were actually received. Suicide victims were more likely than living control subjects to have a psychiatric diagnosis. They were most in need of services to address substance use disorder, depression, interpersonal distress, and suicide-related problems. There were significant deficits in the domains of coordination and continuity of care, mental health promotion and training, and governance. Our results show that we need to urgently take action to address these identified deficits to prevent further loss of life in our young people.

  2. Central neuronal motor behaviour in skilled and less skilled novices - Approaching sports-specific movement techniques.

    PubMed

    Vogt, Tobias; Kato, Kouki; Schneider, Stefan; Türk, Stefan; Kanosue, Kazuyuki

    2017-04-01

    Research on motor behavioural processes preceding voluntary movements often refers to analysing the readiness potential (RP). For this, decades of studies used laboratory setups with controlled sports-related actions. Further, recent applied approaches focus on athlete-non-athlete comparisons, omitting possible effects of training history on RP. However, RP preceding real sport-specific movements in accordance to skill acquisition remains to be elucidated. Therefore, after familiarization 16 right-handed males with no experience in archery volunteered to perform repeated sports-specific movements, i.e. 40 arrow-releasing shots at 60s rest on a 15m distant standard target. Continuous, synchronised EEG and right limb EMG recordings during arrow-releasing served to detect movement onsets for RP analyses over distinct cortical motor areas. Based on attained scores on target, archery novices were, a posteriori, subdivided into a skilled and less skilled group. EMG results for mean values revealed no significant changes (all p>0.05), whereas RP amplitudes and onsets differed between groups but not between motor areas. Arrow-releasing preceded larger RP amplitudes (p<0.05) and later RP onsets (p<0.05) in skilled compared to less skilled novices. We suggest this to reflect attentional orienting and greater effort that accompanies central neuronal preparatory states of a sports-specific movement. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. An fMRI investigation into the effect of preceding stimuli during visual oddball tasks.

    PubMed

    Fajkus, Jiří; Mikl, Michal; Shaw, Daniel Joel; Brázdil, Milan

    2015-08-15

    This study investigates the modulatory effect of stimulus sequence on neural responses to novel stimuli. A group of 34 healthy volunteers underwent event-related functional magnetic resonance imaging while performing a three-stimulus visual oddball task, involving randomly presented frequent stimuli and two types of infrequent stimuli - targets and distractors. We developed a modified categorization of rare stimuli that incorporated the type of preceding rare stimulus, and analyzed the event-related functional data according to this sequence categorization; specifically, we explored hemodynamic response modulation associated with increasing rare-to-rare stimulus interval. For two consecutive targets, a modulation of brain function was evident throughout posterior midline and lateral temporal cortex, while responses to targets preceded by distractors were modulated in a widely distributed fronto-parietal system. As for distractors that follow targets, brain function was modulated throughout a set of posterior brain structures. For two successive distractors, however, no significant modulation was observed, which is consistent with previous studies and our primary hypothesis. The addition of the aforementioned technique extends the possibilities of conventional oddball task analysis, enabling researchers to explore the effects of the whole range of rare stimuli intervals. This methodology can be applied to study a wide range of associated cognitive mechanisms, such as decision making, expectancy and attention. Copyright © 2015 Elsevier B.V. All rights reserved.

  4. Genome duplication and the evolution of conspecific pollen precedence.

    PubMed

    Baldwin, Sarah J; Husband, Brian C

    2011-07-07

    Conspecific pollen precedence can be a strong reproductive barrier between polyploid and diploid species, but the role of genome multiplication in the evolution of this barrier has not been investigated. Here, we examine the direct effect of genome duplication on the evolution of pollen siring success in tetraploid Chamerion angustifolium. To separate the effects of genome duplication from selection after duplication, we compared pollen siring success of synthesized tetraploids (neotetraploids) with that of naturally occurring tetraploids by applying 2x, 4x (neo or established) or 2x + 4x pollen to diploid and tetraploid flowers. Seed set increased in diploids and decreased in both types of tetraploids as the proportion of pollen from diploid plants increased. Based on offspring ploidy from mixed-ploidy pollinations, pollen of the maternal ploidy always sired the majority of offspring but was strongest in established tetraploids and weakest in neotetraploids. Pollen from established tetraploids had significantly higher siring rates than neotetraploids when deposited on diploid (4x(est) = 47.2%, 4x(neo) = 27.1%) and on tetraploid recipients (4x(est) = 91.9%, 4x(neo) = 56.0%). Siring success of established tetraploids exceeded that of neotetraploids despite having similar pollen production per anther and pollen diameter. Our results suggest that, while pollen precedence can arise in association with the duplication event, the strength of polyploid siring success evolves after the duplication event.

  5. Mental Health Service Use in Schools and Non-School-Based Outpatient Settings: Comparing Predictors of Service Use

    PubMed Central

    Langer, David A.; Wood, Jeffrey J.; Wood, Patricia A.; Garland, Ann F.; Landsverk, John; Hough, Richard L.

    2015-01-01

    Researchers have consistently documented a gap between the large number of US youth meeting criteria for a mental health disorder with significant associated impairment, and the comparatively few youth receiving services. School-based mental health care may address the need–services gap by offering services more equitably to youth in need, irrespective of family economic resources, availability of transportation, and other factors that can impede access to community clinics. However, diagnoses alone do not fully capture the severity of an individual's mental health status and need for services. Studying service use only in relation to diagnoses may restrict our understanding of the degree to which service use is reflective of service need, and inhibit our ability to compare school and non-school-based outpatient settings on their responsiveness to service need. The present study evaluated predictors of mental health service use in school- and community-based settings for youth who had had an active case in one of two public sectors of care, comparing empirically-derived dimensional measurements of youth mental health service need and impairment ratings against non-need variables (e.g., ethnicity, income). Three dimensions of youth mental health service need were identified. Mental health service need and non-need variables each played a significant predictive role. Parent-rated impairment was the strongest need-based predictor of service use across settings. The impact of non-need variables varied by service setting, with parental income having a particularly noticeable effect on school-based services. Across time, preceding service use and impairment each significantly predicted future service use. PMID:26442131

  6. Mental Health Service Use in Schools and Non-School-Based Outpatient Settings: Comparing Predictors of Service Use.

    PubMed

    Langer, David A; Wood, Jeffrey J; Wood, Patricia A; Garland, Ann F; Landsverk, John; Hough, Richard L

    2015-09-01

    Researchers have consistently documented a gap between the large number of US youth meeting criteria for a mental health disorder with significant associated impairment, and the comparatively few youth receiving services. School-based mental health care may address the need-services gap by offering services more equitably to youth in need, irrespective of family economic resources, availability of transportation, and other factors that can impede access to community clinics. However, diagnoses alone do not fully capture the severity of an individual's mental health status and need for services. Studying service use only in relation to diagnoses may restrict our understanding of the degree to which service use is reflective of service need, and inhibit our ability to compare school and non-school-based outpatient settings on their responsiveness to service need. The present study evaluated predictors of mental health service use in school- and community-based settings for youth who had had an active case in one of two public sectors of care, comparing empirically-derived dimensional measurements of youth mental health service need and impairment ratings against non-need variables (e.g., ethnicity, income). Three dimensions of youth mental health service need were identified. Mental health service need and non-need variables each played a significant predictive role. Parent-rated impairment was the strongest need-based predictor of service use across settings. The impact of non-need variables varied by service setting, with parental income having a particularly noticeable effect on school-based services. Across time, preceding service use and impairment each significantly predicted future service use.

  7. Perceived insufficient rest or sleep--four states, 2006.

    PubMed

    2008-02-29

    Chronic sleep loss is an under-recognized public health problem that has a cumulative effect on physical and mental health. Sleep loss and sleep disorders can reduce quality of life and productivity, increase use of health-care services, and result in injuries, illness, or deaths. Epidemiologic surveys suggest that mean sleep duration among U.S. adults has decreased during the past two decades (CDC, unpublished data, 2007). An estimated 50-70 million persons in the United States have chronic sleep and wakefulness disorders. Most sleep disorders are marked by difficulty falling or staying asleep, daytime sleepiness, sleep-disordered breathing, or abnormal movements, behaviors, or sensations during sleep. To examine characteristics of men and women who reported days of perceived insufficient rest or sleep during the preceding 30 days, CDC analyzed 2006 Behavioral Risk Factor Surveillance System (BRFSS) data from four states (Delaware, Hawaii, New York, and Rhode Island). This report summarizes the results of that analysis. Among all respondents, 29.6% reported no days of insufficient rest or sleep during the preceding 30 days and 10.1% reported insufficient rest or sleep every day during the preceding 30 days. Rest and sleep insufficiency can be assessed in general medical-care visits and treated through effective behavioral and pharmacologic methods. Expanded and more detailed surveillance of insufficient rest or sleep (e.g., national estimates) might clarify the nature of this problem and its effect on the health of the U.S. population.

  8. Applying Behavioral Conditioning to Identify Anticipatory Behaviors.

    PubMed

    Krebs, Bethany L; Torres, Erika; Chesney, Charlie; Kantoniemi Moon, Veronica; Watters, Jason V

    2017-01-01

    The ability to predict regular events can be adaptive for nonhuman animals living in an otherwise unpredictable environment. Animals may exhibit behavioral changes preceding a predictable event; such changes reflect anticipatory behavior. Anticipatory behavior is broadly defined as a goal-directed increase in activity preceding a predictable event and can be useful for assessing well being in animals in captivity. Anticipation may look different in different animals, however, necessitating methods to generate and study anticipatory behaviors across species. This article includes a proposed method for generating and describing anticipatory behavior in zoos using behavioral conditioning. The article also includes discussion of case studies of the proposed method with 2 animals at the San Francisco Zoo: a silverback gorilla (Gorilla gorilla gorilla) and a red panda (Ailurus fulgens). The study evidence supports anticipation in both animals. As behavioral conditioning can be used with many animals, the proposed method provides a practical approach for using anticipatory behavior to assess animal well being in zoos.

  9. Energy Metabolism Rewiring Precedes UVB-Induced Primary Skin Tumor Formation.

    PubMed

    Hosseini, Mohsen; Dousset, Léa; Mahfouf, Walid; Serrano-Sanchez, Martin; Redonnet-Vernhet, Isabelle; Mesli, Samir; Kasraian, Zeinab; Obre, Emilie; Bonneu, Marc; Claverol, Stephane; Vlaski, Marija; Ivanovic, Zoran; Rachidi, Walid; Douki, Thierry; Taieb, Alain; Bouzier-Sore, Anne-Karine; Rossignol, Rodrigue; Rezvani, Hamid Reza

    2018-06-19

    Although growing evidence indicates that bioenergetic metabolism plays an important role in the progression of tumorigenesis, little information is available on the contribution of reprogramming of energy metabolism in cancer initiation. By applying a quantitative proteomic approach and targeted metabolomics, we find that specific metabolic modifications precede primary skin tumor formation. Using a multistage model of ultraviolet B (UVB) radiation-induced skin cancer, we show that glycolysis, tricarboxylic acid (TCA) cycle, and fatty acid β-oxidation are decreased at a very early stage of photocarcinogenesis, while the distal part of the electron transport chain (ETC) is upregulated. Reductive glutamine metabolism and the activity of dihydroorotate dehydrogenase (DHODH) are both necessary for maintaining high ETC. Mice with decreased DHODH activity or impaired ETC failed to develop pre-malignant and malignant lesions. DHODH activity represents a major link between DNA repair efficiency and bioenergetic patterning during skin carcinogenesis. Copyright © 2018 The Author(s). Published by Elsevier Inc. All rights reserved.

  10. Convenience, quality and choice: Patient and service-provider perspectives for treating primary care complaints in urgent care settings.

    PubMed

    Sturgeon, David

    2017-11-01

    To investigate why patients chose to attend two, nurse-led, minor injury units (MIUs) to access primary healthcare services rather than attend their GP practice. Since the 1980's, healthcare organisations in the UK and elsewhere have implemented an increasingly consumer-orientated model of healthcare provision. As a result, patients with non-urgent presentations are attending Emergency Departments (EDs) and other urgent care facilities in growing numbers. A comparative case study approach was adopted and between October 2014 and May 2015 the researcher was embedded as a participant observer as part of the emergency nurse practitioner team at two, nurse-led, MIUs (site A and B). During this time, 40 patients, 17 service-providers and 1 senior manager were interviewed. Patients and service-providers at both sites identified convenience and quality of care as the principle reasons patients presented for primary healthcare services at MIUs rather than their GP practice. Service-providers were aware that by providing treatment, they established a precedent and a sense of expectation for future care. Patients are acting rationally and predictably in response to healthcare policy promises regarding choice, expectation created by service-providers, and local demographic factors. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  11. Modeling and Preliminary Simulation Studies for Packet-Based Precedence and Preemption for FCS Communications

    DTIC Science & Technology

    2006-09-27

    Information Sciences Department, JHU/Applied Physics Laboratory, 12000 Johns Hopkins Road., Laurel, Maryland. 22104 ( PHB ) to meet the QoS requirements of...applications, e.g., (Keshav, 1997). However, to date, no work ex- ists to design and investigate PHB algorithms which simultaneously deliver QoS to...techniques to handle P&P requirements and rely upon standard, well studied QoS PHB , e.g., Weighted Round Robin, Class-Based Fair Queuing, etc., for han

  12. Preceding Vehicle Detection and Tracking Adaptive to Illumination Variation in Night Traffic Scenes Based on Relevance Analysis

    PubMed Central

    Guo, Junbin; Wang, Jianqiang; Guo, Xiaosong; Yu, Chuanqiang; Sun, Xiaoyan

    2014-01-01

    Preceding vehicle detection and tracking at nighttime are challenging problems due to the disturbance of other extraneous illuminant sources coexisting with the vehicle lights. To improve the detection accuracy and robustness of vehicle detection, a novel method for vehicle detection and tracking at nighttime is proposed in this paper. The characteristics of taillights in the gray level are applied to determine the lower boundary of the threshold for taillights segmentation, and the optimal threshold for taillight segmentation is calculated using the OTSU algorithm between the lower boundary and the highest grayscale of the region of interest. The candidate taillight pairs are extracted based on the similarity between left and right taillights, and the non-vehicle taillight pairs are removed based on the relevance analysis of vehicle location between frames. To reduce the false negative rate of vehicle detection, a vehicle tracking method based on taillights estimation is applied. The taillight spot candidate is sought in the region predicted by Kalman filtering, and the disturbed taillight is estimated based on the symmetry and location of the other taillight of the same vehicle. Vehicle tracking is completed after estimating its location according to the two taillight spots. The results of experiments on a vehicle platform indicate that the proposed method could detect vehicles quickly, correctly and robustly in the actual traffic environments with illumination variation. PMID:25195855

  13. Preceding vehicle detection and tracking adaptive to illumination variation in night traffic scenes based on relevance analysis.

    PubMed

    Guo, Junbin; Wang, Jianqiang; Guo, Xiaosong; Yu, Chuanqiang; Sun, Xiaoyan

    2014-08-19

    Preceding vehicle detection and tracking at nighttime are challenging problems due to the disturbance of other extraneous illuminant sources coexisting with the vehicle lights. To improve the detection accuracy and robustness of vehicle detection, a novel method for vehicle detection and tracking at nighttime is proposed in this paper. The characteristics of taillights in the gray level are applied to determine the lower boundary of the threshold for taillights segmentation, and the optimal threshold for taillight segmentation is calculated using the OTSU algorithm between the lower boundary and the highest grayscale of the region of interest. The candidate taillight pairs are extracted based on the similarity between left and right taillights, and the non-vehicle taillight pairs are removed based on the relevance analysis of vehicle location between frames. To reduce the false negative rate of vehicle detection, a vehicle tracking method based on taillights estimation is applied. The taillight spot candidate is sought in the region predicted by Kalman filtering, and the disturbed taillight is estimated based on the symmetry and location of the other taillight of the same vehicle. Vehicle tracking is completed after estimating its location according to the two taillight spots. The results of experiments on a vehicle platform indicate that the proposed method could detect vehicles quickly, correctly and robustly in the actual traffic environments with illumination variation.

  14. A Socio-hydrological Flood Model for the Elbe

    NASA Astrophysics Data System (ADS)

    Barendrecht, M.; Viglione, A.; Kreibich, H.; Vorogushyn, S.; Merz, B.; Bloeschl, G.

    2017-12-01

    Long-term feedbacks between humans and floods may lead to complex phenomena such as coping strategies, levee effects, call effects, adaptation effects, and poverty traps. Dynamic coupled human-flood models are a promising tool to represent such phenomena and the feedbacks leading to them. These socio-hydrological models may play an important role in integrated flood risk management when they are applied to real world case studies. They can help develop hypotheses about the phenomena that have been observed in the case study of interest, by describing the interactions between the social and hydrological variables as well as other relevant variables, such as economic, environmental, political or technical, that play a role in the system. We discuss the case of Dresden where the 2002 flood, which was preceded by a period without floods but was less severe, resulted in a higher damage than the 2013 flood, which was preceded by the 2002 flood and a couple of less severe floods. The lower damage in 2013 may be explained by the fact that society has become aware of the flood risk and has adapted to it. Developing and applying a socio-hydrological flood model to the case of Dresden can help discover whether it is possible that the lower damage is caused by an adaptation effect, or if there are other feedbacks that can explain the observed phenomenon.

  15. Development of Young Adults Eating and Active for Health (YEAH) internet-based intervention via a community-based participatory research model.

    PubMed

    Kattelmann, Kendra K; White, Adrienne A; Greene, Geoffrey W; Byrd-Bredbenner, Carol; Hoerr, Sharon L; Horacek, Tanya M; Kidd, Tandalayo; Colby, Sarah; Phillips, Beatrice W; Koenings, Mallory M; Brown, Onikia N; Olfert, Melissa; Shelnutt, Karla P; Morrell, Jesse Stabile

    2014-01-01

    To develop a tailored, theory-based, Web-delivered intervention to prevent excessive weight gain in young adults using a Community-Based Participatory Research model. Investigators from 14 universities developed the intervention and supporting administrative portal using the 4 phases of the PRECEDE model. Steering committees were composed of the target audience (aged 19-24 years) and key health/wellness personnel were formed at each institution and provided information during each phase that was used to guide development of the intervention, Project YEAH (Young Adults Eating and Active for Health). Piloting results were used to refine the curriculum and identify and avoid barriers to delivery. Qualitative and quantitative data collected at each phase informed Project YEAH development. In Phase 1, factors of highest priority to young adults were identified. In Phase 2, environmental supports for healthful lifestyles were elucidated. In Phase 3, behavior and environmental changes considered important and changeable were identified. In Phase 4, the 10-week, theory-based, stage-tailored, interactive-learning intervention with a 10-month reinforcement period was developed. Applying the PRECEDE model with fidelity during development of Project YEAH resulted in an intervention that pilot participants found relevant and useful, gained attention, instilled confidence in the ability to apply the information, and provided a sense of satisfaction. Copyright © 2014. Published by Elsevier Inc.

  16. Essays on economic development, energy demand, and the environment

    NASA Astrophysics Data System (ADS)

    Medlock, Kenneth Barry, III

    2000-10-01

    The rapid expansion of industry at the outset of economic development and the subsequent growth of the transportation and residential and commercial sectors dictate both the rate at which energy demand increases and the composition of primary fuel sources used to meet secondary requirements. Each of these factors each has an impact on the pollution problems that nations may face. Growth in consumer wealth, however, appears to eventually lead to a shift in priorities. In particular, the importance of the environment begins to take precedent over the acquisition of goods. Accordingly, cleaner energy alternatives are sought out. The approach taken here is to determine the energy profile of an average nation, and apply those results to a model of economic growth. Dematerialization of production and saturation of consumer bundles results in declining rates of growth of energy demand in broadly defined end-use sectors. The effects of technological change in fossil fuel efficiency, fossil fuel recovery, and 'backstop' energy resources on economic growth and the emissions of carbon dioxide are then analyzed. A central planner is assumed to optimize the consumption of goods and services subject to capital and resource constraints. Slight perturbations in the parameters are used to determine their local elasticities with respect to different endogenous variables, and give an indication of the effects of changes in the various assumptions.

  17. The sensitivity of US wildfire occurrence to pre-season soil moisture conditions across ecosystems.

    PubMed

    Jensen, Daniel; Reager, John T; Zajic, Brittany; Rousseau, Nick; Rodell, Matthew; Hinkley, Everett

    2018-01-01

    It is generally accepted that year-to-year variability in moisture conditions and drought are linked with increased wildfire occurrence. However, quantifying the sensitivity of wildfire to surface moisture state at seasonal lead-times has been challenging due to the absence of a long soil moisture record with the appropriate coverage and spatial resolution for continental-scale analysis. Here we apply model simulations of surface soil moisture that numerically assimilate observations from NASA's Gravity Recovery and Climate Experiment (GRACE) mission with the US Forest Service's historical Fire-Occurrence Database over the contiguous United States. We quantify the relationships between pre-fire-season soil moisture and subsequent-year wildfire occurrence by land-cover type and produce annual probable wildfire occurrence and burned area maps at 0.25-degree resolution. Cross-validated results generally indicate a higher occurrence of smaller fires when months preceding fire season are wet, while larger fires are more frequent when soils are dry. This result is consistent with the concept of increased fuel accumulation under wet conditions in the pre-season. These results demonstrate the fundamental strength of the relationship between soil moisture and fire activity at long lead-times and are indicative of that relationship's utility for the future development of national-scale predictive capability.

  18. Soldering Tested in Reduced Gravity

    NASA Technical Reports Server (NTRS)

    Struk, Peter M.; Pettegrew, Richard D.; Watson, J. Kevin; Down, Robert S.; Haylett, Daniel R.

    2005-01-01

    Whether used occasionally for contingency repair or routinely in nominal repair operations, soldering will become increasingly important to the success of future long-duration human space missions. As a result, it will be critical to have a thorough understanding of the service characteristics of solder joints produced in reduced-gravity environments. The National Center for Space Exploration Research (via the Research for Design program), the NASA Glenn Research Center, and the NASA Johnson Space Center are conducting an experimental program to explore the influence of reduced gravity environments on the soldering process. Solder joint characteristics that are being considered include solder fillet geometry, porosity, and microstructural features. Both through-hole (see the drawing and image on the preceding figure) and surface-mounted devices are being investigated. This effort (the low-gravity portion being conducted on NASA s KC-135 research aircraft) uses the soldering hardware currently available on the International Space Station. The experiment involves manual soldering by a contingent of test operators, including both highly skilled technicians and less skilled individuals to provide a skill mix that might be encountered in space mission crews. The experiment uses both flux-cored solder and solid-core solder with an externally applied flux. Other experimental parameters include the type of flux, gravitational level (nominally zero,

  19. A Study of Impact of Technological Change in Library Service Facilities: Changes in Use of the Public Catalog at the New York State Library Associated with the Introduction of Online Subject Searching Capability in the Public Catalog. Summary Report.

    ERIC Educational Resources Information Center

    Lipetz, Ben-Ami; Paulson, Peter J.

    To study the users and use of the subject searching capability offered by the new online public catalog at the New York State Library (NYSL) a study was begun before the catalog change in mid-1983 and continued for a considerable time after the change. Data were collected during three 1-week periods; one preceded the catalog change and two…

  20. Dangerousness and mental health policy.

    PubMed

    Hewitt, J L

    2008-04-01

    Mental health policy development in the UK has become increasingly dominated by the assumed need to prevent violence and alleviate public concerns about the dangers of the mentally ill living in the community. Risk management has become the expected focus of contemporary mental health services, and responsibility has increasingly been devolved to individual service professionals when systems fail to prevent violence. This paper analyses the development of mental health legislation and its impact on services users and mental health professionals at the micro level of service delivery. Historical precedence, media influence and public opinion are explored, and the reification of risk is questioned in practical and ethical terms. The government's newest proposals for compulsory treatment in the community are discussed in terms of practical efficacy and therapeutic impact. Dangerousness is far from being an objectively observable phenomenon arising from clinical pathology, but is a formulation of what is partially knowable through social analysis and unknowable by virtue of its situation in individual psychic motivation. Risk assessment can therefore never be completely accurate, and the solution of a 'better safe than sorry' approach to mental health policy is ethically and pragmatically flawed.

  1. 42 CFR 59.3 - Who is eligible to apply for a family planning services grant?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Who is eligible to apply for a family planning services grant? 59.3 Section 59.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN... is eligible to apply for a family planning services grant? Any public or nonprofit private entity in...

  2. 42 CFR 59.3 - Who is eligible to apply for a family planning services grant?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Who is eligible to apply for a family planning services grant? 59.3 Section 59.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN... is eligible to apply for a family planning services grant? Any public or nonprofit private entity in...

  3. 42 CFR 59.3 - Who is eligible to apply for a family planning services grant?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Who is eligible to apply for a family planning services grant? 59.3 Section 59.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN... is eligible to apply for a family planning services grant? Any public or nonprofit private entity in...

  4. 42 CFR 59.3 - Who is eligible to apply for a family planning services grant?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Who is eligible to apply for a family planning services grant? 59.3 Section 59.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN... is eligible to apply for a family planning services grant? Any public or nonprofit private entity in...

  5. 42 CFR 59.3 - Who is eligible to apply for a family planning services grant?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Who is eligible to apply for a family planning services grant? 59.3 Section 59.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN... is eligible to apply for a family planning services grant? Any public or nonprofit private entity in...

  6. Coverage of emergency obstetric care and availability of services in public and private health facilities in Bangladesh.

    PubMed

    Alam, Badrul; Mridha, Malay K; Biswas, Taposh K; Roy, Lumbini; Rahman, Maksudur; Chowdhury, Mahbub E

    2015-10-01

    To assess the coverage of emergency obstetric care (EmOC) and the availability of obstetric services in Bangladesh. In a national health facility assessment performed between November 2007 and July 2008, all public EmOC facilities and private facilities providing obstetric services in the 64 districts of Bangladesh were mapped. The performance of EmOC services in these facilities during the preceding month was investigated using a semi-structured questionnaire completed through interviews of managers and service providers, and record review. In total, 8.6 (2.1 public and 6.5 private) facilities per 500000 population offered obstetric care services. Population coverage by obstetric care facilities varied by region. Among 281 public facilities designated for comprehensive EmOC, cesarean delivery was available in only 215 (76.5%) and blood transfusion services in 198 (70.5%). In the private sector (for profit and not for profit), these services were available in more than 80% of facilities. In all facility types, performance of assisted vaginal delivery (range 12.2%-48.4%) and use of parenteral anticonvulsants to treat pre-eclampsia/eclampsia (range 48.6%-80.8%) were low. The main reason for non-availability of EmOC services was a lack of specialist/trained providers. Bangladesh needs to increase the availability of EmOC services through innovative public-private partnerships. In the public sector, additional trained manpower supported by an incentivized package should be deployed. Copyright © 2015. Published by Elsevier Ireland Ltd.

  7. 22 CFR 42.68 - Informal evaluation of family members if principal applicant precedes them.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... principal applicant precedes them. 42.68 Section 42.68 Foreign Relations DEPARTMENT OF STATE VISAS VISAS... Visas § 42.68 Informal evaluation of family members if principal applicant precedes them. (a) Preliminary determination of visa eligibility. If a principal applicant proposes to precede the family to the...

  8. 22 CFR 42.68 - Informal evaluation of family members if principal applicant precedes them.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... principal applicant precedes them. 42.68 Section 42.68 Foreign Relations DEPARTMENT OF STATE VISAS VISAS... Visas § 42.68 Informal evaluation of family members if principal applicant precedes them. (a) Preliminary determination of visa eligibility. If a principal applicant proposes to precede the family to the...

  9. 22 CFR 42.68 - Informal evaluation of family members if principal applicant precedes them.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... principal applicant precedes them. 42.68 Section 42.68 Foreign Relations DEPARTMENT OF STATE VISAS VISAS... Visas § 42.68 Informal evaluation of family members if principal applicant precedes them. (a) Preliminary determination of visa eligibility. If a principal applicant proposes to precede the family to the...

  10. 22 CFR 42.68 - Informal evaluation of family members if principal applicant precedes them.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... principal applicant precedes them. 42.68 Section 42.68 Foreign Relations DEPARTMENT OF STATE VISAS VISAS... Visas § 42.68 Informal evaluation of family members if principal applicant precedes them. (a) Preliminary determination of visa eligibility. If a principal applicant proposes to precede the family to the...

  11. Losing without Fighting - Simple Aversive Stimulation Induces Submissiveness Typical for Social Defeat via the Action of Nitric Oxide, but Only When Preceded by an Aggression Priming Stimulus

    PubMed Central

    Rillich, Jan; Stevenson, Paul A.

    2017-01-01

    Losing a fight (social defeat) induces submissiveness and behavioral depression in many animals, but the mechanisms are unclear. Here we investigate how the social defeat syndrome can be established as a result of experiencing aversive stimuli and the roles of neuromodulators in the process. While biogenic amines and nitric oxide (NO) are associated with reduced aggression in mammals and insects, their specific actions during conflict are unknown. Although the social defeat syndrome normally results from complex interactions, we could induce it in male crickets simply by applying aversive stimuli (AS) in an aggressive context. Aggressive crickets became immediately submissive and behaved like losers after experiencing two brief AS (light wind puffs to the cerci), but only when preceded by a priming stimulus (PS, stroking the antenna with another male antenna). Notably, submissiveness was not induced when the PS preceded the AS by more than 1 min, or when the PS followed the AS, or using a female antenna as the preceding stimulus. These findings suggest that any potentially detrimental stimulus can acquire the attribute of an aversive agonistic signal when experienced in an aggressive context. Crickets, it seems, need only to evaluate their net sensory impact rather than the qualities of a variety of complex agonistic signals. Selective drug treatments revealed that NO, but not serotonin, dopamine or octopamine, is necessary to establish the submissive status following pairing of the priming and aversive stimuli. Moreover, treatment with an NO donor also induced the social defeat syndrome, but only when combined with the PS. This confirms our hypothesis that aversive agonistic experiences accumulated by crickets during fighting invoke social defeat via the action of NO and illustrates that a relatively simple mechanism underlies the seemingly complex social decision to flee. The simple stimulus regime described here for inducing social defeat opens new avenues for investigating the cellular control of subordinate behavior and post-conflict depression. PMID:28381994

  12. Consumer-oriented social data fusion: controlled learning in social environments, social advertising, and more

    NASA Astrophysics Data System (ADS)

    Grewe, L.

    2013-05-01

    This paper explores the current practices in social data fusion and analysis as it applies to consumer-oriented applications in a slew of areas including business, economics, politics, sciences, medicine, education and more. A categorization of these systems is proposed and contributions to each area are explored preceded by a discussion of some special issues related to social data and networks. From this work, future paths of consumer-based social data analysis research and current outstanding problems are discovered.

  13. Radiation effects on eye components

    NASA Astrophysics Data System (ADS)

    Durchschlag, H.; Fochler, C.; Abraham, K.; Kulawik, B.

    1999-08-01

    The most important water-soluble components of the vertebrate eye (lens proteins, aqueous humor, vitreous, hyaluronic acid, ascorbic acid) have been investigated in aqueous solution, after preceding X- or UV-irradiation. Spectroscopic, chromatographic, electrophoretic, hydrodynamic and analytic techniques have been applied, to monitor several radiation damages such as destruction of aromatic and sulfur-containing amino acids, aggregation, crosslinking, dissociation, fragmentation, and partial unfolding. Various substances were found which were able to protect eye components effectively against radiation, some of them being also of medical relevance.

  14. Reply to "Comment on `Troublesome aspects of the Renyi-MaxEnt treatment' "

    NASA Astrophysics Data System (ADS)

    Plastino, A.; Rocca, M. C.; Pennini, F.

    2017-11-01

    This Reply is intended as a refutation of the preceding Comment [Oikonomou and Bagci, Phys. Rev. E 96, 056101 (2017), 10.1103/PhysRevE.96.056101] on our paper [Plastino et al., Phys. Rev. E 94, 012145 (2016)., 10.1103/PhysRevE.94.012145]. We show that the Tsallis probability distribution of our paper does not coincide with the Tsallis distribution studied by Oikonomou and Bagci. Consequently, their findings do not apply to our paper.

  15. Reply to "Comment on 'Troublesome aspects of the Renyi-MaxEnt treatment' ".

    PubMed

    Plastino, A; Rocca, M C; Pennini, F

    2017-11-01

    This Reply is intended as a refutation of the preceding Comment [Oikonomou and Bagci, Phys. Rev. E 96, 056101 (2017)10.1103/PhysRevE.96.056101] on our paper [Plastino et al., Phys. Rev. E 94, 012145 (2016).1539-375510.1103/PhysRevE.94.012145]. We show that the Tsallis probability distribution of our paper does not coincide with the Tsallis distribution studied by Oikonomou and Bagci. Consequently, their findings do not apply to our paper.

  16. Computer Code Gives Astrophysicists First Full Simulation of Star's Final Hours

    ScienceCinema

    Andy Nonaka

    2017-12-09

    The precise conditions inside a white dwarf star in the hours leading up to its explosive end as a Type Ia supernova are one of the mysteries confronting astrophysicists studying these massive stellar explosions. But now, a team of researchers, composed of three applied mathematicians at the U.S. Department of Energy's (DOE) Lawrence Berkeley National Laboratory and two astrophysicists, has created the first full-star simulation of the hours preceding the largest thermonuclear explosions in the universe.

  17. Space-based Networking Technology Developments in the Interplanetary Network Directorate Information Technology Program

    NASA Technical Reports Server (NTRS)

    Clare, Loren; Clement, B.; Gao, J.; Hutcherson, J.; Jennings, E.

    2006-01-01

    Described recent development of communications protocols, services, and associated tools targeted to reduce risk, reduce cost and increase efficiency of IND infrastructure and supported mission operations. Space-based networking technologies developed were: a) Provide differentiated quality of service (QoS) that will give precedence to traffic that users have selected as having the greatest importance and/or time-criticality; b) Improve the total value of information to users through the use of QoS prioritization techniques; c) Increase operational flexibility and improve command-response turnaround; d) Enable new class of networked and collaborative science missions; e) Simplify applications interfaces to communications services; and f) Reduce risk and cost from a common object model and automated scheduling and communications protocols. Technologies are described in three general areas: communications scheduling, middleware, and protocols. Additionally developed simulation environment, which provides comprehensive, quantitative understanding of the technologies performance within overall, evolving architecture, as well as ability to refine & optimize specific components.

  18. Utilization of a telephone interactive voice-response tobacco cessation support service in the Islamic Republic of Iran.

    PubMed

    Heydari, G; Ahmady, A Ebn; Lando, H A; Almasinia, B

    2014-06-09

    Telephone smoking cessation counselling is a very cost-effective means of reaching dependent smokers in a population. We investigated the frequency of contacts and the types of topics that people accessed after a national telephone helpline was set up in the Islamic Republic of Iran at the beginning of 2011. From a total of 23 979 calls received over a 24-month period, 26.5% of callers hung up without selecting any menus. The most frequently accessed menu was addresses of smoking cessation support services (23.9%), followed by methods of smoking cessation (14.0%), self-help materials for quitting smoking (11.8%) and nicotine dependence assessment (10.4%). The average number of contacts decreased dramatically after the first month of the service but there was a significant increase in the 2 months preceding the feast of Ramadan. Religious messages provide a good opportunity to engage individuals in smoking cessation and may be useful in the planning of media campaigns.

  19. Health workforce governance: Processes, tools and actors towards a competent workforce for integrated health services delivery.

    PubMed

    Barbazza, Erica; Langins, Margrieta; Kluge, Hans; Tello, Juan

    2015-12-01

    A competent health workforce is a vital resource for health services delivery, dictating the extent to which services are capable of responding to health needs. In the context of the changing health landscape, an integrated approach to service provision has taken precedence. For this, strengthening health workforce competencies is an imperative, and doing so in practice hinges on the oversight and steering function of governance. To aid health system stewards in their governing role, this review seeks to provide an overview of processes, tools and actors for strengthening health workforce competencies. It draws from a purposive and multidisciplinary review of literature, expert opinion and country initiatives across the WHO European Region's 53 Member States. Through our analysis, we observe distinct yet complementary roles can be differentiated between health services delivery and the health system. This understanding is a necessary prerequisite to gain deeper insight into the specificities for strengthening health workforce competencies in order for governance to rightly create the institutional environment called for to foster alignment. Differentiating between the contribution of health services and the health system in the strengthening of health workforce competencies is an important distinction for achieving and sustaining health improvement goals. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  20. Battered wives--measures by the social and medical services.

    PubMed Central

    Bergman, B.; Brismar, B.

    1990-01-01

    The social files and medical records of 98 acutely battered wives who attended a surgical emergency department were studied. Although all women had been hospitalized during the decade preceding the present incident, wife battering was documented in the records in only 18%. The majority of the women (73%) were also known to the social services, but battering was documented in less than half of the cases in the social service files. The measures taken by the social services to help the battered women consisted mainly of economic support and psychotherapy. The cooperation between the medical and social services and the police in cases of wife battering was very limited or non-existent. It is concluded that support given to battered women by the formal sources of aid is insufficient. The documentation of the cases is poor, there is a lack of practical measures and the cooperation between the authorities is limited. This study indicates that the social and medical services underestimate the importance of informal help sources like women's groups or shelters which often are the most valued resources by the battered women themselves. With improved cooperation between authorities and between formal and informal sources of aid the battered wives could be helped more effectively. PMID:2349163

  1. Regional differences in usage of antenatal care and safe delivery services in Indonesia: findings from a nationally representative survey.

    PubMed

    Tripathi, Vrijesh; Singh, Rajvir

    2017-02-03

    Indonesia has shown a nominal increase in antenatal care (ANC) coverage from 93% to 96% in the Indonesia Demographic Health Survey (IDHS)-2012. This is high but for a comprehensive assessment of maternal health coverage in Indonesia, safe delivery services need to be assessed in conjunction with ANC coverage. The study uses survey data from the IDHS-2012 that was conducted among women aged 15-49 years who gave birth during the past 3 years preceding the survey. Socioeconomic and demographic factors affecting ANC coverage and safe delivery services are analysed by segregating the data into 7 regions of Indonesia. Multivariate results show that besides wealth and education differentials, regional differences significantly affect the usage of ANC and safe delivery services across the 7 regions. Univariate analyses show that Sulawesi, Maluku and Western New Guinea islands are at a disadvantage in accessing ANC and safe delivery services. The study recommends that disaggregated regional targets be set in order to further reduce maternal mortality rates in Indonesia. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  2. 42 CFR 23.13 - What nondiscrimination requirements apply to National Health Service Corps sites?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false What nondiscrimination requirements apply to National Health Service Corps sites? 23.13 Section 23.13 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PERSONNEL NATIONAL HEALTH SERVICE CORPS Assignment of National Health Service...

  3. 42 CFR 23.13 - What nondiscrimination requirements apply to National Health Service Corps sites?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false What nondiscrimination requirements apply to National Health Service Corps sites? 23.13 Section 23.13 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PERSONNEL NATIONAL HEALTH SERVICE CORPS Assignment of National Health Service...

  4. 42 CFR 23.13 - What nondiscrimination requirements apply to National Health Service Corps sites?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false What nondiscrimination requirements apply to National Health Service Corps sites? 23.13 Section 23.13 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PERSONNEL NATIONAL HEALTH SERVICE CORPS Assignment of National Health Service...

  5. 42 CFR 23.13 - What nondiscrimination requirements apply to National Health Service Corps sites?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false What nondiscrimination requirements apply to National Health Service Corps sites? 23.13 Section 23.13 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PERSONNEL NATIONAL HEALTH SERVICE CORPS Assignment of National Health Service...

  6. 42 CFR 23.13 - What nondiscrimination requirements apply to National Health Service Corps sites?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false What nondiscrimination requirements apply to National Health Service Corps sites? 23.13 Section 23.13 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PERSONNEL NATIONAL HEALTH SERVICE CORPS Assignment of National Health Service...

  7. When Will It Be …?: U.S. Naval Observatory Calendar Computers

    NASA Astrophysics Data System (ADS)

    Bartlett, Jennifer L.; Chizek Frouard, Malynda; Lesniak, Michael V.

    2016-06-01

    Sensitivity to religious calendars is increasingly expected when planning activities. Consequently, the U.S. Naval Observatory (USNO) has redesigned its on-line calendar resources to allow the computation of select religious dates for specific years via an application programming interface (API). This flexible interface returns dates in JavaScript Object Notation (JSON) that can be incorporated into third-party websites or applications. Currently, the services compute Christian, Islamic, and Jewish events.The “Dates of Ash Wednesday and Easter” service (http://aa.usno.navy.mil/data/docs/easter.php) returns the dates of these two events for years after 1582 C.E. (1582 A.D.) The method of the western Christian churches is used to determined when Easter, a moveable feast, occurs.The “Dates of Islamic New Year and Ramadan” service (http://aa.usno.navy.mil/data/docs/islamic.php) returns the approximate Gregorian dates of these two events for years after 1582 C.E. (990 A.H.) and Julian dates are computed for the years 622-1582 C.E. (1-990 A.H.). The appropriate year in the Islamic calendar (anno Hegira) is also provided. Each event begins at 6 P.M. or sunset on the preceding day. These events are computed using a tabular calendar for planning purposes; in practice, the actual event is determined by observation of the appropriate new Moon.The “First Day of Passover” service (http://aa.usno.navy.mil/data/docs/passover.php) returns the Gregorian date corresponding to Nisan 15 for years after 1582 C.E. (5342 A.M.) and Julian dates are computed for the years 360-1582 C.E. (4120-5342 A.M.). The appropriate year in the Jewish calendar (anno Mundi) is also provided. Passover begins at 6 P.M. or sunset on the preceding day.On-line documentation for using the API-enabled calendar computers, including sample calls, is available (http://aa.usno.navy.mil/data/docs/api.php). The same web page also describes how to reach the Complete Sun and Moon Data for One Day, Phases of the Moon, Solar Eclipse Computer, Day and Night Across the Earth, and Apparent Disk of a Solar System Object services using API calls.An “Introduction to Calendars” (http://aa.usno.navy.mil/faq/docs/calendars.php) provides an overview of the topic and links to additional resources.

  8. Barriers to antenatal care use in Nigeria: evidences from non-users and implications for maternal health programming.

    PubMed

    Fagbamigbe, Adeniyi Francis; Idemudia, Erhabor Sunday

    2015-04-17

    In Nigeria, over one third of pregnant women do not attend Antenatal Care (ANC) service during pregnancy. This study evaluated barriers to the use of ANC services in Nigeria from the perspective of non-users. Records of the 2199 (34.9%) respondents who did not use ANC among the 6299 women of childbearing age who had at least one child within five years preceding the 2012 National HIV/AIDS and Reproductive Health Survey (NARHS Plus II), were used for this analysis. The barriers reported for not visiting any ANC provider were assessed vis-à-vis respondents' social demographic characteristics, using multiple response data analysis techniques and Pearson chi-square test at 5% significance level. Of the mothers who did not use ANC during five years preceding the survey, rural dwellers were the majority (82.5%) and 57.3% had no formal education. Most non-users (96.5%) were employed while 93.0% were currently married. North East with 51.5% was the geographical zone with highest number of non-users compared with 14.3% from the South East. Some respondents with higher education (2.0%) and also in the wealthiest quintiles (4.2%) did not use ANC. The reasons for non-use of ANC varied significantly with respondents' wealth status, educational attainment, residence, geographical locations, age and marital status. Over half (56.4%) of the non-users reported having a problem with getting money to use ANC services while 44.1% claimed they did not attend ANC due to unavailability of transport facilities. The three leading problems: "getting money to go", "Farness of ANC service providers" and "unavailability of transport" constituted 44.3% of all barriers. Elimination of these three problems could increase ANC coverage in Nigeria by over 15%. Non-use of ANC was commonest among the poor, rural, currently married, less educated respondents from Northern Nigeria especially the North East zone. Affordability, availability and accessibility of ANC providers are the hurdles to ANC utilization in Nigeria. Addressing financial and other barriers to ANC use, quality improvement of ANC services to increase women's satisfaction and utilization and ensuring maximal contacts among women, society, and ANC providers are surest ways to increasing ANC coverage in Nigeria.

  9. Revisiting Precede-Proceed: A Leading Model for Ecological and Ethical Health Promotion

    ERIC Educational Resources Information Center

    Porter, Christine M.

    2016-01-01

    Background: The Precede-Proceed model has provided moral and practical guidance for the fields of health education and health promotion since Lawrence Green first developed Precede in 1974 and Green and Kreuter added Proceed in 1991. Precede-Proceed today remains the most comprehensive and one of the most used approaches to promoting health.…

  10. Decision Preceding Negativity in the Iowa Gambling Task: An ERP study

    ERIC Educational Resources Information Center

    Bianchin, Marta; Angrilli, Alessandro

    2011-01-01

    The present study aimed to investigate the slow negative potential (termed Decision Preceding Negativity, DPN, from the family of the Readiness Potential) which precedes a willed risky decision. To this end, evoked potentials preceding and following an economic choice were measured in a sample of 16 male students during the Iowa Gambling Task…

  11. Cause-effect relations between 55 kD soluble TNF receptor concentrations and specific and unspecific symptoms in a patient with mild SLE disease activity: an exploratory time series analysis study.

    PubMed

    Schubert, Christian; Haberkorn, Julia; Ocaña-Peinado, Francisco M; König, Paul; Sepp, Norbert; Schnapka-Köpf, Mirjam; Fuchs, Dietmar

    2015-09-21

    This integrative single-case study investigated the 12 h-to-12 h cause-effect relations between 55 kD soluble tumor necrosis factor receptor type 1 (sTNF-R55) and specific and unspecific symptoms in a 52-year-old Caucasian woman with mild systemic lupus erythematosus (SLE) disease activity. The patient collected her entire urine for 56 days in 12 h-intervals to determine sTNF-R55/creatinine and protein/creatinine levels (ELISA, HPLC). Additionally, twice a day, she took notes on oral ulceration and facial rash; answered questionnaires (VAS) on fatigue, weakness, and joint pain; and measured body temperature orally. Time series analysis consisted of ARIMA modeling and cross-correlational analyses (significance level = p < 0.05). Time series analysis revealed both a circadian and a circasemiseptan rhythm in the urinary sTNF-R55 data. Moreover, several significant lagged correlations between urinary sTNF-R55 concentrations and SLE symptoms in both directions of effect were identified. Specifically, increased urinary sTNF-R55 concentrations preceded decreased urinary protein levels by 36-48 h (r = -0.213) and, in the opposite direction of effect, increased protein levels preceded increased sTNF-R55 concentrations by 24-36 h (r = +0.202). In addition, increased urinary sTNF-R55 levels preceded increased oral ulcers by 36-48 h (r = +0.277) and, conversely, increased oral ulceration preceded decreased sTNF-R55 levels by 36-48 h (r = -0.313). Moreover, increased urinary sTNF-R55 levels preceded decreased facial rash by 36-48 h (r = -0.223) and followed increased body temperature after 36-48 h (r = +0.209). Weakness, fatigue and joint pain were not significantly correlated with urinary sTNF-R55 levels. This study gathered first evidence of real-life, long-term feedback loops between cytokines and SLE symptoms in mild SLE disease activity. Such insights into the potential role of sTNF-R55 in SLE would not have been possible had we applied a pre-post design group study. These findings require replication before firm conclusions can be drawn.

  12. Health Insurance Benefit Design and Healthcare Utilization in Northern Rural China

    PubMed Central

    Wang, Hong; Liu, Yu; Zhu, Yan; Xue, Lei; Dale, Martha; Sipsma, Heather; Bradley, Elizabeth

    2012-01-01

    Background Poverty due to illness has become a substantial social problem in rural China since the collapse of the rural Cooperative Medical System in the early 1980s. Although the Chinese government introduced the New Rural Cooperative Medical Schemes (NRCMS) in 2003, the associations between different health insurance benefit package designs and healthcare utilization remain largely unknown. Accordingly, we sought to examine the impact of health insurance benefit design on health care utilization. Methods and Findings We conducted a cross-sectional study using data from a household survey of 15,698 members of 4,209 randomly-selected households in 7 provinces, which were representative of the provinces along the north side of the Yellow River. Interviews were conducted face-to-face and in Mandarin. Our analytic sample included 9,762 respondents from 2,642 households. In each household, respondents indicated the type of health insurance benefit that the household had (coverage for inpatient care only or coverage for both inpatient and outpatient care) and the number of outpatient visits in the 30 days preceding the interview and the number of hospitalizations in the 365 days preceding the household interview. People who had both outpatient and inpatient coverage compared with inpatient coverage only had significantly more village-level outpatient visits, township-level outpatient visits, and total outpatient visits. Furthermore, the increased utilization of township and village-level outpatient care was experienced disproportionately by people who were poorer, whereas the increased inpatient utilization overall and at the county level was experienced disproportionately by people who were richer. Conclusion The evidence from this study indicates that the design of health insurance benefits is an important policy tool that can affect the health services utilization and socioeconomic equity in service use at different levels. Without careful design, health insurance may not benefit those who are most in need of financial protection from health services expenses. PMID:23185616

  13. Health insurance benefit design and healthcare utilization in northern rural China.

    PubMed

    Wang, Hong; Liu, Yu; Zhu, Yan; Xue, Lei; Dale, Martha; Sipsma, Heather; Bradley, Elizabeth

    2012-01-01

    Poverty due to illness has become a substantial social problem in rural China since the collapse of the rural Cooperative Medical System in the early 1980s. Although the Chinese government introduced the New Rural Cooperative Medical Schemes (NRCMS) in 2003, the associations between different health insurance benefit package designs and healthcare utilization remain largely unknown. Accordingly, we sought to examine the impact of health insurance benefit design on health care utilization. We conducted a cross-sectional study using data from a household survey of 15,698 members of 4,209 randomly-selected households in 7 provinces, which were representative of the provinces along the north side of the Yellow River. Interviews were conducted face-to-face and in Mandarin. Our analytic sample included 9,762 respondents from 2,642 households. In each household, respondents indicated the type of health insurance benefit that the household had (coverage for inpatient care only or coverage for both inpatient and outpatient care) and the number of outpatient visits in the 30 days preceding the interview and the number of hospitalizations in the 365 days preceding the household interview. People who had both outpatient and inpatient coverage compared with inpatient coverage only had significantly more village-level outpatient visits, township-level outpatient visits, and total outpatient visits. Furthermore, the increased utilization of township and village-level outpatient care was experienced disproportionately by people who were poorer, whereas the increased inpatient utilization overall and at the county level was experienced disproportionately by people who were richer. The evidence from this study indicates that the design of health insurance benefits is an important policy tool that can affect the health services utilization and socioeconomic equity in service use at different levels. Without careful design, health insurance may not benefit those who are most in need of financial protection from health services expenses.

  14. Addressing basic resource needs to improve primary care quality: a community collaboration programme.

    PubMed

    Berkowitz, Seth A; Hulberg, A Catherine; Hong, Clemens; Stowell, Brian J; Tirozzi, Karen J; Traore, Carine Y; Atlas, Steven J

    2016-03-01

    Unmet basic resource needs, such as difficulty affording healthcare, medications, food and housing, may contribute to worse healthcare quality indicators, but interventions are hampered by lack of specific knowledge regarding the distribution of unmet basic resource needs and their association with priority clinical conditions and health service use patterns. Cross-sectional study of primary care patients in two urban academic practices from 1 October 2013 to 30 April 2014. Patients were screened for unmet needs and enrolled in a programme to link them with community resources. Key measures included patient report of unmet basic resource needs, clinical conditions prioritised by quality improvement programmes (hypertension, diabetes and depression), and health service use patterns such as frequent emergency department (ED) visits (>2 in the preceding year) and frequent clinic 'no-shows' (>1 in the preceding year). 416 patients with unmet needs were included, and compared with 2750 patients who did not report needs. The most common types of needs reported were: difficulties affording healthcare (46.5%), food (40.1%) and utilities (36.3%). Patients who reported unmet needs were more likely to have depression (17.8% vs 9.5%, p<0.0001), diabetes (32.7% vs 20.4%, p<0.0001), hypertension (54.3% vs 46.3%, p=0.002), be frequent ED users (11.3% vs 5.4%, p<0.0001), and have frequent 'no-shows' to clinic (21.6% vs 11.9%, p<0.0001). Difficulty affording healthcare and food are particularly common needs among patients with priority conditions. Strategies to identify and address unmet needs as part of routine care may be an important way to improve healthcare quality. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  15. Comorbidity of common mental disorders with cancer and their treatment gap: Findings from the World Mental Health Surveys

    PubMed Central

    Nakash, Ora; Levav, Itzhak; Aguilar-Gaxiola, Sergio; Alonso, Jordi; Andrade, Laura Helena; Angermeyer, Matthias C.; Bruffaerts, Ronny; Caldas-de-Almeida, Jose Miguel; Florescu, Slivia; de Girolamo, Giovanni; Gureje, Oye; He, Yanling; Hu, Chiyi; de Jonge, Peter; Karam, Elie G.; Kovess-Masfety, Viviane; Medina-Mora, Maria Elena; Moskalewicz, Jacek; Murphy, Sam; Nakamura, Yosikazu; Piazza, Marina; Posada-Villa, Jose; Stein, Dan J.; Taib, Nezar Ismet; Zarkov, Zahari; Kessler, Ronald C.; Scott, Kate M.

    2014-01-01

    Objective To study the comorbidity of common mental disorders (CMDs) and cancer, and the mental health treatment gap among community residents with active cancer, cancer survivors and cancer-free respondents in 13 high- and 11 low-middle income countries. Methods Data were derived from the World Mental Health Surveys (N=66,387; n=357 active cancer, n=1,373 cancer survivors, n=64,657 cancer free respondents). The WHO/Composite International Diagnostic Interview was used in all surveys to estimate CMDs prevalence rates. Respondents were also asked about mental health service utilization in the preceding 12 months. Cancer status was ascertained by self-report of physician’s diagnosis. Results Twelve month prevalence rates of CMDs were higher among active cancer (18.4% SE=2.1) than cancer free respondents (13.3%, SE=0.2) adjusted for socio-demographic confounders and other lifetime chronic conditions (Adjusted Odds Ratio (AOR)=1.44 95% CI 1.05–1.97). CMD rates among cancer survivors (14.6% SE=0.9) compared with cancer-free respondents did not differ significantly (AOR=0.95 95% CI 0.82–1.11). Similar patterns characterized high and low-middle income countries. Of respondents with active cancer who had CMD in the preceding 12 months 59% sought services for mental health problems (SE=5.3). The pattern of service utilization among people with CMDs by cancer status (highest among persons with active cancer, lower among survivors and lowest among cancer-free respondents) was similar in high- (64.0% SE=6.0, 41.2% SE=3.0, 35.6% SE=0.6) and low-middle income countries (46.4% SE=11.0, 22.5% SE=9.1, 17.4% SE=0.7). Conclusions Community respondents with active cancer have relatively higher CMD rates and relatively high treatment gap. Comprehensive cancer care should consider both factors. PMID:23983079

  16. Down and Out in London: Addictive Behaviors in Homelessness

    PubMed Central

    Sharman, Steve; Dreyer, Jenny; Clark, Luke; Bowden-Jones, Henrietta

    2016-01-01

    Backgrounds and aims Problem gambling occurs at higher levels in the homeless than the general population. Past work has not established the extent to which problem gambling is a cause or consequence of homelessness. This study sought to replicate recent observations of elevated rates of problem gambling in a British homeless sample, and extend that finding by characterizing (a) the temporal sequencing of the effect, (b) relationships with drug and alcohol misuse, and (c) awareness and access of treatment services for gambling by the homeless. Methods We recruited 72 participants from homeless centers in Westminster, London, and used the Problem Gambling Severity Index to assess gambling involvement, as well as DSM-IV criteria for substance and alcohol use disorders. A life-events scale was administered to establish the temporal ordering of problem gambling and homelessness. Results Problem gambling was evident in 23.6% of the sample. In participants who endorsed any gambling symptomatology, the majority were categorized as problem gamblers. Within those problem gamblers, 82.4% indicated that gambling preceded their homelessness. Participants displayed high rates of substance (31.9%) and alcohol dependence (23.6%); these were not correlated with PGSI scores. Awareness of treatment for gambling was significantly lower than for substance and alcohol use disorders, and actual access of gambling support was minimal. Discussion and conclusions Problem gambling is an under-recognized health issue in the homeless. Our observation that gambling typically precedes homelessness strengthens its role as a causal factor. Despite the elevated prevalence rates, awareness and utilization of gambling support opportunities were low compared with services for substance use disorders. PMID:27348556

  17. 45 CFR 2522.205 - To whom must I apply the National Service Criminal History Check eligibility criteria?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... History Check eligibility criteria? 2522.205 Section 2522.205 Public Welfare Regulations Relating to... apply the National Service Criminal History Check eligibility criteria? You must apply the National Service Criminal History Check eligibility criteria to individuals serving in covered positions. A covered...

  18. 45 CFR 2522.205 - To whom must I apply the National Service Criminal History Check eligibility criteria?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... History Check eligibility criteria? 2522.205 Section 2522.205 Public Welfare Regulations Relating to... apply the National Service Criminal History Check eligibility criteria? You must apply the National Service Criminal History Check eligibility criteria to individuals serving in covered positions. A covered...

  19. 48 CFR 37.000 - Scope of part.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... specific to the acquisition and management of services by contract. This part applies to all contracts and...). Additional guidance for research and development services is in part 35; architect-engineering services is in... not limited to, contracts for services to which the Service Contract Act of 1965, as amended, applies...

  20. 48 CFR 37.000 - Scope of part.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... specific to the acquisition and management of services by contract. This part applies to all contracts and...). Additional guidance for research and development services is in part 35; architect-engineering services is in... not limited to, contracts for services to which the Service Contract Act of 1965, as amended, applies...

  1. Almost periodic solutions to difference equations

    NASA Technical Reports Server (NTRS)

    Bayliss, A.

    1975-01-01

    The theory of Massera and Schaeffer relating the existence of unique almost periodic solutions of an inhomogeneous linear equation to an exponential dichotomy for the homogeneous equation was completely extended to discretizations by a strongly stable difference scheme. In addition it is shown that the almost periodic sequence solution will converge to the differential equation solution. The preceding theory was applied to a class of exponentially stable partial differential equations to which one can apply the Hille-Yoshida theorem. It is possible to prove the existence of unique almost periodic solutions of the inhomogeneous equation (which can be approximated by almost periodic sequences) which are the solutions to appropriate discretizations. Two methods of discretizations are discussed: the strongly stable scheme and the Lax-Wendroff scheme.

  2. The road plan model: Information model for planning road building activities

    NASA Technical Reports Server (NTRS)

    Azinhal, Rafaela K.; Moura-Pires, Fernando

    1994-01-01

    The general building contractor is presented with an information model as an approach for deriving a high-level work plan of construction activities applied to road building. Road construction activities are represented in a Road Plan Model (RPM), which is modeled in the ISO standard STEP/EXPRESS and adopts various concepts from the GARM notation. The integration with the preceding road design stage and the succeeding phase of resource scheduling is discussed within the framework of a Road Construction Model. Construction knowledge is applied to the road design and the terrain model of the surrounding road infrastructure for the instantiation of the RPM. Issues regarding the implementation of a road planner application supporting the RPM are discussed.

  3. Rift Valley Fever Outbreaks in Mauritania and Related Environmental Conditions

    PubMed Central

    Caminade, Cyril; Ndione, Jacques A.; Diallo, Mawlouth; MacLeod, Dave A.; Faye, Ousmane; Ba, Yamar; Dia, Ibrahima; Morse, Andrew P.

    2014-01-01

    Four large outbreaks of Rift Valley Fever (RVF) occurred in Mauritania in 1998, 2003, 2010 and 2012 which caused lots of animal and several human deaths. We investigated rainfall and vegetation conditions that might have impacted on RVF transmission over the affected regions. Our results corroborate that RVF transmission generally occurs during the months of September and October in Mauritania, similarly to Senegal. The four outbreaks were preceded by a rainless period lasting at least a week followed by heavy precipitation that took place during the second half of the rainy season. First human infections were generally reported three to five weeks later. By bridging the gap between meteorological forecasting centers and veterinary services, an early warning system might be developed in Senegal and Mauritania to warn decision makers and health services about the upcoming RVF risk. PMID:24413703

  4. Management of diabetes in Indigenous communities: lessons from the Australian Aboriginal population.

    PubMed

    Nguyen, H D; Chitturi, S; Maple-Brown, L J

    2016-11-01

    Type 2 diabetes mellitus and other chronic cardio-metabolic conditions are significant contributors to the large disparities in life expectancy between Indigenous and non-Indigenous Australians. Type 2 diabetes is more prevalent from a young age among Indigenous Australians and is often preceded by a cluster of risk factors, including central obesity, dyslipidaemia, albuminuria and socio-economic disadvantage. Management of type 2 diabetes in Australian Indigenous peoples can be challenging in the setting of limited resources and socio-economic disadvantage. Key strategies to address these challenges include working in partnership with patients, communities and primary healthcare services (PHC, Aboriginal community controlled and government services) and working in a multidisciplinary team. Population prevention measures are required within and beyond the health system, commencing as early as possible in the life course. © 2016 Royal Australasian College of Physicians.

  5. Intimate partner violence and the utilization of maternal health care services in Nigeria.

    PubMed

    Ononokpono, Dorothy Ngozi; Azfredrick, Ezinwanne Christiana

    2014-01-01

    Our aim in this study is to examine the association between women's lifetime experiences of physical, sexual, and emotional intimate partner violence (IPV) and the use of maternal health care services. We used data from the 2008 Nigeria Demographic and Health Survey. Analysis was based on responses from 17,476 women (for antenatal care [ANC]) and 17,412 (for delivery assisted by a skilled health provider) who had had deliveries in the 5 years preceding the survey. We found an overall IPV prevalence rate of 33.4%. Physical IPV was associated with low use of ANC. Emotionally abused women were less likely to use delivery assistance from skilled health care providers. Based on our findings, we suggest the importance of designing interventions to address the health care needs of women who have experienced violence from their partners.

  6. Evaluating the nutrition intake of U.S. military service members in garrison.

    PubMed

    Ramsey, Casside B; Hostetler, Cheryl; Andrews, Anne

    2013-12-01

    Sparse information exists on the nutrition intake of U.S. military service members in a garrison setting. The purpose of this study was to assess the eating habits of a small group of service members who had not deployed in the preceding 12 months. Nutrition intake was measured using an online food frequency questionnaire and anthropometric measurements taken. Correlations were used to assess relationships between total caloric intake and sex, age, weight, waist circumference, body mass index, rank, marital status, history in a service-specific weight control program, and time in service. There were 39 subjects (18 males, 21 females) enrolled. There was a significant difference in total caloric intake between males and females (p = 0.040). The relationships of total caloric intake to both weight and waist circumference were significant (r = 0.425, p = 0.007 and r = 0.393, p = 0.013). There was a modest relationship between total caloric intake and sex (r = 0.331, p = 0.040) and history in a weight control program (r = -0.313, p = 0.052). There was no significant correlation between body mass index, age, rank, marital status, time in service, and total caloric intake. These relationships may partially explain the eating habits of service members in garrison. Future studies should further assess intake and influential additional factors, such as deployments. Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.

  7. Can monaural temporal masking explain the ongoing precedence effect?

    PubMed

    Freyman, Richard L; Morse-Fortier, Charlotte; Griffin, Amanda M; Zurek, Patrick M

    2018-02-01

    The precedence effect for transient sounds has been proposed to be based primarily on monaural processes, manifested by asymmetric temporal masking. This study explored the potential for monaural explanations with longer ("ongoing") sounds exhibiting the precedence effect. Transient stimuli were single lead-lag noise burst pairs; ongoing stimuli were trains of 63 burst pairs. Unlike with transients, monaural masking data for ongoing sounds showed no advantage for the lead, and are inconsistent with asymmetric audibility as an explanation for ongoing precedence. This result, along with supplementary measurements of interaural time discrimination, suggests different explanations for transient and ongoing precedence.

  8. 42 CFR 59.4 - How does one apply for a family planning services grant?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false How does one apply for a family planning services grant? 59.4 Section 59.4 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.4 How does...

  9. 42 CFR 59.4 - How does one apply for a family planning services grant?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false How does one apply for a family planning services grant? 59.4 Section 59.4 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.4 How does...

  10. 42 CFR 59.4 - How does one apply for a family planning services grant?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false How does one apply for a family planning services grant? 59.4 Section 59.4 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.4 How does...

  11. 42 CFR 59.4 - How does one apply for a family planning services grant?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false How does one apply for a family planning services grant? 59.4 Section 59.4 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.4 How does...

  12. 42 CFR 59.4 - How does one apply for a family planning services grant?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false How does one apply for a family planning services grant? 59.4 Section 59.4 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.4 How does...

  13. 25 CFR 900.118 - Do these “construction contract” regulations apply to construction management services?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... construction management services? 900.118 Section 900.118 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE...” regulations apply to construction management services? No. Construction management services may be contracted separately under section 108 of the Act. Construction management services consultants and/or Indian tribe or...

  14. 45 CFR 2540.201 - To whom must I apply the National Service Criminal History Check eligibility criteria?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... History Check eligibility criteria? 2540.201 Section 2540.201 Public Welfare Regulations Relating to... must I apply the National Service Criminal History Check eligibility criteria? You must apply the National Service Criminal History Check eligibility criteria to individuals serving in covered positions. A...

  15. 45 CFR 2540.201 - To whom must I apply the National Service Criminal History Check eligibility criteria?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... History Check eligibility criteria? 2540.201 Section 2540.201 Public Welfare Regulations Relating to... must I apply the National Service Criminal History Check eligibility criteria? You must apply the National Service Criminal History Check eligibility criteria to individuals serving in covered positions. A...

  16. A Service Design Thinking Approach for Stakeholder-Centred eHealth.

    PubMed

    Lee, Eunji

    2016-01-01

    Studies have described the opportunities and challenges of applying service design techniques to health services, but empirical evidence on how such techniques can be implemented in the context of eHealth services is still lacking. This paper presents how a service design thinking approach can be applied for specification of an existing and new eHealth service by supporting evaluation of the current service and facilitating suggestions for the future service. We propose Service Journey Modelling Language and Service Journey Cards to engage stakeholders in the design of eHealth services.

  17. Is scanning in probed order recall articulatory?

    PubMed

    Farrell, Simon; Lelièvre, Anna

    2009-09-01

    We consider how theories of serial recall might apply to other short-term memory tasks involving recall of order. In particular, we consider the possibility that when participants are cued to recall an item at an arbitrary position in a sequence, they covertly serially recall the list up to the cued position. One question is whether such "scanning" is articulatory in nature. Two experiments are presented in which the syllabic length of words preceding and following target positions were manipulated, to test the prediction of an articulatory-based mechanism that time to recall an item at a particular position will depend on the number of preceding long words. Although latency was dependent on target position, no word length effects on latency were observed. Additionally, the effects of word length on accuracy replicate recent demonstrations in serial recall that recall accuracy is dependent on the word length of all list items, not just that of target items, in line with distinctiveness assumptions. It is concluded that if scanning does occur, it is not carried out by covert or overt articulation.

  18. Loading Rate Variations Along a Midcrustal Shear Zone Preceding the Mw6.0 Earthquake of 24 August 2016 in Central Italy

    NASA Astrophysics Data System (ADS)

    Vuan, A.; Sugan, M.; Chiaraluce, L.; Di Stefano, R.

    2017-12-01

    To identify greater detail in the seismicity pattern preceding the 24 August 2016 Mw6.0 earthquake in Central Italy, we apply waveform matching using 1,028 events as templates. In the 8 months before the mainshock, we find 2,000 additional earthquakes mostly located along a subhorizontal shear zone (SZ) bounding at depth the extensional fault system. Asynchrony is observed in the occurrence of events nucleating along the SZ compared to the ones on fault portions embedded in the shallower upper crust, with the former anticipating the latter. Within the SZ, we also observe along-strike seismic migration episodes with earthquakes pointing toward the Mw6.0 mainshock nucleation zone. These episodes are followed by an apparent quiescence within the main fault area. We suggest that the variations in the seismic activity along the SZ represent the brittle signature of the tectonic loading process enabling portions of the overlaying normal faults to become unlocked.

  19. The need for simultaneous evaluation of ecosystem services and land use change

    USGS Publications Warehouse

    Euliss, Ned H.; Smith, Loren M.; Liu, Shu-Guang; Feng, Min; Mushet, David M.; Auch, Roger F.; Loveland, Thomas R.

    2010-01-01

    We are living in a period of massive global change. This rate of change may be almost without precedent in geologic history (1). Even the most remote areas of the planet are influenced by human activities. Modern landscapes have been highly modified to accommodate a growing human population that the United Nations has forecast to peak at 9.1 billion by 2050. Over this past century, reliance on services from ecosystems has increased significantly and, over past decades, sustainability of our modern, intensively managed ecosystems has been a topic of serious international concern (1). Numerous papers addressing a particular land-use change effect on specific ecosystem services have recently been published. For example, there is currently great interest in increasing biofuel production to achieve energy inde- pendence goals and recent papers have independently focused attention on impacts of land-use change on single ecosystem services such as carbon sequestration (2) and many others (e.g., water availability, biodiversity, pollination). However, land-use change clearly affects myriad ecosystem services simultaneously. Hence, a broader perspective and context is needed to evaluate and understand interrelated affects on multiple ecosystem services, especially as we strive for the goal of sustainably managing global ecosystems. Similarly, land uses affect ecosystem services synergistically; single land-use evaluations may be misleading because the overall impact on an ecosystem is not evaluated. A more holistic approach would provide a means and framework to characterize how land-use change affects provisioning of goods and services of complete ecosystems.

  20. Finding the Right Fit: Helping Students Apply Theory to Service-Learning Contexts

    ERIC Educational Resources Information Center

    Ricke, Audrey

    2018-01-01

    Background: Although past studies of service-learning focus on assessing student growth, few studies address how to support students in applying theory to their service-learning experiences. Yet, the task of applying theory is a central component of critical reflections within the social sciences in higher education and often causes anxiety among…

  1. 38 CFR 62.24 - Scoring criteria for grantees applying for renewal of supportive services grants.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Scoring criteria for... PROGRAM § 62.24 Scoring criteria for grantees applying for renewal of supportive services grants. VA will use the following criteria to score grantees applying for renewal of a supportive services grant: (a...

  2. National Agricultural Library | United States Department of Agriculture

    Science.gov Websites

    filter Cornell University (2) Apply Cornell University filter Food and Nutrition Service (2) Apply Food and Nutrition Service filter U.S. Department of Energy (2) Apply U.S. Department of Energy filter U.S ; Nutrition (38) Apply Food & Nutrition filter Animals & Livestock (33) Apply Animals & Livestock

  3. What Oregon's parity law can tell us about the federal Mental Health Parity and Addiction Equity Act and spending on substance abuse treatment services.

    PubMed

    McConnell, K John; Ridgely, M Susan; McCarty, Dennis

    2012-08-01

    The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) requires commercial group health plans offering coverage for mental health and substance abuse services to offer those services at a level that is no more restrictive than for medical-surgical services. The MHPAEA is notable in restricting the extent to which health plans can use managed care tools on the behavioral health benefit. The only precedent for this approach is Oregon's 2007 state parity law. This study aims to provide evidence on the effect of comprehensive parity on utilization and expenditures for substance abuse treatment services. A difference-in-difference analysis compared individuals in five Oregon commercial plans (n=103,820) from 2005 to 2008 to comparison groups exempt from parity in Oregon (n=19,633) and Washington (n=39,447). The primary outcome measures were annual use and total expenditures. Spending for alcohol treatment services demonstrated statistically significant increase in comparison to the Oregon and Washington comparison groups. Spending on other drug abuse treatment services was not associated with statistically significant spending increases, and the effect of parity on overall spending (alcohol plus other drug abuse treatment services) was positive but not statistically significant from zero. Oregon's experience suggests that behavioral health insurance parity that places restrictions on how plans manage the benefit may lead to increases in expenditures for alcohol treatment services but is unlikely to lead to increases in spending for other drug abuse treatment services. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  4. 45 CFR 400.145 - Opportunity to apply for services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 2 2013-10-01 2012-10-01 true Opportunity to apply for services. 400.145 Section 400.145 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT... Refugee Social Services Applications, Determinations of Eligibility, and Provision of Services § 400.145...

  5. 45 CFR 400.145 - Opportunity to apply for services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 2 2011-10-01 2011-10-01 false Opportunity to apply for services. 400.145 Section 400.145 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT... Refugee Social Services Applications, Determinations of Eligibility, and Provision of Services § 400.145...

  6. 45 CFR 400.145 - Opportunity to apply for services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 2 2014-10-01 2012-10-01 true Opportunity to apply for services. 400.145 Section 400.145 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT... Refugee Social Services Applications, Determinations of Eligibility, and Provision of Services § 400.145...

  7. 45 CFR 400.145 - Opportunity to apply for services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false Opportunity to apply for services. 400.145 Section 400.145 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT... Refugee Social Services Applications, Determinations of Eligibility, and Provision of Services § 400.145...

  8. 45 CFR 400.145 - Opportunity to apply for services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 2 2012-10-01 2012-10-01 false Opportunity to apply for services. 400.145 Section 400.145 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT... Refugee Social Services Applications, Determinations of Eligibility, and Provision of Services § 400.145...

  9. An improved car-following model with two preceding cars' average speed

    NASA Astrophysics Data System (ADS)

    Yu, Shao-Wei; Shi, Zhong-Ke

    2015-01-01

    To better describe cooperative car-following behaviors under intelligent transportation circumstances and increase roadway traffic mobility, the data of three successive following cars at a signalized intersection of Jinan in China were obtained and employed to explore the linkage between two preceding cars' average speed and car-following behaviors. The results indicate that two preceding cars' average velocity has significant effects on the following car's motion. Then an improved car-following model considering two preceding cars' average velocity was proposed and calibrated based on full velocity difference model and some numerical simulations were carried out to study how two preceding cars' average speed affected the starting process and the traffic flow evolution process with an initial small disturbance, the results indicate that the improved car-following model can qualitatively describe the impacts of two preceding cars' average velocity on traffic flow and that taking two preceding cars' average velocity into account in designing the control strategy for the cooperative adaptive cruise control system can improve the stability of traffic flow, suppress the appearance of traffic jams and increase the capacity of signalized intersections.

  10. Predisposing, enabling, and need factors associated with utilization of institutional delivery services: A community-based cross-sectional study in far-western Nepal.

    PubMed

    Freidoony, Leila; Ranabhat, Chhabi Lal; Kim, Chun-Bae; Kim, Chang-Soo; Ahn, Dong-Won; Doh, Young Ah

    2018-01-01

    Use of institutional delivery services can be effective in reducing maternal and infant mortality. In Nepal, however, the majority of women deliver at home. Using Andersen's behavioral model of use of health care services, this cross-sectional study aimed to identify factors associated with use of institutional delivery services in four villages and one municipality in Kailali district, Nepal. Mothers (N = 500) who had given birth in the 5 years preceding the survey (conducted between January and February 2015) were randomly selected by cluster sampling and interviewed using a semi-structured questionnaire. Bivariate analyses and multivariate hierarchical logistic regression analyses were performed. Among the women surveyed, 65.6% had used institutional delivery services for their last delivery, a higher proportion than the national average. Primiparity, having a secondary or higher education level, living in the Durgauli village, having husbands with occupations other than agriculture or professional/technical jobs, and having attended four or more antenatal care (ANC) visits had significantly increased use of institutional deliveries. Also, belonging to the richest 20% of the community and having experienced pregnancy complications were marginally significantly associated. These findings demonstrate the need for improving mother's education, encouraging them to attend ANC visits and addressing disparities between different regions.

  11. Public health initiatives in South Africa in the 1940s and 1950s: lessons for a post-apartheid era.

    PubMed Central

    Yach, D; Tollman, S M

    1993-01-01

    Inspiration drawn from South African public health initiatives in the 1940s played an important role in the development of the network of community and migrant health centers in the United States. The first such center at Pholela in Natal emphasized the need for a comprehensive (preventive and curative) service that based its practices on empirical data derived from epidemiological and anthropological research. In addition, community consultation preceded the introduction of new service or research initiatives. The Institute of Family and Community Health in Durban pioneered community-based multidisciplinary training and developed Pholela and other sites as centers for service, teaching, and research. Several important lessons for South African health professionals emerge from the Pholela experience. First, public health models of the past need to be reintroduced locally; second, the training of public health professionals needs to be upgraded and reoriented; third, appropriate research programs need to respond to community needs and address service demands; fourth, community involvement strategies need to be implemented early on; and fifth, funding sources for innovation in health service provision should be sought. Images p1044-a p1044-b p1045-a p1046-a p1046-b p1047-a PMID:8328604

  12. 7 CFR 37.4 - How to apply for service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... REGULATIONS PROGRAM TO ASSESS ORGANIC CERTIFYING AGENCIES § 37.4 How to apply for service. (a) Application. Any organic certifying agency may apply to the Branch Chief, Meat Grading and Certification (MGC...

  13. The experience of receiving a kidney transplant from a deceased donor: Implications for renal services.

    PubMed

    Lonargáin, Diarmaid Ó; Brannigan, Dawn; Murray, Craig

    2017-02-01

    The study aimed to explore the psychological experiences of receiving a kidney transplant from a deceased donor and to examine resulting implications for renal services. A qualitative design was utilised within an interpretative phenomenological analysis (IPA) framework. Semi-structured interviews were conducted with six adults (male = 5, mean age = 45 yrs) on their experiences of receiving a kidney transplant from a deceased donor. All participants had their transplant within the preceding 21 months. Data were analysed using IPA. The four elicited themes incorporate recipients' positive feelings about receiving a transplant, mainly arising from the newfound freedom that this entails, in addition to strong feelings of gratitude towards their donors. They also capture challenges, such as the uncertainty of living with a transplanted kidney, and highlight the increased dependence on others throughout the transplant process. The findings indicate a range of psychological, social and occupational experiences for participants. It is concluded that optimal care in renal services would incorporate a holistic approach to pre and post-transplant care; identifying and supporting the needs of transplant recipients. A biopsychosocial model of care may enhance service user well-being. Potential areas of future research are explored.

  14. 48 CFR 37.104 - Personal services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) Agencies shall not award personal services contracts unless specifically authorized by statute (e.g., 5 U.S... equipment furnished by the Government. (3) Services are applied directly to the integral effort of agencies... which apply in acquiring the personal services of experts or consultants in this manner (e.g., benefits...

  15. 48 CFR 37.104 - Personal services contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) Agencies shall not award personal services contracts unless specifically authorized by statute (e.g., 5 U.S... equipment furnished by the Government. (3) Services are applied directly to the integral effort of agencies... which apply in acquiring the personal services of experts or consultants in this manner (e.g., benefits...

  16. 42 CFR 136.303 - Indians applying for scholarships.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Indians applying for scholarships. 136.303 Section 136.303 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs...

  17. 42 CFR 136.303 - Indians applying for scholarships.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Indians applying for scholarships. 136.303 Section 136.303 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs...

  18. 42 CFR 136.303 - Indians applying for scholarships.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Indians applying for scholarships. 136.303 Section 136.303 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs...

  19. 42 CFR 136.303 - Indians applying for scholarships.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Indians applying for scholarships. 136.303 Section 136.303 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs...

  20. 42 CFR 136.303 - Indians applying for scholarships.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Indians applying for scholarships. 136.303 Section 136.303 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs...

  1. 77 FR 51113 - Letter of Intent To Apply for Funding Available Under the Supportive Services for Veteran...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-23

    ... and renewal supportive services grant application processes, and amount of funding available. DATES... Supportive Services for Veteran Families Program AGENCY: Department of Veterans Affairs. ACTION: Notice... entities interested in applying for funding under the Supportive Services for Veteran Families (SSVF...

  2. COMBINED MULTIPOINT REMOTE AND IN SITU OBSERVATIONS OF THE ASYMMETRIC EVOLUTION OF A FAST SOLAR CORONAL MASS EJECTION

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

    Rollett, T.; Möstl, C.; Temmer, M.

    2014-07-20

    We present an analysis of the fast coronal mass ejection (CME) of 2012  March 7, which was imaged by both STEREO spacecraft and observed in situ by MESSENGER, Venus Express, Wind, and Mars Express. Based on detected arrivals at four different positions in interplanetary space, it was possible to strongly constrain the kinematics and the shape of the ejection. Using the white-light heliospheric imagery from STEREO-A and B, we derived two different kinematical profiles for the CME by applying the novel constrained self-similar expansion method. In addition, we used a drag-based model to investigate the influence of the ambient solarmore » wind on the CME's propagation. We found that two preceding CMEs heading in different directions disturbed the overall shape of the CME and influenced its propagation behavior. While the Venus-directed segment underwent a gradual deceleration (from ∼2700 km s{sup –1} at 15 R {sub ☉} to ∼1500 km s{sup –1} at 154 R {sub ☉}), the Earth-directed part showed an abrupt retardation below 35 R {sub ☉} (from ∼1700 to ∼900 km s{sup –1}). After that, it was propagating with a quasi-constant speed in the wake of a preceding event. Our results highlight the importance of studies concerning the unequal evolution of CMEs. Forecasting can only be improved if conditions in the solar wind are properly taken into account and if attention is also paid to large events preceding the one being studied.« less

  3. Dental needs and socioeconomic status associated with utilization of dental services in the presence of dental pain: a case-control study in children.

    PubMed

    Villalobos-Rodelo, Juan José; Medina-Solís, Carlo Eduardo; Maupomé, Gerardo; Lamadrid-Figueroa, Hector; Casanova-Rosado, Alejandro José; Casanova-Rosado, Juan Fernando; Márquez-Corona, María de Lourdes

    2010-01-01

    To identify the effect of unmet dental treatment needs and socioeconomic and sociodemographic variables on the patterns of dental visits in the presence of dental pain in 6- to 12-year-old Mexican schoolchildren. A case-control study included 379 patients that had a dental visit because of dental pain in the 12 months preceding this study and 1,137 controls. Mothers and/or guardians supplied sociodemographic, socioeconomic, and oral health-related information through a questionnaire. The profiles of unmet dental needs and of oral hygiene were ascertained by means of a standardized dental examination administered to participating children. Odds ratios (OR) and 95% confidence intervals (CIs) were calculated with logistic regression. Higher unmet dental needs and lack of health insurance were associated with the experience of dental visits because of dental pain in the preceding 12 months. Boys who attended public schools had a 70% (95% CI = 1.29 to 2.23) higher probability of having had a dental visit in which dental pain was one of the main reasons for attendance, compared to boys attending private schools. The effect for girls was only 28% (95% CI = 1.10 to 1.50) higher for girls attending a public school, compared to girls attending private schools. Older children had a higher occurrence of dental visits because of dental pain than younger children. While higher unmet dental needs and lack of health insurance were strong predictors of having had dental visits because of dental pain in the preceding 12 months, some socioeconomic variables and sociodemographic variables modified these relationships.

  4. Retrospective evaluation of current-based impedance compensation defibrillation in out-of-hospital cardiac arrest.

    PubMed

    Chen, Bihua; Yin, Changlin; Ristagno, Giuseppe; Quan, Weilun; Tan, Qing; Freeman, Gary; Li, Yongqin

    2013-05-01

    Transthoracic impedance (TTI) is a principal parameter that influences the intracardiac current flow and defibrillation outcome. In this study, we retrospectively evaluated the performance of current-based impedance compensation defibrillation in out-of-hospital cardiac arrest (OHCA) patients. ECG recordings, along with TTI measurements were collected from multiple emergency medical services (EMSs) in the USA. All the EMSs in this study used automated external defibrillators (AEDs) which employing rectilinear biphasic (RLB) waveform. The distribution and change of TTI between successive shocks, the influence of preceding shock results on the subsequent shock outcome, and the performance of current-based impedance compensation defibrillation was evaluated. A total of 1166 shocks from 594 OHCA victims were examined in this study. The average TTI for the 1st shock was 134.8 Ω and a significant decrease in TTI was observed for the 2nd (p<0.001) and 3rd (p=0.033) sequential escalating shock. But TTI did not change after the 3rd shock. A higher success rate was observed for shocks with preceding defibrillation success. The success rate remained unchanged over the whole spectrum of TTI. The average TTI was relatively higher in this OHCA population treated with RLB defibrillation as compared with previously reported data. TTI was significantly decreased after 1st and 2nd successive escalating shock but kept constant after the 3rd shock. Preceding shock success was a better predictor of subsequent defibrillation outcome other than TTI. Current-based impedance compensation defibrillation resulted in equivalent success rate for high impedance patients when compared with those of low impedance. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  5. Interfacial Studies of Chemical Vapor Infiltrated (CVI) Ceramic Matrix Composites

    DTIC Science & Technology

    1988-10-01

    carbon layer exists at the fiber/matrix interface. From Fig. 6, it can also be seen that a small amount of Cl exists at the interface and in the CVD SiC...matrix interface, most of which stayed on the fiber surface upon fracture. A small amount of oxygen (3-5 at*/) was found to be present in the CVI SiC. The... small amount of oxygen (1-2%). The results of MTS precursor coatings applied to Nextel 440 and Nicalon fibers preceded by an argon flush of the reactor

  6. Space ethics to test directed panspermia

    NASA Astrophysics Data System (ADS)

    Makukov, Maxim A.; shCherbak, Vladimir I.

    2014-10-01

    The hypothesis that Earth was intentionally seeded with life by a preceding extraterrestrial civilization is believed to be currently untestable. However, analysis of the situation where humans themselves embark on seeding other planetary systems motivated by survival and propagation of life reveals at least two ethical issues calling for specific solutions. Assuming that generally intelligence evolves ethically as it evolves technologically, the same considerations might be applied to test the hypothesis of directed panspermia: if life on Earth was seeded intentionally, the two ethical requirements are expected to be satisfied, what appears to be the case.

  7. The ethics of human gene transfer.

    PubMed

    Kimmelman, Jonathan

    2008-03-01

    Almost 20 years since the first gene-transfer trial was carried out in humans, the field has made significant advances towards clinical application. Nevertheless, it continues to face numerous unresolved ethical challenges--among them are the question of when to initiate human testing, the acceptability of germline modification and whether the technique should be applied to the enhancement of traits. Although such issues have precedents in other medical contexts, they take on a different character in gene transfer, in part because of the scientific uncertainty and the social context of innovation.

  8. Computer Code Gives Astrophysicists First Full Simulation of Star's Final Hours

    ScienceCinema

    Applin, Bradford; Almgren, Ann S.; Nonaka, Andy

    2018-05-11

    The precise conditions inside a white dwarf star in the hours leading up to its explosive end as a Type Ia supernova are one of the mysteries confronting astrophysicists studying these massive stellar explosions. But now, a team of researchers, composed of three applied mathematicians at the U.S. Department of Energy's (DOE) Lawrence Berkeley National Laboratory and two astrophysicists, has created the first full-star simulation of the hours preceding the largest thermonuclear explosions in the universe. http://www.lbl.gov/cs/Archive/news091509.html

  9. Defense Mechanisms and Utilization in Cancer Patients Undergoing Radiation Therapy: A Pilot Study.

    PubMed

    Porcerelli, John H; Cramer, Phebe; Porcerelli, Daniel J; Arterbery, V Elayne

    2017-06-01

    A group of 49 patients who had been diagnosed with cancer during the preceding year and who were receiving radiation therapy were assessed for their use of defense mechanisms, as well as for their level of psychological distress. In addition, their utilization of medical services was determined. It was predicted that the use of services that were under the patients' control-namely, requesting extra outpatient visits and making trips to the emergency department-would be related to the patients' use of defense mechanisms, whereas a treatment option not under the patients' control-overnight hospitalization based on physicians' assessment of condition-would not be related to defense use. The findings confirmed the hypotheses. Outpatient visits were strongly predicted by defense use, whereas hospitalization was determined by psychological distress. However, emergency department visits were determined by both defense use and psychological distress. In addition, an interaction between defense and distress was found to predict hospitalization.

  10. Carers' perspectives of respite care in Australia: an evaluative study.

    PubMed

    O'Connell, Beverly; Hawkins, Mary; Ostaszkiewicz, Joan; Millar, Lynne

    2012-04-01

    Caring for someone with dementia is burdensome and challenging. In Australia, respite services help carers to cope with these demands. In this descriptive study, 62 carers of people with dementia provided information on their use of respite care, its effectiveness and their satisfaction with services provided during the preceding 12 months. Results indicated that carers used day centre, in-home, residential, regular outings and cottage care. The main reasons for use were to assist with managing care, take a break, or attend to health problems. Although 78% of carers rated respite as beneficial to their care recipients, most suggested areas that required attention. Improvements included the need for more time and flexibility, better quality and more permanent staff, improved communication, bureaucracy, administration and affordability. Respite providers need to recognize these limitations and develop strategies to improve the delivery of diverse respite care for carers of people with dementia.

  11. Two years of gender identity service for minors: overrepresentation of natal girls with severe problems in adolescent development.

    PubMed

    Kaltiala-Heino, Riittakerttu; Sumia, Maria; Työläjärvi, Marja; Lindberg, Nina

    2015-01-01

    Increasing numbers of adolescents present in adolescent gender identity services, desiring sex reassignment (SR). The aim of this study is to describe the adolescent applicants for legal and medical sex reassignment during the first two years of adolescent gender identity team in Finland, in terms of sociodemographic, psychiatric and gender identity related factors and adolescent development. Structured quantitative retrospective chart review and qualitative analysis of case files of all adolescent SR applicants who entered the assessment by the end of 2013. The number of referrals exceeded expectations in light of epidemiological knowledge. Natal girls were markedly overrepresented among applicants. Severe psychopathology preceding onset of gender dysphoria was common. Autism spectrum problems were very common. The findings do not fit the commonly accepted image of a gender dysphoric minor. Treatment guidelines need to consider gender dysphoria in minors in the context of severe psychopathology and developmental difficulties.

  12. Medicine use by Finnish female conscripts during voluntary military service.

    PubMed

    Linden, Kari; Jormanainen, Vesa; Pietilä, Kirsi; Sahi, Timo

    2006-08-01

    The goal was to assess the prevalence of prescribed and nonprescribed medicine use, use predictors, and origin of medicines for Finnish female conscripts during their voluntary military service. An anonymous mail survey was conducted in April 1999 among all Finnish female conscripts on duty. Of the respondents (N = 177; response rate, 68%), 61% had used at least one medicine in the 2 weeks preceding the study, 44% prescribed and 31% nonprescribed medicines. Most of the prescribed medicines were provided by Finnish Defence Forces health care, whereas most of the nonprescribed medicines were of civilian origin. The consumption of prescribed and nonprescribed medicines was differently related to respondents' background variables. Common overall medicine use and use of over-the-counter analgesics and stimulants and their association with potentially negative health behaviors may contribute to inappropriate medicine use. Finnish female conscripts commonly use prescribed and nonprescribed medicines. The importance of sufficient medication information for female conscripts is emphasized.

  13. Who gets how much: funding formulas in federal public health programs.

    PubMed

    Buehler, James W; Holtgrave, David R

    2007-01-01

    Federal public health programs use a mix of formula-based and competitive methods to allocate funds among states and other constituent jurisdictions. Characteristics of formula-based allocations used by a convenience sample of four programs, three from the Centers for Disease Control and Prevention and one from the Health Resources and Services Administration, are described to illustrate formula-based allocation methods in public health. Data sources in these public health formulas include population counts and funding proportions based on historical precedent. None include factors that adjust allocations based on variations in the availability of local resources or the cost of delivering services. Formula-funded activities are supplemented by programs that target specific prevention needs or encourage development of innovative methods to address emerging problems, using set-aside funds. A public health finance research agenda should address ways to improve the fit between funding allocation formulas and program objectives.

  14. Profile: Vanessa Cameron – 36 years at the Royal College of Psychiatrists

    PubMed Central

    Poole, Rob; Robinson, Catherine A.

    2016-01-01

    On 16 December 2016, Vanessa Cameron retires as Chief Executive of the Royal College of Psychiatrists. She started working there in September 1980 and in 1984 she became Secretary of the College, the role that preceded chief executive. The College was formed in 1971, so Vanessa has been present for most of its lifetime. It has been a period of continuous change that has seen psychiatry leave the old mental hospitals, expand considerably in the late 1990s and early part of the 21st century, and come under huge pressure more recently. Although she has never worked within mental health services, Vanessa has been at the heart of British psychiatry for 36 years. She was awarded an MBE in the 2013 New Year's Honours list for services to psychiatry. We interviewed Vanessa at 21 Prescot Street on 3 August 2016. PMID:28377815

  15. 42 CFR 23.4 - How must an entity apply for assignment?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false How must an entity apply for assignment? 23.4 Section 23.4 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PERSONNEL NATIONAL HEALTH SERVICE CORPS Assignment of National Health Service Corps Personnel § 23.4 How must an...

  16. Preceding diagnoses to young adult bipolar disorder and schizophrenia in a nationwide study

    PubMed Central

    2013-01-01

    Background The aim of this comparative study was to investigate the type and frequency of diagnoses preceding adult bipolar disorder (BD) and schizophrenia (SZ). Methods A follow-back study of all preceding diagnoses in all patients aged 21–34 years with a primary, first time diagnosis of BD (N = 784) or SZ (N = 1667) in 2008 to 2010. Data were taken from the Danish Psychiatric Central Research Register (DPCRR) including ICD-10 and ICD-8 diagnoses. Results The numbers of patients with any preceding diagnoses amounted to 69.3% in BD and 76.6% in SZ with affective disorders (excluding BD) being the most frequent preceding diagnosis (46.6 vs. 28.0%), followed by psychoses (PSY) other than SZ (14.2 vs. 41.5%, p < .001), and substance use disorders (SUD) (16.1 vs. 26.9%, p < .001). Reactions to severe stress were equally frequent in both samples (26.3 vs. 26.6%) as were personality disorders (21.8 vs. 22.4%) and ADHD (4.2 vs. 3.5%), whereas rates of conduct disorders (1.7 vs. 3.1%) were rather low in both samples. Very few of the preceding diagnoses had their onset in childhood and adolescence. Overall patients with SZ had a minor but statistically significant earlier onset of any psychiatric disorder compared to BD (mean age: 23.3 vs. 22.5, p < .001). Regression analyses indicated that BD was associated with an increased risk of having experienced preceding affective disorders and ADHD, while SZ was associated with an increased risk of preceding substance use disorders, psychosis, anxiety disorders, and personality disorders. Conclusions Specific developmental trajectories of preceding disorders were delineated for BD and SZ with affective disorders being more specific for BD and both SUD and PSY more specific to SZ. There are different patterns of vulnerability in terms of preceding diagnosis in young adults with BD and SZ. PMID:24359146

  17. Children's Naive Concepts of OCD and How They Are Affected by Biomedical Versus Cognitive Behavioural Psychoeducation.

    PubMed

    Butlin, B; Wilson, C

    2018-04-04

    How we conceptualize mental health conditions is important as it impacts on a wide range of mediators of treatment outcome. We do not know how children intuitively conceptualize obsessive-compulsive disorder (OCD), nor do we know the relative impact of biomedical or cognitive behavioural conceptual explanations, yet both are being widely used in psychoeducation for children with OCD. This study identified children's naive concepts of OCD, and the comparative impact of biomedical versus cognitive behavioural psychoeducation on perceived prognosis. A within- and between-subjects experimental design was used. After watching a video of a young person describing their OCD, 202 children completed a questionnaire examining their concepts of the condition. They repeated the questionnaire following a second equivalent video, this time preceded by either biomedical or cognitive behavioural psychoeducation. Participants' naive concepts of OCD reflected predominant models of OCD in healthcare. Even at the minimal dose of psychoeducation, participants' conceptualizations of OCD changed. Prior exposure to OCD resulted in a stronger alignment with the biomedical model. Exposure to biomedical psychoeducation resulted in participants predicting a slower recovery with less chance of complete remission. Psychoeducation for childhood OCD is impactful. Despite its wide use by clinicians and mental health services, biomedical psychoeducation appears to have deleterious effects. Children's concepts of OCD merit attention but caution should be applied in how they are targeted.

  18. AFRL Solid Propellant Laboratory Explosive Siting and Renovation Lessons Learned

    DTIC Science & Technology

    2010-07-01

    Area 1-30A explosive facility and provide consultation/support during the review process for each of the site plans. • Applied Engineering Services...provided consultation/support during the siting review process. • Applied Engineering Services (AES) Inc. performed a detailed structural, blast, thermal... Applied Engineering Services (AES) Inc. structural, blast, thermal and fragment hazard analysis to determine the appropriate siting values based on

  19. Is manipulation of color effective in study of the global precedence effect?

    PubMed

    Vidal-López, Joaquín; Romera-Vivancos, Juan Antonio

    2009-04-01

    This article evaluates the use of color manipulation in studying the effect of global precedence and the possible involvement of the magnocellular processing system. The analysis shows variations of color used in three studies produced changes on the global precedence effect, but findings based on this technique present some methodological problems and have little theoretical support from the magnocellular processing-system perspective. For this reason, more research is required to develop knowledge about the origin of these variations in global precedence.

  20. A heuristic method for consumable resource allocation in multi-class dynamic PERT networks

    NASA Astrophysics Data System (ADS)

    Yaghoubi, Saeed; Noori, Siamak; Mazdeh, Mohammad Mahdavi

    2013-06-01

    This investigation presents a heuristic method for consumable resource allocation problem in multi-class dynamic Project Evaluation and Review Technique (PERT) networks, where new projects from different classes (types) arrive to system according to independent Poisson processes with different arrival rates. Each activity of any project is operated at a devoted service station located in a node of the network with exponential distribution according to its class. Indeed, each project arrives to the first service station and continues its routing according to precedence network of its class. Such system can be represented as a queuing network, while the discipline of queues is first come, first served. On the basis of presented method, a multi-class system is decomposed into several single-class dynamic PERT networks, whereas each class is considered separately as a minisystem. In modeling of single-class dynamic PERT network, we use Markov process and a multi-objective model investigated by Azaron and Tavakkoli-Moghaddam in 2007. Then, after obtaining the resources allocated to service stations in every minisystem, the final resources allocated to activities are calculated by the proposed method.

  1. Kickoff to Conflict: A Sequence Analysis of Intra-State Conflict-Preceding Event Structures

    PubMed Central

    D'Orazio, Vito; Yonamine, James E.

    2015-01-01

    While many studies have suggested or assumed that the periods preceding the onset of intra-state conflict are similar across time and space, few have empirically tested this proposition. Using the Integrated Crisis Early Warning System's domestic event data in Asia from 1998–2010, we subject this proposition to empirical analysis. We code the similarity of government-rebel interactions in sequences preceding the onset of intra-state conflict to those preceding further periods of peace using three different metrics: Euclidean, Levenshtein, and mutual information. These scores are then used as predictors in a bivariate logistic regression to forecast whether we are likely to observe conflict in neither, one, or both of the states. We find that our model accurately classifies cases where both sequences precede peace, but struggles to distinguish between cases in which one sequence escalates to conflict and where both sequences escalate to conflict. These findings empirically suggest that generalizable patterns exist between event sequences that precede peace. PMID:25951105

  2. 42 CFR 59.10 - What other HHS regulations apply to grants under this subpart?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false What other HHS regulations apply to grants under this subpart? 59.10 Section 59.10 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.10...

  3. 42 CFR 59.1 - To what programs do these regulations apply?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false To what programs do these regulations apply? 59.1 Section 59.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.1 To what programs do...

  4. 42 CFR 59.1 - To what programs do these regulations apply?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false To what programs do these regulations apply? 59.1 Section 59.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.1 To what programs do...

  5. 42 CFR 59.1 - To what programs do these regulations apply?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false To what programs do these regulations apply? 59.1 Section 59.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.1 To what programs do...

  6. 42 CFR 59.10 - What other HHS regulations apply to grants under this subpart?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false What other HHS regulations apply to grants under this subpart? 59.10 Section 59.10 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.10...

  7. 42 CFR 59.1 - To what programs do these regulations apply?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false To what programs do these regulations apply? 59.1 Section 59.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.1 To what programs do...

  8. 42 CFR 59.10 - What other HHS regulations apply to grants under this subpart?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false What other HHS regulations apply to grants under this subpart? 59.10 Section 59.10 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.10...

  9. 42 CFR 59.1 - To what programs do these regulations apply?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false To what programs do these regulations apply? 59.1 Section 59.1 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.1 To what programs do...

  10. 7 CFR 62.202 - How to apply for service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false How to apply for service. 62.202 Section 62.202 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... AGRICULTURAL COMMODITIES (QUALITY SYSTEMS VERIFICATION PROGRAMS) Quality Systems Verification Programs...

  11. Applying the Ecosystem Services Concept to Public Land Management

    EPA Science Inventory

    We examine the challenges opportunities involved in applying ecosystem services to public lands management, with an emphasis on the work of the USDA Forest Service. We review the history of economics approaches to landscape management, outline a conceptual framework defining the ...

  12. Exogenous energy supply to the plasma membrane of dark anaerobic cyanobacterium Anacystis nidulans: thermodynamic and kinetic characterization of the ATP synthesis effected by an artificial proton motive force.

    PubMed

    Peschek, G A; Hinterstoisser, B; Riedler, M; Muchl, R; Nitschmann, W H

    1986-05-15

    The net synthesis of ATP in dark anaerobic cells of Anacystis nidulans subjected to acid jumps and/or valinomycin pulses was characterized thermodynamically and kinetically. Maximum initial rates of 75 nmol ATP/min per mg dry weight at an applied proton motive force of -350 mV were obtained, the flow-force relationship (rate of ATP synthesis vs applied proton motive force) being linear between -240 and -320 mV irrespective of the source of the proton motive force. The pulse-induced ATP synthesis was inhibited by uncouplers (H+ ionophores) and F0F1-ATPase inhibitors but not by KCN or CO. In order to obtain maximum rates of pulse-induced ATP synthesis both a favorable stationary delta psi (-100 mV at pHo 9, preceding the acid jumps) and a favorable stationary delta pH (+2 units at pHo 4.1, preceding the valinomycin pulse) of the plasma membrane were obligatory, the effects of delta psi and delta pH being strictly additive. Moreover, the pulse-induced ATP synthesis required a minimum total proton motive force of -200 to -250 mV across the plasma membrane; it also required low preexisting phosphorylation potentials corresponding to -400 mV in dark anaerobic, i.e., energy-depleted, cells. The results are discussed in terms of both a reversible H+-ATPase and a respiratory electron transport system occurring in the plasma membrane of intact Anacystis nidulans.

  13. Learners' perspectives on the provision of condoms in South African public schools.

    PubMed

    de Bruin, W E; Panday-Soobrayan, S

    2017-12-01

    A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE's policy by exploring learners' perspectives on the provision of condoms and SRHR-services in schools. Sixteen focus group discussions were conducted with learners (n = 116) from 33 public schools, to assess their attitudes, social influences, and needs and desires regarding condom provision and SRHR-services in schools. The majority of learners did not support condom provision in schools as they feared that it may increase sexual activity. Contrarily, they supported the provision of other SRHR-services as clinics fail to offer youth-friendly services. Learners' sexual behaviour and access to SRHR-services are strongly determined by their social environment, including traditional norms and values, and social-pressure from peers and adults. Learners' most pressing needs and desires to access condoms and SRHR-services in school concerned respect, privacy and confidentiality of such service provision. Implementation of DBE's policy must be preceded by an evidence-informed advocacy campaign to debunk myths about the risk of increased sexual activity, to advocate for why such services are needed, to shift societal norms towards open discussion of adolescent SRHR and to grapple with the juxtaposition of being legally empowered but socially inhibited to protect oneself from HIV, STIs and early pregnancy. Provision of condoms and other SRHR-services in schools must be sensitive to learners' privacy and confidentiality to minimise stigma and discrimination.

  14. Impact of a private health insurance mandate on public sector autism service use in Pennsylvania.

    PubMed

    Stein, Bradley D; Sorbero, Mark J; Goswami, Upasna; Schuster, James; Leslie, Douglas L

    2012-08-01

    Many states have implemented regulations (commonly referred to as waivers) to increase access to publicly insured services for autism spectrum disorders (ASD). In recent years, several states have passed legislation requiring improved coverage for ASD services by private insurers. This study examines the impact of such legislation on use of Medicaid-funded ASD services. We used Medicaid claims data from July 1, 2006, through June 30, 2010, to identify children with ASD and to assess their use of behavioral health services and psychotropic medications. Service and medication use were examined in four consecutive 12-month periods: the 2 years preceding passage of the legislation, the year after passage but before implementation, and the year after implementation. We examined differences in use of services and medications, and used growth rates from nonwaiver children to estimate the impact of the legislation on Medicaid spending for waiver-eligible children with ASD. The number of children with ASD receiving Medicaid services increased 20% from 2006-2007 to 2009-2010. The growth rate among children affected by the legislation was comparable to that of other groups before passage of the legislation but decreased after the legislation's passage. We project that, without the legislation, growth in this population would have been 46% greater in 2009-2010 than observed, associated with spending of more than $8 million in 2009-2010. Passage of legislation increasing private insurance coverage of ASD services may decrease the number of families seeking eligibility to obtain Medicaid-funded services, with an associated substantial decrease in Medicaid expenditures. Copyright © 2012 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

  15. Contact With Mental Health Services Prior to Suicide: A Systematic Review and Meta-Analysis.

    PubMed

    Walby, Fredrik A; Myhre, Martin Øverlien; Kildahl, Anine Therese

    2018-04-16

    Access to mental health care is regarded as a central suicide prevention strategy. This is the first systematic review and meta-analysis of the prevalence of contact with mental health services preceding suicide. A systematic search for articles reporting prevalence of contact with mental health services before suicide was conducted in MEDLINE and PsycINFO, restricted to studies published from January 1, 2000, to January 12, 2017. A random-effects meta-analysis with double arcsine transformations was conducted, with meta-regression used to explore heterogeneity. Thirty-five studies were included in the systematic review, and 20 were included in the meta-analysis. Among suicide decedents in the population, 3.7% (95% confidence interval [CI]=2.6%-4.8%) were inpatients at the time of death. In the year before death, 18.3% (CI=14.6%-22.4%) of suicide decedents had contact with inpatient mental health services, 26.1% (CI=16.5%-37.0%) had contact with outpatient mental health services, and 25.7% (CI=22.7%-28.9%) had contact with inpatient or outpatient mental health services. Meta-regression showed that women had significantly higher levels of contact compared with men and that the prevalence of contact with inpatient or outpatient services increased according to the sample year. Contact with services prior to suicide was found to be common and contact with inpatient or outpatient mental health services before suicide seems to be increasing. However, the reviewed studies were mainly conducted in Western European and North American countries, and most studies focused on psychiatric hospitalization, which resulted in limited data on contact with outpatient services. Better monitoring and data on suicides that occur during and after treatment seem warranted.

  16. 8 CFR 1103.3 - Denials, appeals, and precedent decisions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... types of cases may be appealed. Decisions under the appellate jurisdiction of the Board of Immigration... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Denials, appeals, and precedent decisions... JUSTICE IMMIGRATION REGULATIONS APPEALS, RECORDS, AND FEES § 1103.3 Denials, appeals, and precedent...

  17. 34 CFR 608.31 - How does the Secretary determine the amount of a grant?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... institution during the school year immediately preceding that fiscal year. Number of Pell Grant recipients at all applicant institutions during the school year immediately preceding that fiscal year. (2... year. Number of graduates of all applicant institutions during the school year immediately preceding...

  18. 34 CFR 608.31 - How does the Secretary determine the amount of a grant?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... institution during the school year immediately preceding that fiscal year. Number of Pell Grant recipients at all applicant institutions during the school year immediately preceding that fiscal year. (2... year. Number of graduates of all applicant institutions during the school year immediately preceding...

  19. 34 CFR 608.31 - How does the Secretary determine the amount of a grant?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... institution during the school year immediately preceding that fiscal year. Number of Pell Grant recipients at all applicant institutions during the school year immediately preceding that fiscal year. (2... year. Number of graduates of all applicant institutions during the school year immediately preceding...

  20. 34 CFR 608.31 - How does the Secretary determine the amount of a grant?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... institution during the school year immediately preceding that fiscal year. Number of Pell Grant recipients at all applicant institutions during the school year immediately preceding that fiscal year. (2... year. Number of graduates of all applicant institutions during the school year immediately preceding...

  1. 10 CFR 501.10 - Order of precedence.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Order of precedence. 501.10 Section 501.10 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS General Provisions § 501.10 Order of precedence. If there is any conflict or inconsistency between the provisions of this...

  2. 10 CFR 501.10 - Order of precedence.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Order of precedence. 501.10 Section 501.10 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS General Provisions § 501.10 Order of precedence. If there is any conflict or inconsistency between the provisions of this...

  3. 10 CFR 501.10 - Order of precedence.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Order of precedence. 501.10 Section 501.10 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS General Provisions § 501.10 Order of precedence. If there is any conflict or inconsistency between the provisions of this...

  4. Precedent approach to the formation of programs for cyclic objects control

    NASA Astrophysics Data System (ADS)

    Kulakov, S. M.; Trofimov, V. B.; Dobrynin, A. S.; Taraborina, E. N.

    2018-05-01

    The idea and procedure for formalizing the precedent method of formation of complex control solutions (complex control programs) is discussed with respect to technological or organizational objects, the operation of which is organized cyclically. A typical functional structure of the system of precedent control by complex technological unit is developed, including a subsystem of retrospective optimization of actually implemented control programs. As an example, the problem of constructing replaceable planograms for the operation of the link of a heading-and-winning machine on the basis of precedents is considered.

  5. Maori responsiveness in health and medical research: key issues for researchers (part 1).

    PubMed

    Sporle, Andrew; Koea, Jonathan

    2004-08-06

    Application for contestable government-research funding and ethical approval requires researchers to outline how their intended research project contributes to Maori development or advancement. When formulating their research proposals, the key issues for researchers are research utility, defining Maori, informed consent, confidentiality, issues with human tissues and genetic material, participant remuneration and recognition (koha), intellectual property, and involvement of local Maori health or social services. The most common Maori responsiveness issues in research applications can be readily approached by researchers who address straightforward methodological concerns, by working through precedents established by peers and colleagues, as well as by working with end-users of their research.

  6. Surgery in the nursing home patient.

    PubMed

    Zenilman, M E

    1994-02-01

    Will a Geriatric Surgical Consult Service eventually develop into yet another surgical subspecialty? Precedent has been set in surgical fields such as pediatric and plastic surgery, and surely the expanding patient population will demand that some surgeons take care of the geriatric surgical patient full time. Those surgeons doing so will therefore become recognized experts and will be frequently consulted. The surgical problems faced by this unique patient population observed in our small series are most often straightforward. More complicated issues related to wound and intravenous line care, breast disease, and alimentary tract disease should be easily handled by an aggressive, conscientious, well-trained general surgeon.

  7. Assessment of Steel Reinforcement Corrosion State by Parameters of Potentiodynamic Diagrams

    NASA Astrophysics Data System (ADS)

    Krajči, Ľudovít; Jerga, Ján

    2015-12-01

    The environment of the steel reinforcement has a significant impact on the durability and service life of a concrete structure. It is not only the presence of aggressive substances from the environment, but also the own composition of concrete mixture. The use of new types of cements, additives and admixtures must be preceded by verification, if they themselves shall not initiate the corrosion. There is a need for closer physical expression of the parameters of the potentiodynamic diagrams allowing reliable assessment of the influence of the surrounding environment on electrochemical behaviour of reinforcement. The analysis of zero retardation limits of potentiodynamic curves is presented.

  8. How to create a cardiac CT clinic.

    PubMed

    Dowe, David A

    2007-02-01

    Coronary computed tomography (CT) angiography is taking an exponentially increasing role in the diagnostic algorithm of suspected coronary artery disease. It has the immediate potential of replacing stress tests as the first study a patient receives if suspected of having coronary artery disease. In the near future, it will likely precede all elective, diagnostic cardiac catheterizations secondary to its extraordinary negative predictive value. This paper discusses the 3 building blocks of a successful cardiac CT clinic, image quality, service, and marketing. It then discusses the significant differences in establishing a cardiac CT clinic depending on if the radiologist is hospital based or private office based.

  9. [Childhood diarrhea in rural Nicaragua: beliefs and traditional health practices].

    PubMed

    Gorter, A C; Sánchez, G; Pauw, J; Pérez, R M; Sandiford, P; Smith, G D

    1995-11-01

    In Nicaragua, the principal cause of infant mortality is diarrhea, which is responsible for 40% of these deaths annually. This statistic reflects the low usage of health services and oral rehydration therapy (ORT). In an effort to improve the situation, several studies were carried out in Villa Carlos Fonseca municipio. This report describes two of those studies, one ethnographic and the other epidemiologic (conducted in 1989 and 1990, respectively), to find out beliefs and traditional health practices and their influence on the way in which mothers responded to their children's diarrheal illness. The ethnographic study involved interviewing 70 mothers with an average age of 28 years who had children under 2 years of age. The children represented two groups: one at high risk for diarrhea and the other at low risk. The objectives were to learn the traditional names for diarrhea, the perception of risk, and the treatments that were used. The epidemiologic study included 391 mothers over 14 years of age with one or more children under age 5 years, of whom 215 had had diarrhea in the two weeks preceding the survey. The objectives were to describe local beliefs and health practices and to determine the incidence of diarrheas according to the diagnosis made by the mothers. At least 12 types of diarrhea were identified, for which terms such as "empacho" and "sol de vista" were used. In most cases, the mothers had more confidence in folkloric treatments that they themselves or the traditional healers (curanderos) applied than in the services offered at health centers. This attitude limited their use of health services and ORT, although it was observed that in certain cases traditional treatments were used in combination with those of western medicine. There was a direct but nonsignificant correlation between the level of schooling of the mothers and the frequency with which they visited the health center. The authors suggest the effects of massages, herbal baths, and other traditional treatments should be studied to evaluate their effectiveness and adapt them, to the extent possible, to "modern" medicine. Health services providers should become familiar with traditional nomenclature and beliefs in order to be able to communicate better with mothers and steer them away from harmful practices toward improved results in infant diarrheal disease prevention programs.

  10. 45 CFR 93.300 - Professional and technical services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... services shall be limited to advice and analysis directly applying any professional or technical discipline... analysis directly applying their professional or technical expertise and unless the advice or analysis is... 45 Public Welfare 1 2010-10-01 2010-10-01 false Professional and technical services. 93.300...

  11. 24 CFR 87.300 - Professional and technical services.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... technical services shall be limited to advice and analysis directly applying any professional or technical... analysis directly applying their professional or technical expertise and unless the advice or analysis is... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Professional and technical services...

  12. 22 CFR 311.300 - Professional and technical services.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... technical services shall be limited to advice and analysis directly applying any professional or technical... analysis directly applying their professional or technical expertise and unless the advice or analysis is... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Professional and technical services. 311.300...

  13. 34 CFR 376.4 - What definitions apply to this program?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false What definitions apply to this program? 376.4 Section... project support. (2) Transitional rehabilitation services means any vocational rehabilitation services... advanced learning technology for skills training; and (iv) Follow-up services for individuals placed in...

  14. 34 CFR 376.4 - What definitions apply to this program?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true What definitions apply to this program? 376.4 Section... project support. (2) Transitional rehabilitation services means any vocational rehabilitation services... advanced learning technology for skills training; and (iv) Follow-up services for individuals placed in...

  15. 34 CFR 376.4 - What definitions apply to this program?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false What definitions apply to this program? 376.4 Section... project support. (2) Transitional rehabilitation services means any vocational rehabilitation services... advanced learning technology for skills training; and (iv) Follow-up services for individuals placed in...

  16. National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths.

    PubMed

    Hickey, Edward J; Nosikova, Yaroslavna; Pham-Hung, Eric; Gritti, Michael; Schwartz, Steven; Caldarone, Christopher A; Redington, Andrew; Van Arsdell, Glen S

    2015-02-01

    We hypothesized that the National Aeronautics and Space Administration "threat and error" model (which is derived from analyzing >30,000 commercial flights, and explains >90% of crashes) is directly applicable to pediatric cardiac surgery. We implemented a unit-wide performance initiative, whereby every surgical admission constitutes a "flight" and is tracked in real time, with the aim of identifying errors. The first 500 consecutive patients (524 flights) were analyzed, with an emphasis on the relationship between error cycles and permanent harmful outcomes. Among 524 patient flights (risk adjustment for congenital heart surgery category: 1-6; median: 2) 68 (13%) involved residual hemodynamic lesions, 13 (2.5%) permanent end-organ injuries, and 7 deaths (1.3%). Preoperatively, 763 threats were identified in 379 (72%) flights. Only 51% of patient flights (267) were error free. In the remaining 257 flights, 430 errors occurred, most commonly related to proficiency (280; 65%) or judgment (69, 16%). In most flights with errors (173 of 257; 67%), an unintended clinical state resulted, ie, the error was consequential. In 60% of consequential errors (n = 110; 21% of total), subsequent cycles of additional error/unintended states occurred. Cycles, particularly those containing multiple errors, were very significantly associated with permanent harmful end-states, including residual hemodynamic lesions (P < .0001), end-organ injury (P < .0001), and death (P < .0001). Deaths were almost always preceded by cycles (6 of 7; P < .0001). Human error, if not mitigated, often leads to cycles of error and unintended patient states, which are dangerous and precede the majority of harmful outcomes. Efforts to manage threats and error cycles (through crew resource management techniques) are likely to yield large increases in patient safety. Copyright © 2015. Published by Elsevier Inc.

  17. Creating an inclusive mall environment with the PRECEDE-PROCEED model: a living lab case study.

    PubMed

    Ahmed, Sara; Swaine, Bonnie; Milot, Marc; Gaudet, Caroline; Poldma, Tiiu; Bartlett, Gillian; Mazer, Barbara; Le Dorze, Guylaine; Barbic, Skye; Rodriguez, Ana Maria; Lefebvre, Hélène; Archambault, Philippe; Kairy, Dahlia; Fung, Joyce; Labbé, Delphine; Lamontagne, Anouk; Kehayia, Eva

    2017-10-01

    Although public environments provide opportunities for participation and social inclusion, they are not always inclusive spaces and may not accommodate the wide diversity of people. The Rehabilitation Living Lab in the Mall is a unique, interdisciplinary, and multi-sectoral research project with an aim to transform a shopping complex in Montreal, Canada, into an inclusive environment optimizing the participation and social inclusion of all people. The PRECEDE-PROCEDE Model (PPM), a community-oriented and participatory planning model, was applied as a framework. The PPM is comprised of nine steps divided between planning, implementation, and evaluation. The PPM is well suited as a framework for the development of an inclusive mall. Its ecological approach considers the environment, as well as the social and individual factors relating to mall users' needs and expectations. Transforming a mall to be more inclusive is a complex process involving many stakeholders. The PPM allows the synthesis of several sources of information, as well as the identification and prioritization of key issues to address. The PPM also helps to frame and drive the implementation and evaluate the components of the project. This knowledge can help others interested in using the PPM to create similar enabling and inclusive environments world-wide. Implication for rehabilitation While public environments provide opportunities for participation and social inclusion, they are not always inclusive spaces and may not accommodate the wide diversity of people. The PRECEDE PROCEDE Model (PPM) is well suited as a framework for the development, implementation, and evaluation of an inclusive mall. Environmental barriers can negatively impact the rehabilitation process by impeding the restoration and augmentation of function. Removing barriers to social participation and independent living by improving inclusivity in the mall and other environments positively impacts the lives of people with disabilities.

  18. Rapid induction of single donor chimerism after double umbilical cord blood transplantation preceded by reduced intensity conditioning: results of the HOVON 106 phase II study

    PubMed Central

    Somers, Judith A.E.; Braakman, Eric; van der Holt, Bronno; Petersen, Eefke J.; Marijt, Erik W.A.; Huisman, Cynthia; Sintnicolaas, Kees; Oudshoorn, Machteld; Groenendijk-Sijnke, Marlies E.; Brand, Anneke; Cornelissen, Jan J.

    2014-01-01

    Double umbilical cord blood transplantation is increasingly applied in the treatment of adult patients with high-risk hematological malignancies and has been associated with improved engraftment as compared to that provided by single unit cord blood transplantation. The mechanism of improved engraftment is, however, still incompletely understood as only one unit survives. In this multicenter phase II study we evaluated engraftment, early chimerism, recovery of different cell lineages and transplant outcome in 53 patients who underwent double cord blood transplantation preceded by a reduced intensity conditioning regimen. Primary graft failure occurred in one patient. Engraftment was observed in 92% of patients with a median time to neutrophil recovery of 36 days (range, 15–102). Ultimate single donor chimerism was established in 94% of patients. Unit predominance occurred by day 11 after transplantation and early CD4+ T-cell chimerism predicted for unit survival. Total nucleated cell viability was also associated with unit survival. With a median follow up of 35 months (range, 10–51), the cumulative incidence of relapse and non-relapse mortality rate at 2 years were 39% and 19%, respectively. Progressionfree survival and overall survival rates at 2 years were 42% (95% confidence interval, 28–56) and 57% (95% confidence interval, 43–70), respectively. Double umbilical cord blood transplantation preceded by a reduced intensity conditioning regimen using cyclophosphamide/fludarabine/4 Gy total body irradiation results in a high engraftment rate with low non-relapse mortality. Moreover, prediction of unit survival by early CD4+ lymphocyte chimerism might suggest a role for CD4+ lymphocyte mediated unit-versus-unit alloreactivity. www.trialregister.nl NTR1573. PMID:25107890

  19. Pedi-cap color change precedes a significant increase in heart rate during neonatal resuscitation.

    PubMed

    Blank, Doug; Rich, Wade; Leone, Tina; Garey, Donna; Finer, Neil

    2014-11-01

    Heart rate is the most important indicator of infant well-being during neonatal resuscitation. The Nellcor Pedi-Cap turns gold when exposed to exhaled gas with CO₂>15 mmHg. The aim of this study was to determine if Pedi-Cap gold color change during neonatal resuscitation precedes an increase in heart rate in babies with bradycardia receiving mask ventilation. This was a single-center retrospective review of video recordings and physiologic data of newborns with bradycardia receiving mask positive pressure ventilation during neonatal resuscitation. Subjects were included if the baby's HR<100 BPM within the first 90 s of resuscitation. The primary outcome was the change in HR prior to Pedi-Cap gold color change compared to the HR after Pedi-Cap gold color change. Forty-one newborns during the study period had HR<100 BPM and received mask positive pressure ventilation with a Pedi-Cap. The median heart rate 10s prior to Pedi-Cap gold color change was 75 BPM (IQR 62-85) and increased to 136 BPM (IQR 113-158) 30 s after gold color change (p<0.001). SpO₂ increased from 45 ± 17% prior to Pedi-Cap gold color change to 52 ± 17% 30s after gold color change (p=0.001). Colorimetric CO₂ detection during mask positive pressure ventilation in neonatal resuscitation precedes a significant increase in heart rate and SpO₂. The Pedi-Cap can be easily applied during resuscitation, requires no electricity, provides immediate feedback and may be a useful, simple tool early in resuscitation and may be especially useful in resource limited settings. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  20. Postural stability and ankle sprain history in athletes compared to uninjured controls.

    PubMed

    Huurnink, Arnold; Fransz, Duncan P; Kingma, Idsart; Verhagen, Evert A L M; van Dieën, Jaap H

    2014-02-01

    Diminished postural stability is a risk factor for ankle sprain occurrence and ankle sprains result in impaired postural stability. To date, ankle sprain history has not been taken into account as a determinant of postural stability, while it could possibly specify subgroups of interest. Postural stability was compared between 18 field hockey athletes who had recovered from an ankle sprain (mean (SD); 3.6 (1.5) months post-injury), and 16 uninjured controls. Force plate and kinematics parameters were calculated during single-leg standing: mean center of pressure speed, mean absolute horizontal ground reaction force, mean absolute ankle angular velocity, and mean absolute hip angular velocity. Additionally, cluster analysis was applied to the 'injured' participants, and the cluster with diminished postural stability was compared to the other participants with respect to ankle sprain history. MANCOVA showed no significant difference between groups in postural stability (P = 0.68). A self-reported history of an (partial) ankle ligament rupture was typically present in the cluster with diminished postural stability. Subsequently, a 'preceding rupture' was added as a factor in the MANCOVA, which showed a significant association between diminished postural stability and a 'preceding rupture' (P = 0.01), for all four individual parameters (P: 0.001-0.029; Cohen's d: 0.96-2.23). Diminished postural stability is not apparent in all previously injured athletes. However, our analysis suggests that an (mild) ankle sprain with a preceding severe ankle sprain is associated with impaired balance ability. Therefore, sensorimotor training may be emphasized in this particular group and caution is warranted in return to play decisions. Copyright © 2013 Elsevier Ltd. All rights reserved.

  1. Gear Durability Shown To Be Improved by Superfinishing

    NASA Technical Reports Server (NTRS)

    Krautz, Timothy L.

    2000-01-01

    Gears, bearings, and similar mechanical elements transmit loads through contacting surfaces. At the NASA Glenn Research Center at Lewis Field, we postulated that the fatigue lives of gears could be improved by providing smoother tooth surfaces. A superfinishing process was applied to a set of conventionally ground, aerospace-quality gears. This process produced a highly polished, mirrorlike surface as shown in the preceding photograph. The surface fatigue lives of both superfinished and conventionally ground gears were measured by experiments. The superfinished gears survived about four times longer than the conventionally ground gears. These superfinished gears were produced from conventionally ground, aerospace-quality gears whose geometry had been inspected. The gears were superfinished by placing them in a vibrating bath consisting of water, detergent, abrasive powder, and small pieces of zinc. Upon removal from the bath, the surfaces were highly polished, as depicted in the preceding photograph. The gears were again inspected, and dimensional measurements made before and after the superfinishing operation were compared. Superfinishing removed the peaks of the grinding marks and left a much smoother surface. Profile and spacing checks proved that the overall gear tooth shape was not affected in any harmful way. Superfinishing uniformly removed approximately 2.5 microns from each surface.

  2. Achievability of 3D planned bimaxillary osteotomies: maxilla-first versus mandible-first surgery.

    PubMed

    Liebregts, Jeroen; Baan, Frank; de Koning, Martien; Ongkosuwito, Edwin; Bergé, Stefaan; Maal, Thomas; Xi, Tong

    2017-08-24

    The present study was aimed to investigate the effects of sequencing a two-component surgical procedure for correcting malpositioned jaws (bimaxillary osteotomies); specifically, surgical repositioning of the upper jaw-maxilla, and the lower jaw-mandible. Within a population of 116 patients requiring bimaxillary osteotomies, the investigators analyzed whether there were statistically significant differences in postoperative outcome as measured by concordance with a preoperative digital 3D virtual treatment plan. In one group of subjects (n = 58), the maxillary surgical procedure preceded the mandibular surgery. In the second group (n = 58), the mandibular procedure preceded the maxillary surgical procedure. A semi-automated analysis tool (OrthoGnathicAnalyser) was applied to assess the concordance of the postoperative maxillary and mandibular position with the cone beam CT-based 3D virtual treatment planning in an effort to minimize observer variability. The results demonstrated that in most instances, the maxilla-first surgical approach yielded closer concordance with the 3D virtual treatment plan than a mandibular-first procedure. In selected circumstances, such as a planned counterclockwise rotation of both jaws, the mandible-first sequence resulted in more predictable displacements of the jaws.

  3. Neurological evidence linguistic processes precede perceptual simulation in conceptual processing.

    PubMed

    Louwerse, Max; Hutchinson, Sterling

    2012-01-01

    There is increasing evidence from response time experiments that language statistics and perceptual simulations both play a role in conceptual processing. In an EEG experiment we compared neural activity in cortical regions commonly associated with linguistic processing and visual perceptual processing to determine to what extent symbolic and embodied accounts of cognition applied. Participants were asked to determine the semantic relationship of word pairs (e.g., sky - ground) or to determine their iconic relationship (i.e., if the presentation of the pair matched their expected physical relationship). A linguistic bias was found toward the semantic judgment task and a perceptual bias was found toward the iconicity judgment task. More importantly, conceptual processing involved activation in brain regions associated with both linguistic and perceptual processes. When comparing the relative activation of linguistic cortical regions with perceptual cortical regions, the effect sizes for linguistic cortical regions were larger than those for the perceptual cortical regions early in a trial with the reverse being true later in a trial. These results map upon findings from other experimental literature and provide further evidence that processing of concept words relies both on language statistics and on perceptual simulations, whereby linguistic processes precede perceptual simulation processes.

  4. Neurological Evidence Linguistic Processes Precede Perceptual Simulation in Conceptual Processing

    PubMed Central

    Louwerse, Max; Hutchinson, Sterling

    2012-01-01

    There is increasing evidence from response time experiments that language statistics and perceptual simulations both play a role in conceptual processing. In an EEG experiment we compared neural activity in cortical regions commonly associated with linguistic processing and visual perceptual processing to determine to what extent symbolic and embodied accounts of cognition applied. Participants were asked to determine the semantic relationship of word pairs (e.g., sky – ground) or to determine their iconic relationship (i.e., if the presentation of the pair matched their expected physical relationship). A linguistic bias was found toward the semantic judgment task and a perceptual bias was found toward the iconicity judgment task. More importantly, conceptual processing involved activation in brain regions associated with both linguistic and perceptual processes. When comparing the relative activation of linguistic cortical regions with perceptual cortical regions, the effect sizes for linguistic cortical regions were larger than those for the perceptual cortical regions early in a trial with the reverse being true later in a trial. These results map upon findings from other experimental literature and provide further evidence that processing of concept words relies both on language statistics and on perceptual simulations, whereby linguistic processes precede perceptual simulation processes. PMID:23133427

  5. 40 CFR 80.170 - Volumetric additive reconciliation (VAR), equipment calibration, and recordkeeping requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., the preceding twelve months of VAR formula records plus the preceding two months of VAR supporting... request, the preceding two months of VAR formula records and VAR supporting documentation. (3) Facilities... accurately and separately measured, either through the use of a separate storage tank, a separate meter, or...

  6. 40 CFR 80.170 - Volumetric additive reconciliation (VAR), equipment calibration, and recordkeeping requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., the preceding twelve months of VAR formula records plus the preceding two months of VAR supporting... request, the preceding two months of VAR formula records and VAR supporting documentation. (3) Facilities... accurately and separately measured, either through the use of a separate storage tank, a separate meter, or...

  7. 40 CFR 80.170 - Volumetric additive reconciliation (VAR), equipment calibration, and recordkeeping requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., the preceding twelve months of VAR formula records plus the preceding two months of VAR supporting... request, the preceding two months of VAR formula records and VAR supporting documentation. (3) Facilities... accurately and separately measured, either through the use of a separate storage tank, a separate meter, or...

  8. 40 CFR 80.170 - Volumetric additive reconciliation (VAR), equipment calibration, and recordkeeping requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., the preceding twelve months of VAR formula records plus the preceding two months of VAR supporting... request, the preceding two months of VAR formula records and VAR supporting documentation. (3) Facilities... accurately and separately measured, either through the use of a separate storage tank, a separate meter, or...

  9. 40 CFR 80.170 - Volumetric additive reconciliation (VAR), equipment calibration, and recordkeeping requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., the preceding twelve months of VAR formula records plus the preceding two months of VAR supporting... request, the preceding two months of VAR formula records and VAR supporting documentation. (3) Facilities... accurately and separately measured, either through the use of a separate storage tank, a separate meter, or...

  10. Perspective-Free Pragmatics: Broken Precedents and the Recovery-from-Preemption Hypothesis

    ERIC Educational Resources Information Center

    Kronmuller, Edmundo; Barr, Dale J.

    2007-01-01

    When speakers refer to the same referent multiple times in a conversation, they tend to follow established patterns of usage, known as "conversational precedents." Research has found that listeners expect speakers to follow precedents, and that this expectation guides their search for referents (Barr, D. J., & Keysar, B. (2002). "Anchoring…

  11. 26 CFR 25.2504-1 - Taxable gifts for preceding calendar periods.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 14 2010-04-01 2010-04-01 false Taxable gifts for preceding calendar periods... (CONTINUED) ESTATE AND GIFT TAXES GIFT TAX; GIFTS MADE AFTER DECEMBER 31, 1954 Determination of Tax Liability § 25.2504-1 Taxable gifts for preceding calendar periods. (a) In order to determine the correct gift...

  12. An improved car-following model with multiple preceding cars' velocity fluctuation feedback

    NASA Astrophysics Data System (ADS)

    Guo, Lantian; Zhao, Xiangmo; Yu, Shaowei; Li, Xiuhai; Shi, Zhongke

    2017-04-01

    In order to explore and evaluate the effects of velocity variation trend of multiple preceding cars used in the Cooperative Adaptive Cruise Control (CACC) strategy on the dynamic characteristic, fuel economy and emission of the corresponding traffic flow, we conduct a study as follows: firstly, with the real-time car-following (CF) data, the close relationship between multiple preceding cars' velocity fluctuation feedback and the host car's behaviors is explored, the evaluation results clearly show that multiple preceding cars' velocity fluctuation with different time window-width are highly correlated to the host car's acceleration/deceleration. Then, a microscopic traffic flow model is proposed to evaluate the effects of multiple preceding cars' velocity fluctuation feedback in the CACC strategy on the traffic flow evolution process. Finally, numerical simulations on fuel economy and exhaust emission of the traffic flow are also implemented by utilizing VT-micro model. Simulation results prove that considering multiple preceding cars' velocity fluctuation feedback in the control strategy of the CACC system can improve roadway traffic mobility, fuel economy and exhaust emission performance.

  13. Planning estimates for the provision of core mental health services in Queensland 2007 to 2017.

    PubMed

    Harris, Meredith G; Buckingham, William J; Pirkis, Jane; Groves, Aaron; Whiteford, Harvey

    2012-10-01

    To derive planning estimates for the provision of public mental health services in Queensland 2007-2017. We used a five-step approach that involved: (i) estimating the prevalence and severity of mental disorders in Queensland, and the number of people at each level of severity treated by health services; (ii) benchmarking the level and mix of specialised mental health services in Queensland against national data; (iii) examining 5-year trends in Queensland public sector mental health service utilisation; (iv) reviewing Australian and international planning benchmarks; and (v) setting resource targets based on the results of the preceding four steps. Best available evidence was used where possible, supplemented by value judgements as required. Recommended resource targets for inpatient service were: 20 acute beds per 100,000 population, consistent with national average service provision but 13% above Queensland provision in 2005; and 10 non-acute beds per 100,000, 65% below Queensland levels in 2005. Growth in service provision was recommended for all other components. Adult residential rehabilitation service targets were 10 clinical 24-hour staffed beds per 100,000, and 18 non-clinical beds per 100,000. Supported accommodation targets were 35 beds per 100,000 in supervised hostels and 35 places per 100,000 in supported public housing. A direct care clinical workforce of 70 FTE per 100,000 for ambulatory care services was recommended. Fifteen per cent of total mental health funding was recommended for community support services provided by non-government organisations. The recommended targets pointed to specific areas for priority in Queensland, notably the need for additional acute inpatient services for older persons and expansion of clinical ambulatory care, residential rehabilitation and supported accommodation services. The development of nationally agreed planning targets for public mental health services and the mental health community support sector were identified as priorities.

  14. Task Analysis for Health Occupations. Cluster: Rehabilitation Services. Occupation: Physical Therapist Assistant. Education for Employment Task Lists.

    ERIC Educational Resources Information Center

    Lathrop, Janice

    Task analyses are provided for two duty areas for the occupation of physical therapist assistant in the rehabilitation services cluster. Ten tasks are listed for the duty area "providing therapeutic measures": apply cold compress, administer hot soak, apply heat lamp, apply warm compress, apply ice bag, assist with dressing change, apply…

  15. 42 CFR 62.58 - What other regulations apply?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... assistance through the Department of Health and Human Services-Effectuation of title VI of the Civil Rights... 42 Public Health 1 2012-10-01 2012-10-01 false What other regulations apply? 62.58 Section 62.58 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS...

  16. 42 CFR 62.58 - What other regulations apply?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... assistance through the Department of Health and Human Services-Effectuation of title VI of the Civil Rights... 42 Public Health 1 2011-10-01 2011-10-01 false What other regulations apply? 62.58 Section 62.58 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS...

  17. 42 CFR 62.58 - What other regulations apply?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... assistance through the Department of Health and Human Services-Effectuation of title VI of the Civil Rights... 42 Public Health 1 2010-10-01 2010-10-01 false What other regulations apply? 62.58 Section 62.58 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS...

  18. 42 CFR 62.58 - What other regulations apply?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... assistance through the Department of Health and Human Services-Effectuation of title VI of the Civil Rights... 42 Public Health 1 2013-10-01 2013-10-01 false What other regulations apply? 62.58 Section 62.58 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS...

  19. 42 CFR 62.58 - What other regulations apply?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... assistance through the Department of Health and Human Services-Effectuation of title VI of the Civil Rights... 42 Public Health 1 2014-10-01 2014-10-01 false What other regulations apply? 62.58 Section 62.58 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS...

  20. 42 CFR 491.9 - Provision of services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... services offered by the clinic or center are furnished in accordance with applicable Federal, State, and local laws; and (2) The clinic or center is primarily engaged in providing outpatient health services... this section apply to RHCs, but do not apply to FQHCs. (b) Patient care policies. (1) The clinic's or...

  1. 42 CFR 491.9 - Provision of services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... services offered by the clinic or center are furnished in accordance with applicable Federal, State, and local laws; and (2) The clinic or center is primarily engaged in providing outpatient health services... this section apply to RHCs, but do not apply to FQHCs. (b) Patient care policies. (1) The clinic's or...

  2. 42 CFR 491.9 - Provision of services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... services offered by the clinic or center are furnished in accordance with applicable Federal, State, and local laws; and (2) The clinic or center is primarily engaged in providing outpatient health services... this section apply to RHCs, but do not apply to FQHCs. (b) Patient care policies. (1) The clinic's or...

  3. 76 FR 4726 - Avaya Global Services, AOS Service Delivery, Worldwide Services Group, Including Workers Whose...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-26

    ..., Texas and Wisconsin Reporting to the Network Operations Center (NOC), Research Triangle Park, NC; Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance In accordance with... a Certification of Eligibility to Apply for Worker Adjustment Assistance on October 20, 2010...

  4. 42 CFR 59a.16 - What other conditions apply?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS NATIONAL LIBRARY OF MEDICINE GRANTS Establishment of Regional Medical Libraries § 59a.16 What other conditions apply? Although... part 74. (b) Library resources—(1) Provision of services. The grantee shall modify and increase its...

  5. 42 CFR 59a.16 - What other conditions apply?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS NATIONAL LIBRARY OF MEDICINE GRANTS Establishment of Regional Medical Libraries § 59a.16 What other conditions apply? Although... part 74. (b) Library resources—(1) Provision of services. The grantee shall modify and increase its...

  6. 42 CFR 59a.16 - What other conditions apply?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS NATIONAL LIBRARY OF MEDICINE GRANTS Establishment of Regional Medical Libraries § 59a.16 What other conditions apply? Although... part 74. (b) Library resources—(1) Provision of services. The grantee shall modify and increase its...

  7. 42 CFR 59a.16 - What other conditions apply?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS NATIONAL LIBRARY OF MEDICINE GRANTS Establishment of Regional Medical Libraries § 59a.16 What other conditions apply? Although... part 74. (b) Library resources—(1) Provision of services. The grantee shall modify and increase its...

  8. 42 CFR 59a.16 - What other conditions apply?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS NATIONAL LIBRARY OF MEDICINE GRANTS Establishment of Regional Medical Libraries § 59a.16 What other conditions apply? Although... part 74. (b) Library resources—(1) Provision of services. The grantee shall modify and increase its...

  9. Applying GRA and QFD to Improve Library Service Quality

    ERIC Educational Resources Information Center

    Chen, Yen-Ting; Chou, Tsung-Yu

    2011-01-01

    This paper applied Grey Relational Analysis (GRA) to Quality Function Deployment (QFD) to identify service improvement techniques for an academic library. First, reader needs and their importance, and satisfaction degrees were examined via questionnaires. Second, the service improvement techniques for satisfying the reader needs were developed by…

  10. 29 CFR 93.300 - Professional and technical services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... technical services shall be limited to advice and analysis directly applying any professional or technical... analysis directly applying their professional or technical expertise and unless the advice or analysis is... 29 Labor 1 2011-07-01 2011-07-01 false Professional and technical services. 93.300 Section 93.300...

  11. Emotion strengthens high priority memory traces but weakens low priority memory traces

    PubMed Central

    Sakaki, Michiko; Fryer, Kellie; Mather, Mara

    2014-01-01

    When encountering emotional events, memory for those events is typically enhanced. But it has been unclear how emotionally arousing events influence memory for preceding information. Does emotional arousal induce retrograde amnesia or retrograde enhancement? The current study revealed that this depends on the top-down goal relevance of the preceding information. Across three studies, we found that emotional arousal induced by one image facilitated memory for the preceding neutral item when people prioritized that neutral item. In contrast, an emotional image impaired memory for the preceding neutral item when people did not prioritize that neutral item. Emotional arousal elicited by negative and positive pictures both showed this pattern of enhancing or impairing memory for the preceding stimulus depending on its priority. These results indicate that emotional arousal amplifies the effects of top-down priority in memory formation. PMID:24311478

  12. Liquefaction of Saturated Soil and the Diffusion Equation

    NASA Astrophysics Data System (ADS)

    Sawicki, Andrzej; Sławińska, Justyna

    2015-06-01

    The paper deals with the diffusion equation for pore water pressures with the source term, which is widely promoted in the marine engineering literature. It is shown that such an equation cannot be derived in a consistent way from the mass balance and the Darcy law. The shortcomings of the artificial source term are pointed out, including inconsistencies with experimental data. It is concluded that liquefaction and the preceding process of pore pressure generation and the weakening of the soil skeleton should be described by constitutive equations within the well-known framework of applied mechanics. Relevant references are provided

  13. The trials of Hanna Porn: the campaign to abolish midwifery in Massachusetts.

    PubMed

    Declercq, E R

    1994-06-01

    The case of Hanna Porn affords an opportunity to examine how the laws that led to the abolition of midwifery in Massachusetts evolved and were applied to the midwife whose case set the state legal precedent. Mrs Porn served primarily a Finnish-Swedish clientele of wives of laborers. The outcomes of the births she attended appear to have been positive, and she maintained a neonatal mortality rate of less than half that of local physicians. She also repeatedly defied court orders to stop practicing. Her case exemplifies the efforts that occurred nationally to abolish midwifery in the United States.

  14. The action uncertainty principle and quantum gravity

    NASA Astrophysics Data System (ADS)

    Mensky, Michael B.

    1992-02-01

    Results of the path-integral approach to the quantum theory of continuous measurements have been formulated in a preceding paper in the form of an inequality of the type of the uncertainty principle. The new inequality was called the action uncertainty principle, AUP. It was shown that the AUP allows one to find in a simple what outputs of the continuous measurements will occur with high probability. Here a more simple form of the AUP will be formulated, δ S≳ħ. When applied to quantum gravity, it leads in a very simple way to the Rosenfeld inequality for measurability of the average curvature.

  15. The concentration principle applied to spaceborne solar arrays. AGORA mission: Studies synthesis

    NASA Astrophysics Data System (ADS)

    Laget, R.

    1986-01-01

    Studies that led to selection of the distributed 25 kW SARA LOUVRE concept for the solar cell generator to be flown on the AGORA asteroid mission, and the major characteristics of such a spaceborne solar array are summarized. In the SARA LOUVRE concept, a parabolic cross section reflector concentrates incident light over the rear face of the identical, preceding reflector dish. The whole set of reflectors is pivotally commanded, thus compensating the effects of depointing. Geometric concentration factor is 10. End of life power level at 2.5 AU is 4.5 kW.

  16. Simulation of noise involved in synthetic aperture radar

    NASA Astrophysics Data System (ADS)

    Grandchamp, Myriam; Cavassilas, Jean-Francois

    1996-08-01

    The synthetic aperture radr (SAR) returns from a linear distribution of scatterers are simulated and processed in order to estimate the reflectivity coefficients of the ground. An original expression of this estimate is given, which establishes the relation between the terms of signal and noise. Both are compared. One application of this formulation consists of detecting a surface ship wake on a complex SAR image. A smoothing is first accomplished on the complex image. The choice of the integration area is determined by the preceding mathematical formulation. Then a differential filter is applied, and results are shown for two parts of the wake.

  17. KSC-04pd1483

    NASA Image and Video Library

    2004-07-19

    KENNEDY SPACE CENTER, FLA. - Workers from the Johns Hopkins University Applied Physics Laboratory in Laurel, Md. get ready to “bag” the MESSENGER (Mercury Surface, Space Environment, Geochemistry and Ranging) spacecraft in the background at Astrotech Space Operations in Titusville, Fla. Placing a protective cover around the Mercury-bound MESSENGER precedes its placement in a transportation canister for the journey to Launch Pad 17-B at Cape Canaveral Air Force Station, Fla. Liftoff of MESSENGER aboard a Boeing Delta II Heavy rocket is scheduled for Aug. 2. The spacecraft is expected to reach orbit around the planet in March 2011. MESSENGER was built for NASA by APL.

  18. KSC-04pd1484

    NASA Image and Video Library

    2004-07-19

    KENNEDY SPACE CENTER, FLA. - Workers from the Johns Hopkins University Applied Physics Laboratory in Laurel, Md., begin placing a protective cover around the MESSENGER (Mercury Surface, Space Environment, Geochemistry and Ranging) spacecraft at Astrotech Space Operations in Titusville, Fla. Bagging the Mercury-bound MESSENGER precedes its placement in a transportation canister for the journey to Launch Pad 17-B at Cape Canaveral Air Force Station, Fla. Liftoff of MESSENGER aboard a Boeing Delta II Heavy rocket is scheduled for Aug. 2. The spacecraft is expected to reach orbit around the planet in March 2011. MESSENGER was built for NASA by APL.

  19. KSC-04pd1485

    NASA Image and Video Library

    2004-07-19

    KENNEDY SPACE CENTER, FLA. - Workers at Astrotech Space Operations in Titusville, Fla., place a protective cover around the MESSENGER (Mercury Surface, Space Environment, Geochemistry and Ranging) spacecraft at Astrotech Space Operations in Titusville, Fla. Bagging the Mercury-bound MESSENGER precedes its placement in a transportation canister for the journey to Launch Pad 17-B at Cape Canaveral Air Force Station, Fla. Liftoff of MESSENGER aboard a Boeing Delta II Heavy rocket is scheduled for Aug. 2. The spacecraft is expected to reach orbit around the planet in March 2011. MESSENGER was built for NASA by the Johns Hopkins University Applied Physics Laboratory in Laurel, Md.

  20. [Regulation of the use of animals in Brazil in the twentieth century and the process of forming the current regime applied to biomedical research].

    PubMed

    Machado, Carlos José Saldanha; Filipecki, Ana Tereza Pinto; Teixeira, Márcia de Oliveira; Klein, Helena Espellet

    2010-03-01

    The article analyzes Brazilian public policy and legislation concerning the use of animals in teaching and biomedical research. It examines the institutional and judicial framework and legal status of animal protection in Brazil, including the legislative debate that preceded enactment of Law 11.794/2008, which defined procedures to be employed in the scientific use of animals. It underscores certain features of current regulatory practice and also explores considerations of a theoretical and methodological nature, with a view to broadening our understanding of the question.

  1. [Prevalence of intimate partner violence and its impact on women's mental health in rural western China: a study of a county in Ningxia].

    PubMed

    Gao, Yan-qiu; Jacka, Tamara

    2012-06-18

    To understand the prevalence of intimate partner violence (IPV) and its impact on women's mental health in rural western China. Using the revised Conflict Tactics Scale (CTS2) and a questionnaire designed by the authors, a sample of 1 577 women was surveyed in a county in Ningxia. In the study, 24.6% of the women reported had suffered psychological aggression in the preceding year, with the prevalence rates of minor and severe psychological aggression being 23.9% and 7.0% respectively; 5.5% of the women had suffered physical assault in the preceding year, with the rates of minor and severe physical assault being 4.4% and 4.1% respectively. And 1.1% of the women reported had suffered sexual coercion in the preceding year; 2.2% of the women reported received physical injuries as a result of IPV in the preceding year, with the rates of minor and severe physical injury being 2.1% and 1.0% respectively. The lifetime prevalence of psychological aggression, physical assault, and sexual coercion was 30%, 16.3%, and 1.8% respectively. Among the women, 6.4% reported had been physically injured by IPV during their lifetime. Three aspects of women's mental health were considered: mental health symptoms in the preceding month, suicidal ideation in the preceding year and self-reported mental health in the preceding year. Linear regression and Logistic regression showed that, when age, family income and whether or not the woman's husband was a migrant worker was taken in to account, IPV remained an important factor influencing women's mental health, with those who had suffered physical aggression or physical assault reporting more mental health symptoms in the preceding month. The women who had suffered psychological aggression in the preceding year were 3.98 times more likely to have had suicidal thoughts in the preceding year and 1.67 times more likely to report poor mental health than those who had not suffered psychological aggression. The women who had suffered physical assault in the preceding year were 4.72 times more likely to have had suicidal thoughts in the preceding year and 4.57 times more likely to report poor mental health than those who had not suffered physical assault. The study also revealed that elderly women and those with very low family incomes were at high risk of having mental health problems. Domestic violence poses a severe threat to women's physical and mental health. In future, effective measures must be taken to reduce the prevalence of all forms of IPV in rural areas, so as to protect women and improve their quality of life.

  2. Vacuum Attachment for XRF Scanner

    NASA Technical Reports Server (NTRS)

    Schramm, Harry F.; Kaiser, Bruce

    2005-01-01

    Vacuum apparatuses have been developed for increasing the range of elements that can be identified by use of x-ray fluorescent (XRF) scanners of the type mentioned in the two immediately preceding articles. As a consequence of the underlying physical principles, in the presence of air, such an XRF scanner is limited to analysis of chlorine and elements of greater atomic number. When the XRF scanner is operated in a vacuum, it extends the range of analysis to lower atomic numbers - even as far as aluminum and sodium. Hence, more elements will be available for use in XRF labeling of objects as discussed in the two preceding articles. The added benefits of the extended capabilities also have other uses for NASA. Detection of elements of low atomic number is of high interest to the aerospace community. High-strength aluminum alloys will be easily analyzed for composition. Silicon, a major contaminant in certain processes, will be detectable before the process is begun, possibly eliminating weld or adhesion problems. Exotic alloys will be evaluated for composition prior to being placed in service where lives depend on them. And in the less glamorous applications, such as bolts and fasteners, substandard products and counterfeit items will be evaluated at the receiving function and never allowed to enter the operation

  3. 42 CFR 50.607 - Other HHS regulations that apply.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ....607 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS POLICIES OF... Funding Is Sought § 50.607 Other HHS regulations that apply. Several other regulations and policies apply... 45 CFR part 74—Uniform Administrative Requirements for Awards and Subawards to Institutions of Higher...

  4. 48 CFR 334.201 - Policy.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... & Validation services), steady state operations, basic and applied research, and routine services (e.g... of the cognizant HCA. (b) EVM is not required, but may be applied with prior written approval of the...(s) under FAR Part 12. (c) When full EVM is required on a prime contract, it applies to subcontracts...

  5. 25 CFR 900.136 - Do tribal employment rights ordinances apply to construction contracts and subcontracts?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Do tribal employment rights ordinances apply to... OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER... rights ordinances apply to construction contracts and subcontracts? Yes. Tribal employment rights...

  6. 42 CFR 64.9 - Other HHS regulations that apply.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Other HHS regulations that apply. 64.9 Section 64.9 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING NATIONAL LIBRARY OF MEDICINE TRAINING GRANTS § 64.9 Other HHS regulations that apply. Several...

  7. 42 CFR 64.9 - Other HHS regulations that apply.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Other HHS regulations that apply. 64.9 Section 64.9 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING NATIONAL LIBRARY OF MEDICINE TRAINING GRANTS § 64.9 Other HHS regulations that apply. Several...

  8. 42 CFR 64.7 - What other conditions apply?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false What other conditions apply? 64.7 Section 64.7 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING NATIONAL LIBRARY OF MEDICINE TRAINING GRANTS § 64.7 What other conditions apply? (a) Grants...

  9. 42 CFR 64.9 - Other HHS regulations that apply.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Other HHS regulations that apply. 64.9 Section 64.9 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING NATIONAL LIBRARY OF MEDICINE TRAINING GRANTS § 64.9 Other HHS regulations that apply. Several...

  10. 42 CFR 64.7 - What other conditions apply?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false What other conditions apply? 64.7 Section 64.7 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING NATIONAL LIBRARY OF MEDICINE TRAINING GRANTS § 64.7 What other conditions apply? (a) Grants...

  11. 42 CFR 64.7 - What other conditions apply?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false What other conditions apply? 64.7 Section 64.7 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING NATIONAL LIBRARY OF MEDICINE TRAINING GRANTS § 64.7 What other conditions apply? (a) Grants...

  12. 42 CFR 64.7 - What other conditions apply?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false What other conditions apply? 64.7 Section 64.7 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING NATIONAL LIBRARY OF MEDICINE TRAINING GRANTS § 64.7 What other conditions apply? (a) Grants...

  13. 42 CFR 64.7 - What other conditions apply?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false What other conditions apply? 64.7 Section 64.7 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING NATIONAL LIBRARY OF MEDICINE TRAINING GRANTS § 64.7 What other conditions apply? (a) Grants...

  14. General contrast effects in speech perception: effect of preceding liquid on stop consonant identification.

    PubMed

    Lotto, A J; Kluender, K R

    1998-05-01

    When members of a series of synthesized stop consonants varying acoustically in F3 characteristics and varying perceptually from /da/ to /ga/ are preceded by /al/, subjects report hearing more /ga/ syllables relative to when each member is preceded by /ar/ (Mann, 1980). It has been suggested that this result demonstrates the existence of a mechanism that compensates for coarticulation via tacit knowledge of articulatory dynamics and constraints, or through perceptual recovery of vocal-tract dynamics. The present study was designed to assess the degree to which these perceptual effects are specific to qualities of human articulatory sources. In three experiments, series of consonant-vowel (CV) stimuli varying in F3-onset frequency (/da/-/ga/) were preceded by speech versions or nonspeech analogues of /al/ and /ar/. The effect of liquid identity on stop consonant labeling remained when the preceding VC was produced by a female speaker and the CV syllable was modeled after a male speaker's productions. Labeling boundaries also shifted when the CV was preceded by a sine wave glide modeled after F3 characteristics of /al/ and /ar/. Identifications shifted even when the preceding sine wave was of constant frequency equal to the offset frequency of F3 from a natural production. These results suggest an explanation in terms of general auditory processes as opposed to recovery of or knowledge of specific articulatory dynamics.

  15. Clinical Pharmacy Services in Canadian Emergency Departments: A National Survey

    PubMed Central

    Wanbon, Richard; Lyder, Catherine; Villeneuve, Eric; Shalansky, Stephen; Manuel, Leslie; Harding, Melanie

    2015-01-01

    Background: Providing clinical pharmacy services in emergency departments (EDs) is important because adverse drug events commonly occur before, during, and after ED encounters. Survey studies in the United States have indicated a relatively low presence of clinical pharmacy services in the ED setting, but a descriptive survey specific to Canada has not yet been performed. Objectives: To describe the current status of pharmacy services in Canadian EDs and potential barriers to implementing pharmacy services in this setting. Methods: All Canadian hospitals with an ED and at least 50 acute care beds were contacted to identify the presence of dedicated ED pharmacy services (defined as at least 0.5 full-time equivalent [FTE] position). Three different electronic surveys were then distributed by e-mail to ED pharmacy team members (if available), pharmacy managers (at hospitals without an ED pharmacy team), and ED managers (all hospitals). The surveys were completed between July and September 2013. Results: Of the 243 hospitals identified, 95 (39%) had at least 0.5 FTE clinical pharmacy services in the ED (based on initial telephone screening). Of the 60 ED pharmacy teams that responded to the survey, 56 had pharmacists (27 of which also had ED pharmacy technicians) and 4 had pharmacy technicians (without pharmacists). Forty-four (79%) of the 56 ED pharmacist services had been established within the preceding 10 years. Order clarification, troubleshooting, medication reconciliation, and assessment of renal dosing were the services most commonly provided. The large majority of pharmacy managers and ED managers identified the need for ED pharmacy services where such services do not yet exist. Inadequate funding, competing priorities, and lack of training were the most commonly reported barriers to providing this service. Conclusions: Although the establishment of ward-based pharmacy services in Canadian EDs has increased over the past 10 years, lack of funding and a lack of ED training for pharmacists were reported as significant barriers to the expansion of this role in most hospitals. PMID:26157180

  16. 26 CFR 25.2504-2 - Determination of gifts for preceding calendar periods.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 14 2010-04-01 2010-04-01 false Determination of gifts for preceding calendar... (CONTINUED) ESTATE AND GIFT TAXES GIFT TAX; GIFTS MADE AFTER DECEMBER 31, 1954 Determination of Tax Liability § 25.2504-2 Determination of gifts for preceding calendar periods. (a) Gifts made before August 6, 1997...

  17. Surveillance for Certain Health Behaviors, Chronic Diseases, and Conditions, Access to Health Care, and Use of Preventive Health Services Among States and Selected Local Areas
- Behavioral Risk Factor Surveillance System, United States, 2012.

    PubMed

    Chowdhury, Pranesh P; Mawokomatanda, Tebitha; Xu, Fang; Gamble, Sonya; Flegel, David; Pierannunzi, Carol; Garvin, William; Town, Machell

    2016-04-29

    Chronic diseases (e.g., heart diseases, cancer, chronic lower respiratory disease, stroke, diabetes, and arthritis) and unintentional injuries are the leading causes of morbidity and mortality in the United States. Behavioral risk factors (e.g., tobacco use, poor diet, physical inactivity, excessive alcohol consumption, failure to use seat belts, and insufficient sleep) are linked to the leading causes of death. Modifying these behavioral risk factors and using preventive health services (e.g., cancer screenings and influenza and pneumococcal vaccination of adults aged ≥65 years) can substantially reduce morbidity and mortality in the U.S. Continuous monitoring of these health-risk behaviors, chronic conditions, and use of preventive services are essential to the development of health promotion strategies, intervention programs, and health policies at the state, city, and county level. January-December 2012. The Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing, state-based, random-digit-dialed landline- and cellular-telephone survey of noninstitutionalized adults aged ≥18 years residing in the United States. BRFSS collects data on health-risk behaviors, chronic diseases and conditions, access to health care, and use of preventive health services related to the leading causes of death and disability. This report presents results for all 50 states, the District of Columbia, participating U.S. territories that include the Commonwealth of Puerto Rico (Puerto Rico) and Guam, 187 Metropolitan/Micropolitan Statistical Areas (MMSAs), and 210 counties (n = 475,687 survey respondents) for the year 2012. In 2012, the estimated prevalence of health-risk behaviors, chronic diseases or conditions, access to health care, and use of preventive health services substantially varied by state and territory, MMSA, and county. The following portion of the abstract lists a summary of results by selected BRFSS measures. Each set of proportions refers to the range of estimated prevalence for health-risk behaviors, chronic diseases or conditions, and use of preventive health care services among geographical units, as reported by survey respondents. Adults with good or better health: 64.0%-88.3% for states and territories, 62.7%-90.5% for MMSAs, and 68.1%-92.4% for counties. Adults aged 18-64 years with health care coverage: 64.2%-93.1% for states and territories, 35.4%- 93.7% for MMSAs, and 35.4%-96.7% for counties. Adults who received a routine physical checkup during the preceding 12 months: 55.7%-80.1% for states and territories, 50.6%-85.0% for MMSAs, and 52.4%-85.0% for counties. An influenza vaccination received during the preceding 12 months among adults aged ≥65 years: 26.3%-70.1% for states and territories, 20.8%-77.8% for MMSAs, and 24.1%-77.6% for counties. Ever received pneumococcal vaccination among adults aged ≥65 years: 22.2%-76.2% for states and territories, 15.3%-83.4% for MMSAs, and 25.8%-85.2% for counties. Adults who had a dental visit in the past year: 53.7%-76.2% for states and territories, and 44.8%-81.7% for MMSAs and counties. Adults aged ≥65 years who have lost all of their natural teeth from tooth decay or gum disease: 7.0%-33.7% for states and territories, 5.8%-39.6% for MMSAs, and 5.8%-37.1% for counties. Adults aged 50-75 years who received a colorectal cancer screening on the basis of the U.S. Preventive Services Task Force recommendation: 40.0%-76.4% for states and territories, 47.1%-80.7% for MMSAs, and 47.0%-81.0% for counties. Women aged 21-65 years who had a Papanicolaou test during the preceding 3 years: 68.5% to 89.6% for states and territories, 70.3% to 92.8% for MMSAs, and 65.7%-94.6% for counties. Women aged 50-74 years who had a mammogram during the preceding 2 years: 66.5%- 89.7% for states and territories, 61.1%-91.5% for MMSAs, and 61.8%-91.6% for counties. Current cigarette smoking among adults: 10.6%-28.3% for states and territories, 5.1%-30.1% for MMSAs, and 5.1%-28.3% for counties. Binge drinking among adults during the preceding month: 10.2%-25.2% for states and territories, 6.2%-28.1% for MMSAs, and 6.2%-29.5% for counties. Heavy drinking among adults during the preceding month: 3.5%-8.5% for states and territories, 2.0%-11.0% for MMSAs, and 1.9%-11.0% for counties. Adults who reported no leisure-time physical activity: 16.3%-42.4% for states and territories, 9.2%-47.3% for MMSAs, and 9.2%-39.0% for counties. Self- reported seat belt use: 62.0%-93.7% for states and territories, 54.1%-97.1% for MMSAs, and 50.1%-97.4% for counties. Adults who were obese: 20.5%-34.7% for states and territories, 14.8%-44.5% for MMSAs and counties. Adults with diagnosed diabetes: 7.0%-16.4% for states and territories, 3.4%-17.4% for MMSAs, and 3.1%-17.4% for counties. Adults who ever had any type of cancer: 3.0%-13.7% for states and territories, 3.8%-19.2% for MMSAs, and 4.5%-19.2% for counties. Adults with current asthma: 5.8%-11.1% for states and territories, 3.1%-15.0% for MMSAs, and 3.1%-15.7% for counties. Adults with some form of arthritis: 15.6%-36.4% for states and territories, 16.8%-45.8% for MMSAs, and 14.8%-35.9% for counties. Adults having had a depressive disorder: 9.0%-23.5% for states and territories, 9.2%-28.3% for MMSAs, and 8.5%-28.4% for counties. Adults aged ≥45 years who have had coronary heart disease: 7.4%-19.0% for states and territories, 6.1%-23.3% for MMSAs, and 6.1%-20.6% for counties. Adults aged ≥45 years who have had a stroke: 3.1%-7.3% for states and territories, 2.1%-9.3% for MMSAs, and 1.5%-9.3% for counties. Adults with limited activities because of physical, mental, or emotional problems: 15.0%-28.6% for states and territories, 12.0%-31.7% for MMSAs, and 11.3%-31.7% for counties. Adults using special equipment because of any health problem: 4.8%-11.6% for states and territories, 4.0%-14.7% for MMSAs, and 2.8%-13.6% for counties. This report underscores the need for continuous surveillance of health-risk behaviors, chronic diseases or conditions, health care access, and use of preventive care services at state and local levels. It will help to identify high-risk populations and to evaluate public health intervention programs and policies designed to reduce morbidity and mortality from chronic disease and injury. State and local health departments and agencies can continue to use BRFSS data to identify populations at high risk for unhealthy behaviors and chronic diseases or conditions, lack of health care access, and inadequate use of preventive care services. Additionally, states can use the data to design, implement, monitor, and evaluate public health programs and policies at state and local levels.

  18. Larger-Stroke Piezoelectrically Actuated Microvalve

    NASA Technical Reports Server (NTRS)

    Yang, Eui-Hyeok

    2003-01-01

    A proposed normally-closed microvalve would contain a piezoelectric bending actuator instead of a piezoelectric linear actuator like that of the microvalve described in the preceding article. Whereas the stroke of the linear actuator of the preceding article would be limited to approximately equal to 6 micrometers, the stroke of the proposed bending actuator would lie in the approximate range of 10 to 15 micrometers-large enough to enable the microvalve to handle a variety of liquids containing suspended particles having sizes up to 10 m. Such particulate-laden liquids occur in a variety of microfluidic systems, one example being a system that sorts cells or large biomolecules for analysis. In comparison with the linear actuator of the preceding article, the bending actuator would be smaller and less massive. The combination of increased stroke, smaller mass, and smaller volume would be obtained at the cost of decreased actuation force: The proposed actuator would generate a force in the approximate range of 1 to 4 N, the exact amount depending on operating conditions and details of design. This level of actuation force would be too low to enable the valve to handle a fluid at the high pressure level mentioned in the preceding article. The proposal encompasses two alternative designs one featuring a miniature piezoelectric bimorph actuator and one featuring a thick-film unimorph piezoelectric actuator (see figure). In either version, the valve would consume a power of only 0.01 W when actuated at a frequency of 100 Hz. Also, in either version, it would be necessary to attach a soft elastomeric sealing ring to the valve seat so that any particles that settle on the seat would be pushed deep into the elastomeric material to prevent or reduce leakage. The overall dimensions of the bimorph version would be 7 by 7 by 1 mm. The actuator in this version would generate a force of 1 N and a stroke of 10 m at an applied potential of 150 V. The actuation force would be sufficient to enable the valve to handle a fluid pressurized up to about 50 psi (approximately equal to 0.35 MPa). The overall dimensions of the unimorph version would be 2 by 2 by 0.5 mm. In this version, an electric field across the piezoelectric film on a diaphragm would cause the film to pull on, and thereby bend, the diaphragm. At an applied potential of 20 V, the actuator in this version would generate a stroke of 10 micrometers and a force of 0.01 N. This force level would be too low to enable handling of fluids at pressures comparable to those of the bimorph version. This version would be useful primarily in microfluidic and nanofluidic applications that involve extremely low differential pressures and in which there are requirements for extreme miniaturization of valves. Examples of such applications include liquid chromatography and sequencing of deoxyribonucleic acid.

  19. Survival of patients with chronic myeloproliferative neoplasms and new primary cancers: a population-based cohort study.

    PubMed

    Frederiksen, Henrik; Farkas, Dóra Körmendiné; Christiansen, Christian Fynbo; Larsen, Thomas Stauffer; Hasselbalch, Hans Carl; Stentoft, Jesper; Sørensen, Henrik Toft

    2015-07-01

    Patients with chronic myeloproliferative neoplasms are at increased risk of new solid or haematological cancers, but how prognosis is affected in patients with preceding myeloproliferative neoplasms is unclear. We used data from population-based medical databases in Denmark from 1980 to 2011 to compare survival between cancer patients with and without a preceding diagnosis of myeloproliferative neoplasm, matched for age, sex, year of diagnosis, and type of cancer. We assessed outcomes by cancer stage and comorbidities. Data were available for 1246 patients with a history of myeloproliferative neoplasms and we matched 5155 patients without a history of myeloproliferative neoplasm for comparison. Among patients with new localised solid cancers, 5-year survival was 49.8% (95% CI 39.1-59.6) for patients with preceding essential thrombocythaemia, 47·9% (42·1-53·4) for those with preceding polycythaemia vera, and 48.0% (34.1-60.7) for those with preceding chronic myeloid leukaemia. The values were 72.4% (68.4-76.0), 63.9% (61.5-66.2), and 74.3% (68.2-79.4), respectively, in matched patients without preceding myeloproliferative neoplasms. The risk of death among patients with a solid tumour and preceding myeloproliferative neoplasm was 1.21-2.28 times higher than in patients without myeloproliferative neoplasms. Excess mortality risk was observed irrespective of whether new cancers were diagnosed within 5 years or 5 years or more after myeloproliferative neoplasm. Preceding myeloproliferative neoplasm is a predictor for poor outlook in patients who develop new primary cancers. Lundbeck and Novo Nordisk Foundation Programme for Clinical Research Infrastructure, Danish Cancer Society, and Aarhus University Research Foundation. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. 20 CFR 30.705 - What services are covered by the OWCP fee schedule?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... allowable charges does not apply to charges for services provided in nursing homes, but it does apply to charges for treatment furnished in a nursing home by a physician or other medical professional. (c) The...? (a) Payment for medical and other health services furnished by physicians, hospitals and other...

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