Sample records for systemwide program stepwise

  1. Development of a System-Wide Program, Volume II : Stepwise Implementation of a Predation Index, Predator Control Fisheries and Evaluation Plan in the Columbia River Basin, 1992 Annual Report.

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

    Ward, David L.; Nigro, Anthony A.; Willis, Charles F.

    1994-06-01

    The authors report their results of studies to determine the extent to which northern squawfish predation on juvenile salmonids is a problem in the Columbia River Basin, and to evaluate how effectively fisheries can be used to control northern squawfish populations and reduce juvenile salmonid losses to predation. These studies were initiated as part of a basinwide program to control northern squawfish predation and reduce mortality of juvenile salmonids on their migration to the ocean. Three papers are included in this report. They are entitled: (1) Development of a Systemwide Predator Control Program: Indexing and Fisheries Evaluation; (2) Economic, Socialmore » and Legal Feasibility of Commercial Sport, and Bounty Fisheries on Northern Squawfish; (3) Columbia River Ecosystem Model (CREM): Modeling Approach for Evaluation of Control of Northern Squawfish Populations using Fisheries Exploitation.« less

  2. Development of a System-Wide Predator Control Program: Stepwise Implementation of a Predation Index, Predator Control Fisheries, and Evaluation Plan in the Columbia River Basin; Northern Pikeminnow Management Program, 2002 Annual Report.

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

    Porter, Russell G.; Winther, Eric C.; Fox, Lyle G.

    2004-01-01

    This report presents results for year twelve in a basin-wide program to harvest northern pikeminnow1 (Ptychocheilus oregonensis). This program was started in an effort to reduce predation by northern pikeminnow on juvenile salmonids during their emigration from natal streams to the ocean. Earlier work in the Columbia River Basin suggested predation by northern pikeminnow on juvenile salmonids might account for most of the 10-20% mortality juvenile salmonids experience in each of eight Columbia River and Snake River reservoirs. Modeling simulations based on work in John Day Reservoir from 1982 through 1988 indicated that, if predator-size northern pikeminnow were exploited atmore » a 10-20% rate, the resulting restructuring of their population could reduce their predation on juvenile salmonids by 50%. To test this hypothesis, we implemented a sport-reward angling fishery and a commercial longline fishery in the John Day Pool in 1990. We also conducted an angling fishery in areas inaccessible to the public at four dams on the mainstem Columbia River and at Ice Harbor Dam on the Snake River. Based on the success of these limited efforts, we implemented three test fisheries on a system-wide scale in 1991--a tribal longline fishery above Bonneville Dam, a sport-reward fishery, and a dam-angling fishery. Low catch of target fish and high cost of implementation resulted in discontinuation of the tribal longline fishery. However, the sport-reward and dam-angling fisheries were continued in 1992 and 1993. In 1992, we investigated the feasibility of implementing a commercial longline fishery in the Columbia River below Bonneville Dam and found that implementation of this fishery was also infeasible. Estimates of combined annual exploitation rates resulting from the sport-reward and damangling fisheries remained at the low end of our target range of 10-20%. This suggested the need for additional effective harvest techniques. During 1991 and 1992, we developed and tested a modified (small-sized) Merwin trapnet. We found this floating trapnet to be very effective in catching northern pikeminnow at specific sites. Consequently, in 1993 we examined a system-wide fishery using floating trapnets, but found this fishery to be ineffective at harvesting large numbers of northern pikeminnow on a system-wide scale.« less

  3. Development of a Systemwide Program: Stepwise Implementation of a Predation Index, Predator Control Fisheries and Evaluation Plan in the Columbia River Basin, Volume 1, 1992 Annual Report.

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

    Ward, David L.

    1994-06-01

    Results of the second year are reported of a basinwide program to harvest northern squawfish in an effort to reduce mortality due to squawfish predation on juvenile salmonids during their migration from natal streams to the ocean. Six papers are included in this report. They are entitled: feasibility investigation of a commercial longline fishery for northern squawfish in the Columbia River downstream from Bonneville dam; evaluation of the northern squawfish sport-reward fishery in the Columbia and Snake Rivers; controlled angling for northern squawfish at selected dams on the Columbia and Snake Rivers in 1992; evaluation of harvest technology for squawfishmore » control in Columbia River reservoirs; effectiveness of predator-removal for protecting juvenile fall chinook salmon released from Bonneville Hatchery; and Northern squawfish sport-reward payments.« less

  4. Navy Occupational Health Information Management System (NOHIMS). System-Wide Module. Program Maintenance Manual

    DTIC Science & Technology

    1987-06-01

    NAVY OCCUPATIONAL HEALTH INFORMATION MANAGEMENT SYSTEM NOHIMS SYSTEM-WIDE MODULE PROGRAM MAINTENANCE MANUAL JUNE 1987 DTIC 00 SEP I 21988DJ 0) 4... INFORMATION MANAGEMENT SYSTEM (NOHIMS) N 1.98 SYSTEM-WIDE MODULE PROGRAM MAINTENANCE MANUAL 7. Author(s) a. Performing Organization Rapt. No. MITRE... Management System (NOHIMS). NORIMS, whose initial version was ,eveloped at the Naval Health Research Center (NHRC), is a composite of 4 -’o subsystems: an

  5. Development of a System-Wide Predator Control Program: Stepwise Implementation of a Predation Index, Predator Control Fisheries, and Evaluation Plan in the Columbia River Basin; Northern Pikeminnow Management Program, 2001 Annual Report.

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

    Porter, Russell G.; Winther, Eric C.; Fox, Lyle G.

    2003-03-01

    This report presents results for year eleven in a basin-wide program to harvest northern pikeminnow (Ptychocheilus oregonensis). This program was started in an effort to reduce predation by northern pikeminnow on juvenile salmonids during their emigration from natal streams to the ocean. Earlier work in the Columbia River Basin suggested predation by northern pikeminnow on juvenile salmonids might account for most of the 10-20% mortality juvenile salmonids experience in each of eight Columbia River and Snake River reservoirs. Modeling simulations based on work in John Day Reservoir from 1982 through 1988 indicated that, if predator-size northern pikeminnow were exploited atmore » a 10-20% rate, the resulting restructuring of their population could reduce their predation on juvenile salmonids by 50%. To test this hypothesis, we implemented a sport-reward angling fishery and a commercial longline fishery in the John Day Pool in 1990. We also conducted an angling fishery in areas inaccessible to the public at four dams on the mainstem Columbia River and at Ice Harbor Dam on the Snake River. Based on the success of these limited efforts, we implemented three test fisheries on a system-wide scale in 1991--a tribal longline fishery above Bonneville Dam, a sport-reward fishery, and a dam-angling fishery. Low catch of target fish and high cost of implementation resulted in discontinuation of the tribal longline fishery. However, the sport-reward and dam-angling fisheries were continued in 1992 and 1993. In 1992, we investigated the feasibility of implementing a commercial longline fishery in the Columbia River below Bonneville Dam and found that implementation of this fishery was also infeasible.« less

  6. Integrated Analysis Tools for the NERRS System-Wide Monitoring Program Data

    EPA Science Inventory

    Standardized monitoring programs have vastly improved the quantity and quality of data that form the basis of environmental decision-making. One example is the NOAA-funded National Estuarine Research Reserve System (NERRS) System-wide Monitoring Program (SWMP) that was implement...

  7. System-Wide Tests of Occupational Programs.

    ERIC Educational Resources Information Center

    Perlmutter, Deborah E.

    This report presents the background methodology, findings, and recommendations of three studies that comprised System-Wide Tests of Occupational Programs, a 4-year research program to assess the impact of vocational education using various followup techniques. Part 1 focuses on Project CATCH (Career Training Choice), a followup study of students…

  8. 10 CFR Appendix C to Subpart D of... - Classes of Actions that Normally Require EAs But Not Necessarily EISs

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .../construction/operation of energy system prototypes C13. Import/export natural gas, minor new construction... Marketing Administration system-wide vegetation management program. C6Implementation of a Power Marketing Administration system-wide erosion control program. C7Establishment and implementation of contracts, policies...

  9. Solutions Network Formulation Report. The Potential Contribution of the International GPM Program to the NOAA Estuarine Reserves Division's System-wide Monitoring Program

    NASA Technical Reports Server (NTRS)

    Hilbert, Kent; Anderson, Daniel; Lewis, David

    2007-01-01

    Data collected via the International GPM Program could be used to provide a solution for the NOAA Estuarine Reserves Division s System-wide Monitoring Program by augmenting in situ rainfall measurements with data acquired via future satellite-acquired precipitation data. This Candidate Solution is in alignment with the Coastal Management National Application and will benefit society by assisting in estuary preservation.

  10. Effectiveness and acceptance of a health care-based mandatory vaccination program.

    PubMed

    Leibu, Rachel; Maslow, Joel

    2015-01-01

    To decrease the risk of transmission of hospital-associated transmission of influenza and pertussis through mandatory vaccination of staff. A mandatory influenza and toxoid-diphtheria toxoid-acellular pertussis program was implemented systemwide. A structured vaccine exemption program was implemented for those requesting a medical and/or religious/moral/ethical exemption. Systemwide influenza vaccination rates increased from 67% historically, 76.2% in the 2012 to 2013 influenza season, to 94.7% in 2013 to 2014 with an overall compliance rate of 97.8%. Toxoid-diphtheria toxoid-acellular pertussis vaccination rates systemwide reached 94.9%, with an overall compliance rate of 98%. Higher rates were experienced at individual hospital facilities compared with the corporate location. Successful vaccination campaign outcomes can be achieved through diligent enforcement of mandatory vaccination, masking, and other infection prevention procedures.

  11. A Systemwide Approach to Improving Early Childhood Program Quality in the Detroit Metropolitan Area. Final Report.

    ERIC Educational Resources Information Center

    Shouse, A. Clay; Epstein, Ann S.

    This document is the final report of the McGregor-funded High/Scope training initiative, a system-wide approach to improving the quality of early childhood programs in the Detroit metropolitan area. The 3-year project was based on the validated High/Scope educational approach and training model, which advocates hands-on active learning for both…

  12. The Madison Plan: A New Approach to System-Wide Testing. The Nucleus Testing Committee.

    ERIC Educational Resources Information Center

    Cleary, T. Anne; Mathews, Walter M.

    Steps in the development of a Nucleus Testing Committee to assist in the development of a system-wide testing program in the Madison, Wisconsin, school system are described. Over 60 participants were selected for the committee, using the following selection guidelines: interest in the project and the role to be assumed, commitment to the school…

  13. Building District Capacity for System-Wide Instructional Improvement in Stamford Public Schools. Working Paper. GE Foundation "Developing Futures"™ in Education Evaluation Series

    ERIC Educational Resources Information Center

    Fink, Ryan; Riggan, Matt

    2013-01-01

    This report summarizes findings from one component of the Consortium for Policy Research in Education's (CPRE) evaluation of the General Electric Foundation's (GEF) "Developing Futures"™ in Education program in Stamford Public Schools (SPS). The purpose was to closely analyze district capacity to support system-wide instructional…

  14. Building District Capacity for System-Wide Instructional Improvement in Cincinnati Public Schools. Working Paper. GE Foundation "Developing Futures"™ in Education Evaluation Series

    ERIC Educational Resources Information Center

    Sam, Cecile; Riggan, Matt

    2013-01-01

    This report summarizes findings from one component of the Consortium for Policy Research in Education's (CPRE) evaluation of the General Electric Foundation's (GEF) "Developing Futures"™ in Education program in Cincinnati Public Schools (CPS). The purpose was to closely analyze district capacity to support system-wide instructional…

  15. Federal Aviation Administration's Runway Incursion Program

    DOT National Transportation Integrated Search

    1997-12-08

    To reverse the upward trend in runway incursions, FAA must have a strong : Runway Incursion Program to solve systemwide problems and expedite : solutions. The Office of Inspector General report recommends that FAA (1) assign specific responsibility f...

  16. Development of a System-Wide Predator Control Program: Stepwise Implementation of a Predation Index, Predator Control Fisheries, and Evaluation Plan in the Columbia River Basin; Northern Pikeminnow Management Program, 2000 Annual Report.

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

    Porter, Russell G.; Glaser, Bryce G.; Amren, Jennifer

    2003-03-01

    This report presents results for year ten in a basin-wide program to harvest northern pikeminnow (Ptychocheilus oregonensis). This program was started in an effort to reduce predation by northern pikeminnow on juvenile salmonids during their emigration from natal streams to the ocean. Earlier work in the Columbia River Basin suggested predation by northern pikeminnow on juvenile salmonids might account for most of the 10-20% mortality juvenile salmonids experience in each of eight Columbia River and Snake River reservoirs. Modeling simulations based on work in John Day Reservoir from 1982 through 1988 indicated that, if predator-size northern pikeminnow were exploited atmore » a 10-20% rate, the resulting restructuring of their population could reduce their predation on juvenile salmonids by 50%. To test this hypothesis, we implemented a sport-reward angling fishery and a commercial longline fishery in the John Day Pool in 1990. We also conducted an angling fishery in areas inaccessible to the public at four dams on the mainstem Columbia River and at Ice Harbor Dam on the Snake River. Based on the success of these limited efforts, we implemented three test fisheries on a system-wide scale in 1991--a tribal longline fishery above Bonneville Dam, a sport-reward fishery, and a dam-angling fishery. Low catch of target fish and high cost of implementation resulted in discontinuation of the tribal longline fishery. However, the sport-reward and dam-angling fisheries were continued in 1992 and 1993. In 1992, we investigated the feasibility of implementing a commercial longline fishery in the Columbia River below Bonneville Dam and found that implementation of this fishery was also infeasible. Estimates of combined annual exploitation rates resulting from the sport-reward and damangling fisheries remained at the low end of our target range of 10-20%. This suggested the need for additional effective harvest techniques. During 1991 and 1992, we developed and tested a modified (small-sized) Merwin trapnet. We found this floating trapnet to be very effective in catching northern pikeminnow at specific sites. Consequently, in 1993 we examined a system wide fishery using floating trapnets, but found this fishery to be ineffective at harvesting large numbers of northern pikeminnow on a system-wide scale. In 1994, we investigated the use of trapnets and gillnets at specific locations where concentrations of northern pikeminnow were known or suspected to occur during the spring season (i.e., March through early June). In addition, we initiated a concerted effort to increase public participation in the sport-reward fishery through a series of promotional and incentive activities. In 1995, 1996, and 1997, promotional activities and incentives were further improved based on the favorable response in 1994. Results of these efforts are subjects of this annual report under Section I, Implementation. Evaluation of the success of test fisheries in achieving our target goal of a 10-20% annual exploitation rate on northern pikeminnow is presented in Section II of this report. Overall program success in terms of altering the size and age composition of the northern pikeminnow population and in terms of potential reductions in loss of juvenile salmonids to northern pikeminnow predation is also discussed under Section II.« less

  17. VOE Computer Programming: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This guide, which was written as an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System, outlines the suggested scope and sequence of a 3-year program in computer programming. The guide consists of a course description; general course…

  18. Minnesota 4-H Youth Program Quality Improvement Model

    ERIC Educational Resources Information Center

    Herman, Margo; Grant, Samantha

    2015-01-01

    The University of Minnesota Extension Center for Youth Development made an organizational decision in 2011 to invest in a system-wide approach to implement youth program quality into the 4-H program using the Youth Program Quality Assessment (YPQA) tool. This article describes the four key components to the Minnesota Youth Program Quality…

  19. Development of a Systemwide Predator Control Program Section I : Northern Squawfish Management Program Implementation, 1995 Annual Report.

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

    Young, Franklin R.

    1997-04-01

    Results from the fifth year of a basinwide program to harvest northern squawfish (Ptychocheilus oregonensis) in an effort to reduce mortality due to northern squawfish predation on juvenile salmonids during their emigration from natal streams to the ocean.

  20. Literacy Programs with Parent Involvement

    ERIC Educational Resources Information Center

    Montgomery, Joel R.

    2008-01-01

    The purpose of this working paper is to review current literature on literacy programs for parents of English language learners (ELLs). The paper includes a summary of five literacy programs for ELL parents throughout the United States of America. Four of these were system-wide interventions affecting more than one school or classroom. Each…

  1. Systemwide Aviation/Aerospace Education Program Review. Aviation/Aerospace Task Force's Report to the Oklahoma State Regents for Higher Education.

    ERIC Educational Resources Information Center

    Oklahoma State Regents for Higher Education, Oklahoma City.

    A program review was done of all aviation/aerospace-related higher education programs in Oklahoma. A team of nine experts reviewed statistics on the state's public and private programs, conducted a survey of institutions on industry status and projected training needs, and visited all 10 program locations. The project applied guidelines to…

  2. Telecommunications and Technology Infrastructure Program, 2013

    ERIC Educational Resources Information Center

    California Community Colleges, Chancellor's Office, 2014

    2014-01-01

    This 16th annual report highlights up-to-date information on the programs supported through the Chancellor's Office Telecommunications and Technology Infrastructure Program (TTIP). To summarize 2012-13, one would describe it as a year of planning and preparation. The system-wide budget cuts of the past few years, reports of impacted classes, staff…

  3. Development of a System-wide Predator Control Program: Stepwise Implementation of a Predation Index, Predator Control Fisheries, and Evaluation Plan in the Columbia River Basin; Northern Pikeminnow Management Program, 1998 Annual Report.

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

    Young, Franklin R.; Wachtel, Mark L.; Petersen, Marc R.

    2003-03-01

    We are reporting on the progress of the Northern Pikeminnow Sport-Reward Fishery (NPSRF) in the lower Columbia and Snake rivers for 1998. The objectives of this project were to (1) implement a sport fishery that rewards anglers who harvest northern pikeminnow Ptychocheilus oregonensis {ge}279 mm (11 inches) total length, (2) collect catch data on selected fish species caught by fishery participants while targeting northern pikeminnow, (3) monitor and report incidental catch of sensitive salmonid species by anglers targeting northern pikeminnow and, (4) collect, monitor and report data on angler participation, catch and catch per angler day of northern pikeminnow duringmore » the season. A total of 108,903 northern pikeminnow {ge}279 mm were harvested during the 1998 season and 21,959 angler days were spent harvesting these fish. Harvest was below the seven year average of 150,874 and participation was well below the seven-year average of 51,013 angler days. Catch per angler day for all anglers during the season was 4.96 and exceeded the seven-year average of 2.96 northern pikeminnow per angler day. Peamouth Mylocheilus caurinus, and white sturgeon Acipencer transmontanus, were the other species most often harvested by returning NPSRF anglers targeting northern pikeminnow. Harvest of salmonids Oncorhynchus spp. by NPSRF anglers targeting northern pikeminnow remained below limits established by the National Marine Fisheries Service (NMFS).« less

  4. Should We Extend Teacher Preparation?

    ERIC Educational Resources Information Center

    Hawley, Willis D.

    1989-01-01

    Discusses the implications of five-year teacher preparation programs. Argues that different strategies and curricula should be tested and evaluated before mandating major system-wide changes in teacher certification requirements. (FMW)

  5. Report to the General Assembly [of Illinois].

    ERIC Educational Resources Information Center

    Illinois Community Coll. Board, Springfield.

    In this nine-part report to Illinois' General Assembly, the Illinois Community College Board (ICCB) reviews Board powers and duties, and systemwide goals, financial resources, student characteristics and outcomes, educational programs, training and economic development activities, programs for special populations, and current issues of importance…

  6. Summary of International Waste Management Programs (LLNL Input to SNL L3 MS: System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW)

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

    Greenberg, Harris R.; Blink, James A.; Halsey, William G.

    2011-08-11

    The Used Fuel Disposition Campaign (UFDC) within the Department of Energy’s Office of Nuclear Energy (DOE-NE) Fuel Cycle Technology (FCT) program has been tasked with investigating the disposal of the nation’s spent nuclear fuel (SNF) and high-level nuclear waste (HLW) for a range of potential waste forms and geologic environments. This Lessons Learned task is part of a multi-laboratory effort, with this LLNL report providing input to a Level 3 SNL milestone (System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW). The work package number is: FTLL11UF0328; the work package title is: Technical Bases / Lessons Learned;more » the milestone number is: M41UF032802; and the milestone title is: “LLNL Input to SNL L3 MS: System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW”. The system-wide integration effort will integrate all aspects of waste management and disposal, integrating the waste generators, interim storage, transportation, and ultimate disposal at a repository site. The review of international experience in these areas is required to support future studies that address all of these components in an integrated manner. Note that this report is a snapshot of nuclear power infrastructure and international waste management programs that is current as of August 2011, with one notable exception. No attempt has been made to discuss the currently evolving world-wide response to the tragic consequences of the earthquake and tsunami that devastated Japan on March 11, 2011, leaving more than 15,000 people dead and more than 8,000 people missing, and severely damaging the Fukushima Daiichi nuclear power complex. Continuing efforts in FY 2012 will update the data, and summarize it in an Excel spreadsheet for easy comparison and assist in the knowledge management of the study cases.« less

  7. Cosmetology: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This scope and sequence guide, developed for a cosmetology vocational education program, represents an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System. It was developed as a result of needs expressed by teachers, parents, and the…

  8. Aircraft Mechanics: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This scope and sequence guide, developed for an aircraft mechanics vocational education program, represents an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System. It was developed as a result of needs expressed by teachers, parents, and…

  9. Health Occupations: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This guide, which was written as an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System, outlines the suggested scope and sequence of a 3-year program in health occupations. The guide consists of a course description; general course…

  10. Auto Mechanics: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This scope and sequence guide, developed for an auto mechanics vocational education program, represents an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System. It was developed as a result of needs expressed by teachers, parents, and the…

  11. Diesel Mechanics: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This scope and sequence guide, developed for a diesel mechanics vocational education program, represents an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System. It was developed as a result of needs expressed by teachers, parents, and the…

  12. SWMPr: An R Package for Retrieving, Organizing, and Analyzing Environmental Data for Estuaries

    EPA Science Inventory

    The System-Wide Monitoring Program (SWMP) was implemented in 1995 by the US National Estuarine Research Reserve System. This program has provided two decades of continuous monitoring data at over 140 fixed stations in 28 estuaries. However, the increasing quantity of data provide...

  13. Air Conditioning, Heating, and Refrigeration: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This scope and sequence guide, developed for an air conditioning, heating, and refrigeration vocational education program, represents an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System. It was developed as a result of needs expressed…

  14. Commercial Art: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This scope and sequence guide, developed for a commercial art vocational education program, represents an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System. It was developed as a result of needs expressed by teachers, parents, and the…

  15. Urban Horticulture: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This guide, which was written as an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System, outlines the suggested scope and sequence of a 4-year program in urban horticulture. The guide consists of a course description; general course…

  16. VOE Accounting: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This guide, which was written as an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System, outlines the suggested scope and sequence of a 2-year program in accounting. The guide consists of a course description; general course objectives;…

  17. Agriculture: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This guide, which was written as an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System, outlines the suggested scope and sequence of a 3-year program in agriculture. The guide consists of a course description; general course objectives;…

  18. Exploring multi-level system factors facilitating educator training and implementation of evidence-based practices (EBP): a study protocol.

    PubMed

    Stahmer, Aubyn C; Suhrheinrich, Jessica; Schetter, Patricia L; McGee Hassrick, Elizabeth

    2018-01-08

    This study examines how system-wide (i.e., region, district, and school) mechanisms such as leadership support, training requirements, structure, collaboration, and education affect the use of evidence-based practices (EBPs) in schools and how this affects the outcomes for students with autism spectrum disorder (ASD). Despite growing evidence for the positive effects of EBPs for ASD, these practices are not consistently or effectively used in schools. Although special education programs are mandated to use EBPs, there are very few evidence-based methods for selecting, implementing, and sustaining EBPs. Research focuses primarily on teacher training, without attention to contextual factors (e.g., implementation climate, attitudes toward EBPs, resource allocation, and social networks) that may impact outcomes. Using an implementation science framework, this project will prospectively examine relations between system-wide factors and teachers' use of EBPs and student education outcomes. Survey data will be collected from approximately 85 regional special education directors, 170 regional program specialists, 265 district special education directors, 265 behavior specialists, 925 school principals, 3538 special education teachers, and 2700 paraprofessionals. Administrative data for the students with ASD served by participating teachers will be examined. A total of 79 regional-, district-, and school-level personnel will also participate in social network interviews. Mixed methods, including surveys, administrative data, and observational checklists, will be used to gather in-depth information about system-wide malleable factors that relate to positive teacher implementation of EBPs and student outcomes. Multi-level modeling will be used to assess system-wide malleable factors related to EBP implementation which will be linked to the trainer, teacher, and student outcomes and examined based on moderators (e.g., district size, Special Education Local Plan Area structure, teachers' ASD experience). Finally, a dynamic social network approach will be used to map EBP-related connectivity across all levels of the system for selected regions. Dynamic network analysis will be used to gauge the degree to which and ways that EBP trainings, resources, and interventions are shared (or not shared) among school staff. Results are expected to inform the development of system-wide interventions to improve the school-based implementation of EBPs for students with ASD.

  19. Practice, science and governance in interaction: European effort for the system-wide implementation of the International Classification of Functioning, Disability and Health (ICF) in Physical and Rehabilitation Medicine.

    PubMed

    Stucki, Gerold; Zampolini, Mauro; Juocevicius, Alvydas; Negrini, Stefano; Christodoulou, Nicolas

    2017-04-01

    Since its launch in 2001, relevant international, regional and national PRM bodies have aimed to implement the International Classification of Functioning, Disability and Health (ICF) in Physical and Rehabilitation Medicine (PRM), whereby contributing to the development of suitable practical tools. These tools are available for implementing the ICF in day-to-day clinical practice, standardized reporting of functioning outcomes in quality management and research, and guiding evidence-informed policy. Educational efforts have reinforced PRM physicians' and other rehabilitation professionals' ICF knowledge, and numerous implementation projects have explored how the ICF is applied in clinical practice, research and policy. Largely lacking though is the system-wide implementation of ICF in day-to-day practice across all rehabilitation services of national health systems. In Europe, system-wide implementation of ICF requires the interaction between practice, science and governance. Considering its mandate, the UEMS PRM Section and Board have decided to lead a European effort towards system-wide ICF implementation in PRM, rehabilitation and health care at large, in interaction with governments, non-governmental actors and the private sector, and aligned with ISPRM's collaboration plan with WHO. In this paper we present the current PRM internal and external policy agenda towards system-wide ICF implementation and the corresponding implementation action plan, while highlighting priority action steps - promotion of ICF-based standardized reporting in national quality management and assurance programs, development of unambiguous rehabilitation service descriptions using the International Classification System for Service Organization in Health-related Rehabilitation, development of Clinical Assessment Schedules, qualitative linkage and quantitative mapping of data to the ICF, and the cultural adaptation of the ICF Clinical Data Collection Tool in European languages.

  20. Marketing and Distributive Education: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This guide, which was written as an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System, outlines the suggested scope and sequence of a 2-year program in marketing and distributive education. The guide consists of a course description;…

  1. Industrial Cooperative Education Co-op: Scope and Sequence.

    ERIC Educational Resources Information Center

    Nashville - Davidson County Metropolitan Public Schools, TN.

    This guide, which was written as an initial step in the development of a systemwide articulated curriculum sequence for all vocational programs within the Metropolitan Nashville Public School System, outlines the suggested scope and sequence of a 2-year cooperative program in industrial education. The guide consists of a course description;…

  2. Fourteen Years of Assessment: Regents' Testing Program.

    ERIC Educational Resources Information Center

    Bridges, Jean Bolen

    In 1972, the Board of Regents of the University System of Georgia instituted the Regents' Testing Program (RTP) to provide systemwide information on the status of student competence in reading and writing and to provide a uniform means of identifying those students who fail to attain minimum levels of competence in these areas. Since 1972, some…

  3. Bilingual Education: Four Overlapping Programs Could Be Consolidated. Report to the Chairman, Subcommittee on Oversight of Government Management, Restructuring and the District of Columbia, Committee on Governmental Affairs, U.S. Senate.

    ERIC Educational Resources Information Center

    Shaul, Marnie S.

    This report evaluates how effectively four federally funded bilingual education block grant programs--Program Development and Implementation Grants, Program Enhancement Projects, Comprehensive School Grants, Systemwide Improvement Grants--used $163 million in fiscal year 2000 to serve children with limited English proficiency (LEP). There are four…

  4. NCME Award: University-Wide Utilization of Student Outcome Information in Assessing and Improving Academic Programs.

    ERIC Educational Resources Information Center

    Educational Measurement: Issues and Practice, 1984

    1984-01-01

    The University of Tennessee, Knoxville conducted a system-wide effort to increase use of student outcome information in assessing and improving academic programs. For this effort, the university received the National Council on Measurement in Education award for an outstanding example of an application of educational measurement technology. (EGS)

  5. The Listening and Spoken Language Data Repository: Design and Project Overview

    ERIC Educational Resources Information Center

    Bradham, Tamala S.; Fonnesbeck, Christopher; Toll, Alice; Hecht, Barbara F.

    2018-01-01

    Purpose: The purpose of the Listening and Spoken Language Data Repository (LSL-DR) was to address a critical need for a systemwide outcome data-monitoring program for the development of listening and spoken language skills in highly specialized educational programs for children with hearing loss highlighted in Goal 3b of the 2007 Joint Committee…

  6. Comparison of Correlates of Classroom Behavior Problems in Schools with and without a School-Wide Character Education Program

    ERIC Educational Resources Information Center

    Parker, David C.; Nelson, Jennifer S.; Burns, Matthew K.

    2010-01-01

    System-wide practices in schools should diminish the occurrence of children's problem behavior that is deleterious to academic achievement. The current study examined the relationship between variables that affect classroom behavior and observed behavior in schools with and without a theoretically based character education program. Observational…

  7. The Political History of Developmental Studies in the University System of Georgia

    ERIC Educational Resources Information Center

    Presley, John W.; Dodd, William M.

    2008-01-01

    The political history of developmental education in post-secondary education is as revealing as its intellectual history. With a University system-wide Developmental Studies program initiated in 1974, the State of Georgia was a pioneer in remedial education and open access. Unfortunately, the program became linked in Georgia media, and in Georgia…

  8. Blood use in patients receiving intensive chemotherapy for acute leukemia or hematopoietic stem cell transplantation: the impact of a health system-wide patient blood management program.

    PubMed

    Leahy, Michael F; Trentino, Kevin M; May, Colleen; Swain, Stuart G; Chuah, Hun; Farmer, Shannon L

    2017-09-01

    Little is published on patient blood management (PBM) programs in hematology. In 2008 Western Australia announced a health system-wide PBM program with PBM staff appointments commencing in November 2009. Our aim was to assess the impact this program had on blood utilization and patient outcomes in intensive chemotherapy for acute leukemia or hematopoietic stem cell transplantation. A retrospective study of 695 admissions at two tertiary hospitals receiving intensive chemotherapy for acute leukemia or undergoing hematopoietic stem cell transplantation between July 2010 and December 2014 was conducted. Main outcomes included pre-red blood cell (RBC) transfusion hemoglobin (Hb) levels, single-unit RBC transfusions, number of RBC and platelet (PLT) units transfused per admission, subsequent day case transfusions, length of stay, serious bleeding, and in-hospital mortality. Over the study period, the mean RBC units transfused per admission decreased 39% from 6.1 to 3.7 (p < 0.001), and the mean PLT units transfused decreased 35% from 6.3 to 4.1 (p < 0.001), with mean RBC and PLT units transfused for follow-up day cases decreasing from 0.6 to 0.4 units (p < 0.001). Mean pre-RBC transfusion Hb level decreased from 8.0 to 6.8 g/dL (p < 0.001), and single-unit RBC transfusions increased 39% to 67% (p < 0.001). This reduction represents blood product cost savings of AU$694,886 (US$654,007). There were no significant changes in unadjusted or adjusted length of stay, serious bleeding events, or in-hospital mortality over the study. The health system-wide PBM program had a significant impact, reducing blood product use and costs without increased morbidity or mortality in patients receiving intensive chemotherapy for acute leukemia or hematopoietic stem cell transplantation. © 2017 AABB.

  9. A Serendipitous Benefit of a Teaching-Exploration Program at a Large Public University: Creating a STEM Workforce That Supports Teachers and Public Education

    ERIC Educational Resources Information Center

    Whang-Sayson, Hannah; Daniel, Janice C.; Russell, Arlene A.

    2017-01-01

    We have discovered a new and formerly unstudied long-term impact of a system-wide research university program that provides opportunities for students to explore secondary school teaching as a potential career. Looking beyond teacher recruitment as the only assessment of success, we have investigated the impact of the program on those who explored…

  10. MULGRES: a computer program for stepwise multiple regression analysis

    Treesearch

    A. Jeff Martin

    1971-01-01

    MULGRES is a computer program source deck that is designed for multiple regression analysis employing the technique of stepwise deletion in the search for most significant variables. The features of the program, along with inputs and outputs, are briefly described, with a note on machine compatibility.

  11. Professionalism, Portfolios and the Development of School Leaders.

    ERIC Educational Resources Information Center

    Wildy, Helen; Wallace, John

    1998-01-01

    Describes how two reforms--portfolio culture and teacher professionalism--converge in a systemwide program for school leaders' professional development. Investigates use of portfolios to help (Australian) principals, deputy principals, and department heads improve their performance and accountability. Participants used portfolios as evidence of…

  12. MCPS Curriculum Development Planning Process.

    ERIC Educational Resources Information Center

    Montgomery County Public Schools, Rockville, MD. Dept. of Instructional Planning and Development.

    The procedure documented is used for the systemwide planning of curriculum development in Montgomery County, Maryland, and consists of three parts: a planning and review process; an instructional design and development model; and a proposed calendar for cyclical review of programs. Specific position responsibilities, organizational charts, and…

  13. System-wide analysis of the transcriptional network of human myelomonocytic leukemia cells predicts attractor structure and phorbol-ester-induced differentiation and dedifferentiation transitions

    NASA Astrophysics Data System (ADS)

    Sakata, Katsumi; Ohyanagi, Hajime; Sato, Shinji; Nobori, Hiroya; Hayashi, Akiko; Ishii, Hideshi; Daub, Carsten O.; Kawai, Jun; Suzuki, Harukazu; Saito, Toshiyuki

    2015-02-01

    We present a system-wide transcriptional network structure that controls cell types in the context of expression pattern transitions that correspond to cell type transitions. Co-expression based analyses uncovered a system-wide, ladder-like transcription factor cluster structure composed of nearly 1,600 transcription factors in a human transcriptional network. Computer simulations based on a transcriptional regulatory model deduced from the system-wide, ladder-like transcription factor cluster structure reproduced expression pattern transitions when human THP-1 myelomonocytic leukaemia cells cease proliferation and differentiate under phorbol myristate acetate stimulation. The behaviour of MYC, a reprogramming Yamanaka factor that was suggested to be essential for induced pluripotent stem cells during dedifferentiation, could be interpreted based on the transcriptional regulation predicted by the system-wide, ladder-like transcription factor cluster structure. This study introduces a novel system-wide structure to transcriptional networks that provides new insights into network topology.

  14. University of Alaska 1984 Statistical Summary.

    ERIC Educational Resources Information Center

    Spargo, Frank R.; Gaylord, Thomas A.

    Designed to inform decisions about the University of Alaska's (UA's) budget, direction, scope, and academic thrusts, this report provides statewide, unit, and campus data for the two- and four-year colleges in the university system. First, a systemwide summary offers information on finances, enrollments, student loan program participation,…

  15. Development of a Health System-Based Nurse-Delivered Aromatherapy Program.

    PubMed

    Joswiak, Denise; Kinney, Mary Ellen; Johnson, Jill R; Kolste, Alison K; Griffin, Kristen H; Rivard, Rachael L; Dusek, Jeffery A

    2016-04-01

    Healthcare systems are increasingly looking to integrate aromatherapy (essential oils) as a safe, low-cost, and nonpharmacologic option for patient care to reduce pain, nausea, and anxiety and to improve sleep. This article describes the development and implementation of a healthcare system-wide program of nurse-delivered essential oil therapeutic interventions to inpatients throughout an acute care setting. In addition, we provide lessons learned for nursing administrators interested in developing similar nurse-delivered aromatherapy programs.

  16. Vandals, Arsonists, Bombs, Dogs.

    ERIC Educational Resources Information Center

    Murphy, Hilton H.

    An administrator tells how the Toledo public schools developed security plans to minimize damages resulting from student unrest. According to the author, the first step taken by the Toledo schools was to take a strong stand against violence at athletic events. Next, they established a systemwide lighted school program and emphasized total…

  17. Teacher Evaluation That Works!! Second Edition

    ERIC Educational Resources Information Center

    Ribas, William B.

    2005-01-01

    Creating a system for successfully supervising and evaluating the entire teaching staff of a school district is a daunting task. An effective system-wide program can only be achieved if the administrators, teachers and the teachers' association understand and attend to the educational, legal, public relations (political), and social-emotional…

  18. Cost Accounting in Higher Education. Simplified Macro- and Micro-Costing Techniques.

    ERIC Educational Resources Information Center

    Jenny, Hans H.

    This manual covers cost accounting applications and techniques as they apply to institutions of higher education, focusing mainly on the different methods of allocating costs. The manual covers four major costing topics: aggregate institution and systemwide costs; major academic and administrative program costs; academic and administrative…

  19. Adapt for Outreach: Taking Technology on the Road

    ERIC Educational Resources Information Center

    Hyatt, Jason; Craig, Angela

    2009-01-01

    Outreach occurs systemwide at Public Library of Charlotte & Mecklenburg County (PLCMC). All branches are involved in reaching their surrounding neighborhoods and patrons. Under the guidance of the outreach manager, the outreach department provides support for these efforts and also offers focused programming via 12 staff members. The department is…

  20. Dissertations and Theses Roles Highlighted at Annual Meeting Session. California State University System's Thesis in Master's Degree Programs Discussed.

    ERIC Educational Resources Information Center

    Stanford, Serena W.

    1987-01-01

    The role of the thesis in graduate education at the 19 campuses of the California State University (CSU) was surveyed. It was found that a minimal number of disciplines at CSU restrict the choice of culminating the degree with the thesis. Only 15% of the programs systemwide force the thesis. The comprehensive examination was as popular as the…

  1. Near-miss incident management in the chemical process industry.

    PubMed

    Phimister, James R; Oktem, Ulku; Kleindorfer, Paul R; Kunreuther, Howard

    2003-06-01

    This article provides a systematic framework for the analysis and improvement of near-miss programs in the chemical process industries. Near-miss programs improve corporate environmental, health, and safety (EHS) performance through the identification and management of near misses. Based on more than 100 interviews at 20 chemical and pharmaceutical facilities, a seven-stage framework has been developed and is presented herein. The framework enables sites to analyze their own near-miss programs, identify weak management links, and implement systemwide improvements.

  2. Lessons Learned From a System-wide Evidence-Based Practice Program Implementation

    DTIC Science & Technology

    2017-04-25

    Practice Program Implementation presented at/published to 20 17 Triscrvice Nursing Research and Evidence-Based Practice Dissemination Course...34’ ~ ~ p : Nursing servrees staff of the 59 MDVI I c : lmplementmoo of an EBP program = Versus no program rmp[emenlation • Femim:l2~~s~ • rnamp...wid1 ~venous montif medin!f’ tD 21ow ample time for pogRe on peojects; • EmocGgc g~Sl’O<lts EBP medanioms tu nit pa;&e counc;is;, montif nursing

  3. Reactivity of Household Oxygen Bleaches: A Stepwise Laboratory Exercise in High School Chemistry Course

    ERIC Educational Resources Information Center

    Nakano, Masayoshi; Ogasawara, Haruka; Wada, Takeshi; Koga, Nobuyoshi

    2016-01-01

    This paper reports on a learning program designed for high school chemistry classes that involves laboratory exercises using household oxygen bleaches. In this program, students are taught the chemistry of oxygen bleaches through a stepwise inquiry using laboratory exercises organized with different pedagogical intents. Through comparative…

  4. Opportunity Knocked Out: Reducing Cheating by Teachers on Student Tests.

    ERIC Educational Resources Information Center

    Ligon, Glynn

    Careful management of a testing program can greatly limit a teacher's opportunity to cheat while administering standardized tests to students and can increase the likelihood that such cheating will be detected. The Austin Independent School District's systemwide testing staff's plan for controlling cheating has three basic premises: (1) plan and…

  5. Experiences of Teacher Evaluation Systems on High School Physical Education Programs

    ERIC Educational Resources Information Center

    Phillips, Sharon R.; Mercier, Kevin; Doolittle, Sarah

    2017-01-01

    Primary objective: Teacher evaluation is being revamped by policy-makers. The marginalized status of physical education has protected this subject area from reform for many decades, but in our current era of system-wide, data-based decision-making, physical education is no longer immune. Standardized and local testing, together with structured…

  6. Maine Technical College System Annual Report, 1996.

    ERIC Educational Resources Information Center

    Fitzsimmons, John

    Focusing on the 1995-96 academic year, this report discusses programs and outcomes for the seven colleges in the Maine Technical College System (MTCS). Following a message from the System President, general outcomes for the MTCS are described. This section indicates that systemwide enrollment in fall 1995 was 4,475, representing a 24% increase…

  7. Using Student Feedback to Improve PLA Portfolio Courses

    ERIC Educational Resources Information Center

    Rust, Dianna Zeh; Brinthaupt, Thomas M.

    2017-01-01

    The purpose of this article is to examine the qualitative data gathered in a recent survey study of students who completed a prior learning assessment (PLA) portfolio online course in order to inform practice at institutions currently utilizing or considering such a course. PLA programs and system-wide initiatives are proliferating (Klein-Collins…

  8. The development of a streamlined, coordinated and sustainable evaluation methodology for a diverse chronic disease management program.

    PubMed

    Berlowitz, David J; Graco, Marnie

    2010-05-01

    The Northern Alliance Hospital Admission Risk Program-Chronic Disease Management comprises 13 services delivering care to those with chronic disease and older people with complex care needs, who are frequent hospital users. To develop and implement a system-wide approach to the evaluation of this existing program. The Northern Clinical Research Centre audited all existing, routinely collected administrative data within the program and then met with each service to develop service specific outcome measures. The evaluators then developed and implemented a system-wide evaluation approach to measure performance in terms of: client profile; access and entry; service efficiency; client outcomes; and hospital demand. Data are collected electronically and more than 80% are derived from existing, administrative datasets, minimising staff and client burden. Additional data include client outcomes and a health related quality of life measure. The preliminary twelve month data suggest that clients have the equivalent of 'fair' or 'poor' self-reported health status (n = 862) and the average health utility scores are significantly (P < 0.05) worse than population control data. These analyses reveal, for the first time, that the Northern Alliance Hospital Admission Risk Program-Chronic Disease Management program is targeting appropriate clients. This methodology will enable many prospective assessments to be performed including; client outcome evaluation, service model comparisons, and cost-utility analyses. This evaluation approach demonstrates the feasibility of a highly coordinated 'whole of system' evaluation. Such an approach may ultimately contribute to the development of evidence-based policy.

  9. Lessons Learned from A System-Wide Evidence-Based Practice Program Implementation

    DTIC Science & Technology

    2017-04-25

    services to better support the 59 MDW high reliability organization. Method of Implementation: Using a pretest posttest design, the project started with...FORM 3039 LOCATED ON AF E-PUBLISHING 1. The author must complete page two of this form: a. In Section 2, add the funding source for your study [e.g...form and all supporting documentation to your unit commander. program director or immediate supervisor for review/approval. 6. On page 2, have either

  10. System-wide lean implementation in health care: A multiple case study.

    PubMed

    Centauri, Federica; Mazzocato, Pamela; Villa, Stefano; Marsilio, Marta

    2018-05-01

    Background Lean practices have been widely used by health care organizations to meet efficiency, performance and quality improvement needs. The lean health care literature shows that the effective implementation of lean requires a holistic system-wide approach. However, there is still limited evidence on what drives effective system-wide lean implementation in health care. The existing literature suggests that a deeper understanding of how lean interventions interact with the organizational context is necessary to identify the critical variables to successfully sustain system-wide lean strategies. Purpose and methodology: A multiple case study of three Italian hospitals is conducted with the aim to explore the organizational conditions that are relevant for an effective system-wide lean implementation. A conceptual framework, built on socio-technical system schemas, is used to guide data collection and analysis. The analysis points out the importance to support lean implementation with an integrated and coordinated strategy involving the social, technical, and external components of the overall hospital system.

  11. Second Year Site Visits to Milwaukee Urban Systemic Initiative Schools. Report for the Milwaukee Public Schools.

    ERIC Educational Resources Information Center

    Huinker, DeAnn; Coan, Cheryl

    The Urban Systemic Initiatives (USI) program is an effort sponsored by the National Science Foundation (NSF) that targets large urban school systems with the goal of sustainable implementation of high-quality, standards-based teaching for the purpose of attaining system-wide increases in students' learning of challenging mathematics and science.…

  12. Maine Technical College System 1993/1994 Annual Report.

    ERIC Educational Resources Information Center

    Maine Technical Coll. System, Augusta.

    Focusing on data from the 1993-94 academic year, this report discusses programs and outcomes for the seven colleges in the Maine Technical College System (MTCS). Following a message from the System President, general outcomes for the MTCS are described. This section indicates that systemwide enrollment in 1993-94 was 4,305, representing a 19%…

  13. 40 CFR Appendix F to Part 132 - Great Lakes Water Quality Initiative Implementation Procedures

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... use of this methodology may be found in the Great Lakes Water Quality Initiative Technical Support... (CONTINUED) WATER PROGRAMS WATER QUALITY GUIDANCE FOR THE GREAT LAKES SYSTEM Pt. 132, App. F Appendix F to... that is freely dissolved in the ambient water is different than that used to derive the system-wide...

  14. 40 CFR Appendix F to Part 132 - Great Lakes Water Quality Initiative Implementation Procedures

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... use of this methodology may be found in the Great Lakes Water Quality Initiative Technical Support... (CONTINUED) WATER PROGRAMS WATER QUALITY GUIDANCE FOR THE GREAT LAKES SYSTEM Pt. 132, App. F Appendix F to... that is freely dissolved in the ambient water is different than that used to derive the system-wide...

  15. Achievement Test Preparation: A Year-Long Goal, Not a Last-Minute Thought.

    ERIC Educational Resources Information Center

    Matter, M. Kevin; Ligon, Glynn

    Yearly administrations of a standardized achievement test are a part of the educational process in many school districts in the United States. The Systemwide Testing Program in the Austin Independent School District Office of Research and Evaluation has gradually developed a process and support materials whereby the test administrations are a tool…

  16. Business in Education: How Good a Grade? ERS Concerns in Education.

    ERIC Educational Resources Information Center

    Woodside, William S.

    School-business partnerships are flourishing across the country, but many schools and students are not being reached by these efforts. It is time now to look beyond the individual partnership programs and focus on systemwide issues in order to make the vast and fundamental improvements needed in public schools. Some corporate communities are…

  17. Altered Gene Expression in the Brain and Ovaries of Zebrafish Exposed to the Aromatase Inhibitor Fadrosole: Microarray Analysis for Hypothesis Generation

    EPA Science Inventory

    A part of an overall program of research aimed at examining system-wide responses of the hypothalamic-pituitary-gonadal axis in fish to endocrine active chemicals acting through a variety of modes of action, we exposed zebrafish (Danio rerio) to the aromatase inhibitor fadrozole ...

  18. A Demonstration of Techniques in the Identification, Diagnosis, and Treatment of Children with Learning Disabilities. Final Report.

    ERIC Educational Resources Information Center

    Skokie School District 68, IL.

    A Chicago suburban public school with approximately 450 children per grade level demonstrated a system-wide program for identification, diagnosis, and educational treatment of children with learning disabilities in grades 2 through 6. Children were judged to underachieve when achievement measures in language or mathematics fell more than 10% below…

  19. Shallow water processes govern system-wide phytoplankton bloom dynamics: A modeling study

    USGS Publications Warehouse

    Lucas, L.V.; Koseff, Jeffrey R.; Monismith, Stephen G.; Thompson, J.K.

    2009-01-01

    A pseudo-two-dimensional numerical model of estuarine phytoplankton growth and consumption, vertical turbulent mixing, and idealized cross-estuary transport was developed and applied to South San Francisco Bay. This estuary has two bathymetrically distinct habitat types (deep channel, shallow shoal) and associated differences in local net rates of phytoplankton growth and consumption, as well as differences in the water column's tendency to stratify. Because many physical and biological time scales relevant to algal population dynamics decrease with decreasing depth, process rates can be especially fast in the shallow water. We used the model to explore the potential significance of hydrodynamic connectivity between a channel and shoal and whether lateral transport can allow physical or biological processes (e.g. stratification, benthic grazing, light attenuation) in one sub-region to control phytoplankton biomass and bloom development in the adjacent sub-region. Model results for South San Francisco Bay suggest that lateral transport from a productive shoal can result in phytoplankton biomass accumulation in an adjacent deep, unproductive channel. The model further suggests that turbidity and benthic grazing in the shoal can control the occurrence of a bloom system-wide; whereas, turbidity, benthic grazing, and vertical density stratification in the channel are likely to only control local bloom occurrence or modify system-wide bloom magnitude. Measurements from a related field program are generally consistent with model-derived conclusions. ?? 2008 Elsevier B.V.

  20. Building Systemwide Improvement Capability: Does an Organization's Strategy for Quality Improvement Matter?

    PubMed

    Babich, Lauren P; Charns, Martin P; McIntosh, Nathalie; Lerner, Barbara; Burgess, James F; Stolzmann, Kelly L; VanDeusen Lukas, Carol

    2016-01-01

    Health care organizations have used different strategies to implement quality improvement (QI) programs but with only mixed success in implementing and spreading QI organization-wide. This suggests that certain organizational strategies may be more successful than others in developing an organization's improvement capability. To investigate this, our study examined how the primary focus of grant-funded QI efforts relates to (1) key measures of grant success and (2) organization-level measures of success in QI and organizational learning. Using a mixed-methods design, we conducted one-way analyses of variance to relate Veterans Affairs administrative survey data to data collected as part of a 3.5-year evaluation of 29 health care organization grant recipients. We then analyzed qualitative evidence from the evaluation to explain our results. We found that hospitals that focused on developing organizational infrastructure to support QI implementation compared with those that focused on training or conducting projects rated highest (at α = .05) on all 4 evaluation measures of grant success and all 3 systemwide survey measures of QI and organizational learning success. This study adds to the literature on developing organizational improvement capability and has practical implications for health care leaders. Focusing on either projects or staff training in isolation has limited value. Organizations are more likely to achieve systemwide transformation of improvement capability if their strategy emphasizes developing or strengthening organizational systems, structures, or processes to support direct improvement efforts.

  1. The Diverse Educational Environment: An Update Report on Systemwide Student and Faculty Diversity Data and Program Initiatives.

    ERIC Educational Resources Information Center

    Oregon State System of Higher Education, Eugene.

    The report provides an update on racial and ethnic distribution in student enrollment and faculty employment for 1995-96 within the Oregon state system of higher education. A Faculty Diversity Initiative is highlighted, focusing on campus efforts to implement plans to achieve greater faculty diversity with the use of supplemental funds. Of the…

  2. Lessons Learned: Implementation of the Milwaukee Urban Systemic Initiative in Years One and Two. Report for the Milwaukee Public Schools.

    ERIC Educational Resources Information Center

    Doyle, Lynn H.; Huinker, DeAnn

    The Urban Systemic Initiatives (USI) program is an effort sponsored by the National Science Foundation (NSF) that targets large urban school systems with the goal of sustainable implementation of high-quality, standards-based teaching for the purpose of attaining system-wide increases in students' learning of challenging mathematics and science.…

  3. The Added Dimension. State and Land-Grant Universities Serving State and Local Government.

    ERIC Educational Resources Information Center

    Phillips, Ione

    Responses to a survey of university public service programs of benefit to state and local governments were received from 70 individual campuses, and one systemwide office, representing 79 of the 133 NASULGC member institutions and 41 of the 50 states. The survey asked for (1) information on institutes of government and on technical service units…

  4. Fiscal Profiles, 1999. The Ninth Annual in a Series of Factsheets about the Financing of California Higher Education.

    ERIC Educational Resources Information Center

    California State Postsecondary Education Commission, Sacramento.

    The report presents data about financing of California postsecondary education for fiscal years 1965-66 through 1999-2000. The report notes that: combined public system enrollment funding increased by over $200 million; resident undergraduate student fee charges were reduced systemwide; the Cal Grant program was expanded by over $21.5 million; and…

  5. The Effects of Response to Intervention on the Mathematics Achievement of Seventh and Eighth Grade Students

    ERIC Educational Resources Information Center

    Cornelius, Annette Sargent

    2013-01-01

    The purpose of this quantitative study was to investigate the effectiveness of a system-wide Response to Intervention (RTI) program on the mathematical achievement of seventh and eighth grade students. The study consisted of five district schools with a total of 502 participants. The students were identified as belonging to one of two tiers, which…

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

    NASA Technical Reports Server (NTRS)

    Bhadra, Dipasis; Morser, Frederick R.

    2006-01-01

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

  7. Quality-improvement analytics for intravenous infusion pumps.

    PubMed

    Skledar, Susan J; Niccolai, Cynthia S; Schilling, Dennis; Costello, Susan; Mininni, Nicolette; Ervin, Kelly; Urban, Alana

    2013-04-15

    The implementation of a smart-pump continuous quality-improvement (CQI) program across a large health system is described, with an emphasis on key metrics for outcomes analyses and program refinement. Three years ago, the University of Pittsburgh Medical Center health system launched a CQI initiative to help ensure the safe use of 6000 smart pumps in its 14 inpatient facilities. A centralized team led by pharmacists is responsible for the retrieval and interpretation of smart-pump data, which is continuously transmitted to a main server. CQI findings are regularly posted on the health system's interdisciplinary intranet. Monitored metrics include rates of compliance with preprogrammed infusion limits, the top 20 drugs involved in alerts, drugs associated with alert-override rates of ≥90%, numbers of alerts by infusion type, nurse responses to alerts, and alert rate per drug library update. Based on the collected CQI data and site-specific requests, four systemwide updates of the smart-pump drug library were performed during the first 18 months of the program, reducing "nuisance alerts" by about 10% per update cycle and enabling targeted interventions to reduce rapid-infusion errors, other adverse drug events (ADEs), and pump-programming workarounds. Over one 12-month period, bedside alerts prompted nurses to reprogram or cancel continuous infusions an average of 400 times per month, potentially averting i.v. medication ADEs. A smart-pump CQI program is an effective tool for enhancing the safety of i.v. medication administration. The ongoing refinement of the drug library through the development and implementation of key interventions promotes the growth and sustainability of the smart-pump initiative systemwide.

  8. First Year Site Visits to Milwaukee Urban Systemic Initiative Schools. A Report on the Milwaukee Public Schools Milwaukee Urban Systemic Initiative.

    ERIC Educational Resources Information Center

    Huinker, DeAnn; Pearson, Gretchen; Posnanski, Tracy; Coan, Cheryl; Porter, Corrie

    The Urban Systemic Initiatives (USI) program is an effort sponsored by the National Science Foundation (NSF) that targets large urban school systems with the goal of sustainable implementation of high-quality, standards-based teaching for the purpose of attaining system-wide increases in students' learning of challenging mathematics and science.…

  9. Survey Results for First Wave Schools of the Milwaukee Urban Systemic Initiative. Report on Milwaukee Public Schools Milwaukee Urban Systemic Initiative.

    ERIC Educational Resources Information Center

    Huinker, DeAnn; Coan, Cheryl; Mueller, Leah

    The Urban Systemic Initiatives (USI) program is an effort sponsored by the National Science Foundation (NSF) that targets large urban school systems with the goal of sustainable implementation of high-quality, standards-based teaching for the purpose of attaining system-wide increases in students' learning of challenging mathematics and science.…

  10. The Journey Begins: First Year Activities of the MUSI Mathematics/Science Resource Teachers. A Report on the Milwaukee Urban Systemic Initiative.

    ERIC Educational Resources Information Center

    Huinker, DeAnn; Pearson, Gretchen

    The Urban Systemic Initiatives (USI) program is an effort sponsored by the National Science Foundation (NSF) that targets large urban school systems with the goal of sustainable implementation of high-quality, standards-based teaching for the purpose of attaining system-wide increases in students' learning of challenging mathematics and science.…

  11. Building District Capacity for System-Wide Instructional Improvement in Erie Public Schools. Working Paper. GE Foundation "Developing Futures"™ in Education Evaluation Series

    ERIC Educational Resources Information Center

    Riggan, Matt; Fink, Ryan; Sam, Cecile; Darfler, Anne

    2013-01-01

    This report summarizes findings from one component of the Consortium for Policy Research in Education's (CPRE) evaluation of the General Electric Foundation's (GEF) "Developing Futures" ™ in Education program in Erie Public Schools (EPS). As described in the CPRE proposal and research design, the purpose was to closely analyze district…

  12. Building District Capacity for System-Wide Instructional Improvement in Jefferson County Public Schools. Working Paper. GE Foundation "Developing Futures"™ in Education Evaluation Series

    ERIC Educational Resources Information Center

    Darfler, Anne; Riggan, Matt

    2013-01-01

    This report summarizes findings from one component of the Consortium for Policy Research in Education's (CPRE) evaluation of the General Electric Foundation's (GEF) "Developing Futures"™ in Education program in Jefferson County Public Schools (JCPS). As described in the CPRE proposal and research design, the purpose was to closely…

  13. Modeling forest planning trade-offs on the Colorado Front Range using MAGIS, an optimization, spatial decision support system

    Treesearch

    Edward B. Butler

    2005-01-01

    The fires of 2000 and 2002 catalyzed a national mandate for fuel treatment programs to facilitate wildfire mitigation, yet the issues that need to be considered when planning large landscape projects are daunting, often ending in gridlock due to planning conflicts. Hazardous fuels maps help little when planning for integrated, system-wide ecological objectives and fail...

  14. Positive Behavior Support in Schools (PBSIS): An Administrative Perspective on the Implementation of a Comprehensive School-Wide Intervention in an Urban Charter School

    ERIC Educational Resources Information Center

    Christofferson, Remi Dabney; Callahan, Kathe

    2015-01-01

    This research explores the implementation of a school-wide intervention program that was designed to foster and instill intrinsic values based on an external reward system. The Positive Behavior Support in Schools (PBSIS) is an intervention intended to improve the climate of schools using system-wide positive behavioral interventions to discourage…

  15. Minimizing energy dissipation of matrix multiplication kernel on Virtex-II

    NASA Astrophysics Data System (ADS)

    Choi, Seonil; Prasanna, Viktor K.; Jang, Ju-wook

    2002-07-01

    In this paper, we develop energy-efficient designs for matrix multiplication on FPGAs. To analyze the energy dissipation, we develop a high-level model using domain-specific modeling techniques. In this model, we identify architecture parameters that significantly affect the total energy (system-wide energy) dissipation. Then, we explore design trade-offs by varying these parameters to minimize the system-wide energy. For matrix multiplication, we consider a uniprocessor architecture and a linear array architecture to develop energy-efficient designs. For the uniprocessor architecture, the cache size is a parameter that affects the I/O complexity and the system-wide energy. For the linear array architecture, the amount of storage per processing element is a parameter affecting the system-wide energy. By using maximum amount of storage per processing element and minimum number of multipliers, we obtain a design that minimizes the system-wide energy. We develop several energy-efficient designs for matrix multiplication. For example, for 6×6 matrix multiplication, energy savings of upto 52% for the uniprocessor architecture and 36% for the linear arrary architecture is achieved over an optimized library for Virtex-II FPGA from Xilinx.

  16. The Aviation System Monitoring and Modeling (ASMM) Project: A Documentation of its History and Accomplishments: 1999-2005

    NASA Technical Reports Server (NTRS)

    Statler, Irving C. (Editor)

    2007-01-01

    The Aviation System Monitoring and Modeling (ASMM) Project was one of the projects within NASA s Aviation Safety Program from 1999 through 2005. The objective of the ASMM Project was to develop the technologies to enable the aviation industry to undertake a proactive approach to the management of its system-wide safety risks. The ASMM Project entailed four interdependent elements: (1) Data Analysis Tools Development - develop tools to convert numerical and textual data into information; (2) Intramural Monitoring - test and evaluate the data analysis tools in operational environments; (3) Extramural Monitoring - gain insight into the aviation system performance by surveying its front-line operators; and (4) Modeling and Simulations - provide reliable predictions of the system-wide hazards, their causal factors, and their operational risks that may result from the introduction of new technologies, new procedures, or new operational concepts. This report is a documentation of the history of this highly successful project and of its many accomplishments and contributions to improved safety of the aviation system.

  17. Analysis of Aviation Safety Reporting System Incident Data Associated with the Technical Challenges of the System-Wide Safety and Assurance Technologies Project

    NASA Technical Reports Server (NTRS)

    Withrow, Colleen A.; Reveley, Mary S.

    2015-01-01

    The Aviation Safety Program (AvSP) System-Wide Safety and Assurance Technologies (SSAT) Project asked the AvSP Systems and Portfolio Analysis Team to identify SSAT-related trends. SSAT had four technical challenges: advance safety assurance to enable deployment of NextGen systems; automated discovery of precursors to aviation safety incidents; increasing safety of human-automation interaction by incorporating human performance, and prognostic algorithm design for safety assurance. This report reviews incident data from the NASA Aviation Safety Reporting System (ASRS) for system-component-failure- or-malfunction- (SCFM-) related and human-factor-related incidents for commercial or cargo air carriers (Part 121), commuter airlines (Part 135), and general aviation (Part 91). The data was analyzed by Federal Aviation Regulations (FAR) part, phase of flight, SCFM category, human factor category, and a variety of anomalies and results. There were 38 894 SCFM-related incidents and 83 478 human-factorrelated incidents analyzed between January 1993 and April 2011.

  18. Roadway network productivity assessment : system-wide analysis under variant travel demand

    DOT National Transportation Integrated Search

    2008-11-01

    The analysis documented in this report examines the hypothesis that the system-wide productivity of a metropolitan freeway system in peak periods is higher in moderate travel demand conditions than in excessive travel demand conditions. The approach ...

  19. Implementing an overdose education and naloxone distribution program in a health system.

    PubMed

    Devries, Jennifer; Rafie, Sally; Polston, Gregory

    To design and implement a health system-wide program increasing provision of take-home naloxone in patients at risk for opioid overdose, with the downstream aim of reducing fatalities. The program includes health care professional education and guidelines, development, and dissemination of patient education materials, electronic health record changes to promote naloxone prescriptions, and availability of naloxone in pharmacies. Academic health system, San Diego, California. University of California, San Diego Health (UCSDH), offers both inpatient and outpatient primary care and specialty services with 563 beds spanning 2 hospitals and 6 pharmacies. UCSDH is part of the University of California health system, and it serves as the county's safety net hospital. In January 2016, a multisite academic health system initiated a system-wide overdose education and naloxone distribution program to prevent opioid overdose and opioid overdose-related deaths. An interdisciplinary, interdepartmental team came together to develop and implement the program. To strengthen institutional support, naloxone prescribing guidelines were developed and approved for the health system. Education on naloxone for physicians, pharmacists, and nurses was provided through departmental trainings, bulletins, and e-mail notifications. Alerts in the electronic health record and preset naloxone orders facilitated co-prescribing of naloxone with opioid prescriptions. Electronic health record reports captured naloxone prescriptions ordered. Summary reports on the electronic health record measured naloxone reminder alerts and response rates. Since the start of the program, the health system has trained 252 physicians, pharmacists, and nurses in overdose education and take-home naloxone. There has been an increase in the number of prescriptions for naloxone from a baseline of 4.5 per month to an average of 46 per month during the 3 months following full implementation of the program including implementation of electronic health record alerts. Initiating and implementing an overdose education and naloxone distribution program is feasible in an academic health system. Copyright © 2017 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  20. Teacher Receptivity to System-Wide Educational Change.

    ERIC Educational Resources Information Center

    Moroz, Rose; Waugh, Russell F.

    2000-01-01

    Examines Western Australian high-school teachers' receptivity to a systemwide educational change, the use of (mandated) student-outcome statements. Teachers' receptivity is related to their beliefs about the change and to their attitudes and beliefs about its nonmonetary cost benefits, significant- other support, and comparison with the previous…

  1. 12 CFR 630.1 - Purpose.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Purpose. 630.1 Section 630.1 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM DISCLOSURE TO INVESTORS IN SYSTEMWIDE AND CONSOLIDATED... reports to investors and potential investors in Systemwide and consolidated bank debt obligations of the...

  2. Using archived ITS data to measure the operational benefits of a system-wide adaptive ramp metering system.

    DOT National Transportation Integrated Search

    2008-12-01

    A System-Wide Adaptive Ramp Metering (SWARM) system has been implemented in the Portland, Oregon metropolitan area, replacing the previous pre-timed ramp-metering system that had been in operation since 1981. SWARM has been deployed on six major corr...

  3. Leadership Development: A Lever for System-Wide Educational Change

    ERIC Educational Resources Information Center

    Naicker, Suraiya R.; Mestry, Raj

    2016-01-01

    The continuous poor performance of South Africa's learners is detrimental to its developing economy. The need for education change prompted two universities to initiate a system-wide change strategy in a poorly performing school district. The leverage for change was leadership development, involving school principals and district officials. The…

  4. New Jersey's Renewable Resource. A Systemwide Accountability Report.

    ERIC Educational Resources Information Center

    New Jersey State Commission on Higher Education.

    This first systemwide report on New Jersey higher education examines how well the state is meeting its goals for higher education affordability and accessibility, institutional excellence, and effectiveness in addressing societal and economic needs of the state. The six sections of the report include: (1) an introduction, which stresses the…

  5. An Evaluation Research Model for System-Wide Textbook Selection.

    ERIC Educational Resources Information Center

    Talmage, Harriet; Walberg, Herbert T.

    One component of an evaluation research model for system-wide selection of curriculum materials is reported: implementation of an evaluation design for obtaining data that permits professional and lay persons to base curriculum materials decisions on a "best fit" principle. The design includes teacher characteristics, learning environment…

  6. In preparation of the nationwide dissemination of the school-based obesity prevention program DOiT: stepwise development applying the intervention mapping protocol.

    PubMed

    van Nassau, Femke; Singh, Amika S; van Mechelen, Willem; Brug, Johannes; Chin A Paw, Mai J M

    2014-08-01

    The school-based Dutch Obesity Intervention in Teenagers (DOiT) program is an evidence-based obesity prevention program. In preparation for dissemination throughout the Netherlands, this study aimed to adapt the initial program and to develop an implementation strategy and materials. We revisited the Intervention Mapping (IM) protocol, using results of the previous process evaluation and additional focus groups and interviews with students, parents, teachers, and professionals. The adapted 2-year DOiT program consists of a classroom, an environmental and a parental component. The year 1 lessons aim to increase awareness and knowledge of healthy behaviors. The lessons in year 2 focus on the influence of the (obesogenic) environment. The stepwise development of the implementation strategy resulted in objectives that support teachers' implementation. We developed a 7-step implementation strategy and supporting materials by translating the objectives into essential elements and practical strategies. This study illustrates how revisiting the IM protocol resulted in an adapted program and tailored implementation strategy based on previous evaluations as well as input from different stakeholders. The stepwise development of DOiT can serve as an example for other evidence-based programs in preparation for wider dissemination. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

  7. Low thrust spacecraft transfers optimization method with the stepwise control structure in the Earth-Moon system in terms of the L1-L2 transfer

    NASA Astrophysics Data System (ADS)

    Fain, M. K.; Starinova, O. L.

    2016-04-01

    The paper outlines the method for determination of the locally optimal stepwise control structure in the problem of the low thrust spacecraft transfer optimization in the Earth-Moon system, including the L1-L2 transfer. The total flight time as an optimization criterion is considered. The optimal control programs were obtained by using the Pontryagin's maximum principle. As a result of optimization, optimal control programs, corresponding trajectories, and minimal total flight times were determined.

  8. Stepwise Inquiry into Hard Water in a High School Chemistry Laboratory

    ERIC Educational Resources Information Center

    Kakisako, Mami; Nishikawa, Kazuyuki; Nakano, Masayoshi; Harada, Kana S.; Tatsuoka, Tomoyuki; Koga, Nobuyoshi

    2016-01-01

    This study focuses on the design of a learning program to introduce complexometric titration as a method for determining water hardness in a high school chemistry laboratory. Students are introduced to the different properties and reactions of hard water in a stepwise manner so that they gain the necessary chemical knowledge and conceptual…

  9. Building a Unit-Level Mentored Program to Sustain a Culture of Inquiry for Evidence-Based Practice.

    PubMed

    Breckenridge-Sproat, Sara T; Throop, Meryia D; Raju, Dheeraj; Murphy, Deborah A; Loan, Lori A; Patrician, Patricia A

    2015-01-01

    This study tested the effectiveness of a dynamic educational and mentoring program, facilitated by unit-level mentors, to introduce, promote, and sustain an evidence-based practice (EBP) culture among nurses in a military healthcare setting. The need to identify gaps in practice, apply principles of EBP, and advance scientific applications in the pursuit of quality nursing care is as important to military healthcare as it is in the civilian sector. The Advancing Research through Close Collaboration Model guided the intervention and study. Three instruments were used: the Organizational Readiness for System-wide Integration of Evidence-Based Practice, EBP Beliefs, and EBP Implementation scales. The study took place in 3 military hospitals simultaneously undergoing facility and staff integration. Data were collected from staff nurses in the inpatient nursing units before and after a facilitated education and mentoring intervention. Three hundred sixty nurses (38%) completed baseline, and 325 (31%) completed follow-up surveys. Scores improved on all 3 measures following implementation of the program; however, the differences were statistically significant only for the Organizational Readiness for System-wide Integration of Evidence-Based Practice scale (70.96 vs 77.63, t = -3.95, P < .01). In the paired individual pretest/posttest subsample (n = 56), scores improved significantly on all 3 instruments. Despite typically high turnover rates of military personnel and restructuring of 3 facilities during the study period, the readiness for, beliefs about, and implementation of EBP improved. This study suggests that a commitment to an EBP culture may diffuse among individuals in an organization, even while experiencing significant change. It also demonstrates that a unit-level mentored EBP program is sustainable despite changes in organizational structure and workforce composition.

  10. System-Wide Water Resources Program Nutrient Sub-Model (SWWRP-NSM) Version 1.1

    DTIC Science & Technology

    2008-09-01

    species including crops, native grasses, and trees . The process descriptions utilize a single plant growth model to simulate all types of land covers...characteristics: • Multi- species , multi-phase, and multi-reaction system • Fast (equilibrium-based) and slow (non-equilibrium-based or rate- based...Transformation and loading of N and P species in the overland flow • Simulation of the N and P cycle in the water column (both overland and

  11. System-Wide Improvement at the Instructional Core: Changing Reading Teaching in South Africa

    ERIC Educational Resources Information Center

    Fleisch, Brahm

    2016-01-01

    The article describes the background to, and implementation of, the Gauteng Primary Language and Mathematics Strategy (GPLMS) in South Africa from 2010 to 2014--an initiative aimed at system-wide instructional improvement in the Global South. Working in over 1000 underperforming primary schools in poor- and working-class communities, the…

  12. 12 CFR 627.2750 - Priority of claims-banks.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... accordance with priorities of applicable Federal or State law. (g) All claims of holders of bonds issued by... claims of holders of consolidated and System-wide bonds and all claims of the other Farm Credit banks arising from their payments on consolidated and System-wide bonds pursuant to 12 U.S.C. 2155 or pursuant...

  13. 12 CFR 627.2750 - Priority of claims-banks.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... accordance with priorities of applicable Federal or State law. (g) All claims of holders of bonds issued by... claims of holders of consolidated and System-wide bonds and all claims of the other Farm Credit banks arising from their payments on consolidated and System-wide bonds pursuant to 12 U.S.C. 2155 or pursuant...

  14. 12 CFR 627.2750 - Priority of claims-banks.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... accordance with priorities of applicable Federal or State law. (g) All claims of holders of bonds issued by... claims of holders of consolidated and System-wide bonds and all claims of the other Farm Credit banks arising from their payments on consolidated and System-wide bonds pursuant to 12 U.S.C. 2155 or pursuant...

  15. A stepwise model to predict monthly streamflow

    NASA Astrophysics Data System (ADS)

    Mahmood Al-Juboori, Anas; Guven, Aytac

    2016-12-01

    In this study, a stepwise model empowered with genetic programming is developed to predict the monthly flows of Hurman River in Turkey and Diyalah and Lesser Zab Rivers in Iraq. The model divides the monthly flow data to twelve intervals representing the number of months in a year. The flow of a month, t is considered as a function of the antecedent month's flow (t - 1) and it is predicted by multiplying the antecedent monthly flow by a constant value called K. The optimum value of K is obtained by a stepwise procedure which employs Gene Expression Programming (GEP) and Nonlinear Generalized Reduced Gradient Optimization (NGRGO) as alternative to traditional nonlinear regression technique. The degree of determination and root mean squared error are used to evaluate the performance of the proposed models. The results of the proposed model are compared with the conventional Markovian and Auto Regressive Integrated Moving Average (ARIMA) models based on observed monthly flow data. The comparison results based on five different statistic measures show that the proposed stepwise model performed better than Markovian model and ARIMA model. The R2 values of the proposed model range between 0.81 and 0.92 for the three rivers in this study.

  16. Targeted Research and Technology Within NASA's Living With a Star Program

    NASA Technical Reports Server (NTRS)

    Hesse, Michael

    2003-01-01

    NASA's Living With a Star (LWS) initiative is a systematic, goal-oriented research program targeting those aspects of the Sun-Earth system that affect society. The Targeted Research and Technology (TR&T) component of LWS provides the theory, modeling, and data analysis necessary to enable an integrated, system-wide picture of Sun-Earth connection science with societal relevance. Recognizing the central and essential role that TR&T would have for the success of the LWS initiative, the LWS Science Architecture Team (SAT) recommended that a Science Definition Team (SDT), with the same status as a flight mission definition team, be formed to design and coordinate a TR&T program having prioritized goals and objectives that focused on practical societal benefits. This report details the SDT recommendations for the TR&T program.

  17. Final Evaluation Report 1976-77. Systemwide Evaluation. Publication Number: 76.70.

    ERIC Educational Resources Information Center

    Austin Independent School District, TX. Office of Research and Evaluation.

    A series of reports describes the activities of the Office of Research and Evaluation and compiles data descriptive of the Austin (Texas) Independent School District. This report describes the system-wide evaluation data for the school year 1976-77, which demonstrate improved performance in the basic skills areas of reading and mathematics,…

  18. 16 CFR Appendix B to Part 436 - Sample Item 20(1) Table-Systemwide Outlet Summary

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Sample Item 20(1) Table-Systemwide Outlet Summary B Appendix B to Part 436 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES DISCLOSURE REQUIREMENTS AND PROHIBITIONS CONCERNING FRANCHISING Pt. 436, App. B Appendix B to Part 436—Sample...

  19. 77 FR 76356 - Disclosure to Investors in System-wide and Consolidated Bank Debt Obligations of the Farm Credit...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-28

    ... FARM CREDIT ADMINISTRATION 12 CFR Part 630 RIN 3052-AC77 Disclosure to Investors in System-wide and Consolidated Bank Debt Obligations of the Farm Credit System; System Audit Committee; Effective... Corporation System Audit Committee and the Farm Credit System annual report to investors. In accordance with...

  20. 77 FR 8179 - Disclosure to Investors in System-wide and Consolidated Bank Debt Obligations of the Farm Credit...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-14

    ... FARM CREDIT ADMINISTRATION 12 CFR Part 630 RIN 3052-AC77 Disclosure to Investors in System-wide and Consolidated Bank Debt Obligations of the Farm Credit System AGENCY: Farm Credit Administration...) System Audit Committee (SAC) and the Farm Credit System (System) annual report to investors. The proposed...

  1. 77 FR 59050 - Disclosure to Investors in System-Wide and Consolidated Bank Debt Obligations of the Farm Credit...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-26

    ... FARM CREDIT ADMINISTRATION 12 CFR Part 630 RIN 3052-AC77 Disclosure to Investors in System-Wide... operations of System institutions and to govern the disclosure of financial information to shareholders of... the safety and soundness of the System; and Disclosure of resources used by, and the composition of...

  2. Mechanisms Affecting the Sustainability and Scale-up of a System-Wide Numeracy Reform

    ERIC Educational Resources Information Center

    Bobis, Janette

    2011-01-01

    With deliberate system-level reform now being acted upon around the world, both successful and unsuccessful cases provide a rich source of knowledge from which we can learn to improve large-scale reform. Research surrounding the effectiveness of a theory-based system-wide numeracy reform operating in primary schools across Australia is examined to…

  3. 16 CFR Appendix B to Part 436 - Sample Item 20(1) Table-Systemwide Outlet Summary

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Sample Item 20(1) Table-Systemwide Outlet Summary B Appendix B to Part 436 Commercial Practices FEDERAL TRADE COMMISSION TRADE REGULATION RULES DISCLOSURE REQUIREMENTS AND PROHIBITIONS CONCERNING FRANCHISING Pt. 436, App. B Appendix B to Part 436—Sample...

  4. Monitoring and Evaluation of Smolt Migration in the Columbia Basin : Volume XVI : Survival and Transportation Effects for Migrating Snake River Hatchery Chinook Salmon and Steelhead: Historical Estimates from 1996-2003.

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

    Buchanan, Rebecca A.; Skalski, John R.

    2007-12-07

    In 2005, the University of Washington developed a new statistical model to analyze the combined juvenile and adult detection histories of PIT-tagged salmon migrating through the Federal Columbia River Power System (FCRPS). This model, implemented by software Program ROSTER (River-Ocean Survival and Transportation Effects Routine), has been used to estimate survival and transportation effects on large temporal and spatial scales for PIT-tagged hatchery spring and summer Chinook salmon and steelhead released in the Snake River Basin from 1996 to 2003. Those results are reported here. Annual estimates of the smolt-to-adult return ratio (SAR), juvenile inriver survival from Lower Granite tomore » Bonneville, the ocean return probability from Bonneville to Bonneville, and adult upriver survival from Bonneville to Lower Granite are reported. Annual estimates of transport-inriver (T/I) ratios and differential post-Bonneville mortality (D) are reported on both a systemwide basis, incorporating all transport dams analyzed, and a dam-specific basis. Transportation effects are estimated only for dams where at least 5,000 tagged smolts were transported from a given upstream release group. Because few tagged hatchery steelhead were transported in these years, no transportation effects are estimated for steelhead. Performance measures include age-1-ocean adult returns for steelhead, but not for Chinook salmon. Annual estimates of SAR from Lower Granite back to Lower Granite averaged 0.71% with a standard error (SE) of 0.18% for spring Chinook salmon from the Snake River Basin for tagged groups released from 1996 through 2003, omitting age-1-ocean (jack) returns. For summer Chinook salmon from the Snake River Basin, the estimates of annual SAR averaged 1.15% (SE=0.31%). Only for the release years 1999 and 2000 did the Chinook SAR approach the target value of 2%, identified by the NPCC as the minimum SAR necessary for recovery. Annual estimates of SAR for hatchery steelhead from the Snake River Basin averaged 0.45% (SE=0.11%), including age-1-ocean returns, for release years 1996 through 2003. For release years when the ocean return probability from Bonneville back to Bonneville could be estimated (i.e., 1999 through 2003), it was estimated that on average approximately 86% of the total integrated mortality for nontransported, tagged hatchery spring and summer Chinook, and 74% for steelhead, occurred during the ocean life stage (i.e., from Bonneville to Bonneville). This suggests that additional monitoring and research efforts should include the ocean and estuary environment. Annual estimates of the systemwide T/I are weighted averages of the dam-specific T/I ratios for each transport dam (with {ge} 5,000 tagged fish transported), weighted by the probabilities of being transported at each dam. The systemwide T/I compares the observed SAR under the existing transportation system with the expected SAR if the transportation system had not been operated. Estimates of 1.0 indicate that the systemwide transportation program has no effect on SAR, while estimates > 1.0 indicate that the transportation program increases SAR. Excluding the 2001 release group, the geometric mean of the systemwide T/I estimates for hatchery spring Chinook salmon from the Snake River Basin was 1.15 (SE=0.03) for release years 1997 through 2003. The geometric mean of the systemwide T/I estimates for hatchery summer Chinook salmon from the Snake River Basin was 1.28 (SE=0.13) for release years 1997 through 2000 and 2003. Estimates were much higher for the 2001 release groups. These estimates reflect transportation from Lower Granite and/or Little Goose for most release years, depending on the number of tagged smolts actually transported at each dam during each release year. Differential post-Bonneville mortality (D) is the ratio of post-Bonneville survival to Lower Granite Dam of transported fish to that of nontransported ('inriver') fish. Excluding the 2001 release year, the geometric mean of the D estimates for hatchery spring Chinook salmon from the Snake River Basin was 1.00 (SE=0.09) for release years 1997 through 2003. For hatchery summer Chinook salmon from the Snake River Basin, the geometric mean of the D estimates was 1.32 (SE=0.27) for release years 1997 through 2000 and 2003. These estimates reflect transportation from Lower Granite and/or Little Goose, depending on the number of tagged smolts actually transported at each dam during each release year. Approximately half the point estimates of D for both spring and summer Chinook salmon were 1.0 or greater, indicating that for those release groups, transported fish did not have lower ocean and adult survival than nontransported fish. For those years with estimates of D < 1.0, the systemwide T/I estimates were always {ge} 1.0, indicating that despite lower ocean and adult survival of transported fish, transportation did not lower SAR overall.« less

  5. System-wide power management control via clock distribution network

    DOEpatents

    Coteus, Paul W.; Gara, Alan; Gooding, Thomas M.; Haring, Rudolf A.; Kopcsay, Gerard V.; Liebsch, Thomas A.; Reed, Don D.

    2015-05-19

    An apparatus, method and computer program product for automatically controlling power dissipation of a parallel computing system that includes a plurality of processors. A computing device issues a command to the parallel computing system. A clock pulse-width modulator encodes the command in a system clock signal to be distributed to the plurality of processors. The plurality of processors in the parallel computing system receive the system clock signal including the encoded command, and adjusts power dissipation according to the encoded command.

  6. Developing Educational Leaders: A Partnership between Two Universities to Bring about System-Wide Change

    ERIC Educational Resources Information Center

    Naicker, Suraiya R.; Mestry, Raj

    2015-01-01

    This study investigated a system-wide change strategy in a South African school district, which sought to build the leadership capacity of principals and district officials to improve instruction. The three-year venture was called the Leadership for Learning Programme (LLP). A distinctive feature of the LLP was that it was based on a partnership…

  7. Leading a System-Wide Pedagogical Change: How a Faculty of Education Invests in Developing Communication Proficiencies?

    ERIC Educational Resources Information Center

    Weinberger, Yehudith

    2018-01-01

    The article presents a system-wide change initiated in the faculty of education at a major teachers' college aimed at developing students' reading, and written and oral communication proficiencies, while focusing on clarity and coherence, and the use of rich, correct and precise language for purposes of studying, teaching and research. The…

  8. Using Small-Step Refinement for Algorithm Verification in Computer Science Education

    ERIC Educational Resources Information Center

    Simic, Danijela

    2015-01-01

    Stepwise program refinement techniques can be used to simplify program verification. Programs are better understood since their main properties are clearly stated, and verification of rather complex algorithms is reduced to proving simple statements connecting successive program specifications. Additionally, it is easy to analyse similar…

  9. Stepwise Iterative Fourier Transform: The SIFT

    NASA Technical Reports Server (NTRS)

    Benignus, V. A.; Benignus, G.

    1975-01-01

    A program, designed specifically to study the respective effects of some common data problems on results obtained through stepwise iterative Fourier transformation of synthetic data with known waveform composition, was outlined. Included in this group were the problems of gaps in the data, different time-series lengths, periodic but nonsinusoidal waveforms, and noisy (low signal-to-noise) data. Results on sinusoidal data were also compared with results obtained on narrow band noise with similar characteristics. The findings showed that the analytic procedure under study can reliably reduce data in the nature of (1) sinusoids in noise, (2) asymmetric but periodic waves in noise, and (3) sinusoids in noise with substantial gaps in the data. The program was also able to analyze narrow-band noise well, but with increased interpretational problems. The procedure was shown to be a powerful technique for analysis of periodicities, in comparison with classical spectrum analysis techniques. However, informed use of the stepwise procedure nevertheless requires some background of knowledge concerning characteristics of the biological processes under study.

  10. Targeted Research and Technology Within NASA's Living With a Star Program

    NASA Technical Reports Server (NTRS)

    Antiochos, Spiro; Baker, Kile; Bellaire, Paul; Blake, Bern; Crowley, Geoff; Eddy, Jack; Goodrich, Charles; Gopalswamy, Nat; Gosling, Jack; Hesse, Michael

    2004-01-01

    Targeted Research & Technology (TR&T) NASA's Living With a Star (LWS) initiative is a systematic, goal-oriented research program targeting those aspects of the Sun-Earth system that affect society. The Targeted Research and Technology (TR&T) component of LWS provides the theory, modeling, and data analysis necessary to enable an integrated, system-wide picture of Sun-Earth connection science with societal relevance. Recognizing the central and essential role that TR&T would have for the success of the LWS initiative, the LWS Science Architecture Team (SAT) recommended that a Science Definition Team (SDT), with the same status as a flight mission definition team, be formed to design and coordinate a TR&T program having prioritized goals and objectives that focused on practical societal benefits. This report details the SDT recommendations for the TR&T program.

  11. Design Exception In-Service Monitoring Program Development

    DOT National Transportation Integrated Search

    2017-05-01

    This study evaluates various possible program designs for in-service monitoring of design exceptions (DEs) for the Georgia Department of Transportation. The study recommends a multitier stepwise approach to the evaluation of DEs. Specifically, the pr...

  12. A Review of Studies on the System-Wide Implementation of Evidence-Based Psychotherapies for Posttraumatic Stress Disorder in the Veterans Health Administration.

    PubMed

    Rosen, C S; Matthieu, M M; Wiltsey Stirman, S; Cook, J M; Landes, S; Bernardy, N C; Chard, K M; Crowley, J; Eftekhari, A; Finley, E P; Hamblen, J L; Harik, J M; Kehle-Forbes, S M; Meis, L A; Osei-Bonsu, P E; Rodriguez, A L; Ruggiero, K J; Ruzek, J I; Smith, B N; Trent, L; Watts, B V

    2016-11-01

    Since 2006, the Veterans Health Administration (VHA) has instituted policy changes and training programs to support system-wide implementation of two evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD). To assess lessons learned from this unprecedented effort, we used PubMed and the PILOTS databases and networking with researchers to identify 32 reports on contextual influences on implementation or sustainment of EBPs for PTSD in VHA settings. Findings were initially organized using the exploration, planning, implementation, and sustainment framework (EPIS; Aarons et al. in Adm Policy Ment Health Health Serv Res 38:4-23, 2011). Results that could not be adequately captured within the EPIS framework, such as implementation outcomes and adopter beliefs about the innovation, were coded using constructs from the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework (Glasgow et al. in Am J Public Health 89:1322-1327, 1999) and Consolidated Framework for Implementation Research (CFIR; Damschroder et al. in Implement Sci 4(1):50, 2009). We highlight key areas of progress in implementation, identify continuing challenges and research questions, and discuss implications for future efforts to promote EBPs in large health care systems.

  13. Ask-Elle: An Adaptable Programming Tutor for Haskell Giving Automated Feedback

    ERIC Educational Resources Information Center

    Gerdes, Alex; Heeren, Bastiaan; Jeuring, Johan; van Binsbergen, L. Thomas

    2017-01-01

    Ask-Elle is a tutor for learning the higher-order, strongly-typed functional programming language Haskell. It supports the stepwise development of Haskell programs by verifying the correctness of incomplete programs, and by providing hints. Programming exercises are added to Ask-Elle by providing a task description for the exercise, one or more…

  14. LMFBR system-wide transient analysis: the state of the art and US validation needs

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

    Khatib-Rahbar, M.; Guppy, J.G.; Cerbone, R.J.

    1982-01-01

    This paper summarizes the computational capabilities in the area of liquid metal fast breeder reactor (LMFBR) system-wide transient analysis in the United States, identifies various numerical and physical approximations, the degree of empiricism, range of applicability, model verification and experimental needs for a wide class of protected transients, in particular, natural circulation shutdown heat removal for both loop- and pool-type plants.

  15. Recreating the 1950’s Chesapeake Bay: Use of a Network Model to Guide the Application of a Eutrophication Model

    DTIC Science & Technology

    2009-08-01

    14. Comparison of surface light extinction for base and 1950’ s RMB2 results in the upper, mid, and lower regions of the Chesapeake Bay...Lower Bay Light Extinction Surface 1950 Lower Bay Light Extinction Surface Figure 14. Comparison of surface light extinction for base and 1950’ s RMB2...ER D C/ EL T R -0 9 -9 System-Wide Water Resources Program Recreating the 1950’ s Chesapeake Bay: Use of a Network Model to Guide the

  16. Coordinated Fault Tolerance for High-Performance Computing

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

    Dongarra, Jack; Bosilca, George; et al.

    2013-04-08

    Our work to meet our goal of end-to-end fault tolerance has focused on two areas: (1) improving fault tolerance in various software currently available and widely used throughout the HEC domain and (2) using fault information exchange and coordination to achieve holistic, systemwide fault tolerance and understanding how to design and implement interfaces for integrating fault tolerance features for multiple layers of the software stack—from the application, math libraries, and programming language runtime to other common system software such as jobs schedulers, resource managers, and monitoring tools.

  17. Lost in translation? Theory, policy and practice in systems-based environmental approaches to obesity prevention in the Healthy Towns programme in England.

    PubMed

    Sautkina, Elena; Goodwin, Denise; Jones, Andy; Ogilvie, David; Petticrew, Mark; White, Martin; Cummins, Steven

    2014-09-01

    This paper explores how system-wide approaches to obesity prevention were 'theorised' and translated into practice in the 'Healthy Towns' programme implemented in nine areas in England. Semi-structured interviews with 20 informants, purposively selected to represent national and local programme development, management and delivery were undertaken. Results suggest that informants articulated a theoretical understanding of a system-wide approach to obesity prevention, but simplifying this complex task in the context of uncertainty over programme aims and objectives, and absence of a clear direction from the central government, resulted in local programmes relying on traditional multi-component approaches to programme delivery. The development of clear, practical guidance on implementation should form a central part of future system-wide approaches to obesity prevention. Copyright © 2014 Elsevier Ltd. All rights reserved.

  18. System-wide versus component-specific trust using multiple aids.

    PubMed

    Keller, David; Rice, Stephen

    2010-01-01

    Previous research in operator trust toward automated aids has focused primarily on single aids. The current study focuses on how operator trust is affected by the presence of multiple aids. Two competing theories of multiple-trust are presented. A component-specific trust theory predicts that operators will differentially place their trust in automated aids that vary in reliability. A system-wide trust theory predicts that operators will treat multiple imperfect aids as one "system" and merge their trust across aids despite differences in the aids' reliability. A simulated flight task was used to test these theories, whereby operators performed a pursuit tracking task while concurrently monitoring multiple system gauges that were augmented with perfect or imperfect automated aids. The data revealed that a system-wide trust theory best predicted the data; operators merged their trust across both aids, behaving toward a perfectly reliable aid in the same manner as they did towards unreliable aids.

  19. Recurrence and interoccurrence behavior of self-organized complex phenomena

    NASA Astrophysics Data System (ADS)

    Abaimov, S. G.; Turcotte, D. L.; Shcherbakov, R.; Rundle, J. B.

    2007-08-01

    The sandpile, forest-fire and slider-block models are said to exhibit self-organized criticality. Associated natural phenomena include landslides, wildfires, and earthquakes. In all cases the frequency-size distributions are well approximated by power laws (fractals). Another important aspect of both the models and natural phenomena is the statistics of interval times. These statistics are particularly important for earthquakes. For earthquakes it is important to make a distinction between interoccurrence and recurrence times. Interoccurrence times are the interval times between earthquakes on all faults in a region whereas recurrence times are interval times between earthquakes on a single fault or fault segment. In many, but not all cases, interoccurrence time statistics are exponential (Poissonian) and the events occur randomly. However, the distribution of recurrence times are often Weibull to a good approximation. In this paper we study the interval statistics of slip events using a slider-block model. The behavior of this model is sensitive to the stiffness α of the system, α=kC/kL where kC is the spring constant of the connector springs and kL is the spring constant of the loader plate springs. For a soft system (small α) there are no system-wide events and interoccurrence time statistics of the larger events are Poissonian. For a stiff system (large α), system-wide events dominate the energy dissipation and the statistics of the recurrence times between these system-wide events satisfy the Weibull distribution to a good approximation. We argue that this applicability of the Weibull distribution is due to the power-law (scale invariant) behavior of the hazard function, i.e. the probability that the next event will occur at a time t0 after the last event has a power-law dependence on t0. The Weibull distribution is the only distribution that has a scale invariant hazard function. We further show that the onset of system-wide events is a well defined critical point. We find that the number of system-wide events NSWE satisfies the scaling relation NSWE ∝(α-αC)δ where αC is the critical value of the stiffness. The system-wide events represent a new phase for the slider-block system.

  20. Improving Quality Metric Adherence to Minimally Invasive Breast Biopsy among Surgeons Within a Multihospital Health Care System.

    PubMed

    Tjoe, Judy A; Greer, Danielle M; Ihde, Sue E; Bares, Diane A; Mikkelson, Wendy M; Weese, James L

    2015-09-01

    Minimally invasive breast biopsy (MIBB) is the procedure of choice for diagnosing breast lesions indeterminate for malignancy. Multihospital health care systems face challenges achieving systemwide adherence to standardized guidelines among surgeons with varying practice patterns. This study tested whether providing individual feedback about surgeons' use of MIBB to diagnose breast malignancies improved quality metric adherence across a large health care organization. We conducted a prospective matched-pairs study to test differences (or lack of agreement) between periods before and after intervention. All analytical cases of primary breast cancer diagnosed during 2011 (period 1) and from July 2012 to June 2013 (period 2) across a multihospital health care system were reviewed for initial diagnosis by MIBB or open surgical biopsy. Open surgical biopsy was considered appropriate care only if MIBB could not be performed for reasons listed in the American Society of Breast Surgeons' quality measure for preoperative diagnosis of breast cancer. Individual and systemwide results of adherence to the MIBB metric during period 1 were sent to each surgeon in June 2012 and were later compared with period 2 results using McNemar's test of marginal homogeneity for matched binary responses. Forty-six surgeons were evaluated on use of MIBB to diagnose breast cancer. In period 1, metric adherence for 100% of cases was achieved by 37 surgeons, for a systemwide 100% compliance rate of 80.4%. After notification of individual performance, 44 of 46 surgeons used MIBB solely or otherwise appropriate care to diagnose breast cancer, which improved systemwide compliance to 95.7%. Providing individual and systemwide performance results to surgeons can increase self-awareness of practice patterns when diagnosing breast cancer, leading to standardized best-practice care across a large health care organization. Copyright © 2015 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  1. Verification System: First System-Wide Performance Test

    NASA Astrophysics Data System (ADS)

    Chernobay, I.; Zerbo, L.

    2006-05-01

    System-wide performance tests are essential for the development, testing and evaluation of individual components of the verification system. In addition to evaluating global readiness it helps establishing the practical and financial requirements for eventual operations. The first system-wide performance test (SPT1) was conducted in three phases: - A preparatory phase in May-June 2004 - A performance testing phase in April-June 2005 - An evaluation phase in the last half of 2005. The preparatory phase was developmental in nature. The main objectives for the performance testing phase included establishment of performance baseline under current provisional mode of operation (CTBT/PC- 19/1/Annex II, CTBT/WGB-21/1), examination of established requirements and procedures for operation and maintenance. To establish a system-wide performance baseline the system configuration was fixed for April-May 2005. The third month (June 2005) was used for implementation of 21 test case scenarios to examine either particular operational procedures or the response of the system components to the failures simulated under controlled conditions. A total of 163 stations and 5 certified radionuclide laboratories of International Monitoring System (IMS) participated in the performance testing phase - about 50% of the eventual IMS network. 156 IMS facilities and 40 National Data Centres (NDCs) were connected to the International Data Centre (IDC) via Global Communication Infrastructure (GCI) communication links. In addition, 12 legacy stations in the auxiliary seismic network sent data to the IDC over the Internet. During the performance testing phase, the IDC produced all required products, analysed more than 6100 seismic events and 1700 radionuclide spectra. Performance of all system elements was documented and analysed. IDC products were compared with results of data processing at the NDCs. On the basis of statistics and information collected during the SPT1 a system-wide performance baseline under current guidelines for provisional Operation and Maintenance was established. The test provided feedback for further development of the draft IMS and IDC Operational Manuals and identified priority areas for further system development.

  2. The TeachScheme! Project: Computing and Programming for Every Student

    ERIC Educational Resources Information Center

    Felleisen, Matthias; Findler, Robert Bruce; Flatt, Matthew; Krishnamurthi, Shriram

    2004-01-01

    The TeachScheme! Project aims to reform three aspects of introductory programming courses in secondary schools. First, we use a design method that asks students to develop programs in a stepwise fashion such that each step produces a well-specified intermediate product. Second, we use an entire series of sublanguages, not just one. Each element of…

  3. Multiple linear regression analysis

    NASA Technical Reports Server (NTRS)

    Edwards, T. R.

    1980-01-01

    Program rapidly selects best-suited set of coefficients. User supplies only vectors of independent and dependent data and specifies confidence level required. Program uses stepwise statistical procedure for relating minimal set of variables to set of observations; final regression contains only most statistically significant coefficients. Program is written in FORTRAN IV for batch execution and has been implemented on NOVA 1200.

  4. Error Generation in CATS-Based Agents

    NASA Technical Reports Server (NTRS)

    Callantine, Todd

    2003-01-01

    This research presents a methodology for generating errors from a model of nominally preferred correct operator activities, given a particular operational context, and maintaining an explicit link to the erroneous contextual information to support analyses. It uses the Crew Activity Tracking System (CATS) model as the basis for error generation. This report describes how the process works, and how it may be useful for supporting agent-based system safety analyses. The report presents results obtained by applying the error-generation process and discusses implementation issues. The research is supported by the System-Wide Accident Prevention Element of the NASA Aviation Safety Program.

  5. Lunar laser ranging data identification and management

    NASA Technical Reports Server (NTRS)

    1979-01-01

    Activity under the subject grant during the first half of fiscal year 1979 at the University of Texas at Austin is reported. Raw lunar laser ranging data submitted by McDonald Observatory, Fort Davis, Texas and by the Australian Division of National Mapping at Orroral Valley, Australia were processed. This processing includes the filtering of signal events from noise photons, normal point formation, data archive management, and data distribution. System-wide program maintenance and up-grade carried out wherever and whenever necessary. Lunar laser ranging data is being transmitted from Austin to Paris for the extraction of earth rotation information during the EROLD campaign.

  6. The role of reengineering in health care delivery.

    PubMed

    Boland, P

    1996-01-01

    Health care reengineering is a powerful methodology that helps organizations reorder priorities, provide more cost-effective care, and increase value to customers. It should be driven by what the customer wants and what the market needs. Systemwide reengineering integrates three levels of activity: managing community and health plan partnerships; consolidating overlapping delivery system functions among participating providers and vendors; and redesigning administrative functions, clinical services, and caregiving programs to improve health status. Reengineering is not a panacea; it is a critical core competency and requisite skill for health care organizations if they are to succeed under managed care in the future.

  7. In Preparation of the Nationwide Dissemination of the School-Based Obesity Prevention Program DOiT: Stepwise Development Applying the Intervention Mapping Protocol

    ERIC Educational Resources Information Center

    van Nassau, Femke; Singh, Amika S.; van Mechelen, Willem; Brug, Johannes; Chin A. Paw, Mai J. M.

    2014-01-01

    Background: The school-based Dutch Obesity Intervention in Teenagers (DOiT) program is an evidence-based obesity prevention program. In preparation for dissemination throughout the Netherlands, this study aimed to adapt the initial program and to develop an implementation strategy and materials. Methods: We revisited the Intervention Mapping (IM)…

  8. Leadership Perspectives on Operationalizing the Learning Health Care System in an Integrated Delivery System.

    PubMed

    Psek, Wayne; Davis, F Daniel; Gerrity, Gloria; Stametz, Rebecca; Bailey-Davis, Lisa; Henninger, Debra; Sellers, Dorothy; Darer, Jonathan

    2016-01-01

    Healthcare leaders need operational strategies that support organizational learning for continued improvement and value generation. The learning health system (LHS) model may provide leaders with such strategies; however, little is known about leaders' perspectives on the value and application of system-wide operationalization of the LHS model. The objective of this project was to solicit and analyze senior health system leaders' perspectives on the LHS and learning activities in an integrated delivery system. A series of interviews were conducted with 41 system leaders from a broad range of clinical and administrative areas across an integrated delivery system. Leaders' responses were categorized into themes. Ten major themes emerged from our conversations with leaders. While leaders generally expressed support for the concept of the LHS and enhanced system-wide learning, their concerns and suggestions for operationalization where strongly aligned with their functional area and strategic goals. Our findings suggests that leaders tend to adopt a very pragmatic approach to learning. Leaders expressed a dichotomy between the operational imperative to execute operational objectives efficiently and the need for rigorous evaluation. Alignment of learning activities with system-wide strategic and operational priorities is important to gain leadership support and resources. Practical approaches to addressing opportunities and challenges identified in the themes are discussed. Continuous learning is an ongoing, multi-disciplinary function of a health care delivery system. Findings from this and other research may be used to inform and prioritize system-wide learning objectives and strategies which support reliable, high value care delivery.

  9. ESRD care within the US Department of Veterans Affairs: a forward-looking program with an illuminating past.

    PubMed

    Watnick, Suzanne; Crowley, Susan T

    2014-03-01

    The first governmental agency to provide maintenance hemodialysis to patients with end-stage renal disease (ESRD) was the Veterans Administration (VA; now the US Department of Veterans Affairs). Many historical VA policies and programs set the stage for the later care of both veteran and civilian patients with ESRD. More recent VA initiatives that target restructuring of care models based on quality management, system-wide payment policies to promote cost-effective dialysis, and innovation grants aim to improve contemporary care. The VA currently supports an expanded and diversified nationwide treatment program for patients with ESRD using an integrated patient-centered care paradigm. This narrative review of ESRD care by the VA explores not only the medical advances, but also the historical, socioeconomic, ethical, and political forces related to the care of veterans with ESRD. Published by Elsevier Inc.

  10. Use of a pretest strategy for physical therapist assistant programs to predict success rate on the national physical therapy exam.

    PubMed

    Sloas, Stacey B; Keith, Becky; Whitehead, Malcolm T

    2013-01-01

    This study investigated a pretest strategy that identified physical therapist assistant (PTA) students who were at risk of failure on the National Physical Therapy Examination (NPTE). Program assessment data from five cohorts of PTA students (2005-2009) were used to develop a stepwise multiple regression formula that predicted first-time NPTE licensure scores. Data used included the Nelson-Denny Reading Test, grades from eight core courses, grade point average upon admission to the program, and scores from three mock NPTE exams given during the program. Pearson correlation coefficients were calculated between each of the 15 variables and NPTE scores. Stepwise multiple regression analysis was performed using data collected at the ends of the first, second, and third (final) semesters of the program. Data from the class of 2010 were then used to validate the formula. The end-of-program formula accounted for the greatest variance (57%) in predicted scores. Those students scoring below a predicted scaled score of 620 were identified to be at risk of failure of the licensure exam. These students were counseled, and a remedial plan was developed based on regression predictions prior to them sitting for the licensure exam.

  11. A case study in innovative outreach--combining training, research, and technology transfer to address real-world problems.

    PubMed Central

    Chang, D P

    1998-01-01

    Outreach, training, technology transfer, and research are often treated as programmatically distinct activities. The interdisciplinary and applied aspects of the Superfund Basic Research Program offer an opportunity to explore different models. A case study is presented that describes a collaborative outreach effort that combines all of the above. It involves the University of California's Davis and Berkeley program projects, the University of California Systemwide Toxic Substances Research and Teaching Program, the U.S. Navy's civilian workforce at the former Mare Island Naval Shipyard, Vallejo, California (MINSY), a Department of Defense (DoD) Environmental Education Demonstration Grant program, and the Private Industry Council of Napa and Sonoma counties in California. The effort applied a Superfund-developed technology to a combined waste, radium and polychlorinated biphenyl contamination, stemming from a problematic removal action at an installation/restoration site at MINSY. The effort demonstrates that opportunities for similar collaborations are possible at DoD installations. PMID:9703494

  12. Leadership Perspectives on Operationalizing the Learning Health Care System in an Integrated Delivery System

    PubMed Central

    Psek, Wayne; Davis, F. Daniel; Gerrity, Gloria; Stametz, Rebecca; Bailey-Davis, Lisa; Henninger, Debra; Sellers, Dorothy; Darer, Jonathan

    2016-01-01

    Introduction: Healthcare leaders need operational strategies that support organizational learning for continued improvement and value generation. The learning health system (LHS) model may provide leaders with such strategies; however, little is known about leaders’ perspectives on the value and application of system-wide operationalization of the LHS model. The objective of this project was to solicit and analyze senior health system leaders’ perspectives on the LHS and learning activities in an integrated delivery system. Methods: A series of interviews were conducted with 41 system leaders from a broad range of clinical and administrative areas across an integrated delivery system. Leaders’ responses were categorized into themes. Findings: Ten major themes emerged from our conversations with leaders. While leaders generally expressed support for the concept of the LHS and enhanced system-wide learning, their concerns and suggestions for operationalization where strongly aligned with their functional area and strategic goals. Discussion: Our findings suggests that leaders tend to adopt a very pragmatic approach to learning. Leaders expressed a dichotomy between the operational imperative to execute operational objectives efficiently and the need for rigorous evaluation. Alignment of learning activities with system-wide strategic and operational priorities is important to gain leadership support and resources. Practical approaches to addressing opportunities and challenges identified in the themes are discussed. Conclusion: Continuous learning is an ongoing, multi-disciplinary function of a health care delivery system. Findings from this and other research may be used to inform and prioritize system-wide learning objectives and strategies which support reliable, high value care delivery. PMID:27683668

  13. Discriminant Analysis as a Tool for Admission Selection to Special Academic Programs. AIR 1986 Annual Forum Paper.

    ERIC Educational Resources Information Center

    Kissel, Mary Ann

    The use of stepwise discriminant analysis as a means to select entering students who would benefit from a special program for the disadvantaged was studied. In fall 1984, 278 full-time black students were admitted as first-time students to a large urban university. Of the total, 200 entered a special program for the disadvantaged and 78 entered…

  14. Clinical leadership development requires system-wide interventions, not just courses.

    PubMed

    Swanwick, Tim; McKimm, Judy

    2012-04-01

    This is the third article in a series on clinical leadership and medical education. In the first two articles in this series we looked at the nature of leadership and examined professional outcomes, standards and competency frameworks from around the world that describe what it is we are trying to instil in medical students and doctors in postgraduate training. In this article we explore current trends in leadership development and describe broad approaches to clinical leadership development, highlighting those strategies that are likely to be more (or less) successful. Narrative review and discussion. Key trends and principles for best practice in leadership development are identified. Recommendations for the design of leadership development programmes are made alongside suggestions for system-wide interventions. Leadership development should be both drawn from and embedded in work-based activities, and as far as possible linked to the development of the organisation as a whole. Intervening at the level of the individual may not be enough. System-wide interventions are required that actively engage students and trainees in the practices of management and leadership, and involve them early. © Blackwell Publishing Ltd 2012.

  15. Search for supporting methodologies - Or how to support SEI for 35 years

    NASA Technical Reports Server (NTRS)

    Handley, Thomas H., Jr.; Masline, Richard C.

    1991-01-01

    Concepts relevant to the development of an evolvable information management system are examined in terms of support for the Space Exploration Initiative. The issues of interoperability within NASA and industry initiatives are studied including the Open Systems Interconnection standard and the operating system of the Open Software Foundation. The requirements of partitioning functionality into separate areas are determined with attention given to the infrastructure required to ensure system-wide compliance. The need for a decision-making context is a key to the distributed implementation of the program, and this environment is concluded to be next step in developing an evolvable, interoperable, and securable support network.

  16. Identification of molecular markers associated with mite resistance in coconut (Cocos nucifera L.).

    PubMed

    Shalini, K V; Manjunatha, S; Lebrun, P; Berger, A; Baudouin, L; Pirany, N; Ranganath, R M; Prasad, D Theertha

    2007-01-01

    Coconut mite (Aceria guerreronis 'Keifer') has become a major threat to Indian coconut (Coçcos nucifera L.) cultivators and the processing industry. Chemical and biological control measures have proved to be costly, ineffective, and ecologically undesirable. Planting mite-resistant coconut cultivars is the most effective method of preventing yield loss and should form a major component of any integrated pest management stratagem. Coconut genotypes, and mite-resistant and -susceptible accessions were collected from different parts of South India. Thirty-two simple sequence repeat (SSR) and 7 RAPD primers were used for molecular analyses. In single-marker analysis, 9 SSR and 4 RAPD markers associated with mite resistance were identified. In stepwise multiple regression analysis of SSRs, a combination of 6 markers showed 100% association with mite infestation. Stepwise multiple regression analysis for RAPD data revealed that a combination of 3 markers accounted for 83.86% of mite resistance in the selected materials. Combined stepwise multiple regression analysis of RAPD and SSR data showed that a combination of 5 markers explained 100% of the association with mite resistance in coconut. Markers associated with mite resistance are important in coconut breeding programs and will facilitate the selection of mite-resistant plants at an early stage as well as mother plants for breeding programs.

  17. Covenant model of corporate compliance. "Corporate integrity" program meets mission, not just legal, requirements.

    PubMed

    Tuohey, J F

    1998-01-01

    Catholic healthcare should establish comprehensive compliance strategies, beyond following Medicare reimbursement laws, that reflect mission and ethics. A covenant model of business ethics--rather than a self-interest emphasis on contracts--can help organizations develop a creed to focus on obligations and trust in their relationships. The corporate integrity program (CIP) of Mercy Health System Oklahoma promotes its mission and interests, educates and motivates its employees, provides assurance of systemwide commitment, and enforces CIP policies and procedures. Mercy's creed, based on its mission statement and core values, articulates responsibilities regarding patients and providers, business partners, society and the environment, and internal relationships. The CIP is carried out through an integrated network of committees, advocacy teams, and an expanded institutional review board. Two documents set standards for how Mercy conducts external affairs and clarify employee codes of conduct.

  18. An Overview of the NASA Aviation Safety Program (AVSP) Systemwide Accident Prevention (SWAP) Human Performance Modeling (HPM) Element

    NASA Technical Reports Server (NTRS)

    Foyle, David C.; Goodman, Allen; Hooley, Becky L.

    2003-01-01

    An overview is provided of the Human Performance Modeling (HPM) element within the NASA Aviation Safety Program (AvSP). Two separate model development tracks for performance modeling of real-world aviation environments are described: the first focuses on the advancement of cognitive modeling tools for system design, while the second centers on a prescriptive engineering model of activity tracking for error detection and analysis. A progressive implementation strategy for both tracks is discussed in which increasingly more complex, safety-relevant applications are undertaken to extend the state-of-the-art, as well as to reveal potential human-system vulnerabilities in the aviation domain. Of particular interest is the ability to predict the precursors to error and to assess potential mitigation strategies associated with the operational use of future flight deck technologies.

  19. Report on the Predation Index, Predator Control Fisheries, and Program Evaluation for the Columbia River Basin Experimental Northern Pikeminnow Management Program, 2008 Annual Report.

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

    Porter, Russell

    2009-09-10

    This report presents results for year seventeen in the basin-wide Experimental Northern Pikeminnow Management Program to harvest northern pikeminnow1 (Ptychocheilus oregonensis) in the Columbia and Snake Rivers. This program was started in an effort to reduce predation by northern pikeminnow on juvenile salmonids during their emigration from natal streams to the ocean. Earlier work in the Columbia River Basin suggested predation by northern pikeminnow on juvenile salmonids might account for most of the 10-20% mortality juvenile salmonids experience in each of eight Columbia River and Snake River reservoirs. Modeling simulations based on work in John Day Reservoir from 1982 throughmore » 1988 indicated that, if predator-size northern pikeminnow were exploited at a 10-20% rate, the resulting restructuring of their population could reduce their predation on juvenile salmonids by 50%. To test this hypothesis, we implemented a sport-reward angling fishery and a commercial longline fishery in the John Day Pool in 1990. We also conducted an angling fishery in areas inaccessible to the public at four dams on the mainstem Columbia River and at Ice Harbor Dam on the Snake River. Based on the success of these limited efforts, we implemented three test fisheries on a system-wide scale in 1991 - a tribal longline fishery above Bonneville Dam, a sport-reward fishery, and a dam-angling fishery. Low catch of target fish and high cost of implementation resulted in discontinuation of the tribal longline fishery. However, the sport-reward and dam-angling fisheries were continued in 1992 and 1993. In 1992, we investigated the feasibility of implementing a commercial longline fishery in the Columbia River below Bonneville Dam and found that implementation of this fishery was also infeasible. Estimates of combined annual exploitation rates resulting from the sport-reward and dam-angling fisheries remained at the low end of our target range of 10-20%. This suggested the need for additional effective harvest techniques. During 1991 and 1992, we developed and tested a modified (small-sized) Merwin trapnet. We found this floating trapnet to be very effective in catching northern pikeminnow at specific sites. Consequently, in 1993 we examined a system-wide fishery using floating trapnets, but found this fishery to be ineffective at harvesting large numbers of northern pikeminnow on a system-wide scale. In 1994, we investigated the use of trap nets and gillnets at specific locations where concentrations of northern pikeminnow were known or suspected to occur during the spring season (i.e., March through early June). In addition, we initiated a concerted effort to increase public participation in the sport-reward fishery through a series of promotional and incentive activities. In 1995, 1996, and 1997, promotional activities and incentives were further improved based on the favorable response in 1994. Results of these efforts are subjects of this annual report. Evaluation of the success of test fisheries in achieving our target goal of a 10-20% annual exploitation rate on northern pikeminnow is presented in Report C of this report. Overall program success in terms of altering the size and age composition of the northern pikeminnow population and in terms of potential reductions in loss of juvenile salmonids to northern pikeminnow predation is also discussed in Report C. Program cooperators include the Pacific States Marine Fisheries Commission (PSMFC), Oregon Department of Fish and Wildlife (ODFW), and Washington Department of Fish and Wildlife (WDFW), and the U. S. Department of Agriculture (USDA), Animal Damage Unit as a contractor to test Dam Angling. The PSMFC was responsible for coordination and administration of the program; PSMFC subcontracted various tasks and activities to ODFW and WDFW based on the expertise each brought to the tasks involved in implementing the program and dam angling to the USDA.« less

  20. STEP and STEPSPL: Computer programs for aerodynamic model structure determination and parameter estimation

    NASA Technical Reports Server (NTRS)

    Batterson, J. G.

    1986-01-01

    The successful parametric modeling of the aerodynamics for an airplane operating at high angles of attack or sideslip is performed in two phases. First the aerodynamic model structure must be determined and second the associated aerodynamic parameters (stability and control derivatives) must be estimated for that model. The purpose of this paper is to document two versions of a stepwise regression computer program which were developed for the determination of airplane aerodynamic model structure and to provide two examples of their use on computer generated data. References are provided for the application of the programs to real flight data. The two computer programs that are the subject of this report, STEP and STEPSPL, are written in FORTRAN IV (ANSI l966) compatible with a CDC FTN4 compiler. Both programs are adaptations of a standard forward stepwise regression algorithm. The purpose of the adaptation is to facilitate the selection of a adequate mathematical model of the aerodynamic force and moment coefficients of an airplane from flight test data. The major difference between STEP and STEPSPL is in the basis for the model. The basis for the model in STEP is the standard polynomial Taylor's series expansion of the aerodynamic function about some steady-state trim condition. Program STEPSPL utilizes a set of spline basis functions.

  1. Assessing Inhalation Exposures Associated with Contamination Events in Water Distribution Systems

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

    Davis, Michael J.; Janke, Robert; Taxon, Thomas N.

    When a water distribution system (WDS) is contaminated, short-term inhalation exposures to airborne contaminants could occur as the result of domestic water use. The most important domestic sources of such exposures are likely to be showering and the use of aerosol-producing humidifiers, i.e., ultrasonic and impeller (cool-mist) units. A framework is presented for assessing the potential effects of short-term, system-wide inhalation exposures that could result from such activities during a contamination event. This framework utilizes available statistical models for showering frequency and duration, available exposure models for showering and humidifier use, and experimental results on both aerosol generation and themore » volatilization of chemicals during showering. New models for the times when showering occurs are developed using time-use data for the United States. Given a lack of similar models for how humidifiers are used, or the information needed to develop them, an analysis of the sensitivity of results to assumptions concerning humidifier use is presented. The framework is applied using network models for three actual WDSs. Simple models are developed for estimating upper bounds on the potential effects of system-wide inhalation exposures associated with showering and humidifier use. From a system-wide, population perspective, showering could result in significant inhalation doses of volatile chemical contaminants, and humidifier use could result in significant inhalation doses of microbial contaminants during a contamination event. From a system-wide perspective, showering is unlikely to be associated with significant doses of microbial contaminants. In conclusion, given the potential importance of humidifiers as a source of airborne contaminants during a contamination event, an improved understanding of the nature of humidifier use is warranted.« less

  2. Assessing Inhalation Exposures Associated with Contamination Events in Water Distribution Systems

    DOE PAGES

    Davis, Michael J.; Janke, Robert; Taxon, Thomas N.

    2016-12-08

    When a water distribution system (WDS) is contaminated, short-term inhalation exposures to airborne contaminants could occur as the result of domestic water use. The most important domestic sources of such exposures are likely to be showering and the use of aerosol-producing humidifiers, i.e., ultrasonic and impeller (cool-mist) units. A framework is presented for assessing the potential effects of short-term, system-wide inhalation exposures that could result from such activities during a contamination event. This framework utilizes available statistical models for showering frequency and duration, available exposure models for showering and humidifier use, and experimental results on both aerosol generation and themore » volatilization of chemicals during showering. New models for the times when showering occurs are developed using time-use data for the United States. Given a lack of similar models for how humidifiers are used, or the information needed to develop them, an analysis of the sensitivity of results to assumptions concerning humidifier use is presented. The framework is applied using network models for three actual WDSs. Simple models are developed for estimating upper bounds on the potential effects of system-wide inhalation exposures associated with showering and humidifier use. From a system-wide, population perspective, showering could result in significant inhalation doses of volatile chemical contaminants, and humidifier use could result in significant inhalation doses of microbial contaminants during a contamination event. From a system-wide perspective, showering is unlikely to be associated with significant doses of microbial contaminants. In conclusion, given the potential importance of humidifiers as a source of airborne contaminants during a contamination event, an improved understanding of the nature of humidifier use is warranted.« less

  3. Assessing Inhalation Exposures Associated with Contamination Events in Water Distribution Systems

    PubMed Central

    Davis, Michael J.; Janke, Robert; Taxon, Thomas N.

    2016-01-01

    When a water distribution system (WDS) is contaminated, short-term inhalation exposures to airborne contaminants could occur as the result of domestic water use. The most important domestic sources of such exposures are likely to be showering and the use of aerosol-producing humidifiers, i.e., ultrasonic and impeller (cool-mist) units. A framework is presented for assessing the potential effects of short-term, system-wide inhalation exposures that could result from such activities during a contamination event. This framework utilizes available statistical models for showering frequency and duration, available exposure models for showering and humidifier use, and experimental results on both aerosol generation and the volatilization of chemicals during showering. New models for the times when showering occurs are developed using time-use data for the United States. Given a lack of similar models for how humidifiers are used, or the information needed to develop them, an analysis of the sensitivity of results to assumptions concerning humidifier use is presented. The framework is applied using network models for three actual WDSs. Simple models are developed for estimating upper bounds on the potential effects of system-wide inhalation exposures associated with showering and humidifier use. From a system-wide, population perspective, showering could result in significant inhalation doses of volatile chemical contaminants, and humidifier use could result in significant inhalation doses of microbial contaminants during a contamination event. From a system-wide perspective, showering is unlikely to be associated with significant doses of microbial contaminants. Given the potential importance of humidifiers as a source of airborne contaminants during a contamination event, an improved understanding of the nature of humidifier use is warranted. PMID:27930709

  4. Relation Between the Level of American Indian and Alaska Native Diabetes Education Program Services and Quality-of-Care Indicators

    PubMed Central

    Noonan, Carolyn; Goldberg, Jack H.; Valdez, S. Lorraine; Brown, Tammy L.; Manson, Spero M.; Acton, Kelly

    2008-01-01

    Objectives. We examined the relation between the level of diabetes education program services in the Indian Health Service (IHS) and indicators of the quality of diabetes care to determine if more-comprehensive diabetes services were associated with better quality of diabetes care. Methods. In this cross-sectional study, we used the IHS Integrated Diabetes Education Recognition Program to rank program services into 1 of 3 levels of comprehensiveness, ranging from lowest (developmental) to highest (integrated). We compared quality-of-care indicators among programs of differing levels with the 2001 IHS Diabetes Care and Outcomes Audit. Quality indicators included patients having recommended yearly examinations, education, and laboratory tests and achieving recommended levels of intermediate outcomes of care. Results. Most of the 86 participating programs were classified at or below the developmental level; only 9 programs (11%) were ranked at higher levels. After adjusting for patient characteristics, program factors, and correlation of patients within programs, we associated programs that were more comprehensive with higher completion rates of yearly lipid and hemoglobin A1C tests (P < .05). Conclusions. System-wide improvements in diabetes education are associated with better diabetes care. The results can help inform the development of diabetes education programs. PMID:18511737

  5. System design of a remotely operated, program controlled measurement table for the calibration of the Egret experiment. Part A: Program control

    NASA Technical Reports Server (NTRS)

    1984-01-01

    The structure of the program, the five priority levels, the drive routines, the stepwise drive plan, the figure routines, meander X and y, the range of measurement table, the optimization of figure drive, the figure drive plan, dialogue routines, stack processing, the drive for the main terminal, the protocol routines, the drive for the microterminal, the drive for the experiment computer, and the main program are discussed.

  6. CATS-based Agents That Err

    NASA Technical Reports Server (NTRS)

    Callantine, Todd J.

    2002-01-01

    This report describes preliminary research on intelligent agents that make errors. Such agents are crucial to the development of novel agent-based techniques for assessing system safety. The agents extend an agent architecture derived from the Crew Activity Tracking System that has been used as the basis for air traffic controller agents. The report first reviews several error taxonomies. Next, it presents an overview of the air traffic controller agents, then details several mechanisms for causing the agents to err in realistic ways. The report presents a performance assessment of the error-generating agents, and identifies directions for further research. The research was supported by the System-Wide Accident Prevention element of the FAA/NASA Aviation Safety Program.

  7. Accounting for charity care on a systemwide basis.

    PubMed

    Peck, T

    1988-06-01

    The Daughters of Charity National Health System (DCNHS), St. Louis, has developed a systemwide model which formally sets a policy statement, goals, and procedures that enable the 42 DCNHS health-care ministries to effectively serve the poor in their communities on a daily basis, while addressing the long-term challenges of providing charity care for the sick poor. One of the first steps was forming a task force known as the Working Group on Care of the Poor. Its goal was to set the stage for the expansion and accountability of charity care at every level within the new national system. The group outlined these objectives: To identify and recommend several advocacy models. To recommend test models of healthcare delivery for the poor. To recommend strategies for involving the private sector. To develop a method of documenting charity care. To recommend linkage models to jointly provide charity care with related organizations. To gain a firm knowledge of charity care actually provided by the Daughters of Charity After hours of discussions and research, the task force developed a cohesive, workable set of goals and policies that today is helping individual health-care ministries nationwide meet local needs for care of the sick poor. By identifying specific programs and determining how to report charity care in terms of money and services, individual health-care institutions gain insights into their annual operational planning and reporting for the present and the future. This approach ensures that charity care remains in the forefront at every level of planning.

  8. Training for Certification: Trainer's Guide.

    ERIC Educational Resources Information Center

    Mississippi State Univ., State College. Cooperative Extension Service.

    This Cooperative Extension Service publication from Mississippi State University is a teacher's guide for a private pesticide applicator certification training program. This guide is designed for use by county extension agents. Contents include: (1) a suggested training schedule; (2) stepwise instructions for implementation of the private…

  9. Diffusion across the modified polyethylene separator GX in the heat-sterilizable AgO-Zn battery

    NASA Technical Reports Server (NTRS)

    Lutwack, R.

    1973-01-01

    Models of diffusion across an inert membrane have been studied using the computer program CINDA. The models were constructed to simulate various conditions obtained in the consideration of the diffusion of Ag (OH)2 ions in the AgO-Zn battery. The effects on concentrations across the membrane at the steady state and on the fluxout as a function of time were used to examine the consequences of stepwise reducing the number of sources of ions, of stepwise blocking the source and sink surfaces, of varying the magnitude of the diffusion coefficient for a uniform membrane, of varying the diffusion coefficient across the membrane, and of excluding volumes to diffusion.

  10. Testing electroexplosive devices by programmed pulsing techniques

    NASA Technical Reports Server (NTRS)

    Rosenthal, L. A.; Menichelli, V. J.

    1976-01-01

    A novel method for testing electroexplosive devices is proposed wherein capacitor discharge pulses, with increasing energy in a step-wise fashion, are delivered to the device under test. The size of the energy increment can be programmed so that firing takes place after many, or after only a few, steps. The testing cycle is automatically terminated upon firing. An energy-firing contour relating the energy required to the programmed step size describes the single-pulse firing energy and the possible sensitization or desensitization of the explosive device.

  11. Towards the system-wide implementation of the International Classification of Functioning, Disability and Health in routine practice: Lessons from a pilot study in China.

    PubMed

    Li, Jianan; Prodinger, Birgit; Reinhardt, Jan D; Stucki, Gerold

    2016-06-13

    In 2011 the Chinese leadership in rehabilitation, in collaboration with the International Classification of Functioning, Disability and Health (ICF) Research Branch, embarked on an effort towards the system-wide implementation of the ICF in the healthcare system in China. We report here on the lessons learned from the pilot phase of testing the ICF Generic Set, a parsimonious set of 7 ICF categories, which have been shown to best describe functioning across the general population and people with various health conditions, for use in routine clinical practice in China. The paper discusses whether classification and measurement are compatible, what number of ICF categories should be included in data collection in routine practice, and the usefulness of a functioning profile and functioning score in clinical practice and health research planning. In addition, the paper reflects on the use of ICF qualifiers in a rating scale and the particularities of certain ICF categories contained in the ICF Generic Set when used as items in the context of Chinese rehabilitation and healthcare. Finally, the steps required to enhance the utility of system-wide implementation of the ICF in rehabilitation and healthcare services are set out.

  12. Do large-scale hospital- and system-wide interventions improve patient outcomes: a systematic review.

    PubMed

    Clay-Williams, Robyn; Nosrati, Hadis; Cunningham, Frances C; Hillman, Kenneth; Braithwaite, Jeffrey

    2014-09-03

    While health care services are beginning to implement system-wide patient safety interventions, evidence on the efficacy of these interventions is sparse. We know that uptake can be variable, but we do not know the factors that affect uptake or how the interventions establish change and, in particular, whether they influence patient outcomes. We conducted a systematic review to identify how organisational and cultural factors mediate or are mediated by hospital-wide interventions, and to assess the effects of those factors on patient outcomes. A systematic review was conducted and reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Database searches were conducted using MEDLINE from 1946, CINAHL from 1991, EMBASE from 1947, Web of Science from 1934, PsycINFO from 1967, and Global Health from 1910 to September 2012. The Lancet, JAMA, BMJ, BMJ Quality and Safety, The New England Journal of Medicine and Implementation Science were also hand searched for relevant studies published over the last 5 years. Eligible studies were required to focus on organisational determinants of hospital- and system-wide interventions, and to provide patient outcome data before and after implementation of the intervention. Empirical, peer-reviewed studies reporting randomised and non-randomised controlled trials, observational, and controlled before and after studies were included in the review. Six studies met the inclusion criteria. Improved outcomes were observed for studies where outcomes were measured at least two years after the intervention. Associations between organisational factors, intervention success and patient outcomes were undetermined: organisational culture and patient outcomes were rarely measured together, and measures for culture and outcome were not standardised. Common findings show the difficulty of introducing large-scale interventions, and that effective leadership and clinical champions, adequate financial and educational resources, and dedicated promotional activities appear to be common factors in successful system-wide change.The protocol has been registered in the international prospective register of systematic reviews, PROSPERO (Registration No. CRD42103003050).

  13. Outpatient Infection Prevention: A Practical Primer

    PubMed Central

    Steinkuller, Fozia; Harris, Kristofer; Vigil, Karen J; Ostrosky-Zeichner, Luis

    2018-01-01

    Abstract As more patients seek care in the outpatient setting, the opportunities for health care–acquired infections and associated outbreaks will increase. Without uptake of core infection prevention and control strategies through formal initiation of infection prevention programs, outbreaks and patient safety issues will surface. This review provides a step-wise approach for implementing an outpatient infection control program, highlighting some of the common pitfalls and high-priority areas. PMID:29740593

  14. STRCMACS: An extensive set of Macros for structured programming in OS/360 assembly language

    NASA Technical Reports Server (NTRS)

    Barth, C. W.

    1974-01-01

    Two techniques are discussed that have been most often referred to as structured programming. One is that of programming with high level control structures (such as the if and while) replacing the branch instruction (goto-less programming); the other is the process of developing a program by progressively refining descriptions of components in terms of more primitive components (called stepwise refinement or top-down programming). In addition to discussing what these techniques are, it is shown why their use is advised and how both can be implemented in OS assembly language by the use of a special macro instruction package.

  15. Structured programming: Principles, notation, procedure

    NASA Technical Reports Server (NTRS)

    JOST

    1978-01-01

    Structured programs are best represented using a notation which gives a clear representation of the block encapsulation. In this report, a set of symbols which can be used until binding directives are republished is suggested. Structured programming also allows a new method of procedure for design and testing. Programs can be designed top down, that is, they can start at the highest program plane and can penetrate to the lowest plane by step-wise refinements. The testing methodology also is adapted to this procedure. First, the highest program plane is tested, and the programs which are not yet finished in the next lower plane are represented by so-called dummies. They are gradually replaced by the real programs.

  16. Development of a PROficiency-Based StePwise Endovascular Curricular Training (PROSPECT) Program.

    PubMed

    Maertens, Heidi; Aggarwal, Rajesh; Desender, Liesbeth; Vermassen, Frank; Van Herzeele, Isabelle

    2016-01-01

    Focus on patient safety, work-hour limitations, and cost-effective education is putting pressure to improve curricula to acquire minimally invasive techniques during surgical training. This study aimed to design a structured training program for endovascular skills and validate its assessment methods. A PROficiency-based StePwise Endovascular Curricular Training (PROSPECT) program was developed, consisting of e-learning and hands-on simulation modules, focusing on iliac and superficial femoral artery atherosclerotic disease. Construct validity was investigated. Performances were assessed using multiple-choice questionnaires, valid simulation parameters, global rating scorings, and examiner checklists. Feasibility was assessed by passage of 2 final-year medical students through this PROSPECT program. Ghent University Hospital, a tertiary clinical care and academic center in Belgium with general surgery residency program. Senior-year medical students were recruited at Ghent University Hospital. Vascular surgeons were invited to participate during conferences and meetings if they had performed at least 100 endovascular procedures as the primary operator during the last 2 years. Overall, 29 medical students and 20 vascular surgeons participated. Vascular surgeons obtained higher multiple-choice questionnaire scores (median: 24.5-22.0 vs. 15.0-12.0; p < 0.001). Students took significantly longer to treat any iliac or femoral artery stenosis (3.3-14.8 vs. 5.8-30.1min; p = 0.001-0.04), whereas in more complex cases, fluoroscopy time was significantly higher in students (8.3 vs. 21.3min; p = 0.002; 7.3 vs. 13.1min; p = 0.03). In all cases, vascular surgeons scored higher on global rating scorings (51.0-42.0 vs. 29.5-18.0; p < 0.001) and examiner checklist (81.5-75.0 vs. 54.5-43.0; p < 0.001). Hence, proficiency levels based on median expert scores could be determined. There were 2 students who completed the program and passed for each step within a 3-month period during their internships. A feasible and construct validated surgical program to train cognitive, technical, and nontechnical endovascular skills was developed. A structured, stepwise, proficiency-based valid endovascular program to train cognitive, technical, and human factor skills has been developed and proven to be feasible. A randomized controlled trial has been initiated to investigate its effect on performances in real life, patient outcomes, and cost-effectiveness. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  17. Strategic analytics: towards fully embedding evidence in healthcare decision-making.

    PubMed

    Garay, Jason; Cartagena, Rosario; Esensoy, Ali Vahit; Handa, Kiren; Kane, Eli; Kaw, Neal; Sadat, Somayeh

    2015-01-01

    Cancer Care Ontario (CCO) has implemented multiple information technology solutions and collected health-system data to support its programs. There is now an opportunity to leverage these data and perform advanced end-to-end analytics that inform decisions around improving health-system performance. In 2014, CCO engaged in an extensive assessment of its current data capacity and capability, with the intent to drive increased use of data for evidence-based decision-making. The breadth and volume of data at CCO uniquely places the organization to contribute to not only system-wide operational reporting, but more advanced modelling of current and future state system management and planning. In 2012, CCO established a strategic analytics practice to assist the agency's programs contextualize and inform key business decisions and to provide support through innovative predictive analytics solutions. This paper describes the organizational structure, services and supporting operations that have enabled progress to date, and discusses the next steps towards the vision of embedding evidence fully into healthcare decision-making. Copyright © 2014 Longwoods Publishing.

  18. Columbia River Basin Fish and Wildlife Program Annual Implementation Work Plan for Fiscal Year 1994.

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

    United States. Bonneville Power Administration; Northwest Power Planning Council; Columbia Basin Fish and Wildlife Authority

    1994-02-01

    This document is part of Bonneville Power Administration`s program to protect, mitigate, and enhance fish and wildlife affected by the development and operation of hydroelectric facilities on the Columbia River and its tributaries. The Fiscal Year 1994 (FY 1994) Annual Implementation Work Plan (AIWP) presents Bonneville Power Administration`s (BPA`s) plan for implementation of the Columbia River Basin Fish and Wildlife Program (Program). The purpose of the Program is to guide BPA and other federal agencies in carrying out their responsibilities to protect, mitigate, and enhance fish and wildlife in the Columbia River Basin. Phase I began the work of salmonmore » recovery with certain fast-track measures completed in August 1991. Phase II dealt with Snake and Columbia river flow and salmon harvest and was completed in December 1991. Phase III dealt with system-wide habitat and salmon production issues and was completed in September 1992. Phase IV planning, focusing on resident fish and wildlife, began in August 1993, and was finished and adopted in November 1993. This report provides summaries of the ongoing and new projects for FY 1994 within the areas of juvenile migration, adult migration, salmon harvest, production and habitat, coordinated implementation, monitoring and evaluation, resident fish, and wildlife.« less

  19. Variation in Environmentalism among University Students: Majoring in Outdoor Recreation, Parks, and Tourism Predicts Environmental Concerns and Behaviors

    ERIC Educational Resources Information Center

    Arnocky, Steven; Stroink, Mirella L.

    2011-01-01

    In a survey of Canadian university students (N = 205), the relationship between majoring in an outdoor recreation university program and environmental concern, cooperation, and behavior were examined. Stepwise linear regression indicated that enrollment in outdoor recreation was predictive of environmental behavior and ecological cooperation; and…

  20. Just-in-time Database-Driven Web Applications

    PubMed Central

    2003-01-01

    "Just-in-time" database-driven Web applications are inexpensive, quickly-developed software that can be put to many uses within a health care organization. Database-driven Web applications garnered 73873 hits on our system-wide intranet in 2002. They enabled collaboration and communication via user-friendly Web browser-based interfaces for both mission-critical and patient-care-critical functions. Nineteen database-driven Web applications were developed. The application categories that comprised 80% of the hits were results reporting (27%), graduate medical education (26%), research (20%), and bed availability (8%). The mean number of hits per application was 3888 (SD = 5598; range, 14-19879). A model is described for just-in-time database-driven Web application development and an example given with a popular HTML editor and database program. PMID:14517109

  1. Dust/Regolith for Surface Exploration

    NASA Technical Reports Server (NTRS)

    Peters, Benjamin

    2017-01-01

    System-wide dust protection is a key design driver for xEMUsurface operations, and development of dust proof mechanisms, bearings, materials, and coatings coupled with specific operations and surface architecture development is critical for success.

  2. NPS national transit inventory, 2013

    DOT National Transportation Integrated Search

    2014-07-31

    This document summarizes key highlights from the National Park Service (NPS) 2013 National Transit Inventory, and presents data for NPS transit systems system-wide. The document discusses statistics related to ridership, business models, fleet charac...

  3. Developing an eco-routing application.

    DOT National Transportation Integrated Search

    2014-01-01

    The study develops eco-routing algorithms and investigates and quantifies the system-wide impacts of implementing an eco-routing system. Two eco-routing algorithms are developed: one based on vehicle sub-populations (ECO-Subpopulation Feedback Assign...

  4. A Computer Simulation of the System-Wide Effects of Parallel-Offset Route Maneuvers

    NASA Technical Reports Server (NTRS)

    Lauderdale, Todd A.; Santiago, Confesor; Pankok, Carl

    2010-01-01

    Most aircraft managed by air-traffic controllers in the National Airspace System are capable of flying parallel-offset routes. This paper presents the results of two related studies on the effects of increased use of offset routes as a conflict resolution maneuver. The first study analyzes offset routes in the context of all standard resolution types which air-traffic controllers currently use. This study shows that by utilizing parallel-offset route maneuvers, significant system-wide savings in delay due to conflict resolution of up to 30% are possible. It also shows that most offset resolutions replace horizontal-vectoring resolutions. The second study builds on the results of the first and directly compares offset resolutions and standard horizontal-vectoring maneuvers to determine that in-trail conflicts are often more efficiently resolved by offset maneuvers.

  5. System-wide analysis of health financing equity in Cambodia: a study protocol

    PubMed Central

    Wiseman, Virginia; Asante, Augustine; Ir, Por; Limwattananon, Supon; Jacobs, Bart; Liverani, Marco; Hayen, Andrew; Jan, Stephen

    2017-01-01

    Background To assess progress towards universal health coverage, countries like Cambodia require evidence on equity in the financing and distribution of healthcare benefits. This evidence must be based on a system-wide perspective that recognises the complex roles played by the public and private sectors in many contemporary healthcare systems. Objective To undertake a system-wide assessment of who pays and who benefits from healthcare in Cambodia and to understand the factors influencing this. Methods Financing and benefit incidence analysis will be used to calculate the financing burden and distribution of healthcare benefits across socioeconomic groups. Data on healthcare usage, living standards and self-assessed health status will be derived from a cross-sectional household survey designed for this study involving a random sample of 5000 households. This will be supplemented by secondary data from the Cambodian National Health Accounts 2014 and the Cambodian Socioeconomic Survey (CSES) 2014. We will also collect qualitative data through focus group discussions and in-depth interviews to inform the interpretation of the quantitative analyses. Potential impact This study will produce previously unavailable information on who pays for, and who benefits from, health services across the entire health system of Cambodia. This evidence comes at a critical juncture in healthcare reform in South-East Asia with so many countries seeking guidance on the equity impact of their current financing arrangements that include a complex mix of public and private providers. PMID:28589000

  6. Applying systems thinking to task shifting for mental health using lay providers: a review of the evidence.

    PubMed

    Javadi, D; Feldhaus, I; Mancuso, A; Ghaffar, A

    2017-01-01

    This paper seeks to review the available evidence to determine whether a systems approach is employed in the implementation and evaluation of task shifting for mental health using lay providers in low- and middle-income countries, and to highlight system-wide effects of task-shifting strategies in order to better inform efforts to strength community mental health systems. Pubmed, CINAHL, and Cochrane Library databases were searched. Articles were screened by two independent reviewers with a third reviewer resolving discrepancies. Two stages of screens were done to ensure sensitivity. Studies were analysed using the World Health Organization's building blocks framework with the addition of a community building block, and systems thinking characteristics to determine the extent to which system-wide effects had been considered. Thirty studies were included. Almost all studies displayed positive findings on mental health using task shifting. One study showed no effect. No studies explicitly employed systems thinking tools, but some demonstrated systems thinking characteristics, such as exploring various stakeholder perspectives, capturing unintended consequences, and looking across sectors for system-wide impact. Twenty-five of the 30 studies captured elements other than the most directly relevant building blocks of service delivery and health workforce. There is a lack of systematic approaches to exploring complexity in the evaluation of task-shifting interventions. Systems thinking tools should support evidence-informed decision making for a more complete understanding of community-based systems strengthening interventions for mental health.

  7. What Is the Contribution of City-Scale Actions to the Overall Food System's Environmental Impacts?: Assessing Water, Greenhouse Gas, and Land Impacts of Future Urban Food Scenarios.

    PubMed

    Boyer, Dana; Ramaswami, Anu

    2017-10-17

    This paper develops a methodology for individual cities to use to analyze the in- and trans-boundary water, greenhouse gas (GHG), and land impacts of city-scale food system actions. Applied to Delhi, India, the analysis demonstrates that city-scale action can rival typical food policy interventions that occur at larger scales, although no single city-scale action can rival in all three environmental impacts. In particular, improved food-waste management within the city (7% system-wide GHG reduction) matches the GHG impact of preconsumer trans-boundary food waste reduction. The systems approach is particularly useful in illustrating key trade-offs and co-benefits. For instance, multiple diet shifts that can reduce GHG emissions have trade-offs that increase water and land impacts. Vertical farming technology (VFT) with current applications for fruits and vegetables can provide modest system-wide water (4%) and land reductions (3%), although implementation within the city itself may raise questions of constraints in water-stressed cities, with such a shift in Delhi increasing community-wide direct water use by 16%. Improving the nutrition status for the bottom 50% of the population to the median diet is accompanied by proportionally smaller increases of water, GHG, and land impacts (4%, 9%, and 8%, systemwide): increases that can be offset through simultaneous city-scale actions, e.g., improved food-waste management and VFT.

  8. Asynchronous Knowledge Sharing and Conversation Interaction Impact on Grade in an Online Business Course

    ERIC Educational Resources Information Center

    Strang, Kenneth David

    2011-01-01

    Student knowledge sharing and conversation theory interactions were coded from asynchronous discussion forums to measure the effect of learning-oriented utterances on academic performance. The sample was 3 terms of an online business course (in an accredited MBA program) at a U.S.-based university. Correlation, stepwise regression, and multiple…

  9. NPS National Transit Inventory and Performance Report, 2014

    DOT National Transportation Integrated Search

    2015-09-09

    This document summarizes key highlights and performance measures from the National Park Service (NPS) 2014 National Transit Inventory, and presents data for NPS transit systems system-wide. The document discusses statistics related to ridership, busi...

  10. ROLE OF CONTROLLABILITY FOR LONG TERM SUSTAINABILITY

    EPA Science Inventory

    Successful implementation of sustainability ideas in ecosystem management requires a basic understanding of the often nonlinear and nonintuitive relationships among different dimensions of sustainability, particularly the system-wide implications of human actions. This basic unde...

  11. Development, validation and operating room-transfer of a six-step laparoscopic training program for the vesicourethral anastomosis.

    PubMed

    Klein, Jan; Teber, Dogu; Frede, Tom; Stock, Christian; Hruza, Marcel; Gözen, Ali; Seemann, Othmar; Schulze, Michael; Rassweiler, Jens

    2013-03-01

    Development and full validation of a laparoscopic training program for stepwise learning of a reproducible application of a standardized laparoscopic anastomosis technique and integration into the clinical course. The training of vesicourethral anastomosis (VUA) was divided into six simple standardized steps. To fix the objective criteria, four experienced surgeons performed the stepwise training protocol. Thirty-eight participants with no previous laparoscopic experience were investigated in their training performance. The times needed to manage each training step and the total training time were recorded. The integration into the clinical course was investigated. The training results and the corresponding steps during laparoscopic radical prostatectomy (LRP) were analyzed. Data analysis of corresponding operating room (OR) sections of 793 LRP was performed. Based on the validity, criteria were determined. In the laboratory section, a significant reduction of OR time for every step was seen in all participants. Coordination: 62%; longitudinal incision: 52%; inverted U-shape incision: 43%; plexus: 47%. Anastomosis catheter model: 38%. VUA: 38%. The laboratory section required a total time of 29 hours (minimum: 16 hours; maximum: 42 hours). All participants had shorter execution times in the laboratory than under real conditions. The best match was found within the VUA model. To perform an anastomosis under real conditions, 25% more time was needed. By using the training protocol, the performance of the VUA is comparable to that of an surgeon with experience of about 50 laparoscopic VUA. Data analysis proved content, construct, and prognostic validity. The use of stepwise training approaches enables a surgeon to learn and reproduce complex reconstructive surgical tasks: eg, the VUA in a safe environment. The validity of the designed system is given at all levels and should be used as a standard in the clinical surgical training in laparoscopic reconstructive urology.

  12. Combined use of fasting plasma glucose and glycated hemoglobin A1c in a stepwise fashion to detect undiagnosed diabetes mellitus.

    PubMed

    Nakagami, Tomoko; Tominaga, Makoto; Nishimura, Rimei; Daimon, Makoto; Oizumi, Toshihide; Yoshiike, Nobuo; Tajima, Naoko

    2007-09-01

    Type 2 diabetes mellitus (DM) is a common and serious condition related with considerable morbidity. Screening for DM is one strategy for reducing this burden. In Japan National Diabetes Screening Program (JNDSP) guideline, the combined use of fasting plasma glucose (FPG) and glycated hemoglobin A1c (HbA1c) in a stepwise fashion has been recommended to identify the group of people needing life-style counseling or medical care. However, the efficacy of this program has not been fully evaluated, as an oral glucose tolerance test (OGTT) is not mandatory in the guideline. The aim of this study was to assess the validity of the screening test scenario, in which an OGTT would be applied to people needing life-style counseling or medical care on this guideline: FPG 110-125 mg/dl and HbA1c over 5.5%. Subjects were 1,726 inhabitants without a previous history of DM in the Funagata study, which is a population-based survey conducted in Yamagata prefecture to clarify the risk factors, related conditions, and consequences of DM. DM was diagnosed according to the 1999 World Health Organization criteria. The prevalence of undiagnosed DM was 6.6%. The tested screening scenario gave a sensitivity of 55.3%, a specificity of 98.4%, a positive predictive value of 70.8%, and a negative predictive value of 96.9% for undiagnosed DM. In conclusion, the screening test scenario, in which an OGTT would be followed by the combined use of FPG and HbA1c in a stepwise fashion according to the JNDSP guideline, was not effective in identifying people with undiagnosed DM.

  13. Furthering the quality agenda in Aboriginal community controlled health services: understanding the relationship between accreditation, continuous quality improvement and national key performance indicator reporting.

    PubMed

    Sibthorpe, Beverly; Gardner, Karen; McAullay, Daniel

    2016-01-01

    A rapidly expanding interest in quality in the Aboriginal-community-controlled health sector has led to widespread uptake of accreditation using more than one set of standards, a proliferation of continuous quality improvement programs and the introduction of key performance indicators. As yet, there has been no overarching logic that shows how they relate to each other, with consequent confusion within and outside the sector. We map the three approaches to the Framework for Performance Assessment in Primary Health Care, demonstrating their key differences and complementarity. There needs to be greater attention in both policy and practice to the purposes and alignment of the three approaches if they are to embed a system-wide focus that supports quality improvement at the service level.

  14. Controllability of complex networks for sustainable system dynamics

    EPA Science Inventory

    Successful implementation of sustainability ideas in ecosystem management requires a basic understanding of the often non-linear and non-intuitive relationships among different dimensions of sustainability, particularly the system-wide implications of human actions. This basic un...

  15. Aliso Canyon facility is giant among gas storage projects. [Underground

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

    Magruder, P.S.

    1975-11-01

    Alison Canyon, the largest and newest of the Southern California Gas Company's underground storage fields, has the capacity to provide nearly 50 percent of the company's firm peak day deliverability from systemwide storage. (LK)

  16. 12 CFR 630.2 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Act of 1971, as amended (Act). (b) Combined financial statements means financial statements prepared... includes financial data of the bank's consolidated subsidiaries. (c) Disclosure entity means any Farm... means a report that presents the Systemwide combined financial statements, supplemental financial...

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

    Gamblin, T; de Supinski, B R; Schulz, M

    Good load balance is crucial on very large parallel systems, but the most sophisticated algorithms introduce dynamic imbalances through adaptation in domain decomposition or use of adaptive solvers. To observe and diagnose imbalance, developers need system-wide, temporally-ordered measurements from full-scale runs. This potentially requires data collection from multiple code regions on all processors over the entire execution. Doing this instrumentation naively can, in combination with the application itself, exceed available I/O bandwidth and storage capacity, and can induce severe behavioral perturbations. We present and evaluate a novel technique for scalable, low-error load balance measurement. This uses a parallel wavelet transformmore » and other parallel encoding methods. We show that our technique collects and reconstructs system-wide measurements with low error. Compression time scales sublinearly with system size and data volume is several orders of magnitude smaller than the raw data. The overhead is low enough for online use in a production environment.« less

  18. Drug safety assurance through clinical genotyping: near-term considerations for a system-wide implementation of personalized medicine.

    PubMed

    Kane, Michael D; Springer, John A; Sprague, Jon E

    2008-07-01

    The rationale and overall system-wide behavior of a clinical genotyping information system (both DNA analysis and data management) requires a near-term, scalable approach, which is emerging in the focused implementation of pharmacogenomics and drug safety assurance. The challenges to implementing a successful clinical genotyping system are described, as are how the benefits of a focused, near-term system for drug safety assessment and assurance overcome the logistical and operational challenges that perpetually hinder the development of a societal-scale clinical genotyping system. This rationale is based on the premise that a focused application domain for clinical genotyping, specifically drug safety assurance, provides a transition paradigm for both professionals and consumers of healthcare, thereby facilitating the movement of genotyping from bench to bedside and paving the way for the adoption of prognostic and diagnostic applications in clinical genomics.

  19. Stepwise pumping approach to improve free phase light hydrocarbon recovery from unconfined aquifers

    NASA Astrophysics Data System (ADS)

    Cooper, Grant S.; Peralta, Richard C.; Kaluarachchi, Jagath J.

    1995-04-01

    A stepwise, time-varying pumping approach is developed to improve free phase oil recovery of light non-aqueous phase liquids (LNAPL) from a homogeneous, unconfined aquifer. Stepwise pumping is used to contain the floating oil plume and obtain efficient free oil recovery. The graphical plots. The approach uses ARMOS ©, an areal two-dimensional multiphase flow, finite-element simulation model. Systematic simulations of free oil area changes to pumping rates are analyzed. Pumping rates are determined that achieve LNAPL plume containment at different times (i.e. 90, 180 and 360 days) for a planning period of 360 days. These pumping rates are used in reverse order as a stepwise (monotonically increasing) pumping strategy. This stepwise pumping strategy is analyzed further by performing additional simulations at different pumping rates for the last pumping period. The final stepwise pumping strategy is varied by factors of -25% and +30% to evaluate sensitivity in the free oil recovery process. Stepwise pumping is compared to steady pumping rates to determine the best free oil recovery strategy. Stepwise pumping is shown to improve oil recovery by increasing recoveredoil volume (11%) and decreasing residual oil (15%) when compared with traditional steady pumping strategies. The best stepwise pumping strategy recovers more free oil by reducing the amount of residual oil left in the system due to pumping drawdown. This stepwise pumping pproach can be used to enhance free oil recovery and provide for cost-effective design and management of LNAPL cleanup.

  20. Application of systems thinking: 12-month postintervention evaluation of a complex health system intervention in Zambia: the case of the BHOMA.

    PubMed

    Mutale, Wilbroad; Ayles, Helen; Bond, Virginia; Chintu, Namwinga; Chilengi, Roma; Mwanamwenge, Margaret Tembo; Taylor, Angela; Spicer, Neil; Balabanova, Dina

    2017-04-01

    Strong health systems are said to be paramount to achieving effective and equitable health care. The World Health Organization has been advocating for using system-wide approaches such as 'systems thinking' to guide intervention design and evaluation. In this paper we report the system-wide effects of a complex health system intervention in Zambia known as Better Health Outcome through Mentorship and Assessment (BHOMA) that aimed to improve service quality. We conducted a qualitative study in three target districts. We used a systems thinking conceptual framework to guide the analysis focusing on intended and unintended consequences of the intervention. NVivo version 10 was used for data analysis. The addressed community responded positively to the BHOMA intervention. The indications were that in the short term there was increased demand for services but the health worker capacity was not severely affected. This means that the prediction that service demand would increase with implementation of BHOMA was correct and the workload also increased, but the help of clinic lay supporters meant that some of the work of clinicians was transferred to these lay workers. However, from a systems perspective, unintended consequences also occurred during the implementation of the BHOMA. We applied an innovative approach to evaluate a complex intervention in low-income settings, exploring empirically how systems thinking can be applied in the context of health system strengthening. Although the intervention had some positive outcomes by employing system-wide approaches, we also noted unintended consequences. © 2015 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons, Ltd.

  1. A system-wide analysis using a senior-friendly hospital framework identifies current practices and opportunities for improvement in the care of hospitalized older adults.

    PubMed

    Wong, Ken S; Ryan, David P; Liu, Barbara A

    2014-11-01

    Older adults are vulnerable to hospital-associated complications such as falls, pressure ulcers, functional decline, and delirium, which can contribute to prolonged hospital stay, readmission, and nursing home placement. These vulnerabilities are exacerbated when the hospital's practices, services, and physical environment are not sufficiently mindful of the complex, multidimensional needs of frail individuals. Several frameworks have emerged to help hospitals examine how organization-wide processes can be customized to avoid these complications. This article describes the application of one such framework-the Senior-Friendly Hospital (SFH) framework adopted in Ontario, Canada-which comprises five interrelated domains: organizational support, processes of care, emotional and behavioral environment, ethics in clinical care and research, and physical environment. This framework provided the blueprint for a self-assessment of all 155 adult hospitals across the province of Ontario. The system-wide analysis identified practice gaps and promising practices within each domain of the SFH framework. Taken together, these results informed 12 recommendations to support hospitals at all stages of development in becoming friendly to older adults. Priorities for system-wide action were identified, encouraging hospitals to implement or further develop their processes to better address hospital-acquired delirium and functional decline. These recommendations led to collaborative action across the province, including the development of an online toolkit and the identification of accountability indicators to support hospitals in quality improvement focusing on senior-friendly care. © 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.

  2. Scoria: a Python module for manipulating 3D molecular data.

    PubMed

    Ropp, Patrick; Friedman, Aaron; Durrant, Jacob D

    2017-09-18

    Third-party packages have transformed the Python programming language into a powerful computational-biology tool. Package installation is easy for experienced users, but novices sometimes struggle with dependencies and compilers. This presents a barrier that can hinder the otherwise broad adoption of new tools. We present Scoria, a Python package for manipulating three-dimensional molecular data. Unlike similar packages, Scoria requires no dependencies, compilation, or system-wide installation. One can incorporate the Scoria source code directly into their own programs. But Scoria is not designed to compete with other similar packages. Rather, it complements them. Our package leverages others (e.g. NumPy, SciPy), if present, to speed and extend its own functionality. To show its utility, we use Scoria to analyze a molecular dynamics trajectory. Our FootPrint script colors the atoms of one chain by the frequency of their contacts with a second chain. We are hopeful that Scoria will be a useful tool for the computational-biology community. A copy is available for download free of charge (Apache License 2.0) at http://durrantlab.com/scoria/ . Graphical abstract .

  3. Leveraging lean principles in creating a comprehensive quality program: The UCLA health readmission reduction initiative.

    PubMed

    Afsar-Manesh, Nasim; Lonowski, Sarah; Namavar, Aram A

    2017-12-01

    UCLA Health embarked to transform care by integrating lean methodology in a key clinical project, Readmission Reduction Initiative (RRI). The first step focused on assembling a leadership team to articulate system-wide priorities for quality improvement. The lean principle of creating a culture of change and accountability was established by: 1) engaging stakeholders, 2) managing the process with performance accountability, and, 3) delivering patient-centered care. The RRI utilized three major lean principles: 1) A3, 2) root cause analyses, 3) value stream mapping. Baseline readmission rate at UCLA from 9/2010-12/2011 illustrated a mean of 12.1%. After the start of the RRI program, for the period of 1/2012-6/2013, the readmission rate decreased to 11.3% (p<0.05). To impact readmissions, solutions must evolve from smaller service- and location-based interventions into strategies with broader approach. As elucidated, a systematic clinical approach grounded in lean methodologies is a viable solution to this complex problem. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Traumatic brain injury in modern war

    NASA Astrophysics Data System (ADS)

    Ling, Geoffrey S. F.; Hawley, Jason; Grimes, Jamie; Macedonia, Christian; Hancock, James; Jaffee, Michael; Dombroski, Todd; Ecklund, James M.

    2013-05-01

    Traumatic brain injury (TBI) is common and especially with military service. In Iraq and Afghanistan, explosive blast related TBI has become prominent and is mainly from improvised explosive devices (IED). Civilian standard of care clinical practice guidelines (CPG) were appropriate has been applied to the combat setting. When such CPGs do not exist or are not applicable, new practice standards for the military are created, as for TBI. Thus, CPGs for prehospital care of combat TBI CPG [1] and mild TBI/concussion [2] were introduced as was a DoD system-wide clinical care program, the first large scale system wide effort to address all severities of TBI in a comprehensive organized way. As TBI remains incompletely understood, substantial research is underway. For the DoD, leading this effort are The Defense and Veterans Brain Injury Center, National Intrepid Center of Excellence and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury. This program is a beginning, a work in progress ready to leverage advances made scientifically and always with the intent of providing the best care to its military beneficiaries.

  5. SWMPr: An R Package for Retrieving, Organizing, and ...

    EPA Pesticide Factsheets

    The System-Wide Monitoring Program (SWMP) was implemented in 1995 by the US National Estuarine Research Reserve System. This program has provided two decades of continuous monitoring data at over 140 fixed stations in 28 estuaries. However, the increasing quantity of data provided by the monitoring network has complicated broad-scale comparisons between systems and, in some cases, prevented simple trend analysis of water quality parameters at individual sites. This article describes the SWMPr package that provides several functions that facilitate data retrieval, organization, andanalysis of time series data in the reserve estuaries. Previously unavailable functions for estuaries are also provided to estimate rates of ecosystem metabolism using the open-water method. The SWMPr package has facilitated a cross-reserve comparison of water quality trends and links quantitative information with analysis tools that have use for more generic applications to environmental time series. The manuscript describes a software package that was recently developed to retrieve, organize, and analyze monitoring data from the National Estuarine Research Reserve System. Functions are explained in detail, including recent applications for trend analysis of ecosystem metabolism.

  6. Is Sustainability Achievable? Exploring the Limits of Sustainability with Model Systems

    EPA Science Inventory

    Successful implementation of sustainability ideas in ecosystem management requires a basic understanding of the often nonlinear and non-intuitive relationships amongst different dimensions of sustainability, particularly the systemwide implications of human actions. This basic un...

  7. Models of governance in multihospital systems. Implications for hospital and system-level decision-making.

    PubMed

    Morlock, L L; Alexander, J A

    1986-12-01

    This study utilizes data from a national survey of 159 multihospital systems in order to describe the types of governance structures currently being utilized, and to compare the policy making process for various types of decisions in systems with different approaches to governance. Survey results indicate that multihospital systems most often use one of three governance models. Forty-one percent of the systems (including 33% of system hospitals) use a parent holding company model in which there is a system-wide corporate governing board and separate governing boards for each member hospital. Twenty-two percent of systems in the sample (but 47% of all system hospitals) utilize what we have termed a modified parent holding company model in which there is one system-wide governing board, but advisory boards are substituted for governing boards at the local hospital level. Twenty-three percent of the sampled systems (including 11% of system hospitals) use a corporate model in which there is one system-wide governing board but no other governing or advisory boards at either the divisional, regional or local hospital levels. A comparison of systems using these three governance approaches found significant variation in terms of system size, ownership and the geographic proximity of member hospitals. In order to examine the relationship between alternative approaches to governance and patterns of decision-making, the three model types were compared with respect to the percentages of systems reporting that local boards, corporate management and/or system-wide corporate boards have responsibility for decision-making in a number of specific issue areas. Study results indicate that, regardless of model type, corporate boards are most likely to have responsibility for decisions regarding the transfer, pledging and sale of assets; the formation of new companies; purchase of assets greater than $100,000; changes in hospital bylaws; and the appointment of local board members. In contrast corporate management is relatively uninvolved in these issues, again regardless of governance model type. There is substantial variation in the locus of decision-making responsibility by governance model type for a variety of other issues, however, including: hospital-level service additions and deletions; operating and capital budgets; medical staff privileges, hospital-level long-range planning; hospital CEO performance evaluation and the appointment of hospital CEOs.(ABSTRACT TRUNCATED AT 400 WORDS)

  8. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety.

    PubMed

    Heget, Jeffrey R; Bagian, James P; Lee, Caryl Z; Gosbee, John W

    2002-12-01

    In 1998 the Veterans Health Administration (VHA) created the National Center for Patient Safety (NCPS) to lead the effort to reduce adverse events and close calls systemwide. NCPS's aim is to foster a culture of safety in the Department of Veterans Affairs (VA) by developing and providing patient safety programs and delivering standardized tools, methods, and initiatives to the 163 VA facilities. To create a system-oriented approach to patient safety, NCPS looked for models in fields such as aviation, nuclear power, human factors, and safety engineering. Core concepts included a non-punitive approach to patient safety activities that emphasizes systems-based learning, the active seeking out of close calls, which are viewed as opportunities for learning and investigation, and the use of interdisciplinary teams to investigate close calls and adverse events through a root cause analysis (RCA) process. Participation by VA facilities and networks was voluntary. NCPS has always aimed to develop a program that would be applicable both within the VA and beyond. NCPS's full patient safety program was tested and implemented throughout the VA system from November 1999 to August 2000. Program components included an RCA system for use by caregivers at the front line, a system for the aggregate review of RCA results, information systems software, alerts and advisories, and cognitive acids. Following program implementation, NCPS saw a 900-fold increase in reporting of close calls of high-priority events, reflecting the level of commitment to the program by VHA leaders and staff.

  9. System-wide safety treatments and design guidance for j-turns : final report.

    DOT National Transportation Integrated Search

    2016-06-01

    In an effort Toward Zero Deaths (TZD) the Missouri Department of Transportation (MoDOT) initiated this research : project to develop guidance on treatments that can reduce crashes and fatalities. The project first synthesized the : literature and sta...

  10. Travel importance and strategic investment in Vermont's transportation assets.

    DOT National Transportation Integrated Search

    2013-12-01

    This project advances a new type of system-wide measurement of link criticality : that will provide the tools needed for strategic disinvestment in roads that are not : critical to the health and welfare of Vermonters. This new approach requires a : ...

  11. Assessment of ITS benefits : early results

    DOT National Transportation Integrated Search

    1995-08-01

    The following text gives an overview of benefits : from many types of systems, with an emphasis on systems that have : realized benefits in real-world operation. Many of the benefits are : measured either system-wide or for a subset of the system, wh...

  12. Crescent evaluation : appendix E : crescent demonstration office : evaluation report

    DOT National Transportation Integrated Search

    1994-02-01

    The purpose of this review was to conduct a limited audit to determine how well the Crescent Demonstration Office functions perform from the user perspective and what enhancements might be considered desirable or required in a long-term, system-wide ...

  13. 12 CFR 630.6 - Funding Corporation committees.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Corporation committees. (a) System Audit Committee. The Funding Corporation must establish and maintain a System Audit Committee (SAC) by adopting a written charter describing the committee's composition..., compensation, and retention of external auditors issuing System-wide audit reports; (B) Review the external...

  14. Wisconsin large truck safety and enforcement study.

    DOT National Transportation Integrated Search

    2011-07-01

    The Wisconsin Large Truck Safety and Enforcement Study (LTS&E) focused on a system-wide evaluation of large truck safety in the : state of Wisconsin. This study analyzes crash data related to large trucks that are close to the following criteria: gre...

  15. Implementing Competency-Based Medical Education in a Postgraduate Family Medicine Residency Training Program: A Stepwise Approach, Facilitating Factors, and Processes or Steps That Would Have Been Helpful.

    PubMed

    Schultz, Karen; Griffiths, Jane

    2016-05-01

    In 2009-2010, the postgraduate residency training program at the Department of Family Medicine, Queen's University, wrestled with the practicalities of competency-based medical education (CBME) implementation when its accrediting body, the College of Family Physicians of Canada, introduced the competency-based Triple C curriculum. The authors used a stepwise approach to implement CMBE; the steps were to (1) identify objectives, (2) identify competencies, (3) map objectives and competencies to learning experiences and assessment processes, (4) plan learning experiences, (5) develop an assessment system, (6) collect and interpret data, (7) adjust individual residents' training programs, and (8) distribute decisions to stakeholders. The authors also note overarching processes, costs, and facil itating factors and processes or steps that would have been helpful for CBME implementation. Early outcomes are encouraging. Residents are being directly observed more often with increased documented feedback about performance based on explicit competency standards (24,000 data points for 150 residents from 2013 to 2015). These multiple observations are being collated in a way that is allowing the identification of patterns of performance, red flags, and competency development trajectory. Outliers are being identified earlier, resulting in earlier individualized modification of their residency training program. The authors will continue to provide and refine faculty development, are developing an entrustable professional activity field note app for handheld devices, and are undertaking research to explore what facilitates learners' competency development, what increases assessors' confidence in making competence decisions, and whether residents are better trained as a result of CBME implementation.

  16. Concurrent Validity of Hill's Educational Cognitive Style Model as a Prototype for Successful Academic Programs Among Lower-Class Students.

    ERIC Educational Resources Information Center

    London, David T.

    Data from the stepwise multiple regression of four educational cognitive style predictor sets on each of six academic competence criteria were used to define the concurrent validity of Hill's educational cognitive style model. The purpose was to determine how appropriate it may be to use this model as a prototype for successful academic programs…

  17. A Proficiency Based Stepwise Endovascular Curricular Training (PROSPECT) Program Enhances Operative Performance in Real Life: A Randomised Controlled Trial.

    PubMed

    Maertens, H; Aggarwal, R; Moreels, N; Vermassen, F; Van Herzeele, I

    2017-09-01

    Healthcare evolution requires optimisation of surgical training to provide safe patient care. Operating room performance after completion of proficiency based training in vascular surgery has not been investigated. A randomised controlled trial evaluated the impact of a Proficiency based Stepwise Endovascular Curricular Training program (PROSPECT) on the acquisition of endovascular skills and the transferability of these skills to real life interventions. All subjects performed two endovascular interventions treating patients with symptomatic iliac and/or superficial femoral artery stenosis under supervision. Primary outcomes were technical performances (Global Rating Scale [GRS]; Examiner Checklist), operative metrics, and patient outcomes, adjusted for case difficulty and trainee experience. Secondary outcomes included knowledge and technical performance after 6 weeks and 3 months. Thirty-two general surgical trainees were randomised into three groups. Besides traditional training, the first group (n = 11) received e-learning and simulation training (PROSPECT), the second group (n = 10) only had access to e-learning, while controls (n = 11) did not receive supplementary training. Twenty-nine trainees (3 dropouts) performed 58 procedures. Trainees who completed PROSPECT showed superior technical performance (GRS 39.36 ± 2.05; Checklist 63.51 ± 3.18) in real life with significantly fewer supervisor takeovers compared with trainees receiving e-learning alone (GRS 28.42 ± 2.15; p = .001; Checklist 53.63 ± 3.34; p = .027) or traditional education (GRS 23.09 ± 2.18; p = .001; Checklist 38.72 ± 3.38; p = .001). Supervisors felt more confident in allowing PROSPECT trained physicians to perform basic (p = .006) and complex (p = .003) procedures. No differences were detected in procedural parameters (such as fluoroscopy time, DAP, procedure time, etc.) or complications. Proficiency levels were maintained up to 3 months. A structured, stepwise, proficiency based endovascular curriculum including e-learning and simulation based training should be integrated early into training programs to enhance trainee performance. Copyright © 2017. Published by Elsevier Ltd.

  18. Addressing Medical Errors in Hand Surgery

    PubMed Central

    Johnson, Shepard P.; Adkinson, Joshua M.; Chung, Kevin C.

    2014-01-01

    Influential think-tank such as the Institute of Medicine has raised awareness about the implications of medical errors. In response, organizations, medical societies, and institutions have initiated programs to decrease the incidence and effects of these errors. Surgeons deal with the direct implications of adverse events involving patients. In addition to managing the physical consequences, they are confronted with ethical and social issues when caring for a harmed patient. Although there is considerable effort to implement system-wide changes, there is little guidance for hand surgeons on how to address medical errors. Admitting an error is difficult, but a transparent environment where patients are notified of errors and offered consolation and compensation is essential to maintain trust. Further, equipping hand surgeons with a guide for addressing medical errors will promote compassionate patient interaction, help identify system failures, provide learning points for safety improvement, and demonstrate a commitment to ethically responsible medical care. PMID:25154576

  19. Vertical interventions and system effects; have we learned anything from past experiences?

    PubMed Central

    Oliveira, Charlotte; Russo, Giuliano

    2015-01-01

    The recent Ebola Virus Outbreak had a devastating effect on West Africa's already feeble national health systems. We suggest that such an impact turned out to be catastrophic because it hit particularly hard human resources for health and the delivery of primary healthcare services, which are cross-sectional to any health system. National and international interventions failed to understand the nature of this interaction, and concentrated on attending urgent specific vertical functions to fight the outbreak - the pillars - such as surveillance, logistics, safe burials etc. Such patchwork and vertical intervention strategy was always going to fail to tackle a system-wide problem, particularly in already fragile systems. We suggest that future interventions will have to learn from the experience of past initiatives for the introduction of HIV-AIDS services, which started as vertical programs and ended up including ever growing health system strengthening components. PMID:26523197

  20. COPYCAT; IBM OS system catalog utility routine. [IBM360,370; Assembly language

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

    Engert, D.E.

    COPYCAT is an OS utility program designed to produce an efficient system-wide catalog which may reside on many volumes. Substantial improvement in performance may also be obtained on a system with only a single catalog. First, catalog entries from many different catalogs may be redistributed to equalize the load on each catalog. Second, each individual catalog is restructured in a way designed to minimize the I/O time required for searching and updating. Redistribution and restructuring parameters are under user control. Model DSCB's for generation data groups and alias entries are also processed. Catalogs on all direct access devices, including datamore » cells, are supported. Backup copies may also be made.IBM360,370; Assembly language; OS/MVT, OS/MFT, OS/VS1 and OS/VS2 Release 1; A large region size is recommended since COPYCAT will use all of the core available to it for buffers..« less

  1. Decreasing Physical Inactivity in the Veterans Health Administration Employee Population.

    PubMed

    Schult, Tamara M; Schmunk, Sandra K; Awosika, Ebi R

    2016-12-01

    The aim of this study was to describe a comprehensive approach to decrease physical inactivity in the Veterans Health Administration (VHA) employee population. The approach included (1) initiatives to decrease physical inactivity in the workplace; (2) two operational surveys to assess system-wide service provision; and (3) two national employee surveys. From 2010 to 2012, 86 employee fitness centers were completed in VA medical centers. A grants program (2010 to 2015) funded smaller projects designed to decrease physical inactivity in the workplace. Projects involved the provision of equipment to decrease sedentary behaviors, including stability balls, treadmill and sit-to-stand desks, stairwell projects, and funding for on-site fitness classes, bicycle racks, and outdoor par courses and walking paths among others. A comprehensive approach to decrease physical inactivity in VHA employees was successful. Overall, self-reported, age-adjusted physical inactivity in VHA employees decreased from 25.3% in 2010 to 16.1% in 2015.

  2. What Districts Can Do To Improve Instruction and Achievement in All Schools.

    ERIC Educational Resources Information Center

    Togneri, Wendy

    2003-01-01

    A study of five high-poverty districts making strides in improving student achievement revealed that these districts focused on systemwide strategies including new approaches to professional development; making decisions based on data, not instinct; and redefining leadership roles. (MLF)

  3. Registration Priorities: A Report.

    ERIC Educational Resources Information Center

    Walters, Judy E.

    In May 1993, the California Community Colleges' Board of Governors adopted systemwide guidelines recommending student registration priorities to help address current discrepancies between available resources and courses and the colleges' open-door mission. This report describes the guidelines and results of a study conducted to determine their…

  4. Parenting a Child Who Has Been Sexually Abused: A Guide for Foster and Adoptive Parents

    MedlinePlus

    ... victim.” Child sexual abuse is defined in Federal law by the Child Abuse Prevention and Treatment Act ( ... Abuse and Neglect : https: / / www. childwelfare. gov/ systemwide/ laws_ policies/ statutes/ define. cfm Signs of Sexual Abuse ...

  5. The Other Homepage.

    ERIC Educational Resources Information Center

    Kupersmith, John

    2003-01-01

    Examines special-purpose entry points to library Web sites. Discusses in-house homepages; branch-specific pages or single library system-wide pages; staff use pages; versions in different languages; "MyLibrary" pages where users can customize the menu; standalone "branded" sites; publicly accessible pages; and best practices.…

  6. DEVELOPING AND FIELD IMPLEMENTING A DYNAMIC ECO-ROUTING SYSTEM.

    DOT National Transportation Integrated Search

    2017-04-01

    The study develops two different eco-routing systems and uses them to investigate and quantify the system-wide impacts of implementing an eco-routing system. The first one is basically a Nash Equilibrium feedback system, which uses the Ant Colony opt...

  7. Value management program: performance, quantification, and presentation of imaging value-added actions.

    PubMed

    Patel, Samir

    2015-03-01

    Health care is in a state of transition, shifting from volume-based success to value-based success. Hospital executives and referring physicians often do not understand the total value a radiology group provides. A template for easy, cost-effective implementation in clinical practice for most radiology groups to demonstrate the value they provide to their clients (patients, physicians, health care executives) has not been well described. A value management program was developed to document all of the value-added activities performed by on-site radiologists, quantify them in terms of time spent on each activity (investment), and present the benefits to internal and external stakeholders (outcomes). The radiology value-added matrix is the platform from which value-added activities are categorized and synthesized into a template for defining investments and outcomes. The value management program was first implemented systemwide in 2013. Across all serviced locations, 9,931.75 hours were invested. An annual executive summary report template demonstrating outcomes is given to clients. The mean and median individual value-added hours per radiologist were 134.52 and 113.33, respectively. If this program were extrapolated to the entire field of radiology, approximately 30,000 radiologists, this would have resulted in 10,641,161 uncompensated value-added hours documented in 2013, with an estimated economic value of $2.21 billion. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  8. Schools as social complex adaptive systems: a new way to understand the challenges of introducing the health promoting schools concept.

    PubMed

    Keshavarz, Nastaran; Nutbeam, Don; Rowling, Louise; Khavarpour, Freidoon

    2010-05-01

    Achieving system-wide implementation of health promotion programs in schools and sustaining both the program and its health related benefits have proved challenging. This paper reports on a qualitative study examining the implementation of health promoting schools programs in primary schools in Sydney, Australia. It draw upon insights from systems science to examine the relevance and usefulness of the concept of "complex adaptive systems" as a framework to better understand ways in which health promoting school interventions could be introduced and sustained. The primary data for the study were collected by semi-structured interviews with 26 school principals and teachers. Additional information was extracted from publicly available school management plans and annual reports. We examined the data from these sources to determine whether schools exhibit characteristics of complex adaptive systems. The results confirmed that schools do exhibit most, but not all of the characteristics of social complex adaptive systems, and exhibit significant differences with artificial and natural systems. Understanding schools as social complex adaptive systems may help to explain some of the challenges of introducing and sustaining change in schools. These insights may, in turn, lead us to adopt more sophisticated approaches to the diffusion of new programs in school systems that account for the diverse, complex and context specific nature of individual school systems. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

  9. Déjà-vu all over again: using simulation to evaluate the impact of shorter shelf life for red blood cells at Héma-Québec.

    PubMed

    Blake, John T; Hardy, Matthew; Delage, Gilles; Myhal, Geneviève

    2013-07-01

    Since the 1970s red blood cells (RBCs) have had a rated shelf life of 42 days. Recently, studies have suggested poorer patient outcomes when older blood is transfused. However, shortening the shelf life of RBCs may increase costs and lead to greater instances of outdates and shortages. A simulation method to evaluate the impact of a shorter shelf life for RBCs on a regional blood network was developed. A network model of the production and distribution system in the province of Quebec was built and validated. The model suggests that a shelf life of 21 or 28 days will have modest impact on outdate and shortage rates. A shelf life of 14 days will create significant challenges for both blood suppliers and hospitals and will result in systemwide outdate rates of 6.64% and shortage rates of 2.75%. The impact of a shorter shelf life for RBCs will disproportionately affect smaller and midsize hospitals. A shelf life of 28 or 21 days is feasible without excessive increases to systemwide outdate, shortage, or emergency ordering rates. Large hospitals will see minimal impact; smaller hospitals will see larger increases and may be unable to find inventory policies that maintain both low outdate and shortage rates. Reducing the shelf life to 14 days, or lower, results in significant challenges for suppliers and hospitals of all sizes. All hospitals will see an impact on outdate and shortage rates; overall systemwide outdate rates (6% or more) will reach levels that would currently be considered unacceptably high. © 2012 American Association of Blood Banks.

  10. Physical effects of thermal pollution in lakes

    NASA Astrophysics Data System (ADS)

    Râman Vinnâ, Love; Wüest, Alfred; Bouffard, Damien

    2017-05-01

    Anthropogenic heat emissions into inland waters influence water temperature and affect stratification, heat and nutrient fluxes, deep water renewal, and biota. Given the increased thermal stress on these systems by growing cooling demands of riparian/coastal infrastructures in combination with climate warming, the question arises on how to best monitor and manage these systems. In this study, we investigate local and system-wide physical effects on the medium-sized perialpine Lake Biel (Switzerland), influenced by point-source cooling water emission from an upstream nuclear power plant (heat emission ˜700 MW, ˜18 W m-2 lake wide). We use one-dimensional (SIMSTRAT) and three-dimensional (Delft3D-Flow) hydrodynamic numerical simulations and provide model resolution guidelines for future studies of thermal pollution. The effects on Lake Biel by the emitted excess heat are summarized as: (i) clear seasonal trend in temperature increase, locally up to 3.4°C and system-wide volume mean ˜0.3°C, which corresponds to one decade of regional surface water climate warming; (ii) the majority of supplied thermal pollution (˜60%) leaves this short residence time (˜58 days) system via the main outlet, whereas the remaining heat exits to the atmosphere; (iii) increased length of stratified period due to the stabilizing effects of additional heat; (iv) system-wide effects such as warmer temperature, prolonged stratified period, and river-caused epilimnion flushing are resolved by both models whereas local raised temperature and river short circuiting was only identifiable with the three-dimensional model approach. This model-based method provides an ideal tool to assess man-made impacts on lakes and their downstream outflows.

  11. Bringing Baby-Friendly to the Indian Health Service: A Systemwide Approach to Implementation.

    PubMed

    Karol, Susan; Tah, Tina; Kenon, Clifton; Meyer, Jenna; Yazzie, Jeannette; Stephens, Celissa; Merewood, Anne

    2016-05-01

    The Baby-Friendly Hospital Initiative (BFHI) increases exclusive breastfeeding. Breastfeeding protects against obesity and diabetes, conditions to which American Indians and Alaska Natives are particularly prone. As part of the First Lady'sLet's Move! in Indian Countryinitiative, the US Department of Health and Human Services' Indian Health Service (IHS) began implementing the BFHI in 2011. The IHS administers 13 US birthing hospitals. There are 5 tribally administered hospitals in the lower 48 states that receive IHS funding, and the IHS encouraged them to seek Baby-Friendly designation also. In the 13 federally administered hospitals, the IHS implemented a Baby-Friendly infant feeding policy, extensive clinician training, and Baby-Friendly compatible medical records. All hospitals also became compliant with the World Health Organization's International Code of Marketing of Breast-Milk Substitutes. Strategies and solutions were shared systemwide via webinars and conference calls. Quality improvement methods, technical assistance, and site visits assisted with the implementation process. Between 2011 and December 2014, 100% (13 of 13) of IHS federally administered hospitals gained Baby-Friendly designation. The first Baby-Friendly hospitals in Arizona, New Mexico, North Dakota, Oklahoma, and South Dakota were all IHS sites; 6% of all US Baby-Friendly hospitals are currently IHS hospitals. One tribal site has also been Baby-Friendly designated and 3 of the 5 remaining tribally administered hospitals in the lower 48 states are pursuing Baby-Friendly status. Baby-Friendly Hospital Initiative implementation systemwide is possible in a US government agency serving a high-risk, underprivileged population. Other systems looking to implement the BFHI can learn from the IHS model. © International Lactation Consultant Association 2015.

  12. Rapid core measure improvement through a "business case for quality".

    PubMed

    Perlin, Jonathan B; Horner, Stephen J; Englebright, Jane D; Bracken, Richard M

    2014-01-01

    Incentives to improve performance are emerging as revenue or financial penalties are linked to the measured quality of service provided. The HCA "Getting to Green" program was designed to rapidly increase core measure performance scores. Program components included (1) the "business case for quality"-increased awareness of how quality drives financial performance; (2) continuous communication of clinical and financial performance data; and (3) evidence-based clinical protocols, incentives, and tools for process improvement. Improvement was measured by comparing systemwide rates of adherence to national quality measures for heart failure (HF), acute myocardial infarction (AMI), pneumonia (PN), and surgical care (SCIP) to rates from all facilities reporting to the Centers for Medicare and Medicaid Services (CMS). As of the second quarter of 2011, 70% of HCA total measure set composite scores were at or above the 90th percentile of CMS scores. A test of differences in regression coefficients between the CMS national average and the HCA average revealed significant differences for AMI (p = .001), HF (p = .012), PN (p < .001), and SCIP (p = .015). This program demonstrated that presentation of the financial implications of quality, transparency in performance data, and clearly defined goals could cultivate the desire to use improvement tools and resources to raise performance. © 2012 National Association for Healthcare Quality.

  13. Proteomic Profiling of Rat Thyroarytenoid Muscle

    ERIC Educational Resources Information Center

    Welham, Nathan V.; Marriott, Gerard; Bless, Diane M.

    2006-01-01

    Purpose: Proteomic methodologies offer promise in elucidating the systemwide cellular and molecular processes that characterize normal and diseased thyroarytenoid (TA) muscle. This study examined methodological issues central to the application of 2-dimensional sodium dodecyl sulfate polyacrylamide gel electrophoresis (2D SDS-PAGE) to the study of…

  14. Gaining internal support for a marketing effort.

    PubMed

    Barron, E

    1988-06-01

    Franciscan Health System, Chadds Ford, Pa., developed a systemwide marketing initiative to assure positive participation from its internal market segments. In the first of a series, the author outlines the goals, objectives and positioning of the marketing mix used to achieve voluntary involvement from these segments.

  15. WATER LEVEL DRAWDOWN TRIGGERS SYSTEM-WIDE BUBBLE RELEASE FROM RESERVOIR SEDIMENTS

    EPA Science Inventory

    Reservoirs are an important anthropogenic source of methane and ebullition is a key pathway by which methane stored in reservoir sediments can be released to the atmosphere. Changes in hydrostatic pressure during periods of falling water levels can trigger bubbling events, sugge...

  16. Centerline rumble strips on rural highways shown to cut crashes by half : research spotlight.

    DOT National Transportation Integrated Search

    2015-03-01

    In 2008, Michigan launched a major systemwide installation of both : centerline and shoulder rumble strips on 5,400 miles of its rural, : non-freeway highway system. This unprecedented initiative was : accomplished during a three-year period ending i...

  17. System-wide organization of actin cytoskeleton determines organelle transport in hypocotyl plant cells

    PubMed Central

    Nowak, Jacqueline; Ivakov, Alexander; Somssich, Marc; Persson, Staffan; Nikoloski, Zoran

    2017-01-01

    The actin cytoskeleton is an essential intracellular filamentous structure that underpins cellular transport and cytoplasmic streaming in plant cells. However, the system-level properties of actin-based cellular trafficking remain tenuous, largely due to the inability to quantify key features of the actin cytoskeleton. Here, we developed an automated image-based, network-driven framework to accurately segment and quantify actin cytoskeletal structures and Golgi transport. We show that the actin cytoskeleton in both growing and elongated hypocotyl cells has structural properties facilitating efficient transport. Our findings suggest that the erratic movement of Golgi is a stable cellular phenomenon that might optimize distribution efficiency of cell material. Moreover, we demonstrate that Golgi transport in hypocotyl cells can be accurately predicted from the actin network topology alone. Thus, our framework provides quantitative evidence for system-wide coordination of cellular transport in plant cells and can be readily applied to investigate cytoskeletal organization and transport in other organisms. PMID:28655850

  18. Thermal proximity coaggregation for system-wide profiling of protein complex dynamics in cells.

    PubMed

    Tan, Chris Soon Heng; Go, Ka Diam; Bisteau, Xavier; Dai, Lingyun; Yong, Chern Han; Prabhu, Nayana; Ozturk, Mert Burak; Lim, Yan Ting; Sreekumar, Lekshmy; Lengqvist, Johan; Tergaonkar, Vinay; Kaldis, Philipp; Sobota, Radoslaw M; Nordlund, Pär

    2018-03-09

    Proteins differentially interact with each other across cellular states and conditions, but an efficient proteome-wide strategy to monitor them is lacking. We report the application of thermal proximity coaggregation (TPCA) for high-throughput intracellular monitoring of protein complex dynamics. Significant TPCA signatures observed among well-validated protein-protein interactions correlate positively with interaction stoichiometry and are statistically observable in more than 350 annotated human protein complexes. Using TPCA, we identified many complexes without detectable differential protein expression, including chromatin-associated complexes, modulated in S phase of the cell cycle. Comparison of six cell lines by TPCA revealed cell-specific interactions even in fundamental cellular processes. TPCA constitutes an approach for system-wide studies of protein complexes in nonengineered cells and tissues and might be used to identify protein complexes that are modulated in diseases. Copyright © 2018 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

  19. System-wide Benefits of Intermeal Fasting by Autophagy.

    PubMed

    Martinez-Lopez, Nuria; Tarabra, Elena; Toledo, Miriam; Garcia-Macia, Marina; Sahu, Srabani; Coletto, Luisa; Batista-Gonzalez, Ana; Barzilai, Nir; Pessin, Jeffrey E; Schwartz, Gary J; Kersten, Sander; Singh, Rajat

    2017-12-05

    Autophagy failure is associated with metabolic insufficiency. Although caloric restriction (CR) extends healthspan, its adherence in humans is poor. We established an isocaloric twice-a-day (ITAD) feeding model wherein ITAD-fed mice consume the same food amount as ad libitum controls but at two short windows early and late in the diurnal cycle. We hypothesized that ITAD feeding will provide two intervals of intermeal fasting per circadian period and induce autophagy. We show that ITAD feeding modifies circadian autophagy and glucose/lipid metabolism that correlate with feeding-driven changes in circulating insulin. ITAD feeding decreases adiposity and, unlike CR, enhances muscle mass. ITAD feeding drives energy expenditure, lowers lipid levels, suppresses gluconeogenesis, and prevents age/obesity-associated metabolic defects. Using liver-, adipose-, myogenic-, and proopiomelanocortin neuron-specific autophagy-null mice, we mapped the contribution of tissue-specific autophagy to system-wide benefits of ITAD feeding. Our studies suggest that consuming two meals a day without CR could prevent the metabolic syndrome. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Motivation for documentation.

    PubMed

    Graham, Denise H

    2004-11-01

    The quality improvement plan relies on controlling quality of care through improving the process or system as a whole. Your ongoing data collection is paramount to the process of system-wide improvement and performance, enhancement of financial performance, operational performance and overall service performance and satisfaction. The threat of litigation and having to defend yourself from a claim of wrongdoing still looms every time your wheels turn. Your runsheet must serve and protect you. Look at the NFPA 1710 standard, which was enacted to serve and protect firefighters. This standard was enacted with their personal safety and well-being as the principle behind staffing requirements. At what stage of draft do you suppose the NFPA 1710 standard would be today if the relative data were collected sporadically or were not tracked for each service-related death? It may have taken many more service-related deaths to effect change for a system-wide improvement in operational performance. Every call merits documentation and data collection. Your data are catalysts for change.

  1. APHiD: Hierarchical Task Placement to Enable a Tapered Fat Tree Topology for Lower Power and Cost in HPC Networks

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

    Michelogiannakis, George; Ibrahim, Khaled Z.; Shalf, John

    The power and procurement cost of bandwidth in system-wide networks has forced a steady drop in the byte/flop ratio. This trend of computation becoming faster relative to the network is expected to hold. In this paper, we explore how cost-oriented task placement enables reducing the cost of system-wide networks by enabling high performance even on tapered topologies where more bandwidth is provisioned at lower levels. We describe APHiD, an efficient hierarchical placement algorithm that uses new techniques to improve the quality of heuristic solutions and reduces the demand on high-level, expensive bandwidth in hierarchical topologies. We apply APHiD to amore » tapered fat-tree, demonstrating that APHiD maintains application scalability even for severely tapered network configurations. Using simulation, we show that for tapered networks APHiD improves performance by more than 50% over random placement and even 15% in some cases over costlier, state-of-the-art placement algorithms.« less

  2. International NGOs and the role of network centrality in humanitarian aid operations: a case study of coordination during the 2000 Mozambique floods.

    PubMed

    Moore, Spencer; Eng, Eugenia; Daniel, Mark

    2003-12-01

    In February 2000, Mozambique suffered its worst flooding in almost 50 years: 699 people died and hundreds of thousands were displaced. Over 49 countries and 30 international non-governmental organisations provided humanitarian assistance. Coordination of disaster assistance is critical for effective humanitarian aid operations, but limited attention has been directed toward evaluating the system-wide structure of inter-organisational coordination during humanitarian operations. Network analysis methods were used to examine the structure of inter-organisational relations among 65 non-governmental organisations (NGOs) involved in the flood operations in Mozambique. Centrality scores were used to estimate NGO-specific potential for aid coordination and tested against NGO beneficiary numbers. The average number of relief- and recovery-period beneficiaries was significantly greater for NGOs with high relative to low centrality scores (p < 0.05). This report addresses the significance of these findings in the context of the Mozambican 2000 floods and the type of data required to evaluate system-wide coordination.

  3. Going tobacco-free on 24 New York City university campuses: A public health agency's partnership with a large urban public university system.

    PubMed

    Bresnahan, Marie P; Sacks, Rachel; Farley, Shannon M; Mandel-Ricci, Jenna; Patterson, Ty; Lamberson, Patti

    2016-01-01

    The New York City Department of Health and Mental Hygiene partnered with the nation's largest university system, the City University of New York (CUNY), to provide technical assistance and resources to support the development and implementation of a system-wide tobacco-free policy. This effort formed one component of Healthy CUNY-a larger initiative to support health promotion and disease prevention across the university system and resulted in the successful introduction of a system-wide tobacco-free policy on all CUNY campuses. Glassman et al (J Am Coll Health. 2011;59:764-768) published a blueprint for action related to tobacco policies that informed our work. This paper describes the policy development and implementation process and presents lessons learned from the perspective of the Health Department, as a practical case study to inform and support other health departments who may be supporting colleges and universities to become tobacco-free.

  4. System-wide identification of wild-type SUMO-2 conjugation sites

    PubMed Central

    Hendriks, Ivo A.; D'Souza, Rochelle C.; Chang, Jer-Gung; Mann, Matthias; Vertegaal, Alfred C. O.

    2015-01-01

    SUMOylation is a reversible post-translational modification (PTM) regulating all nuclear processes. Identification of SUMOylation sites by mass spectrometry (MS) has been hampered by bulky tryptic fragments, which thus far necessitated the use of mutated SUMO. Here we present a SUMO-specific protease-based methodology which circumvents this problem, dubbed Protease-Reliant Identification of SUMO Modification (PRISM). PRISM allows for detection of SUMOylated proteins as well as identification of specific sites of SUMOylation while using wild-type SUMO. The method is generic and could be widely applied to study lysine PTMs. We employ PRISM in combination with high-resolution MS to identify SUMOylation sites from HeLa cells under standard growth conditions and in response to heat shock. We identified 751 wild-type SUMOylation sites on endogenous proteins, including 200 dynamic SUMO sites in response to heat shock. Thus, we have developed a method capable of quantitatively studying wild-type mammalian SUMO at the site-specific and system-wide level. PMID:26073453

  5. The Effect of Entry Regulation in the Health Care Sector: the Case of Home Health

    PubMed Central

    Polsky, Daniel; David, Guy; Yang, Jianing; Kinosian, Bruce; Werner, Rachel

    2013-01-01

    The consequences of government regulation in the post-acute care sector are not well understood. We examine the effect of entry regulation on quality of care in home health care by analyzing the universe of hospital discharges during 2006 for publicly insured beneficiaries (about 4.5 million) and subsequent home health admissions to determine whether there is a significant difference in home health utilization, hospital readmission rates, and health care expenditures in states with and without Certificate of Need laws (CON) regulating entry. We identify these effects by looking across regulated and nonregulated states within Hospital Referral Regions, which characterize well-defined health care markets and frequently cross state boundaries. We find that CON states use home health less frequently, but system-wide rehospitalization rates, overall Medicare expenditures, and home health practice patterns are similar. Removing CON for home health would have negligible system-wide effects on health care costs and quality. PMID:24497648

  6. Multidisciplinary COPD disease management program: impact on clinical outcomes.

    PubMed

    Morganroth, Melvin; Pape, Ginger; Rozenfeld, Yelena; Heffner, John E

    2016-01-01

    We hypothesized performance improvement interventions would improve COPD guideline-recommended care and decrease COPD exacerbations in primary care clinic practices. We initiated a performance improvement project in 12 clinics to improve COPD outcomes incorporating physician education, case management, web-based decision support (CareManager(TM)), and performance feedback. We collected baseline and one-year follow up data on 242 patients who had COPD with acute exacerbations. We analyzed data by two methods. First, the 12 clinics were cluster randomized to 4 intervention (117 patients) and 8 control (125 patients) clinics which all had access to CareManager(TM) but only intervention clinic physicians received case management, academic detailing, and decision support assistance. Exacerbation rates and guideline adherence were compared. Second, data from all 12 clinics were pooled in a quasi-experimental design comparing baseline and post-implementation of CareManager(TM) to determine the value of system-wide performance improvement during the study period. In the randomized analysis, baseline demographics were similar. No differences (p = 0.79) occurred in exacerbation rates between intervention and control clinics although both groups had decreased numbers of exacerbations from baseline to follow up (p < 0.05). The pooled data from all 12 clinics demonstrated a reduction (p < 0.05) in mean exacerbations/patient from 2.3 (CI 2.0-2.6) during baseline to 1.4 (CI 1.1-1.7) at one-year follow up. Emergency department visits and hospitalizations/patient decreased (p = 0.003). Patients naïve at study start to depression screening, pneumococcal vaccination, inhaled control medications or smoking cessation had fewer (p < 0.05) exacerbations after these interventions. We observed no difference in exacerbation rates between clinics receiving case management, academic detailing, and ongoing assistance with decision support and controls. Implementation of a web-based disease management system (CareManager(TM)) along with health system-wide COPD performance improvement efforts was associated with fewer COPD exacerbations and increased adherence to guideline recommendations.

  7. Catholic Health Initiatives at 10.

    PubMed

    Ross, Joyce M

    2007-01-01

    The summer of 2006 marked the 10th anniversary of the formation of Denver-based Catholic Health Initiatives (CHI). Formed in 1996 as the result of the merger of three Catholic health care systems, and soon joined by a fourth, the system integrated a diverse collection of health care facilities previously sponsored by 12 different religious congregations. It was the first Catholic health system to give laity a sponsorship role in its facilities. CHI's facilities are sponsored by a public juridic person (PJP), the Catholic Health Care Federation (CHCF). The same people who sit on the system's board also constitute CHCF. They are thus responsible for both governance and sponsorship. CHI was the first Catholic health care system to give laypersons a sponsorship role in its facilities. Establishing the PJP was a long and complex task. Eventually, the church determined that CHI's PJP should be pontifical, accountable to the Congregation for Institutes of Consecrated Life and Societies of Apostolic Life in Rome. CHCF in 1991 became the first PJP in health care in the United States. CHI's staff, led by its first president and chief executive officer, Patricia Cahill, quickly took steps to help the new system begin to coalesce, establishing a single, systemwide pension plan, debt policy, and so forth. Also challenging was the creation of a systemwide new culture. An essential step in the development of CHI's culture was the involvement of employees in the identification of its core values: reverence, integrity, compassion, and excellence, The creation of CHI's Mission and Ministry Fund also helped give the system an identity. This fund provides grants to programs that take an innovative approach to building healthy communities, a goal expressed in CHI's mission and vision statements. The people who created CHI and nurtured it during its first decade give it high marks for faithful adherence to its mission. Even so, they acknowledge that there is always more work to be done.

  8. Award ER25750: Coordinated Infrastructure for Fault Tolerance Systems Indiana University Final Report

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

    Lumsdaine, Andrew

    2013-03-08

    The main purpose of the Coordinated Infrastructure for Fault Tolerance in Systems initiative has been to conduct research with a goal of providing end-to-end fault tolerance on a systemwide basis for applications and other system software. While fault tolerance has been an integral part of most high-performance computing (HPC) system software developed over the past decade, it has been treated mostly as a collection of isolated stovepipes. Visibility and response to faults has typically been limited to the particular hardware and software subsystems in which they are initially observed. Little fault information is shared across subsystems, allowing little flexibility ormore » control on a system-wide basis, making it practically impossible to provide cohesive end-to-end fault tolerance in support of scientific applications. As an example, consider faults such as communication link failures that can be seen by a network library but are not directly visible to the job scheduler, or consider faults related to node failures that can be detected by system monitoring software but are not inherently visible to the resource manager. If information about such faults could be shared by the network libraries or monitoring software, then other system software, such as a resource manager or job scheduler, could ensure that failed nodes or failed network links were excluded from further job allocations and that further diagnosis could be performed. As a founding member and one of the lead developers of the Open MPI project, our efforts over the course of this project have been focused on making Open MPI more robust to failures by supporting various fault tolerance techniques, and using fault information exchange and coordination between MPI and the HPC system software stack from the application, numeric libraries, and programming language runtime to other common system components such as jobs schedulers, resource managers, and monitoring tools.« less

  9. Outpost in Jovian system - a stepwise long-term undertaking

    NASA Astrophysics Data System (ADS)

    Yasaka, Tetsuo

    2003-11-01

    Space has been attracting human attention since the dawn of our history, and clues thus given have triggered scientific and cultural evolutions. Now the space is in our hands. Near earth space has been developed, providing benefits to daily life. Moon and Mars will become the stage of human activity in a few decades. What will be the next logical step? The next step should be an undertaking that promises substantial influence to human history, both in knowledge and productive activities. Looking into the future directions of technology development combined with their outcome, Kyushu University selected a stepwise long-term undertaking toward establishment of an outpost in the Jovian system. Jupiter is our closest gas planet, which is a replica of the Sun. Its true understanding is essential to our knowledge of the universe. Its satellites abounds versatility providing not only the crucial knowledge of science but energy and materials vital to space activities. Jovian outpost consists of the central station on or around Callisto, controlling several laboratories on other Galilean satellites and dispatching probes to the main planet including Jovian-Crafts to cruise within its atmosphere and Deep Probes to explore the depth of the hydrogen ocean. Utilization of materials especially water on Europa will enable energy management of the stations and probes, and will further provide sound base toward exploration of the outskirts of the solar system and beyond. This understanding needs a long term endeavor that should be handed over many generations. This is a technology development program but education is an essential part of the process. The task is based on a series of short (5 year) targets. Each target provides stepwise solution to the objective, yet provides substantial outputs to the society and industries in a timely manner. The paper describes the overall program and details of the first 5 year targets.

  10. Outpost in Jovian system—a stepwise long-term undertaking

    NASA Astrophysics Data System (ADS)

    Yasaka, Tetsuo

    2006-10-01

    Space has been attracting human attention since the dawn of our history, and clues thus given have triggered scientific and cultural evolutions. Now the space is in our hands. Near earth space has been developed, providing benefits to daily life. Moon and Mars will become the stage of human activity in a few decades. What will be the next logical step? The next step should be an undertaking that promises substantial influence to human history, both in knowledge and productive activities. Looking into the future directions of technology development combined with their outcome, Kyushu University selected a stepwise long-term undertaking toward establishment of an outpost in the Jovian system. Jupiter is our closest gas planet, which is a replica of the Sun. Its true understanding is essential to our knowledge of the universe. Its satellites abounds versatility providing not only the crucial knowledge of science but energy and materials vital to space activities. Jovian outpost consists of the central station on or around Callisto, controlling several laboratories on other Galilean satellites and dispatching probes to the main planet including Jovian-Crafts to cruise within its atmosphere and Deep Probes to explore the depth of the hydrogen ocean. Utilization of materials especially water on Europa will enable energy management of the stations and probes, and will further provide sound base toward exploration of the outskirts of the solar system and beyond. This understanding needs a long-term endeavor that should be handed over many generations. This is a technology development program but education is an essential part of the process. The task is based on a series of short (5 year) targets. Each target provides stepwise solution to the objective, yet provides substantial outputs to the society and industries in a timely manner. The paper describes the overall program and details of the first 5 year targets.

  11. 1977-78 Evaluation Findings. Publication Number: 77.59.

    ERIC Educational Resources Information Center

    Austin Independent School District, TX. Office of Research and Evaluation.

    Summaries are presented of all research and evaluation work conducted by the Austin Independent School District during the 1977-78 school year. Summaries are divided into the following areas: 1978 at a glance; district priorities; basic skills achievement; systemwide achievement profiles; low socioeconomic status (SES) achievement; professional…

  12. Schools Can Provide Help for the Children of Divorce.

    ERIC Educational Resources Information Center

    Holzman, Terry

    1984-01-01

    Since the mid-1970s, Newton, Massachusetts, schools have developed support groups and curricular offerings to help children of divorced parents. Newton's Ad-Hoc Committee on Separation and Divorce, developed under the leadership of John Cullinane, now serves as a systemwide clearinghouse for teacher resources. (JBM)

  13. Higher Education in the Sustainable Development Goals Framework

    ERIC Educational Resources Information Center

    Owens, Taya Louise

    2017-01-01

    Agenda 2030 for sustainable development focuses attention on lifelong learning opportunities for all. The new targets expand on their predecessors, the Millennial Development Goals, by both widening and deepening the scope of system-wide quality education systems. Whilst the Millennial Development Goals focused attention on universal primary…

  14. Chicago Decentralizes.

    ERIC Educational Resources Information Center

    Rist, Marilee C.

    1990-01-01

    Bureaucratic inefficiency aside, Chicago public schools are failing dismally in their basic educational mission. A new school reform plan promises to turn systemwide failure into success by weakening the central bureaucracy's power and turning the ignition key over to 541 school-based councils. A sidebar claims that courts could determine the real…

  15. Multilingualism(s) and System-Wide Assessment: A Southern Perspective

    ERIC Educational Resources Information Center

    Heugh, Kathleen; Prinsloo, Cas; Makgamatha, Matthews; Diedericks, Gerda; Winnaar, Lolita

    2017-01-01

    Rapidly changing demographics challenge education systems everywhere. Multilingualism, in particular, brings challenges in curriculum, pedagogy and assessment. Here we draw attention to contexts and practices of multilingual education in southern settings that differ from those in northern ones. Whereas much of the literature indicates that…

  16. Better Care Teams: A Stepwise Skill Reinforcement Model.

    PubMed

    Christopher, Beth-Anne; Grantner, Mary; Coke, Lola A; Wideman, Marilyn; Kwakwa, Francis

    2016-06-01

    The Building Healthy Urban Communities initiative presents a path for organizations partnering to improve patient outcomes with continuing education (CE) as a key component. Components of the CE initiative included traditional CE delivery formats with an essential element of adaptability and new methods, with rigorous evaluation over time that included evaluation prior to the course, immediately following the CE session, 6 to 8 weeks after the CE session, and then subsequent monthly "testlets." Outcome measures were designed to allow for ongoing adaptation of content, reinforcement of key learning objectives, and use of innovative concordant testing and retrieval practice techniques. The results after 1 year of programming suggest the stepwise skill reinforcement model is effective for learning and is an efficient use of financial and human resources. More important, its design is one that could be adopted at low cost by organizations willing to work in close partnership. J Contin Educ Nurs. 2016;47(6):283-288. Copyright 2016, SLACK Incorporated.

  17. The Integrated Care Team Approach of the Department of Veterans Affairs (VA): Geriatric Primary Care.

    PubMed

    Rasin-Waters, Donna; Abel, Valerie; Kearney, Lisa K; Zeiss, Antonette

    2018-05-01

    Historically, integrated mental and behavioral healthcare in the Department of Veterans Affairs (VA) commenced with initiatives in geriatrics. Innovation and system-wide expansion has occurred over decades and culminated in a unified vision for training and practice in the VA medical home model: Patient Aligned Care Team or PACT approach. In one VA hospital, the integration of neuropsychological services in geriatric primary care is pivotal and increases access for patients, as well as contributing to timely and effective care on an interprofessional team. The development and innovative use of an algorithm to identify problems with cognition, health literacy, and mental and behavioral health has been pragmatic and provides useful information for collaborative treatment planning in GeriPACT, VA geriatric primary care. Use of the algorithm also assists with decision-making regarding brief versus comprehensive neuropsychological assessment in the primary care setting. The model presented here was developed by supervising neuropsychologists as part of a postdoctoral residency program in geropsychology. However, postdoctoral residency programs in neuropsychology, as well as neuropsychological clinics, can also use this model to integrate neuropsychological assessment and interventions in geriatric primary care settings.

  18. Head Start Staff Reactions to a Novel Tobacco Intervention: A Qualitative Analysis.

    PubMed

    Keske, Robyn R; Barker, Kathryn M; Geller, Alan C; Hamasaka, Laura; Sparks, Michael; Moody-Thomas, Sarah; Jolicoeur, Denise; Rees, Vaughan W

    2016-11-01

    As tobacco use becomes increasingly concentrated in communities of low socio-economic position (SEP), scalable cessation interventions are needed. Head Start programs offer one setting in which a family-focused intervention can be implemented in low SEP communities. We assessed the experiences of Head Start (HS) staff who received training in a pilot motivational interviewing (MI) tobacco intervention, to improve future feasibility. Focus group interviews were conducted with HS staff to assess their reactions to MI training and their use of MI in their work with families. Transcripts were analyzed using thematic analysis and a 4-step approach informed by grounded theory. HS staff reported advantages of MI beyond its use as a tobacco intervention, despite systematic barriers to broad implementation. Facilitators of MI use included enhanced engagement with families, and opportunities for professional development. Barriers to MI use included limited institutional support and low priority for a tobacco intervention among families with pressing social and financial concerns. HS Staff voiced support for broader training in MI interventions in HS programs. System-wide standards to ensure adequate training and support for an MI tobacco intervention were identified as priorities.

  19. Developing Best Practices: System-wide Actions for Coastal Resilience

    DTIC Science & Technology

    2015-10-09

    solutions for a safer, better world flooding and major storms in low-lying areas 6 10/9/2015 3 Bayville and Breezy Point, NY - Protocol to move emergency...vehicles and debris removal equipment to high ground before flooding . Best Practices: Examples BUILDING STRONG® Innovative solutions for a safer

  20. Report on Career Pathways: A Success Story in Berrien County, Michigan.

    ERIC Educational Resources Information Center

    Rudy, Dennis W.; Rudy, Ellen L.

    Independent evaluators examined the progress of the Berrien County Intermediate School District in Berrien County, Michigan, in implementing Michigan's Career Preparation System. The evaluation established that the district has provided the leadership, training, resources, and continued support to implement a systemwide school-to-career reform…

  1. 12 CFR 612.2270 - Purchase of System obligations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Purchase of System obligations. 612.2270... REFERRAL OF KNOWN OR SUSPECTED CRIMINAL VIOLATIONS Standards of Conduct § 612.2270 Purchase of System... Funding Corporation, may only purchase joint, consolidated, or Systemwide obligations that are: (1) Part...

  2. Monitoring algal blooms in drinking water reservoirs using the Landsat-8 Operational Land Imager

    EPA Science Inventory

    In this study, we demonstrated that the Landsat-8 Operational Land Imager (OLI) sensor is a powerful tool that can provide periodic and system-wide information on the condition of drinking water reservoirs. The OLI is a multispectral radiometer (30 m spatial resolution) that allo...

  3. Pursuing Harmony and Fairness in Education

    ERIC Educational Resources Information Center

    Dongping, Yang

    2006-01-01

    In 2005, there was a transition in China, in which public policy toward education underwent a systemwide change. In this article, the author explores the educational development in China and examines reforms concerning educational issues that were of intense concern to society. In recent years, Chinese education at all levels has undergone massive…

  4. Taking Workforce Initiatives to Scale: Workforce Initiatives Discussion Paper #2

    ERIC Educational Resources Information Center

    Academy for Educational Development, 2011

    2011-01-01

    The System-wide Collaborative Action for Livelihoods and Environment, or SCALE process, has become one of the Academy for Educational Development's (AED's) and the United States Agency for International Development's (USAID's) most utilized and replicated models, with applications in education, health, natural resources management, tourism,…

  5. Montessori and Non-Montessori Early Childhood Teachers' Attitudes toward Inclusion and Access

    ERIC Educational Resources Information Center

    Danner, Natalie; Fowler, Susan A.

    2015-01-01

    Montessori and non-Montessori general education early childhood teachers were surveyed about their attitudes toward including children with disabilities and providing these students access to the curriculum. Both groups reported similar and positive system-wide supports for inclusion within their schools. Montessori teachers reported having less…

  6. Enrollment Trends for Michigan Higher Education: 1964-1976.

    ERIC Educational Resources Information Center

    Agor, Weston H.

    A detailed historical analysis of enrollment trends system-wide, by sector (public baccalaureates, community colleges, and independents), and by individual institutions in Michigan for the period 1964-1976 is provided. A special analysis of public baccalaureate institutions by statewide planning and development regions and by county for the five…

  7. Directions 1984: State Community, Junior & Technical Colleges. Alabama's Commitment to Opportunity with Excellence.

    ERIC Educational Resources Information Center

    Alabama State Dept. of Postsecondary Education, Montgomery.

    The report represents the objectives of Directions 1984, a comprehensive systemwide assessment and decision-making effort being undertaken by Alabama's two-year college system. Introductory material highlights the role of Alabama's two-year colleges in providing educational opportunities, explains the philosophy underpinning the Directions 1984…

  8. 75 FR 61116 - Refunds Under the Cable Statutory License

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... where it has failed to pay for the carriage of distant signals on a system-wide basis under the...''). Cable systems that retransmit broadcast signals in accordance with the provisions governing the... television signals under the Section 111 statutory license. The royalties are based on a percentage of gross...

  9. 12 CFR Appendix A to Part 630 - Supplemental Information Disclosure Guidelines

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Supplemental Information Disclosure Guidelines A Appendix A to Part 630 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM DISCLOSURE TO INVESTORS IN SYSTEMWIDE AND CONSOLIDATED BANK DEBT OBLIGATIONS OF THE FARM CREDIT SYSTEM Pt. 630...

  10. Student Attendance and Mobility in Minneapolis Public Schools.

    ERIC Educational Resources Information Center

    Hinz, Elizabeth; Kapp, Lucy; Snapp, Sarah

    2003-01-01

    Describes how the Minneapolis Public Schools, Minnesota, identified system-wide standards and practices to help all students achieve the goal of 95 percent attendance, an especially difficult goal for highly mobile students. The Kids Mobility Study in Minneapolis documents the connection between residential mobility and student achievement and…

  11. 49 CFR 260.25 - Additional information for Applicants not having a credit rating.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... the following: (1) Applicant's current and prospective traffic base, including by commodity and... prospective traffic base; (3) System-wide plans to maintain equipment and rights-of-way at current or improved... flow projections; (e) Contingency plans for termination of the project before completion, if necessary...

  12. 49 CFR 260.25 - Additional information for Applicants not having a credit rating.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... the following: (1) Applicant's current and prospective traffic base, including by commodity and... prospective traffic base; (3) System-wide plans to maintain equipment and rights-of-way at current or improved... flow projections; (e) Contingency plans for termination of the project before completion, if necessary...

  13. 49 CFR 260.25 - Additional information for Applicants not having a credit rating.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... the following: (1) Applicant's current and prospective traffic base, including by commodity and... prospective traffic base; (3) System-wide plans to maintain equipment and rights-of-way at current or improved... flow projections; (e) Contingency plans for termination of the project before completion, if necessary...

  14. 49 CFR 260.25 - Additional information for Applicants not having a credit rating.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... the following: (1) Applicant's current and prospective traffic base, including by commodity and... prospective traffic base; (3) System-wide plans to maintain equipment and rights-of-way at current or improved... flow projections; (e) Contingency plans for termination of the project before completion, if necessary...

  15. The Implications of a System-Wide Positive Behavioral Intervention Initiative: From Design to Successful Implementation

    ERIC Educational Resources Information Center

    Austin, Vance L.; Malow, Micheline S.; Josephs, Nikki L.; Ecker, Andrew J.

    2016-01-01

    Residential schools for students with emotional and behavioral disorders have been steadily evolving since the beginning of the 20th Century. Traditional behavioral approaches involving physical restraint and confinement have been replaced with more humanistic interventions involving positive reinforcement. This article traces this transformative…

  16. Districts, Local Education Authorities, and the Context of Policy Analysis

    ERIC Educational Resources Information Center

    Louis, Karen Seashore

    2013-01-01

    Purpose: The purpose of this paper is to present the author's commentary on the special issue of "Journal of Educational Administration" entitled "Systemwide Reform: Examining Districts under Pressure". Design/methodology/approach: The author gives her personal opinions, draws upon her recent experiences in the national…

  17. Learning Research and Community Decision Making

    ERIC Educational Resources Information Center

    Allison, Bradford; Schumacher, Gary

    2011-01-01

    This case presents a situation in which a reformist superintendent attempts to achieve a systemwide, yet simple change in the school time schedule to incorporate well-established neurocognitive sleep research to enhance student learning. The public discussion of the reform proposal brought forth a very negative, single issue group who took over…

  18. 33 CFR 385.33 - Revisions to models and analytical tools.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Management District, and other non-Federal sponsors shall rely on the best available science including models..., and assessment of projects. The selection of models and analytical tools shall be done in consultation... system-wide simulation models and analytical tools used in the evaluation and assessment of projects, and...

  19. Systemwide Implementation of Project-Based Learning: The Philadelphia Approach

    ERIC Educational Resources Information Center

    Schwalm, Jason; Tylek, Karen Smuck

    2012-01-01

    Citywide implementation of project-based learning highlights the benefits--and the challenges--of promoting exemplary practices across an entire out-of-school time (OST) network. In summer 2009, the City of Philadelphia and its intermediary, the Public Health Management Corporation (PHMC), introduced project-based learning to a network of more…

  20. Systems Engineering

    NASA Technical Reports Server (NTRS)

    Pellerano, Fernando

    2015-01-01

    This short course provides information on what systems engineering is and how the systems engineer guides requirements, interfaces with the discipline leads, and resolves technical issues. There are many system-wide issues that either impact or are impacted by the thermal subsystem. This course will introduce these issues and illustrate them with real life examples.

  1. Leading System-Wide Improvement

    ERIC Educational Resources Information Center

    Harris, Alma

    2012-01-01

    Around the world there is a preoccupation with improving the performance of schools and school systems. Comparisons made between countries through PISA and PERLs have led to a preoccupation, and in some cases, an obsession, with securing a high position in the international league tables. The minds of policy-makers and politicians alike are…

  2. Districtwide Instructional Reform: Using Sociocultural Theory to Link Professional Learning to Organizational Support

    ERIC Educational Resources Information Center

    Gallucci, Chrysan

    2008-01-01

    No Child Left Behind Act accountability pressures and calls to close achievement gaps between groups of students have challenged school districts to achieve systemwide instructional improvement. These policies create learning challenges for classroom teachers and for school and district leaders. This article engages questions about organizational…

  3. 78 FR 8119 - Cancellation of the Notice of Intent To Prepare a Draft and Final Supplemental Environmental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... the Herbert Hoover Dike Major Rehabilitation Project, Martin and Palm Beach Counties AGENCY...-wide risk reduction approach as required for safety modifications to dams. FOR FURTHER INFORMATION...-2108. SUPPLEMENTARY INFORMATION: The supplemental MRR will be replaced with a system-wide Dam Safety...

  4. 12 CFR 630.4 - Responsibilities for preparing the report to investors.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Corporation for preparation of the report to investors, including: (i) Financial data of the bank or, if the... preparation of the report to investors; (ii) Provide instructions to the disclosure entities regarding the information needed for preparation of the Systemwide combined financial statements and disclosures required to...

  5. 12 CFR 630.4 - Responsibilities for preparing the report to investors.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Corporation for preparation of the report to investors, including: (i) Financial data of the bank or, if the... preparation of the report to investors; (ii) Provide instructions to the disclosure entities regarding the information needed for preparation of the Systemwide combined financial statements and disclosures required to...

  6. Library Labor Cost Accounting System.

    ERIC Educational Resources Information Center

    Du Bois, Dan

    The Library Labor Cost Accounting System will provide visibility on current costs of manually processing library materials, at each campus as well as system-wide. The scope of the study includes the following: (1) 100 individual activities, grouped into 14 functional areas, e.g., Ordering, Receiving; and into 3 major operations: Acquisitions,…

  7. Institutional Effectiveness: A Model for Planning, Assessment & Validation.

    ERIC Educational Resources Information Center

    Truckee Meadows Community Coll., Sparks, NV.

    The report presents Truckee Meadows Community College's (Colorado) model for assessing institutional effectiveness and validating the College's mission and vision, and the strategic plan for carrying out the institutional effectiveness model. It also outlines strategic goals for the years 1999-2001. From the system-wide directive that education…

  8. Phonological Treatment Efficacy and Developmental Norms.

    ERIC Educational Resources Information Center

    Gierut, Judith A.; And Others

    1996-01-01

    Two studies, one within subjects and the other across subjects, evaluated the efficacy of teaching sounds in developmental sequence to nine young children (ages three to five). Treatment of later-acquired phonemes led to systemwide changes in untreated sound classes, whereas treatment of early-acquired phonemes did not. Findings suggest…

  9. The Quality Assurance of Degree Education in Canada

    ERIC Educational Resources Information Center

    Baker, Donald N.; Miosi, Terry

    2010-01-01

    Under the Canadian constitution, responsibility for education is assigned to the provinces. In some provinces, universities are based in institution-specific statutes, in others, in system-wide legislation. Except for the provinces of Alberta and British Columbia, the provinces leave the quality assurance of academic activities to the…

  10. Coping with Academic Stressors: A Pilot Study

    DTIC Science & Technology

    1976-12-20

    Sarason anid James H./Johnso K! N,0𔃺’ -75-90 V 9. PERFORMING ORGANIZATION NAME AND ADDRESS 10. PROGRAM ELEMENT, PROJECT, TASK AREA A WORK UNIT...coping skills in the personnel of functioning organizations , it seemed desirable to approach this task in a stepwise fashion. An impoDrtant first step...research in a complex organization such as a police department. (Research with a police department is currently underway.) Because it was felt

  11. Step-wise refolding of recombinant proteins.

    PubMed

    Tsumoto, Kouhei; Arakawa, Tsutomu; Chen, Linda

    2010-04-01

    Protein refolding is still on trial-and-error basis. Here we describe step-wise dialysis refolding, in which denaturant concentration is altered in step-wise fashion. This technology controls the folding pathway by adjusting the concentrations of the denaturant and other solvent additives to induce sequential folding or disulfide formation.

  12. Developing and marketing a community pharmacy-based asthma management program.

    PubMed

    Rupp, M T; McCallian, D J; Sheth, K K

    1997-01-01

    To develop a community pharmacy-based asthma management program and successfully market the program to a managed care organization. Community-based ambulatory care. Independent community pharmacy. Development of a structured, stepwise approach to creating, testing, delivering, and marketing a community pharmacy-based disease management program. Peak expiratory flow rates, quality of life, use of health care services, HMO contract renewal. A pharmacy-based asthma management program was developed, pilot tested, and successfully marketed to a local HMO. During the first full year of the program, HMO patients experienced significant improvements in quality of life and decreases in use of health care services, including a 77% decrease in hospitalization, a 78% decrease in emergency room visits, and a 25% decrease in urgent care visits. A contract that pays the pharmacy a flat fee for each patient admitted to the program has recently been renewed for a third year. The program has proved to be an effective, practical, and profitable addition to the portfolio of services offered by the pharmacy.

  13. Improving quality of care using a diabetes registry and disease management services in an integrated delivery network.

    PubMed

    Campion, Francis X; Tully, George L; Barrett, Jo-Ann; Andre, Paulo; Sweeney, Ann

    2005-08-01

    Disease management for chronic conditions is a call for collaboration among all parties of the health care system. The Caritas Christi Health Care System established a unified American Diabetes Association (ADA) recognized outpatient diabetes self-management education program (DSME) in each of its six hospital communities and has established an Internet data portal with managed care organizations to improve preventive care for thousands of patients with diabetes. This article describes the stepwise process of building the successful Caritas Diabetes Care Program and the central role of the Caritas Diabetes Registry over a 5-year period.

  14. Diffusion of an effective tobacco prevention program. Part II: Evaluation of the adoption phase.

    PubMed

    Parcel, G S; O'Hara-Tompkins, N M; Harrist, R B; Basen-Engquist, K M; McCormick, L K; Gottlieb, N H; Eriksen, M P

    1995-09-01

    This paper presents the results of theory-based intervention strategies to increase the adoption of a tobacco prevention program. The adoption intervention followed a series of dissemination intervention strategies targeted at 128 school districts in Texas. Informed by Social Cognitive Theory, the intervention provided opportunities for districts to learn about and model themselves after 'successful' school districts that had adopted the program, and to see the potential for social reinforcement through the knowledge that the program had the potential to have an important influence on students' lives. The proportion of districts in the Intervention condition that adopted the program was significantly greater than in the Comparison condition (P < 0.001). Stepwise logistic regression indicated that the variables most closely related to adoption among intervention districts were teacher attitudes toward the innovation and organizational considerations of administrators. Recommendations for the development of effective strategies for the diffusion of innovations are presented.

  15. Interbasin water transfer, riverine connectivity, and spatial controls on fish biodiversity

    USGS Publications Warehouse

    Grant, Evan H. Campbell; Lynch, Heather J.; Muneepeerakul, Rachata; Muthukumarasamy, Arunachalam; Rodríguez-Iturbe, Ignacio; Fagan, William F.

    2012-01-01

    Background Large-scale inter-basin water transfer (IBWT) projects are commonly proposed as solutions to water distribution and supply problems. These problems are likely to intensify under future population growth and climate change scenarios. Scarce data on the distribution of freshwater fishes frequently limits the ability to assess the potential implications of an IBWT project on freshwater fish communities. Because connectivity in habitat networks is expected to be critical to species' biogeography, consideration of changes in the relative isolation of riverine networks may provide a strategy for controlling impacts of IBWTs on freshwater fish communities Methods/Principal Findings Using empirical data on the current patterns of freshwater fish biodiversity for rivers of peninsular India, we show here how the spatial changes alone under an archetypal IBWT project will (1) reduce freshwater fish biodiversity system-wide, (2) alter patterns of local species richness, (3) expand distributions of widespread species throughout peninsular rivers, and (4) decrease community richness by increasing inter-basin similarity (a mechanism for the observed decrease in biodiversity). Given the complexity of the IBWT, many paths to partial or full completion of the project are possible. We evaluate two strategies for step-wise implementation of the 11 canals, based on economic or ecological considerations. We find that for each step in the project, the impacts on freshwater fish communities are sensitive to which canal is added to the network. Conclusions/Significance Importantly, ecological impacts can be reduced by associating the sequence in which canals are added to characteristics of the links, except for the case when all 11 canals are implemented simultaneously (at which point the sequence of canal addition is inconsequential). By identifying the fundamental relationship between the geometry of riverine networks and freshwater fish biodiversity, our results will aid in assessing impacts of IBWT projects and balancing ecosystem and societal demands for freshwater, even in cases where biodiversity data are limited.

  16. Interbasin Water Transfer, Riverine Connectivity, and Spatial Controls on Fish Biodiversity

    PubMed Central

    Grant, Evan H. Campbell; Lynch, Heather J.; Muneepeerakul, Rachata; Arunachalam, Muthukumarasamy; Rodríguez-Iturbe, Ignacio; Fagan, William F.

    2012-01-01

    Background Large-scale inter-basin water transfer (IBWT) projects are commonly proposed as solutions to water distribution and supply problems. These problems are likely to intensify under future population growth and climate change scenarios. Scarce data on the distribution of freshwater fishes frequently limits the ability to assess the potential implications of an IBWT project on freshwater fish communities. Because connectivity in habitat networks is expected to be critical to species' biogeography, consideration of changes in the relative isolation of riverine networks may provide a strategy for controlling impacts of IBWTs on freshwater fish communities. Methods/Principal Findings Using empirical data on the current patterns of freshwater fish biodiversity for rivers of peninsular India, we show here how the spatial changes alone under an archetypal IBWT project will (1) reduce freshwater fish biodiversity system-wide, (2) alter patterns of local species richness, (3) expand distributions of widespread species throughout peninsular rivers, and (4) decrease community richness by increasing inter-basin similarity (a mechanism for the observed decrease in biodiversity). Given the complexity of the IBWT, many paths to partial or full completion of the project are possible. We evaluate two strategies for step-wise implementation of the 11 canals, based on economic or ecological considerations. We find that for each step in the project, the impacts on freshwater fish communities are sensitive to which canal is added to the network. Conclusions/Significance Importantly, ecological impacts can be reduced by associating the sequence in which canals are added to characteristics of the links, except for the case when all 11 canals are implemented simultaneously (at which point the sequence of canal addition is inconsequential). By identifying the fundamental relationship between the geometry of riverine networks and freshwater fish biodiversity, our results will aid in assessing impacts of IBWT projects and balancing ecosystem and societal demands for freshwater, even in cases where biodiversity data are limited. PMID:22470533

  17. Interbasin water transfer, riverine connectivity, and spatial controls on fish biodiversity.

    PubMed

    Grant, Evan H Campbell; Lynch, Heather J; Muneepeerakul, Rachata; Arunachalam, Muthukumarasamy; Rodríguez-Iturbe, Ignacio; Fagan, William F

    2012-01-01

    Large-scale inter-basin water transfer (IBWT) projects are commonly proposed as solutions to water distribution and supply problems. These problems are likely to intensify under future population growth and climate change scenarios. Scarce data on the distribution of freshwater fishes frequently limits the ability to assess the potential implications of an IBWT project on freshwater fish communities. Because connectivity in habitat networks is expected to be critical to species' biogeography, consideration of changes in the relative isolation of riverine networks may provide a strategy for controlling impacts of IBWTs on freshwater fish communities. Using empirical data on the current patterns of freshwater fish biodiversity for rivers of peninsular India, we show here how the spatial changes alone under an archetypal IBWT project will (1) reduce freshwater fish biodiversity system-wide, (2) alter patterns of local species richness, (3) expand distributions of widespread species throughout peninsular rivers, and (4) decrease community richness by increasing inter-basin similarity (a mechanism for the observed decrease in biodiversity). Given the complexity of the IBWT, many paths to partial or full completion of the project are possible. We evaluate two strategies for step-wise implementation of the 11 canals, based on economic or ecological considerations. We find that for each step in the project, the impacts on freshwater fish communities are sensitive to which canal is added to the network. Importantly, ecological impacts can be reduced by associating the sequence in which canals are added to characteristics of the links, except for the case when all 11 canals are implemented simultaneously (at which point the sequence of canal addition is inconsequential). By identifying the fundamental relationship between the geometry of riverine networks and freshwater fish biodiversity, our results will aid in assessing impacts of IBWT projects and balancing ecosystem and societal demands for freshwater, even in cases where biodiversity data are limited.

  18. Diels–Alder Reactions of Allene with Benzene and Butadiene: Concerted, Stepwise, and Ambimodal Transition States

    PubMed Central

    2015-01-01

    Multiconfigurational complete active space methods (CASSCF and CASPT2) have been used to investigate the (4 + 2) cycloadditions of allene with butadiene and with benzene. Both concerted and stepwise radical pathways were examined to determine the mechanism of the Diels–Alder reactions with an allene dienophile. Reaction with butadiene occurs via a single ambimodal transition state that can lead to either the concerted or stepwise trajectories along the potential energy surface, while reaction with benzene involves two separate transition states and favors the concerted mechanism relative to the stepwise mechanism via a diradical intermediate. PMID:25216056

  19. Initial Experience with "Honoring Choices Wisconsin": Implementation of an Advance Care Planning Pilot in a Tertiary Care Setting.

    PubMed

    Peltier, Wendy L; Gani, Faiz; Blissitt, Jennifer; Walczak, Katherine; Opper, Kristi; Derse, Arthur R; Johnston, Fabian M

    2017-09-01

    Although previous research on advance care planning (ACP) has associated ACP with improved quality of care at the end of life, the appropriate use of ACP remains limited. To evaluate the impact of a pilot program using the "Honoring Choices Wisconsin" (HCW) model for ACP in a tertiary care setting, and to understand barriers to system-wide implementation. Retrospective review of prospectively collected data. Patients who received medical or surgical oncology care at Froedtert and the Medical College of Wisconsin. Patient demographics, disease characteristics, patient satisfaction, and clinical outcomes. Data from 69 patients who died following the implementation of the HCW program were reviewed; 24 patients were enrolled in the HCW program while 45 were not. Patients enrolled in HCW were proportionally less likely to be admitted to the ICU (12.5% vs. 17.8%) and were more likely to be "do not resuscitate" (87.5% vs. 80.0%), as well as have a completed ACP (83.3% vs. 79.1%). Furthermore, admission to a hospice was also higher among patients who were enrolled in the HCW program (79.2% vs. 25.6%), with patients enrolled in HCW more likely to die in hospice (70.8% vs. 53.3%). The HCW program was favorably viewed by patients, patient caregivers, and healthcare providers. Implementation of a facilitator-based ACP care model was associated with fewer ICU admissions, and a higher use of hospice care. System-level changes are required to overcome barriers to ACP that limit patients from receiving end-of-life care in accordance with their preferences.

  20. Stepwise Analysis of Differential Item Functioning Based on Multiple-Group Partial Credit Model.

    ERIC Educational Resources Information Center

    Muraki, Eiji

    1999-01-01

    Extended an Item Response Theory (IRT) method for detection of differential item functioning to the partial credit model and applied the method to simulated data using a stepwise procedure. Then applied the stepwise DIF analysis based on the multiple-group partial credit model to writing trend data from the National Assessment of Educational…

  1. Small Rural Schools in Ireland: Problems and Possibilities.

    ERIC Educational Resources Information Center

    Sugrue, Ciaran

    This paper provides an overview of practices in small rural elementary schools in Ireland and recent trends related to school size. There are 3,200 "ordinary" elementary schools in the Republic of Ireland serving children aged 4-12 in eight levels: two preschool levels and grades 1-6. System-wide policies with implications for small…

  2. Reaching the Underserved: Complementary Models of Effective Schooling

    ERIC Educational Resources Information Center

    DeStefano, Joseph; Moore, Audrey-Marie Schuh; Balwanz, David; Hartwell, Ash

    2007-01-01

    Many countries that have undergone expansion of access to public education still face significant disparities in school enrollment and attendance rates at sub-national levels, and fail to reach a high proportion of children who are outside of the government system. Completion and student learning have also continued to be system-wide challenges…

  3. Leading Inclusive Reform for Students with Disabilities: A School- and Systemwide Approach

    ERIC Educational Resources Information Center

    Theoharis, George; Causton, Julie

    2014-01-01

    It is of great importance to maximize access to general education for all students with disabilities. This article focuses on how leaders create inclusive schools for all students--inclusive school reform. Inclusive school reform can result in all students with disabilities being placed into general education settings (including students with…

  4. Senate Rostrum: The Newsletter of the Academic Senate for California Community Colleges, March 2009

    ERIC Educational Resources Information Center

    Academic Senate for California Community Colleges, 2009

    2009-01-01

    The Rostrum is a quarterly publication of the academic senate for California community colleges. The following articles are included in this issue: (1) Establishing a Systemwide California Community College General Education Advanced Placement (CCC GE AP) List by Dave Degroot; (2) Explaining the ASCCC Position on "Transfer Degrees" by…

  5. Head, Heart, and Hands for Our Youngest Children.

    ERIC Educational Resources Information Center

    Southeastern Regional Vision for Education (SERVE), Tallahassee, FL.

    This document details a strategy to bring together state and community leaders in the southeastern United States to establish dialogue, set priorities, and make system-wide changes for supporting literacy for the youngest children and their families. The Head, Heart, and Hands campaign has three focal points: (1) Head--understanding research and…

  6. Student Needs and Priorities Survey, California State University, Fresno, Spring 1989.

    ERIC Educational Resources Information Center

    Daigle, Stephen L.; Stock, William P.

    The 1989 Student Needs and Priorities Survey (SNAPS) was administered on 18 of the 19 California State University (CSU) campuses to obtain a representative sample of student opinions and perceptions regarding important educational factors. This report supplements the systemwide report with a focus on the Fresno campus student population.…

  7. The Political Dynamics of Mayoral Engagement in Public Education

    ERIC Educational Resources Information Center

    Wong, Kenneth K.

    2006-01-01

    Like many urban reform strategies, mayoral leadership in education has both proponents and skeptics. On the one hand, proponents argue that mayor-led initiatives have the potential to transform low-performing schools and to hold schools and students accountable to systemwide standards. On the other hand, skeptics see mayoral involvement as…

  8. Diversity in the Middle: Broadening Perspectives on Intermediary Levels of School System Improvement

    ERIC Educational Resources Information Center

    Anderson, Stephen E.

    2013-01-01

    Purpose: The purpose of this paper is to present the author's commentary on the special issue of "Journal of Educational Administration" entitled "Systemwide Reform: Examining Districts under Pressure". Design/methodology/approach: The major thesis of this commentary and reflection on the preceding papers is that there is…

  9. A Model for System-Wide Collaboration to Support Integrated Social Behavior and Literacy Evidence-Based Practices

    ERIC Educational Resources Information Center

    Chaparro, Erin A.; Smolkowski, Keith; Baker, Scott K.; Hanson, Natalie; Ryan-Jackson, Kathleen

    2012-01-01

    In the face of dwindling financial resources, educational leaders are looking to refine resource allocation while maintaining a focus on improved student outcomes. This article presents initial findings from a professional development state initiative called Effective Behavioral and Instructional Support Systems (EBISS). The EBISS initiative aims…

  10. Analyzing Science Education in the United Kingdom: Taking a System-Wide Approach

    ERIC Educational Resources Information Center

    Falk, John H.; Dierking, Lynn D.; Osborne, Jonathan; Wenger, Matthew; Dawson, Emily; Wong, Billy

    2015-01-01

    Increasing evidence suggests that individuals develop their understanding of science concepts in and out of school, using varied community resources and networks. Thus in contrast to historic research approaches that focus exclusively on single organizations and/or educational events, the current paper presents exploratory research in which we…

  11. Final Technical Report 1976-1977. Systemwide Evaluation. Publication Number: 76.69.

    ERIC Educational Resources Information Center

    Austin Independent School District, TX. Office of Research and Evaluation.

    A series of reports describes the activities of the Office of Research and Evaluation and compiles data descriptive of the Austin (Texas) Independent School District. This report consists of four appendices, one for each of four test batteries: California Achievement Tests, Sequential Tests of Educational Progress, Boehm Tests of Basic Concepts,…

  12. Innovation and Global elearning: A Case Study at Brigham Young University--Idaho

    ERIC Educational Resources Information Center

    Young, Alan L.

    2016-01-01

    This chapter provides a case study of innovation using eLearning in higher education. The case study shows how one university made system-wide organizational and procedural changes to create low-cost, open-access distance learning opportunities on a global level in response to student needs and opportunities.

  13. How Can Organizational and Sociocultural Learning Theories Shed Light on District Instructional Reform?

    ERIC Educational Resources Information Center

    Knapp, Michael S.

    2008-01-01

    This article explores how organizational and sociocultural learning theories can help us to understand the problem of system-wide instructional reform in school districts. After briefly summarizing the central challenges facing leaders in such districts, the article reviews key ideas associated with each theoretical lens and considers how each…

  14. 12 CFR 630.40 - Contents of the quarterly report to investors.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... the System Audit Committee. (1) An interim balance sheet as of the end of the most recent fiscal.... 630.40 Section 630.40 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM DISCLOSURE TO INVESTORS IN SYSTEMWIDE AND CONSOLIDATED BANK DEBT OBLIGATIONS OF THE FARM CREDIT SYSTEM Quarterly Reports...

  15. Stimulability: Relationships to Other Characteristics of Children's Phonological Systems

    ERIC Educational Resources Information Center

    Tyler, Ann A.; Macrae, Toby

    2010-01-01

    In honour of Miccio's memory, this article revisits the topic of stimulability in children with speech sound disorders (SSD). Eighteen children with SSD, aged 3;6-5;5 (M = 4;8), were tested for their system-wide stimulability, percentage consonants correct (PCC), phonetic inventory size, and oral- and speech-motor skills. Pearson Product Moment…

  16. A System-Wide Professional Learning Approach about Inclusion for Teachers in Hong Kong

    ERIC Educational Resources Information Center

    Forlin, Chris; Loreman, Tim; Sharma, Umesh

    2014-01-01

    This study examines changes in attitudes, teaching efficacy, and concerns about inclusive education in a sample of 2361 teachers in Hong Kong who took a professional learning course about inclusive education. Participants completed a questionnaire seeking demographic information and their perceptions about these three aspects of inclusive…

  17. Reference News Release:Southern Coal Corporation to Make System-Wide Upgrades to Reduce Water Pollution from Mining Operations in Appalachia

    EPA Pesticide Factsheets

    The settlement also requires the establishment of a $4.5 million letter of credit and a standby trust that will guarantee sufficient funding for, and a mechanism to accomplish, compliance with the Clean Water Act and the work the companies.

  18. "What I Worry About." Meeting the Needs of the Community College Student.

    ERIC Educational Resources Information Center

    Zaritsky, Joyce Ship

    1990-01-01

    Summarizes concerns commonly expressed by incoming LaGuardia Community College freshmen (e.g., worries about parenting; fear of random violence; financial worries; fear of educational failure; and anxiety about mastering English). Reviews an instructor's efforts to empower students and build self-concept. Advocates a systemwide effort to meet…

  19. Visualisation for System Learning in Supply Chains

    ERIC Educational Resources Information Center

    Lindskog, Magnus; Abrahamsson, Mats; Aronsson, Hakan

    2007-01-01

    Contemporary supply chains are vastly complex, and decisions made by actors have system-wide consequences that these might not be able to foresee. There are gaps between "best practice"-founded theory and actual practice in supply chains. To remedy this, we argue, the supply chain actors need to enhance systems knowledge. There is a need to…

  20. Minimum Competency Testing In the Dallas Independent School District.

    ERIC Educational Resources Information Center

    Montgomery, Patricia A.; Arrasmith, Dean G.

    The development and implementation of the Dallas Independent School District's Basic Objectives Assessment Test (BOAT) are described. Beginning in 1979, this minimum competency test was administered system-wide to all students in grades 8-12 (except for those enrolled as special education students), and beginning in 1983 it will be used in…

  1. HRD and Business Outcomes.

    ERIC Educational Resources Information Center

    1995

    These five papers are from a symposium that was facilitated by Elwood F. Holton, III at the 1995 conference of the Academy of Human Resource Development (HRD). "HRD Alignment: A Systemic Assessment of HRD in Organizations" (Richard J. Torraco) describes the HRD alignment model as a model for evaluation that offers a systemwide perspective on HRD…

  2. System and Campus Level Enrollment Projections and Environmental Scan, 1988-1998.

    ERIC Educational Resources Information Center

    Gaylord, Thomas A.; And Others

    Alaska's first long-range, system-wide enrollment projection study since the inception of the higher education system's restructuring plan is reported. The study was undertaken in response to statewide economic distress, a decline in state funding of higher education, and a pattern of out-migration by the college-age population, particularly in…

  3. Reconsidering the Promise of Systemwide Innovation for Urban Districts.

    ERIC Educational Resources Information Center

    Hess, Frederick

    1998-01-01

    Many of the problems school reform is expected to solve are aggravated by the ways schools use reform. Macro-level innovations are rarely designed to work. Meaningful change requires time and focus. Reforms may be more about politics than about change. A constant churn of policy change and reform has become the norm. (SK)

  4. "Scaling Up" Educational Change: Some Musings on Misrecognition and Doxic Challenges

    ERIC Educational Resources Information Center

    Thomson, Pat

    2014-01-01

    Educational policy-makers around the world are strongly committed to the notion of "scaling up". This can mean anything from encouraging more teachers to take up a pedagogical innovation, all the way through to system-wide efforts to implement "what works" across all schools. In this paper, I use Bourdieu's notions of…

  5. A Framework for Information and Communication Technology Integration in Schools through Teacher Professional Development

    ERIC Educational Resources Information Center

    van Niekerk, Molly; Blignaut, Seugnet

    2014-01-01

    The demands of the twenty-first century require effective and sustainable use of Information and Communication Technologies (ICTs) in education. Various ICT strategies and initiatives across South Africa have not resulted in system-wide, sustainable ICT integration in schools. Although the roles of principals are acknowledged in educational…

  6. Environmental Scan of BC Post-Secondary Admissions: 2009

    ERIC Educational Resources Information Center

    Heath, Nick

    2009-01-01

    In 2008, British Columbia Council on Admissions and Transfer (BCCAT) commissioned an environmental scan on the possible need for system-wide work on institutional admissions processes and practices. This scan is intended to seek system input and to provide guidance on the choice of research projects and other related work in the coming year. This…

  7. Liberal Education and Institutional Identity: The University of Wisconsin-Madison Experience

    ERIC Educational Resources Information Center

    Berquam, Lori; Bischof, Mo Noonan; Brower, Aaron; Klein, Elaine M.; Lloyd, Ann Groves; Milner, Jocelyn; Ryan, Rebecca; Singer, Wren; Taylor, Jolanda Vanderwal; Wade, Argyle; Westphal-Johnson, Nancy

    2010-01-01

    For many years, the University of Wisconsin-Madison (UW-Madison) has been working with other institutions in the University of Wisconsin System to change the conversation about higher education in the state. In the spring of 2006, these partners participated in a systemwide advisory group convened to promote better understanding of liberal…

  8. Education Policies for Raising Student Learning: The Finnish Approach

    ERIC Educational Resources Information Center

    Sahlberg, Pasi

    2007-01-01

    This article argues that system-wide excellence in student learning is attainable at reasonable cost, using education policies differing from conventional market-oriented reform strategies prevalent in many other countries. In this respect, Finland is an example of a nation that has developed from a remote agrarian/industrial state in the 1950s to…

  9. Toward Strategic Independence: Policy Considerations for Enhancing School Effectiveness.

    ERIC Educational Resources Information Center

    Finn, Chester E., Jr.

    The central problem in educational improvement at the state and local level is the tension between school-level autonomy and systemwide uniformity; educational change is limited by three special conditions: (1) inertial autonomy, (2) essential uniformity of public schools, and (3) the fact that effective schools have characteristics that cannot be…

  10. Nominations please! Or how a multi singled out potential trustees.

    PubMed

    McMurry, P V

    1984-11-01

    As multihospital systems become more geographically diversified, it can be increasingly difficult to maintain an effective, systemwide governance structure. This article describes the governance structure that Baptist Hospitals and Health Systems, Phoenix, has in place, and how it successfully duplicated that structure in a large county hospital it recently acquired in Florida.

  11. A COMPARATIVE ANALYSIS OF NUTRIENT LOADING, NUTRIENT RETENTION AND NET ECOSYSTEM METABOLISM IN THREE TIDAL RIVER ESTUARIES DIFFERING PREDOMINATELY BY THEIR WATERSHED LAND USE TYPES.

    EPA Science Inventory

    Abstract and oral presentation for the Estuarine Research Federation Conference.

    Estuarine retention of watershed nutrient loads, system-wide nutrient biogeochemical fluxes, and net ecosystem metabolism (NEM) were determined in three estuaries exhibiting differing magnitud...

  12. Algorithm design, user interface, and optimization procedure for a fuzzy logic ramp metering algorithm : a training manual for freeway operations engineers

    DOT National Transportation Integrated Search

    2000-02-01

    This training manual describes the fuzzy logic ramp metering algorithm in detail, as implemented system-wide in the greater Seattle area. The method of defining the inputs to the controller and optimizing the performance of the algorithm is explained...

  13. System-Wide Factors in Sustaining Technology-Based Inquiry Environments.

    ERIC Educational Resources Information Center

    Martin, Laura M. W.

    This paper suggests the importance of considering factors outside of the classroom in accounting for the presence of inquiry, and identifies some of these factors. The conclusions are based upon a study of staff developers and teachers who took part in the Bank Street College Mathematics, Science and Technology Teacher Education project.…

  14. Data: Meaningful Analysis Can Rescue Schools from Drowning in Data

    ERIC Educational Resources Information Center

    Reeves, Douglas B.; Flach, Tony

    2011-01-01

    Learning Forward's Standards for Professional Learning have the potential to influence educational policy and practice in profound ways for the systems that are courageous enough to take them seriously, and the Data standard is a critical element systemwide. Schools are overwhelmed with data warehouses, colorful charts and graphs, and endless…

  15. Extreme methane emissions from a Swiss hydropower reservoir: contribution from bubbling sediments.

    PubMed

    Delsontro, Tonya; McGinnis, Daniel F; Sobek, Sebastian; Ostrovsky, Ilia; Wehrli, Bernhard

    2010-04-01

    Methane emission pathways and their importance were quantified during a yearlong survey of a temperate hydropower reservoir. Measurements using gas traps indicated very high ebullition rates, but due to the stochastic nature of ebullition a mass balance approach was crucial to deduce system-wide methane sources and losses. Methane diffusion from the sediment was generally low and seasonally stable and did not account for the high concentration of dissolved methane measured in the reservoir discharge. A strong positive correlation between water temperature and the observed dissolved methane concentration enabled us to quantify the dissolved methane addition from bubble dissolution using a system-wide mass balance. Finally, knowing the contribution due to bubble dissolution, we used a bubble model to estimate bubble emission directly to the atmosphere. Our results indicated that the total methane emission from Lake Wohlen was on average >150 mg CH(4) m(-2) d(-1), which is the highest ever documented for a midlatitude reservoir. The substantial temperature-dependent methane emissions discovered in this 90-year-old reservoir indicate that temperate water bodies can be an important but overlooked methane source.

  16. Avoiding the Enumeration of Infeasible Elementary Flux Modes by Including Transcriptional Regulatory Rules in the Enumeration Process Saves Computational Costs

    PubMed Central

    Jungreuthmayer, Christian; Ruckerbauer, David E.; Gerstl, Matthias P.; Hanscho, Michael; Zanghellini, Jürgen

    2015-01-01

    Despite the significant progress made in recent years, the computation of the complete set of elementary flux modes of large or even genome-scale metabolic networks is still impossible. We introduce a novel approach to speed up the calculation of elementary flux modes by including transcriptional regulatory information into the analysis of metabolic networks. Taking into account gene regulation dramatically reduces the solution space and allows the presented algorithm to constantly eliminate biologically infeasible modes at an early stage of the computation procedure. Thereby, computational costs, such as runtime, memory usage, and disk space, are extremely reduced. Moreover, we show that the application of transcriptional rules identifies non-trivial system-wide effects on metabolism. Using the presented algorithm pushes the size of metabolic networks that can be studied by elementary flux modes to new and much higher limits without the loss of predictive quality. This makes unbiased, system-wide predictions in large scale metabolic networks possible without resorting to any optimization principle. PMID:26091045

  17. Assessment of the State-of-the-Art of System-Wide Safety and Assurance Technologies

    NASA Technical Reports Server (NTRS)

    Roychoudhury, Indranil; Reveley, Mary S.; Phojanamongkolkij, Nipa; Leone, Karen M.

    2017-01-01

    Since its initiation, the System-wide Safety Assurance Technologies (SSAT) Project has been focused on developing multidisciplinary tools and techniques that are verified and validated to ensure prevention of loss of property and life in NextGen and enable proactive risk management through predictive methods. To this end, four technical challenges have been listed to help realize the goals of SSAT, namely (i) assurance of flight critical systems, (ii) discovery of precursors to safety incidents, (iii) assuring safe human-systems integration, and (iv) prognostic algorithm design for safety assurance. The objective of this report is to provide an extensive survey of SSAT-related research accomplishments by researchers within and outside NASA to get an understanding of what the state-of-the-art is for technologies enabling each of the four technical challenges. We hope that this report will serve as a good resource for anyone interested in gaining an understanding of the SSAT technical challenges, and also be useful in the future for project planning and resource allocation for related research.

  18. Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration.

    PubMed

    Brennan, Penny L; Del Re, Aaron C; Henderson, Patricia T; Trafton, Jodie A

    2016-12-01

    This study provides an example of how healthcare system-wide progress in implementation of opioid-therapy guideline recommendations can be longitudinally assessed and then related to subsequent opioid-prescribed patient health and safety outcomes. Using longitudinal linear mixed effects analyses, we determined that in the Department of Veterans Affairs (VA) healthcare system (n = 141 facilities), over the 4-year interval from 2010 to 2013, a key opioid therapy guideline recommendation, urine drug screening (UDS), increased from 29 to 42 %, with an average within-facility increase rate of 4.5 % per year. Higher levels of UDS implementation from 2010 to 2013 were associated with lower risk of suicide and drug overdose events among VA opioid-prescribed patients in 2013, even after adjusting for patients' 2012 demographic characteristics and medical and mental health comorbidities. Findings suggest that VA clinicians and healthcare policymakers have been responsive to the 2010 VA/Department of Defense (DOD) UDS treatment guideline recommendation, resulting in improved patient safety for VA opioid-prescribed patients.

  19. Functional Genomics Assistant (FUGA): a toolbox for the analysis of complex biological networks

    PubMed Central

    2011-01-01

    Background Cellular constituents such as proteins, DNA, and RNA form a complex web of interactions that regulate biochemical homeostasis and determine the dynamic cellular response to external stimuli. It follows that detailed understanding of these patterns is critical for the assessment of fundamental processes in cell biology and pathology. Representation and analysis of cellular constituents through network principles is a promising and popular analytical avenue towards a deeper understanding of molecular mechanisms in a system-wide context. Findings We present Functional Genomics Assistant (FUGA) - an extensible and portable MATLAB toolbox for the inference of biological relationships, graph topology analysis, random network simulation, network clustering, and functional enrichment statistics. In contrast to conventional differential expression analysis of individual genes, FUGA offers a framework for the study of system-wide properties of biological networks and highlights putative molecular targets using concepts of systems biology. Conclusion FUGA offers a simple and customizable framework for network analysis in a variety of systems biology applications. It is freely available for individual or academic use at http://code.google.com/p/fuga. PMID:22035155

  20. Liquid rocket performance computer model with distributed energy release

    NASA Technical Reports Server (NTRS)

    Combs, L. P.

    1972-01-01

    Development of a computer program for analyzing the effects of bipropellant spray combustion processes on liquid rocket performance is described and discussed. The distributed energy release (DER) computer program was designed to become part of the JANNAF liquid rocket performance evaluation methodology and to account for performance losses associated with the propellant combustion processes, e.g., incomplete spray gasification, imperfect mixing between sprays and their reacting vapors, residual mixture ratio striations in the flow, and two-phase flow effects. The DER computer program begins by initializing the combustion field at the injection end of a conventional liquid rocket engine, based on injector and chamber design detail, and on propellant and combustion gas properties. It analyzes bipropellant combustion, proceeding stepwise down the chamber from those initial conditions through the nozzle throat.

  1. Guidelines for Adapting Manualized Interventions for New Target Populations: A Step-Wise Approach Using Anger Management as a Model

    PubMed Central

    Goldstein, Naomi E. S.; Kemp, Kathleen A.; Leff, Stephen S.; Lochman, John E.

    2014-01-01

    The use of manual-based interventions tends to improve client outcomes and promote replicability. With an increasingly strong link between funding and the use of empirically supported prevention and intervention programs, manual development and adaptation have become research priorities. As a result, researchers and scholars have generated guidelines for developing manuals from scratch, but there are no extant guidelines for adapting empirically supported, manualized prevention and intervention programs for use with new populations. Thus, this article proposes step-by-step guidelines for the manual adaptation process. It also describes two adaptations of an extensively researched anger management intervention to exemplify how an empirically supported program was systematically and efficiently adapted to achieve similar outcomes with vastly different populations in unique settings. PMID:25110403

  2. Analyzing the evolutionary mechanisms of the Air Transportation System-of-Systems using network theory and machine learning algorithms

    NASA Astrophysics Data System (ADS)

    Kotegawa, Tatsuya

    Complexity in the Air Transportation System (ATS) arises from the intermingling of many independent physical resources, operational paradigms, and stakeholder interests, as well as the dynamic variation of these interactions over time. Currently, trade-offs and cost benefit analyses of new ATS concepts are carried out on system-wide evaluation simulations driven by air traffic forecasts that assume fixed airline routes. However, this does not well reflect reality as airlines regularly add and remove routes. A airline service route network evolution model that projects route addition and removal was created and combined with state-of-the-art air traffic forecast methods to better reflect the dynamic properties of the ATS in system-wide simulations. Guided by a system-of-systems framework, network theory metrics and machine learning algorithms were applied to develop the route network evolution models based on patterns extracted from historical data. Constructing the route addition section of the model posed the greatest challenge due to the large pool of new link candidates compared to the actual number of routes historically added to the network. Of the models explored, algorithms based on logistic regression, random forests, and support vector machines showed best route addition and removal forecast accuracies at approximately 20% and 40%, respectively, when validated with historical data. The combination of network evolution models and a system-wide evaluation tool quantified the impact of airline route network evolution on air traffic delay. The expected delay minutes when considering network evolution increased approximately 5% for a forecasted schedule on 3/19/2020. Performance trade-off studies between several airline route network topologies from the perspectives of passenger travel efficiency, fuel burn, and robustness were also conducted to provide bounds that could serve as targets for ATS transformation efforts. The series of analysis revealed that high robustness is achievable only in exchange of lower passenger travel and fuel burn efficiency. However, increase in the network density can mitigate this trade-off.

  3. An algorithmic interactive planning framework in support of sustainable technologies

    NASA Astrophysics Data System (ADS)

    Prica, Marija D.

    This thesis addresses the difficult problem of generation expansion planning that employs the most effective technologies in today's changing electric energy industry. The electrical energy industry, in both the industrialized world and in developing countries, is experiencing transformation in a number of different ways. This transformation is driven by major technological breakthroughs (such as the influx of unconventional smaller-scale resources), by industry restructuring, changing environmental objectives, and the ultimate threat of resource scarcity. This thesis proposes a possible planning framework in support of sustainable technologies where sustainability is viewed as a mix of multiple attributes ranging from reliability and environmental impact to short- and long-term efficiency. The idea of centralized peak-load pricing, which accounts for the tradeoffs between cumulative operational effects and the cost of new investments, is the key concept in support of long-term planning in the changing industry. To start with, an interactive planning framework for generation expansion is posed as a distributed decision-making model. In order to reconcile the distributed sub-objectives of different decision makers with system-wide sustainability objectives, a new concept of distributed interactive peak load pricing is proposed. To be able to make the right decisions, the decision makers must have sufficient information about the estimated long-term electricity prices. The sub-objectives of power plant owners and load-serving entities are profit maximization. Optimized long-term expansion plans based on predicted electricity prices are communicated to the system-wide planning authority as long-run bids. The long-term expansion bids are cleared by the coordinating planner so that the system-wide long-term performance criteria are satisfied. The interactions between generation owners and the coordinating planning authority are repeated annually. We view the proposed interactive planning framework as a necessary paradigm for planning in the changing industry where choice must be reconciled with societal public objectives.

  4. From the Ouchless Place to Comfort Central: the evolution of a concept.

    PubMed

    Schechter, Neil L

    2008-11-01

    Although the past 20 years have yielded an outpouring of research on pain management in children, this information is often not applied uniformly to children in the hospital. To address this deficiency, we developed a systematic institution-wide program to reduce pain in all children in the hospital. Our goal was to create a setting in which attention to pain control and comfort measures would be inherent in all inpatient encounters. We labeled the inpatient unit in which this concept evolved as the "Ouchless Place" and described the program and its development in a 1997 Pediatrics article. In this article we describe the further evolution of that concept in light of the broader changes that have occurred in the field of pain management and in our community. The development of a new children's hospital allowed us to examine what we had learned from our previous experience and modify our program on the basis of that review. This new initiative was renamed "Comfort Central," recognizing that although no inpatient experience could be entirely "ouchless," we could still pledge to families that we were attentive to pain and would provide the most comfort that we could. Specific changes that were put in place in our model included the acquisition of administrative authority to mandate change; the extension of our program to the laboratory, outpatient clinics, and physician offices; the incorporation of newer, more active educational models; increased emphasis on collaboration with other services; increased visibility of pain-relief efforts; and development of an ongoing quality improvement program that monitors the efficacy of pain-relief initiatives in the institution. The elements of this program may be applicable to other health care systems that desire to develop a more cohesive system-wide approach to pain reduction in those for whom they provide care.

  5. Colorectal Cancer Screening Initiation After Age 50 Years in an Organized Program.

    PubMed

    Fedewa, Stacey A; Corley, Douglas A; Jensen, Christopher D; Zhao, Wei; Goodman, Michael; Jemal, Ahmedin; Ward, Kevin C; Levin, Theodore R; Doubeni, Chyke A

    2017-09-01

    Recent studies report racial disparities among individuals in organized colorectal cancer (CRC) programs; however, there is a paucity of information on CRC screening utilization by race/ethnicity among newly age-eligible adults in such programs. This was a retrospective cohort study among Kaiser Permanente Northern California enrollees who turned age 50 years between 2007 and 2012 (N=138,799) and were served by a systemwide outreach and facilitated in-reach screening program based primarily on mailed fecal immunochemical tests to screening-eligible people. Kaplan-Meier and Cox model analyses were used to estimate differences in receipt of CRC screening in 2015-2016. Cumulative probabilities of CRC screening within 1 and 2 years of subjects' 50th birthday were 51% and 73%, respectively. Relative to non-Hispanic whites, the likelihood of completing any CRC screening was similar in blacks (hazard ratio, 0.98; 95% CI=0.96, 1.00); 5% lower in Hispanics (hazard ratio, 0.95; 95% CI=0.93, 0.96); and 13% higher in Asians (hazard ratio, 1.13; 95% CI=1.11, 1.15) in adjusted analyses. Fecal immunochemical testing was the most common screening modality, representing 86% of all screening initiations. Blacks and Hispanics had lower receipt of fecal immunochemical testing in adjusted analyses. CRC screening uptake was high among newly screening-eligible adults in an organized CRC screening program, but Hispanics were less likely to initiate screening near age 50 years than non-Hispanic whites, suggesting that cultural and other individual-level barriers not addressed within the program likely contribute. Future studies examining the influences of culturally appropriate and targeted efforts for screening initiation are needed. Copyright © 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  6. Is there a step-wise migration in Nigeria? A case study of the migrational histories of migrants in Lagos.

    PubMed

    Afolayan, A A

    1985-09-01

    "The paper sets out to test whether or not the movement pattern of people in Nigeria is step-wise. It examines the spatial order in the country and the movement pattern of people. It then analyzes the survey data and tests for the validity of step-wise migration in the country. The findings show that step-wise migration cannot adequately describe all the patterns observed." The presence of large-scale circulatory migration between rural and urban areas is noted. Ways to decrease the pressure on Lagos by developing intermediate urban areas are considered. excerpt

  7. Development of the Optimum Operation Scheduling Model of Domestic Electric Appliances for the Supply-Demand Adjustment in a Power System

    NASA Astrophysics Data System (ADS)

    Ikegami, Takashi; Iwafune, Yumiko; Ogimoto, Kazuhiko

    The high penetration of variable renewable generation such as Photovoltaic (PV) systems will cause the issue of supply-demand imbalance in a whole power system. The activation of the residential power usage, storage and generation by sophisticated scheduling and control using the Home Energy Management System (HEMS) will be needed to balance power supply and demand in the near future. In order to evaluate the applicability of the HEMS as a distributed controller for local and system-wide supply-demand balances, we developed an optimum operation scheduling model of domestic electric appliances using the mixed integer linear programming. Applying this model to several houses with dynamic electricity prices reflecting the power balance of the total power system, it was found that the adequate changes in electricity prices bring about the shift of residential power usages to control the amount of the reverse power flow due to excess PV generation.

  8. What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Academic Medical Center?

    PubMed

    Moffatt-Bruce, Susan D; Hefner, Jennifer L; Mekhjian, Hagop; McAlearney, John S; Latimer, Tina; Ellison, Chris; McAlearney, Ann Scheck

    Crew Resource Management (CRM) training has been used successfully within hospital units to improve quality and safety. This article presents a description of a health system-wide implementation of CRM focusing on the return on investment (ROI). The costs included training, programmatic fixed costs, time away from work, and leadership time. Cost savings were calculated based on the reduction in avoidable adverse events and cost estimates from the literature. Between July 2010 and July 2013, roughly 3000 health system employees across 12 areas were trained, costing $3.6 million. The total number of adverse events avoided was 735-a 25.7% reduction in observed relative to expected events. Savings ranged from a conservative estimate of $12.6 million to as much as $28.0 million. Therefore, the overall ROI for CRM training was in the range of $9.1 to $24.4 million. CRM presents a financially viable way to systematically organize for quality improvement.

  9. Recommendations for a Cockpit Display that Integrates Weather Information with Traffic Information

    NASA Technical Reports Server (NTRS)

    Comerford, Doreen A.

    2004-01-01

    This effort was supported by the System-Wide Accident Prevention element of NASA s Aviation Safety Program. This document may serve as a first step toward the goal of integrating traffic, weather, and terrain information; it provides recommendations for a cockpit display that integrates weather information with traffic information. While some of the recommendations are general enough to be used for any type of operations, these recommendations are targeted for Federal Aviation Regulations Part 121 Operations. The document is organized in the following manner. First, weather information is discussed as an independent subject matter, and recommendations are presented for presenting weather in the cockpit. Second, traffic is discussed independently, but this discussion essentially reviews work on the display of traffic in the cockpit. Third, recommendations for the cockpit integration of weather and traffic information are discussed. Fourth, several research groups are recognized for their efforts in developing systems that are relevant to the current discussion. Finally, closing remarks provide suggestions for future efforts.

  10. MEDICARE PAYMENTS AND SYSTEM-LEVEL HEALTH-CARE USE

    PubMed Central

    ROBBINS, JACOB A.

    2015-01-01

    The rapid growth of Medicare managed care over the past decade has the potential to increase the efficiency of health-care delivery. Improvements in care management for some may improve efficiency system-wide, with implications for optimal payment policy in public insurance programs. These system-level effects may depend on local health-care market structure and vary based on patient characteristics. We use exogenous variation in the Medicare payment schedule to isolate the effects of market-level managed care enrollment on the quantity and quality of care delivered. We find that in areas with greater enrollment of Medicare beneficiaries in managed care, the non–managed care beneficiaries have fewer days in the hospital but more outpatient visits, consistent with a substitution of less expensive outpatient care for more expensive inpatient care, particularly at high levels of managed care. We find no evidence that care is of lower quality. Optimal payment policies for Medicare managed care enrollees that account for system-level spillovers may thus be higher than those that do not. PMID:27042687

  11. Preventing the storm from gathering? A case study of the California State University Math and Science Teacher Initiative

    NASA Astrophysics Data System (ADS)

    Moss, Kirran Jane

    This study was performed on the initial systemwide response by the California State University (CSU) to California's Math and Science Teacher Initiative (CMSTI). The data collected tracked, measured, and reported the scope and range of recruitment and programmatic strategies developed and implemented among the first cohort of campuses funded with MSTI dollars with the intent to attract and increase the number of mathematic and science teachers produced. These findings suggest that the California State University Math and Science Teacher Initiative displays early signs of system effectiveness. These data collected indicate that MSTI funds have resulted in an increased number of diverse credentialing pathways being introduced that may operate to attract and recruit increased numbers of candidates into the math and science credentialing programs. Additionally, findings produced indicate that MSTI funds have resulted in new relationships being established with local Community Colleges, an increase in hybrid online subject-matter courses being offered, and new strategies that expedite the credentialing process.

  12. Investigating an API for resilient exascale computing.

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

    Stearley, Jon R.; Tomkins, James; VanDyke, John P.

    2013-05-01

    Increased HPC capability comes with increased complexity, part counts, and fault occurrences. In- creasing the resilience of systems and applications to faults is a critical requirement facing the viability of exascale systems, as the overhead of traditional checkpoint/restart is projected to outweigh its bene ts due to fault rates outpacing I/O bandwidths. As faults occur and propagate throughout hardware and software layers, pervasive noti cation and handling mechanisms are necessary. This report describes an initial investigation of fault types and programming interfaces to mitigate them. Proof-of-concept APIs are presented for the frequent and important cases of memory errors and nodemore » failures, and a strategy proposed for lesystem failures. These involve changes to the operating system, runtime, I/O library, and application layers. While a single API for fault handling among hardware and OS and application system-wide remains elusive, the e ort increased our understanding of both the mountainous challenges and the promising trailheads. 3« less

  13. Intervention mapping for development of a participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders

    PubMed Central

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

    2009-01-01

    Background In the past decade in activities aiming at return-to-work (RTW), there has been a growing awareness to change the focus from sickness and work disability to recovery and work ability. To date, this process in occupational health care (OHC) has mainly been directed towards employees. However, within the working population there are two vulnerable groups: temporary agency workers and unemployed workers, since they have no workplace/employer to return to, when sick-listed. For this group there is a need for tailored RTW strategies and interventions. Therefore, this paper aims to describe the structured and stepwise process of development, implementation and evaluation of a theory- and practise-based participatory RTW program for temporary agency workers and unemployed workers, sick-listed due to musculoskeletal disorders (MSD). This program is based on the already developed and cost-effective RTW program for employees, sick-listed due to low back pain. Methods The Intervention Mapping (IM) protocol was used to develop a tailor-made RTW program for temporary agency workers and unemployed workers, sick-listed due to MSD. The Attitude-Social influence-self-Efficacy (ASE) model was used as a theoretical framework for determinants of behaviour regarding RTW of the sick-listed worker and development of the intervention. To ensure participation and facilitate successful adoption and implementation, important stakeholders were involved in all steps of program development and implementation. Results of semi-structured interviews and 'fine-tuning' meetings were used to design the final participatory RTW program. Results A structured stepwise RTW program was developed, aimed at making a consensus-based RTW implementation plan. The new program starts with identifying obstacles for RTW, followed by a brainstorm session in which the sick-listed worker and the labour expert of the Social Security Agency (SSA) formulate solutions/possibilities for suitable (therapeutic) work. This process is guided by an independent RTW coordinator to achieve consensus. Based on the resulting RTW implementation plan, to create an actual RTW perspective, a vocational rehabilitation agency is assigned to find a matching (therapeutic) workplace. The cost-effectiveness of this participatory RTW program will be evaluated in a randomised controlled trial. Conclusion IM is a promising tool for the development of tailor-made OHC interventions for the vulnerable working population. PMID:19573229

  14. Application of digital computer APU modeling techniques to control system design.

    NASA Technical Reports Server (NTRS)

    Bailey, D. A.; Burriss, W. L.

    1973-01-01

    Study of the required controls for a H2-O2 auxiliary power unit (APU) technology program for the Space Shuttle. A steady-state system digital computer program was prepared and used to optimize initial system design. Analytical models of each system component were included. The program was used to solve a nineteen-dimensional problem, and then time-dependent differential equations were added to the computer program to simulate transient APU system and control. Some system parameters were considered quasi-steady-state, and others were treated as differential variables. The dynamic control analysis proceeded from initial ideal control modeling (which considered one control function and assumed the others to be ideal), stepwise through the system (adding control functions), until all of the control functions and their interactions were considered. In this way, the adequacy of the final control design over the required wide range of APU operating conditions was established.

  15. Discriminating between Graduates and Failure in the USAF Medical Laboratory Specialist School: An Explorative Approach.

    DTIC Science & Technology

    1981-12-01

    occurred on the Introversion Scale of the NMPI. 20 A review of the use of psychological tests on MT’s was accomplished by Driver and Feeley [1974...programs, Gondek [1981] has recommended that the best pro- cedure for variable inclusion when using a stepwise procedure is to use the threshold default...values supplied by the package, since no simple rules exist for determining entry or removal thresholds for partial F’s, tolerance statistics, or any of

  16. A District-Wide Approach to Culturally and Linguistically Sustaining Practices in the Boston Public Schools

    ERIC Educational Resources Information Center

    Rose, Colin; Issa, Mwalimu Donkor

    2018-01-01

    Boston Public Schools' system-wide professional development on culturally and linguistically sustaining practices (CLSP) creates consistent expectations for educators to address their biases, build relationships with students and parents, and improve instruction--and gives them the tools to do so. In this article, the authors touch on changes at…

  17. Seeds of Change in the Big Apple: Chartering Schools in New York City

    ERIC Educational Resources Information Center

    Lake, Robin J.

    2004-01-01

    In New York City and state, charter schools are slowly gaining momentum through performance that speaks for itself, and with quick action by authorizers and charter advocates when schools fail. But as the New York charter experience should demonstrate to districts and states nationwide, meeting the urgent need for systemwide improvement is far…

  18. Water quality in the St. Louis River Area of Concern, Lake Superior: Historical and current conditions and delisting implications

    EPA Science Inventory

    Water quality in the lower St. Louis River Area of Concern (AOC) from two stations over a 60 year period (19532013) and system-wide (20122013) was examined to determine if the AOC beneficial use impairment of excessive loading of sediment and nutrients could be considered for rem...

  19. Using a MOOC Format for a Precalculus Course

    ERIC Educational Resources Information Center

    Townsley, Lisa

    2016-01-01

    We describe recent attempts by the University System of Georgia to develop and pilot a system-wide online Precalculus course for credit. The course was based on full online delivery, using an emporium model for learning. We experienced moderate success with the course, with a completion rate of 61-76% compared with the 4-7% for Massive Open Online…

  20. Graduate Fees at California's Public Universities. FS 08-02

    ERIC Educational Resources Information Center

    California Postsecondary Education Commission, 2008

    2008-01-01

    Fees for graduate students at California's public colleges and universities have risen over the last several years, but are still lower than fees at comparable universities in other states. Fees for full-time graduate students at the California State University were $4,163 in 2007-08. This amount consists of $3,414 in systemwide fees plus…

  1. Innovations in cost management.

    PubMed

    Daly, Rich

    2014-03-01

    To better understand true costs and use this knowledge to drive savings, health systems are: finding ways to combine clinical and financial data to identify clinical care savings, including equipment not just care variation when researching clinical cost drivers, benchmarking to identify both relatively high-cost areas and lower-cost approaches, including nonclinical support areas when looking for systemwide cost drivers.

  2. Community College Administrative Roles in Identifying Faculty for Future Management Positions: A Phenomenological Study of Retired Administrators

    ERIC Educational Resources Information Center

    Knirk, Brian Doyle

    2013-01-01

    The community college system is beginning to see waves of retirements at all levels of the administrative structure. These retirements, in conjunction with expected growth in administrative positions, will result in system-wide administrative vacancies. Community colleges not already seeking new leaders are likely to find themselves in the midst…

  3. Wind Power in Ontario: Its Contribution to the Electricity Grid

    ERIC Educational Resources Information Center

    Rowlands, Ian H.; Jernigan, Carey

    2008-01-01

    The purpose of this article is to investigate wind turbine production, the variability of that production, and the relationship between output and system-wide demand. A review of the literature reveals that a variety of measures (and methods) to explore the variability of wind power production exist. Attention then turns to the province of Ontario…

  4. Systems Impact: Issues and Trends in Improving School Outcomes for All Learners through Multitier Instructional Models

    ERIC Educational Resources Information Center

    Chard, David J.

    2013-01-01

    The majority of school districts implementing response to intervention use a systemwide, multitier model of delivery. This article describes the common features of multitier models and discusses the emerging evidence of their effectiveness. In addition, specific factors that schools should consider to enhance effective implementation of systemic,…

  5. System-Level Instructional Leadership--A District-Level Leadership Case: Implementing PLCs in Schools

    ERIC Educational Resources Information Center

    Archbald, Doug

    2016-01-01

    Objective of the Case--There is a large volume of theoretical and "how to" literature on professional learning communities (PLCs), but little documenting the challenges of implementation and even less on the challenges of system-wide implementation of PLCs. This case is about the role of the central office in initiating and supporting…

  6. Metrics, The Measure of Your Future: Evaluation Report, 1977.

    ERIC Educational Resources Information Center

    North Carolina State Dept. of Public Instruction, Raleigh. Div. of Development.

    The primary goal of the Metric Education Project was the systematic development of a replicable educational model to facilitate the system-wide conversion to the metric system during the next five to ten years. This document is an evaluation of that project. Three sets of statistical evidence exist to support the fact that the project has been…

  7. Reforming Districts: How Districts Support School Reform. A Research Report. Document R-03-6

    ERIC Educational Resources Information Center

    McLaughlin, Milbrey; Talbert, Joan

    2003-01-01

    School districts have participated in multiple rounds of education reform activity in the past few decades, yet few have made headway on system-wide school improvement. This paper addresses the questions of whether districts matter for school reform progress and what successful "reforming" districts do to achieve system change and to…

  8. Promoting System-Wide Cultural Competence for Serving Aboriginal Families and Children in a Midsized Canadian City

    ERIC Educational Resources Information Center

    Ambtman, Rudy; Hudson, Suzanne; Hartry, Reid; Mackay-Chiddenton, Dawne

    2010-01-01

    This article describes the work of the Circle of Courage, a cross-cultural group committed to improving the cultural competence of organizations providing services to Aboriginal populations in a midsized city in Canada. Rather than concentrating on individuals' cultural competence, the Circle targets mainstream organizations. Many of its…

  9. "Rekindle and Recapture the Love": Establishing System-Wide Indicators of Progress in Community Engagement and Economic Development

    ERIC Educational Resources Information Center

    Janke, Emily M.

    2014-01-01

    In May 2012, University of North Carolina (UNC) President Tom Ross simultaneously commissioned two task forces to develop indicators that all UNC campuses could use to measure "progress in community engagement and economic development." The charge to the Community Engagement Task Force and the Economic Development Task Force was to…

  10. Supporting a System-Wide Shift from Advice and Guidance to Educative Mentoring

    ERIC Educational Resources Information Center

    Whatman, Jenny

    2016-01-01

    This paper draws on a 3-year evaluation of induction and mentoring in New Zealand early childhood education settings and schools conducted by the New Zealand Council for Educational Research (NZCER) for the New Zealand Teachers Council (the Council), now called the Education Council of Aotearoa New Zealand. The study sought to establish the impact…

  11. Energy Systems Integration News | Energy Systems Integration Facility |

    Science.gov Websites

    hierarchical control architecture that enables a hybrid control approach, where centralized control systems will be complemented by distributed control algorithms for solar inverters and autonomous control of ), involves developing a novel control scheme that provides system-wide monitoring and control using a small

  12. Achieving Excellence: Bringing Effective Literacy Pedagogy to Scale in Ontario's Publicly-Funded Education System

    ERIC Educational Resources Information Center

    Gallagher, Mary Jean; Malloy, John; Ryerson, Rachel

    2016-01-01

    This paper offers an insiders' perspective on the large-scale, system-wide educational change undertaken in Ontario, Canada from 2003 to the present. The authors, Ministry and school system leaders intimately involved in this change process, explore how Ontario has come to be internationally recognized as an equitable, high-achieving, and…

  13. Systemwide Report on Value of Supplemental Pension Obligations and Cost of Post-Employment Benefits Other Than Pensions.

    ERIC Educational Resources Information Center

    Oklahoma State Regents for Higher Education, Oklahoma City.

    This report provides financial data on the value of obligations of any supplemental pension plans and the annual cost of any post-employment benefits for employees of state universities, colleges, and community colleges in Oklahoma. Attachment 1 summarizes information on supplemental pension plans that have been reported by state system…

  14. Small High Schools on a Larger Scale: The Impact of School Conversions in Chicago

    ERIC Educational Resources Information Center

    Kahne, Joseph E.; Sporte, Susan E.; de la Torre, Marisa; Easton, John Q.

    2008-01-01

    This study examines 4 years of small school reform in Chicago, focusing on schools formed by converting large traditional high schools into small autonomous ones. Analyzing systemwide survey and outcome data, the authors assess the assumptions embedded in the reform's theory of change. They find that these schools are characterized by more…

  15. Strategies for Effecting System-Wide Pedagogical Change: Identifying and Addressing the Gap between Organizational and Pedagogical Implementation

    ERIC Educational Resources Information Center

    Weinberger, Yehudith

    2018-01-01

    The study described here analyses a faculty-wide change designed to foster the communication proficiencies of students in a large teacher education college, gathering data from various sources over three years of the new agenda's implementation. Qualitative and quantitative data analysis revealed that implementation was progressing on two distinct…

  16. 75 FR 38976 - Proposed Information Collection; Comment Request; Precanvass Operation for the 2012 Economic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-07

    ... multimodal, system-wide data on the volume and pattern of goods movement in the United States. The Commodity... Census Bureau will mail a one- page questionnaire to manufacturing, mining, and wholesale establishments... used to improve the mailing and follow-up activities for the 2012 Commodity Flow Survey. III. Data OMB...

  17. A Common-Sense Look at UNC Faculty Workloads

    ERIC Educational Resources Information Center

    Schalin, Jay

    2011-01-01

    This paper measures the teaching loads of faculty in the University of North Carolina (UNC) system. The impetus for the paper was a statistic provided by the UNC system to the North Carolina legislature's Fiscal Research Division. It claimed that the system-wide average teaching load is 3.37 courses per professor per semester. Based on the Pope…

  18. A Recovery-Oriented Approach to Dependable Services: Repairing Past Errors with System-Wide Undo

    DTIC Science & Technology

    2003-12-01

    54 4.5.3 Handling propagating paradoxes: the squash interface . . . . . . . . . . . . . . . . . . . 54 4.6 Discussion...84 6.3.3 Compensating for paradoxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 6.3.4 Squashing propagating...the service and comparing the behavior of the replicas to detect and squash misbehaving replicas. While on paper Byzantine fault tolerance may seem to

  19. Strategic responses to CO2 emission reduction targets drive shift in U.S. electric sector water use

    EPA Science Inventory

    The reliance of the U.S. electric sector on water makes this sector vulnerable to climate change and variability. We use the EPAUS9r MARKAL model to investigate changes in U.S. electric sector water withdrawal and consumption through 2055 under alternative energy system-wide CO2...

  20. Interreliance: An Energy Awareness Project for the Community Colleges. A Report of the Task Force on Energy Education.

    ERIC Educational Resources Information Center

    Hawaii Univ., Honolulu. Office of the Chancellor for Community Colleges.

    This report describes the activities and recommendations of the Chancellor's Energy Task Force, which was established to give emphasis and direction to systemwide energy education efforts within the Hawaii community colleges. Part I describes the activities of the Energy Conservation on Campus Committee, which resulted in campuswide plans to…

  1. Stop the World--West Georgia Is Getting On.

    ERIC Educational Resources Information Center

    Mitchell, Phyllis R.

    1996-01-01

    In 5 years, the schools and community of Carrollton, Georgia, created a school systemwide network of 1,400 computers and 70 CD-ROMs connected by a fiber wide-area network to other city institutions and the Internet with grants from local, state, and national industry. After incorporating the new technologies into the curriculum, the dropout rate…

  2. Clinical utility of the AlphaFIM® instrument in stroke rehabilitation.

    PubMed

    Lo, Alexander; Tahair, Nicola; Sharp, Shelley; Bayley, Mark T

    2012-02-01

    The AlphaFIM instrument is an assessment tool designed to facilitate discharge planning of stroke patients from acute care, by extrapolating overall functional status from performance in six key Functional Independence Measure (FIM) instrument items. To determine whether acute care AlphaFIM rating is correlated to stroke rehabilitation outcomes. In this prospective observational study, data were analyzed from 891 patients referred for inpatient stroke rehabilitation through an Internet-based referral system. Simple linear and stepwise regression models determined correlations between rehabilitation-ready AlphaFIM rating and rehabilitation outcomes (admission and discharge FIM ratings, FIM gain, FIM efficiency, and length of stay). Covariates including demographic data, stroke characteristics, medical history, cognitive deficits, and activity tolerance were included in the stepwise regressions. The AlphaFIM instrument was significant in predicting admission and discharge FIM ratings at rehabilitation (adjusted R² 0.40 and 0.28, respectively; P < 0.0001) and was weakly correlated with FIM gain and length of stay (adjusted R² 0.04 and 0.09, respectively; P < 0.0001), but not FIM efficiency. AlphaFIM rating was inversely related to FIM gain. Age, bowel incontinence, left hemiparesis, and previous infarcts were negative predictors of discharge FIM rating on stepwise regression. Intact executive function and physical activity tolerance of 30 to 60 mins were predictors of FIM gain. The AlphaFIM instrument is a valuable tool for triaging stroke patients from acute care to rehabilitation and predicts functional status at discharge from rehabilitation. Patients with low AlphaFIM ratings have the potential to make significant functional gains and should not be denied admission to inpatient rehabilitation programs.

  3. [Aggression and related factors in elementary school students].

    PubMed

    Ji, Eun Sun; Jang, Mi Heui

    2010-10-01

    This study was done to explore the relationship between aggression and internet over-use, depression-anxiety, self-esteem, all of which are known to be behavior and psychological characteristics linked to "at-risk" children for aggression. Korean-Child Behavior Check List (K-CBCL), Korean-Internet Addiction Self-Test Scale, and Self-Esteem Scale by Rosenberg (1965) were used as measurement tools with a sample of 743, 5th-6th grade students from 3 elementary schools in Jecheon city. Chi-square, t-test, ANOVA, Pearson's correlation and stepwise multiple regression with SPSS/Win 13.0 version were used to analyze the collected data. Aggression for the elementary school students was positively correlated with internet over-use and depression-anxiety, whereas self-esteem was negatively correlated with aggression. Stepwise multiple regression analysis showed that 68.4% of the variance for aggression was significantly accounted for by internet over-use, depression-anxiety, and self-esteem. The most significant factor influencing aggression was depression-anxiety. These results suggest that earlier screening and intervention programs for depression-anxiety and internet over-use for elementary student will be helpful in preventing aggression.

  4. Evidence for a stepwise program of extrathymic T cell development within the human tonsil

    PubMed Central

    McClory, Susan; Hughes, Tiffany; Freud, Aharon G.; Briercheck, Edward L.; Martin, Chelsea; Trimboli, Anthony J.; Yu, Jianhua; Zhang, Xiaoli; Leone, Gustavo; Nuovo, Gerard; Caligiuri, Michael A.

    2012-01-01

    The development of a broad repertoire of T cells, which is essential for effective immune function, occurs in the thymus. Although some data suggest that T cell development can occur extrathymically, many researchers remain skeptical that extrathymic T cell development has an important role in generating the T cell repertoire in healthy individuals. However, it may be important in the setting of poor thymic function or congenital deficit and in the context of autoimmunity, cancer, or regenerative medicine. Here, we report evidence that a stepwise program of T cell development occurs within the human tonsil. We identified 5 tonsillar T cell developmental intermediates: (a) CD34+CD38dimLin– cells, which resemble multipotent progenitors in the bone marrow and thymus; (b) more mature CD34+CD38brightLin– cells; (c) CD34+CD1a+CD11c– cells, which resemble committed T cell lineage precursors in the thymus; (d) CD34–CD1a+CD3–CD11c– cells, which resemble CD4+CD8+ double-positive T cells in the thymus; and (e) CD34–CD1a+CD3+CD11c– cells. The phenotype of each subset closely resembled that of its thymic counterpart. The last 4 populations expressed RAG1 and PTCRA, genes required for TCR rearrangement, and all 5 subsets were capable of ex vivo T cell differentiation. TdT+ cells found within the tonsillar fibrous scaffold expressed CD34 and/or CD1a, indicating that this distinct anatomic region contributes to pre–T cell development, as does the subcapsular region of the thymus. Thus, we provide evidence of a role for the human tonsil in a comprehensive program of extrathymic T cell development. PMID:22378041

  5. The effect of thermal history on crystalline structure and mechanical properties of β-nucleated isotactic polypropylene

    NASA Astrophysics Data System (ADS)

    Tian, Yefei; Zhou, Jian; Feng, Jiachun

    2018-04-01

    The effect of thermal history on β-nucleated iPP was systematically investigated by comparing the variance of crystalline microstructures and mechanical property of stepwise crystallized sample and annealed sample, which experienced different thermal history. The mechanical property tests exhibit that that the toughness of stepwise crystallized sample and annealed sample were both decreased compared to control sample, while the tensile strength of the stepwise crystallized sample increased slightly. Structure investigation showed that the α-relaxation peak, which is related to the assignment of chains in rigid amorphous phase, moved to the high temperature region for stepwise crystallized sample, while it moved to the low temperature region for annealed sample. The results indicated the weakening in rigid amorphous fraction (RAF) and the increase in lamellar thickness of β-iPP after stepwise crystallization treatment. For annealed sample, the RAF strengthened and lamellar thickness decreased slightly after thermal treatment. A mechanism of crystalline microstructures evolution of restricted area between the main lamellar under different treatments was proposed.

  6. Improving meat quality of organic pork through post mortem handling of carcasses: an innovative approach.

    PubMed

    Therkildsen, Margrethe; Kristensen, Lars; Kyed, Sybille; Oksbjerg, Niels

    2012-06-01

    This study was conducted to examine the best combination of post mortem chilling, suspension and ageing in order to optimize tenderness of organic pork at slaughter, which may be tougher than conventionally produced pork, because of lower daily gain. Combinations of stepwise chilling with a holding period of 6h at 10°C or traditional blast tunnel chilling, suspension in the pelvic bone or Achilles Tendon and ageing 2 or 4 days post mortem were tested. Stepwise chilling and ageing improved tenderness of the loin, and the effects were additive, whereas pelvic suspension was less effective in texture improvements, and non-additive to stepwise chilling. Stepwise chilling improved tenderness to a similar degree as can be obtained within 2-4 days of extended ageing, however, the minimum temperature during the holding period seems to be crucial in order to obtain a positive effect of stepwise chilling, and it should be above 7.5°C. Copyright © 2011 Elsevier Ltd. All rights reserved.

  7. Development of a Systemwide Predator Control Program, Section II : Northern Squawfish Management Program Evaluation, 1996 annual report.

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

    Young, Franklin R.

    1997-11-01

    Predator control fisheries aimed at reducing predation on juvenile salmonids by northern squawfish Ptychocheilus oregonensis were implemented for the seventh consecutive year in the mainstem Columbia and Snake rivers. In this report, we (1) evaluate northern squawfish exploitation and size composition, and compare catch rate of incidentally-harvested fishes among the three major management fisheries in 1996, (2) estimate reductions in predation on juvenile salmonids since implementation of the fisheries, and (3) evaluate changes from 1990-96 in relative abundance, consumption, size and age structure, growth, and fecundity of northern squawfish. Systemwide exploitation of northern squawfish 2 250 mm fork length wasmore » 12.1% for sport-reward, 0.3% for dam-angling, and 0.5% for site-specific gill-net fisheries. Total exploitation was lowest in Lower Monumental Reservoir (0.0%) and highest in McNary Reservoir (18.2%). Mean fork length of harvested northern squawfish was 355 mm in the sport-reward, 391 mm in the dam-angling, and 408 mm in the gill-net fisheries. The dam-angling fishery had the lowest percentage (3.6%) of incidental catch relative to the total number of fish caught. Incidental catch was 27.0% in the sport-reward fishery and 54.6% in the gill-net fishery. If exploitation rates remain similar to mean 1991-96 levels, we estimate that potential predation by northern squawfish on juvenile salmonids in 1997 will be approximately 62% of predation levels prior to the implementation of removal fisheries. Further reductions in predation may be small, unless average exploitation in future years is higher than 1994-96 levels. Relative abundance of northern squawfish declined slightly from 1995 in Bonneville Reservoir, Lower Monumental Dam tailrace, and Little Goose Dam tailrace. Mean abundance for 1994-96 was 48-60% of 1990-93 levels among areas sampled at least five years. Indices of consumption were lower than 1995 in all areas except during summer in the tailrace boat-restricted zones of Bonneville and The Dalles dams. Predation indices have declined 69% from pre- 1994 levels. Decreases in proportional stock density were greater than could be explained by fluctuations in year-class strength, strongly suggesting that sustained removals may be altering the size structure of predator-sized northern squawfish. We found no evidence that northern squawfish have compensated in growth or fecundity in response to sustained exploitation.« less

  8. Stepwise introduction of laparoscopic liver surgery: validation of guideline recommendations.

    PubMed

    van der Poel, Marcel J; Huisman, Floor; Busch, Olivier R; Abu Hilal, Mohammad; van Gulik, Thomas M; Tanis, Pieter J; Besselink, Marc G

    2017-10-01

    Uncontrolled introduction of laparoscopic liver surgery (LLS) could compromise postoperative outcomes. A stepwise introduction of LLS combined with structured training is advised. This study aimed to evaluate the impact of such a stepwise introduction. A retrospective, single-center case series assessing short term outcomes of all consecutive LLS in the period November 2006-January 2017. The technique was implemented in a stepwise fashion. To evaluate the impact of this stepwise approach combined with structured training, outcomes of LLS before and after a laparoscopic HPB fellowship were compared. A total of 135 laparoscopic resections were performed. Overall conversion rate was 4% (n = 5), clinically relevant complication rate 13% (n = 18) and mortality 0.7% (n = 1). A significant increase in patients with major LLS, multiple liver resections, previous abdominal surgery, malignancies and lesions located in posterior segments was observed after the fellowship as well as a decrease in the use of hand-assistance. Increasing complexity in the post fellowship period was reflected by an increase in operating times, but without comprising other surgical outcomes. A stepwise introduction of LLS combined with structured training reduced the clinical impact of the learning curve, thereby confirming guideline recommendations. Copyright © 2017 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.

  9. Application of a single-objective, hybrid genetic algorithm approach to pharmacokinetic model building.

    PubMed

    Sherer, Eric A; Sale, Mark E; Pollock, Bruce G; Belani, Chandra P; Egorin, Merrill J; Ivy, Percy S; Lieberman, Jeffrey A; Manuck, Stephen B; Marder, Stephen R; Muldoon, Matthew F; Scher, Howard I; Solit, David B; Bies, Robert R

    2012-08-01

    A limitation in traditional stepwise population pharmacokinetic model building is the difficulty in handling interactions between model components. To address this issue, a method was previously introduced which couples NONMEM parameter estimation and model fitness evaluation to a single-objective, hybrid genetic algorithm for global optimization of the model structure. In this study, the generalizability of this approach for pharmacokinetic model building is evaluated by comparing (1) correct and spurious covariate relationships in a simulated dataset resulting from automated stepwise covariate modeling, Lasso methods, and single-objective hybrid genetic algorithm approaches to covariate identification and (2) information criteria values, model structures, convergence, and model parameter values resulting from manual stepwise versus single-objective, hybrid genetic algorithm approaches to model building for seven compounds. Both manual stepwise and single-objective, hybrid genetic algorithm approaches to model building were applied, blinded to the results of the other approach, for selection of the compartment structure as well as inclusion and model form of inter-individual and inter-occasion variability, residual error, and covariates from a common set of model options. For the simulated dataset, stepwise covariate modeling identified three of four true covariates and two spurious covariates; Lasso identified two of four true and 0 spurious covariates; and the single-objective, hybrid genetic algorithm identified three of four true covariates and one spurious covariate. For the clinical datasets, the Akaike information criterion was a median of 22.3 points lower (range of 470.5 point decrease to 0.1 point decrease) for the best single-objective hybrid genetic-algorithm candidate model versus the final manual stepwise model: the Akaike information criterion was lower by greater than 10 points for four compounds and differed by less than 10 points for three compounds. The root mean squared error and absolute mean prediction error of the best single-objective hybrid genetic algorithm candidates were a median of 0.2 points higher (range of 38.9 point decrease to 27.3 point increase) and 0.02 points lower (range of 0.98 point decrease to 0.74 point increase), respectively, than that of the final stepwise models. In addition, the best single-objective, hybrid genetic algorithm candidate models had successful convergence and covariance steps for each compound, used the same compartment structure as the manual stepwise approach for 6 of 7 (86 %) compounds, and identified 54 % (7 of 13) of covariates included by the manual stepwise approach and 16 covariate relationships not included by manual stepwise models. The model parameter values between the final manual stepwise and best single-objective, hybrid genetic algorithm models differed by a median of 26.7 % (q₁ = 4.9 % and q₃ = 57.1 %). Finally, the single-objective, hybrid genetic algorithm approach was able to identify models capable of estimating absorption rate parameters for four compounds that the manual stepwise approach did not identify. The single-objective, hybrid genetic algorithm represents a general pharmacokinetic model building methodology whose ability to rapidly search the feasible solution space leads to nearly equivalent or superior model fits to pharmacokinetic data.

  10. Gener: a minimal programming module for chemical controllers based on DNA strand displacement

    PubMed Central

    Kahramanoğulları, Ozan; Cardelli, Luca

    2015-01-01

    Summary: Gener is a development module for programming chemical controllers based on DNA strand displacement. Gener is developed with the aim of providing a simple interface that minimizes the opportunities for programming errors: Gener allows the user to test the computations of the DNA programs based on a simple two-domain strand displacement algebra, the minimal available so far. The tool allows the user to perform stepwise computations with respect to the rules of the algebra as well as exhaustive search of the computation space with different options for exploration and visualization. Gener can be used in combination with existing tools, and in particular, its programs can be exported to Microsoft Research’s DSD tool as well as to LaTeX. Availability and implementation: Gener is available for download at the Cosbi website at http://www.cosbi.eu/research/prototypes/gener as a windows executable that can be run on Mac OS X and Linux by using Mono. Contact: ozan@cosbi.eu PMID:25957353

  11. [Violence prevention in secondary schools: the Faustlos-curriculum for middle school].

    PubMed

    Schick, Andreas; Cierpka, Manfred

    2009-01-01

    Schools and kindergartens are particularly suitable for the implementation of violence prevention programs. Many German schools and kindergartens have securely established the violence prevention curriculum Faustlos. The Faustlos programs for kindergartens and elementary schools are now complemented with the version for middle schools. As the kindergarten- and elementary school versions the middle school program too focuses on the theoretically profound, age group-tailored promotion of empathy, impulse control and anger management. These dimensions are subdivided into the five themes "understanding the problem" "training for empathy"; "anger management", "problem solving" and "applying skills" and taught stepwise, highly structured and based on several video sequences in 31 lessons. US-American evaluation studies proof the effectiveness and the violence prevention potential of the program. With the curriculum for middle schools a comprehensive Faustlos program package is now made available to sustainably promote core violence prevention competences of children and adolescents on a developmentally appropriate level and with a consistent didactic approach.

  12. Gener: a minimal programming module for chemical controllers based on DNA strand displacement.

    PubMed

    Kahramanoğulları, Ozan; Cardelli, Luca

    2015-09-01

    : Gener is a development module for programming chemical controllers based on DNA strand displacement. Gener is developed with the aim of providing a simple interface that minimizes the opportunities for programming errors: Gener allows the user to test the computations of the DNA programs based on a simple two-domain strand displacement algebra, the minimal available so far. The tool allows the user to perform stepwise computations with respect to the rules of the algebra as well as exhaustive search of the computation space with different options for exploration and visualization. Gener can be used in combination with existing tools, and in particular, its programs can be exported to Microsoft Research's DSD tool as well as to LaTeX. Gener is available for download at the Cosbi website at http://www.cosbi.eu/research/prototypes/gener as a windows executable that can be run on Mac OS X and Linux by using Mono. ozan@cosbi.eu. © The Author 2015. Published by Oxford University Press.

  13. Variable selection with stepwise and best subset approaches

    PubMed Central

    2016-01-01

    While purposeful selection is performed partly by software and partly by hand, the stepwise and best subset approaches are automatically performed by software. Two R functions stepAIC() and bestglm() are well designed for stepwise and best subset regression, respectively. The stepAIC() function begins with a full or null model, and methods for stepwise regression can be specified in the direction argument with character values “forward”, “backward” and “both”. The bestglm() function begins with a data frame containing explanatory variables and response variables. The response variable should be in the last column. Varieties of goodness-of-fit criteria can be specified in the IC argument. The Bayesian information criterion (BIC) usually results in more parsimonious model than the Akaike information criterion. PMID:27162786

  14. Melanin fluorescence spectra by step-wise three photon excitation

    NASA Astrophysics Data System (ADS)

    Lai, Zhenhua; Kerimo, Josef; DiMarzio, Charles A.

    2012-03-01

    Melanin is the characteristic chromophore of human skin with various potential biological functions. Kerimo discovered enhanced melanin fluorescence by stepwise three-photon excitation in 2011. In this article, step-wise three-photon excited fluorescence (STPEF) spectrum between 450 nm -700 nm of melanin is reported. The melanin STPEF spectrum exhibited an exponential increase with wavelength. However, there was a probability of about 33% that another kind of step-wise multi-photon excited fluorescence (SMPEF) that peaks at 525 nm, shown by previous research, could also be generated using the same process. Using an excitation source at 920 nm as opposed to 830 nm increased the potential for generating SMPEF peaks at 525 nm. The SMPEF spectrum peaks at 525 nm photo-bleached faster than STPEF spectrum.

  15. Power up Your Planning: A Well-Defined Theory of Action Leads to Systemwide Change

    ERIC Educational Resources Information Center

    Williams, Sharon; Cloninger, Karen

    2018-01-01

    Even though the West Linn-Wilsonville School District in Tualatin, Oregon was posting good results at all levels, when a new superintendent arrived, one of his first initiatives was to re-align progress from goals to a coherent system of professional development that would lead everyone to feel confident and competent in their work to reach all…

  16. Altered Gene Expression in the Brain and Ovaries of Zebrafish Exposed to the Aromatase Inhibitor Fadrozole: Microarray analysis and Hypothesis Generation

    EPA Science Inventory

    As part of a research effort examining system-wide responses of the hypothalamic-pituitary-gonadal (HPG) axis in fish to endocrine active chemicals (EACs) with different modes of action, we exposed zebrafish (Danio rerio) to 25 or 100 ìg/L of the aromatase inhibitor fadrozole for...

  17. The Social Validation of Institutional Indicators to Promote System-Wide Web Accessibility in Postsecondary Institutions

    ERIC Educational Resources Information Center

    Mariger, Heather Ann

    2011-01-01

    The Internet is an integral part of higher education today. Students, faculty, and staff must have access to the institutional web for essential activities. For persons with disabilities, the web is a double-edged sword. While an accessibly designed website can mitigate or remove barriers, an inaccessible one can make access impossible. If…

  18. The Art of Collaboration: Promising Practices for Integrating the Arts and School Reform. AEP Research and Policy Brief

    ERIC Educational Resources Information Center

    Nelson, Andrew L.

    2008-01-01

    In June 2007, the Arts Education Partnership (AEP) convened the directors of eight collaborative entities to discuss promising practices for integrating the arts into the lives and curricula of urban public schools as a means of fostering system-wide educational improvement. The seven school-community collaboratives and one higher education…

  19. Exploring Multi-Level System Factors Facilitating Educator Training and Implementation of Evidence-Based Practices (EBP): A Study Protocol

    ERIC Educational Resources Information Center

    Stahmer, Aubyn C.; Suhrheinrich, Jessica; Schetter, Patricia L.; Hassrick, Elizabeth McGee

    2018-01-01

    This study examines how system-wide (i.e., region, district, and school) mechanisms such as leadership support, training requirements, structure, collaboration, and education affect the use of evidence-based practices (EBPs) in schools and how this affects the outcomes for students with autism spectrum disorder (ASD). Despite growing evidence for…

  20. A Systemwide Evaluation of a Child Abuse Policy and Staff Development Initiative.

    ERIC Educational Resources Information Center

    Pugh, Wesley C.; Brawner, Linda

    The School District of Philadelphia initiated a child abuse awareness workshop for all schools and school district personnel in April 1988. The objective of the sessions was to provide an increased awareness and sensitivity on the part of all school district employees to the issue of child abuse and its impact on the physical, emotional, and…

  1. Customer Satisfaction: A Comparison of Community College and Employment Security Commission Joblink Career Centers in North Carolina.

    ERIC Educational Resources Information Center

    Deese, Stephanie

    The Workforce Investment Act of 1998 provided states with a great amount of flexibility in the implementation of a system-wide approach to job training and workforce development. The legislation consolidated employment and training services into a one-stop system that is known as JobLink Career Centers in North Carolina. This document presents…

  2. A Three-Tier Model of Integrated Behavior and Learning Supports: Linking System-Wide Implementation to Student Outcomes

    ERIC Educational Resources Information Center

    Harms, Anna Leigh Shon

    2010-01-01

    This study explored elementary schools' implementation of an integrated three-tier model of reading and behavior supports as they participated with a statewide Response to Intervention (RtI) project. The purpose of the study was to examine the process of implementing an integrated three-tier model and to explore the relation between implementation…

  3. Neo-Liberal Policy Agendas and the Problem of Inequality in Higher Education: The Ethiopian Case

    ERIC Educational Resources Information Center

    Molla, Tebeje

    2014-01-01

    Under the influence of the external policy pressure of donors such as the World Bank, higher education in Ethiopia has witnessed a series of institutional and system-wide reforms. This article reviews selected policy documents to show key neo-liberal policy agendas endorsed in the reforms and explicate how they have affected social equity in the…

  4. English as a Second Language in the Mainstream: Teaching, Learning and Identity. Applied Linguistics and Language Study.

    ERIC Educational Resources Information Center

    Mohan, Bernard, Ed.; Leung, Constant, Ed.; Davison, Chris, Ed.

    This book analyzes the system-wide provision of English-as-a-Second Language (ESL) services in Australia, Canada, and England suggests that a truly responsive educational vision is lacking. They find government policies to be inadequate; educational practices for ESL students to be either underdeveloped or poorly coordinated with practices for…

  5. The Differentiated School: Making Revolutionary Changes in Teaching and Learning

    ERIC Educational Resources Information Center

    Tomlinson, Carol Ann; Brimijoin, Kay; Narvaez, Lane

    2008-01-01

    While there are lots of books with information on why and how to differentiate instruction, here at last is a book that gets to the heart of why some efforts to differentiate flop while others lead to sweeping, positive results. When it's your job to support differentiated instruction in a single school or systemwide, you need the guidance from…

  6. American Higher Education: Servant of the People or Protector of Special Interests? Contributions to the Study of Education, Number 9.

    ERIC Educational Resources Information Center

    Wallenfeldt, E. C.

    Current conditions at U.S. colleges and universities are discussed. Consideration is given to the nature of special interests and factions in American society and the system-wide influences of corporate power, militarization, racism, sexism, and overquantification as they pertain to higher education. The internal and external governance of…

  7. Richardson Instructional Management System (RIMS). How to Blend a Computerized Objectives-Referenced Testing System, Distributive Data Processing, and Systemwide Evaluation.

    ERIC Educational Resources Information Center

    Riegel, N. Blyth

    Recent changes in the structure of curriculum and the instructional system in Texas have required a major reorganization of teaching, evaluating, budgeting, and planning activities in the local education agencies, which has created the need for a database. The history of Richardson Instructional Management System (RIMS), its data processing…

  8. Formal Policy and Enacted Practices at Regional Public Universities: The Orientation and Practices of Recruitment Professionals at the California State University

    ERIC Educational Resources Information Center

    Luca, Sandra Guillen

    2010-01-01

    This study examined the work experiences of individuals who perform recruitment activities for the California State University. Based at four campus settings, the objectives were to: (1) analyze the ways in which professionals regard and enact system-wide and institutional enrollment management policies; (2) explore their professional orientations…

  9. Designing a Specialist Post-Graduate Qualification and Continuing Professional Development Structure for the Health Librarian Workforce of the Future

    ERIC Educational Resources Information Center

    Ritchie, Ann; Hallam, Gillian; Hamill, C.; Lewis, S.; Foti, M.; O'Connor, P.; Clark, C.

    2010-01-01

    Through a grant received from the Australian Library and Information Association (ALIA), Health Libraries Australia (HLA) is conducting a twelve-month research project with the goal of developing a system-wide approach to education for the future health librarianship workforce. The research has two main aims: to determine the future skills,…

  10. System Reform and Job Satisfaction of Juvenile Justice Teachers

    ERIC Educational Resources Information Center

    Houchins, David E.; Shippen, Margaret E.; Jolivette, Kristine

    2006-01-01

    The aim of this study was to examine the effect of five years of system-wide reform on factors associated with the job satisfaction of juvenile justice teachers. Prior to this research, no data were available on the effect of reform on the job satisfaction of this population. A comprehensive survey was administered to teachers who had been in the…

  11. Deep Processing of Long-Distance Dependencies in L2 English: The Case of Anaphora

    ERIC Educational Resources Information Center

    Wang, Yi-Ting

    2012-01-01

    Since the seminal work of Alan Juffs, second language (L2) sentence processing has become a central research topic in the field of L2 acquisition. Beyond a general hunger for new data offered by new experimental techniques and designs, intellectual concerns with system-wide understanding of first-language (L1)-L2 differences extended to the…

  12. Planning Alternative Organizational Frameworks For a Large Scale Educational Telecommunications System Served by Fixed/Broadcast Satellites. Memorandum Number 73/3.

    ERIC Educational Resources Information Center

    Walkmeyer, John

    Considerations relating to the design of organizational structures for development and control of large scale educational telecommunications systems using satellites are explored. The first part of the document deals with four issues of system-wide concern. The first is user accessibility to the system, including proximity to entry points, ability…

  13. Utilization of the Seniors Falls Investigation Methodology to Identify System-Wide Causes of Falls in Community-Dwelling Seniors

    ERIC Educational Resources Information Center

    Zecevic, Aleksandra A.; Salmoni, Alan W.; Lewko, John H.; Vandervoort, Anthoney A.; Speechley, Mark

    2009-01-01

    Purpose: As a highly heterogeneous group, seniors live in complex environments influenced by multiple physical and social structures that affect their safety. Until now, the major approach to falls research has been person centered. However, in industrial settings, the individuals involved in an accident are seen as the inheritors of system…

  14. Impact of delayed information in sub-second complex systems

    NASA Astrophysics Data System (ADS)

    Manrique, Pedro D.; Zheng, Minzhang; Johnson Restrepo, D. Dylan; Hui, Pak Ming; Johnson, Neil F.

    What happens when you slow down the delivery of information in large-scale complex systems that operate faster than the blink of an eye? This question just adopted immediate commercial, legal and political importance following U.S. regulators' decision to allow an intentional 350 microsecond delay to be added in the ultrafast network of financial exchanges. However there is still no scientific understanding available to policymakers of the potential system-wide impact of such delays. Here we take a first step in addressing this question using a minimal model of a population of competing, heterogeneous, adaptive agents which has previously been shown to produce similar statistical features to real markets. We find that while certain extreme system-level behaviors can be prevented by such delays, the duration of others is increased. This leads to a highly non-trivial relationship between delays and system-wide instabilities which warrants deeper empirical investigation. The generic nature of our model suggests there should be a fairly wide class of complex systems where such delay-driven extreme behaviors can arise, e.g. sub-second delays in brain function possibly impacting individuals' behavior, and sub-second delays in navigational systems potentially impacting the safety of driverless vehicles.

  15. Clean vehicles as an enabler for a clean electricity grid

    NASA Astrophysics Data System (ADS)

    Coignard, Jonathan; Saxena, Samveg; Greenblatt, Jeffery; Wang, Dai

    2018-05-01

    California has issued ambitious targets to decarbonize transportation through the deployment of electric vehicles (EVs), and to decarbonize the electricity grid through the expansion of both renewable generation and energy storage. These parallel efforts can provide an untapped synergistic opportunity for clean transportation to be an enabler for a clean electricity grid. To quantify this potential, we forecast the hourly system-wide balancing problems arising out to 2025 as more renewables are deployed and load continues to grow. We then quantify the system-wide balancing benefits from EVs modulating the charging or discharging of their batteries to mitigate renewable intermittency, without compromising the mobility needs of drivers. Our results show that with its EV deployment target and with only one-way charging control of EVs, California can achieve much of the same benefit of its Storage Mandate for mitigating renewable intermittency, but at a small fraction of the cost. Moreover, EVs provide many times these benefits if two-way charging control becomes widely available. Thus, EVs support the state’s renewable integration targets while avoiding much of the tremendous capital investment of stationary storage that can instead be applied towards further deployment of clean vehicles.

  16. Allocating capital systemwide. Who gets how much and why.

    PubMed

    Albertina, R M; Bakewell, T F

    1989-05-01

    The maturing of multi-institutional healthcare systems has created a need for systemwide approaches to managing investment in capital expenditures. Historically, hospitals have allocated capital using traditional capital budgeting techniques, including discounted cash flow, net present value, and internal rate of return methodologies. Now systems can use a multifactored model to allocate capital among member hospitals. This approach uses historical and projected financial and statistical information to quantify the risks member hospitals face. At the system level, capital allocation decisions should start with the strategic and financial planning processes. Catholic systems face an additional caveat: The system's mission statement drives the planning processes. Conceptually, the capital allocation plan is an attempt to value each hospital as a going, or viable, concern. From this perspective, value is understood as a function of expected return, the certainty of the return, and the return offered by similar investments in other hospital markets. Despite the many determinants of business and financial risk, much of the variance in asset market value can be explained through five assessment criteria: market demographics, position within the market, historical and projected financial performance, historical utilization, and third-party reimbursement mix.

  17. Characterisation of the biological response of Saccharomyces cerevisiae to the loss of an allele of the eukaryotic initiation factor 4A.

    PubMed

    Venturi, Veronica; Little, Richard; Bircham, Peter W; Rodigheri Brito, Juliana; Atkinson, Paul H; Maass, David R; Teesdale-Spittle, Paul H

    2018-02-19

    The translation initiation machinery is emerging as an important target for therapeutic intervention, with potential in the treatment of cancer, viral infections, and muscle wasting. Amongst the targets for pharmacological control of translation initiation is the eukaryotic initiation factor 4A (eIF4A), an RNA helicase that is essential for cap-dependent translation initiation. We set out to explore the system-wide impact of a reduction of functional eIF4A. To this end, we investigated the effect of deletion of TIF1, one of the duplicate genes that produce eIF4A in yeast, through synthetic genetic array interactions and system-wide changes in GFP-tagged protein abundances. We show that there is a biological response to deletion of the TIF1 gene that extends through the proteostasis network. Effects of the deletion are apparent in processes as distributed as chromatin remodelling, ribosome biogenesis, amino acid metabolism, and protein trafficking. The results from this study identify protein complexes and pathways that will make ideal targets for combination therapies with eIF4A inhibitors. Copyright © 2018 Elsevier Inc. All rights reserved.

  18. Growing organizational capacity through a systems approach: one health network's experience.

    PubMed

    MacKenzie, Richard; Capuano, Terry; Durishin, Linda Drexinger; Stern, Glen; Burke, James B

    2008-02-01

    Hospitals are reporting unexpected surges in demand for services. Lehigh Valley Hospital challenged its clinical and administrative staff to increase capacity by at least 4% per year using an interdepartmental, systemwide initiative, Growing Organizational Capacity (GOC). Following a systemwide leadership retreat that yielded more than 1,000 ideas, the initiative's principal sponsor convened a cross-functional improvement team. During a two-year period, 17 projects were implemented. Using a complex systems approach, improvement ideas "emerged" from microsystems at the points of care. Through rigorous reporting and testing of process adaptations, need, data, and people drove innovation. Hundreds of multilevel clinical and administrative staff redesigned processes and roles to increase organizational capacity. Admissions rose by 6.1%, 5.5 %, 8.7%, 5.0%, and 3.8% in fiscal years 2003 through 2007, respectively. Process enhancements cost approximately $1 million, while increased revenues attributable to increased capacity totaled $2.5 million. Multiple, coordinated, and concurrent projects created a greater impact than that possible with a single project. GOC and its success, best explained in the context of complex adaptive systems and microsystem theories, are transferrable to throughput issues that challenge efficiency and effectiveness in other health care systems.

  19. Access, excess, and ethics--towards a sustainable distribution model for antibiotics.

    PubMed

    Heyman, Gabriel; Cars, Otto; Bejarano, Maria-Teresa; Peterson, Stefan

    2014-05-01

    The increasing antibiotic resistance is a global threat to health care as we know it. Yet there is no model of distribution ready for a new antibiotic that balances access against excessive or inappropriate use in rural settings in low- and middle-income countries (LMICs) where the burden of communicable diseases is high and access to quality health care is low. Departing from a hypothetical scenario of rising antibiotic resistance among pneumococci, 11 stakeholders in the health systems of various LMICs were interviewed one-on-one to give their view on how a new effective antibiotic should be distributed to balance access against the risk of inappropriate use. Transcripts were subjected to qualitative 'framework' analysis. The analysis resulted in four main themes: Barriers to rational access to antibiotics; balancing access and excess; learning from other communicable diseases; and a system-wide intervention. The tension between access to antibiotics and rational use stems from shortcomings found in the health systems of LMICs. Constructing a sustainable yet accessible model of antibiotic distribution for LMICs is a task of health system-wide proportions, which is why we strongly suggest using systems thinking in future research on this issue.

  20. Psychological Health and Lifestyle Management Preconception and in Pregnancy.

    PubMed

    Hill, Briony; McPhie, Skye; Fuller-Tyszkiewicz, Matthew; Gillman, Matthew W; Skouteris, Helen

    2016-03-01

    Healthful lifestyles before and during pregnancy are important to facilitate healthy outcomes for mother and baby. For example, behaviors such as a sedentary lifestyle and consuming an energy-dense/nutrient-poor diet increase the risk of overweight/obesity before pregnancy and excessive weight gain during pregnancy, leading to adverse maternal and child health outcomes. Maternal psychopathology may be implicated in the development of suboptimal maternal lifestyle behaviors before and during pregnancy, perhaps through impacts on motivation. This article explores this notion using maternal obesity and excessive gestational weight gain as examples of the health impacts of psychological states. We suggest that factors such as psychological well-being, individual motivation for behavior change, and broader environmental influences that affect both individual and system-wide determinants all play important roles in promoting healthy lifestyles periconception and are key modifiable aspects for intervention designers to consider when trying to improve dietary behaviors and increase physical activity before and during pregnancy. In addition, implementing system-wide changes that impact positively on individual and environmental barriers to behavior change that are sustainable, measureable, and effective is required. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  1. Access, excess, and ethics—towards a sustainable distribution model for antibiotics

    PubMed Central

    Heyman, Gabriel; Cars, Otto; Bejarano, Maria-Teresa

    2014-01-01

    The increasing antibiotic resistance is a global threat to health care as we know it. Yet there is no model of distribution ready for a new antibiotic that balances access against excessive or inappropriate use in rural settings in low- and middle-income countries (LMICs) where the burden of communicable diseases is high and access to quality health care is low. Departing from a hypothetical scenario of rising antibiotic resistance among pneumococci, 11 stakeholders in the health systems of various LMICs were interviewed one-on-one to give their view on how a new effective antibiotic should be distributed to balance access against the risk of inappropriate use. Transcripts were subjected to qualitative ‘framework’ analysis. The analysis resulted in four main themes: Barriers to rational access to antibiotics; balancing access and excess; learning from other communicable diseases; and a system-wide intervention. The tension between access to antibiotics and rational use stems from shortcomings found in the health systems of LMICs. Constructing a sustainable yet accessible model of antibiotic distribution for LMICs is a task of health system-wide proportions, which is why we strongly suggest using systems thinking in future research on this issue. PMID:24735111

  2. How much do electric drive vehicles matter to future U.S. emissions?

    PubMed

    Babaee, Samaneh; Nagpure, Ajay S; DeCarolis, Joseph F

    2014-01-01

    Hybrid, plug-in hybrid, and battery electric vehicles--known collectively as electric drive vehicles (EDVs)--may represent a clean and affordable option to meet growing U.S. light duty vehicle (LDV) demand. The goal of this study is 2-fold: identify the conditions under which EDVs achieve high LDV market penetration in the U.S. and quantify the associated change in CO2, SO2, and NOX emissions through midcentury. We employ the Integrated MARKAL-EFOM System (TIMES), a bottom-up energy system model, along with a U.S. data set developed for this analysis. To characterize EDV deployment through 2050, varying assumptions related to crude oil and natural gas prices, a CO2 policy, a federal renewable portfolio standard, and vehicle battery cost were combined to form 108 different scenarios. Across these scenarios, oil prices and battery cost have the biggest effect on EDV deployment. The model results do not demonstrate a clear and consistent trend toward lower system-wide emissions as EDV deployment increases. In addition to the trade-off between lower tailpipe and higher electric sector emissions associated with plug-in vehicles, the scenarios produce system-wide emissions effects that often mask the effect of EDV deployment.

  3. Systemwide board assessment.

    PubMed

    Hafertepe, E C

    1987-01-01

    The Sisters of Charity Health Care System (SCHCS), Inc., Cincinnati, undertook a systemwide board evaluation project to support and enhance effective aspects of governance and to deal with obstacles that often arise due to differing beliefs and role confusion. A task force of chief executive officers developed the questionnaire, which was then administered to members of individual facilities' boards and the system's board. The documented highlighted value issues important to SCHCS's ministry and business activities: overall board responsibilities, financial responsibilities, strategic planning, the board's role, committee structures, the board's operating process, board education, and overall board effectiveness. The responses from each member were returned to the local boards, who analyzed them and developed an action plan. A summary of each facility's responses and action plans were forwarded to the system's corporate office. The CEO committee critiqued the process and reported on significant issues and action plans. In general, survey results revealed a strong influence of mission and philosophy in decision making, support for current processes, and effective interaction among board members. The system's corporate office will use the responses to respond to a dynamic environment and strengthen their role in the delivery of Catholic health care services.

  4. Stepwise hydrolysis to improve carbon releasing efficiency from sludge.

    PubMed

    Liu, Hongbo; Wang, Yuanyuan; Wang, Ling; Yu, Tiantian; Fu, Bo; Liu, He

    2017-08-01

    Based on thermal alkaline hydrolysis (TAH), a novel strategy of stepwise hydrolysis was developed to improve carbon releasing efficiency from waste activated sludge (WAS). By stepwise increasing hydrolysis intensity, conventional sludge hydrolysis (the control) was divided into four stages for separately recovering sludge carbon sources with different bonding strengths, namely stage 1 (60 °C, pH 6.0-8.0), stage 2 (80 °C, pH 6.0-8.0), stage 3 (80 °C, pH 10.0) and stage 4 (90 °C, pH 12.0). Results indicate stepwise hydrolysis could enhance the amount of released soluble chemical oxygen demand (SCOD) for almost 2 times, from 7200 to 14,693 mg/L, and the released carbon presented better biodegradability, with BOD/COD of 0.47 and volatile fatty acids (VFAs) yield of 0.37 g VFAs/g SCOD via anaerobic fermentation. Moreover, stepwise hydrolysis also improved the dewaterability of hydrolyzed sludge, capillary suction time (CST) reducing from 2500 to 1600 s. Economic assessment indicates stepwise hydrolysis shows less alkali demand and lower thermal energy consumption than those of the control. Furthermore, results of this study help support the concepts of improving carbon recovery in wastewater by manipulating WAS composition and the idea of classifiably recovering the nutrients in WAS. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Software for Simulating Air Traffic

    NASA Technical Reports Server (NTRS)

    Sridhar, Banavar; Bilimoria, Karl; Grabbe, Shon; Chatterji, Gano; Sheth, Kapil; Mulfinger, Daniel

    2006-01-01

    Future Air Traffic Management Concepts Evaluation Tool (FACET) is a system of software for performing computational simulations for evaluating advanced concepts of advanced air-traffic management. FACET includes a program that generates a graphical user interface plus programs and databases that implement computational models of weather, airspace, airports, navigation aids, aircraft performance, and aircraft trajectories. Examples of concepts studied by use of FACET include aircraft self-separation for free flight; prediction of air-traffic-controller workload; decision support for direct routing; integration of spacecraft-launch operations into the U.S. national airspace system; and traffic- flow-management using rerouting, metering, and ground delays. Aircraft can be modeled as flying along either flight-plan routes or great-circle routes as they climb, cruise, and descend according to their individual performance models. The FACET software is modular and is written in the Java and C programming languages. The architecture of FACET strikes a balance between flexibility and fidelity; as a consequence, FACET can be used to model systemwide airspace operations over the contiguous U.S., involving as many as 10,000 aircraft, all on a single desktop or laptop computer running any of a variety of operating systems. Two notable applications of FACET include: (1) reroute conformance monitoring algorithms that have been implemented in one of the Federal Aviation Administration s nationally deployed, real-time, operational systems; and (2) the licensing and integration of FACET with the commercially available Flight Explorer, which is an Internet- based, real-time flight-tracking system.

  6. Projecting cumulative benefits of multiple river restoration projects: an example from the Sacramento-San Joaquin River system in California

    USGS Publications Warehouse

    Kondolf, G. Mathias; Angermeier, Paul L.; Cummins, Kenneth; Dunne, Thomas; Healey, Michael; Kimmerer, Wim; Moyle, Peter B.; Murphy, Dennis; Patten, Duncan; Railsback, Steve F.; Reed, Denise J.; Spies, Robert B.; Twiss, Robert

    2008-01-01

    Despite increasingly large investments, the potential ecological effects of river restoration programs are still small compared to the degree of human alterations to physical and ecological function. Thus, it is rarely possible to “restore” pre-disturbance conditions; rather restoration programs (even large, well-funded ones) will nearly always involve multiple small projects, each of which can make some modest change to selected ecosystem processes and habitats. At present, such projects are typically selected based on their attributes as individual projects (e.g., consistency with programmatic goals of the funders, scientific soundness, and acceptance by local communities), and ease of implementation. Projects are rarely prioritized (at least explicitly) based on how they will cumulatively affect ecosystem function over coming decades. Such projections require an understanding of the form of the restoration response curve, or at least that we assume some plausible relations and estimate cumulative effects based thereon. Drawing on our experience with the CALFED Bay-Delta Ecosystem Restoration Program in California, we consider potential cumulative system-wide benefits of a restoration activity extensively implemented in the region: isolating/filling abandoned floodplain gravel pits captured by rivers to reduce predation of outmigrating juvenile salmon by exotic warmwater species inhabiting the pits. We present a simple spreadsheet model to show how different assumptions about gravel pit bathymetry and predator behavior would affect the cumulative benefits of multiple pit-filling and isolation projects, and how these insights could help managers prioritize which pits to fill.

  7. Dynamic Management of NOx and SO2 Emissions in the Texas and Mid-Atlantic Electric Power Systems and Implications for Air Quality.

    PubMed

    McDonald-Buller, Elena; Kimura, Yosuke; Craig, Michael; McGaughey, Gary; Allen, David; Webster, Mort

    2016-02-02

    Cap and trade programs have historically been designed to achieve annual or seasonal reductions in emissions of nitrogen oxides and sulfur dioxide from power plants. Emissions reductions may not be temporally coincident with meteorological conditions conducive to the formation of peak ozone and fine particulate matter concentrations. Integrated power system and air quality modeling methods were developed to evaluate time-differentiated emissions price signals on high ozone days in the Mid-Atlantic portion of the Pennsylvania-New Jersey-Maryland (PJM) Interconnection and Electric Reliability Council of Texas (ERCOT) grids. Sufficient flexibility exists in the two grids with marked differences in demand and fuel generation mix to accommodate time-differentiated emissions pricing alone or in combination with a season-wide program. System-wide emissions reductions and production costs from time-differentiated pricing are shown to be competitive with those of a season-wide program on high ozone days and would be more cost-effective if the primary policy goal was to target emissions reductions on these days. Time-differentiated pricing layered as a complement to the Cross-State Air Pollution Rule had particularly pronounced benefits for the Mid-Atlantic PJM system that relies heavily on coal-fired generation. Time-differentiated pricing aimed at reducing ozone concentrations had particulate matter reduction co-benefits, but if particulate matter reductions are the primary objective, other approaches to time-differentiated pricing may lead to greater benefits.

  8. Discrimination of Geographical Origin of Asian Garlic Using Isotopic and Chemical Datasets under Stepwise Principal Component Analysis.

    PubMed

    Liu, Tsang-Sen; Lin, Jhen-Nan; Peng, Tsung-Ren

    2018-01-16

    Isotopic compositions of δ 2 H, δ 18 O, δ 13 C, and δ 15 N and concentrations of 22 trace elements from garlic samples were analyzed and processed with stepwise principal component analysis (PCA) to discriminate garlic's country of origin among Asian regions including South Korea, Vietnam, Taiwan, and China. Results indicate that there is no single trace-element concentration or isotopic composition that can accomplish the study's purpose and the stepwise PCA approach proposed does allow for discrimination between countries on a regional basis. Sequentially, Step-1 PCA distinguishes garlic's country of origin among Taiwanese, South Korean, and Vietnamese samples; Step-2 PCA discriminates Chinese garlic from South Korean garlic; and Step-3 and Step-4 PCA, Chinese garlic from Vietnamese garlic. In model tests, countries of origin of all audit samples were correctly discriminated by stepwise PCA. Consequently, this study demonstrates that stepwise PCA as applied is a simple and effective approach to discriminating country of origin among Asian garlics. © 2018 American Academy of Forensic Sciences.

  9. Assessing Undergraduate Curriculum Through Student Exit Vectors

    NASA Astrophysics Data System (ADS)

    Keane, C. M.; Gonzales, L.; Martinez, C.

    2008-12-01

    One aspect of assessing the undergraduate curriculum is recognizing that the exit vector of the student is a metric in the absence of a structured assessment program. Detailed knowledge across all geosciences departments regarding the disposition of their recent baccalaureate recipients has been at best inconsistent, and in the case of about half of geoscience programs, non-existent. However, through examining of multiple datasets, a pattern of disposition of geosciences BS recipients emerges, providing a snapshot of the system- wide response to the system-wide "average" program. This pattern can also be juxtaposed against several frameworks of desired skill sets for recent graduates and the employment sectors likely to hire them. The question remains is can one deduce the effectiveness of the undergraduate program in placing graduates in their next step, whether in graduate school or the workplace. Likewise, with an increasing scrutiny on the "value" of an education, is the resulting economic gain sufficient for the student, such that programs will be viewed as sustainable. A factor in answering this question is the importance of the undergraduate program in the ultimate destination of the professional. Clear pathways exist for "optimal" schools for the production of new faculty and new industry professionals, but is it possible to identify those trends further up the educational pipeline? One major mechanism to examine the undergraduate program effectiveness related to exit vectors is to look at hiring trends witnessed related to markedly different program structures, such as those at universities outside of the United States. Rectifying academic programs between the United States and other national systems is often a challenge, but even given the substantial differences between depth of technical knowledge and breadth of education across these programs, in the end, the sum product is often viewed as roughly comparable. This paper will look at end-of-baccalaureate vectors in several countries, including Australia and South Africa, and how it reflects on the structure of their programs, how the programs align with the country's professional needs, and the ability for the undergraduate geosciences system to provide the key intellectual feedstock for sustaining the geosciences discipline in these countries.

  10. Prediction of Academic Achievement in an NATA-Approved Graduate Athletic Training Education Program

    PubMed Central

    Keskula, Douglas R.; Sammarone, Paula G.; Perrin, David H.

    1995-01-01

    The Purpose of this investigation was to determine which information used in the applicant selection process would best predict the final grade point average of students in a National Athletic Trainers Association (NATA) graduate athletic training education program. The criterion variable used was the graduate grade-point average (GPAg) calculated at the completion of the program of study. The predictor variables included: 1) Graduate Record Examination-Quantitative (GRE-Q) scores; and 2) Graduate Record Examination-Verbal (GRE-V) scores, 3) preadmission grade point average (GPAp), 4) total athletic training hours (hours), and 5) curriculum or internship undergraduate athletic training education (program). Data from 55 graduate athletic training students during a 5-year period were evaluated. Stepwise multiple regression analysis indicated that GPAp was a significant predictor of GPAg, accounting for 34% of the variance. GRE-Q, GRE-V, hours, and program did not significantly contribute individually or in combination to the prediction of GPAg. The results of this investigation suggest that, of the variables examined, GPAp is the best predictor of academic success in an NATA-approved graduate athletic training education program. PMID:16558312

  11. Insulin degludec/insulin aspart once daily in Type 2 diabetes: a comparison of simple or stepwise titration algorithms (BOOST® : SIMPLE USE).

    PubMed

    Park, S W; Bebakar, W M W; Hernandez, P G; Macura, S; Hersløv, M L; de la Rosa, R

    2017-02-01

    To compare the efficacy and safety of two titration algorithms for insulin degludec/insulin aspart (IDegAsp) administered once daily with metformin in participants with insulin-naïve Type 2 diabetes mellitus. This open-label, parallel-group, 26-week, multicentre, treat-to-target trial, randomly allocated participants (1:1) to two titration arms. The Simple algorithm titrated IDegAsp twice weekly based on a single pre-breakfast self-monitored plasma glucose (SMPG) measurement. The Stepwise algorithm titrated IDegAsp once weekly based on the lowest of three consecutive pre-breakfast SMPG measurements. In both groups, IDegAsp once daily was titrated to pre-breakfast plasma glucose values of 4.0-5.0 mmol/l. Primary endpoint was change from baseline in HbA 1c (%) after 26 weeks. Change in HbA 1c at Week 26 was IDegAsp Simple -14.6 mmol/mol (-1.3%) (to 52.4 mmol/mol; 6.9%) and IDegAsp Stepwise -11.9 mmol/mol (-1.1%) (to 54.7 mmol/mol; 7.2%). The estimated between-group treatment difference was -1.97 mmol/mol [95% confidence interval (CI) -4.1, 0.2] (-0.2%, 95% CI -0.4, 0.02), confirming the non-inferiority of IDegAsp Simple to IDegAsp Stepwise (non-inferiority limit of ≤ 0.4%). Mean reduction in fasting plasma glucose and 8-point SMPG profiles were similar between groups. Rates of confirmed hypoglycaemia were lower for IDegAsp Stepwise [2.1 per patient years of exposure (PYE)] vs. IDegAsp Simple (3.3 PYE) (estimated rate ratio IDegAsp Simple /IDegAsp Stepwise 1.8; 95% CI 1.1, 2.9). Nocturnal hypoglycaemia rates were similar between groups. No severe hypoglycaemic events were reported. In participants with insulin-naïve Type 2 diabetes mellitus, the IDegAsp Simple titration algorithm improved HbA 1c levels as effectively as a Stepwise titration algorithm. Hypoglycaemia rates were lower in the Stepwise arm. © 2016 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.

  12. Prescribing physical activity for older patients.

    PubMed

    Kligman, E W; Pepin, E

    1992-08-01

    Regular exercise is an effective nonpharmacologic therapy for stress, sleep disorders, depression, and anxiety, as well as such chronic conditions of aging as hypertension, obesity, diabetes mellitus, coronary artery disease, hyperlipidemia, and constipation. Pre-exercise office assessment of cardiac risk, possible limitations, and contraindications is advised. A balanced fitness training program includes activities to increase flexibility, strength, and cardiovascular endurance. The most effective exercise prescription begins with a type of aerobic activity the patient enjoys. A prescribed schedule of stepwise increments in frequency, duration, and intensity gradually leads to a maintenance level of fitness.

  13. Biosimilars: The US Regulatory Framework.

    PubMed

    Christl, Leah A; Woodcock, Janet; Kozlowski, Steven

    2017-01-14

    With the passage of the Biologics Price Competition and Innovation Act of 2009, the US Food and Drug Administration established an abbreviated pathway for developing and licensing biosimilar and interchangeable biological products. The regulatory framework and the technical requirements of the US biosimilars program involve a stepwise approach that relies heavily on analytical methods to demonstrate through a "totality of the evidence" that a proposed product is biosimilar to its reference product. By integrating analytical, pharmacological, and clinical data, each of which has limitations, a high level of confidence can be reached regarding clinical performance. Although questions and concerns about the biosimilars pathway remain and may slow uptake, a robust scientific program has been put in place. With three biosimilars already licensed and numerous development programs under way, clinicians can expect to see many new biosimilars come onto the US market in the coming decade. [Note added in proof: Since the writing of this article, a fourth biosimilar has been approved.].

  14. Resolving and avoiding conflict with the professional staff.

    PubMed

    Scher, S

    1991-01-01

    The professional staff perspective radically diverges from that of management. Whereas the professional staff sees the hospital in terms of its providing quality health care to each individual patient, hospital executives see the hospital in terms of its financial and systemwide performance. Unless these divergent perspectives are effectively integrated to solve problems and formulate hospital policies, chronic conflict between hospital management and the professional staff is inevitable.

  15. The Instructional Capacity Building Role of the State Education Agency: Lessons Learned in Kentucky with Implications for No Child Left Behind

    ERIC Educational Resources Information Center

    Keedy, John L.; McDonald, Deborah H.

    2007-01-01

    Across the United States the state education agency (SEA) is a "sleeping giant" with untapped potential to build instructional capacity in the nation's 110,000 public schools. The SEA is positioned to build the system-wide synergy requisite to achieve the unprecedented school-level student outcomes mandated by the No Child Left Behind…

  16. Public Pedagogy in the Creative Strike: Destabilizing Boundaries and Re-Imagining Resistance in the University of Puerto Rico

    ERIC Educational Resources Information Center

    Rosario, Melissa

    2015-01-01

    In this article, I examine key symbols and strategies mobilized by students during the first system-wide strike in the University of Puerto Rico's history. I argue that these acts of creative cultural production not only supported the growth of participatory politics within the mobilization but that they also were tools for enacting public…

  17. Transitioning Year 7 Primary Students to Secondary Settings in Western Australian Catholic Schools: How Successful Was the Move?

    ERIC Educational Resources Information Center

    Coffey, Anne; Berlach, Richard G.; O'Neill, Michael

    2013-01-01

    After much preparatory work, the Catholic Education Office in Western Australia determined to move Year 7 students from its more than 100 primary schools to secondary schools in 2009. This was the first time in the state's history that a major education system had embarked on such an undertaking. This system-wide shift presented a unique…

  18. Materiel Solutions for Special Operations Forces

    DTIC Science & Technology

    2015-03-28

    Continually developed a repository of UNC System-wide defense research expertise and infrastructure resources to enable effective identification of UNC...antennas and more. • Mr. Jim Geurts, USSOCOM Acquisition Executive, visited the campuses of UNC Chapel Hill and NCSU in March 2013. He met with...game theory, and political science. The goal of the workshop was to explore cutting edge techniques to measure the effectiveness of special operations

  19. Using archived ITS data to measure the operational benefits of a system-wide adaptive ramp metering system : appendix online\\0x20106: OR\\0x2010217 NB time-space speed contour plots with meter activations.

    DOT National Transportation Integrated Search

    2008-12-01

    Programmable logic controllers (PLCs) were installed at several key ramps with the assistance of the City of Portland and used to capture additional data about ramp operations that are not otherwise logged. The data include include the activation and...

  20. The Congruence of Mental Models amongst District and Site Level Administrators of Walkthroughs as a Vehicle for System-Wide School Improvement

    ERIC Educational Resources Information Center

    Evans, Lisa Marie

    2010-01-01

    Though change theorists recognize the importance of individuals within change efforts, the impact of perceptions, or mental models, on change initiatives at the organizational level is not fully understood. The purpose of this qualitative study was to gain a greater understanding of the mental models (beliefs, attitudes, knowledge, and feelings)…

  1. Reproducibility in a multiprocessor system

    DOEpatents

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

    2013-11-26

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

  2. The Productivity Push: System-Wide Reform Allows Arizona to Serve More Students. Lumina Foundation Focus[TM]. Summer 2010

    ERIC Educational Resources Information Center

    Giegerich, Steve

    2010-01-01

    Today, the United States spends about twice as much on higher education as the average developed nation, but many other countries are doing a better job of graduating more students at substantially lower expense. To provide more high-quality degrees and credentials at lower cost, colleges and universities must become high-performing institutions.…

  3. 2014-16 Systemwide Operating and Financial Aid Budget Amendment Recommendations for Public Higher Education in Virginia

    ERIC Educational Resources Information Center

    State Council of Higher Education for Virginia, 2014

    2014-01-01

    Fluctuations in state funding present a tremendous challenge to the well being of Virginia public higher education institutions and the state's students and families. On a per-student basis, general fund appropriations declined by 49.6% ($5,909) on average at the four year-institutions and by 46.6% ($2,550) at the Virginia Community College System…

  4. The Impact of Curriculum Redesign in a Mexican University on Students' Abilities, Attitudes and Values

    ERIC Educational Resources Information Center

    Greybeck, Barbara; Gomez, Margarita Orozco; Mendoza, Sandra Olarte

    2004-01-01

    In 1997, the ITESM in Monterrey Mexico initiated a system-wide programme of curriculum reform, bringing about three major changes: (1) a focus on the student in the teaching-learning process; (2) the incorporation of abilities, attitudes and values as an integral part of course content; and (3) the use of a technological platform for every course.…

  5. The Value of Large-Scale Randomised Control Trials in System-Wide Improvement: The Case of the Reading Catch-Up Programme

    ERIC Educational Resources Information Center

    Fleisch, Brahm; Taylor, Stephen; Schöer, Volker; Mabogoane, Thabo

    2017-01-01

    This article illustrates the value of large-scale impact evaluations with counterfactual components. It begins by exploring the limitations of small-scale impact studies, which do not allow reliable inference to a wider population or which do not use valid comparison groups. The paper then describes the design features of a recent large-scale…

  6. Linking Research and Practice in New York: A New York City Small Schools of Choice Case Study

    ERIC Educational Resources Information Center

    Hughes, Robert; Silver, David; Thompson, Saskia; Unterman, Rebecca

    2012-01-01

    Over the last decade, New York City (NYC) has been the site of a systemwide high school reform effort that is unprecedented in its scope and pace. Since 2002, the school district has closed more than 20 failing high schools, opened more than 200 new secondary schools, and implemented a centralized high school admission process in which…

  7. Systemwide Reform in Districts under Pressure: The Role of Social Networks in Defining, Acquiring, Using, and Diffusing Research Evidence

    ERIC Educational Resources Information Center

    Finnigan, Kara S.; Daly, Alan J.; Che, Jing

    2013-01-01

    Purpose: The purpose of this paper is to examine the way in which low-performing schools and their district define, acquire, use, and diffuse research-based evidence. Design/methodology/approach: The mixed methods case study builds upon the prior research on research evidence and social networks, drawing on social network analyses, survey data and…

  8. 12 CFR 630.5 - Accuracy of reports and assessment of internal control over financial reporting.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Accuracy of reports and assessment of internal control over financial reporting. 630.5 Section 630.5 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM DISCLOSURE TO INVESTORS IN SYSTEMWIDE AND CONSOLIDATED BANK DEBT OBLIGATIONS OF THE FARM CREDIT SYSTEM General § 630.5 Accuracy of...

  9. 12 CFR 630.5 - Accuracy of reports and assessment of internal control over financial reporting.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Accuracy of reports and assessment of internal control over financial reporting. 630.5 Section 630.5 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM DISCLOSURE TO INVESTORS IN SYSTEMWIDE AND CONSOLIDATED BANK DEBT OBLIGATIONS OF THE FARM CREDIT SYSTEM General § 630.5 Accuracy of...

  10. Washington's Community and Technical Colleges' Student Achievement Initiative: Lessons Learned since the 2012 Revision and Considerations for New Allocation Model. Research Report 16-1

    ERIC Educational Resources Information Center

    Washington State Board for Community and Technical Colleges, 2016

    2016-01-01

    In January 2012, a system-wide task force came together for a nearly year-long process of revising the community and technical college system's performance-based funding (PBF) system, the Student Achievement Initiative. This review was consistent with national experts' recommendations for continuous evaluation of PBF systems to ensure overall…

  11. Cost-Efficacy Analysis of Out-of-District Special Education Placements: An Evaluative Measure of Behavior Support Intervention in Public Schools.

    ERIC Educational Resources Information Center

    Putnam, Robert F.; Luiselli, James K.; Sennett, Kenneth; Malonson, Joanne

    2002-01-01

    Evaluation of out-of-district special education placement costs in the 15 largest Massachusetts public school districts found the criterion school district (which had developed a system-wide approach to behavioral intervention) had the lowest per capita cost, lowest percentage of total school budget consumed by out-of-district placements, and the…

  12. Going Tobacco-Free on 24 New York City University Campuses: A Public Health Agency's Partnership with a Large Urban Public University System

    ERIC Educational Resources Information Center

    Bresnahan, Marie P.; Sacks, Rachel; Farley, Shannon M.; Mandel-Ricci, Jenna; Patterson, Ty; Lamberson, Patti

    2016-01-01

    The New York City Department of Health and Mental Hygiene partnered with the nation's largest university system, the City University of New York (CUNY), to provide technical assistance and resources to support the development and implementation of a system-wide tobacco-free policy. This effort formed one component of "Healthy CUNY"--a…

  13. Essays on alternative energy policies affecting the US transportation sector

    NASA Astrophysics Data System (ADS)

    O'Rear, Eric G.

    This dissertation encompasses three essays evaluating the impacts of different policies targeting the greenhouse gas (GHG) emissions, fuel demands, etc. of the transportation sector. Though there are some similarities across the three chapters, each essay stands alone as an independent work. The 2010 US EPA MARKAL model is used in each essay to evaluate policy effects. Essay 1 focuses on the recent increases in Corporate Average Fuel Economy (CAFE) standards, and the implications of a "rebound effect." These increases are compared to a carbon tax generating similar reductions in system-wide emissions. As anticipated, the largest reductions in fuel use by light-duty vehicles (LDV) and emissions are achieved under CAFE. Consideration of the rebound effect does little to distort CAFE benefits. Our work validates many economists' belief that a carbon tax is a more efficient approach. However, because the tax takes advantage of cheaper abatement opportunities in other sectors, reductions in transportation emissions will be much lower than what we observe with CAFE. Essay 2 compares CAFE increases with what some economists suggest would be a much more "efficient" alternative -- a system-wide oil tax internalizing some environmental externalities. Because oil taxes are likely to be implemented in addition to CAFE standards, we consider a combined policy case reflecting this. Our supplementary analysis approximates the appropriate tax rates to produce similar reductions in oil demands as CAFE (CAFE-equivalent tax rates). We discover that taxes result in greater and more cost-effective reductions in system-wide emissions and net oil imports than CAFE. The current fuel tax system is compared to three versions of a national vehicle miles traveled (VMT) tax charged to all LDVs in Essay 3. VMT taxes directly charge motorists for each mile driven and help to correct the problem of eroding tax revenues given the failure of today's fuel taxes to adjust with inflation. Results suggest that VMT taxes generate more revenue than our existing fuel tax structure, but do so at the expense of the LDV fleet becoming less fuel-inefficient. If stringent enough, VMT taxes can lead to some rather noticeable reductions in miles driven, fuel use, and emissions.

  14. The System-Wide Effect of Real-Time Audiovisual Feedback and Postevent Debriefing for In-Hospital Cardiac Arrest: The Cardiopulmonary Resuscitation Quality Improvement Initiative.

    PubMed

    Couper, Keith; Kimani, Peter K; Abella, Benjamin S; Chilwan, Mehboob; Cooke, Matthew W; Davies, Robin P; Field, Richard A; Gao, Fang; Quinton, Sarah; Stallard, Nigel; Woolley, Sarah; Perkins, Gavin D

    2015-11-01

    To evaluate the effect of implementing real-time audiovisual feedback with and without postevent debriefing on survival and quality of cardiopulmonary resuscitation quality at in-hospital cardiac arrest. A two-phase, multicentre prospective cohort study. Three UK hospitals, all part of one National Health Service Acute Trust. One thousand three hundred and ninety-five adult patients who sustained an in-hospital cardiac arrest at the study hospitals and were treated by hospital emergency teams between November 2009 and May 2013. During phase 1, quality of cardiopulmonary resuscitation and patient outcomes were measured with no intervention implemented. During phase 2, staff at hospital 1 received real-time audiovisual feedback, whereas staff at hospital 2 received real-time audiovisual feedback supplemented by postevent debriefing. No intervention was implemented at hospital 3 during phase 2. The primary outcome was return of spontaneous circulation. Secondary endpoints included other patient-focused outcomes, such as survival to hospital discharge, and process-focused outcomes, such as chest compression depth. Random-effect logistic and linear regression models, adjusted for baseline patient characteristics, were used to analyze the effect of the interventions on study outcomes. In comparison with no intervention, neither real-time audiovisual feedback (adjusted odds ratio, 0.62; 95% CI, 0.31-1.22; p=0.17) nor real-time audiovisual feedback supplemented by postevent debriefing (adjusted odds ratio, 0.65; 95% CI, 0.35-1.21; p=0.17) was associated with a statistically significant improvement in return of spontaneous circulation or any process-focused outcome. Despite this, there was evidence of a system-wide improvement in phase 2, leading to improvements in return of spontaneous circulation (adjusted odds ratio, 1.87; 95% CI, 1.06-3.30; p=0.03) and process-focused outcomes. Implementation of real-time audiovisual feedback with or without postevent debriefing did not lead to a measured improvement in patient or process-focused outcomes at individual hospital sites. However, there was an unexplained system-wide improvement in return of spontaneous circulation and process-focused outcomes during the second phase of the study.

  15. Impact of “Sick” and “Recovery” Roles on Brain Injury Rehabilitation Outcomes

    PubMed Central

    Barclay, David A.

    2012-01-01

    This study utilizes a multivariate, correlational, expost facto research design to examine Parsons' “sick role” as a dynamic, time-sensitive process of “sick role” and “recovery role” and the impact of this process on goal attainment (H1) and psychosocial distress (H2) of adult survivors of acquired brain injury. Measures used include the Brief Symptom Inventory-18, a Goal Attainment Scale, and an original instrument to measure sick role process. 60 survivors of ABI enrolled in community reentry rehabilitation participated. Stepwise regression analyses did not fully support the multivariate hypotheses. Two models emerged from the stepwise analyses. Goal attainment, gender, and postrehab responsibilities accounted for 40% of the shared variance of psychosocial distress. Anxiety and depression accounted for 22% of the shared variance of goal attainment with anxiety contributing to the majority of the explained variance. Bivariate analysis found sick role variables, anxiety, somatization, depression, gender, and goal attainment as significant. The study has implications for ABI rehabilitation in placing greater emphasis on sick role processes, anxiety, gender, and goal attainment in guiding program planning and future research with survivors of ABI. PMID:23119164

  16. Effects of stepwise dry/wet-aging and freezing on meat quality of beef loins.

    PubMed

    Kim, Yuan H Brad; Meyers, Brandon; Kim, Hyun-Wook; Liceaga, Andrea M; Lemenager, Ronald P

    2017-01-01

    The objective of this study was to evaluate the effects of stepwise dry/wet-aging and freezing method on quality attributes of beef loins. Paired loins (M. Longissimus lumborum) from eight carcasses were assigned to either stepwise dry/wet-aging (carcass dry-aging for 10days then further wet-aging for 7days in vacuum bags) or carcass dry-aging only for 17days. Then, each loin was divided into three sections for freezing (never-frozen, blast or cryogenic freezing). Stepwise dry/wet-aged loin had lower purge/drip loss and shear force than conventionally dry-aged loin (P<0.05), but similar color and sensory characteristics (P>0.05). The cryogenic freezing resulted in a significant decrease in shear force values and a significant improvement in water-holding capacity (WHC). These findings indicate that the stepwise dry/wet-aging coupled with cryogenic freezing could provide beneficial impacts to the local meat industry by providing equivalent quality attributes as conventional dry-aging and improving WHC of frozen/thawed meat, while reducing the time needed for dry-aging. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Training and Maintaining System-Wide Reliability in Outcome Management.

    PubMed

    Barwick, Melanie A; Urajnik, Diana J; Moore, Julia E

    2014-01-01

    The Child and Adolescent Functional Assessment Scale (CAFAS) is widely used for outcome management, for providing real time client and program level data, and the monitoring of evidence-based practices. Methods of reliability training and the assessment of rater drift are critical for service decision-making within organizations and systems of care. We assessed two approaches for CAFAS training: external technical assistance and internal technical assistance. To this end, we sampled 315 practitioners trained by external technical assistance approach from 2,344 Ontario practitioners who had achieved reliability on the CAFAS. To assess the internal technical assistance approach as a reliable alternative training method, 140 practitioners trained internally were selected from the same pool of certified raters. Reliabilities were high for both practitioners trained by external technical assistance and internal technical assistance approaches (.909-.995, .915-.997, respectively). 1 and 3-year estimates showed some drift on several scales. High and consistent reliabilities over time and training method has implications for CAFAS training of behavioral health care practitioners, and the maintenance of CAFAS as a global outcome management tool in systems of care.

  18. Discovery of nitrate-CPK-NLP signalling in central nutrient-growth networks

    PubMed Central

    Liu, Kun-hsiang; Niu, Yajie; Konishi, Mineko; Wu, Yue; Du, Hao; Sun Chung, Hoo; Li, Lei; Boudsocq, Marie; McCormack, Matthew; Maekawa, Shugo; Ishida, Tetsuya; Zhang, Chao; Shokat, Kevan; Yanagisawa, Shuichi; Sheen, Jen

    2018-01-01

    Nutrient signalling integrates and coordinates gene expression, metabolism and growth. However, its primary molecular mechanisms remain incompletely understood in plants and animals. Here we report novel Ca2+ signalling triggered by nitrate with live imaging of an ultrasensitive biosensor in Arabidopsis leaves and roots. A nitrate-sensitized and targeted functional genomic screen identifies subgroup III Ca2+-sensor protein kinases (CPKs) as master regulators orchestrating primary nitrate responses. A chemical switch with the engineered CPK10(M141G) kinase enables conditional analyses of cpk10,30,32 to define comprehensive nitrate-associated regulatory and developmental programs, circumventing embryo lethality. Nitrate-CPK signalling phosphorylates conserved NIN-LIKE PROTEIN (NLP) transcription factors (TFs) to specify reprogramming of gene sets for downstream TFs, transporters, N-assimilation, C/N-metabolism, redox, signalling, hormones, and proliferation. Conditional cpk10,30,32 and nlp7 similarly impair nitrate-stimulated system-wide shoot growth and root establishment. The nutrient-coupled Ca2+ signalling network integrates transcriptome and cellular metabolism with shoot-root coordination and developmental plasticity in shaping organ biomass and architecture. PMID:28489820

  19. Optimal wide-area monitoring and nonlinear adaptive coordinating neurocontrol of a power system with wind power integration and multiple FACTS devices.

    PubMed

    Qiao, Wei; Venayagamoorthy, Ganesh K; Harley, Ronald G

    2008-01-01

    Wide-area coordinating control is becoming an important issue and a challenging problem in the power industry. This paper proposes a novel optimal wide-area coordinating neurocontrol (WACNC), based on wide-area measurements, for a power system with power system stabilizers, a large wind farm and multiple flexible ac transmission system (FACTS) devices. An optimal wide-area monitor (OWAM), which is a radial basis function neural network (RBFNN), is designed to identify the input-output dynamics of the nonlinear power system. Its parameters are optimized through particle swarm optimization (PSO). Based on the OWAM, the WACNC is then designed by using the dual heuristic programming (DHP) method and RBFNNs, while considering the effect of signal transmission delays. The WACNC operates at a global level to coordinate the actions of local power system controllers. Each local controller communicates with the WACNC, receives remote control signals from the WACNC to enhance its dynamic performance and therefore helps improve system-wide dynamic and transient performance. The proposed control is verified by simulation studies on a multimachine power system.

  20. Use of hydrologic and hydrodynamic modeling for ecosystem restoration

    USGS Publications Warehouse

    Obeysekera, J.; Kuebler, L.; Ahmed, S.; Chang, M.-L.; Engel, V.; Langevin, C.; Swain, E.; Wan, Y.

    2011-01-01

    Planning and implementation of unprecedented projects for restoring the greater Everglades ecosystem are underway and the hydrologic and hydrodynamic modeling of restoration alternatives has become essential for success of restoration efforts. In view of the complex nature of the South Florida water resources system, regional-scale (system-wide) hydrologic models have been developed and used extensively for the development of the Comprehensive Everglades Restoration Plan. In addition, numerous subregional-scale hydrologic and hydrodynamic models have been developed and are being used for evaluating project-scale water management plans associated with urban, agricultural, and inland costal ecosystems. The authors provide a comprehensive summary of models of all scales, as well as the next generation models under development to meet the future needs of ecosystem restoration efforts in South Florida. The multiagency efforts to develop and apply models have allowed the agencies to understand the complex hydrologic interactions, quantify appropriate performance measures, and use new technologies in simulation algorithms, software development, and GIS/database techniques to meet the future modeling needs of the ecosystem restoration programs. Copyright ?? 2011 Taylor & Francis Group, LLC.

  1. Two Cultures in Modern Science and Technology: For Safety and Validity Does Medicine Have to Update?

    PubMed

    Becker, Robert E

    2016-01-11

    Two different scientific cultures go unreconciled in modern medicine. Each culture accepts that scientific knowledge and technologies are vulnerable to and easily invalidated by methods and conditions of acquisition, interpretation, and application. How these vulnerabilities are addressed separates the 2 cultures and potentially explains medicine's difficulties eradicating errors. A traditional culture, dominant in medicine, leaves error control in the hands of individual and group investigators and practitioners. A competing modern scientific culture accepts errors as inevitable, pernicious, and pervasive sources of adverse events throughout medical research and patient care too malignant for individuals or groups to control. Error risks to the validity of scientific knowledge and safety in patient care require systemwide programming able to support a culture in medicine grounded in tested, continually updated, widely promulgated, and uniformly implemented standards of practice for research and patient care. Experiences from successes in other sciences and industries strongly support the need for leadership from the Institute of Medicine's recommended Center for Patient Safely within the Federal Executive branch of government.

  2. Discovery of nitrate-CPK-NLP signalling in central nutrient-growth networks.

    PubMed

    Liu, Kun-Hsiang; Niu, Yajie; Konishi, Mineko; Wu, Yue; Du, Hao; Sun Chung, Hoo; Li, Lei; Boudsocq, Marie; McCormack, Matthew; Maekawa, Shugo; Ishida, Tetsuya; Zhang, Chao; Shokat, Kevan; Yanagisawa, Shuichi; Sheen, Jen

    2017-05-18

    Nutrient signalling integrates and coordinates gene expression, metabolism and growth. However, its primary molecular mechanisms remain incompletely understood in plants and animals. Here we report unique Ca 2+ signalling triggered by nitrate with live imaging of an ultrasensitive biosensor in Arabidopsis leaves and roots. A nitrate-sensitized and targeted functional genomic screen identifies subgroup III Ca 2+ -sensor protein kinases (CPKs) as master regulators that orchestrate primary nitrate responses. A chemical switch with the engineered mutant CPK10(M141G) circumvents embryo lethality and enables conditional analyses of cpk10 cpk30 cpk32 triple mutants to define comprehensive nitrate-associated regulatory and developmental programs. Nitrate-coupled CPK signalling phosphorylates conserved NIN-LIKE PROTEIN (NLP) transcription factors to specify the reprogramming of gene sets for downstream transcription factors, transporters, nitrogen assimilation, carbon/nitrogen metabolism, redox, signalling, hormones and proliferation. Conditional cpk10 cpk30 cpk32 and nlp7 mutants similarly impair nitrate-stimulated system-wide shoot growth and root establishment. The nutrient-coupled Ca 2+ signalling network integrates transcriptome and cellular metabolism with shoot-root coordination and developmental plasticity in shaping organ biomass and architecture.

  3. Increasing fetal ovine number per gestation alters fetal plasma clinical chemistry values.

    PubMed

    Zywicki, Micaela; Blohowiak, Sharon E; Magness, Ronald R; Segar, Jeffrey L; Kling, Pamela J

    2016-08-01

    Intrauterine growth restriction (IUGR) is interconnected with developmental programming of lifelong pathophysiology. IUGR is seen in human multifetal pregnancies, with stepwise rises in fetal numbers interfering with placental nutrient delivery. It remains unknown whether fetal blood analyses would reflect fetal nutrition, liver, and excretory function in the last trimester of human or ovine IUGR In an ovine model, we hypothesized that fetal plasma biochemical values would reflect progressive placental, fetal liver, and fetal kidney dysfunction as the number of fetuses per gestation rose. To determine fetal plasma biochemical values in singleton, twin, triplet, and quadruplet/quintuplet ovine gestation, we investigated morphometric measures and comprehensive metabolic panels with nutritional measures, liver enzymes, and placental and fetal kidney excretory measures at gestational day (GD) 130 (90% gestation). As anticipated, placental dysfunction was supported by a stepwise fall in fetal weight, fetal plasma glucose, and triglyceride levels as fetal number per ewe rose. Fetal glucose and triglycerides were directly related to fetal weight. Plasma creatinine, reflecting fetal renal excretory function, and plasma cholesterol, reflecting placental excretory function, were inversely correlated with fetal weight. Progressive biochemical disturbances and growth restriction accompanied the rise in fetal number. Understanding the compensatory and adaptive responses of growth-restricted fetuses at the biochemical level may help explain how metabolic pathways in growth restriction can be predetermined at birth. This physiological understanding is important for clinical care and generating interventional strategies to prevent altered developmental programming in multifetal gestation. © 2016 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of the American Physiological Society and The Physiological Society.

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

    PubMed

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

    2016-09-01

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

  5. Multiobjective Model of Time-of-Use and Stepwise Power Tariff for Residential Consumers in Regulated Power Markets

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

    Zhou, Bin; Yang, Rui; Li, Canbing

    Here, time-of-use (TOU) rates and stepwise power tariff (SPT) are important economic levers to motivate residents to shift their electricity usage in response to electricity price. In this paper, a new multiobjective optimal tariff-making model of time-of-use and stepwise power tariff (TOUSPT) is proposed, which combines the complementary characteristics of two power tariffs, for residential energy conservation and peak load shaving. In the proposed approach, the residential demand response with price elasticity in regulated power market is considered to determine the optimum peak-valley TOU tariffs for each stepwise electricity partition. Furthermore, a practical case study is implemented to test themore » effectiveness of the proposed TOUSPT, and the results demonstrate that TOUSPT can achieve efficient end-use energy saving and also shift load from peak to off-peak periods.« less

  6. Multiobjective Model of Time-of-Use and Stepwise Power Tariff for Residential Consumers in Regulated Power Markets

    DOE PAGES

    Zhou, Bin; Yang, Rui; Li, Canbing; ...

    2017-07-04

    Here, time-of-use (TOU) rates and stepwise power tariff (SPT) are important economic levers to motivate residents to shift their electricity usage in response to electricity price. In this paper, a new multiobjective optimal tariff-making model of time-of-use and stepwise power tariff (TOUSPT) is proposed, which combines the complementary characteristics of two power tariffs, for residential energy conservation and peak load shaving. In the proposed approach, the residential demand response with price elasticity in regulated power market is considered to determine the optimum peak-valley TOU tariffs for each stepwise electricity partition. Furthermore, a practical case study is implemented to test themore » effectiveness of the proposed TOUSPT, and the results demonstrate that TOUSPT can achieve efficient end-use energy saving and also shift load from peak to off-peak periods.« less

  7. Impact of chemical oxidation on indigenous bacteria and mobilization of nutrients and subsequent bioremediation of crude oil-contaminated soil.

    PubMed

    Xu, Jinlan; Deng, Xin; Cui, Yiwei; Kong, Fanxing

    2016-12-15

    Fenton pre-oxidation provides nutrients to promote bioremediation. However, the effects of the indigenous bacteria that remain following Fenton oxidation on nutrient mobilization and subsequent bioremediation remain unclear. Experiments were performed with inoculation with native bacteria and foreign bacteria or without inoculation after four regimens of stepwise pre-oxidations. The effects of the indigenous bacteria remaining after stepwise oxidation on nutrient mobilization and subsequent bioremediation over 80 days were investigated. After stepwise Fenton pre-oxidation at a low H 2 O 2 concentration (225×4), the remaining indigenous bacterial populations reached their peak (4.8±0.17×10 6 CFU/g), the nutrients were mobilized rapidly, and the subsequent bioremediation of crude oil was improved (biodegradation efficiency of 35%). However, after stepwise Fenton pre-oxidation at a high H 2 O 2 concentration (450×4), only 3.6±0.16×10 3 CFU/g of indigenous bacteria remained, and the indigenous bacteria that degrade C 15 -C 30 alkanes were inhibited. The nutrient mobilization was then highly limited, and only 19% of total petroleum hydrocarbon was degraded. Furthermore, the recovery period after the low H 2 O 2 concentration stepwise Fenton pre-oxidation (225×4) was less than 20 days, which was 20-30 days shorter than with the other pre-oxidation treatments. Therefore, stepwise Fenton pre-oxidation at a low H 2 O 2 concentration protects indigenous bacterial populations and improves the nutrient mobilization and subsequent bioremediation. Copyright © 2016 Elsevier B.V. All rights reserved.

  8. The path to cost transformation.

    PubMed

    Hill-Mischel, Jody; Morrissey, Walter W; Neese, Kimberly; Shoger, Timothy R

    2016-06-01

    A healthcare organization's efforts to strategically transform its cost structure in preparation for value-based payment invariably must begin with a systemwide assessment of cost and quality. Such an assessment should focus on three categories of performance improvement activities: margin improvement, business restructuring, and clinical transformation. A work-team approach is recommended, where teams with multidisciplinary representation assume responsibility for assessing specific areas (e.g., acute care enterprise, physician enterprise, business restructuring).

  9. Technologies for Networked Enabled Operations

    NASA Technical Reports Server (NTRS)

    Glass, B.; Levine, J.

    2005-01-01

    Current point-to-point data links will not scale to support future integration of surveillance, security, and globally-distributed air traffic data, and already hinders efficiency and capacity. While the FAA and industry focus on a transition to initial system-wide information management (SWIM) capabilities, this paper describes a set of initial studies of NAS network-enabled operations technology gaps targeted for maturity in later SWIM spirals (201 5-2020 timeframe).

  10. Transforming the High School Experience: How New York City's New Small Schools Are Boosting Student Achievement and Graduation Rates

    ERIC Educational Resources Information Center

    Bloom, Howard S.; Thompson, Saskia Levy; Unterman, Rebecca

    2011-01-01

    Over the last decade, New York City has been the site of a systemwide high school reform effort that is unprecedented in its scope and pace. Since 2002, the school district has closed more than 20 failing high schools, opened more than 200 new secondary schools, and implemented a centralized high school admission process in which approximately…

  11. Using archived ITS data to measure the operational benefits of a system-wide adaptive ramp metering system : appendix online\\0x20101 : I\\0x2010205 NB time\\0x2010space speed contour plots with meter activations.

    DOT National Transportation Integrated Search

    2008-12-01

    Programmable logic controllers (PLCs) were installed at several key ramps with the assistance of the City of Portland and used to capture additional data about ramp operations that are not otherwise logged. The data include the activation and deactiv...

  12. Market-Based and System-Wide Fuel Cycle Optimization

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

    Wilson, Paul Philip Hood; Scopatz, Anthony; Gidden, Matthew

    This work introduces automated optimization into fuel cycle simulations in the Cyclus platform. This includes system-level optimizations, seeking a deployment plan that optimizes the performance over the entire transition, and market-level optimization, seeking an optimal set of material trades at each time step. These concepts were introduced in a way that preserves the flexibility of the Cyclus fuel cycle framework, one of its most important design principles.

  13. The Rewards of Perseverance, Aldine Texas: The Power of a Systemwide Focus on Students, Teachers, and Leaders. School System 20/20 Case Study

    ERIC Educational Resources Information Center

    Baroody, Karen; Rho, Lois

    2016-01-01

    "The Rewards of Perseverance" tells the story of a district with a clear vision, stable leadership, and deliberate evolution in response to change. Located just north of Houston, AISD has faced daunting challenges since the 1990s--including a significant increase in high-need students, and more rigorous state tests. At the same time, the…

  14. Effective Network Management via System-Wide Coordination and Optimization

    DTIC Science & Technology

    2010-08-01

    Srinath Sridhar, Matthew Streeter, Jimeng Sun, Michael Tschantz, Rangarajan Vasudevan, Vijay Vasude- van, Gaurav Veda, Shobha Venkataraman, Justin... Sharma and Byers [150] suggest the use of Bloom filters. While minimizing redundant measurements is a common high-level theme between cSamp and their...NSDI, 2004. [150] M. R. Sharma and J. W. Byers. Scalable Coordination Techniques for Distributed Network Monitoring. In Proc. of PAM, 2005. [151] S

  15. The BHEF National Higher Education and Workforce Initiative: A Model for Pathways to Baccalaureate Attainment and High-Skill Careers in Emerging Fields, Part 2. BHEF Case Study Series

    ERIC Educational Resources Information Center

    Fitzgerald, Brian K.; Barkanic, Steve; Cardenas-Navia, Isabel; Elzey, Karen; Hughes, Debbie; Troyan, Danielle

    2015-01-01

    BHEF has achieved particular success in operationalizing its National Higher Education and Workforce Initiative (HEWI) in Maryland focusing on cybersecurity. Leveraging its membership of corporate CEOs, university presidents and government agency leaders, BHEF partnered with the University System of Maryland to build a system-wide response to the…

  16. Taking Care of Our Own: A Multispecialty Study of Resident and Program Director Perspectives on Contributors to Burnout and Potential Interventions.

    PubMed

    Holmes, Emily G; Connolly, AnnaMarie; Putnam, Karen T; Penaskovic, Kenan M; Denniston, Clark R; Clark, Leslie H; Rubinow, David R; Meltzer-Brody, Samantha

    2017-04-01

    Rates of resident physician burnout range from 60 to 76 % and are rising. Consequently, there is an urgent need for academic medical centers to develop system-wide initiatives to combat burnout in physicians. Academic psychiatrists who advocate for or treat residents should be familiar with the scope of the problem and the contributors to burnout and potential interventions to mitigate it. We aimed to measure burnout in residents across a range of specialties and to describe resident- and program director-identified contributors and interventions. Residents across all specialties at a tertiary academic hospital completed surveys to assess symptoms of burnout and depression using the Maslach Burnout Inventory and the Patient Health Questionnaire-9, respectively. Residents and program directors identified contributors to burnout and interventions that might mitigate its risk. Residents were asked to identify barriers to treatment. There were 307 residents (response rate of 61 %) who completed at least one question on the survey; however, all residents did not respond to all questions, resulting in varying denominators across survey questions. In total, 190 of 276 residents (69 %) met criteria for burnout and 45 of 263 (17 %) screened positive for depression. Program directors underestimated rates of burnout, with only one program director estimating a rate of 50 % or higher. Overall residents and program directors agreed that lack of work-life balance and feeling unappreciated were major contributors. Forty-two percent of residents reported that inability to take time off from work was a significant barrier to seeking help, and 25 % incorrectly believed that burnout is a reportable condition to the medical board. Resident distress is common and most likely due to work-life imbalance and feeling unappreciated. However, residents are reluctant to seek help. Interventions that address work-life balance and increase access to support are urgently needed in academic medical centers.

  17. Recruitment experience for a pragmatic randomized controlled trial: Using EMR initiatives and minimizing research infrastructure.

    PubMed

    Joseph, Christine Lm; Ownby, Dennis R; Zoratti, Edward; Johnson, Dayna; Considine, Shannon; Bourgeois, Renee; Melkonian, Christina; Miree, Cheryl; Johnson, Christine Cole; Lu, Mei

    2016-01-01

    Modernized approaches to multisite randomized controlled trials (RCT) include the use of electronic medical records (EMR) for recruitment, remote data capture (RDC) for multisite data collection, and strategies to reduce the need for research infrastructure. These features facilitate the conduct of pragmatic trials, or trials conducted in "real life" settings. We describe the recruitment experience of an RCT to evaluate a clinic-based intervention targeting urban youth with asthma. Using encounter and prescription databases, a list of potentially-eligible patients was linked to the Epic appointment scheduling system. Patients were enrolled during a scheduled visit and then electronically randomized to a tailored versus generic online intervention. 1146 appointments for 580 eligible patients visiting 5 clinics were identified, of which 45.9% (266/580) were randomized to reach targeted enrollment (n=250). RDC facilitated multisite enrollment. Intervention content was further personalized through real- time entry of asthma medications prescribed at the clinic visit. EMR monitoring helped with recruitment trouble-shooting. Systemic challenges included a system-wide EMR transition and a system-wide reorganization of clinic staffing. Modernized RCTs can accelerate translation of research findings. Electronic initiatives facilitated implementation of this RCT; however, adaptations to recruitment strategies resulted in a more "explanatory" framework. .

  18. SOARing Into Strategic Planning: Engaging Nurses to Achieve Significant Outcomes.

    PubMed

    Wadsworth, Barbara; Felton, Fiona; Linus, Rita

    2016-01-01

    In 2013, a new system chief nursing officer engaged the nursing leaders and staff in an Appreciative Inquiry process utilizing strengths, opportunities, aspirations, and results (SOAR), and a Journey of Excellence to assess and understand the current environment. The ultimate goal was to engage all nurses in strategic planning and goal setting to connect their patient care to the system strategic initiatives. This work led to the creation of a nursing vision, a revised professional practice model and greater council alignment, resulting in significant positive change and ongoing advancement throughout the system. The shared decision-making structure was key to the process with a direct connection of each council's goals, leading to the successful achievement of 34 of the 36 goals in 2 years. This article outlines the process, tools, and staff engagement strategies used to achieve system-wide success. This methodology has improved the outcomes across the organization in both small and system-wide work groups. This work can easily be replicated and adapted to help disparate staffs brought together through mergers or acquisitions to become aligned as a new team. This process, model, and framework, provides structure and results in significant outcomes that recognizes and celebrates the work of individual entities while aligning future strategies and goals.

  19. Valuation of National Park System Visitation: The Efficient Use of Count Data Models, Meta-Analysis, and Secondary Visitor Survey Data

    NASA Astrophysics Data System (ADS)

    Neher, Christopher; Duffield, John; Patterson, David

    2013-09-01

    The National Park Service (NPS) currently manages a large and diverse system of park units nationwide which received an estimated 279 million recreational visits in 2011. This article uses park visitor data collected by the NPS Visitor Services Project to estimate a consistent set of count data travel cost models of park visitor willingness to pay (WTP). Models were estimated using 58 different park unit survey datasets. WTP estimates for these 58 park surveys were used within a meta-regression analysis model to predict average and total WTP for NPS recreational visitation system-wide. Estimated WTP per NPS visit in 2011 averaged 102 system-wide, and ranged across park units from 67 to 288. Total 2011 visitor WTP for the NPS system is estimated at 28.5 billion with a 95% confidence interval of 19.7-43.1 billion. The estimation of a meta-regression model using consistently collected data and identical specification of visitor WTP models greatly reduces problems common to meta-regression models, including sample selection bias, primary data heterogeneity, and heteroskedasticity, as well as some aspects of panel effects. The article provides the first estimate of total annual NPS visitor WTP within the literature directly based on NPS visitor survey data.

  20. Charitable Food Systems' Capacity to Address Food Insecurity: An Australian Capital City Audit.

    PubMed

    Pollard, Christina M; Mackintosh, Bruce; Campbell, Cathy; Kerr, Deborah; Begley, Andrea; Jancey, Jonine; Caraher, Martin; Berg, Joel; Booth, Sue

    2018-06-12

    Australian efforts to address food insecurity are delivered by a charitable food system (CFS) which fails to meet demand. The scope and nature of the CFS is unknown. This study audits the organisational capacity of the CFS within the 10.9 square kilometres of inner-city Perth, Western Australia. A desktop analysis of services and 12 face-to-face interviews with representatives from CFS organisations was conducted. All CFS organisations were not-for⁻profit and guided by humanitarian or faith-based values. The CFS comprised three indirect services (IS) sourcing, banking and/or distributing food to 15 direct services (DS) providing food to recipients. DS offered 30 different food services at 34 locations feeding over 5670 people/week via 16 models including mobile and seated meals, food parcels, supermarket vouchers, and food pantries. Volunteer to paid staff ratios were 33:1 (DS) and 19:1 (IS). System-wide, food was mainly donated and most funding was philanthropic. Only three organisations received government funds. No organisation had a nutrition policy. The organisational capacity of the CFS was precarious due to unreliable, insufficient and inappropriate financial, human and food resources and structures. System-wide reforms are needed to ensure adequate and appropriate food relief for Australians experiencing food insecurity.

  1. System-wide and Superemitter Policy Options for the Abatement of Methane Emissions from the U.S. Natural Gas System

    NASA Astrophysics Data System (ADS)

    Mayfield, E. N.; Robinson, A. L.; Cohon, J. L.

    2017-12-01

    This work assesses trade-offs between system-wide and superemitter policy options for reducing methane emissions from compressor stations in the U.S. transmission and storage system. Leveraging recently collected national emissions and activity data sets, we developed a new process-based emissions model implemented in a Monte Carlo simulation framework to estimate emissions for each component and facility in the system. We find that approximately 83% of emissions, given the existing suite of technologies, have the potential to be abated, with only a few emission categories comprising a majority of emissions. We then formulate optimization models to determine optimal abatement strategies. Most emissions across the system (approximately 80%) are efficient to abate, resulting in net benefits ranging from 160M to 1.2B annually across the system. The private cost burden is minimal under standard and tax instruments, and if firms market the abated natural gas, private net benefits may be generated. Superemitter policies, namely, those that target the highest emitting facilities, may reduce the private cost burden and achieve high emission reductions, especially if emissions across facilities are highly skewed. However, detection across all facilities is necessary regardless of the policy option and there are nontrivial net benefits resulting from abatement of relatively low-emitting sources.

  2. System-wide and Superemitter Policy Options for the Abatement of Methane Emissions from the U.S. Natural Gas System.

    PubMed

    Mayfield, Erin N; Robinson, Allen L; Cohon, Jared L

    2017-05-02

    This work assesses trade-offs between system-wide and superemitter policy options for reducing methane emissions from compressor stations in the U.S. transmission and storage system. Leveraging recently collected national emissions and activity data sets, we developed a new process-based emissions model implemented in a Monte Carlo simulation framework to estimate emissions for each component and facility in the system. We find that approximately 83% of emissions, given the existing suite of technologies, have the potential to be abated, with only a few emission categories comprising a majority of emissions. We then formulate optimization models to determine optimal abatement strategies. Most emissions across the system (approximately 80%) are efficient to abate, resulting in net benefits ranging from $160M to $1.2B annually across the system. The private cost burden is minimal under standard and tax instruments, and if firms market the abated natural gas, private net benefits may be generated. Superemitter policies, namely, those that target the highest emitting facilities, may reduce the private cost burden and achieve high emission reductions, especially if emissions across facilities are highly skewed. However, detection across all facilities is necessary regardless of the policy option and there are nontrivial net benefits resulting from abatement of relatively low-emitting sources.

  3. Relationship between COMLEX-USA scores and performance on the American Osteopathic Board of Emergency Medicine Part I certifying examination.

    PubMed

    Li, Feiming; Gimpel, John R; Arenson, Ethan; Song, Hao; Bates, Bruce P; Ludwin, Fredric

    2014-04-01

    Few studies have investigated how well scores from the Comprehensive Osteopathic Medical Licensing Examination-USA (COMLEX-USA) series predict resident outcomes, such as performance on board certification examinations. To determine how well COMLEX-USA predicts performance on the American Osteopathic Board of Emergency Medicine (AOBEM) Part I certification examination. The target study population was first-time examinees who took AOBEM Part I in 2011 and 2012 with matched performances on COMLEX-USA Level 1, Level 2-Cognitive Evaluation (CE), and Level 3. Pearson correlations were computed between AOBEM Part I first-attempt scores and COMLEX-USA performances to measure the association between these examinations. Stepwise linear regression analysis was conducted to predict AOBEM Part I scores by the 3 COMLEX-USA scores. An independent t test was conducted to compare mean COMLEX-USA performances between candidates who passed and who failed AOBEM Part I, and a stepwise logistic regression analysis was used to predict the log-odds of passing AOBEM Part I on the basis of COMLEX-USA scores. Scores from AOBEM Part I had the highest correlation with COMLEX-USA Level 3 scores (.57) and slightly lower correlation with COMLEX-USA Level 2-CE scores (.53). The lowest correlation was between AOBEM Part I and COMLEX-USA Level 1 scores (.47). According to the stepwise regression model, COMLEX-USA Level 1 and Level 2-CE scores, which residency programs often use as selection criteria, together explained 30% of variance in AOBEM Part I scores. Adding Level 3 scores explained 37% of variance. The independent t test indicated that the 397 examinees passing AOBEM Part I performed significantly better than the 54 examinees failing AOBEM Part I in all 3 COMLEX-USA levels (P<.001 for all 3 levels). The logistic regression model showed that COMLEX-USA Level 1 and Level 3 scores predicted the log-odds of passing AOBEM Part I (P=.03 and P<.001, respectively). The present study empirically supported the predictive and discriminant validities of the COMLEX-USA series in relation to the AOBEM Part I certification examination. Although residency programs may use COMLEX-USA Level 1 and Level 2-CE scores as partial criteria in selecting residents, Level 3 scores, though typically not available at the time of application, are actually the most statistically related to performances on AOBEM Part I.

  4. Patient population management: taking the leap from variance analysis to outcomes measurement.

    PubMed

    Allen, K M

    1998-01-01

    Case managers today at BCHS have a somewhat different role than at the onset of the Collaborative Practice Model. They are seen throughout the organization as: Leaders/participants on cross-functional teams. Systems change agents. Integrating/merging with quality services and utilization management. Outcomes managers. One of the major cross-functional teams is in the process of designing a Care Coordinator role. These individuals will, as one of their functions, assume responsibility for daily patient care management activities. A variance tracking program has come into the Utilization Management (UM) department as part of a software package purchased to automate UM work activities. This variance program could potentially be used by the new care coordinators as the role develops. The case managers are beginning to use a Decision Support software, (Transition Systems Inc.) in the collection of data that is based on a cost accounting system and linked to clinical events. Other clinical outcomes data bases are now being used by the case manager to help with the collection and measurement of outcomes information. Hoshin planning will continue to be a framework for defining and setting the targets for clinical and financial improvements throughout the organization. Case managers will continue to be involved in many of these system-wide initiatives. In the words of Galileo, 1579, "You need to count what's countable, measure what's measurable, and what's not measurable, make measurable."

  5. Metrics for the NASA Airspace Systems Program

    NASA Technical Reports Server (NTRS)

    Smith, Jeremy C.; Neitzke, Kurt W.

    2009-01-01

    This document defines an initial set of metrics for use by the NASA Airspace Systems Program (ASP). ASP consists of the NextGen-Airspace Project and the NextGen-Airportal Project. The work in each project is organized along multiple, discipline-level Research Focus Areas (RFAs). Each RFA is developing future concept elements in support of the Next Generation Air Transportation System (NextGen), as defined by the Joint Planning and Development Office (JPDO). In addition, a single, system-level RFA is responsible for integrating concept elements across RFAs in both projects and for assessing system-wide benefits. The primary purpose of this document is to define a common set of metrics for measuring National Airspace System (NAS) performance before and after the introduction of ASP-developed concepts for NextGen as the system handles increasing traffic. The metrics are directly traceable to NextGen goals and objectives as defined by the JPDO and hence will be used to measure the progress of ASP research toward reaching those goals. The scope of this document is focused on defining a common set of metrics for measuring NAS capacity, efficiency, robustness, and safety at the system-level and at the RFA-level. Use of common metrics will focus ASP research toward achieving system-level performance goals and objectives and enable the discipline-level RFAs to evaluate the impact of their concepts at the system level.

  6. Developing library bioinformatics services in context: the Purdue University Libraries bioinformationist program

    PubMed Central

    Rein, Diane C.

    2006-01-01

    Setting: Purdue University is a major agricultural, engineering, biomedical, and applied life science research institution with an increasing focus on bioinformatics research that spans multiple disciplines and campus academic units. The Purdue University Libraries (PUL) hired a molecular biosciences specialist to discover, engage, and support bioinformatics needs across the campus. Program Components: After an extended period of information needs assessment and environmental scanning, the specialist developed a week of focused bioinformatics instruction (Bioinformatics Week) to launch system-wide, library-based bioinformatics services. Evaluation Mechanisms: The specialist employed a two-tiered approach to assess user information requirements and expectations. The first phase involved careful observation and collection of information needs in-context throughout the campus, attending laboratory meetings, interviewing department chairs and individual researchers, and engaging in strategic planning efforts. Based on the information gathered during the integration phase, several survey instruments were developed to facilitate more critical user assessment and the recovery of quantifiable data prior to planning. Next Steps/Future Directions: Given information gathered while working with clients and through formal needs assessments, as well as the success of instructional approaches used in Bioinformatics Week, the specialist is developing bioinformatics support services for the Purdue community. The specialist is also engaged in training PUL faculty librarians in bioinformatics to provide a sustaining culture of library-based bioinformatics support and understanding of Purdue's bioinformatics-related decision and policy making. PMID:16888666

  7. Strategies for enhancing medical student resilience: student and faculty member perspectives.

    PubMed

    Farquhar, Julia; Kamei, Robert; Vidyarthi, Arpana

    2018-01-12

    To improve programs aimed to enhance medical student resiliency, we examined both medical student and faculty advisor perspectives on resiliency-building in an Asian medical school. In two separate focus groups, a convenience sample of 8 MD-PhD students and 8 faculty advisors were asked to identify strategies for enhancing resilience. Using thematic analysis, two researchers independently examined discussion transcripts and field notes and determined themes through a consensus process. They then compared the themes to discern similarities and differences between these groups. Themes from the student suggestions for increasing resilience included "Perspective changes with time and experience", "Defining effective advisors," and "Individual paths to resiliency". Faculty-identified themes were "Structured activities to change student perspectives," "Structured teaching of coping strategies", and "Institution-wide social support". Students described themselves as individuals building their own resilience path and preferred advisors who were not also evaluators. Faculty, however, suggested systematic, structural ways to increase resilience. Students and advisors identified some common, and many distinct strategies for enhancing medical student resilience. Student/advisor discrepancies may exemplify a cultural shift in Singapore's medical education climate, where students value increased individualism and autonomy in their education. As medical schools create interventions to enhance resilience and combat potential student burnout, they should consider individually-tailored as well as system-wide programs to best meet the needs of their students and faculty.

  8. Cushing's syndrome: Stepwise approach to diagnosis

    PubMed Central

    Lila, Anurag R.; Sarathi, Vijaya; Jagtap, Varsha S.; Bandgar, Tushar; Menon, Padmavathy; Shah, Nalini S.

    2011-01-01

    The projected prevalence of Cushing's syndrome (CS) inclusive of subclinical cases in the adult population ranges from 0.2–2% and it may no longer be considered as an orphan disease (2–3 cases/million/year). The recognition of CS by physicians is important for early diagnosis and treatment. Late-night salivary cortisol, dexamethasone suppressiontesti, or 24-h urine free cortisol are good screening tests. Positively screened cases need stepwise evaluation by an endocrinologist. This paper discusses the importance of screening for CS and suggests a stepwise diagnostic approach to a case of suspected hypercortisolism. PMID:22145134

  9. Stepwise pH-responsive nanoparticles for enhanced cellular uptake and on-demand intracellular release of doxorubicin.

    PubMed

    Chen, Wei-Liang; Li, Fang; Tang, Yan; Yang, Shu-di; Li, Ji-Zhao; Yuan, Zhi-Qiang; Liu, Yang; Zhou, Xiao-Feng; Liu, Chun; Zhang, Xue-Nong

    2017-01-01

    Physicochemical properties, including particle size, zeta potential, and drug release behavior, affect targeting efficiency, cellular uptake, and antitumor effect of nanocarriers in a formulated drug-delivery system. In this study, a novel stepwise pH-responsive nanodrug delivery system was developed to efficiently deliver and significantly promote the therapeutic effect of doxorubicin (DOX). The system comprised dimethylmaleic acid-chitosan-urocanic acid and elicited stepwise responses to extracellular and intracellular pH. The nanoparticles (NPs), which possessed negative surface charge under physiological conditions and an appropriate nanosize, exhibited advantageous stability during blood circulation and enhanced accumulation in tumor sites via enhanced permeability and retention effect. The tumor cellular uptake of DOX-loaded NPs was significantly promoted by the first-step pH response, wherein surface charge reversion of NPs from negative to positive was triggered by the slightly acidic tumor extracellular environment. After internalization into tumor cells, the second-step pH response in endo/lysosome acidic environment elicited the on-demand intracellular release of DOX from NPs, thereby increasing cytotoxicity against tumor cells. Furthermore, stepwise pH-responsive NPs showed enhanced antiproliferation effect and reduced systemic side effect in vivo. Hence, the stepwise pH-responsive NPs provide a promising strategy for efficient delivery of antitumor agents.

  10. Stepwise pH-responsive nanoparticles for enhanced cellular uptake and on-demand intracellular release of doxorubicin

    PubMed Central

    Chen, Wei-liang; Li, Fang; Tang, Yan; Yang, Shu-di; Li, Ji-zhao; Yuan, Zhi-qiang; Liu, Yang; Zhou, Xiao-feng; Liu, Chun; Zhang, Xue-nong

    2017-01-01

    Physicochemical properties, including particle size, zeta potential, and drug release behavior, affect targeting efficiency, cellular uptake, and antitumor effect of nanocarriers in a formulated drug-delivery system. In this study, a novel stepwise pH-responsive nanodrug delivery system was developed to efficiently deliver and significantly promote the therapeutic effect of doxorubicin (DOX). The system comprised dimethylmaleic acid-chitosan-urocanic acid and elicited stepwise responses to extracellular and intracellular pH. The nanoparticles (NPs), which possessed negative surface charge under physiological conditions and an appropriate nanosize, exhibited advantageous stability during blood circulation and enhanced accumulation in tumor sites via enhanced permeability and retention effect. The tumor cellular uptake of DOX-loaded NPs was significantly promoted by the first-step pH response, wherein surface charge reversion of NPs from negative to positive was triggered by the slightly acidic tumor extracellular environment. After internalization into tumor cells, the second-step pH response in endo/lysosome acidic environment elicited the on-demand intracellular release of DOX from NPs, thereby increasing cytotoxicity against tumor cells. Furthermore, stepwise pH-responsive NPs showed enhanced antiproliferation effect and reduced systemic side effect in vivo. Hence, the stepwise pH-responsive NPs provide a promising strategy for efficient delivery of antitumor agents. PMID:28652730

  11. Can we reduce the burden of depression? The Australian experience with beyondblue: the national depression initiative.

    PubMed

    Hickie, Ian

    2004-01-01

    Throughout the Asia Pacific region, there is an urgent need to reduce the burden of depression by increasing depression awareness, reducing stigma and dismantling those social barriers that prevent full participation by people with depression. This paper describes the development and early achievements of the Australian depression initiative, beyondblue. A review of the key priorities of beyondblue and their impacts during the first three years of operation (2001-03). Key achievements include: the degree of national recognition of beyondblue; size and scope of media impact; growth in website utilisation; increased reporting of the community's recognition of people with depression; genuine reforms in life insurance and income protection; development of a new national consumer and carer organisation; establishment of major population-based preventative and early intervention programs; system-wide reform of primary care-based mental health services; national educational program uptake by general practitioners; and, development of key awareness and intervention programs for use in schools and the workplace. In its first three years of operation, beyondblue has had a major impact on depression awareness in Australia and demonstrable gains have been made in reducing stigma and major social barriers. A pre-existing national mental health policy and implementation plan, a substantial funding base and participation by key political, media and community leaders have been essential elements of its short-term success. Its longer-term impact will now depend on more sustainable community and business partnerships as well as the growth of a more influential consumer and carer voice.

  12. Health Sector Evolution Plan in Iran; Equity and Sustainability Concerns.

    PubMed

    Moradi-Lakeh, Maziar; Vosoogh-Moghaddam, Abbas

    2015-08-31

    In 2014, a series of reforms, called as the Health Sector Evolution Plan (HSEP), was launched in the health system of Iran in a stepwise process. HSEP was mainly based on the fifth 5-year health development national strategies (2011-2016). It included different interventions to: increase population coverage of basic health insurance, increase quality of care in the Ministry of Health and Medical Education (MoHME) affiliated hospitals, reduce out-of-pocket (OOP) payments for inpatient services, increase quality of primary healthcare, launch updated relative value units (RVUs) of clinical services, and update tariffs to more realistic values. The reforms resulted in extensive social reaction and different professional feedback. The official monitoring program shows general public satisfaction. However, there are some concerns for sustainability of the programs and equity of financing. Securing financial sources and fairness of the financial contribution to the new programs are the main concerns of policy-makers. Healthcare providers' concerns (as powerful and influential stakeholders) potentially threat the sustainability and efficiency of HSEP. Previous experiences on extending health insurance coverage show that they can lead to a regressive healthcare financing and threat financial equity. To secure financial sources and to increase fairness, the contributions of people to new interventions should be progressive by their income and wealth. A specific progressive tax would be the best source, however, since it is not immediately feasible, a stepwise increase in the progressivity of financing must be followed. Technical concerns of healthcare providers (such as nonplausible RVUs for specific procedures or nonefficient insurance-provider processes) should be addressed through proper revision(s) while nontechnical concerns (which are derived from conflicting interests) must be responded through clarification and providing transparent information. The requirements of HSEP and especially the key element of progressive tax should be considered properly in the coming sixth national development plan (2016-2021). © 2015 by Kerman University of Medical Sciences.

  13. Health Sector Evolution Plan in Iran; Equity and Sustainability Concerns

    PubMed Central

    Moradi-Lakeh, Maziar; Vosoogh-Moghaddam, Abbas

    2015-01-01

    In 2014, a series of reforms, called as the Health Sector Evolution Plan (HSEP), was launched in the health system of Iran in a stepwise process. HSEP was mainly based on the fifth 5-year health development national strategies (2011-2016). It included different interventions to: increase population coverage of basic health insurance, increase quality of care in the Ministry of Health and Medical Education (MoHME) affiliated hospitals, reduce out-of-pocket (OOP) payments for inpatient services, increase quality of primary healthcare, launch updated relative value units (RVUs) of clinical services, and update tariffs to more realistic values. The reforms resulted in extensive social reaction and different professional feedback. The official monitoring program shows general public satisfaction. However, there are some concerns for sustainability of the programs and equity of financing. Securing financial sources and fairness of the financial contribution to the new programs are the main concerns of policy-makers. Healthcare providers’ concerns (as powerful and influential stakeholders) potentially threat the sustainability and efficiency of HSEP. Previous experiences on extending health insurance coverage show that they can lead to a regressive healthcare financing and threat financial equity. To secure financial sources and to increase fairness, the contributions of people to new interventions should be progressive by their income and wealth. A specific progressive tax would be the best source, however, since it is not immediately feasible, a stepwise increase in the progressivity of financing must be followed. Technical concerns of healthcare providers (such as nonplausible RVUs for specific procedures or nonefficient insurance-provider processes) should be addressed through proper revision(s) while nontechnical concerns (which are derived from conflicting interests) must be responded through clarification and providing transparent information. The requirements of HSEP and especially the key element of progressive tax should be considered properly in the coming sixth national development plan (2016-2021). PMID:26673172

  14. African Swine Fever Virus Gets Undressed: New Insights on the Entry Pathway.

    PubMed

    Andrés, Germán

    2017-02-15

    African swine fever virus (ASFV) is a large, multienveloped DNA virus composed of a genome-containing core successively wrapped by an inner lipid envelope, an icosahedral protein capsid, and an outer lipid envelope. In keeping with this structural complexity, recent studies have revealed an intricate entry program. This Gem highlights how ASFV uses two alternative pathways, macropinocytosis and clathrin-mediated endocytosis, to enter into the host macrophage and how the endocytosed particles undergo a stepwise, low pH-driven disassembly leading to inner envelope fusion and core delivery in the cytoplasm. Copyright © 2017 American Society for Microbiology.

  15. Advancing a Model-Validated Statistical Method for Decomposing the Key Oceanic Drivers of Regional Climate: Focus on Northern and Tropical African Climate Variability in the Community Earth System Model (CESM)

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

    Wang, Fuyao; Yu, Yan; Notaro, Michael

    This study advances the practicality and stability of the traditional multivariate statistical method, generalized equilibrium feedback assessment (GEFA), for decomposing the key oceanic drivers of regional atmospheric variability, especially when available data records are short. An advanced stepwise GEFA methodology is introduced, in which unimportant forcings within the forcing matrix are eliminated through stepwise selection. Method validation of stepwise GEFA is performed using the CESM, with a focused application to northern and tropical Africa (NTA). First, a statistical assessment of the atmospheric response to each primary oceanic forcing is carried out by applying stepwise GEFA to a fully coupled controlmore » run. Then, a dynamical assessment of the atmospheric response to individual oceanic forcings is performed through ensemble experiments by imposing sea surface temperature anomalies over focal ocean basins. Finally, to quantify the reliability of stepwise GEFA, the statistical assessment is evaluated against the dynamical assessment in terms of four metrics: the percentage of grid cells with consistent response sign, the spatial correlation of atmospheric response patterns, the area-averaged seasonal cycle of response magnitude, and consistency in associated mechanisms between assessments. In CESM, tropical modes, namely El Niño–Southern Oscillation and the tropical Indian Ocean Basin, tropical Indian Ocean dipole, and tropical Atlantic Niño modes, are the dominant oceanic controls of NTA climate. In complementary studies, stepwise GEFA is validated in terms of isolating terrestrial forcings on the atmosphere, and observed oceanic and terrestrial drivers of NTA climate are extracted to establish an observational benchmark for subsequent coupled model evaluation and development of process-based weights for regional climate projections.« less

  16. Advancing a Model-Validated Statistical Method for Decomposing the Key Oceanic Drivers of Regional Climate: Focus on Northern and Tropical African Climate Variability in the Community Earth System Model (CESM)

    DOE PAGES

    Wang, Fuyao; Yu, Yan; Notaro, Michael; ...

    2017-09-27

    This study advances the practicality and stability of the traditional multivariate statistical method, generalized equilibrium feedback assessment (GEFA), for decomposing the key oceanic drivers of regional atmospheric variability, especially when available data records are short. An advanced stepwise GEFA methodology is introduced, in which unimportant forcings within the forcing matrix are eliminated through stepwise selection. Method validation of stepwise GEFA is performed using the CESM, with a focused application to northern and tropical Africa (NTA). First, a statistical assessment of the atmospheric response to each primary oceanic forcing is carried out by applying stepwise GEFA to a fully coupled controlmore » run. Then, a dynamical assessment of the atmospheric response to individual oceanic forcings is performed through ensemble experiments by imposing sea surface temperature anomalies over focal ocean basins. Finally, to quantify the reliability of stepwise GEFA, the statistical assessment is evaluated against the dynamical assessment in terms of four metrics: the percentage of grid cells with consistent response sign, the spatial correlation of atmospheric response patterns, the area-averaged seasonal cycle of response magnitude, and consistency in associated mechanisms between assessments. In CESM, tropical modes, namely El Niño–Southern Oscillation and the tropical Indian Ocean Basin, tropical Indian Ocean dipole, and tropical Atlantic Niño modes, are the dominant oceanic controls of NTA climate. In complementary studies, stepwise GEFA is validated in terms of isolating terrestrial forcings on the atmosphere, and observed oceanic and terrestrial drivers of NTA climate are extracted to establish an observational benchmark for subsequent coupled model evaluation and development of process-based weights for regional climate projections.« less

  17. One Newspaper's Role in the Demise of the Tasmanian Essential Learnings Curriculum: Adding New Understandings to Cohen's Moral Panic Theory in Analyzing Curriculum Change

    ERIC Educational Resources Information Center

    Rodwell, Grant

    2011-01-01

    The purpose of this paper is to analyze the role of print media in the development of systemwide curriculum change. Consideration is given to the nature and influence of newspapers on public opinion about curriculum change through the examination of the role of the "Mercury" in one period in the history of Tasmanian curriculum change.…

  18. Novel Visualization of Large Health Related Data Sets

    DTIC Science & Technology

    2015-03-01

    Health Record Data: A Systematic Review B: McPeek Hinz E, Borland D, Shah H, West V, Hammond WE. Temporal Visualization of Diabetes Mellitus via Hemoglobin ...H, Borland D, McPeek Hinz E, West V, Hammond WE. Demonstration of Temporal Visualization of Diabetes Mellitus via Hemoglobin A1C Levels E... Hemoglobin A1c Levels and MultivariateVisualization of System-Wide National Health Service Data Using Radial Coordinates. (Copies in Appendix) 4.3

  19. Using archived ITS data to measure the operational benefits of a system-wide adaptive ramp metering system : appendix online 2 : I\\0x2010 205 NB speed flow plots.

    DOT National Transportation Integrated Search

    2008-12-01

    The appendix includes various speed flow plots, including: I-205 NB, Gladstone MP 11.05; I-205 NB, Gladstone Hway MP 12.94; I-205 NB, Lawnfield MP 13.58; I-205 NB, Sunnybrook MP 14.32; I-205 NB, Sunnyside MP 14.7; I-205 NB, Johnson Creek MP 16.2; I-2...

  20. Using archived ITS data to measure the operational benefits of a system-wide adaptive ramp metering system : appendix online 4 : I\\0x2010205 NB flow\\0x2010occupancy plots.

    DOT National Transportation Integrated Search

    2008-12-01

    The appendix includes various flow-occupancy plots, including: I-205 NB, Gladstone MP 11.05; I-205 NB, Gladstone Hway MP 12.94; I-205 NB, Lawnfield MP 13.58; I-205 NB, Sunnybrook MP 14.32; I-205 NB, Sunnyside MP 14.7; I-205 NB, Johnson Creek MP 16.2;...

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