Pulsed Phase Lock Loop Device for Monitoring Intracranial Pressure During Space Flight

NASA Technical Reports Server (NTRS)

Ueno, Toshiaki; Macias, Brandon R.; Yost, William T.; Hargens, Alan R.

2003-01-01

We have developed an ultrasonic device to monitor ICP waveforms non-invasively from cranial diameter oscillations using a NASA-developed pulsed phase lock loop (PPLL) technique. The purpose of this study was to attempt to validate the PPLL device for reliable recordings of ICP waveforms and analysis of ICP dynamics in vivo. METHODS: PPLL outputs were recorded in patients during invasive ICP monitoring at UCSD Medical Center (n=10). RESULTS: An averaged linear regression coefficient between ICP and PPLL waveform data during one cardiac cycle in all patients is 0.88 +/- 0.02 (mean +/- SE). Coherence function analysis indicated that ICP and PPLL waveforms have high correlation in the lst, 2nd, and 3rd harmonic waves associated with a cardiac cycle. CONCLUSIONS: PPLL outputs represent ICP waveforms in both frequency and time domains. PPLL technology enables in vivo evaluation of ICP dynamics non-invasively, and can acquire continuous ICP waveforms during spaceflight because of compactness and non-invasive nature.

The UCSD Shortness of Breath Questionnaire has Longitudinal Construct Validity in Idiopathic Pulmonary Fibrosis

PubMed Central

Swigris, Jeffrey J.; Han, Meilan; Vij, Rekha; Noth, Imre; Eisenstein, Eric L.; Anstrom, Kevin J.; Brown, Kevin K.; Fairclough, Diane

2012-01-01

Background Idiopathic pulmonary fibrosis (IPF) is a progressive interstitial lung disease that often causes disabling dyspnea. In IPF and other lung diseases, patient-reported outcomes (PROs)—questionnaires designed to gather information from the patient's perspective—can determine whether therapies affect dyspnea or other outcomes meaningful to patients. Before a PRO can be used confidently as an outcome measure in a longitudinal trial, studies must demonstrate the PRO's ability to capture change over time in the target population. Our goal in this study was to examine whether the UCSD Shortness of Breath Questionnaire does so in patients with IPF. Methods We used data from the Sildenafil Trial of Exercise Performance in Idiopathic Pulmonary Fibrosis (STEP-IPF) to perform analyses that examined associations between UCSD scores and five external measures (anchors) at baseline and over time. Anchors included the Activity domain from St. George's Respiratory Questionnaire (SGRQ-A), the Physical Functioning domain from the SF-36 (SF36-PF), forced vital capacity (FVC), diffusing capacity of the lung for carbon monoxide (DLCO), and distance walked during a timed walk test (6MWD). Linear regression models were used to examine relationships between UCSD scores and anchors over time. Results At baseline, UCSD scores were weakly correlated with percent predicted FVC (−0.21, p=0.005) and percent predicted DLCO (−0.20, p=0.008), moderately correlated with 6MWD (−0.39, p<0.0001) and strongly correlated with SGRQ-A (0.79, p<0.0001) and SF36-PF (−0.72, p<0.0001). Change over time in UCSD scores was associated with change in FVC (estimate=2.54, standard error [SE]=1.23, p=0.04), SGRQ-A (estimate=7.94, SE=1.11, p<0.0001), SF36-PF (estimate=6.00, SE=1.13, p<0.0001), and 6MWD (estimate=4.23, SE=1.18, p=0.0004) but not DLCO (estimate=0.33, SE=1.33, p=0.80). Conclusions These results support the validity of the UCSD to assess change in dyspnea over time in patients with IPF. PMID:22801586

Postdoctoral Education at the University of California, San Diego.

ERIC Educational Resources Information Center

Robinson, Thomas E.

This paper presents the results of a comprehensive study of postdoctoral education at the University of California, San Diego (UCSD). The purpose of the study was to determine the basic facts about postdoctoral education at UCSD, so that those entrusted with academic, administrative, and legislative responsibilities regarding postdoctoral…

Verification and Validation of the Coastal Modeling System. Report 1: Summary Report

DTIC Science & Technology

2011-12-01

Information Program ( CDIP ) Buoy 036 in a water depth of 40 m (relative to Mean Tide Level, MTL) and from the National Data Buoy Center (NDBC) Buoy...August to 14 September 2005, offshore wave data from a CDIP Buoy 098, the ocean surface wind from NDBC Buoy 51001, and water level data from NOAA station...buoy at 26-m depth was maintained by CDIP (Buoy 430), and data are available online at http://cdip.ucsd.edu. The wind measurements are available

Interview: Professor Andrew Feinberg speaks to Epigenomics.

PubMed

Feinberg, Andrew

2009-10-01

Andrew Feinberg studied mathematics and humanities at Yale University (CT, USA) in the Directed Studies honors program, and he received his BA (1973) and MD (1976) from the accelerated medical program at Johns Hopkins University (MD, USA), as well as an MPH from Johns Hopkins (1981). He performed a postdoctoral fellowship in developmental biology at the University of California, San Diego (UCSD, CA, USA), clinical training in medicine and medical genetics at the University of Pennsylvania (PA, USA) and genetics research with Bert Vogelstein at Johns Hopkins, discovering altered DNA methylation in human cancer. Dr Feinberg continued to perform seminal work in cancer epigenetics as a Howard Hughes investigator at the University of Michigan (MI, USA), discovering human imprinted genes and loss of imprinting in cancer, and the molecular basis of Beckwith-Wiedemann syndrome. He returned to John Hopkins in 1994 as King Fahd Professor of Medicine, Molecular Biology & Genetics and Oncology, and he holds an Adjunct Professorship at the Karolinska Institute in Sweden. Dr Feinberg is Director of the Center for Epigenetics, a National Human Genome Research Institute-designated Center of Excellence in Genome Sciences. The Center is pioneering genome-scale tools in molecular, statistical and epidemiological epigenetics, and is applying them to the study of cancer, neuropsychiatric disease and aging. As part of the center, Dr Feinberg has organized a highly innovative program to bring gifted minority high-school students into genetics and genomics. Dr Feinberg has also invented a number of widely used molecular tools, including random priming. His honors include election to the American Society for Clinical Investigation, the Association of American Physicians, the Institute of Medicine of the National Academy of Sciences, and the American Academy of Arts and Sciences, as well as membership on the ISI most-cited authors list, a MERIT Award of the National Cancer Institute, a Doctor of Philosophy (Hon. Caus.) from Uppsala University (Sweden), and the President's Diversity Recognition Award of Johns Hopkins University.

The Preuss School UCSD: Path to Empowerment

ERIC Educational Resources Information Center

Principal Leadership, 2012

2012-01-01

This article features the Preuss School UCSD which is considered as unique in a number of ways, among them are its unusual name and requirements for admission. The school was named in recognition of a substantial bequest from the Preuss Family Foundation that was earmarked to establish a charter school on the campus of the University of…

Incidence of DCS and oxygen toxicity in chamber attendants: a 28-year experience.

PubMed

Witucki, Pete; Duchnick, Jay; Neuman, Tom; Grover, Ian

2013-01-01

Decompression sickness (DCS) and central nervous system oxygen toxicity are inherent risks for "inside" attendants (IAs) of hyperbaric chambers. At the Hyperbaric Medicine Center at the University of California San Diego (UCSD), protocols have been developed for decompressing IAs. Protocol 1: For a total bottom time (TBT) of less than 80 minutes at 2.4 atmospheres absolute (atm abs) or shallower, the U.S. Navy (1955) no-decompression tables were utilized. Protocol 2: For a TBT between 80 and 119 minutes IAs breathed oxygen for 15 minutes prior to initiation of ascent. Protocol 3: For a TBT between 120-139 minutes IAs breathed oxygen for 30 minutes prior to ascent. These protocols have been utilized for approximately 28 years and have produced zero cases of DCS and central nervous system oxygen toxicity. These results, based upon more than 24,000 exposures, have an upper limit of risk of DCS and oxygen toxicity of 0.02806 (95% CI) using UCSD IA decompression Protocol 1, 0.00021 for Protocol 2, and 0.00549 for Protocol 3. We conclude that the utilization of this methodology may be useful at other sea-level multiplace chambers.

User Centered System Design. Part 2. Collected Papers from the UCSD HMI Project.

DTIC Science & Technology

1984-03-01

31 David Owen >CONSTRUCTIVE INTERACTION: A METHOD FOR STUDYING USER-COMPUTER-USER INTERACTION,~4 Claire O’MWaiey. Stephrn W. Drape, &mW4(fey S. Riley...improving intelligibility. __________ Display of a 1mg. musher Allows user to see a Slow to read, slow to of MCM Item: law percestage of the display, ua...Display of a saw musher Essy to red, quick to If number of alterna- of Ase im ms: display, only a small tiwes is large, multiple percentage of the sads

Universities form research partnership to improve care in Mozambique

PubMed Central

Rose, John; Bendix, Peter; Funzamo, Carlos; Vaz, Fernando; da Costa, Antonio Assis; Bickler, Stephen; Noormahomed, Emilia Virginia

2017-01-01

Mozambique, a country in sub-Saharan Africa, has experienced a severe physician shortage for many years, with patients having particularly limited access to surgical care. Medical education and surgical research partnerships formed in 2010 between Universidade Eduardo Mondlane (UEM) in Mozambique and the University of California, San Diego (UCSD), is developing potential solutions to the nation’s surgical care crisis. The findings that have emerged from this initiative, which are aimed at scaling up surgical services, will likely have important implications for improving surgical care in Mozambique and other underserved nations. PMID:25626263

Distinguished Astronomer Awarded Jansky Lectureship

NASA Astrophysics Data System (ADS)

2008-05-01

Associated Universities, Inc. (AUI), and the National Radio Astronomy Observatory (NRAO) have awarded the 2008 Karl G. Jansky Lectureship to Dr. Arthur M. Wolfe of the University of California, San Diego (UCSD). The Jansky Lectureship is an honor established by the trustees of AUI to recognize outstanding contributions to the advancement of radio astronomy. Dr. Arthur M. Wolfe Dr. Arthur M. Wolfe CREDIT: UCSD Click on image for high-resolution file Dr. Wolfe has made major contributions in several areas of astronomy. Along with Rainer Sachs, he predicted the Sachs-Wolfe Effect, a phenomenon which forms the basis for modern precision cosmology using the background radio emission left over from the Big Bang. In the 1970s, he discovered that light emitted by very distant galaxies is absorbed by hydrogen atoms in previously-undetected intervening gas clouds. From the 1980s until the present, he used optical light emitted by distant quasars to show that these clouds are the progenitors of stars found in modern galaxies. This phenomenon has since been used extensively to study the production of heavy elements and history of star formation in the Universe. He also did landmark research on whether the fundamental constants of nature, such as the charge of the electron and the masses of elementary particles, do, in fact, remain constant through cosmological time. Dr. Wolfe was the Director of the Center for Astrophysics and Space Sciences at UCSD from 1997 to 2007. He joined UCSD as a Professor of Physics and Astronomy in 1989, leaving the University of Pittsburgh, where he had taught since 1973. He holds the Chancellor's Associates Chair of Physics at UCSD. Dr. Wolfe received his Ph.D from the University of Texas at Austin. He is a Fellow of the American Academy of Arts and Sciences, and received the Sackler Fellowship of the Institute of Astronomy at the University of Cambridge, UK, in 2004. As Jansky Lecturer, Wolfe will give a presentation entitled, Finding the Gas that Makes Galaxies, at NRAO facilities in Charlottesville, Virginia, Green Bank, West Virginia, and Socorro, New Mexico. The dates of these scientific lectures, which are open to the public, will be announced later. This is the forty-third Jansky Lectureship. First awarded in 1966, it is named in honor of the man who, in 1932, first detected radio waves from a cosmic source. Karl Jansky's discovery of radio waves from the central region of the Milky Way started the science of radio astronomy. Other recipients of the Jansky award include five Nobel laureates (Drs. Subrahmanyan Chandrasekhar, Arno Penzias, Robert Wilson, William Fowler, and Joseph Taylor) as well as Jocelyn Bell-Burnell, discoverer of the first pulsar, and Vera Rubin, discoverer of dark matter in galaxies. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Partnering through Staff Rotation in a Multi-Branch Academic Library: One Example at the UCSD Libraries

ERIC Educational Resources Information Center

Goodson, Kymberly Anne

2006-01-01

The article describes a partnership between two of the libraries at the University of California, San Diego (UCSD) through which two staff in one library worked part-time at the other during the summer of 2006 in order to maximize staffing efficiency among the units, as well as to realize professional development-related goals for the staff…

Climate Science and Technology Symposium

DTIC Science & Technology

2010-01-06

at the Roger Revelle Centennial Symposium, the scientific focus of Scripps Institution of Oceanography’s celebration of Roger Revelle’s 100th...the Roger Revelle Centennial Symposium honored Revelle’s continuing legacy, and highlighted the influence his work continues to exert upon the...view the Roger Revelle Centennial Symposium on UCSD-TV, visit ucsd.tv/revellesymposium warn SYMPOSIUM REPORT ROGER REVELLE 100 TH BIRTHDAY

Defect detection performance of the UCSD non-contact air-coupled ultrasonic guided wave inspection of rails prototype

NASA Astrophysics Data System (ADS)

Mariani, Stefano; Nguyen, Thompson V.; Sternini, Simone; Lanza di Scalea, Francesco; Fateh, Mahmood; Wilson, Robert

2016-04-01

The University of California at San Diego (UCSD), under a Federal Railroad Administration (FRA) Office of Research and Development (R&D) grant, is developing a system for high-speed and non-contact rail defect detection. A prototype using an ultrasonic air-coupled guided wave signal generation and air-coupled signal detection, paired with a real-time statistical analysis algorithm, has been realized. This system requires a specialized filtering approach based on electrical impedance matching due to the inherently poor signal-to-noise ratio of air-coupled ultrasonic measurements in rail steel. Various aspects of the prototype have been designed with the aid of numerical analyses. In particular, simulations of ultrasonic guided wave propagation in rails have been performed using a Local Interaction Simulation Approach (LISA) algorithm. The system's operating parameters were selected based on Receiver Operating Characteristic (ROC) curves, which provide a quantitative manner to evaluate different detection performances based on the trade-off between detection rate and false positive rate. The prototype based on this technology was tested in October 2014 at the Transportation Technology Center (TTC) in Pueblo, Colorado, and again in November 2015 after incorporating changes based on lessons learned. Results from the 2015 field test are discussed in this paper.

Multiple views of the October 2003 Cedar Fires captured by the High Performance Wireless Research and Education Network

NASA Astrophysics Data System (ADS)

Morikawa, E.; Nayak, A.; Vernon, F.; Braun, H.; Matthews, J.

2004-12-01

Late October 2003 brought devastating fires to the entire Southern California region. The NSF-funded High Performance Wireless Research and Education Network (HPWREN - http://hpwren.ucsd.edu/) cameras captured the development and progress of the Cedar fire in San Diego County. Cameras on Mt. Laguna, Mt. Woodson, Ramona Airport, and North Peak, recording one frame every 12 seconds, allowed for a time-lapse composite showing the fire's formation and progress from its beginnings on October 26th, to October 30th. The time-lapse camera footage depicts gushing smoke formations during the day, and bright orange walls of fire at night. The final video includes time synchronized views from multiple cameras, and an animated map highlighting the progress of the fire over time, and a directional indicator for each of the displaying cameras. The video is narrated by the California Department of Forestry and Fire Protection Fire Captain Ron Serabia (retd.) who was working then as a Air Tactical Group Supervisor with the aerial assault on the Cedar Fire Sunday October 26, 2004. The movie will be made available for download from the Scripps Institution of Oceanography Visualization Center Visual Objects library (supported by the OptIPuter project) at http://www.siovizcenter.ucsd.edu.

Burnout in premedical undergraduate students.

PubMed

Fang, Daniel Z; Fang, Daniel; Young, Christina B; Young, Christina; Golshan, Shah; Moutier, Christine; Zisook, Sidney

2012-01-01

There has been growing recognition that medical students, interns, residents and practicing physicians across many specialties are prone to burnout, with recent studies linking high rates of burnout to adverse mental health issues. Little is known about the trajectory and origins of burnout or whether its roots may be traced to earlier in medical training, specifically, during undergraduate studies. Here, the authors surveyed undergraduates at UC San Diego (UCSD) to assess the relationship of burnout to premedical status while controlling for depression severity. Undergraduate students at UCSD were invited to participate in a web-based survey, consisting of demographic questions; the Maslach Burnout Inventory Student Survey (MBI-SS), which gauged the three dimensions of burnout; and the nine-item Patient Health Questionnaire (PHQ-9), to assess depression severity. A total of 618 premedical students and 1,441 non-premedical students completed the questionnaire. Premedical students had greater depression severity and emotional exhaustion than non-premedical students, but they also exhibited a greater sense of personal efficacy. The burnout differences were persistent even after adjusting for depression. Also, premedical women and Hispanic students had especially high levels of burnout, although differences between groups became nonsignificant after accounting for depression. Despite the limitations of using a burnout questionnaire not specifically normed for undergraduates, the unique ethnic characteristics of the sample, and the uncertain response rate, the findings highlight the importance of recognizing the unique strains and mental health disturbances that may be more common among premedical students than non-premedical students. Results also underscore the close relationship between depression and burnout, and point the way for subsequent longitudinal, multi-institutional studies that could help identify opportunities for prevention and intervention.

Spacecraft Charging at Geosynchronous Orbit and Large Scale Electric Fields in the High Latitude Ionosphere.

DTIC Science & Technology

1981-09-30

changes are not inductive in nature. San Diego (UCSD), Group and co-workers. We wish to focus ’Dynamic’ injections of plasma are characterized by a...549, 1971. 4555, 1981. Ulmatead, D., On the recent secular period of the King, J. H., Solar cycle variations in the IMF aurora borealis , Smithson...photoemission for the different materials suggest the University of California at San Diego (UCSD) differences exist with regards to the relative impor

The UCSD Time-dependent Tomography and IPS use for Exploring Space Weather Events

NASA Astrophysics Data System (ADS)

Yu, H. S.; Jackson, B. V.; Buffington, A.; Hick, P. P.; Tokumaru, M.; Odstrcil, D.; Kim, J.; Yun, J.

2016-12-01

The University of California, San Diego (UCSD) time-dependent, iterative, kinematic reconstruction technique has been used and expanded upon for over two decades. It provides some of the most-accurate predictions and three-dimensional (3D) analyses of heliospheric solar-wind parameters now available using interplanetary scintillation (IPS) data. The parameters provided include reconstructions of velocity, density, and three-component magnetic fields. Precise time-dependent results are now obtained at any solar distance in the inner heliosphere using ISEE (formerly STELab), Japan, IPS data sets, and can be used to drive 3D-MHD models including ENLIL. Using IPS data, these reconstructions provide a real-time prediction of the global solar wind parameters across the whole heliosphere with a time cadence of about one day (see http://ips.ucsd.edu). Here we compare the results (such as density, velocity, and magnetic fields) from the IPS tomography with different in-situ measurements and discuss several specific space weather events that demonstrate the issues resulting from these analyses.

Accelerating the commercialization of university technologies for military healthcare applications: the role of the proof of concept process

NASA Astrophysics Data System (ADS)

Ochoa, Rosibel; DeLong, Hal; Kenyon, Jessica; Wilson, Eli

2011-06-01

The von Liebig Center for Entrepreneurism and Technology Advancement at UC San Diego (vonliebig.ucsd.edu) is focused on accelerating technology transfer and commercialization through programs and education on entrepreneurism. Technology Acceleration Projects (TAPs) that offer pre-venture grants and extensive mentoring on technology commercialization are a key component of its model which has been developed over the past ten years with the support of a grant from the von Liebig Foundation. In 2010, the von Liebig Entrepreneurism Center partnered with the U.S. Army Telemedicine and Advanced Technology Research Center (TATRC), to develop a regional model of Technology Acceleration Program initially focused on military research to be deployed across the nation to increase awareness of military medical needs and to accelerate the commercialization of novel technologies to treat the patient. Participants to these challenges are multi-disciplinary teams of graduate students and faculty in engineering, medicine and business representing universities and research institutes in a region, selected via a competitive process, who receive commercialization assistance and funding grants to support translation of their research discoveries into products or services. To validate this model, a pilot program focused on commercialization of wireless healthcare technologies targeting campuses in Southern California has been conducted with the additional support of Qualcomm, Inc. Three projects representing three different universities in Southern California were selected out of forty five applications from ten different universities and research institutes. Over the next twelve months, these teams will conduct proof of concept studies, technology development and preliminary market research to determine the commercial feasibility of their technologies. This first regional program will help build the needed tools and processes to adapt and replicate this model across other regions in the Country.

A Factor of 2-4 Improvement in Marine Gravity and Predicted Bathymetry from CryoSat, Jason-1, and Envisat Radar Altimetry: Arctic and Coastal Regions

DTIC Science & Technology

2013-09-30

dsandwell@ucsd.edu Award Number: N00014-12-1-0111 http://topex.ucsd.edu LONG-TERM GOALS • Improve our understanding of the ocean basins for...scientific research and Naval operations. OBJECTIVES • Improve global marine gravity maps by a factor of 2 in deep ocean areas and a factor of 4 in...arcsecond bathymetry model (SRTM30_PLUS). • Prepare the next generation of scientists for ocean research. APPROACH 1. Modify waveform

A Factor of 2-4 Improvement in Marine Gravity and Predicted Bathymetry from CryoSat, Jason-1, and Envisat Radar Altimetry: Arctic and Coastal Regions

DTIC Science & Technology

2012-09-30

ucsd.edu Award Number: N00014-12-1-0111 http://topex.ucsd.edu LONG-TERM GOALS • Improve our understanding of the ocean basins for...scientific research and Naval operations. OBJECTIVES • Improve global marine gravity maps by a factor of 2 in deep ocean areas and a factor of 4 in the...arcsecond bathymetry model (SRTM30_PLUS). • Prepare the next generation of scientists for ocean research. APPROACH 1. Modify waveform retracking

Content validity of CASA-Q cough domains and UCSD-SOBQ for use in patients with Idiopathic Pulmonary Fibrosis.

PubMed

Gries, Katharine Suzanne; Esser, Dirk; Wiklund, Ingela

2013-09-16

The study objective was to assess the content validity of the Cough and Sputum Assessment Questionnaire (CASA-Q) cough domains and the UCSD Shortness of Breath Questionnaire (SOBQ) for use in patients with Idiopathic Pulmonary Fibrosis (IPF). Cross-sectional, qualitative study with cognitive interviews in patients with IPF. Study outcomes included relevance, comprehension of item meaning, understanding of the instructions, recall period, response options, and concept saturation. Interviews were conducted with 18 IPF patients. The mean age was 68.9 years (SD 11.9), 77.8% were male, and 88.9% were Caucasian. The intended meaning of the CASA-Q cough domain items was clearly understood by most of the participants (89-100%). All participants understood the CASA-Q instructions; the correct recall period was reported by 89% of the patients, and the response options were understood by 76%. The intended meaning of the UCSD-SOBQ items was relevant and clearly understood by all participants. Participants understood the instructions (83%) and all patients understood the response options (100%). The reported recall period varied based on the type of activity performed. No concepts were missing, suggesting that saturation was demonstrated for both measures. This study provides evidence for content validity for the CASA-Q cough domains and the UCSD-SOBQ for patients with IPF. Items of both questionnaires were understood and perceived as relevant to measure the key symptoms of IPF. The results of this study support the use of these instruments in IPF clinical trials as well as further studies of their psychometric properties.

Implementing the UCSD PASCAL system on the MODCOMP computer. [deep space network

NASA Technical Reports Server (NTRS)

Wolfe, T.

1980-01-01

The implementation of an interactive software development system (UCSD PASCAL) on the MODCOMP computer is discussed. The development of an interpreter for the MODCOMP II and the MODCOMP IV computers, written in MODCOMP II assembly language, is described. The complete Pascal programming system was run successfully on a MODCOMP II and MODCOMP IV under both the MAX II/III and MAX IV operating systems. The source code for an 8080 microcomputer version of the interpreter was used as the design for the MODCOMP interpreter. A mapping of the functions within the 8080 interpreter into MODCOMP II assembly language was the method used to code the interpreter.

The ERESE Workshop: a Unique Opportunity for Collaboration Between Classroom Teacher and Research Scientist

NASA Astrophysics Data System (ADS)

Symons, C. M.; Helly, M.; Staudigel, H.; Koppers, A.; Reining, J.; Helly, J.; Miller, S.

2005-12-01

The ERESE Project (Enduring Resources for Earth Science Education) has hosted 10-15 teachers during a two-week workshop at Scripps Institution of Oceanography (SIO) each of the last two summers. The workshop is a concentrated introduction to the resources available on two National Science Digital Library collections maintained at SIO - http://www.EarthRef.org and http://www.SIOExplorer.ucsd.edu. The workshop is run by a team of scientists from SIO, the San Diego Supercomputer Center and a Lead Educator who is also a classroom teacher. This year three teachers from the first year were invited to return to serve as mentors. During the first week of the workshop teachers play the role of student while a lead scientist plays the role of teacher. The students (aka, teachers) analyze maps of seafloor magnetic anomalies to investigate plate tectonic problems. The magnetic data were collected onboard Scripps ships and are archived at SIOExplorer.ucsd.edu. Technical content lessons were designed to introduce the resource matrices on EarthRef.org, how to upload and download classroom lessons within the collection, SIOExplorer's CruiseViewer (portal to over 600 archived cruises) and Mozilla Browser and Composer for building lessons using our inquiry template. The inquiry lesson templates model scientific inquiry and help to streamline lesson design, enactment and sharing. They reference local, state and national standards in order to increase their appeal to a broad audience. The most valuable feature of hosting an on-campus workshop was that participants were afforded the opportunity to collaborate with scientists and research staff on a daily basis. More than 15 guest speakers addressed the teachers, some of whom led guided tours of their respective research facilities and collections. Guest speakers shared data, lecture notes and engaging "sea stories" all of which painted a picture of life as a research earth scientist. Combining their workshop experience in the role of student, the technical content lessons, the inquiry based pedagogical model and daily collaboration with scientists, the teachers developed plate tectonic lessons using resources from EarthRef.org and SIOExplorer.ucsd.edu. Following implementation during the fall semester teachers will add them to the existing collection of lessons at EarthRef.org.

Art in the Service of Science

NASA Astrophysics Data System (ADS)

Asmus, J. F.

In fields such as studio art, art conservation, archaeology, anthropology, music, and architecture it is often understood that many of the advances emerge from the introduction of new developments from science and technology. Scientific research is often justified on the basis of its past as well as potential future fallout into other endeavors as diverse as medicine, manufacturing, and the humanities. The diffusion of scientific innovation into the practice of art conservation has been punctuated by the introduction of a series of diverse technologies. Trace element and isotopic analyses, infrared imaging, ultraviolet fluorescence inspection, advanced coatings and adhesives, scanning electron microscopy, and photon/electron microprobes are notable examples. For the past thirty years various laser technologies have demonstrated utility in the practice of art conservation, as well. These include photon cleaning and divestment, holographic display and nondestructive analysis, surface characterization through laser fluorescence, radiation scattering and absorption, as well as laser-induced ultrasound. At the dawn of laser technology's introduction into the art conservation field (1972-74) the Center for Art/Science Studies (CASS) was established at the University of California, San Diego (UCSD) with the hope of accelerating and broadening the diffusion of scientific developments into art conservation practice. Surprisingly, one of the first events in the CASS/UCSD transpired when a Visual Arts Department student employed a primitive laser statue cleaner to "correct" a silk-screen print. In the course of maintaining her laser this art student discovered a dramatically improved method for aligning the complex optical beam train by utilizing her artistic training. A few months later another CASS/UCSD student in the Photographic Arts Program (while modifying a ruby laser to experiment with theater-lighting special effects) discovered an improved laser beam-profile diagnostic technique. These two, seemingly trite, examples of scientific serendipity "in reverse" are not isolated anomalies. History is replete with instances of art coming to the aid of science and technology. Examples include Samuel Morse's drawing upon his skill as a painter in support of his electrical engineering research, the collaboration of Michele Besso and Albert Einstein in the formulation of Special Relativity, Picasso's vision of wave-function collapse in Quantum Electrodynamics, and Jay DeFeo's depiction of Big Bangs and Black Holes while cosmologists were focusing on Fred Hoyle's steady-state continuum theory of the universe.

WebGLORE: a Web service for Grid LOgistic REgression

PubMed Central

Jiang, Wenchao; Li, Pinghao; Wang, Shuang; Wu, Yuan; Xue, Meng; Ohno-Machado, Lucila; Jiang, Xiaoqian

2013-01-01

WebGLORE is a free web service that enables privacy-preserving construction of a global logistic regression model from distributed datasets that are sensitive. It only transfers aggregated local statistics (from participants) through Hypertext Transfer Protocol Secure to a trusted server, where the global model is synthesized. WebGLORE seamlessly integrates AJAX, JAVA Applet/Servlet and PHP technologies to provide an easy-to-use web service for biomedical researchers to break down policy barriers during information exchange. Availability and implementation: http://dbmi-engine.ucsd.edu/webglore3/. WebGLORE can be used under the terms of GNU general public license as published by the Free Software Foundation. Contact: x1jiang@ucsd.edu PMID:24072732

MIEC-SVM: automated pipeline for protein peptide/ligand interaction prediction.

PubMed

Li, Nan; Ainsworth, Richard I; Wu, Meixin; Ding, Bo; Wang, Wei

2016-03-15

MIEC-SVM is a structure-based method for predicting protein recognition specificity. Here, we present an automated MIEC-SVM pipeline providing an integrated and user-friendly workflow for construction and application of the MIEC-SVM models. This pipeline can handle standard amino acids and those with post-translational modifications (PTMs) or small molecules. Moreover, multi-threading and support to Sun Grid Engine (SGE) are implemented to significantly boost the computational efficiency. The program is available at http://wanglab.ucsd.edu/MIEC-SVM CONTACT: : wei-wang@ucsd.edu Supplementary data available at Bioinformatics online. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Patient-Centered Access to Secure Systems Online (PCASSO): a secure approach to clinical data access via the World Wide Web.

PubMed Central

Masys, D. R.; Baker, D. B.

1997-01-01

The Internet's World-Wide Web (WWW) provides an appealing medium for the communication of health related information due to its ease of use and growing popularity. But current technologies for communicating data between WWW clients and servers are systematically vulnerable to certain types of security threats. Prominent among these threats are "Trojan horse" programs running on client workstations, which perform some useful and known function for a user, while breaching security via background functions that are not apparent to the user. The Patient-Centered Access to Secure Systems Online (PCASSO) project of SAIC and UCSD is a research, development and evaluation project to exploit state-of-the-art security and WWW technology for health care. PCASSO is designed to provide secure access to clinical data for healthcare providers and their patients using the Internet. PCASSO will be evaluated for both safety and effectiveness, and may provide a model for secure communications via public data networks. PMID:9357644

Characteristics and Service Use of Older Adults with Schizoaffective Disorder Versus Older Adults with Schizophrenia and Bipolar Disorder.

PubMed

Rolin, Stephanie A; Aschbrenner, Kelly A; Whiteman, Karen L; Scherer, Emily; Bartels, Stephen J

2017-09-01

The purpose of this study was to determine if schizoaffective disorder in older adults is differentiated from schizophrenia and bipolar disorder with respect to community functioning, cognitive functioning, psychiatric symptoms, and service use. Secondary analysis of baseline data collected from the Helping Older People Experience Success psychosocial skills training and health management study. Three community mental health centers in New Hampshire and Massachusetts. Adults over the age of 50 (N = 139, mean age: 59.7 years, SD: 7.4 years) with persistent functional impairment and a diagnosis of schizoaffective disorder (N = 52), schizophrenia (N = 51), or bipolar disorder (N = 36). Health status (36-Item Short Form Health Survey [SF-36]), performance-based community living skills (UCSD Performance-Based Skills Assessment), neuropsychological functioning (Delis-Kaplan Executive Functioning subtests), psychiatric symptoms (Brief Psychiatric Rating Scale, Center for Epidemiologic Studies Depression Scale, Scale for the Assessment of Negative Symptoms), medical severity (Charlson comorbidity index), and acute service use. Older adults with schizoaffective disorder had depressive symptoms of similar severity to bipolar disorder, and thought disorder symptoms of similar severity to schizophrenia. Schizoaffective disorder compared with schizophrenia was associated with better community functioning, but poorer subjective physical and mental health functioning as measured by the SF-36. Older adults with schizoaffective disorder had greater acute hospitalization compared with adults with schizophrenia, though their use of acute care services was comparable to individuals with bipolar disorder. Findings from this study suggest that schizoaffective disorder in older adults occupies a distinct profile from either schizophrenia or bipolar disorder with respect to community functional status, symptom profile, and acute services utilization. Copyright © 2017. Published by Elsevier Inc.

The Culture of Academic Medicine: Faculty Behaviors Impacting the Learning Environment.

PubMed

Moutier, Christine; Wingard, Deborah; Gudea, Monica; Jeste, Dilip; Goodman, Seneca; Reznik, Vivian

2016-12-01

The culture of academic medical institutions impacts trainee education, among many other faculty and patient outcomes. Disrespectful behavior by faculty is one of the most challenging and common problems that, left unattended, disrupts healthy work and learning environments. Conversely, a respectful environment facilitates learning, creates a sense of safety, and rewards professionalism. The authors developed surveys and an intervention in an effort to better understand and improve climate concerns among health sciences faculty at the University of California, San Diego (UCSD), a research-intense, public, academic medical center. An online "climate survey" of all UC San Diego health sciences faculty was conducted in 2011-2012. A strategic campaign to address the behavioral issues identified in the initial survey was subsequently launched. In 2015, the climate was re-evaluated in order to assess the effectiveness of the intervention. A total of 478 faculty members (223 women, 235 men, 35 % of faculty) completed the baseline survey, reporting relatively low levels of observed sexual harassment (7 %). However, faculty reported concerning rates of other disruptive behaviors: derogatory comments (29 %), anger outbursts (25 %), and hostile communication (25 %). Women and mid-level faculty were more likely to report these behavioral concerns than men and junior or senior colleagues. Three years after an institutional strategy was initiated, 729 faculty members (50 % of the faculty) completed a follow-up survey. The 2015 survey results indicate significant improvement in numerous climate factors, including overall respectful behaviors, as well as behaviors related to gender. In order to enhance a culture of respect in the learning environment, institutions can effectively engage academic leaders and faculty at all levels to address disruptive behavior and enhance positive climate factors.

Decision-Making Using Real-Time Observations for Environmental Sustainability; an integrated 802.11 sensor network

NASA Astrophysics Data System (ADS)

Dominguez, A.; Kleissl, J.; Farhadi, M.; Kim, D.; Liu, W.; Mao, Y.; Nguyen, H. T.; Roshandell, M.; Sankur, M.; Shiga, Y.; Linden, P.; Hodgkiss, W.

2007-12-01

Meteorological conditions have important implications on human activities. They affect human comfort, productivity, and health, and contribute to material wear and tear. The University of California, San Diego (UCSD)'s proximity to the Pacific Ocean places it in a temperate microclimate which has unique advantages and disadvantages for campus water and energy use and air quality. In particular, the daily sea-breezes provide cool, moist, and salt-laden air to campus. For the Decision-Making Using Real-Time Observations for Environmental Sustainability (DEMROES) project a heterogeneous wireless network of monitoring stations is being set up across the UCSD campus and beyond. Conditions to be monitored include temperature, humidity, wind speed and direction, surface temperatures, solar radiation, particulate matter, CO, NO2, rainfall, and soil moisture. Stations are strategically placed on rooftops and lampposts across campus, as well as select off-campus locations and will transmit data over the UCSD 802.11 wireless network. In addition to rooftop and lamppost stations, mobile stations will be deployed via remotely controlled ground and air units, and stations affixed to campus shuttle busses. These mobile stations will allow for greater spatial resolution of the environmental conditions across campus and inter-sensor calibration. The hardware consists of meteorological, hydrological, and air quality sensors connected to (a) commercial Campbell datalogging systems with serial2IP modules and wireless bridges, and (b) sensor and 802.11 boards based on the dpac technology developed in-house. The measurements will serve campus facilities management with information to feed the energy management system (EMS) for building operation and energy conservation, and irrigation management. The technology developed for this project can be applied elsewhere thereby contributing to hydrologic and ecologic observatories. Through extensive student involvement a new generation of environmental scientists and engineers will be trained to work on the planning and execution of national observatories.

Earthquakes in Action: Incorporating Multimedia, Internet Resources, Large-scale Seismic Data, and 3-D Visualizations into Innovative Activities and Research Projects for Today's High School Students

NASA Astrophysics Data System (ADS)

Smith-Konter, B.; Jacobs, A.; Lawrence, K.; Kilb, D.

2006-12-01

The most effective means of communicating science to today's "high-tech" students is through the use of visually attractive and animated lessons, hands-on activities, and interactive Internet-based exercises. To address these needs, we have developed Earthquakes in Action, a summer high school enrichment course offered through the California State Summer School for Mathematics and Science (COSMOS) Program at the University of California, San Diego. The summer course consists of classroom lectures, lab experiments, and a final research project designed to foster geophysical innovations, technological inquiries, and effective scientific communication (http://topex.ucsd.edu/cosmos/earthquakes). Course content includes lessons on plate tectonics, seismic wave behavior, seismometer construction, fault characteristics, California seismicity, global seismic hazards, earthquake stress triggering, tsunami generation, and geodetic measurements of the Earth's crust. Students are introduced to these topics through lectures-made-fun using a range of multimedia, including computer animations, videos, and interactive 3-D visualizations. These lessons are further enforced through both hands-on lab experiments and computer-based exercises. Lab experiments included building hand-held seismometers, simulating the frictional behavior of faults using bricks and sandpaper, simulating tsunami generation in a mini-wave pool, and using the Internet to collect global earthquake data on a daily basis and map earthquake locations using a large classroom map. Students also use Internet resources like Google Earth and UNAVCO/EarthScope's Jules Verne Voyager Jr. interactive mapping tool to study Earth Science on a global scale. All computer-based exercises and experiments developed for Earthquakes in Action have been distributed to teachers participating in the 2006 Earthquake Education Workshop, hosted by the Visualization Center at Scripps Institution of Oceanography (http://siovizcenter.ucsd.edu/workshop). In addition to daily lecture and lab exercises, COSMOS students also conduct a mini-research project of their choice that uses data ranging from the 2004 Parkfield Earthquake, to Southern California seismicity, to global seismicity. Students collect seismic data from the Internet and evaluate earthquake locations, magnitudes, temporal sequence of seismic activity, active fault planes, and plate tectonic boundaries using research quality techniques. Students are given the opportunity to build 3-D visualizations of their research data sets and archive these at the SIO Visualization Center's online library, which is globally accessible to students, teachers, researchers, and the general public (http://www.siovizcenter.ucsd.edu/library.php). These student- generated visualizations have become a practical resource for not only students and teachers, but also geophysical researchers that use the visual objects as research tools to better explore and understand their data. Through Earthquakes in Action, we offer both the tools for scientific exploration and the thrills of scientific discovery, providing students with valuable knowledge, novel research experience, and a unique sense of scientific contribution.

The New Oceanographic Research Institution: Scripps in the ``Broader Impact'' Era

NASA Astrophysics Data System (ADS)

Kennel, C. F.; Orcutt, J. A.; Peach, C. L.; Franks, S. E.

2004-12-01

Things are changing at Scripps Institution of Oceanography. Long renowned for excellence in Earth, ocean, atmospheric and interdisciplinary research as well as graduate student training, the Institution is now being called upon to address a new set of challenges. Opportunities to address diverse societal needs abound, and we at Scripps are prepared to respond. As the problems facing the globe in reconciling human and economic development with the limitations of the Earth system become more and more pressing, the potential impact of Scripps research on society grows. The full value of our work cannot be realized unless we share it with established and future economists, international relations specialists, public policy experts, and business leaders. To help our scientists realize this goal while maintaining their research excellence, Scripps has committed to: 1) expanding its faculty's role in undergraduate teaching; 2) establishment of the Center for Educational Outreach Connections that will enable Scripps scientists to participate in educational outreach efforts locally, regionally, nationally and internationally; 3) pursuing joint education programs with other elements of the UCSD community; and 4) launching a new interdisciplinary Center for Earth Observations and Applications in which scholars from throughout the university will develop new collaborations, new technologies, and new knowledge in many fields affecting the environment. Our ambition is to generate a continuous awareness of how Earth is behaving - an awareness that could be an integral part of all kinds of decisions about the environment. Scripps is not alone in recognizing and responding to societal needs. Funding agencies are increasingly requiring scientists to articulate how their research has impact beyond the academic community. With the establishment of the Centers for Ocean Sciences Education Excellence, NSF has led the way in assembling and leveraging the intellectual and organizational resources to link scientists and educators for the benefit of both groups, as well as society. Scripps is proud to be a part of this growing national network. By stimulating students' interest in the Earth sciences, COSEE-facilitated educational outreach will increase the pool of bright students who pursue advanced degrees and careers in the Earth sciences. NSF funding has also enabled Scripps to launch a new interdisciplinary graduate program in marine biodiversity and conservation involving economics and international relations faculty as well as experts from the San Diego Supercomputer Center. And, recognizing the need for training people with both science and management skills, a collaborative program in ocean science and management is being developed by Scripps and the UCSD Rady School of Management.

The Chemistry of Early Self-Replicating Systems

NASA Technical Reports Server (NTRS)

Bada, Jeffrey L. (Principal Investigator)

2003-01-01

The NASA Specialized Center of Research and Training in Exobiology (NSCORT/Exobiology) is a program within the UCSD California Space Institute (Dr. Wolfgang Berger, Director) currently funded by a second 5 year Federal Demonstration Project Grant from NASA. Its specific aims are: 1. The support and training of Postdoctoral, Graduate, and Undergraduate Fellows in Exobiology. 2. The support of research by the Principal Investigators and Fellows in the field of Exobiology. 3. Outreach programs emphasizing the dissemination and exchange of information concerning Exobiology within the scientific community, primary, secondary and college students, and the general public. 4. Host of the 1999 meeting of the International Society for the Study of the Origin of Life (ISSOL) held at the University of California, San Diego in La Jolla, California, from Sunday, July 11 through Friday, July 16,1999.

New Directions in Native American Earth Science Education in San Diego County

NASA Astrophysics Data System (ADS)

Riggs, E. M.

2001-05-01

Founded in 1998, the Indigenous Earth Sciences Project (IESP) of San Diego State University aims to increase the access of local Native American tribal communities to geoscience education and to geoscience information, and to attract more Indian students into earth science careers. As tribes encounter earth and environmental science-related issues, it is important to increase 1) on-reservation geoscience expertise, 2) the quality and cultural accessibility of geoscience curricula for Native K-12 students, and 3) geoscience literacy in Native communities at large. We have established partnerships with local reservation learning centers and education councils with the goal of building programs for K-12 students, college students, adult learners and on-reservation field programs for the whole community which both enrich the resident scientific understanding of reservation settings and find ways to include the rich intellectual tradition of indigenous knowledge of earth processes in the San Diego region. This work has been greatly assisted by the construction of HPWREN, a wireless Internet backbone connection built by UCSD, which now delivers broadband Internet service to the reservation communities of Pala, Rincon, and La Jolla as well as providing high-speed access to a variety of locally-collected geoscience data. This new networking venture has allowed us to explore virtual classroom, tutoring, and interactive data analysis activities with the learning centers located on these reservations. Plans and funding are also in place to expand these connections to all of the 18 reservation communities within San Diego county. We are also actively working to establish earth science components to existing bridging programs to Palomar College, a community college with deep connections to the northern San Diego county American Indian communities. These students will be assisted in their transfer to SDSU and will also be connected with geoscience research opportunities at the collaborating institutions (SDSU, UCSD, Scripps Institute of Oceanography). By building a local K-Ph.D. collaboration, it is our goal that we can directly address the low representation of Native American students in the geosciences and simultaneously aid local tribes in their own efforts to ensure their own continued sovereignty.

Efficient population-scale variant analysis and prioritization with VAPr.

PubMed

Birmingham, Amanda; Mark, Adam M; Mazzaferro, Carlo; Xu, Guorong; Fisch, Kathleen M

2018-04-06

With the growing availability of population-scale whole-exome and whole-genome sequencing, demand for reproducible, scalable variant analysis has spread within genomic research communities. To address this need, we introduce the Python package VAPr (Variant Analysis and Prioritization). VAPr leverages existing annotation tools ANNOVAR and MyVariant.info with MongoDB-based flexible storage and filtering functionality. It offers biologists and bioinformatics generalists easy-to-use and scalable analysis and prioritization of genomic variants from large cohort studies. VAPr is developed in Python and is available for free use and extension under the MIT License. An install package is available on PyPi at https://pypi.python.org/pypi/VAPr, while source code and extensive documentation are on GitHub at https://github.com/ucsd-ccbb/VAPr. kfisch@ucsd.edu.

Topology and Foundations of Quantum Algorithms

DTIC Science & Technology

2005-07-01

Several visitors to UCSD and IU were also partially supported for short visits: Markus Hunziker, Vaughn Jones, Alexei Kitaev, Burt Kostant, Hanspeter Kraft, Peter Love, Mary Beth Ruskai, Yaoyun Shi and Richard Stong. 5

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

Kleissl, J.; Urquhart, B.; Ghonima, M.

During the University of California, San Diego (UCSD) Sky Imager Cloud Position Study, two University of California, San Diego Sky Imagers (USI) (Figure 1) were deployed the U.S. Department of Energy(DOE)’s Atmospheric Radiation Measurement (ARM) Climate Research Facility Southern Great Plains SGP) research facility. The UCSD Sky Imagers were placed 1.7 km apart to allow for stereographic determination of the cloud height for clouds over approximately 1.5 km. Images with a 180-degree field of view were captured from both systems during daylight hours every 30 seconds beginning on March 11, 2013 and ending on November 4, 2013. The spatial resolutionmore » of the images was 1,748 × 1,748, and the intensity resolution was 16 bits using a high-dynamic-range capture process. The cameras use a fisheye lens, so the images are distorted following an equisolid angle projection.« less

UCSD's Institute of Engineering in Medicine: fostering collaboration through research and education.

PubMed

Chien, Shu

2012-07-01

The University of California, San Diego (UCSD) was established in 1961 as a new research university that emphasizes innovation, excellence, and interdisciplinary research and education. It has a School of Medicine (SOM) and the Jacobs School of Engineering (JSOE) in close proximity, and both schools have national rankings among the top 15. In 1991, with the support of the Whitaker Foundation, the Whitaker Institute of Biomedical Engineering was formed to foster collaborations in research and education. In 2008, the university extended the collaboration further by establishing the Institute of Engineering in Medicine (IEM), with the mission of accelerating the discoveries of novel science and technology to enhance health care through teamwork between engineering and medicine, and facilitating the translation of innovative technologies for delivery to the public through clinical application and commercialization.

Measuring faculty retention and success in academic medicine.

PubMed

Ries, Andrew; Wingard, Deborah; Gamst, Anthony; Larsen, Catherine; Farrell, Elizabeth; Reznik, Vivian

2012-08-01

To develop and demonstrate the usefulness of quantitative methods for assessing retention and academic success of junior faculty in academic medicine. The authors created matched sets of participants and nonparticipants in a junior faculty development program based on hire date and academic series for newly hired assistant professors at the University of California, San Diego (UCSD), School of Medicine between 1988 and 2005. They used Kaplan-Meier and Cox proportional hazards survival analyses to characterize the influence of covariates, including gender, ethnicity, and program participation, on retention. They also developed a new method for quantifying academic success based on several measures including (1) leadership and professional activities, (2) honors and awards, (3) research grants, (4) teaching and mentoring/advising activities, and (5) publications. The authors then used these measures to compare matched pairs of participating and nonparticipating faculty who were subsequently promoted and remained at UCSD. Compared with matched nonparticipants, the retention of junior faculty who participated in the faculty development program was significantly higher. Among those who were promoted and remained at UCSD, the academic success of faculty development participants was consistently greater than that of matched nonparticipants. This difference reached statistical significance for leadership and professional activities. Using better quantitative methods for evaluating retention and academic success will improve understanding and research in these areas. In this study, use of such methods indicated that organized junior faculty development programs have positive effects on faculty retention and may facilitate success in academic medicine.

High resolution renderings and interactive visualization of the 2006 Huntington Beach experiment

NASA Astrophysics Data System (ADS)

Im, T.; Nayak, A.; Keen, C.; Samilo, D.; Matthews, J.

2006-12-01

The Visualization Center at the Scripps Institution of Oceanography investigates innovative ways to represent graphically interactive 3D virtual landscapes and to produce high resolution, high quality renderings of Earth sciences data and the sensors and instruments used to collect the data . Among the Visualization Center's most recent work is the visualization of the Huntington Beach experiment, a study launched in July 2006 by the Southern California Ocean Observing System (http://www.sccoos.org/) to record and synthesize data of the Huntington Beach coastal region. Researchers and students at the Visualization Center created visual presentations that combine bathymetric data provided by SCCOOS with USGS aerial photography and with 3D polygonal models of sensors created in Maya into an interactive 3D scene using the Fledermaus suite of visualization tools (http://www.ivs3d.com). In addition, the Visualization Center has produced high definition (HD) animations of SCCOOS sensor instruments (e.g. REMUS, drifters, spray glider, nearshore mooring, OCSD/USGS mooring and CDIP mooring) using the Maya modeling and animation software and rendered over multiple nodes of the OptIPuter Visualization Cluster at Scripps. These visualizations are aimed at providing researchers with a broader context of sensor locations relative to geologic characteristics, to promote their use as an educational resource for informal education settings and increasing public awareness, and also as an aid for researchers' proposals and presentations. These visualizations are available for download on the Visualization Center website at http://siovizcenter.ucsd.edu/sccoos/hb2006.php.

Damping Experiment of Spinning Composite Plates with Embedded Viscoelastic Material

NASA Technical Reports Server (NTRS)

Mehmed, Oral; Kosmatka, John B.

1997-01-01

One way to increase gas turbine engine blade reliability and durability is to reduce blade vibration. It is well known that vibration reduction can be achieved by adding damping to metal and composite blade-disk systems. This experiment was done to investigate the use of integral viscoelastic damping treatments to reduce vibration of rotating composite fan blades. It is part of a joint research effort with NASA LeRC and the University of California, San Diego (UCSD). Previous vibration bench test results obtained at UCSD show that plates with embedded viscoelastic material had over ten times greater damping than similar untreated plates; and this was without a noticeable change in blade stiffness. The objectives of this experiment, were to verify the structural integrity of composite plates with viscoelastic material embedded between composite layers while under large steady forces from spinning, and to measure the damping and natural frequency variation with rotational speed.

Comparative Validation of Realtime Solar Wind Forecasting Using the UCSD Heliospheric Tomography Model

NASA Technical Reports Server (NTRS)

MacNeice, Peter; Taktakishvili, Alexandra; Jackson, Bernard; Clover, John; Bisi, Mario; Odstrcil, Dusan

2011-01-01

The University of California, San Diego 3D Heliospheric Tomography Model reconstructs the evolution of heliospheric structures, and can make forecasts of solar wind density and velocity up to 72 hours in the future. The latest model version, installed and running in realtime at the Community Coordinated Modeling Center(CCMC), analyzes scintillations of meter wavelength radio point sources recorded by the Solar-Terrestrial Environment Laboratory(STELab) together with realtime measurements of solar wind speed and density recorded by the Advanced Composition Explorer(ACE) Solar Wind Electron Proton Alpha Monitor(SWEPAM).The solution is reconstructed using tomographic techniques and a simple kinematic wind model. Since installation, the CCMC has been recording the model forecasts and comparing them with ACE measurements, and with forecasts made using other heliospheric models hosted by the CCMC. We report the preliminary results of this validation work and comparison with alternative models.

Determination of the Parameter Sets for the Best Performance of IPS-driven ENLIL Model

NASA Astrophysics Data System (ADS)

Yun, Jongyeon; Choi, Kyu-Cheol; Yi, Jonghyuk; Kim, Jaehun; Odstrcil, Dusan

2016-12-01

Interplanetary scintillation-driven (IPS-driven) ENLIL model was jointly developed by University of California, San Diego (UCSD) and National Aeronaucics and Space Administration/Goddard Space Flight Center (NASA/GSFC). The model has been in operation by Korean Space Weather Cetner (KSWC) since 2014. IPS-driven ENLIL model has a variety of ambient solar wind parameters and the results of the model depend on the combination of these parameters. We have conducted researches to determine the best combination of parameters to improve the performance of the IPS-driven ENLIL model. The model results with input of 1,440 combinations of parameters are compared with the Advanced Composition Explorer (ACE) observation data. In this way, the top 10 parameter sets showing best performance were determined. Finally, the characteristics of the parameter sets were analyzed and application of the results to IPS-driven ENLIL model was discussed.

Software for the Hydra Instrument on the Polar Spacecraft

NASA Technical Reports Server (NTRS)

Fillius, Walker

1996-01-01

This software was developed by UCSD for the Hydra instrument and conforms with the contractural Statement of Work, with the exception, ordered by the NASA Technical Monitor, that the programming language was assembly language rather than Forth.

On-line high-speed rail defect detection : research results.

DOT National Transportation Integrated Search

2008-08-01

The rail defect detection prototype, which is being developed by the University of California-San Diego (UCSD) under a Federal Railroad Administration (FRA) Office of Research and Development (R&D) grant, has produced encouraging results in recent fi...

The Origin of the UCSD X-ray Astronomy Program - A Personal Perspective

NASA Astrophysics Data System (ADS)

Peterson, Laurence E.

2013-01-01

I was a graduate student in the late 1950’s at the University of Minnesota in the Cosmic Ray Group under Prof. John R. Winckler. He had a project monitoring Cosmic ray time variations from an extensive series of balloon flights using simple detectors during the International Geophysical Year 1957-58. During the 20 March 1958 flight, a short 18 sec. burst of high energy radiation was observed simultaneously with a class II Solar flare. From the ratio of the Geiger counter rate to the energy loss in the ionization chamber, it was determined this radiation was likely hard X-rays or low-energy gamma rays and not energetic particles. Further analysis using information from other concurrent observations indicated the X-rays were likely due to Bremsstrahlung from energetic electrons accelerated in the solar flare magnetic field; these same electrons produced radio emissions. This first detection of extra-terrestrial X- or gamma rays showed the importance of non-thermal processes in Astrophysical phenomena. Winckler and I were interested by the possibility of non-solar hard X-rays. While completing my thesis on a Cosmic ray topic, I initiated a balloon program to develop more sensitive collimated low-background scintillation counters. This led to a proposal to the newly formed NASA to place an exploratory instrument on the 1st Orbiting Solar Observatory launched 7 March 1962. In August that year, I assumed a tenure-track position at UCSD; the data analysis of OSO-1 and the balloon program were transferred to UCSD to initiate the X-ray Astronomy program. The discovery of Cosmic X-ray sources in the 1-10 Kev range on a rocket flight in June 1962 by Giacconi and colleagues gave impetus to the UCSD activities. It seemed evident cosmic X-ray sources could be detected above 20 Kev using high-flying balloons. Early results included measurements of the 50 million K gas in SCO X-1, and the X-ray continuum from the Crab Nebula characterized by a power-law dN/dE ~ E-2.2. The instrument developments resulted in ever more sophisticated and sensitive counter systems. Follow-on instruments were flown on OSO-III and OSO-VII by the early 70’s, the HEAO-1 in 1976, and the RXTE in 1995. These provided many new results on Cosmic X-rays.

Everyday functional ability in HIV and methamphetamine dependence

PubMed Central

Minassian, Arpi; Henry, Brook L.; Iudicello, Jennifer E.; Morgan, Erin E.; Letendre, Scott L.; Heaton, Robert K.; Perry, William

2017-01-01

Background Methamphetamine (METH) use is a risk factor for the transmission of HIV. Each is associated with neurocognitive impairment and subsequent problems in everyday functioning, yet additive effects of HIV and METH are not consistently observed. This study used the UCSD Performance-Based Skills Assessment (UPSA-2) to assess whether METH use disorder and HIV together resulted in poorer functional outcome than either condition alone. Method Participants in the Translational Methamphetamine AIDS Research Center (TMARC) cohort were stratified based upon HIV infection and METH use disorder: HIV−/METH− (n=49), HIV−/METH+ (n=48), HIV+/METH− (n= 37), and HIV+/METH+ (n=38). They were administered the UPSA-2 which measures abilities in six domains of everyday functioning. Main effects and interactions of HIV and METH were examined, as were relationships between UPSA-2 scores and disease characteristics. Results Significant HIV-by-METH interactions were observed for the UPSA-2 total score and Comprehension/Planning and Financial subscales such that METH was associated with lower scores in HIV- participants but not HIV+ participants. METH was associated with lower scores on the Communications subscale. All three risk groups had lower scores than HIV−/METH−participants. Recency and frequency of METH use were associated with lower scores. Lower Medication Management scores were related to lower nadir CD4 counts. Conclusions METH use disorder and HIV each impair functional performance, but there is no additive effect when the two conditions occur together. The neurocognitive sequelae of combined HIV infection and METH use are complex and warrant further study, as do the potential effects of compensatory strategies and other factors. PMID:28399475

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

Hurd, Alan J; Rhyne, James J; Lewis, Paul S

This two-day workshop will engage the international neutron scattering community to vet and improve the Lujan Center Strategic Plan 2007-2013 (SP07). Sponsored by the LANL SC Program Office and the University of California, the workshop will be hosted by LANSCE Professor Sunny Sinha (UCSD). Endorsement by the Spallation Neutron Source will be requested. The discussion will focus on the role that the Lujan Center will play in the national neutron scattering landscape assuming full utilization of beamlines, a refurbished LANSCE, and a 1.4-MW SNS. Because the Lujan Strategic Plan is intended to set the stage for the Signature Facility eramore » at LANSCE, there will be some discussion of the long-pulse spallation source at Los Alamos. Breakout groups will cover several new instrument concepts, upgrades to present instruments, expanded sample environment capabilities, and a look to the future. The workshop is in keeping with a request by BES to update the Lujan strategic plan in coordination with the SNS and the broader neutron community. Workshop invitees will be drawn from the LANSCE User Group and a broad cross section of the US, European, and Pacific Rim neutron scattering research communities.« less

The MIRAX x-ray astronomy transient mission

NASA Astrophysics Data System (ADS)

Braga, João; Mejía, Jorge

2006-06-01

The Monitor e Imageador de Raios-X (MIRAX) is a small (~250 kg) X-ray astronomy satellite mission designed to monitor the central Galactic plane for transient phenomena. With a field-of-view of ~1000 square degrees and an angular resolution of ~6 arcmin, MIRAX will provide an unprecedented discovery-space coverage to study X-ray variability in detail, from fast X-ray novae to long-term (~several months) variable phenomena. Chiefly among MIRAX science objectives is its capability of providing simultaneous complete temporal coverage of the evolution of a large number of accreting black holes, including a detailed characterization of the spectral state transitions in these systems. MIRAX's instruments will include a soft X-ray (2-18 keV) and two hard X-ray (10-200 keV) coded-aperture imagers, with sensitivities of ~5 and ~2.6 mCrab/day, respectively. The hard X-ray imagers will be built at the Instituto Nacional de Pesquisas Espaciais (INPE), Brazil, in close collaboration with the Center for Astrophysics & Space Sciences (CASS) of the University of California, San Diego (UCSD) and the Institut fur Astronomie und Astrophysik of the University of Tubingen (IAAT) in Germany; UCSD will provide the crossed-strip position-sensitive (0.5- mm spatial resolution) CdZnTe (CZT) hard X-ray detectors. The soft X-ray camera, provided by the Space Research Organization Netherlands (SRON), will be the spare flight unit of the Wide Field Cameras that flew on the Italian-Dutch satellite BeppoSAX. MIRAX is an approved mission of the Brazilian Space Agency (Agnecia Espacial Brasileira - AEB) and is scheduled to be launched in 2011 in a low-altitude (~550 km) circular equatorial orbit. In this paper we present recent developments in the mission planning and design, as well as Monte Carlo simulations performed on the GEANT-based package MGGPOD environment (Weidenspointner et al. 2004) and new algorithms for image digital processing. Simulated images of the central Galactic plane as it would be seen by MIRAX are shown.

Design and update of a classification system: the UCSD map of science.

PubMed

Börner, Katy; Klavans, Richard; Patek, Michael; Zoss, Angela M; Biberstine, Joseph R; Light, Robert P; Larivière, Vincent; Boyack, Kevin W

2012-01-01

Global maps of science can be used as a reference system to chart career trajectories, the location of emerging research frontiers, or the expertise profiles of institutes or nations. This paper details data preparation, analysis, and layout performed when designing and subsequently updating the UCSD map of science and classification system. The original classification and map use 7.2 million papers and their references from Elsevier's Scopus (about 15,000 source titles, 2001-2005) and Thomson Reuters' Web of Science (WoS) Science, Social Science, Arts & Humanities Citation Indexes (about 9,000 source titles, 2001-2004)-about 16,000 unique source titles. The updated map and classification adds six years (2005-2010) of WoS data and three years (2006-2008) from Scopus to the existing category structure-increasing the number of source titles to about 25,000. To our knowledge, this is the first time that a widely used map of science was updated. A comparison of the original 5-year and the new 10-year maps and classification system show (i) an increase in the total number of journals that can be mapped by 9,409 journals (social sciences had a 80% increase, humanities a 119% increase, medical (32%) and natural science (74%)), (ii) a simplification of the map by assigning all but five highly interdisciplinary journals to exactly one discipline, (iii) a more even distribution of journals over the 554 subdisciplines and 13 disciplines when calculating the coefficient of variation, and (iv) a better reflection of journal clusters when compared with paper-level citation data. When evaluating the map with a listing of desirable features for maps of science, the updated map is shown to have higher mapping accuracy, easier understandability as fewer journals are multiply classified, and higher usability for the generation of data overlays, among others.

WebDISCO: a web service for distributed cox model learning without patient-level data sharing.

PubMed

Lu, Chia-Lun; Wang, Shuang; Ji, Zhanglong; Wu, Yuan; Xiong, Li; Jiang, Xiaoqian; Ohno-Machado, Lucila

2015-11-01

The Cox proportional hazards model is a widely used method for analyzing survival data. To achieve sufficient statistical power in a survival analysis, it usually requires a large amount of data. Data sharing across institutions could be a potential workaround for providing this added power. The authors develop a web service for distributed Cox model learning (WebDISCO), which focuses on the proof-of-concept and algorithm development for federated survival analysis. The sensitive patient-level data can be processed locally and only the less-sensitive intermediate statistics are exchanged to build a global Cox model. Mathematical derivation shows that the proposed distributed algorithm is identical to the centralized Cox model. The authors evaluated the proposed framework at the University of California, San Diego (UCSD), Emory, and Duke. The experimental results show that both distributed and centralized models result in near-identical model coefficients with differences in the range [Formula: see text] to [Formula: see text]. The results confirm the mathematical derivation and show that the implementation of the distributed model can achieve the same results as the centralized implementation. The proposed method serves as a proof of concept, in which a publicly available dataset was used to evaluate the performance. The authors do not intend to suggest that this method can resolve policy and engineering issues related to the federated use of institutional data, but they should serve as evidence of the technical feasibility of the proposed approach.Conclusions WebDISCO (Web-based Distributed Cox Regression Model; https://webdisco.ucsd-dbmi.org:8443/cox/) provides a proof-of-concept web service that implements a distributed algorithm to conduct distributed survival analysis without sharing patient level data. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Design and Update of a Classification System: The UCSD Map of Science

PubMed Central

Börner, Katy; Klavans, Richard; Patek, Michael; Zoss, Angela M.; Biberstine, Joseph R.; Light, Robert P.; Larivière, Vincent; Boyack, Kevin W.

2012-01-01

Global maps of science can be used as a reference system to chart career trajectories, the location of emerging research frontiers, or the expertise profiles of institutes or nations. This paper details data preparation, analysis, and layout performed when designing and subsequently updating the UCSD map of science and classification system. The original classification and map use 7.2 million papers and their references from Elsevier’s Scopus (about 15,000 source titles, 2001–2005) and Thomson Reuters’ Web of Science (WoS) Science, Social Science, Arts & Humanities Citation Indexes (about 9,000 source titles, 2001–2004)–about 16,000 unique source titles. The updated map and classification adds six years (2005–2010) of WoS data and three years (2006–2008) from Scopus to the existing category structure–increasing the number of source titles to about 25,000. To our knowledge, this is the first time that a widely used map of science was updated. A comparison of the original 5-year and the new 10-year maps and classification system show (i) an increase in the total number of journals that can be mapped by 9,409 journals (social sciences had a 80% increase, humanities a 119% increase, medical (32%) and natural science (74%)), (ii) a simplification of the map by assigning all but five highly interdisciplinary journals to exactly one discipline, (iii) a more even distribution of journals over the 554 subdisciplines and 13 disciplines when calculating the coefficient of variation, and (iv) a better reflection of journal clusters when compared with paper-level citation data. When evaluating the map with a listing of desirable features for maps of science, the updated map is shown to have higher mapping accuracy, easier understandability as fewer journals are multiply classified, and higher usability for the generation of data overlays, among others. PMID:22808037

Depression in Asian-American and Caucasian undergraduate students.

PubMed

Young, Christina B; Fang, Daniel Z; Zisook, Sidney

2010-09-01

Depression is a serious and often under-diagnosed and undertreated mental health problem in college students which may have fatal consequences. Little is known about ethnic differences in prevalence of depression in US college campuses. This study compares depression severity in Asian-American and Caucasian undergraduate students at the University of California San Diego (UCSD). Participants completed the nine item Patient Health Questionnaire and key demographic information via an anonymous online questionnaire. Compared to Caucasians, Asian-Americans exhibited significantly elevated levels of depression. Furthermore, Korean-American students were significantly more depressed than Chinese-American, other minority Asian-American, and Caucasian students. In general, females were significantly more depressed than males. Results were upheld when level of acculturation was considered. The demographic breakdown of the student population at UCSD is not representative to that of the nation. These findings suggest that outreach to female and Asian-American undergraduate students is important and attention to Korean-American undergraduates may be especially worthwhile. 2010 Elsevier B.V. All rights reserved.

Validation of the UCSD Performance-based Skills Assessment (UPSA) in Hispanics with and without schizophrenia.

PubMed

Mausbach, Brent T; Tiznado, Denisse; Cardenas, Veronica; Jeste, Dilip V; Patterson, Thomas L

2016-10-30

The UCSD Performance-based Skills Assessment (UPSA) is a widely used measure of functional capacity with strong reliability and validity. However there is a lack of psychometric data on Hispanics. The purpose of this study was to determine the impact of acculturation and education on UPSA performance among 62 Hispanic participants with schizophrenia or schizoaffective disorder and 46 healthy comparison subjects. Functional capacity was measured using the UPSA. Acculturation was measured using the Acculturation Rating Scale for Mexican Americans (ARSMA). Independent t-tests indicated that participants with schizophrenia had significantly lower UPSA total scores and scored lower on all UPSA sub-scales relative to the comparison group. Multiple regression also indicated that education and acculturation were significant predictors of UPSA total scores. These data provide a better understanding of UPSA scores in Hispanics with and without schizophrenia, and suggest that education and acculturation adjustments may be required to improve interpretation of test results. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Operating a production pilot factory serving several scientific domains

NASA Astrophysics Data System (ADS)

Sfiligoi, I.; Würthwein, F.; Andrews, W.; Dost, J. M.; MacNeill, I.; McCrea, A.; Sheripon, E.; Murphy, C. W.

2011-12-01

Pilot infrastructures are becoming prominent players in the Grid environment. One of the major advantages is represented by the reduced effort required by the user communities (also known as Virtual Organizations or VOs) due to the outsourcing of the Grid interfacing services, i.e. the pilot factory, to Grid experts. One such pilot factory, based on the glideinWMS pilot infrastructure, is being operated by the Open Science Grid at University of California San Diego (UCSD). This pilot factory is serving multiple VOs from several scientific domains. Currently the three major clients are the analysis operations of the HEP experiment CMS, the community VO HCC, which serves mostly math, biology and computer science users, and the structural biology VO NEBioGrid. The UCSD glidein factory allows the served VOs to use Grid resources distributed over 150 sites in North and South America, in Europe, and in Asia. This paper presents the steps taken to create a production quality pilot factory, together with the challenges encountered along the road.

UCSD's Automated Merit Processing System.

ERIC Educational Resources Information Center

Merryman, Robert; Johnson, Judy R.; Block, Ron

1998-01-01

The University of California San Diego replaced its manual staff merit-increase-recommendation process with an online computer program to reduce workloads and improve the quality of the final recommendations. The highly successful system has been enthusiastically embraced by the campus community and recognized by the National Association of…

The Military-Industrial-Scientific Complex and the Rise of New Powers: Conceptual, Theoretical and Methodological Contributions and the Brazilian Case

DTIC Science & Technology

2017-09-29

Report: The Military-Industrial-Scientific Complex and the Rise of New Powers: Conceptual, Theoretical and Methodological Contributions and the... Methodological Contributions and the Brazilian Case Report Term: 0-Other Email: aminvielle@ucsd.edu Distribution Statement: 1-Approved for public

Overconfidence in Interval Estimates: What Does Expertise Buy You?

ERIC Educational Resources Information Center

McKenzie, Craig R. M.; Liersch, Michael J.; Yaniv, Ilan

2008-01-01

People's 90% subjective confidence intervals typically contain the true value about 50% of the time, indicating extreme overconfidence. Previous results have been mixed regarding whether experts are as overconfident as novices. Experiment 1 examined interval estimates from information technology (IT) professionals and UC San Diego (UCSD) students…

Building and evaluating an ontology-based tool for reasoning about consent permission

PubMed Central

Grando, Adela; Schwab, Richard

2013-01-01

Given the lack of mechanisms for specifying, sharing and checking the compliance of consent permissions, we focus on building and testing novel approaches to address this gap. In our previous work, we introduced a “permission ontology” to capture in a precise, machine-interpretable form informed consent permissions in research studies. Here we explain how we built and evaluated a framework for specifying subject’s permissions and checking researcher’s resource request in compliance with those permissions. The framework is proposed as an extension of an existing policy engine based on the eXtensible Access Control Markup Language (XACML), incorporating ontology-based reasoning. The framework is evaluated in the context of the UCSD Moores Cancer Center biorepository, modeling permissions from an informed consent and a HIPAA form. The resulting permission ontology and mechanisms to check subject’s permission are implementation and institution independent, and therefore offer the potential to be reusable in other biorepositories and data warehouses. PMID:24551354

Weird-World, Weird-World

NASA Astrophysics Data System (ADS)

Schuller, Ivan; Wargo, Rich

2014-03-01

We will present the first in a series of videos designed and produced specifically as a pilot for the YouTube audience to playfully explore interesting and unusual phenomena that physics reveals, and their uses in modern life. No talking heads, no pedants, no complicated theory - but rather a visually captivating and often kooky comical look at exclusion principle, entanglement, tunneling and the retinue of exceedingly strange things that happen in classical and quantum physics and how we understand and actually use this weirdness each and everyday. Produced by the UC San Diego-based creative partnership between an active physicist and established university based science media producer responsible for the highly successful and comical nanoscience caper When Things Get Small, this will pilot an on-going series with the specific goal of entertaining and engaging audiences of all ages. The series has planned distribution and marketing on YouTube though the unique programming and distribution capacities of University of California Television to commence in 2013. Supported by APS, UCSD-Center for Advanced Nanoscience and UCTV.

Booly: a new data integration platform.

PubMed

Do, Long H; Esteves, Francisco F; Karten, Harvey J; Bier, Ethan

2010-10-13

Data integration is an escalating problem in bioinformatics. We have developed a web tool and warehousing system, Booly, that features a simple yet flexible data model coupled with the ability to perform powerful comparative analysis, including the use of Boolean logic to merge datasets together, and an integrated aliasing system to decipher differing names of the same gene or protein. Furthermore, Booly features a collaborative sharing system and a public repository so that users can retrieve new datasets while contributors can easily disseminate new content. We illustrate the uses of Booly with several examples including: the versatile creation of homebrew datasets, the integration of heterogeneous data to identify genes useful for comparing avian and mammalian brain architecture, and generation of a list of Food and Drug Administration (FDA) approved drugs with possible alternative disease targets. The Booly paradigm for data storage and analysis should facilitate integration between disparate biological and medical fields and result in novel discoveries that can then be validated experimentally. Booly can be accessed at http://booly.ucsd.edu.

Booly: a new data integration platform

PubMed Central

2010-01-01

Background Data integration is an escalating problem in bioinformatics. We have developed a web tool and warehousing system, Booly, that features a simple yet flexible data model coupled with the ability to perform powerful comparative analysis, including the use of Boolean logic to merge datasets together, and an integrated aliasing system to decipher differing names of the same gene or protein. Furthermore, Booly features a collaborative sharing system and a public repository so that users can retrieve new datasets while contributors can easily disseminate new content. Results We illustrate the uses of Booly with several examples including: the versatile creation of homebrew datasets, the integration of heterogeneous data to identify genes useful for comparing avian and mammalian brain architecture, and generation of a list of Food and Drug Administration (FDA) approved drugs with possible alternative disease targets. Conclusions The Booly paradigm for data storage and analysis should facilitate integration between disparate biological and medical fields and result in novel discoveries that can then be validated experimentally. Booly can be accessed at http://booly.ucsd.edu. PMID:20942966

DoE Plasma Center for Momentum Transport and Flow Self-Organization in Plasmas: Non-linear Emergent Structure Formation in magnetized Plasmas and Rotating Magnetofluids

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

Forest, Cary B.

This report covers the UW-Madison activities that took place within a larger DoE Center Administered and directed by Professor George Tynan at the University of California, San Diego. The work at Wisconsin will also be covered in the final reporting for the entire center, which will be submitted by UCSD. There were two main activities, one experimental and one that was theoretical in nature, as part of the Center activities at the University of Wisconsin, Madison. First, the Center supported an experimentally focused postdoc (Chris Cooper) to carry out fundamental studies of momentum transport in rotating and weakly magnetized plasma.more » His experimental work was done on the Plasma Couette Experiment, a cylindrical plasma confinement device, with a plasma flow created through electromagnetically stirring plasma at the plasma edge facilitated by arrays of permanent magnets. Cooper's work involved developing optical techniques to measure the ion temperature and plasma flow through Doppler-shifted line radiation from the plasma argon ions. This included passive emission measurements and development of a novel ring summing Fabry-Perot spectroscopy system, and the active system involved using a diode laser to induce fluorescence. On the theoretical side, CMTFO supported a postdoc (Johannes Pueschel) to carry out a gyrokinetic extension of residual zonal flow theory to the case with magnetic fluctuations, showing that magnetic stochasticity disrupts zonal flows. The work included a successful comparison with gyrokinetic simulations. This work and its connection to the broader CMTFO will be covered more thoroughly in the final CMTFO report from Professor Tynan.« less

2007 San Diego wildfires and asthmatics.

PubMed

Vora, Chirag; Renvall, Marian J; Chao, Peter; Ferguson, Paul; Ramsdell, Joe W

2011-02-01

This case series reports the changes in the respiratory health of eight asthmatic subjects and the relationship with air quality associated with the October 2007 firestorm in San Diego County of California. Participants were eight subjects with asthma enrolled in Asthma Clinical Research Network (ACRN) (NIH# U10-HL074218) studies at the University of California San Diego (UCSD), School of Medicine, who had study data collected immediately prior, during and 1 month after the 5-day firestorm in San Diego County. Air quality deteriorated to an extreme average of 71.5 mg/m(3) small particulate matter less than 2.5 μm (PM(2.5)) during the firestorm. Respiratory health data included morning and evening peak expiratory flow rates (PEFR), morning and evening Forced Expiratory Volume in one second (FEV(1)), rescue medication usage, and sputum eosinophils. Morning and evening PEFR and FEV(1) rates remained stable. The two subjects tested during the fires had elevated eosinophil counts and rescue medication usage was increased in five of the eight subjects. Pulmonary function test values were stable during the wildfires for all eight subjects but there was a statistically significant increase in rescue medication usage during the wildfires that correlated with PM(2.5) values. The two subjects tested during the fires showed increases in sputum eosinophil counts consistent with increased airways inflammation. These findings suggest that poor air quality associated with wildfires resulted in an increase in airways inflammation in these asthmatic subjects, but pulmonary function tests remained stable, possibly due to increased rescue medication usage. This is especially pertinent as there is an increase in incidence of wildfires this decade.

Quantifying the Dependencies of Rooftop Temperatures on Albedo

NASA Technical Reports Server (NTRS)

Dominquez, Anthony; Kleissl, Jan; Luvall, Jeff

2009-01-01

The thermal properties of building materials directly effect the conditions inside of buildings Heat transfer is not a primary design driver in building design. Rooftop modifications lower heat transfer, which lowers energy consumption and costs. The living environmental laboratory attitude at UCSD makes it the perfect place to test the success of these modifications.

The Operating System Jungle: Finding a Common Path Keeps Getting More Difficult.

ERIC Educational Resources Information Center

Pournelle, Jerry

1984-01-01

Describes the computer field before the advent of CP/M (Control Program for Microcomputers), an operating system which facilitated compatibility between different computers. CP/M's functions and flaws and the advent of Apple DOS and UCSD Pascal, two additional widely used operating systems, and the significance of their development are also…

From the Users' Perspective-The UCSD Libraries User Survey Project.

ERIC Educational Resources Information Center

Talbot, Dawn E.; Lowell, Gerald R.; Martin, Kerry

1998-01-01

Discussion of a user-driven survey conducted at the University of California, San Diego libraries focuses on the methodology that resulted in a high response rate. Highlights goals for the survey, including acceptance of data by groups outside the library and for benchmarking data; planning; user population; and questionnaire development. (LRW)

Honors

NASA Astrophysics Data System (ADS)

2013-12-01

Twenty-three AGU members are among the newly elected fellows of the American Association for the Advancement of Science, announced on 25 November 2013. They are Lance F. Bosart, University at Albany, State University of New York; William Henry Brune III, Pennsylvania State University; Robert H. Byrne, University of South Florida; Walter K. Dodds, Kansas State University; Sherilyn Claire Fritz, University of Nebraska-Lincoln; Kevin P. Furlong, Pennsylvania State University; Arnold L. Gordon, Columbia University; Thomas A. Herring, Massachusetts Institute of Technology; Malcolm Hughes, University of Arizona; Thomas C. Johnson, University of Minnesota Duluth; Jack A. Kaye, NASA; Samuel P. Kounaves, Tufts University; Klaus S. Lackner, Columbia University; Yiqi Luo, University of Oklahoma; Jean-Bernard Minster, Scripps Institution of Oceanography, University of California, San Diego (UCSD); Kenneth H. Nealson, University of Southern California; Walter Clarkson Pitman III, Lamont-Doherty Earth Observatory; James E. Quick, Southern Methodist University; Ross J. Salawitch, University of Maryland, College Park; Didier Sornette, ETH Zürich (Swiss Federal Institute of Technology); Michael Stein, University of Chicago; Bradley M. Tebo, Oregon Health and Science University; and Mark H. Thiemens, UCSD.

HEALER: homomorphic computation of ExAct Logistic rEgRession for secure rare disease variants analysis in GWAS

PubMed Central

Wang, Shuang; Zhang, Yuchen; Dai, Wenrui; Lauter, Kristin; Kim, Miran; Tang, Yuzhe; Xiong, Hongkai; Jiang, Xiaoqian

2016-01-01

Motivation: Genome-wide association studies (GWAS) have been widely used in discovering the association between genotypes and phenotypes. Human genome data contain valuable but highly sensitive information. Unprotected disclosure of such information might put individual’s privacy at risk. It is important to protect human genome data. Exact logistic regression is a bias-reduction method based on a penalized likelihood to discover rare variants that are associated with disease susceptibility. We propose the HEALER framework to facilitate secure rare variants analysis with a small sample size. Results: We target at the algorithm design aiming at reducing the computational and storage costs to learn a homomorphic exact logistic regression model (i.e. evaluate P-values of coefficients), where the circuit depth is proportional to the logarithmic scale of data size. We evaluate the algorithm performance using rare Kawasaki Disease datasets. Availability and implementation: Download HEALER at http://research.ucsd-dbmi.org/HEALER/ Contact: shw070@ucsd.edu Supplementary information: Supplementary data are available at Bioinformatics online. PMID:26446135

pSCANNER: patient-centered Scalable National Network for Effectiveness Research

PubMed Central

Ohno-Machado, Lucila; Agha, Zia; Bell, Douglas S; Dahm, Lisa; Day, Michele E; Doctor, Jason N; Gabriel, Davera; Kahlon, Maninder K; Kim, Katherine K; Hogarth, Michael; Matheny, Michael E; Meeker, Daniella; Nebeker, Jonathan R

2014-01-01

This article describes the patient-centered Scalable National Network for Effectiveness Research (pSCANNER), which is part of the recently formed PCORnet, a national network composed of learning healthcare systems and patient-powered research networks funded by the Patient Centered Outcomes Research Institute (PCORI). It is designed to be a stakeholder-governed federated network that uses a distributed architecture to integrate data from three existing networks covering over 21 million patients in all 50 states: (1) VA Informatics and Computing Infrastructure (VINCI), with data from Veteran Health Administration's 151 inpatient and 909 ambulatory care and community-based outpatient clinics; (2) the University of California Research exchange (UC-ReX) network, with data from UC Davis, Irvine, Los Angeles, San Francisco, and San Diego; and (3) SCANNER, a consortium of UCSD, Tennessee VA, and three federally qualified health systems in the Los Angeles area supplemented with claims and health information exchange data, led by the University of Southern California. Initial use cases will focus on three conditions: (1) congestive heart failure; (2) Kawasaki disease; (3) obesity. Stakeholders, such as patients, clinicians, and health service researchers, will be engaged to prioritize research questions to be answered through the network. We will use a privacy-preserving distributed computation model with synchronous and asynchronous modes. The distributed system will be based on a common data model that allows the construction and evaluation of distributed multivariate models for a variety of statistical analyses. PMID:24780722

Development of 3D interactive visual objects using the Scripps Institution of Oceanography's Visualization Center

NASA Astrophysics Data System (ADS)

Kilb, D.; Reif, C.; Peach, C.; Keen, C. S.; Smith, B.; Mellors, R. J.

2003-12-01

Within the last year scientists and educators at the Scripps Institution of Oceanography (SIO), the Birch Aquarium at Scripps and San Diego State University have collaborated with education specialists to develop 3D interactive graphic teaching modules for use in the classroom and in teacher workshops at the SIO Visualization center (http://siovizcenter.ucsd.edu). The unique aspect of the SIO Visualization center is that the center is designed around a 120 degree curved Panoram floor-to-ceiling screen (8'6" by 28'4") that immerses viewers in a virtual environment. The center is powered by an SGI 3400 Onyx computer that is more powerful, by an order of magnitude in both speed and memory, than typical base systems currently used for education and outreach presentations. This technology allows us to display multiple 3D data layers (e.g., seismicity, high resolution topography, seismic reflectivity, draped interferometric synthetic aperture radar (InSAR) images, etc.) simultaneously, render them in 3D stereo, and take a virtual flight through the data as dictated on the spot by the user. This system can also render snapshots, images and movies that are too big for other systems, and then export smaller size end-products to more commonly used computer systems. Since early 2002, we have explored various ways to provide informal education and outreach focusing on current research presented directly by the researchers doing the work. The Center currently provides a centerpiece for instruction on southern California seismology for K-12 students and teachers for various Scripps education endeavors. Future plans are in place to use the Visualization Center at Scripps for extended K-12 and college educational programs. In particular, we will be identifying K-12 curriculum needs, assisting with teacher education, developing assessments of our programs and products, producing web-accessible teaching modules and facilitating the development of appropriate teaching tools to be used directly by classroom teachers.

Experimental Investigation of Magnetic Superconducting and other Phase Transitions in Novel f-Electron Materials at Ultra-high Pressures using Designer Diamond Anvils

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

Maple, M. Brian; Jeffries, Jason R.; Ho, Pei-Chun

Pressure is often used as a controlled parameter for the investigation of condensed matter systems. In particular, pressure experiments can provide valuable information into the nature of superconductivity, magnetism, and the coexistence of these two phenomena. Some f-electron, heavy-fermion materials display interesting and novel behavior at moderately low pressures achievable with conventional experimental techniques; however, a growing number of condensed matter systems require ultrahigh pressure techniques, techniques that generate significantly higher pressures than conventional methods, to sufficiently explore their important properties. To that end, we have been funded to develop an ultrahigh pressure diamond anvil cell facility at the Universitymore » of California, San Diego (UCSD) in order to investigate superconductivity, magnetism, non-Fermi liquid behavior, and other phenomena. Our goals for the first year of this grant were as follows: (a) set up and test a suitable refrigerator; (b) set up a laser and spectrometer fluorescence system to determine the pressure within the diamond anvil cell; (c) perform initial resistivity measurements at moderate pressures from room temperature to liquid helium temperatures ({approx}1K); (d) investigate f-electron materials within our current pressure capabilities to find candidate materials for high-pressure studies. During the past year, we have ordered almost all the components required to set up a diamond anvil cell facility at UCSD, we have received and implemented many of the components that have been ordered, we have performed low pressure research on several materials, and we have engaged in a collaborative effort with Sam Weir at Lawrence Livermore National Lab (LLNL) to investigate Au4V under ultrahigh pressure in a designer diamond anvil cell (dDAC). This report serves to highlight the progress we have made towards developing an ultrahigh pressure research facility at UCSD, the research performed in the past year, as well as future directions we plan to pursue.« less

Computationally expanding infinium HumanMethylation450 BeadChip array data to reveal distinct DNA methylation patterns of rheumatoid arthritis

PubMed Central

Li, Chengzhe; Ai, Rizi; Wang, Mengchi; Firestein, Gary S.; Wang, Wei

2016-01-01

Motivation: DNA methylation signatures in rheumatoid arthritis (RA) have been identified in fibroblast-like synoviocytes (FLS) with Illumina HumanMethylation450 array. Since <2% of CpG sites are covered by the Illumina 450K array and whole genome bisulfite sequencing is still too expensive for many samples, computationally predicting DNA methylation levels based on 450K data would be valuable to discover more RA-related genes. Results: We developed a computational model that is trained on 14 tissues with both whole genome bisulfite sequencing and 450K array data. This model integrates information derived from the similarity of local methylation pattern between tissues, the methylation information of flanking CpG sites and the methylation tendency of flanking DNA sequences. The predicted and measured methylation values were highly correlated with a Pearson correlation coefficient of 0.9 in leave-one-tissue-out cross-validations. Importantly, the majority (76%) of the top 10% differentially methylated loci among the 14 tissues was correctly detected using the predicted methylation values. Applying this model to 450K data of RA, osteoarthritis and normal FLS, we successfully expanded the coverage of CpG sites 18.5-fold and accounts for about 30% of all the CpGs in the human genome. By integrative omics study, we identified genes and pathways tightly related to RA pathogenesis, among which 12 genes were supported by triple evidences, including 6 genes already known to perform specific roles in RA and 6 genes as new potential therapeutic targets. Availability and implementation: The source code, required data for prediction, and demo data for test are freely available at: http://wanglab.ucsd.edu/star/LR450K/. Contact: wei-wang@ucsd.edu or gfirestein@ucsd.edu Supplementary information: Supplementary data are available at Bioinformatics online. PMID:26883487

The Worldwide Interplanetary Scintillation (IPS) Stations (WIPSS) Network in support of Space-Weather Science and Forecasting

NASA Astrophysics Data System (ADS)

Bisi, Mario Mark; Americo Gonzalez-Esparza, J.; Jackson, Bernard; Aguilar-Rodriguez, Ernesto; Tokumaru, Munetoshi; Chashei, Igor; Tyul'bashev, Sergey; Manoharan, Periasamy; Fallows, Richard; Chang, Oyuki; Yu, Hsiu-Shan; Fujiki, Ken'ichi; Shishov, Vladimir; Barnes, David

2017-04-01

The phenomenon of space weather - analogous to terrestrial weather which describes the changing low-altitude atmospheric conditions on Earth - is essentially a description of the changes in the plasma environment at and near the Earth. Some key parameters for space-weather purposes driving space weather at the Earth include velocity, density, magnetic field, high-energy particles, and radiation coming into and within the near-Earth space environment. Interplanetary scintillation (IPS) can be used to provide a global measure of velocity and density as well as indications of changes in the plasma and magnetic-field rotations along each observational line of sight. If the observations are formally inverted into a three-dimensional (3-D) tomographic reconstruction (such as using the University of California, San Diego - UCSD - kinematic model and reconstruction technique), then source-surface magnetic fields can also be propagated out to the Earth (and beyond) as well as in-situ data also being incorporated into the reconstruction. Currently, this has been done using IPS data only from the Institute for Space-Earth Environmental (ISEE) and has been scientifically since the 1990s, and in a forecast mode since around 2000. There is now a defined (and updated) IPS Common Data Format (IPSCDFv1.1) which is being implemented by the majority of the IPS community (this also feeds into the UCSD tomography). The Worldwide IPS Stations (WIPSS) Network aims to bring together, using IPSCDFv1.1, the worldwide real-time capable IPS observatories with well-developed and tested analyses techniques being unified across all single-site systems (such as MEXART, Pushchino, and Ooty) and cross-calibrated to the multi-site ISEE system (as well as learning from the scientific-based systems such as EISCAT, LOFAR, and the MWA), into the UCSD 3-D tomography to improve the accuracy, spatial and temporal data coverage, and both the spatial and temporal resolution for improved space-weather science and forecast capabilities.

The Cultural Adaptability of Intermediate Measures of Functional Outcome in Schizophrenia*

PubMed Central

Rubin, Maureen; Fredrick, Megan M.; Mintz, Jim; Nuechterlein, Keith H.; Schooler, Nina R.; Jaeger, Judith; Peters, Nancy M.; Buller, Raimund; Marder, Stephen R.; Dube, Sanjay

2012-01-01

The Measurement and Treatment Research to Improve Cognition in Schizophrenia initiative was designed to encourage the development of cognitive enhancing agents for schizophrenia. For a medication to receive this indication, regulatory agencies require evidence of improvement in both cognition and functional outcome. Because medication trials are conducted across multiple countries, we examined ratings of the cross-cultural adaptability of 4 intermediate measures of functional outcome (Independent Living Scales, UCSD Performance-based Skills Assessment, Test of Adaptive Behavior in Schizophrenia, Cognitive Assessment Interview [CAI]) made by experienced clinical researchers at 31 sites in 8 countries. English-speaking research staff familiar with conducting medication trials rated the extent to which each subscale of each intermediate measure could be applied to their culture and to subgroups within their culture based on gender, geographic region, ethnicity, and socioeconomic status on the Cultural Adaptation Rating Scale. Ratings suggested that the CAI would be easiest to adapt across cultures. However, in a recent study, the CAI was found to have weaker psychometric properties than some of the other measures. Problems were identified for specific subscales on all the performance-based assessments across multiple countries. India, China, and Mexico presented the greatest challenges in adaptation. For international clinical trials, it would be important to use the measures that are most adaptable, to adapt subscales that are problematic for specific countries or regions, or to develop a battery composed of the subscales from different instruments that may be most acceptable across multiple cultures with minimal adaptation. PMID:21134973

Seismogeodetic monitoring techniques for tsunami and earthquake early warning and rapid assessment of structural damage

NASA Astrophysics Data System (ADS)

Haase, J. S.; Bock, Y.; Saunders, J. K.; Goldberg, D.; Restrepo, J. I.

2016-12-01

As part of an effort to promote the use of NASA-sponsored Earth science information for disaster risk reduction, real-time high-rate seismogeodetic data are being incorporated into early warning and structural monitoring systems. Seismogeodesy combines seismic acceleration and GPS displacement measurements using a tightly-coupled Kalman filter to provide absolute estimates of seismic acceleration, velocity and displacement. Traditionally, the monitoring of earthquakes and tsunamis has been based on seismic networks for estimating earthquake magnitude and slip, and tide gauges and deep-ocean buoys for direct measurement of tsunami waves. Real-time seismogeodetic observations at subduction zones allow for more robust and rapid magnitude and slip estimation that increase warning time in the near-source region. A NASA-funded effort to utilize GPS and seismogeodesy in NOAA's Tsunami Warning Centers in Alaska and Hawaii integrates new modules for picking, locating, and estimating magnitudes and moment tensors for earthquakes into the USGS earthworm environment at the TWCs. In a related project, NASA supports the transition of this research to seismogeodetic tools for disaster preparedness, specifically by implementing GPS and low-cost MEMS accelerometers for structural monitoring in partnership with earthquake engineers. Real-time high-rate seismogeodetic structural monitoring has been implemented on two structures. The first is a parking garage at the Autonomous University of Baja California Faculty of Medicine in Mexicali, not far from the rupture of the 2011 Mw 7.2 El Mayor Cucapah earthquake enabled through a UCMexus collaboration. The second is the 8-story Geisel Library at University of California, San Diego (UCSD). The system has also been installed for several proof-of-concept experiments at the UCSD Network for Earthquake Engineering Simulation (NEES) Large High Performance Outdoor Shake Table. We present MEMS-based seismogeodetic observations from the 10 June 2016 Mw 5.2 Borrego Springs earthquake of strong ground motions in near field close to the San Jacinto fault, as well as observations that show the response of the 3 story parking garage. The occurrence of this recent earthquake provided a useful demonstration of structural monitoring applications with seismogeodesy.

Sediment Transport Modeling and Application for Ocean Beach and San Francisco Bight, CA

DTIC Science & Technology

2011-01-01

NDBC, http://www.ndbc.noaa.gov) and Coastal Data Information Program ( CDIP , http://cdip.ucsd.edu), respectively (Figures 3). Figure 5 shows wave...data at NDBC 46013 and CDIP 142 in January 2010. With passages of winter storms from south and southwest in the study area, the peak wave height and

Nanofabrication Technology for Production of Quantum Nano-Electronic Devices Integrating Niobium Electrodes and Optically Transparent Gates

DTIC Science & Technology

2018-01-01

conditions (pending input from University of California San Diego (UCSD)/Nano3). After dose testing, resist development and bake SF6 etching is done...conditions. After the resist development and bake , a 2-second descum oxygen-plasma exposure is performed followed by RF sputtering at 100 watts in argon of

A New On-Line Resource for Psycholinguistic Studies

ERIC Educational Resources Information Center

Szekely, Anna; Jacobsen, Thomas; D'Amico, Simona; Devescovi, Antonella; Andonoa, Elena; Herron, Daniel; Lu, Ching Ching; Pechmann, Thomas; Pleh, Csaba; Wicha, Nicole; Federmeier, Kara; Gerdjikova, Irina; Gutierrez, Gabriel; Hung, Daisy, Hsu, Jeanne; Iyer, Gowri; Kohnert, Kathryn; Mehotcheva, Teodora; Orozco-Figueroa, Araceli; Tzeng, Angela; Tzeng, Ovid; Arevalo, Analia; Vargha, Andras; Butler, Andrew C.; Buffington, Robert; Bates, Elizabeth

2004-01-01

Picture naming is a widely used technique in psycholinguistic studies. Here, we describe new on-line resources that our project has compiled and made available to researchers on the world wide web at http://crl.ucsd.edu/~aszekely/ipnp/. The website provides access to a wide range of picture stimuli and related norms in seven languages. Picture…

FDSN and EarthCube: Coordinating Global Infrastructures within Seismology and Across Other Geophysical Domains

NASA Astrophysics Data System (ADS)

Ahern, T. K.; Ekstrom, G.; Grobbelaer, M.; Trabant, C. M.; Van Fossen, M.; Stults, M.; Tsuboi, S.; Beaudoin, B. C.; Bondar, I.

2016-12-01

Seismology, by its very nature, requires sharing information across international boundaries and as such seismology evolved as a science that promotes free and open access to data. The International Federation of Digital Seismograph Networks (FDSN) has commission status within IASPEI and as such is the international standards body in our community. In the late 1980s a domain standard for exchanging seismological information was created and the SEED format is still the dominant domain standard. More recently the FDSN standardized web-service interfaces for key services used in our community. The standardization of these services also enabled the development of a federation of data centers. These federated centers, can be accessed through standard FDSN service calls. Client software exists that currently allows seamless and transparent access to all data managed at 14 globally distributed data centers on three continents with plans to expand this more broadly. IRIS is also involved in the EarthCube project funded by the US National Science Foundation. The GEOphysical Web Services (GeoWS) project extended the style of web services endorsed by the FDSN to interdisciplinary domains. IRIS worked with five data centers in other domains (Caltech, UCSD, Columbia University, UNAVCO and Unidata) to develop `similar' service-based interfaces to their data systems that were drawn from the oceanographic, atmospheric, and solid earth divisions within the NSF's geosciences directorate. Additionally IRIS developed GeoWS style web services for six additional data collections that included magnetic observations, field gravity measurements, superconducting gravimetry data, volcano monitoring data, tidal data, and oceanographic observations including those from cabled arrays in the ocean. This presentation will highlight the success the FDSN and GeoWS services have demonstrated within and beyond seismology as well as identifying some next steps being considered.

44th Annual Anomalous Absorption Conference

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

Beg, Farhat

Conference Grant Report July 14, 2015 Submitted to the U. S. Department of Energy Attn: Dr. Sean Finnegan By the University of California, San Diego 9500 Gilman Drive La Jolla, California 92093 On behalf of the 44th Annual Anomalous Absorption Conference 8-13 June 2014, in Estes Park, Colorado Support Requested: $10,100 Amount expended: $3,216.14 Performance Period: 1 March 20 14 to 28 February 20 15 Principal Investigator Dr. Farhat Beg Center for Energy Research University of California, San Diego 9500 Gilman Drive La Jolla, California 92093-0417 858-822-1266 (telephone) 858-534-4543 (fax) fbeg@ucsd.edu Administrative Point of Contact: Brandi Pate, 858-534-0851, blpate®ucsd.edu I.more » Background The forty-fourth Anomalous Absorption Conference was held in Estes Park, Colorado from June 5-8, 2014 (aac2014.ucsd.edu). The first Anomalous Absorption Conference was held in 1971 to assemble experts in the poorly understood area of laser-plasma absorption. The goal of that conference was to address the anomalously large laser absorption seen in plasma experiments with respect to the laser absorption predicted by linear plasma theory. Great progress in this research area has been made in the decades since that first meeting, due in part to the scientific interactions that have occurred annually at this conference. Specifically, this includes the development of nonlinear laser-plasma theory and the simulation of laser interactions with plasmas. Each summer since that first meeting, this week-long conference has been held at unique locations in North America as a scientific forum for intense scientific exchanges relevant to the interaction of laser radiation with plasmas. Responsibility for organizing the conference has traditional rotated each year between the major Inertial Confinement Fusion (ICF) laboratories and universities including LANL, LLNL, LLE, UCLA UC Davis and NRL. As the conference has matured over the past four decades, its technical footprint has expanded beyond ICF-related laser-plasma interactions to encompass closely related technical areas including laser particle acceleration, high-intensity laser effects, short­ pulse laser interactions, PIC and Vlasov/rad-hydro modeling, inertial and magnetic fusion plasmas, advanced plasma diagnostics, alternate ignition schemes, EOS/transport/opacity, and this year, x­ ray free-electron lasers and their applications. The conference continues to be a showcase for the presentation and discussion of the latest developments in these areas. II. Meeting Report The conference was extremely successful with more than one hundred participants. There were ninety-nine (99) abstracts submitted. There were forty-four (44) presentations including eleven (11) invited talks. The following topics were covered: a) Radiation Hydrodynamics b) Implosion Plasma Kinetic Effects c) Alternate Ignition Schemes d) Astrophysical Phenomena e) Opacity/Transport/EOS f) High Power Lasers and Facilities g) High-Intensity Laser-Matter Interactions h) Hydrodynamics and Hydro-instabilities i) Hot Dense Plasma Atomic Processes j) High Energy Density Physics k) Laser Particle Acceleration Physics l) Advanced Plasma Diagnostics m) Advanced light sources and applications Despite significant advertising, there were two students who applied for the travel grants: Charlie Jarrott and Joohwan Kim. The total funds expended were $3,216.14.« less

2007 San Diego Wildfires And Asthmatics

PubMed Central

Vora, Chirag; Renvall, Marian J.; Chao, Peter; Ferguson, Paul; Ramsdell, Joe W.

2011-01-01

Context This case series reports the changes in the respiratory health of eight asthmatic subjects and the relationship to air quality associated with the October, 2007 firestorm in San Diego County of California. Case Presentation Participants were eight subjects with asthma enrolled in Asthma Clinical Research Network (ACRN) (NIH# U10-HL074218) studies at the University of California San Diego, School of Medicine, (UCSD), who had study data collected immediately prior, during and one month after the five-day firestorm in San Diego County. Air quality deteriorated to an extreme average of 71.5 ug/m3small particulate matter less than 2.5 microns (PM2.5) during the firestorm. Respiratory health data included morning and evening peak expiratory flow rates [PEFR], morning and evening Forced Expiratory Volume in one second [FEV1], rescue medication usage, and sputum eosinophils. Morning and evening PEFR and FEV1 rates remained stable. The two subjects tested during the fires had elevated eosinophil counts and rescue medication usage was increased in five of the eight subjects. Discussion Pulmonary function test values were stable during the wildfires for all eight subjects but there was a statistical significant increase in rescue medication usage during the wildfires which correlated with PM 2.5 values. The two subjects tested during the fires showed increases in sputum eosinophil counts consistent with increased airways inflammation. Relevance These findings suggests that poor air quality associated with wildfires resulted in an increase airways inflammation in these asthmatic subjects, but pulmonary function tests remained stable, possibly due to increased rescue medication usage. This is especially pertinent as there is an increase in incidence of wildfires this decade. PMID:21158525

Predictors of performance-based measures of instrumental activities of daily living in nondemented patients with Parkinson's disease.

PubMed

Pirogovsky, Eva; Martinez-Hannon, Mercedes; Schiehser, Dawn M; Lessig, Stephanie L; Song, David D; Litvan, Irene; Filoteo, J Vincent

2013-01-01

Few studies have examined instrumental activities of daily living (iADLs) in nondemented Parkinson's disease (PD), and the majority of these studies have used report-based measures, which can have limited validity. The present study had two main goals: (a) to examine the performance of nondemented PD patients on two performance-based measures of iADLs, which are considered more objective functional measures, and (b) to examine the cognitive, motor, and psychiatric correlates of iADL impairment in PD. Ninety-eight nondemented PD patients and 47 healthy older adults were administered performance-based measures that assess the ability to manage medications (Medication Management Ability Assessment) and finances (University of California, San Diego, UCSD, Performance-based Skills Assessment), the Mattis Dementia Rating Scale to assess global cognitive functioning, the Unified Parkinson's Disease Rating Scale Part III to assess motor symptom severity, and the Geriatric Depression Scale to assess depressive symptoms. Nondemented PD patients demonstrated significantly impaired scores relative to the healthy comparison group on the performance-based measure of financial management, but there were no significant group differences in medication management. Global cognitive functioning, motor severity, and depressive symptoms did not correlate with scores on either of the functional measures, except for a small correlation between depressive symptoms and financial management. The two performance-based measures of iADL functioning did not correlate with one another. These findings suggest that medication and financial management may not be predicted based on global cognitive functioning and that iADLs may not be represented by a single construct. Furthermore, these findings suggest the potential need for a multidimensional approach to assessing iADLs.

CZT Detector and HXI Development at CASS/UCSD

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

Rothschild, Richard E.; Tomsick, John A.; Matteson, James L.

2006-06-09

The scientific goals and concept design of the Hard X-ray Imager (HXI) for MIRAX are presented to set the context for a discussion of the status of the HXI development. Emphasis is placed upon the RENA ASIC performance, the detector module upgrades, and a planned high altitude balloon flight to validate the HXI design and performance in a near-space environment.

Building a Faculty-Led Study Abroad Program: From Development to History Pedagogy in Istanbul

ERIC Educational Resources Information Center

Herbst, Matthew T.

2011-01-01

In 2008, University of California, San Diego (UCSD) joined the ranks of institutions offering Global Seminars, short-term study abroad programs designed and led by the institution's own faculty. In this model, an instructor teaches two courses in his or her area of expertise and guides students through a city or other location abroad for five…

STAR: an integrated solution to management and visualization of sequencing data

PubMed Central

Wang, Tao; Liu, Jie; Shen, Li; Tonti-Filippini, Julian; Zhu, Yun; Jia, Haiyang; Lister, Ryan; Whitaker, John W.; Ecker, Joseph R.; Millar, A. Harvey; Ren, Bing; Wang, Wei

2013-01-01

Motivation: Easily visualization of complex data features is a necessary step to conduct studies on next-generation sequencing (NGS) data. We developed STAR, an integrated web application that enables online management, visualization and track-based analysis of NGS data. Results: STAR is a multilayer web service system. On the client side, STAR leverages JavaScript, HTML5 Canvas and asynchronous communications to deliver a smoothly scrolling desktop-like graphical user interface with a suite of in-browser analysis tools that range from providing simple track configuration controls to sophisticated feature detection within datasets. On the server side, STAR supports private session state retention via an account management system and provides data management modules that enable collection, visualization and analysis of third-party sequencing data from the public domain with over thousands of tracks hosted to date. Overall, STAR represents a next-generation data exploration solution to match the requirements of NGS data, enabling both intuitive visualization and dynamic analysis of data. Availability and implementation: STAR browser system is freely available on the web at http://wanglab.ucsd.edu/star/browser and https://github.com/angell1117/STAR-genome-browser. Contact: wei-wang@ucsd.edu PMID:24078702

The effect of language on functional capacity assessment in middle-aged and older US Latinos with schizophrenia.

PubMed

Bengoetxea, Eneritz; Burton, Cynthia Z; Mausbach, Brent T; Patterson, Thomas L; Twamley, Elizabeth W

2014-08-15

The U.S. Latino population is steadily increasing, prompting a need for cross-cultural outcome measures in schizophrenia research. This study examined the contribution of language to functional assessment in middle-aged Latino patients with schizophrenia by comparing 29 monolingual Spanish-speakers, 29 Latino English-speakers, and 29 non-Latino English-speakers who were matched on relevant demographic variables and who completed cognitive and functional assessments in their native language. There were no statistically significant differences between groups on the four everyday functioning variables (UCSD Performance-Based Skills Assessment [UPSA], Social Skills Performance Assessment [SSPA], Medication Management Ability Assessment [MMAA], and the Global Assessment of Functioning [GAF]). The results support the cross-linguistic and cross-cultural acceptability of these functional assessment instruments. It appears that demographic variables other than language (e.g., age, education) better explain differences in functional assessment among ethnically diverse subpopulations. Considering the influence of these other factors in addition to language on functional assessments will help ensure that measures can be appropriately interpreted among the diverse residents of the United States. Published by Elsevier Ireland Ltd.

The effect of language on functional capacity assessment in middle-aged and older US Latinos with schizophrenia

PubMed Central

Bengoetxea, Eneritz; Burton, Cynthia Z.; Mausbach, Brent T.; Patterson, Thomas L.; Twamley, Elizabeth W.

2014-01-01

The U.S. Latino population is steadily increasing, prompting a need for cross-cultural outcome measures in schizophrenia research. This study examined the contribution of language to functional assessment in middle-aged Latino patients with schizophrenia by comparing 29 monolingual Spanish-speakers, 29 Latino English-speakers, and 29 non-Latino English-speakers who were matched on relevant demographic variables and who completed cognitive and functional assessments in their native language. There were no statistically significant differences between groups on the four everyday functioning variables (UCSD Performance-Based Skills Assessment [UPSA], Social Skills Performance Assessment [SSPA], Medication Management Ability Assessment [MMAA], and the Global Assessment of Functioning [GAF]). The results support the cross-linguistic and cross-cultural acceptability of these functional assessment instruments. It appears that demographic variables other than language (e.g., age, education) better explain differences in functional assessment among ethnically diverse subpopulations. Considering the influence of these other factors in addition to language on functional assessments will help ensure that measures can be appropriately interpreted among the diverse residents of the United States. PMID:24751379

Implementation and Evaluation of a Recurring Interdisciplinary Community Health Fair in a Remote U.S.-Mexico Border Community.

PubMed

Lee, July; McKennett, Marianne; Rodriguez, Xavier; Smith, Sunny

2018-03-06

The purpose of this project was to design, implement, and assess a recurring interdisciplinary community health fair in an underserved border town. University of California San Diego (UCSD) medical and pharmacy students, under faculty supervision, worked alongside community partners in Calexico, California to implement a health fair two miles from the U.S.-Mexico border. Demographic and screening data were described from 293 participants from 2014 to 2016. Over 90% (269/293) listed Mexico as their country of birth, 82.9% (243/293) were monolingual Spanish speakers, 75.4% (221/293) had an annual household income of ≤ $20,000, and 58.7% (172/293) described their health as fair or poor. Screening revealed 91.1% (265/291) were overweight or obese, 37.8% (109/288) had hypertension, 9.3% (27/289) had elevated blood sugar, and 11.4% (33/289) had elevated total cholesterol levels. This model could be replicated in other training settings to increase exposure to border health issues and connect patients to local health services.

Evaluation of Stroma-Free Hemoglobin Solutions as Resuscitative Fluids for the Injured Soldier

DTIC Science & Technology

1988-11-01

consultation with members of UCSD. The evaluations utilized measurements of blood gases , oxygen contents, blood lactate, cardiac and peripheral pressures...there were additional marked differences in oxygen consumption, total oxygen transport , and aortic pressure. Lactate production and left arterial...unlike the albumin animals these SFHS animals showed no changes in oxygen consumption, oxygen transport , lactate production, heart rate, dF/dt, or

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

Krasheninnikov, Sergei I.; Angus, Justin; Lee, Wonjae

The goal of the Edge Simulation Laboratory (ESL) multi-institutional project is to advance scientific understanding of the edge plasma region of magnetic fusion devices via a coordinated effort utilizing modern computing resources, advanced algorithms, and ongoing theoretical development. The UCSD team was involved in the development of the COGENT code for kinetic studies across a magnetic separatrix. This work included a kinetic treatment of electrons and multiple ion species (impurities) and accurate collision operators.

Blue Whale Behavioral Response Study and Field Testing of the New Bioacoustic Probe

DTIC Science & Technology

2011-09-30

1 DISTRIBUTION STATEMENT A. Approved for public release; distribution is unlimited. Blue Whale Behavioral Response Study & Field Testing of...6849 email: jhildebrand@ucsd.edu Award Number: N000140811221 LONG-TERM GOALS Task 1: Blue Whales Behavioral Response Study The...behavioral response of large whales to commercial shipping and other low-frequency anthropogenic sound is not well understood. The PCAD model (NRC 2005

TNT Testbed for Self-Organizing Tactical Networking and Collaboration

DTIC Science & Technology

2009-06-01

Univ. of Bundeswehr - Munich Carnegie Mellon Univ. of Florida Case Virginia Tech JHU/APL WPI MIT WVHTF NDU UM, Columbia, UCSD, UCCS UC...interdicting small craft possessing nuclear radiation threat. One goal is to test the applicability of using a wireless network for data sharing ...interdiction and data sharing between boarding parties conducted in three geographically distributed locations. Each MIO experiment appears to

Improving the Navys Passive Underwater Acoustic Monitoring of Marine Mammal Populations

DTIC Science & Technology

2015-09-30

DISTRIBUTION STATEMENT A: Distribution approved for public release; distribution is unlimited. Improving the Navy’s Passive Underwater Acoustic...mpl.ucsd.edu LONG-TERM GOALS The long-term goals of this research effort are to improve the Navy’s passive underwater acoustic monitoring of marine...research of a graduate student in marine bioacoustics and ocean acoustics at the Scripps Institution of Oceanography. OBJECTIVES The

ANZA Seismic Network- From Monitoring to Science

NASA Astrophysics Data System (ADS)

Vernon, F.; Eakin, J.; Martynov, V.; Newman, R.; Offield, G.; Hindley, A.; Astiz, L.

2007-05-01

The ANZA Seismic Network (http:eqinfo.ucsd.edu) utilizes broadband and strong motion sensors with 24-bit dataloggers combined with real-time telemetry to monitor local and regional seismicity in southernmost California. The ANZA network provides real-time data to the IRIS DMC, California Integrated Seismic Network (CISN), other regional networks, and the Advanced National Seismic System (ANSS), in addition to providing near real-time information and monitoring to the greater San Diego community. Twelve high dynamic range broadband and strong motion sensors adjacent to the San Jacinto Fault zone contribute data for earthquake source studies and continue the monitoring of the seismic activity of the San Jacinto fault initiated 24 years ago. Five additional stations are located in the San Diego region with one more station on San Clemente Island. The ANZA network uses the advance wireless networking capabilities of the NSF High Performance Wireless Research and Education Network (http:hpwren.ucsd.edu) to provide the communication infrastructure for the real-time telemetry of Anza seismic stations. The ANZA network uses the Antelope data acquisition software. The combination of high quality hardware, communications, and software allow for an annual network uptime in excess of 99.5% with a median annual station real-time data return rate of 99.3%. Approximately 90,000 events, dominantly local sources but including regional and teleseismic events, comprise the ANZA network waveform database. All waveform data and event data are managed using the Datascope relational database. The ANZA network data has been used in a variety of scientific research including detailed structure of the San Jacinto Fault Zone, earthquake source physics, spatial and temporal studies of aftershocks, array studies of teleseismic body waves, and array studies on the source of microseisms. To augment the location, detection, and high frequency observations of the seismic source spectrum from local earthquakes, the ANZA network is receiving real-time data from borehole arrays located at the UCSD Thornton Hospital, and from UCSB's Borrego Valley and Garner Valley Downhole Arrays. Finally the ANZA network is acquiring data from seven PBO sites each with 300 meter deep MEMs accelerometers, passive seismometers, and a borehole strainmeter.

Pioneer 10 and 11 Data Analysis

NASA Technical Reports Server (NTRS)

Fillius, Walker

1997-01-01

This report finishes the work of NASA Grant NAS2-153, which supported data analysis for the UCSD instruments on Pioneers 10 and 11. The data analyzed under this grant span 22 years of interplanetary measurements in the inner and outer heliosphere. The UCSD instruments made their mark in cosmic ray research based upon their high energy thresholds, directional responses, and reliable data streams. one of their primary scientific objectives concerns the size, configuration, and time behavior of the heliosphere. The size scale is inferred from the radial intensity gradient, which is measured between the two spacecraft and extrapolated to interstellar intensity levels at the cosmic ray modulation boundary. This boundary still eludes us, and its position, motion, and the best method of extrapolation are ongoing problems. Current projections place the boundary beyond 100 AU, which may be beyond the termination shock, and raises the question of possible modulation in the heliosheath. Probably our only hope of seeing this region in the immediate future rides on the possibility that the boundary will move inward. Our instruments have recorded many Forbush, or transient, decreases in the outer heliosphere. These observations led us to a model that attributes many of the decreases to solar wind stream-stream interactions, and relates the cosmic ray variations to the locally observed magnetic field magnitude. As the cosmic ray variations in this model result only from topological changes in the modulation integral, the model is a tool for studying the possibility that the 11 year cosmic ray modulation cycle can be accounted for by a superposition of Forbush decreases. The cosmic ray angular distribution function is measurable, given a good telemetry rate, by the UCSD Cerenkov detector which counts particles of energy greater than 500 MeV/n. We obtained statistically significant samples from 1 to 9 AU, at 13 AU, and at 34 AU. The anisotropy tends to be a few tenths of a per cent at all radial distances. A quasiperiodic variation in the east-west anisotropy with period of about 50 days remains unexplained.

Ocean Dynamics: Vietnam DRI

DTIC Science & Technology

2014-09-30

floor. OBJECTIVES To identify the phenomena involved in the cascade of energy from mesoscales to turbulent scales. In particular, we wish to quantify the...data from the profiler to the surface buoy. The WW Iridium telemetry system was tested on the WW moored over the continental shelf. Telemetry...2580 email: ajlucas@ucsd.edu Award: N00014-12-1-0635 LONG-TERM GOALS To gain a more complete understanding of ocean dynamical processes

High-Resolution, Large-Area, Nano Imprint Lithography

DTIC Science & Technology

2009-08-27

oxides as the seed layers can provide implication as the general synthetic route for the spontaneous growth of metal - silicide nanowires in large...nano-island array preparation , we have successfully fabricated patterned magnetic recording media as described in Fig. 2. About ~30 nm diameter Si...that we fabricated at UCSD with 5-50 nm diameter magnetic islands was used, since a large- area, hard disk size preparation was necessary, and since a

Enhanced Cognitive Rehabilitation to Treat Comorbid TBI and PTSD

DTIC Science & Technology

2017-12-01

S) Amy Jak 5d. PROJECT NUMBER 5e. TASK NUMBER E-Mail: ajak@ucsd.edu 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES...symptoms resulting from mild to moderate TBI. These practice standards have been organized into a manualized treatment, Cognitive Symptom Management ...Processing Therapy; SMART-CPT=Cognitive Symptom Management and Rehabilitation Therapy combined with CPT; TBI=traumatic brain injury; PTSD=posttraumatic

Blue Whale Behavioral Response Study & Field Testing of the New Bioacoustic Probe

DTIC Science & Technology

2012-09-30

L. T. HATCH and C. W. CLARK. 2003. Variation in humpback whale (Megaptera novaeangliae) song length in relation to low-frequency sound broadcasts...1 DISTRIBUTION STATEMENT A. Approved for public release; distribution is unlimited. Blue Whale Behavioral Response Study & Field Testing of...ucsd.edu Award Number: N000140811221 LONG-TERM GOALS Task 1: Blue Whales Behavioral Response Study The behavioral response of large whales

Hydrodynamic Controls on Acoustical and Optical Water Properties in Tropical Reefs

DTIC Science & Technology

2013-09-30

the dominant hydrodynamic controls across different reef environments? Tropical coral health can be significantly affected by sedimentation that can...collaborative field work by the PIs, carried out in collaboration with UCSD SIO (PI: Terrill) and the Coral Reef Research Foundation in Koror (PI...bed stress in coral reef environments, using observations from Oahu, Palau and Guam. The project is providing partial support for a postdoctoral

Keypoint Density-Based Region Proposal for Fine-Grained Object Detection and Classification Using Regions with Convolutional Neural Network Features

DTIC Science & Technology

2015-12-15

Keypoint Density-based Region Proposal for Fine-Grained Object Detection and Classification using Regions with Convolutional Neural Network ... Convolutional Neural Networks (CNNs) enable them to outperform conventional techniques on standard object detection and classification tasks, their...detection accuracy and speed on the fine-grained Caltech UCSD bird dataset (Wah et al., 2011). Recently, Convolutional Neural Networks (CNNs), a deep

Workshop on the Detection, Classification, Localization and Density Estimation of Marine Mammals Using Passive Acoustics - 2015

DTIC Science & Technology

2015-09-30

together the research community working on marine mammal acoustics to discuss detection, classification, localization and density estimation methods...and Density Estimation of Marine Mammals Using Passive Acoustics - 2015 John A. Hildebrand Scripps Institution of Oceanography UCSD La Jolla...dclde LONG-TERM GOALS The goal of this project was to bring together the community of researchers working on methods for detection

Properties of Chirped Grating Lenses in Optical Waveguides.

DTIC Science & Technology

1984-10-01

the design, the materials and the fabrication q process. In this report, we will summarize the research results obtained at UCSD on the fundamental...limitations of their performance in efficiency, angular field of view and F-number caused by diffraction, materials properties and fabrication techniques... material index, the grating groove pattern in both the transverse and the longitudinal direction and the profile of the grooves can all be varied, while in

Increased Prevalence of Unusual Sensory Behaviors in Infants at Risk For, and Teens With, Autism Spectrum Disorder

ERIC Educational Resources Information Center

Van Etten, Hannah M.; Kaur, Maninderjit; Srinivasan, Sudha M.; Cohen, Shereen J.; Bhat, Anjana; Dobkins, Karen R.

2017-01-01

The current study investigated the prevalence and pattern of unusual sensory behaviors (USBs) in teens with Autism Spectrum Disorder (ASD) and infants (3-36 months) at risk for ASD. From two different sites (UCSD and UConn), caregivers of infants at high (n = 32) and low risk (n = 33) for ASD, and teenagers with (n = 12) and without ASD (n = 11),…

Exploratory analysis of normative performance on the UCSD Performance-Based Skills Assessment-Brief.

PubMed

Vella, Lea; Patterson, Thomas L; Harvey, Philip D; McClure, Margaret McNamara; Mausbach, Brent T; Taylor, Michael J; Twamley, Elizabeth W

2017-10-01

The UCSD Performance-Based Skills Assessment (UPSA) is a performance-based measure of functional capacity. The brief, two-domain (finance and communication ability) version of the assessment (UPSA-B) is now widely used in both clinical research and treatment trials. To date, research has not examined possible demographic-UPSA-B relationships within a non-psychiatric population. We aimed to produce and describe preliminary normative scores for the UPSA-B over a full range of ages and educational attainment. The finance and communication subscales of the UPSA were administered to 190 healthy participants in the context of three separate studies. These data were combined to examine the effects of age, sex, and educational attainment on the UPSA-B domain and total scores. Fractional polynomial regression was used to compute demographically-corrected T-scores for the UPSA-B total score, and percentile rank conversion was used for the two subscales. Age and education both had significant non-linear effects on the UPSA-B total score. The finance subscale was significantly related to both gender and years of education, whereas the communication subscale was not significantly related to any of the demographic characteristics. Demographically corrected T-scores and percentile ranks for UPSA-B scores are now available for use in clinical research. Published by Elsevier B.V.

Energy Harvesting for Structural Health Monitoring Sensor Networks

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

Park, G.; Farrar, C. R.; Todd, M. D.

2007-02-26

This report has been developed based on information exchanges at a 2.5-day workshop on energy harvesting for embedded structural health monitoring (SHM) sensing systems that was held June 28-30, 2005, at Los Alamos National Laboratory. The workshop was hosted by the LANL/UCSD Engineering Institute (EI). This Institute is an education- and research-focused collaboration between Los Alamos National Laboratory (LANL) and the University of California, San Diego (UCSD), Jacobs School of Engineering. A Statistical Pattern Recognition paradigm for SHM is first presented and the concept of energy harvesting for embedded sensing systems is addressed with respect to the data acquisition portionmore » of this paradigm. Next, various existing and emerging sensing modalities used for SHM and their respective power requirements are summarized, followed by a discussion of SHM sensor network paradigms, power requirements for these networks and power optimization strategies. Various approaches to energy harvesting and energy storage are discussed and limitations associated with the current technology are addressed. This discussion also addresses current energy harvesting applications and system integration issues. The report concludes by defining some future research directions and possible technology demonstrations that are aimed at transitioning the concept of energy harvesting for embedded SHM sensing systems from laboratory research to field-deployed engineering prototypes.« less

A systematic review of a functional assessment Tool: UCSD Performance-based skill assessment (UPSA).

PubMed

Becattini-Oliveira, Ana Claudia; Dutra, Douglas de Farias; Spenciere de Oliveira Campos, Bárbara; de Araujo, Verônica Carvalho; Charchat-Fichman, Helenice

2018-05-18

Performance based assessment instruments have been employed in functional capacity measurement of mental disorders. The aim of this systematic review was to identify the psychometric properties of the UCSD Performance-based Skill Assessment (UPSA). A search was conducted using the PRISMA protocol and 'UPSA' as key word term on electronic databases, with a date range for articles published from 2001-2017. Published studies involving community-dwelling adults were included. Pharmacological and/or clinical interventions involving clinical outcomes and/or institutionalized samples were excluded. Data related to construct validity, test-retest reliability and sensitivity/specificity were extracted, summarized and analyzed according to UPSA versions and psychiatric disorders. Fifty-eight studies including 8782 Community-dwelling adults met selection criteria. Data supporting the construct and known-groups validity were extracted from 41 studies involving Schizophrenia and schizoaffective disorders and 17 studies involving other metal illness. The UPSA was culturally adapted to 8 different languages and employed in 17 countries. Few studies reported sensitivity and specificity and the cut-off points could not be generalized. Moderate to strong evidence of construct validity and test-retest reliability was found. Few studies proposed cut-off points. The UPSA showed good psychometric properties in different versions including those culturally adapted. Copyright © 2018 Elsevier B.V. All rights reserved.

SIOExplorer: Opening Archives for Education

NASA Astrophysics Data System (ADS)

Miller, S. P.; Staudigl, H.; Johnson, C.; Helly, J.; Day, D.

2003-04-01

The SIOExplorer project began with a desire to organize the data archives of the Scripps Institution of Oceanography, which include the observations from 822 cruises over 50 years. Most of the data volume comes from 244 multibeam seafloor swath mapping cruises since 1982. Rather than just create an online archive or a website, the decision was made to build a fully searchable digital library, and to include related historical images and documents from the SIO Archives in the SIO Library. It soon became apparent that much of the material would be appealing to students of all ages, as well as the general public. Access to several global databases was added, along with the seamount catalog and geochemical resources of www.earthref.org. SIOExplorer has now become a part of the National Science Digital Library (www.nsdl.org) and can be accessed directly at http://SIOExplorer.ucsd.edu. From the beginning, it was obvious that a scalable Information Technology architecture would be needed. Data and documents from three separate organizations would need to be integrated initially, with more to follow in subsequent years. Each organization had its own data standards and formats. Almost no metadata existed. With millions of files and approximately 1 terabyte of data, we realized that a team approach would be required, combining the expertise of SIO, the UCSD Libraries and the San Diego Supercomputer Center. General purpose tools have now been developed to automate collection development, create and manage metadata, and geographically search the library. Each digital object in the library has an associated metadata structure, which includes a Dublin Core block along with domain-specific blocks, as needed. Objects can be searched geospatially, temporally, by keyword, and by expert-level. For example, expert-level classification makes it possible to screen out research-grade contents, revealing material appropriate for the selected grade, such as K-6. Now that the library has begun operation with an initial collection of cruises and supporting information, we are exploring how to create educational material from the contents. A workshop will be held at Scripps in September 2003, coinciding with the hosting of the Oceans 2003 meeting and the 100th Anniversary of SIO. These efforts are supported by the NSF NSDL and ITR programs and by SIO institutional funds.

The 2007 San Diego Wildfire impact on the Emergency Department of the University of California, San Diego Hospital System.

PubMed

Schranz, Craig I; Castillo, Edward M; Vilke, Gary M

2010-01-01

In October 2007, San Diego County experienced a severe firestorm resulting in the burning of more than 368,000 acres, the destruction of more than 1,700 homes, and the evacuation of more than 500,000 people. The goal of this study was to assess the impact of the 2007 San Diego Wildfires, and the acute change in air quality that followed, on the patient volume and types of complaints in the emergency department. A retrospective review was performed of a database of all patients presenting to the Emergency Departments of University of California, San Diego (UCSD) hospitals for a six-day period both before (14-19 October 2007) and after (21-26 October 2007) the start of the 2007 firestorm. Charts were abstracted for data, including demographics, chief complaints, past medical history, fire-related injuries and disposition status. As a measure of pollution, levels of 2.5 micron Particulate Matter (PM 2.5) also were calculated from data provided by the San Diego Air Pollution Control District. Emergency department volume decreased by 5.8% for the period following the fire. A rapid rise in PM2.5 levels coincided with the onset of the fires. The admission rate was higher in the period following the fires (19.8% vs. 15.2%) from the baseline period. Additionally, the Left Without Being Seen (LWBS) rate doubled to 4.6% from 2.3%. There was a statistically significant increase in patients presenting with a chief complaint of shortness of breath (6.5% vs. 4.2% p = 0.028) and smoke exposure (1.1% vs. 0% p = 0.001) following the fires. Patients with significant cardiac or pulmonary histories were no more likely to present to the emergency department during the fires. Despite the decreased volume, the admission and LWBS rate did increase following the onset of the firestorm. The cause of this increase is unclear. Despite a sudden decline in air quality, patients with significant cardiac and pulmonary morbidity did not vary their emergency department utilization rate. Based on the experience at UCSD, it appears that significant wildfires like that seen in 2007, only may marginally affect emergency department operations, and may not require significant changes to normal staffing levels.

Some Recent Observations on the Burning of Isolated N-Heptane and Alcohol Droplets

NASA Technical Reports Server (NTRS)

Dryer, F. L.

1999-01-01

In a joint program involving Prof F.A. Williams of the University of California, San Diego and Dr. Vedha Nayagam of the National Center for Microgravity Research on Fluid and Combustion, the combustion of liquid fuel droplets having initial diameters between about 1 mm and 6 mm is being studied. The objectives of the work are to improve fundamental knowledge of droplet combustion dynamics through microgravity experiments and theoretical analyses. The Princeton contributions to the collaborative program supports the engineering design, data analysis, and data interpretation requirements for the study of initially single component, spherically symmetric, isolated droplet combustion studies through experiments and numerical modeling. The complementary UCSD contributions apply asymptotic theoretical analyses and are described in the published literature and in a companion communication in this volume. Emphases of the Princeton work are on the study of simple alcohols (methanol, ethanol), alcohol/water mixtures, and pure alkanes (n-heptane, n-decane) as fuels, with time dependent measurements of drop size, flame-stand-off, liquid-phase composition, and finally, extinction. Ground based experiments have included bench-scale studies at Princeton and collaborative experimental studies in the 2.2 and 5.18 second drop towers at NASA-Glenn Research Center. Spacelab studies have included fiber-supported droplet combustion (FSDC) experiments in the Glovebox facility with accompanying numerical analyses. Experiments include FSDC-1, performed on the USML-2 mission in October, 1995 (STS-73) and FSDC-2, on the second flight of the MSL-1 mission in July, 1997 (STS-94).

Pure Electron Plasmas near Thermal Equilibrium

DTIC Science & Technology

1990-11-01

I University of California, San Diego Institute of Pure and Applied Physical Sciences La Jolla, CA 92093 N 0 (V) Final Technical Report N "Pure...Research/code -..... " 1112AI. VC 1/8/91 ’ , .... i ; () -ii- r INTRODUCTION Since 1982 the plasma group at UCSD has been conducting an experimental and...scale. We have also observed an unusual I = 1 instability which the previously published theoretical literature stated unconditionally was stable. The

Numerical Modeling of Coastal Dredged Material Placement Study at Noyo Harbor, CA

DTIC Science & Technology

2013-07-01

Information Program ( CDIP , http://cdip.ucsd.edu) Buoy 46213. NDBC Buoy 46014, located offshore Noyo Bay, collects non- directional wave spectral data...lists these NDBC, CDIP , and NOAA stations and their location information. Fig. 5: Monthly mean wave height at Buoys 46014, 46022, and 46213...primarily sand with small percentages of mixed gravel, silt and clay (Table 2). Table 1. NDBC, CDIP , and NOAA station locations Station Latitude

A class of cellular automata modeling winnerless competition

NASA Astrophysics Data System (ADS)

Afraimovich, V.; Ordaz, F. C.; Urías, J.

2002-06-01

Neural units introduced by Rabinovich et al. ("Sensory coding with dynamically competitive networks," UCSD and CIT, February 1999) motivate a class of cellular automata (CA) where spatio-temporal encoding is feasible. The spatio-temporal information capacity of a CA is estimated by the information capacity of the attractor set, which happens to be finitely specified. Two-dimensional CA are studied in detail. An example is given for which the attractor is not a subshift.

A Methodology for Assessing the Impact of Sea Level Rise on Representative Military Installation in the Southwestern United States (RC-1703)

DTIC Science & Technology

2015-04-01

escarpments, relic sediment fans off river mouths , and submarine canyons (courtesy of the Coastal Data Information Program http://cdip.ucsd.edu...with the Source- Pathway-Receptor model. In other words , the question should specify the source of the vulnerability, the receptor that is impacted...works and other infrastructure, renewable and subsistence resources, tourism , recreation, transportation functions, cultural resources, agriculture

Particle cloud mixing in microgravity

NASA Technical Reports Server (NTRS)

Ross, H.; Facca, L.; Tangirala, V.; Berlad, A. L.

1989-01-01

Quasi-steady flame propagation through clouds of combustible particles requires quasi-steady transport properties and quasi-steady particle number density. Microgravity conditions may be employed to help achieve the conditions of quiescent, uniform clouds needed for such combustion studies. Joint experimental and theoretical NASA-UCSD studies were concerned with the use of acoustic, electrostatic, and other methods of dispersion of fuel particulates. Results of these studies are presented for particle clouds in long cylindrical tubes.

Degree of Bilingualism Predicts Age of Diagnosis of Alzheimer’s Disease in Low-Education but not in Highly-Educated Hispanics

PubMed Central

Gollan, Tamar H.; Salmon, David P.; Montoya, Rosa I.; Galasko, Douglas R.

2011-01-01

The current study investigated the relationship between bilingual language proficiency and onset of probable Alzheimer’s disease (AD) in 44 Spanish-English bilinguals at the UCSD Alzheimer’s Disease Research Center. Degree of bilingualism along a continuum was measured using Boston Naming Test (BNT) scores in each language. Higher degrees of bilingualism were associated with increasingly later age-of-diagnosis (and age of onset of symptoms), but this effect was driven by participants with low education level (a significant interaction between years of education and bilingualism) most of whom (73%) were also Spanish-dominant. Additionally, only objective measures (i.e., BNT scores), not self-reported degree of bilingualism, predicted age-of-diagnosis even though objective and self-reported measures were significantly correlated. These findings establish a specific connection between knowledge of two languages and delay of AD onset, and demonstrate that bilingual effects can be obscured by interactions between education and bilingualism, and by failure to obtain objective measures of bilingualism. More generally, these data support analogies between the effects of bilingualism and “cognitive reserve” and suggest an upper limit on the extent to which reserve can function to delay dementia. PMID:22001315

California cooperative oceanic fisheries investigations. Reports volume 37, January 1--December 31, 1995

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

Olfe, J.

1996-10-01

Scientists from the California Department of Fish and Game (CDFG), the Southwest Fisheries Science Center of the National Marine Fisheries Service (NMFS), and the Scripps Institution of Oceanography, University of California, San Diego (UCSD), have collaborated for 46 years in the longest-running large-scale study ever undertaken in the ocean. This study was begun in order to understand the causes of changes in population, over time, of commercially important fishes in California`s coastal waters. When the study began, the Pacific sardine was by far the most significant species of economic concern to the State of California. Because its population changes weremore » thought to be caused by a diversity of atmospheric, oceanic, and biological variables, a wide array of measurements in the California Current region were begun and have been continued to this day. This long time series of data allows not only a better understanding of the flux of fish populations, but also lays the foundation for understanding interdecadal and secular change in the seas. This document contains papers from symposium of the 1995 CalCOFI Conference related to interdecadal changes in the ecology of the California current.« less

A qualitative assessment of cross-cultural adaptation of intermediate measures for schizophrenia in multisite international studies.

PubMed

Gonzalez, Jodi M; Rubin, Maureen; Fredrick, Megan M; Velligan, Dawn I

2013-04-30

In this substudy of the Measurement and Treatment Research to Improve Cognition in Schizophrenia we examined qualitative feedback on the cross-cultural adaptability of four intermediate measures of functional outcome (Independent Living Scales, UCSD Performance-Based Skills Assessment, Test of Adaptive Behavior in Schizophrenia, and Cognitive Assessment Interview). Feedback was provided by experienced English-fluent clinical researchers at 31 sites in eight countries familiar with medication trials. Researchers provided feedback on test subscales and items which were rated as having adaptation challenges. They noted the specific concern and made suggestions for adaptation to their culture. We analyzed the qualitative data using a modified Grounded Theory approach guided by the International Testing Commission Guidelines model for test adaptation. For each measure except the Cognitive Assessment Interview (CAI), the majority of subscales were reported to require major adaptations in terms of content and concepts contained in the subscale. In particular, social, financial, transportation and health care systems varied widely across countries-systems which are often used to assess performance capacity in the U.S. We provide suggestions for how to address future international test development and adaptation. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

DoD-GEIS - DoD Global Emerging Infections Surveillance and Response System, Fiscal Year 2007

DTIC Science & Technology

2007-01-01

Weaver SC. Endemic eastern equine encephalitis in the Amazon Region of Peru . Am J Trop Med Hyg, 76:293-8, 2007. 3. Alibayeva G, Todd CS, Khakimov...Naval Medical Center Naval Health Research Center Naval Medical Research Center Naval Medical Research Center Detachment (Lima, Peru ) Naval Medical...Medical Research Center Detachment (Lima, Peru ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60

Measuring the efficiency of dental departments in medical centers: a nonparametric analysis approach.

PubMed

Wang, Su-Chen; Tsai, Chi-Cheng; Huang, Shun-Te; Hong, Yu-Jue

2002-12-01

Data envelopment analysis (DEA), a cross-sectional study design based on secondary data analysis, was used to evaluate the relative operational efficiency of 16 dental departments in medical centers in Taiwan in 1999. The results indicated that 68.7% of all dental departments in medical centers had poor performance in terms of overall efficiency and scale efficiency. All relatively efficient dental departments were in private medical centers. Half of these dental departments were unable to fully utilize available medical resources. 75.0% of public medical centers did not take full advantage of medical resources at their disposal. In the returns to scale, 56.3% of dental departments in medical centers exhibited increasing returns to scale, due to the insufficient scale influencing overall hospital operational efficiency. Public medical centers accounted for 77.8% of the institutions affected. The scale of dental departments in private medical centers was more appropriate than those in public medical centers. In the sensitivity analysis, the numbers of residents, interns, and published papers were used to assess teaching and research. Greater emphasis on teaching and research in medical centers has a large effect on the relative inefficiency of hospital operation. Dental departments in private medical centers had a higher mean overall efficiency score than those in public medical centers, and the overall efficiency of dental departments in non-university hospitals was greater than those in university hospitals. There was no information to evaluate the long-term efficiency of each dental department in all hospitals. A different combination of input and output variables, using common multipliers for efficiency value measurements in DEA, may help establish different pioneering dental departments in hospitals.

SA103. Compensatory Cognitive Training in High-Risk Latino Youth

PubMed Central

Deyoe, Janae; Kelsven, Skylar; Robles-Guerrero, Clara; Mirzakhanian, Heline; Perez, Gresia; Reyes-Madrigal, Francisco; Twamley, Elizabeth; de la Fuente-Sandoval, Camilo; Cadenhead, Kristin

2017-01-01

Abstract Background: Latinos have more difficulty accessing mental health services and are less likely to obtain the necessary care when they do receive treatment. When Latinos obtain services for mental health disorders, they are significantly more likely than other clients to receive them in primary care settings rather than in specialized mental health settings. Our pilot randomized clinical trial (RCT) of an innovative Compensatory Cognitive Training (CCT) program for Latino individuals Compensatory Cognitive Training (CCT) is a novel treatment approach for Clinical High Risk (CHR). CCT has been used successfully in chronic schizophrenia, but studies of cognitive remediation are only beginning to be performed in the early period of illness. If successful, our RCT will provide empirical support for a lower risk, broad-spectrum treatment that could have important implications for public health by improving neurocognition and functional outcome and focusing on the underserved Latino population. Methods: All participants completed 12 weeks of CCT versus recreational therapy (RT) either at the University of California, San Diego, or Instituto Nacional de Neurología y Neurocirugía (INNN). Feasibility was assessed based on the proportion of identified eligible participants versus enrolled participants and session attendance. Tolerability was assessed based on participant feedback. Results: UCSD identified 19 eligible participants of which 7 (37%) enrolled in the study and began groups. INNN identified 9 eligible participants, of which 4 (44%) enrolled in the study and began groups. Individuals at UCSD attended 75% of sessions while was 100% at INNN. Qualitative feedback from UCSD participants indicated groups were well tolerated. Participants who declined to enroll in the groups cited a lack of time and/or interest as their reason for declining. Conclusion: Identifying eligible and interested participants has limited the progress of the current study. This challenge supports the historical finding that Latino participants are less likely to seek treatment for mental health issues. However, those who did enroll showed consistent attendance and high engagement. The low enrollment may have been compounded by the stigmatization of mental health issues and treatment seeking. Previous studies have cited many issues with logistics as a barrier to accessing care, in our sample these were not reported as a reason to decline enrollment.

The Global Seismographic Network

NASA Astrophysics Data System (ADS)

Berger, J.; Anderson, K. R.; Butler, R.; Davis, P. B.; Derr, J.; Gee, L. S.; Song, X.

2009-12-01

Twenty-five years ago the IRIS Consortium was formed to advance the seismological interests of the US academic community. One of its core programs was the Global Seismographic Network (GSN).The GSN built upon the successes of its predecessors, the World-Wide Standardized Seismograph Network and the Global Digital Seismograph Network operated by the United States Geological Survey (USGS), and Project IDA operated by the University of California San Diego (UCSD), but with a far-reaching vision of more than 100 global stations with broadband seismometers, real-time data telemetry, and free and open data access. Based upon a partnership with USGS Albuquerque Seismological Laboratory and the UCSD IDA group, and with funding from the National Science Foundation, IRIS established its first stations in 1986. Today the GSN comprises 153 stations operated in cooperation with over 100 host organizations in 69 countries. With the goal of recording the entire seismic spectrum, the GSN stations include very-broadband seismometers installed in vaults and in 100m boreholes, strong-motion sensors to insure on-scale recordings of nearby or very large earthquakes, and high-frequency sensors to extend the frequency band for nuclear treaty monitoring interests. Using the GSN logistics, communications, and infrastructure for broader science interests, many GSN stations have been expanded as geophysical observatories to include microbarographs, GPS receivers, along with numerous co-located gravimeters, geomagnetic sensors, and meteorological sensors. In the early days of the GSN data were recorded at the stations on magnetic tape and then sent to the IRIS Data Center via mail. Gradually near real-time data collection progressed to telephone dial-up access, via private VSAT satellite access, and finally through the public Internet. Now over 95% of the GSN stations have real-time data flow openly accessible from IRIS, and from USGS and IDA data collection centers. In the years prior to the 1996 Comprehensive Nuclear Test Ban Treaty the GSN received significant additional funding to support expansion of the GSN in the former Soviet Union, and to collaborate in the upgrade of the Chinese Digital Seismic Network to GSN standards. Over 50 GSN sites are designated as part of the CTBT International Monitoring System. The Mw 9.2 Sumatra-Andaman earthquake of 2004 and subsequent tsunami was the first operational test of the GSN design goals for a truly great earthquake. The GSN captured this event with full fidelity with over 88% of the network operational and with 88 of these stations provided data in real-time for tsunami warning. IRIS,IDA, and the USGS remain committed to maintaining a state-of-the-art facility, which will continue to serve as a foremost resource for seismological research and for training and educating the next generation of earth scientists while providing data for earthquake response, tsunami warning, and international nuclear treaty monitoring. To meet this commitment, the GSN is progressing rapidly in upgrading all of its stations with a new generation of data acquisition systems and the latest generation of standardized sensors.

Learning from Error

DTIC Science & Technology

1988-01-01

AD-A 199 117 . fNOooN - 6 -JS/_~ Learning from Error Colleen M. Seifert . . i’ UCSDand NPRDC L" , Edwin L. Hutchins UCSD -,- -" Introduction Most...always rely on learning on the job, and where there is the need for learning , there is potential for error. A naturally situated system of cooperative work...reorganized, change the things they do, and change the technology they utilize to do the job. Even if tasks and tools could be somehow frozen, changes in

WebChem Viewer: a tool for the easy dissemination of chemical and structural data sets

PubMed Central

2014-01-01

Background Sharing sets of chemical data (e.g., chemical properties, docking scores, etc.) among collaborators with diverse skill sets is a common task in computer-aided drug design and medicinal chemistry. The ability to associate this data with images of the relevant molecular structures greatly facilitates scientific communication. There is a need for a simple, free, open-source program that can automatically export aggregated reports of entire chemical data sets to files viewable on any computer, regardless of the operating system and without requiring the installation of additional software. Results We here present a program called WebChem Viewer that automatically generates these types of highly portable reports. Furthermore, in designing WebChem Viewer we have also created a useful online web application for remotely generating molecular structures from SMILES strings. We encourage the direct use of this online application as well as its incorporation into other software packages. Conclusions With these features, WebChem Viewer enables interdisciplinary collaborations that require the sharing and visualization of small molecule structures and associated sets of heterogeneous chemical data. The program is released under the FreeBSD license and can be downloaded from http://nbcr.ucsd.edu/WebChemViewer. The associated web application (called “Smiley2png 1.0”) can be accessed through freely available web services provided by the National Biomedical Computation Resource at http://nbcr.ucsd.edu. PMID:24886360

Opportunity for Collaboration Between Radiation Injury Treatment Network Centers and Medical Toxicology Specialists.

PubMed

Davlantes, Elizabeth; Shartar, Samuel; Venero, Jennifer; Steck, Alaina; Langston, Amelia; Kazzi, Ziad N

2017-08-01

The Radiation Injury Treatment Network (RITN) comprises >50 centers across the United States that are poised to care for victims of a radiation emergency. The network is organized around bone marrow transplant centers because these facilities excel in both radiation medicine and the care of patients with severe bone marrow depression. A radiation emergency may cause not only irradiation from an external source but also internal contamination with radioactive material. Because medical toxicologists are trained in radiation injury management and have expertise in the management of internal contamination, RITN centers may benefit from partnerships with medical toxicology resources, which may be located at academic medical centers, hospital inpatient clinical services, outpatient clinics, or poison control centers. We determined the locations of existing RITN centers and assessed their proximity to various medical toxicology resources, including medical toxicology fellowship programs, inpatient toxicology services, outpatient toxicology clinics, and poison control centers. Data were derived from publicly available Internet sources in March 2015. The majority of RITN centers do not have a medical toxicology fellowship, an inpatient toxicology service, or an outpatient toxicology clinic within the same institution. Fifty-seven percent of RITN centers have at least one of these resources located in the same city, however, and 73% of centers have at least one of these resources or a poison control center within the same city. Ninety-five percent of RITN centers have at least one medical toxicology resource within the state. Most RITN centers are located in the same city as at least one medical toxicology resource. Establishing relationships between RITN centers and medical toxicologists needs to be explored further.

Medical center farmers markets: a strategic partner in the patient-centered medical home.

PubMed

George, Daniel R; Rovniak, Liza S; Kraschnewski, Jennifer L; Morrison, Kathy J; Dillon, Judith F; Bates, Beth Y

2013-08-01

The number of medical center-based farmers markets has increased in the past decade, but little is known about how such organizations contribute to the preventive health goals of the patient-centered medical home. In 2010, we started a seasonal farmers market at Penn State Hershey Medical Center to help support the institution's commitment to the medical home. We obtained descriptive data on the farmers market from hospital and market records and tracking information on the market's Facebook and Twitter sites. We computed summary measures to characterize how the market has begun to meet the 6 standards of the 2011 National Committee for Quality Assurance's report on the medical home. During the 2010 and 2011 seasons, 146 medical center volunteers from 40 departments formed 23 interprofessional teams that spent an average of 551 volunteer hours per season at the market, providing health screenings (n = 695) and speaking to customers (n = 636) about preventive health. Fifty-five nonmedical community health partners provided 208 hours of service at the market alongside medical center staff. Market programming contributed to 5 regional preventive health partnerships and created opportunities for interprofessional mentoring, student leadership, data management, development of social media skills, and grant-writing experience. The market contributed to all 6 medical home standards outlined by the National Committee for Quality Assurance. Medical center markets can support medical home standards. With systematic tracking of the health effects and integration with electronic medical health records, markets hold potential to contribute to comprehensive patient-centered care.

U.S. academic medical centers under the managed health care environment.

PubMed

Guo, K

1999-06-01

This research investigates the impact of managed health care on academic medical centers in the United States. Academic medical centers hold a unique position in the U.S. health care system through their missions of conducting cutting-edge biomedical research, pursuing clinical and technological innovations, providing state-of-the-art medical care and producing highly qualified health professionals. However, policies to control costs through the use of managed care and limiting resources are detrimental to academic medical centers and impede the advancement of medical science. To survive the threats of managed care in the health care environment, academic medical centers must rely on their upper level managers to derive successful strategies. The methods used in this study include qualitative approaches in the form of key informants and case studies. In addition, a survey questionnaire was sent to 108 CEOs in all the academic medical centers in the U.S. The findings revealed that managers who perform the liaison, monitor, entrepreneur and resource allocator roles are crucial to ensure the survival of academic medical centers, so that academic medical centers can continue their missions to serve the general public and promote their well-being.

Identification of New Potential Scientific and Technology Areas for DoD Application. Summary of Activities

DTIC Science & Technology

1983-08-02

laser, a Cr3+-Nd 3 + gadolinium-scandium- gallium- garnet (GSGG) crystal, reputedly having three 15 times the slope efficiency of an equivalent... garnet , lithium gallium garnet , and lanthium-lutetium gallium garnet . Dr. Cooper asked for an indication of what it might take to put a program together in...Langmuir-Blodgett films , a subject mostly pursued in the U. K. Two groups, one at the University of California, San Diego (UCSD) (contact: Professor W

Conference Eighth International Symposium on Blood Substitutes

DTIC Science & Technology

2001-04-01

Dept. of Bioengin, 0412 Japan University of California, San eishun(mn.waseda.ac.ip Diego 9500 Gilman Drive, John Frangos , Ph.D. La Jolla, CA 92093...Ph.D. La Jolla, CA 92093 Professor of Physiology and frangos @bioeng.ucsd.edu Medicine McGill University 3655 Drummond Street Montreal, Quebec, CANADA...Break 1050 1-2 Fabry 1050 V-3 Kerger 1100 1110 1-3 Manjufa P4Tsuchida 1105 V-4 Kim 1120 V-5 Kingma1130 I-4 Kramer 1130 P5 Frangos 1135 V-6 Pittman 1150

Improving Synchronization and Functional Connectivity in Autism Spectrum Disorders through Plasticity-Induced Rehabilitation Training

DTIC Science & Technology

2011-08-01

EEG ; neurofeedback ; autism spectrum disorders 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF...Since  PIRT  or   neurofeedback  training  is  to  be  guided  by  a   quantitative  analysis  of  the   EEG ,  it  was...software for the neurofeedback training at UCSD and SLDC have been acquired, piloted, and are working • Training of Research Assistants has

Increasing the Practical Impact of Formal Methods for Computer-Aided Software Development: Software Slicing, Merging and Integration

DTIC Science & Technology

1993-10-15

Chairs: Luqi Dave Dampier Workshop Chairman: Valdis Berzins Program Committee Chairs: Luqi Dave Dampier Program Committee: Joseph Goguen David Hislop ...Monterey, CA 93943 9500 Gilman Drive (408) 656-2461 La Jolla, CA 92093 berzins@cs.nps.navy.mil (619) 534-6898 wgg@cs.ucsd.edu A. Berztiss David Hislop ...Research Triangle Park, NC 27709-2211 Pittsburgh, Pennsylvania 15260 (919) 549-4255 (412) 624-8401 hislop @aro-emh 1 .army.mil alpha@cs.pitt.edu Jim

Solar Flare Studies

DTIC Science & Technology

1982-03-20

Feldman, U., and Dere, K. P.:ý 1978, Astophys. /. 224, 1017. Underwood, J. H., Milligan, !. C., dc Loach , A. C. and Hoover, R. B.:, 1977, Applied... Loach , A. C., Hoose~r, R. B., and MlcGuire, J. P.: 19 75,Solar Phys. 45, 377. N , Sheridan, K. V.. Jackson, B. V., hict-can, EX. I , and Sulk, G. A...Sacramento Peak Observatory, Ken Nicolas at NRL and Dean Jacobs at UCSD. This research was sponsored by the Air Force Office of Scientific Research, Air Force

Acoustic Metadata Management and Transparent Access to Networked Oceanographic Data Sets

DTIC Science & Technology

2011-09-30

Roberts in Pat Halpin’s lab, integrating the Marine Geospatial Ecology (GeoEco) toolset into our database services. While there is a steep...noise bands. The lower box at each site denotes the 1-6 kHz band while the upper box denotes 6-96 kHz band. Lad seamount has deployments at two sites...N00014-11-1-0697 http://cetus.ucsd.edu Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of

Pervasive brain monitoring and data sharing based on multi-tier distributed computing and linked data technology

PubMed Central

Zao, John K.; Gan, Tchin-Tze; You, Chun-Kai; Chung, Cheng-En; Wang, Yu-Te; Rodríguez Méndez, Sergio José; Mullen, Tim; Yu, Chieh; Kothe, Christian; Hsiao, Ching-Teng; Chu, San-Liang; Shieh, Ce-Kuen; Jung, Tzyy-Ping

2014-01-01

EEG-based Brain-computer interfaces (BCI) are facing basic challenges in real-world applications. The technical difficulties in developing truly wearable BCI systems that are capable of making reliable real-time prediction of users' cognitive states in dynamic real-life situations may seem almost insurmountable at times. Fortunately, recent advances in miniature sensors, wireless communication and distributed computing technologies offered promising ways to bridge these chasms. In this paper, we report an attempt to develop a pervasive on-line EEG-BCI system using state-of-art technologies including multi-tier Fog and Cloud Computing, semantic Linked Data search, and adaptive prediction/classification models. To verify our approach, we implement a pilot system by employing wireless dry-electrode EEG headsets and MEMS motion sensors as the front-end devices, Android mobile phones as the personal user interfaces, compact personal computers as the near-end Fog Servers and the computer clusters hosted by the Taiwan National Center for High-performance Computing (NCHC) as the far-end Cloud Servers. We succeeded in conducting synchronous multi-modal global data streaming in March and then running a multi-player on-line EEG-BCI game in September, 2013. We are currently working with the ARL Translational Neuroscience Branch to use our system in real-life personal stress monitoring and the UCSD Movement Disorder Center to conduct in-home Parkinson's disease patient monitoring experiments. We shall proceed to develop the necessary BCI ontology and introduce automatic semantic annotation and progressive model refinement capability to our system. PMID:24917804

Pervasive brain monitoring and data sharing based on multi-tier distributed computing and linked data technology.

PubMed

Zao, John K; Gan, Tchin-Tze; You, Chun-Kai; Chung, Cheng-En; Wang, Yu-Te; Rodríguez Méndez, Sergio José; Mullen, Tim; Yu, Chieh; Kothe, Christian; Hsiao, Ching-Teng; Chu, San-Liang; Shieh, Ce-Kuen; Jung, Tzyy-Ping

2014-01-01

EEG-based Brain-computer interfaces (BCI) are facing basic challenges in real-world applications. The technical difficulties in developing truly wearable BCI systems that are capable of making reliable real-time prediction of users' cognitive states in dynamic real-life situations may seem almost insurmountable at times. Fortunately, recent advances in miniature sensors, wireless communication and distributed computing technologies offered promising ways to bridge these chasms. In this paper, we report an attempt to develop a pervasive on-line EEG-BCI system using state-of-art technologies including multi-tier Fog and Cloud Computing, semantic Linked Data search, and adaptive prediction/classification models. To verify our approach, we implement a pilot system by employing wireless dry-electrode EEG headsets and MEMS motion sensors as the front-end devices, Android mobile phones as the personal user interfaces, compact personal computers as the near-end Fog Servers and the computer clusters hosted by the Taiwan National Center for High-performance Computing (NCHC) as the far-end Cloud Servers. We succeeded in conducting synchronous multi-modal global data streaming in March and then running a multi-player on-line EEG-BCI game in September, 2013. We are currently working with the ARL Translational Neuroscience Branch to use our system in real-life personal stress monitoring and the UCSD Movement Disorder Center to conduct in-home Parkinson's disease patient monitoring experiments. We shall proceed to develop the necessary BCI ontology and introduce automatic semantic annotation and progressive model refinement capability to our system.

Medical student socio-demographic characteristics and attitudes toward patient centered care: do race, socioeconomic status and gender matter? A report from the Medical Student CHANGES study.

PubMed

Hardeman, Rachel R; Burgess, Diana; Phelan, Sean; Yeazel, Mark; Nelson, David; van Ryn, Michelle

2015-03-01

To determine whether attitudes toward patient-centered care differed by socio-demographic characteristics (race, gender, socioeconomic status) among a cohort of 3191 first year Black and White medical students attending a stratified random sample of US medical schools. This study used baseline data from Medical Student CHANGES, a large national longitudinal cohort study of medical students. Multiple logistic regression was used to assess the association of race, gender and SES with attitudes toward patient-centered care. Female gender and low SES were significant predictors of positive attitudes toward patient-centered care. Age was also a significant predictor of positive attitudes toward patient-centered care such that students older than the average age of US medical students had more positive attitudes. Black versus white race was not associated with attitudes toward patient-centered care. New medical students' attitudes toward patient-centered care may shape their response to curricula and the quality and style of care that they provide as physicians. Some students may be predisposed to attitudes that lead to both greater receptivity to curricula and the provision of higher-quality, more patient-centered care. Medical school curricula with targeted messages about the benefits and value of patient-centered care, framed in ways that are consistent with the beliefs and world-view of medical students and the recruitment of a socioeconomically diverse sample of students into medical schools are vital for improved care. Published by Elsevier Ireland Ltd.

Medical Center Farmers Markets: A Strategic Partner in the Patient-Centered Medical Home

PubMed Central

Rovniak, Liza S.; Kraschnewski, Jennifer L.; Morrison, Kathy J.; Dillon, Judith F.; Bates, Beth Y.

2013-01-01

Background The number of medical center–based farmers markets has increased in the past decade, but little is known about how such organizations contribute to the preventive health goals of the patient-centered medical home. Community Context In 2010, we started a seasonal farmers market at Penn State Hershey Medical Center to help support the institution’s commitment to the medical home. Methods We obtained descriptive data on the farmers market from hospital and market records and tracking information on the market’s Facebook and Twitter sites. We computed summary measures to characterize how the market has begun to meet the 6 standards of the 2011 National Committee for Quality Assurance’s report on the medical home. Outcome During the 2010 and 2011 seasons, 146 medical center volunteers from 40 departments formed 23 interprofessional teams that spent an average of 551 volunteer hours per season at the market, providing health screenings (n = 695) and speaking to customers (n = 636) about preventive health. Fifty-five nonmedical community health partners provided 208 hours of service at the market alongside medical center staff. Market programming contributed to 5 regional preventive health partnerships and created opportunities for interprofessional mentoring, student leadership, data management, development of social media skills, and grant-writing experience. The market contributed to all 6 medical home standards outlined by the National Committee for Quality Assurance. Interpretation Medical center markets can support medical home standards. With systematic tracking of the health effects and integration with electronic medical health records, markets hold potential to contribute to comprehensive patient-centered care. PMID:23906327

Patient-centered priorities for improving medication management and adherence.

PubMed

McMullen, Carmit K; Safford, Monika M; Bosworth, Hayden B; Phansalkar, Shobha; Leong, Amye; Fagan, Maureen B; Trontell, Anne; Rumptz, Maureen; Vandermeer, Meredith L; Brinkman, William B; Burkholder, Rebecca; Frank, Lori; Hommel, Kevin; Mathews, Robin; Hornbrook, Mark C; Seid, Michael; Fordis, Michael; Lambert, Bruce; McElwee, Newell; Singh, Jasvinder A

2015-01-01

The Centers for Education and Research on Therapeutics convened a workshop to examine the scientific evidence on medication adherence interventions from the patient-centered perspective and to explore the potential of patient-centered medication management to improve chronic disease treatment. Patients, providers, researchers, and other stakeholders (N = 28) identified and prioritized ideas for future research and practice. We analyzed stakeholder voting on priorities and reviewed themes in workshop discussions. Ten priority areas emerged. Three areas were highly rated by all stakeholder groups: creating tools and systems to facilitate and evaluate patient-centered medication management plans; developing training on patient-centered prescribing for providers; and increasing patients' knowledge about medication management. However, priorities differed across stakeholder groups. Notably, patients prioritized using peer support to improve medication management while researchers did not. Engaging multiple stakeholders in setting a patient-centered research agenda and broadening the scope of adherence interventions to include other aspects of medication management resulted in priorities outside the traditional scope of adherence research. Workshop participants recognized the potential benefits of patient-centered medication management but also identified many challenges to implementation that require additional research and innovation. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Characterizing customers at medical center farmers’ markets1

PubMed Central

Kraschnewski, Jennifer L.; George, Daniel R.; Rovniak, Liza S.; Monroe, Diana L.; Fiordalis, Elizabeth; Bates, Erica

2014-01-01

Approximately 100 farmers’ markets operate on medical center campuses. Although these venues can uniquely serve community health needs, little is known about customer characteristics and outreach efforts. Intercept survey of markets and market customers between August 2010-October 2011 at three medical centers in different geographic regions of the US: Duke University Medical Center, Cleveland Clinic, and Penn State Hershey Medical Center were conducted. Markets reported serving 180–2000 customers per week and conducting preventive medicine education sessions and community health programs. Customers (n=585) across markets were similar in sociodemographic characteristics – most were middle-aged, white, and female, who were employees of their respective medical center. Health behaviors of customers were similar to national data. The surveyed medical center farmers’ markets currently serve mostly employees; however, markets have significant potential for community outreach efforts in preventive medicine. If farmers’ markets can broaden their reach to more diverse populations, they may play an important role in contributing to community health. PMID:24421001

Characterizing customers at medical center farmers' markets.

PubMed

Kraschnewski, Jennifer L; George, Daniel R; Rovniak, Liza S; Monroe, Diana L; Fiordalis, Elizabeth; Bates, Erica

2014-08-01

Approximately 100 farmers' markets operate on medical center campuses. Although these venues can uniquely serve community health needs, little is known about customer characteristics and outreach efforts. Intercept survey of markets and market customers between August 2010 and October 2011 at three medical centers in different geographic regions of the US (Duke University Medical Center, Cleveland Clinic, and Penn State Hershey Medical Center) were conducted. Markets reported serving 180-2,000 customers per week and conducting preventive medicine education sessions and community health programs. Customers (n = 585) across markets were similar in sociodemographic characteristics--most were middle-aged, white, and female, who were employees of their respective medical center. Health behaviors of customers were similar to national data. The surveyed medical center farmers' markets currently serve mostly employees; however, markets have significant potential for community outreach efforts in preventive medicine. If farmers' markets can broaden their reach to more diverse populations, they may play an important role in contributing to community health.

Delinquent Medical Service Accounts at Naval Medical Center Portsmouth Need Additional Management Oversight

DTIC Science & Technology

2015-03-04

H 4 , 2 0 1 5 Delinquent Medical Service Accounts at Naval Medical Center Portsmouth Need Additional Management Oversight Report No. DODIG-2015...04 MAR 2015 2. REPORT TYPE 3. DATES COVERED 00-00-2015 to 00-00-2015 4. TITLE AND SUBTITLE Delinquent Medical Service Accounts at Naval...i Results in Brief Delinquent Medical Service Accounts at Naval Medical Center Portsmouth Need Additional Management Oversight Visit us at

Brief and Extended Alcohol Cue Exposure Effects on Craving and Attentional Bias

PubMed Central

Ramirez, Jason J.; Monti, Peter M.; Colwill, Ruth M.

2015-01-01

Past research has shown that underage college student drinkers (UCSDs) report increased subjective craving and exhibit stronger attentional biases to alcohol following alcohol cue exposure. To date, less research has examined whether momentary decreases in alcohol craving are associated with reductions in attentional bias. One experimental manipulation that has been used to produce within-session decreases in alcohol craving is to extend the duration of laboratory-based alcohol cue exposure protocols. The aim of this study was to examine the effects of both brief and extended alcohol cue exposure on subjective craving and attentional bias among UCSDs. Eighty participants were randomized either to a group that received a short in vivo alcohol cue exposure period (Group Short Exposure [SE], two 3-min blocks) or to a group that received a long exposure period (Group Long Exposure [LE], six 3-min blocks). Both groups completed a visual probe task before and after cue exposure to assess changes in attentional bias. Analyses revealed no group differences in mean craving or mean attentional bias before or after cue exposure. Further, exploratory analyses revealed no sex differences in our measures of craving or attentional bias. For Group LE, but not Group SE, within-session changes in craving positively predicted within-session changes in attentional bias. However, further analyses revealed that this relationship was significant only for female participants in the LE Group. Implications for treatments that aim to reduce craving or attentional bias are discussed. PMID:26053323

Combining social cognitive treatment, cognitive remediation, and functional skills training in schizophrenia: a randomized controlled trial

PubMed Central

Peña, Javier; Ibarretxe-Bilbao, Naroa; Sánchez, Pedro; Iriarte, Maria B; Elizagarate, Edorta; Garay, Maria A; Gutiérrez, Miguel; Iribarren, Aránzazu; Ojeda, Natalia

2016-01-01

This study examined the efficacy of an integrative cognitive remediation program (REHACOP) in improving cognition and functional outcome in patients with schizophrenia. The program combines cognitive remediation, social cognitive intervention, and functional skills training. Few studies have attempted this approach. One hundred and eleven patients diagnosed with schizophrenia were randomly assigned to either the cognitive remediation group (REHACOP) or an active control group (occupational activities) for 4 months (three sessions per week, 90 min). Primary outcomes were change on general neurocognitive performance and social cognition, including theory of mind (ToM), emotion perception (EP), attributional style, and social perception (SP). Secondary outcomes included changes on clinical symptoms (Positive and Negative Syndrome Scale) and functional outcome (UCSD Performance-Based Skills Assessment and the Global Assessment of Functioning). The trial was registered with clinicaltrials.gov (NCT02796417). No baseline group differences were found. Significant differences were found in the mean change between the REHACOP group and control group in neurocognition (ηp2=0.138), SP (ηp2=0.082), ToM (ηp2=0.148), EP (ηp2=0.071), negative symptoms (ηp2=0.082), emotional distress (ηp2=0.136), Global Assessment of Functioning (ηp2=0.081), and UCSD Performance-Based Skills Assessment (ηp2=0.154). The combination of cognitive remediation, social cognitive intervention, and functional skills training demonstrated statistically significant and clinically meaningful changes in neurocognition, social cognition, negative, and functional disability. PMID:27868083

Usefulness of the UCSD Performance-based Skills Assessment (UPSA) for Predicting Residential Independence in Patients with Chronic Schizophrenia

PubMed Central

Mausbach, Brent T.; Bowie, Christopher R.; Harvey, Philip D.; Twamley, Elizabeth W.; Goldman, Sherrill R.; Jeste, Dilip V.; Patterson, Thomas L.

2009-01-01

The objective of this study was to examine the sensitivity and specificity of a performance-based measure of functional capacity, the UCSD Performance-Based Skills Assessment (UPSA) for the prediction of independent living status in patients with chronic schizophrenia-related conditions. A sample of 434 adults with schizophrenia or schizoaffective disorder was administered the UPSA and assessed for independent living status. Participants were classified as “independent” if they were living alone in an apartment, house, or single-resident occupancy (e.g., hotel room) and non-independent if they resided in a care facility (e.g., Board-and-Care home, Skilled Nursing Facility). Receiver Operator Characteristic (ROC) curves were calculated with the UPSA and Mattis’ Dementia Rating Scale (DRS) scores as predictor variables and residential independence as the state variable. Of the 434 participants, 99 (23%) were living independently at the time of assessment. The discriminant validity of the UPSA was adequate (ROC area under the curve = 0.74; 95% CI: 0.68–0.79), with greatest dichotomization for the UPSA at a cutoff score of 75 (68% accuracy, 69% sensitivity, 66% specificity), or 80 (68% accuracy, 59% sensitivity, 76% specificity). The UPSA was also a significantly better predictor of living status than was the DRS, based on ROC (z = 2.43, p = .015). The UPSA is a brief measure of functional capacity that predicts the ability of patients with schizophrenia to reside independently in the community. PMID:17303168

Degree of bilingualism predicts age of diagnosis of Alzheimer's disease in low-education but not in highly educated Hispanics.

PubMed

Gollan, Tamar H; Salmon, David P; Montoya, Rosa I; Galasko, Douglas R

2011-12-01

The current study investigated the relationship between bilingual language proficiency and onset of probable Alzheimer's disease (AD) in 44 Spanish-English bilinguals at the UCSD Alzheimer's Disease Research Center. Degree of bilingualism along a continuum was measured using Boston Naming Test (BNT) scores in each language. Higher degrees of bilingualism were associated with increasingly later age-of-diagnosis (and age of onset of symptoms), but this effect was driven by participants with low education level (a significant interaction between years of education and bilingualism) most of whom (73%) were also Spanish-dominant. Additionally, only objective measures (i.e., BNT scores), not self-reported degree of bilingualism, predicted age-of-diagnosis even though objective and self-reported measures were significantly correlated. These findings establish a specific connection between knowledge of two languages and delay of AD onset, and demonstrate that bilingual effects can be obscured by interactions between education and bilingualism, and by failure to obtain objective measures of bilingualism. More generally, these data support analogies between the effects of bilingualism and "cognitive reserve" and suggest an upper limit on the extent to which reserve can function to delay dementia. Copyright © 2011 Elsevier Ltd. All rights reserved.

Effect of Methamphetamine Dependence on Everyday Functional Ability

PubMed Central

Henry, Brook L.; Minassian, Arpi; Perry, William

2010-01-01

Background Methamphetamine (METH) is an increasing popular and highly addictive psychostimulant with a significant impact on public health. Chronic METH exposure has been associated with neurotoxic effects, profound neuropsychological deficits, and impaired quality of life, but few studies have examined the effect of the drug on the ability to carry out everyday activities. We assessed the effect of METH dependence on everyday functioning using the UCSD Performance-Based Skills Assessment (UPSA-2), a performance-based measure designed to evaluate real-life skills. Method UPSA-2 performance was quantified in 15 currently abstinent individuals with a history of METH dependence and 15 drug-free comparison subjects. The Positive and Negative Syndrome Scale (PANSS) and Wisconsin Card Sorting Task (WCST) were administered to assess psychopathology and executive function. Results METH-dependent participants exhibited significant impairment on the UPSA-2 total score and several UPSA-2 subscales, including comprehension, finance, transportation, communication, and medication management compared to drug-free comparison subjects. Lower UPSA-2 scores were associated with impaired performance on the WCST, higher PANSS scores, and drug use at an earlier age. Conclusion METH dependence may be associated with decreased everyday functioning ability potentially mediated by frontal cortex dysfunction or the emergence of psychopathology related to chronic drug use. PMID:20167435

Kennedy Space Center Medical Operations and Medical Kit

NASA Technical Reports Server (NTRS)

Scarpa, Philip

2011-01-01

This slide presentation reviews the emergency medical operations at Kennedy Space center, the KSC launch and landing contingency modes, the triage site, the medical kit, and the medications available.

2. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 1) ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

2. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 1) FROM THE 'CAMPUS' GROUNDS; LOOKING SW. (Harms) - Veterans Administration Medical Center, Old State Route 13 West, Marion, Williamson County, IL

Public Health Potential of Farmers’ Markets on Medical Center Campuses: A Case Study From Penn State Milton S. Hershey Medical Center

PubMed Central

Kraschnewski, Jennifer L.; Rovniak, Liza S.

2011-01-01

There are currently 7175 farmers’ markets in the United States, and these organizations are increasingly viewed as one facet of the solution to national health problems. There has been a recent trend toward establishing markets on medical center campuses, and such partnerships can augment a medical center's ability to serve community health. However, to our knowledge no studies have described the emergence of a market at a medical center, the barriers and challenges such an initiative has faced, or the nature of programming it may foster. We provide a qualitative description of the process of starting a seasonal, once-a-week, producers-only market at the Pennsylvania State Hershey Medical Center, and we call for greater public health attention to these emerging community spaces. PMID:22021298

Public health potential of farmers' markets on medical center campuses: a case study from Penn State Milton S. Hershey Medical Center.

PubMed

George, Daniel R; Kraschnewski, Jennifer L; Rovniak, Liza S

2011-12-01

There are currently 7175 farmers' markets in the United States, and these organizations are increasingly viewed as one facet of the solution to national health problems. There has been a recent trend toward establishing markets on medical center campuses, and such partnerships can augment a medical center's ability to serve community health. However, to our knowledge no studies have described the emergence of a market at a medical center, the barriers and challenges such an initiative has faced, or the nature of programming it may foster. We provide a qualitative description of the process of starting a seasonal, once-a-week, producers-only market at the Pennsylvania State Hershey Medical Center, and we call for greater public health attention to these emerging community spaces.

4. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 2 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 2 & BUILDING 1) FROM THE 'CAMPUS' GROUNDS; LOOKING NE. (Harms) - Veterans Administration Medical Center, Old State Route 13 West, Marion, Williamson County, IL

3. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 2 ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. OVERALL VIEW OF THE MEDICAL CENTER (ESPECIALLY BUILDING 2 & BUILDING 1) FROM THE 'CAMPUS' GROUNDS; LOOKING NW. (Harms) - Veterans Administration Medical Center, Old State Route 13 West, Marion, Williamson County, IL

ENTRANCE TO CEMETERY FROM VA MEDICAL CENTER CAMPUS, WITH ADMINISTRATION ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

ENTRANCE TO CEMETERY FROM VA MEDICAL CENTER CAMPUS, WITH ADMINISTRATION BUILDING IN BACKGROUND. VIEW TO NORTH. - Bath National Cemetery, Department of Veterans Affairs Medical Center, San Juan Avenue, Bath, Steuben County, NY

Delinquent Medical Service Accounts at Brooke Army Medical Center Need Additional Management Oversight

DTIC Science & Technology

2014-08-13

No. DODIG-2014-101 A U G U S T 1 3 , 2 0 1 4 Delinquent Medical Service Accounts at Brooke Army Medical Center Need Additional Management...13 AUG 2014 2. REPORT TYPE 3. DATES COVERED 00-00-2014 to 00-00-2014 4. TITLE AND SUBTITLE Delinquent Medical Service Accounts at Brooke Army...Results in Brief Delinquent Medical Service Accounts at Brooke Army Medical Center Need Additional Management Oversight Visit us at www.dodig.mil

Maintaining High Quality Network Performance at the GSN: Sensor Installation Methods, New VBB Borehole Sensors and Data Quality Assessment from MUSTANG

NASA Astrophysics Data System (ADS)

Hafner, Katrin

2017-04-01

The goal of the Global Seismographic Network (GSN) is to provide the highest possible data quality and dynamic recording range in support of scientific needs. Considerable effort is made at each GSN seismic station site to achieve the lowest noise performance possible under local conditions. We continue to strive for higher data quality with a combination of new sensors and improved installation techniques. Most seismometers are installed either in 100 m deep steel-cased boreholes or in vaults tunneled underground. A few vaults are built at the surface or on the foundation of a building. All vault installations have a concrete pier, mechanically isolated from the floor, upon which the seismometers are placed. Many sites are now nearly 30 years old, and the GSN is investing in civil works at several stations to keep them in good condition or make critical repairs. Using GSN data from inception to the present, we will present analyses that demonstrate how successful these sensor installation strategies have been and describe ongoing experiments at GSN testing facilities to evaluate the best, most cost effective strategy to modernize existing GSN facilities. To improve sensor performance at some vault sites, we will employ new sensor installation strategies. Years of experience operating the GSN and the USArray Transportable Array, along with focused testing of emplacement strategies, show that the vulnerability of a sensor's horizontal components to tilt can be mitigated if the sensor package is buried at even shallow depth. At selected vault installations, shallow boreholes will be drilled to accommodate recently developed borehole VBB sensor models. The incremental cost of modern VBB instruments over standard BB models is small, and we expect to be able to preserve the GSN's crucial very broad bandwidth while improving noise performance and reliability using this strategy. A crucial link in making GSN station data available to the scientific community is the IRIS Data Management Center, which not only maintains the data archive, but also provides easy, rapid, and open access to data recorded from seconds to decades ago. All data flow to the IRIS DMC through the UCSD or ASL Data Collection Centers (DCCs). The DCCs focus on delivering data to the DMC, maintaining correct metadata for GSN stations, reviewing data quality from the stations that ASL and UCSD operate, and addressing circumstances that require special data handling, such as back filling following telemetry outages. Key to the high quality of the GSN data is the direct feedback on data quality problems identified by the DCC analysts to the network operations staff and field engineers. Aging of GSN equipment and station infrastructure has resulted in renewed emphasis on using data quality control tools such as MUSTANG. These tools allow the network operators to routinely monitor and analyze waveform data to detect and track problems and develop short and longer term action plans for improving network data quality. We will present summary data quality metrics for the GSN as obtained via these quality assurance tools.

The University of Tennessee Medical Center at Knoxville.

PubMed

Goldman, Mitchell H

2012-09-01

The University of Tennessee Medical Center at Knoxville hosts the University Health Services and the University of Tennessee Graduate School of Medicine. Founded in 1956, the center along with the Department of Surgery has grown in size and in academic stature to become an outstanding tertiary clinical, medical education, and research center.

Improving Medication Knowledge among Older Adults with Heart Failure: A Patient-Centered Approach to Instruction Design

ERIC Educational Resources Information Center

Morrow, Daniel G.; Weiner, Michael; Young, James; Steinley, Douglas; Deer, Melissa; Murray, Michael D.

2005-01-01

Purpose: We investigated whether patient-centered instructions for chronic heart failure medications increase comprehension and memory for medication information in older adults diagnosed with chronic heart failure. Design and Methods: Patient-centered instructions for familiar and unfamiliar medications were compared with instructions for the…

Trend of knowledge production of research centers in the field of medical sciences in iran.

PubMed

Falahat, K; Eftekhari, Mb; Habibi, E; Djalalinia, Sh; Peykari, N; Owlia, P; Malekafzali, H; Ghanei, M; Mojarrab, Sh

2013-01-01

Establishment of medical research centers at universities and health-related organizations and annually evaluation of their research activities was one of the strategic policies which followed by governmental organization in last decade in order to strengthening the connections between health research system and health system. The aim of this study is to scrutinize the role of medical research centers in medical science production in Iran. This study is a cross sectional which has been performed based on existing reports on national scientometrics and evaluation results of research performance of medical research centers between years 2001 to 2010. During last decade number of medical research centers increased from 53 in 2001 to 359 in 2010. Simultaneous scientific output of medical research centers has been increased especially articles indexed in ISI (web of science). Proper policy implementation in the field of health research system during last decades led to improving capacity building and growth knowledge production of medical science in recent years in Iran. The process embedding research into the health systems requires planning up until research products improves health outcomes and health equity in country.

Delinquent Medical Service Accounts at David Grant Air Force Medical Center Need Additional Management Oversight

DTIC Science & Technology

2015-09-24

No. DODIG-2015-179 S E P T E M B E R 2 4 , 2 0 1 5 Delinquent Medical Service Accounts at David Grant Air Force Medical Center Need Additional...us at www.dodig.mil Results in Brief Delinquent Medical Service Accounts at David Grant Air Force...Force Medical Center (DGMC) properly managed delinquent accounts over 180 days by effectively transferring the debt to the appropriate debt collection

Commercial Crew Medical Ops

NASA Technical Reports Server (NTRS)

Heinbaugh, Randall; Cole, Richard

2016-01-01

Provide commercial partners with: center insight into NASA spaceflight medical experience center; information relative to both nominal and emergency care of the astronaut crew at landing site center; a basis for developing and sharing expertise in space medical factors associated with returning crew.

1. AERIAL VIEW, LOOKING WEST OF 'THE BIRMINGHAM MEDICAL CENTER,' ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. AERIAL VIEW, LOOKING WEST OF 'THE BIRMINGHAM MEDICAL CENTER,' WITH HILLMAN HOSPITAL, THE FIVE-STORY BUILDING (CENTER RIGHT AT 20TH STREET AND SIXTH AVENUE SOUTH), JEFFERSON TOWER (CENTER LEFT AT 20TH STREET AND SEVENTH AVENUE SOUTH, AND THE MANY HOSPITALS AND TEACHING FACILITIES OF THE UNIVERSITY OF ALABAMA AT BIRMINGHAM MEDICAL CENTER. - Hillman Hospital, 600 Block Westside Twentieth Street South, Birmingham, Jefferson County, AL

Delinquent Medical Service Accounts at Landstuhl Regional Medical Center Need Additional Management Oversight

DTIC Science & Technology

2016-04-28

L 2 8 , 2 0 1 6 Report No. DODIG-2016-079 Delinquent Medical Service Accounts at Landstuhl Regional Medical Center Need Additional Management...Department of Defense F r a u d , W a s t e & A b u s e DODIG-2016-079 (Project No. D2015-D000CL-0214.000) │ i Results in Brief Delinquent Medical...objective was to determine whether Landstuhl Regional Medical Center (LRMC) effectively managed accounts delinquent over 120 days by properly

Publication and reporting of clinical trial results: cross sectional analysis across academic medical centers.

PubMed

Chen, Ruijun; Desai, Nihar R; Ross, Joseph S; Zhang, Weiwei; Chau, Katherine H; Wayda, Brian; Murugiah, Karthik; Lu, Daniel Y; Mittal, Amit; Krumholz, Harlan M

2016-02-17

To determine rates of publication and reporting of results within two years for all completed clinical trials registered in ClinicalTrials.gov across leading academic medical centers in the United States. Cross sectional analysis. Academic medical centers in the United States. Academic medical centers with 40 or more completed interventional trials registered on ClinicalTrials.gov. Using the Aggregate Analysis of ClinicalTrials.gov database and manual review, we identified all interventional clinical trials registered on ClinicalTrials.gov with a primary completion date between October 2007 and September 2010 and with a lead investigator affiliated with an academic medical center. The proportion of trials that disseminated results, defined as publication or reporting of results on ClinicalTrials.gov, overall and within 24 months of study completion. We identified 4347 interventional clinical trials across 51 academic medical centers. Among the trials, 1005 (23%) enrolled more than 100 patients, 1216 (28%) were double blind, and 2169 (50%) were phase II through IV. Overall, academic medical centers disseminated results for 2892 (66%) trials, with 1560 (35.9%) achieving this within 24 months of study completion. The proportion of clinical trials with results disseminated within 24 months of study completion ranged from 16.2% (6/37) to 55.3% (57/103) across academic medical centers. The proportion of clinical trials published within 24 months of study completion ranged from 10.8% (4/37) to 40.3% (31/77) across academic medical centers, whereas results reporting on ClinicalTrials.gov ranged from 1.6% (2/122) to 40.7% (72/177). Despite the ethical mandate and expressed values and mission of academic institutions, there is poor performance and noticeable variation in the dissemination of clinical trial results across leading academic medical centers. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

The Role of Research Institutions in Building Visual Content for the Geowall

NASA Astrophysics Data System (ADS)

Newman, R. L.; Kilb, D.; Nayak, A.; Kent, G.

2003-12-01

The advent of the low-cost Geowall (http://www.geowall.org) allows researchers and students to study 3-D geophysical datasets in a collaborative setting. Although 3-D visual objects can aid the understanding of geological principles in the classroom, it is often difficult for staff to develop their own custom visual objects. This is a fundamentally important aspect that research institutions that store large (terabyte) geophysical datasets can address. At Scripps Institution of Oceanography (SIO) we regularly explore gigabyte 3-D visual objects in the SIO Visualization Center (http://siovizcenter.ucsd.edu). Exporting these datasets for use with the Geowall has become routine with current software applications such as IVS's Fledermaus and iView3D. We have developed visualizations that incorporate topographic, bathymetric, and 3-D volumetric crustal datasets to demonstrate fundamental principles of earth science including plate tectonics, seismology, sea-level change, and neotectonics. These visualizations are available for download either via FTP or a website, and have been incorporated into graduate and undergraduate classes at both SIO and the University of California, San Diego. Additionally, staff at the Visualization Center develop content for external schools and colleges such as the Preuss School, a local middle/high school, where a Geowall was installed in February 2003 and curriculum developed for 8th grade students. We have also developed custom visual objects for researchers and educators at diverse education institutions across the globe. At SIO we encourage graduate students and researchers alike to develop visual objects of their datasets through innovative classes and competitions. This not only assists the researchers themselves in understanding their data but also increases the number of visual objects freely available to geoscience educators worldwide.

Site in a box: Improving the Tier 3 experience

NASA Astrophysics Data System (ADS)

Dost, J. M.; Fajardo, E. M.; Jones, T. R.; Martin, T.; Tadel, A.; Tadel, M.; Würthwein, F.

2017-10-01

The Pacific Research Platform is an initiative to interconnect Science DMZs between campuses across the West Coast of the United States over a 100 gbps network. The LHC @ UC is a proof of concept pilot project that focuses on interconnecting 6 University of California campuses. It is spearheaded by computing specialists from the UCSD Tier 2 Center in collaboration with the San Diego Supercomputer Center. A machine has been shipped to each campus extending the concept of the Data Transfer Node to a cluster in a box that is fully integrated into the local compute, storage, and networking infrastructure. The node contains a full HTCondor batch system, and also an XRootD proxy cache. User jobs routed to the DTN can run on 40 additional slots provided by the machine, and can also flock to a common GlideinWMS pilot pool, which sends jobs out to any of the participating UCs, as well as to Comet, the new supercomputer at SDSC. In addition, a common XRootD federation has been created to interconnect the UCs and give the ability to arbitrarily export data from the home university, to make it available wherever the jobs run. The UC level federation also statically redirects to either the ATLAS FAX or CMS AAA federation respectively to make globally published datasets available, depending on end user VO membership credentials. XRootD read operations from the federation transfer through the nearest DTN proxy cache located at the site where the jobs run. This reduces wide area network overhead for subsequent accesses, and improves overall read performance. Details on the technical implementation, challenges faced and overcome in setting up the infrastructure, and an analysis of usage patterns and system scalability will be presented.

The Patient-Centered Medical Home Neighbor: A Critical Concept for a Redesigned Healthcare Delivery System

DTIC Science & Technology

2011-01-25

Sharing Knowledge: Achieving Breakthrough Performance 2010 Military Health System Conference The Patient -Centered Medical Home Neighbor: A Critical...DATE 25 JAN 2011 2. REPORT TYPE 3. DATES COVERED 00-00-2011 to 00-00-2011 4. TITLE AND SUBTITLE The Patient -Centered Medical Home Neighbor: A...Conference What is the Patient -Centered Medical Home?  …a vision of health care as it should be  …a framework for organizing systems of care at both the

A Study to Determine Patient Waiting Time at the Outpatient Pharmacy at Wilford Hall USAF Medical Center

DTIC Science & Technology

1988-06-01

at Wilford Hall USAF Medical Center significantly reduced the patient wait time at the main outpatient pharmacy. Satellite pharmacies have been ).’l...PRESENTING TO WINDOW 1, 19 MAR 88. 47 C:. A’.’E-:A: -ESCRIRTIONS PER PATIENT ...........48 H. WILFORD HALL MEDICAL CENTER OUTPATIENT QUESTIONNAIRE...that wait times at tne outpatient pharmacy were excessive. It was this concern that motivated the Medical Center Administrator to request that patient

The Concept of Fit in Contingency Theory.

DTIC Science & Technology

1984-11-01

Research Center San Diego, CA 92152 Psychology Department Naval Regional Medical Center San Diego, CA 92134 Com~’arding Officer - Naval Submarine Medical ...Research Laboratory Naval Submarine Base New London, Box 900 Grotcn, CT 06249 Co~anding Officer :;ava! Aerospace Medical Resea-:ch’ Lab Naval Air...Station Pen~sacola, FEL 32508 Program Manager for Human 44 Performance (Code 44) Naval Medical R&D Command National Naval Medical Center Bethesda, MD 20014A

The Center for Healthy Weight: an academic medical center response to childhood obesity

PubMed Central

Robinson, T N; Kemby, K M

2012-01-01

Childhood obesity represents a worldwide medical and public health challenge. Academic medical centers cannot avoid the effects of the obesity epidemic, and must adopt strategies for their academic, clinical and public policy responses to childhood obesity. The Center for Healthy Weight at Stanford University and Lucile Packard Children's Hospital at Stanford provides an example and model of one such strategy. The design provides both breadth and depth through six cores: Research, Patient Care, Community Programs, Advocating for Public Policy Change, Training and Professional Education, and the Healthy Hospital Initiative. The Center and its cores are designed to facilitate interdisciplinary collaboration across the university, medical school, children's hospital and surrounding community. The foci of these cores are likely to be relevant to almost any academic medical center's mission and functions. PMID:25089192

["AGAINST ALL ODDS" - PROMOTING RESEARCH, CLINICAL DEVELOPMENT AND MEDICAL SERVICES OF THE CONFLICT IN THE GALILEE MEDICAL CENTER].

PubMed

Bornstein, Jacob

2017-05-01

The Galilee Medical Center (GMC) is unique in several aspects. Firstly, in the clinical aspect: In recent years, led by the Director of Medical Center, Dr. Masad Barhoum, a considerable momentum of development has taken place to reduce health discrepancies between the center and the periphery. Despite the under- financing of the health system in the Galilee, the GMC opened new clinical departments, introduced advanced medical technology and key staff members were added. This approach is depicted in publications presented in the current issue. Secondly, the aspect of medicine standoff: The GMC is the nearest hospital to the border with neighboring countries. It is also a tertiary center for trauma, due to the establishment of the Department of Neurosurgery, Department of Oral and Maxillofacial Surgery and the Departments of Orthopedic Surgery, general invasive radiology and invasive radiology of the brain. In recent years, the medical center treated hundreds of victims of the civil war in Syria, a third of them - women and children. The injured patients presented unique medical problems that are described in the papers in this issue. Thirdly, the research aspect: The medical center is the main teaching facility of medical students of the Faculty of Medicine in the Galilee of Bar-Ilan University. The Faculty of Medicine, led by the Dean, Prof. Ran Tur-Kaspa, promotes research and teaching in the medical center. Even before the establishment of the Faculty of Medicine, former hospital director, Prof. Shaul Shasha, not only extolled the importance of research, but established a research laboratory years ago. The laboratory continues to pursue translational research by the physicians of the medical center, led by Dr. Shifra Sela and Prof. Batya Kristal, and supported by the current medical center director, Dr. Masad Barhoum. Several studies conducted in this research laboratory are published herewith. With these unique aspects and despite the discrimination in funding for Galilee compared to the center of the country, the GMC has not remained stagnant. On the contrary, it established and promoted departments, technologies and research laboratories. This activity is expressed as aforesaid in the studies published in the current issue of "Harefuah" that you hold in your hands. The authors of the papers belong to the GMC and to the Faculty of Medicine of the University of Bar-Ilan University.

Naval Medical R and D News. March 2017, Volume 9, Issue 3

DTIC Science & Technology

2017-03-01

Medical Research Center (Feature) Military Medicine Provides World-Class Solutions for Combat Casualties From Naval Medical Research Center Public... Researchers from the Naval Surface Warfare Center Panama City Division and the Naval Postgraduate School spent the voyage conducting experiments to...interruptions, motion sickness incidence, and Sopite syndrome on surgical procedures while in a shipboard environment.... From Naval Medical Research

78 FR 53154 - National Cancer Institute; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-28

... Logistics Branch, Division of Extramural Activities, National Cancer Institute, NIH, 9609 Medical Center... Logistics Branch, Division of Extramural Activities, National Cancer Institute, NIH, 9609 Medical Center... applications. Place: National Cancer Institute Shady Grove, 9609 Medical Center Drive, Room 7W034, Rockville...

New methods for state estimation and adaptive observation of environmental flow systems leveraging coordinated swarms of sensor vehicles

NASA Astrophysics Data System (ADS)

Bewley, Thomas

2015-11-01

Accurate long-term forecasts of the path and intensity of hurricanes are imperative to protect property and save lives. Accurate estimations and forecasts of the spread of large-scale contaminant plumes, such as those from Deepwater Horizon, Fukushima, and recent volcanic eruptions in Iceland, are essential for assessing environment impact, coordinating remediation efforts, and in certain cases moving folks out of harm's way. The challenges in estimating and forecasting such systems include: (a) environmental flow modeling, (b) high-performance real-time computing, (c) assimilating measured data into numerical simulations, and (d) acquiring in-situ data, beyond what can be measured from satellites, that is maximally relevant for reducing forecast uncertainty. This talk will focus on new techniques for addressing (c) and (d), namely, data assimilation and adaptive observation, in both hurricanes and large-scale environmental plumes. In particular, we will present a new technique for the energy-efficient coordination of swarms of sensor-laden balloons for persistent, in-situ, distributed, real-time measurement of developing hurricanes, leveraging buoyancy control only (coupled with the predictable and strongly stratified flowfield within the hurricane). Animations of these results are available at http://flowcontrol.ucsd.edu/3dhurricane.mp4 and http://flowcontrol.ucsd.edu/katrina.mp4. We also will survey our unique hybridization of the venerable Ensemble Kalman and Variational approaches to large-scale data assimilation in environmental flow systems, and how essentially the dual of this hybrid approach may be used to solve the adaptive observation problem in a uniquely effective and rigorous fashion.

78 FR 74163 - Harrison Medical Center, a Subsidiary of Franciscan Health System Bremerton, Washington; Notice...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-10

... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-83,070] Harrison Medical Center, a Subsidiary of Franciscan Health System Bremerton, Washington; Notice of Negative Determination... workers of Harrison Medical Center, a subsidiary of Franciscan Health System, Bremerton, Washington...

Lessons learned: mobile device encryption in the academic medical center.

PubMed

Kusche, Kristopher P

2009-01-01

The academic medical center is faced with the unique challenge of meeting the multi-faceted needs of both a modern healthcare organization and an academic institution, The need for security to protect patient information must be balanced by the academic freedoms expected in the college setting. The Albany Medical Center, consisting of the Albany Medical College and the Albany Medical Center Hospital, was challenged with implementing a solution that would preserve the availability, integrity and confidentiality of business, patient and research data stored on mobile devices. To solve this problem, Albany Medical Center implemented a mobile encryption suite across the enterprise. Such an implementation comes with complexities, from performance across multiple generations of computers and operating systems, to diversity of application use mode and end user adoption, all of which requires thoughtful policy and standards creation, understanding of regulations, and a willingness and ability to work through such diverse needs.

Identifying and collecting pertinent medical records for centralized abstraction in a multi-center randomized clinical trial: the model used by the American College of Radiology arm of the National Lung Screening Trial.

PubMed

Gareen, Ilana F; Sicks, JoRean D; Jain, Amanda Adams; Moline, Denise; Coffman-Kadish, Nancy

2013-01-01

In clinical trials and epidemiologic studies, information on medical care utilization and health outcomes is often obtained from medical records. For multi-center studies, this information may be gathered by personnel at individual sites or by staff at a central coordinating center. We describe the process used to develop a HIPAA-compliant centralized process to collect medical record information for a large multi-center cancer screening trial. The framework used to select, request, and track medical records incorporated a participant questionnaire with unique identifiers for each medical provider. De-identified information from the questionnaires was sent to the coordinating center indexed by these identifiers. The central coordinating center selected specific medical providers for abstraction and notified sites using these identifiers. The site personnel then linked the identifiers with medical provider information. Staff at the sites collected medical records and provided them for central abstraction. Medical records were successfully obtained and abstracted to ascertain information on outcomes and health care utilization in a study with over 18,000 study participants. Collection of records required for outcomes related to positive screening examinations and lung cancer diagnosis exceeded 90%. Collection of records for all aims was 87.32%. We designed a successful centralized medical record abstraction process that may be generalized to other research settings, including observational studies. The coordinating center received no identifying data. The process satisfied requirements imposed by the Health Insurance Portability and Accountability Act and concerns of site institutional review boards with respect to protected health information. Copyright © 2012 Elsevier Inc. All rights reserved.

Identifying and collecting pertinent medical records for centralized abstraction in a multi-center randomized clinical trial: The model used by the American College of Radiology arm of the National Lung Screening Trial

PubMed Central

Gareen, Ilana F.; Sicks, JoRean; Adams, Amanda; Moline, Denise; Coffman-Kadish, Nancy

2012-01-01

Background In clinical trials and epidemiologic studies, information on medical care utilization and health outcomes is often obtained from medical records. For multi-center studies, this information may be gathered by personnel at individual sites or by staff at a central coordinating center. We describe the process used to develop a HIPAA-compliant centralized process to collect medical record information for a large multi-center cancer screening trial. Methods The framework used to select, request, and track medical records incorporated a participant questionnaire with unique identifiers for each medical provider. De-identified information from the questionnaires was sent to the coordinating center indexed by these identifiers. The central coordinating center selected specific medical providers for abstraction and notified sites using these identifiers. The site personnel then linked the identifiers with medical provider information. Staff at the sites collected medical records and provided them for central abstraction. Results Medical records were successfully obtained and abstracted to ascertain information on outcomes and health care utilization in a study with over 18,000 study participants. Collection of records required for outcomes related to positive screening examinations and lung cancer diagnosis exceeded 90%. Collection of records for all aims was 87.32%. Conclusions We designed a successful centralized medical record abstraction process that may be generalized to other research settings, including observational studies. The coordinating center received no identifying data. The process satisfied requirements imposed by the Health Insurance Portability and Accountability Act and concerns of site institutional review boards with respect to protected health information. PMID:22982342

Johnson Space Center Health and Medical Technical Authority

NASA Technical Reports Server (NTRS)

Fogarty, Jennifer A.

2010-01-01

1.HMTA responsibilities: a) Assure program/project compliance with Agency health and medical requirements at identified key decision points. b) Certify that programs/projects comply with Agency health and medical requirements prior to spaceflight missions. c) Assure technical excellence. 2. Designation of applicable NASA Centers for HMTA implementation and Chief Medical Officer (CMO) appointment. 3. Center CMO responsible for HMTA implementation for programs and projects at the center. JSC HMTA captured in "JSC HMTA Implementation Plan". 4. Establishes specifics of dissenting opinion process consistent with NASA procedural requirements.

Patient-centered medical homes: will health care reform provide new options for rural communities and providers?

PubMed

Bolin, Jane N; Gamm, Larry; Vest, Joshua R; Edwardson, Nick; Miller, Thomas R

2011-01-01

Many are calling for the expansion of the patient-centered medical home model into rural and underserved populations as a transformative strategy to address issues of access, efficiency, quality, and sustainability in the delivery of health care. Patient-centered medical homes have been touted as a promising cost-saving model for comprehensive management of persons with chronic diseases and disabilities, but it is unclear how rural practitioners in medically underserved areas will implement the patient-centered medical home. This article examines how the Patient Protection & Affordable Care Act of 2010 will enhance rural providers' ability to provide patient-centered care and services contemplated under the Act in a comprehensive, coordinated, cost-effective way despite leaner budgets and health workforce shortages.

Finding Low-Cost Medical Care (For Teens)

MedlinePlus

... your insurance company before you go to one. Teaching Hospitals and Medical Centers Teaching hospitals and medical centers are the final step ... mentioned may offer specialist care at set times. Teaching hospitals and medical schools usually have clinics for ...

[The current situation of the internationalization of the Naikan therapy].

PubMed

Kawahara, Ryuzo

2003-01-01

In Japan, there are 27 Naikan medical institutions in which are included 5 clinics, 5 general hospitals and 17 mental hospitals. As for Naikan meditation center, there are 32 places. Generally, Naikan medical institutions and Naikan meditation center coexist in Japan. It is rare to see institutions for Naikan therapy in more north than Kanto area. Around Nara prefecture, which is Naikan therapy cradle, fairly numbers of Naikan meditation center are located. Surprisingly, no Naikan medical institutions are located. Naikan medical institutions and Naikan meditation center are distributed over the world. Total Naikan medical institutions are 32 and it only located in Japan and China. Total Naikan meditation center are 38 and 32 in Japan, 3 in Austria, 2 in Germany, and 1 in U.S.A. I would like to make suggestions as follows. At first, it is important to make cooperating with Naikan medical institution and Naikan meditation center. Also, it is necessary to enhance the technique ability of Naikan therapy. Secondary, we should guide medical workers to make understand useful of Naikan therapy as many as possible. Third, in order to do so, it is desirable to establish international Naikan Medical Association. Fourthly, it is necessary to systematize theory of the disease, therapeutic theory and therapeutic mechanism in Naikan therapy.

Impact of patient-centered medical home assignment on emergency room visits among uninsured patients in a county health system.

PubMed

Roby, Dylan H; Pourat, Nadereh; Pirritano, Matthew J; Vrungos, Shelley M; Dajee, Himmet; Castillo, Dan; Kominski, Gerald F

2010-08-01

The Medical Services Initiative program--a safety net-based system of care--in Orange County included assignment of uninsured, low-income residents to a patient-centered medical home. The medical home provided case management, a team-based approach for treating disease, and increased access to primary and specialty care among other elements of a patient-centered medical home. Providers were paid an enhanced fee and pay-for-performance incentives to ensure delivery of comprehensive treatment. Medical Services Initiative enrollees who were assigned to a medical home for longer time periods were less likely to have any emergency room (ER) visits or multiple ER visits. Switching medical homes three or more times was associated with enrollees being more likely to have any ER visits or multiple ER visits. The findings provide evidence that successful implementation of the patient-centered medical home model in a county-based safety net system is possible and can reduce unnecessary ER use.

Hospital CIO Explains Blockchain Potential: An Interview with Beth Israel Deaconess Medical Center's John Halamka.

PubMed

Mertz, Leslie

2018-01-01

Work is already underway to bring blockchain technology to the healthcare industry, and hospital administrators are trying to figure out what it can do for them, their clinicians, and their patients. That includes administrators at Beth Israel Deaconess Medical Center, a leading academic medical center located in Boston.

Topical Application of Tranexamic Acid to Reduce Blood Loss during Complex Combat-Related Spine Trauma Surgery

DTIC Science & Technology

2016-10-01

UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Washington University St . Louis, MO 63110-1010 Columbia University Medical Center...the Thomas Jefferson University Medical Center and Washington University in St . Louis Medical Center IRB for review and approval, to be completed by

The Stanford University Medical Center and the Federal Government.

ERIC Educational Resources Information Center

Rosenzweig, Robert M.; And Others

The Stanford University Medical Center consists of three main units: a medical school, a set of outpatient clinics, and a hospital. Financing of the center's functions cannot be carried out without federal support, and a network of relationships with government agencies has emerged. The impact of these relationships was discussed with key…

Assessing the Academic Medical Center as a Supportive Learning Community

ERIC Educational Resources Information Center

Gannon, Sam C.

2011-01-01

Academic medical centers are well-known for their emphasis on teaching, research and public service; however, like most large, bureaucratic organizations, they oftentimes suffer from an inability to learn as an organization. The role of the research administrator in the academic medical center has grown over time as the profession itself has…

Defense.gov Special Report: Travels With Hagel

Science.gov Websites

Thanks Warriors, Staff at Medical Center Defense Secretary Chuck Hagel made his first official visit to Brooke Army Medical Center Wednesday. Hagel was welcomed by BAMC Commander Col. Kyle Campbell and Command Sgt. Maj. Mark Pumphrey at San Antonio Military Medical Center followed by a meet-and-greet with

ACHP | News | Native Hawaiian Federal Interagency Working Group Created

Science.gov Websites

Search skip specific nav links Home arrow News arrow Walla Walla Veterans Administration Medical Center Gets New Use Walla Walla Veterans Administration Medical Center Gets New Use Recently a historic preservation effort at the Walla Walla Veterans Administration Medical Center came to larger light through a

UCSD High Energy X-ray Timing Experiment magnetic shield design and test results

NASA Technical Reports Server (NTRS)

Rothschild, Richard E.; Pelling, Michael R.; Hink, Paul L.

1991-01-01

Results are reported from an effort to define a passive magnetic field concept for the High Energy X-ray Timing Experiment (HEXTE), in the interest of reducing the detector-gain variations due to 0.5-1.0-sec timescale magnetic field variations. This will allow a sensitivity of the order of 1 percent of the HEXTE background. While aperture modulation and automatic gain control will minimize effects on timescales of tens of seconds and longer, passive magnetic shielding of the photomultiplier tubes will address 1-sec timescale variations due to aperture motions.

High energy X-ray observations of the 38-second pulsar

NASA Technical Reports Server (NTRS)

Byrne, P. F.; Levine, A. M.; Bautz, M.; Howe, S. K.; Lang, F. L.; Primini, F. A.; Lewin, W. H. G.; Gruber, D. E.; Knight, F. K.; Nolan, P. L.

1981-01-01

The results of observations of the 38-second pulsar obtained at high X-ray energies (13-180 keV) with the UCSD/MIT instrument aboard HEAO 1 are reported. The results include a measurement of the source location, measurement of the pulse profile, and determination of the average intensity and spectrum during each of three time intervals spanning a baseline of 1 year. The total intensity of the pulsar is seen to vary on a 6-month time scale. The spectrum is hard but, like other X-ray pulsars, steepens at energies above 20 keV.

A new framework to increase the efficiency of large-scale solar power plants.

NASA Astrophysics Data System (ADS)

Alimohammadi, Shahrouz; Kleissl, Jan P.

2015-11-01

A new framework to estimate the spatio-temporal behavior of solar power is introduced, which predicts the statistical behavior of power output at utility scale Photo-Voltaic (PV) power plants. The framework is based on spatio-temporal Gaussian Processes Regression (Kriging) models, which incorporates satellite data with the UCSD version of the Weather and Research Forecasting model. This framework is designed to improve the efficiency of the large-scale solar power plants. The results are also validated from measurements of the local pyranometer sensors, and some improvements in different scenarios are observed. Solar energy.

UCSD Performance in the Edge Plasma Simulation (EPSI) Project. Final Report

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

Tynan, George Robert

This report contains a final report on the activities of UC San Diego PI G.R. Tynan and his collaborators as part of the EPSI Project, that was led by Dr. C.S. Chang, from PPPL. As a part of our work, we carried out several experiments on the ALCATOR C-­MOD tokamak device, aimed at unraveling the “trigger” or cause of the spontaneous transition from low-­mode confinement (L-­mode) to high confinement (H-­mode) that is universally observed in tokamak devices, and is planned for use in ITER.

Launching the Next Generation IODP Site Survey Data Bank

NASA Astrophysics Data System (ADS)

Miller, S. P.; Helly, J.; Clark, D.; Eakins, B.; Sutton, D.; Weatherford, J.; Thatch, G.; Miville, B.; Zelt, B.

2005-12-01

The next generation all-digital Site Survey Data Bank (SSDB) became operational on August 15, 2005 as an online resource for Integrated Ocean Drilling Program (IODP) proponents, reviewers, panels and operations, worldwide. There are currently 123 active proposals for drilling at sites distributed across the globe, involving nearly 1000 proponents from more than 40 countries. The goal is to provide an authoritative, persistent, secure, password-controlled and easily-used home for contributed data objects, as proposals evolve through their life cycle from preliminary phases to planned drilling expeditions. Proposal status can be monitored graphically by proposal number, data type or date. A Java SSDBviewer allows discovery of all proposal data objects, displayed over a basemap of global topography, crustal age or other custom maps. Data can be viewed or downloaded under password control. Webform interfaces assist with the uploading of data and metadata. Thirty four different standard data types are currently supported. The system was designed as a fully functioning digital library, not just a database or a web archive, drawing upon the resources of the SIOExplorer Digital Library project. Blocks of metadata are organized to support discovery and use, as appropriate for each data type. The SSDB has been developed by a UCSD team of researchers and computer scientists at the Scripps Institution of Oceanography and the San Diego Supercomputer Center, under contract with IODP Management International Inc., supported by NSF OCE 0432224.

Development of an Asset Map of Medical Education Research Activity

ERIC Educational Resources Information Center

Christiaanse, Mary E.; Russell, Eleanor L.; Crandall, Sonia J.; Lambros, Ann; Manuel, Janeen C.; Kirk, Julienne K.

2008-01-01

Introduction: Medical education research is gaining recognition as scholarship within academic medical centers. This survey was conducted at a medium-sized academic medical center in the United States. The purpose of the study was to learn faculty interest in research in medical education, so assets could be used to develop educational scholarship…

Medical waste management in Jordan: A study at the King Hussein Medical Center

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

Oweis, Rami; Al-Widyan, Mohamad; Al-Limoon, Ohood

2005-07-01

As in many other developing countries, the generation of regulated medical waste (RMW) in Jordan has increased significantly over the last few decades. Despite the serious impacts of RMW on humans and the environment, only minor attention has been directed to its proper handling and disposal. This study was conducted in the form of a case study at one of Jordan's leading medical centers, namely, the King Hussein Medical Center (KHMC). Its purpose was to report on the current status of medical waste management at KHMC and propose possible measures to improve it. In general, it was found that themore » center's administration was reasonably aware of the importance of medical waste management and practiced some of the measures to adequately handle waste generated at the center. However, it was also found that significant voids were present that need to be addressed in the future including efficient segregation, the use of coded and colored bags, better handling and transfer means, and better monitoring and tracking techniques, as well as the need for training and awareness programs for the personnel.« less

78 FR 77471 - Clinical Center; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-23

... organizational initiatives. Place: National Institutes of Health, Building 10, 10 Center Drive, CRC Medical Board... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Clinical Center; Notice of.... Place: National Institutes of Health, Building 10, 10 Center Drive, CRC Medical Board Room (4-2551...

Medical service plans in academic medical centers.

PubMed

Siegel, B

1978-10-01

Medical service plans are of major importance to academic medical centers and are becoming increasingly so each year as evidenced by growing dependence of medical schools on resulting funds. How these funds are generated and used varies among schools. The procedures may affect the governance of the institution, modifying the authority of the central administration or the clinical departments. Recent developments in federal legislation, such as health maintenance organizations and amendments (Section 227) to the Social Security Act, and the future development of national health insurance will certainly have an effect on how academic medical centers organize their clinical activities. How successfully various medical schools deal with the dynamic problem may well determine their future survival.

Medical Waste Management in Community Health Centers.

PubMed

Tabrizi, Jafar Sadegh; Rezapour, Ramin; Saadati, Mohammad; Seifi, Samira; Amini, Behnam; Varmazyar, Farahnaz

2018-02-01

Non-standard management of medical waste leads to irreparable side effects. This issue is of double importance in health care centers in a city which are the most extensive system for providing Primary Health Care (PHC) across Iran cities. This study investigated the medical waste management standards observation in Tabriz community health care centers, northwestern Iran. In this triangulated cross-sectional study (qualitative-quantitative), data collecting tool was a valid checklist of waste management process developed based on Iranian medical waste management standards. The data were collected in 2015 through process observation and interviews with the health center's staff. The average rate of waste management standards observance in Tabriz community health centers, Tabriz, Iran was 29.8%. This case was 22.8% in dimension of management and training, 27.3% in separating and collecting, 31.2% in transport and temporary storage, and 42.9% in sterilization and disposal. Lack of principal separation of wastes, inappropriate collecting and disposal cycle of waste and disregarding safety tips (fertilizer device performance monitoring, microbial cultures and so on) were among the observed defects in health care centers supported by quantitative data. Medical waste management was not in a desirable situation in Tabriz community health centers. The expansion of community health centers in different regions and non-observance of standards could predispose to incidence the risks resulted from medical wastes. So it is necessary to adopt appropriate policies to promote waste management situation.

Patient-centered interventions to improve medication management and adherence: a qualitative review of research findings

PubMed Central

Kuntz, Jennifer L.; Safford, Monika M.; Singh, Jasvinder A.; Phansalkar, Shobha; Slight, Sarah P.; Her, Qoua Liang; Lapointe, Nancy Allen; Mathews, Robin; O’Brien, Emily; Brinkman, William B.; Hommel, Kevin; Farmer, Kevin C.; Klinger, Elissa; Maniam, Nivethietha; Sobko, Heather J.; Bailey, Stacy C.; Cho, Insook; Rumptz, Maureen H.; Vandermeer, Meredith L.; Hornbrook, Mark C.

2018-01-01

Objective Patient-centered approaches to improving medication adherence hold promise, but evidence of their effectiveness is unclear. This review reports the current state of scientific research around interventions to improve medication management through four patient-centered domains: shared decision-making, methods to enhance effective prescribing, systems for eliciting and acting on patient feedback about medication use and treatment goals, and medication-taking behavior. Methods We reviewed literature on interventions that fell into these domains and were published between January 2007 and May 2013. Two reviewers abstracted information and categorized studies by intervention type. Results We identified 60 studies, of which 40% focused on patient education. Other intervention types included augmented pharmacy services, decision aids, shared decision-making, and clinical review of patient adherence. Medication adherence was an outcome in most (70%) of the studies, although 50% also examined patient-centered outcomes. Conclusions We identified a large number of medication management interventions that incorporated patient-centered care and improved patient outcomes. We were unable to determine whether these interventions are more effective than traditional medication adherence interventions. Practice Implications Additional research is needed to identify effective and feasible approaches to incorporate patient-centeredness into the medication management processes of the current health care system, if appropriate. PMID:25264309

Quantitative Analysis of Contributing Factors Affecting Patient Satisfaction in Family Medicine Service Clinics at Brooke Army Medical Center

DTIC Science & Technology

2008-06-06

Predictors of patient satisfaction for Brooke Army Medical Center Family Medicine Service primary care clinics was performed. Data was obtained from...Factors Affecting Patient Satisfaction in Family Medicine Service Clinics at Brooke Army Medical Center Presented to MAJ Eric Schmacker, Ph.D. In...study. All patients ’ medical information was protected at all times and under no circumstances will be discussed or released to any outside agency

75 FR 14170 - Medical Device Epidemiology Network: Developing Partnership Between the Center for Devices and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-24

... methods for medical device comparative analyses, best practices and best design and analysis methods. II... the performance of medical devices (including comparative effectiveness studies). The centers...

DOE Center of Excellence in Medical Laser Applications. Final report

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

Jacques, S.L.

1998-01-01

An engineering network of collaborating medical laser laboratories are developing laser and optical technologies for medical diagnosis and therapy and are translating the engineering into medical centers in Portland, OR, Houston, TX, and Galveston, TX. The Center includes the University of Texas M.D. Anderson Cancer Center, the University of Texas-Austin, Texas A and M University, Rice University, the University Texas Medical Branch-Galveston, Oregon Medical Laser Center (Providence St. Vincent Medical Center, Oregon Health Sciences University, and Oregon Graduate Institute, Portland, OR), and the University of Oregon. Diagnostics include reflectance, fluorescence, Raman IR, laser photoacoustics, optical coherence tomography, and several newmore » video techniques for spectroscopy and imaging. Therapies include photocoagulation therapy, laser welding, pulsed laser ablation, and light-activated chemotherapy of cancer (photodynamic therapy, or PDT). Medical applications reaching the clinic include optical monitoring of hyperbilirubinemia in newborns, fluorescence detection of cervical dysplasia, laser thrombolysis of blood clots in heart attack and brain stroke, photothermal coagulation of benign prostate hyperplasia, and PDT for both veterinary and human cancer. New technologies include laser optoacoustic imaging of breast tumors and hemorrhage in head trauma and brain stroke, quality control monitoring of dosimetry during PDT for esophageal and lung cancer, polarization video reflectometry of skin cancer, laser welding of artificial tissue replacements, and feedback control of laser welding.« less

DOE Center of Excellence in Medical Laser Applications. Final report, December 1, 1994--November 30, 1997

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

Jacques, S.L.

1998-01-01

An engineering network of collaborating medical laser laboratories are developing laser and optical technologies for medical diagnosis and therapy and are translating the engineering into medical centers in Portland OR, Houston TX, and Galveston TX. The Center includes the University of Texas M.D. Anderson Cancer Center, the University of Texas-Austin, Texas A and M University, Rice University, the University Texas Medical Branch-Galveston, Oregon Medical Laser Center (Providence St. Vincent Medical Center, Oregon Health Sciences University, and Oregon Graduate Institute, Portland, OR), and the University of Oregon. Diagnostics include reflectance, fluorescence, Raman IR, laser photoacoustics, optical coherence tomography, and several newmore » video techniques for spectroscopy and imaging. Therapies include photocoagulation therapy, laser welding, pulsed laser ablation, and light-activated chemotherapy of cancer (photodynamic therapy, or PDT). Medical applications reaching the clinic include optical monitoring of hyperbilirubinemia in newborns, fluorescence detection of cervical dysplasia, laser thrombolysis of blood clots in heart attack and brain stroke, photothermal coagulant of benign prostate hyperplasia, and PDT for both veterinary and human cancer. New technologies include laser optoacoustic imaging of breast tumors and hemorrhage in head trauma and brain stroke, quality control monitoring of dosimetry during PDT for esophageal and lung cancer, polarization video reflectometry of skin cancer, laser welding of artificial tissue replacements, and feedback control of laser welding.« less

Understanding health care provider barriers to hospital affiliated medical fitness center facility referral: a questionnaire survey and semi structured interviews.

PubMed

Smock, Carissa; Alemagno, Sonia

2017-08-03

The purpose of this study is to understand health care provider barriers to referring patients to Medical Fitness Center Facilities within an affiliated teaching hospital system using referral of diabetic services as an example. The aims of this study include: (1) to assess health care providers' awareness and use of facilities, (2) to determine barriers to referring patients to facilities, (3) identify current and needed resources and/or changes to increase referral to facilities. A 20-item electronic survey and requests for semi-structured interviews were administered to hospital system directors and managers (n = 51). Directors and managers instructed physicians and staff to complete the survey and interviews as applicable. Perceived barriers, knowledge, utilization, and referral of patients to Medical Fitness Center Facilities were collected and examined. Descriptive statistics were generated regarding practice characteristics, provider characteristics, and referral. Of the health care providers surveyed and interviewed (n = 25) 40% indicated verbally suggesting use of facilities, 24% provided a flyer about the facilities. No respondents indicated that they directly referred patients to the facilities. However, 16% referred patients to other locations for physical activity - including their own department's management and prevention services. 20% do not refer to Medical Fitness Center Facilities or any other lifestyle programs/locations. Lack of time (92%) and lack of standard guidelines and operating procedures (88%) are barriers to referral. All respondents indicated a strong ability to refer patients to Medical Fitness Center Facilities if given education about referral programs available as well as standard clinical guidelines and protocol for delivery. The results of this study indicate that, although few healthcare providers are currently referring patients to Medical Fitness Center Facilities, health care providers with an affiliated Medical Fitness Center Facility not only want clinical standard guidelines, protocol, and training to refer patients to Medical Fitness Center Facilities, but believe they have the ability to increase referral if given these tools. The Medical Fitness Association has a unique opportunity to bridge health care providers to Medical Fitness Center Facilities by developing clinical practice guidelines in cooperation with the American Diabetes Association.

Medical Student Service Learning Program Teaches Secondary Students about Career Opportunities in Health and Medical Fields

ERIC Educational Resources Information Center

Karpa, Kelly; Vakharia, Kavita; Caruso, Catherine A.; Vechery, Colin; Sipple, Lanette; Wang, Adrian

2015-01-01

Engagement of academic medical centers in community outreach provides the public with a better understanding of basic terms and concepts used in biomedical sciences and increases awareness of important health information. Medical students at one academic medical center initiated an educational outreach program, called PULSE, that targets secondary…

Research centers and institutes in U.S. medical schools: a descriptive analysis.

PubMed

Mallon, William T; Bunton, Sarah A

2005-11-01

Research centers and institutes are a common mechanism to organize and facilitate biomedical research at medical schools and universities. The authors report the results of a study on the size, scope, and range of activities of 604 research centers and institutes at research-intensive U.S. medical schools and their parent universities. Centers and institutes with primary missions of patient care, education, or outreach were not included. The findings indicate that, in addition to research, centers and institutes are involved in a range of activities, including education, service, and technology transfer. The centers and institutes the authors studied were more interdisciplinary than those included in previous studies on this topic. Most research centers and institutes did not have authority comparable to academic departments. Only 22% of centers directly appointed faculty members, and most center directors reported to a medical school dean or a department chair. A small group of centers and institutes ("power centers"), however, reported to a university president or provost, and may have considerable power and influence in academic decision making and resource allocation. Two main types of centers and institutes emerge from this research. The first type, which includes the vast of majority of centers, is modest in its scope and marginal in its influence. The second type--with greater amounts of funding, larger staffs, and direct access to institutional decisionmakers--may have a more significant role in the organization and governance of the medical school and university and in the ways that researchers interact within and across academic divisions.

Adapting an Effective Counseling Model from Patient-centered Care to Improve Motivation in Clinical Training Programs.

PubMed

Hamada, Hisayuki; Martin, Dawn; Batty, Helen P

2006-12-01

The value of establishing a patient-centered relationship within the context of the clinical encounter is well documented. The learner-centered method of medical education parallels the patient-centered clinical method; therefore, it should be explored as a method for teaching in the context of the learning encounter. In Japan and other Asian countries, rotations through services not related to the learner's chosen medical specialty are mandatory parts of the medical internship. Participation and effort in these rotations are often met with resistance from learners and are a common problem for medical educators. We adapted the counseling method for patients based on patient-centered methods such as motivational interviewing and solution-focused therapy to address this common problem. We show one case of a medical resident who lost his motivation to learn during his training. A resident has many kinds of mental and physical stress. One such problem arises from the gap between what they want to do and what they have to do. Strategies from motivational interviewing and solution-focused therapy were adapted to successfully resolve a common teaching problem in Japan. A physician teacher (preceptor) helped this resident solve the issue for himself instead of arguing in favor of change. The positive aspects of the counseling method were based on patient-centered medicine and proved useful and effective in counseling for medical residents. We may take the lessons learned from using patient-centered counseling methods to further develop a clear and systematic process of counseling methods for residents to conduct learner-centered medical education.

A Study to Evaluate the Organization and the Operating Procedures of the Patient Assistance Function at Brooke Army Medical Center, Fort Sam Houston, Texas

DTIC Science & Technology

1979-08-01

15 March 1979. 59Interview with Wendy L. Farace , Head Nurse, Obstetrics/Gynecology Clinic, Brooke Army Medical Center, Fort Sam Houston, Texas, 8...6 February 1979. Farace , Wendy L. Head Nurse, Obstetrica/Gynecology Clinic, Brooke Army Medical Center, Fort Sam Houston, Texas. Interview, 8 January

The Effects of Corporatization on Academic Medical Centers. How Will the Corporatization of Health Care Influence Health Professions Education?

ERIC Educational Resources Information Center

Dunn, Marvin R.

Areas of agreement/conflict between academic medical centers and investor owned corporations are considered. Academic medical centers are part of the university system, which is responsible for education, research, and the related public good (e.g., nurturing of professions). Major areas for a potential confluence of interest between the academic…

Qualitative and Political Issues Impacting Academic Medical Center Strategic Planning--A Methodological Approach. AIR Forum 1982 Paper.

ERIC Educational Resources Information Center

Kutina, Kenneth L.; And Others

A simulation model of an academic medical center that was developed to aid in strategic planning and policy analysis is described. The model, designated MCM for Medical Center Model, was implemented at the School of Medicine, University Hospitals of Cleveland, and the private practices of the faculty in the clinical departments at University…

76 FR 31340 - Medicare Program; Notification of Closure of St. Vincent's Medical Center

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-31

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-1587-N... & Medicaid Services (CMS), HHS. ACTION: Notice. SUMMARY: This notice announces the closure of St. Vincent's Medical Center and the initiation of an application process for hospitals to apply to the Centers for...

76 FR 14028 - Center for Devices and Radiological Health 510(k) Implementation: Online Repository of Medical...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-15

...] Center for Devices and Radiological Health 510(k) Implementation: Online Repository of Medical Device... public meeting entitled ``510(k) Implementation: Discussion of an Online Repository of Medical Device... establish an online public repository of medical device labeling and strategies for displaying device...

The Role of the Academic Medical Center in the PSRO Program

ERIC Educational Resources Information Center

Jessee, William F.; Goran, Michael J.

1976-01-01

The author contends that the professional standards review organization (PSRO), a national effort to assure high quality medical care, offers a challenge and an opportunity to the academic medical center. He discusses potential impact on role definition, criteria development, continuing medical education, curriculum evaluation, and attitudinal and…

A Model for Collaborative Learning in Undergraduate Climate Change Courses

NASA Astrophysics Data System (ADS)

Teranes, J. L.

2008-12-01

Like several colleges and universities across the nation, the University of California, San Diego, has introduced climate change topics into many existing and new undergraduate courses. I have administered a program in this area at UCSD and have also developed and taught a new lower-division UCSD course entitled "Climate Change and Society", a general education course for non-majors. This class covers the basics of climate change, such as the science that explains it, the causes of climate change, climate change impacts, and mitigation strategies. The teaching methods for this course stress interdisciplinary approaches. I find that inquiry-based and collaborative modes of learning are particularly effective when applied to science-based climate, environmental and sustainability topics. Undergraduate education is often dominated by a competitive and individualistic approach to learning. In this approach, individual success is frequently perceived as contingent on others being less successful. Such a model is at odds with commonly stated goals of teaching climate change and sustainability, which are to equip students to contribute to the debate on global environmental change and societal adaptation strategies; and to help students become better informed citizens and decision makers. I present classroom-tested strategies for developing collaborative forms of learning in climate change and environmental courses, including team projects, group presentations and group assessment exercises. I show how critical thinking skills and long-term retention of information can benefit in the collaborative mode of learning. I find that a collaborative learning model is especially appropriate to general education courses in which the enrolled student body represents a wide diversity of majors, class level and expertise. I also connect collaborative coursework in interdisciplinary environmental topics directly to applications in the field, where so much "real-world" achievement in research, education, government and business is effectively accomplished in collaborative teams.

Mid-Infrared Observational and Theoretical Studies of Star Formation and Early Solar Systems

NASA Technical Reports Server (NTRS)

Jones, Barbara

1997-01-01

The first 2 years of this program were used to make mid-IR observations of regions of star formation in the Orion nebula with the UCSD mid-IR camera at the UCSD/University of Minnesota telescope at Mt. Lemmon. These observations attempted to make the first systematic study of an extended region, known to have newly forming stars, and expected to have complex mid-IR emission. We discovered, to our surprise, that most of the thermal emission originated from extended sources rather than from point sources. This interesting observation made the analysis of the data much more complex, since the chop/nod procedures used at these wavelengths produce a differential measurement of the emission in one region compared to that in the adjacent region. Disentangling complex extended emission in such a situation is very difficult. In parallel with this work we were also observing comets in the thermal infrared, the other component of the original proposal. Some spectacular data on the comet Swift-Tuttle was acquired and published. A changing jet structure observed over a 2 week period is described. The rotation period of the comet can be measured at 66 hours. The size of the nucleus can also be estimated (at 30 km) from the observed excess flux from the nucleus. These data have lead to the development of models describing the action of dust particles of differing sizes and composition leaving the nucleus. The spatial distribution of the predicted IR emission has been compared to the observed jet structures, leading to estimates of both particles sizes, relative amounts of silicate vs organic grains, and the amounts of dust emitted in the jets vs isotopic emission.

Measure Projection Analysis: A Probabilistic Approach to EEG Source Comparison and Multi-Subject Inference

PubMed Central

Bigdely-Shamlo, Nima; Mullen, Tim; Kreutz-Delgado, Kenneth; Makeig, Scott

2013-01-01

A crucial question for the analysis of multi-subject and/or multi-session electroencephalographic (EEG) data is how to combine information across multiple recordings from different subjects and/or sessions, each associated with its own set of source processes and scalp projections. Here we introduce a novel statistical method for characterizing the spatial consistency of EEG dynamics across a set of data records. Measure Projection Analysis (MPA) first finds voxels in a common template brain space at which a given dynamic measure is consistent across nearby source locations, then computes local-mean EEG measure values for this voxel subspace using a statistical model of source localization error and between-subject anatomical variation. Finally, clustering the mean measure voxel values in this locally consistent brain subspace finds brain spatial domains exhibiting distinguishable measure features and provides 3-D maps plus statistical significance estimates for each EEG measure of interest. Applied to sufficient high-quality data, the scalp projections of many maximally independent component (IC) processes contributing to recorded high-density EEG data closely match the projection of a single equivalent dipole located in or near brain cortex. We demonstrate the application of MPA to a multi-subject EEG study decomposed using independent component analysis (ICA), compare the results to k-means IC clustering in EEGLAB (sccn.ucsd.edu/eeglab), and use surrogate data to test MPA robustness. A Measure Projection Toolbox (MPT) plug-in for EEGLAB is available for download (sccn.ucsd.edu/wiki/MPT). Together, MPA and ICA allow use of EEG as a 3-D cortical imaging modality with near-cm scale spatial resolution. PMID:23370059

Open Source Dataturbine (OSDT) Android Sensorpod in Environmental Observing Systems

NASA Astrophysics Data System (ADS)

Fountain, T. R.; Shin, P.; Tilak, S.; Trinh, T.; Smith, J.; Kram, S.

2014-12-01

The OSDT Android SensorPod is a custom-designed mobile computing platform for assembling wireless sensor networks for environmental monitoring applications. Funded by an award from the Gordon and Betty Moore Foundation, the OSDT SensorPod represents a significant technological advance in the application of mobile and cloud computing technologies to near-real-time applications in environmental science, natural resources management, and disaster response and recovery. It provides a modular architecture based on open standards and open-source software that allows system developers to align their projects with industry best practices and technology trends, while avoiding commercial vendor lock-in to expensive proprietary software and hardware systems. The integration of mobile and cloud-computing infrastructure represents a disruptive technology in the field of environmental science, since basic assumptions about technology requirements are now open to revision, e.g., the roles of special purpose data loggers and dedicated site infrastructure. The OSDT Android SensorPod was designed with these considerations in mind, and the resulting system exhibits the following characteristics - it is flexible, efficient and robust. The system was developed and tested in the three science applications: 1) a fresh water limnology deployment in Wisconsin, 2) a near coastal marine science deployment at the UCSD Scripps Pier, and 3) a terrestrial ecological deployment in the mountains of Taiwan. As part of a public education and outreach effort, a Facebook page with daily ocean pH measurements from the UCSD Scripps pier was developed. Wireless sensor networks and the virtualization of data and network services is the future of environmental science infrastructure. The OSDT Android SensorPod was designed and developed to harness these new technology developments for environmental monitoring applications.

Edge Simulation Laboratory Progress and Plans

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

Cohen, R

The Edge Simulation Laboratory (ESL) is a project to develop a gyrokinetic code for MFE edge plasmas based on continuum (Eulerian) techniques. ESL is a base-program activity of OFES, with an allied algorithm research activity funded by the OASCR base math program. ESL OFES funds directly support about 0.8 FTE of career staff at LLNL, a postdoc and a small fraction of an FTE at GA, and a graduate student at UCSD. In addition the allied OASCR program funds about 1/2 FTE each in the computations directorates at LBNL and LLNL. OFES ESL funding for LLNL and UCSD began inmore » fall 2005, while funding for GA and the math team began about a year ago. ESL's continuum approach is a complement to the PIC-based methods of the CPES Project, and was selected (1) because of concerns about noise issues associated with PIC in the high-density-contrast environment of the edge pedestal, (2) to be able to exploit advanced numerical methods developed for fluid codes, and (3) to build upon the successes of core continuum gyrokinetic codes such as GYRO, GS2 and GENE. The ESL project presently has three components: TEMPEST, a full-f, full-geometry (single-null divertor, or arbitrary-shape closed flux surfaces) code in E, {mu} (energy, magnetic-moment) coordinates; EGK, a simple-geometry rapid-prototype code, presently of; and the math component, which is developing and implementing algorithms for a next-generation code. Progress would be accelerated if we could find funding for a fourth, computer science, component, which would develop software infrastructure, provide user support, and address needs for data handing and analysis. We summarize the status and plans for the three funded activities.« less

Evaluation of a respiratory symptom diary for clinical studies of idiopathic pulmonary fibrosis.

PubMed

Bacci, Elizabeth Dansie; O'Quinn, Sean; Leidy, Nancy Kline; Murray, Lindsey; Vernon, Margaret

2018-01-01

There are no validated patient diaries for evaluating respiratory symptoms in idiopathic pulmonary fibrosis (IPF). To evaluate the performance properties of the chronic obstructive pulmonary disease (COPD) Evaluating Respiratory Symptoms™ (E-RS™: COPD) measure in patients with IPF. Concept elicitation and cognitive interviews were conducted with IPF patients to evaluate content validity, including comprehensiveness, relevance, and interpretability of E-RS™ items in this patient population. Secondary analyses of IPF clinical study data were performed to evaluate the scoring structure of the tool. With modifications, reliability, validity, and responsiveness of the instrument (E-RS™: IPF) were evaluated. Qualitative interviews (n = 30) were conducted. During the elicitation interviews (n = 20), concept saturation for IPF respiratory symptoms was achieved; all respiratory symptoms covered by the E-RS™ were endorsed by ≥ 30% of the sample. During cognitive interviews (n = 10), all participants found the items interpretable and relevant. Factor analyses conducted via secondary analysis of IPF clinical study data identified no total score and four symptom scales: Chest, Breathlessness, Cough, and Sputum. Reliability of each scale was high (internal consistency [α] >0.85); 2-day reproducibility (ICC >0.88). Validity was supported through significant (P < 0.0001) relationships with the St. George's Respiratory Questionnaire (SGRQ), the University of California, San Diego Shortness of Breath Questionnaire (UCSD-SOBQ), and other variables. The scales were responsive to change when evaluated using SGRQ Symptoms, UCSD-SOBQ, and Patient Global Impression of Change as anchors (P < 0.01 to P < 0.0001). The E-RS™: IPF is a valid, reliable, and responsive tool for evaluating respiratory symptoms in patients with IPF. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

The financial management of research centers and institutes at U.S. medical schools: findings from six institutions.

PubMed

Mallon, William T

2006-06-01

To explore three questions surrounding the financial management of research centers and institutes at U.S. medical schools: How do medical schools allocate institutional funds to centers and institutes? How and by whom are those decisions made? What are the implications of these decision-making models on the future of the academic biomedical research enterprise? Using a qualitative research design, the author and associates interviewed over 150 faculty members and administrators at six medical schools and their parent universities in 2004. Interview data were transcribed, coded, and analyzed using a grounded theory approach. This methodology generated rich descriptions and explanations of the six medical schools, which can produce extrapolations to, but not necessarily generalizable findings to, other institutions and settings. An examination of four dimensions of financial decision-making-funding timing, process, structure, and culture-produces two essential models of how medical schools approach the financial management of research centers. In the first, a "charity" model, center directors make hat-in-hand appeals directly to the dean, the result of which may depend on individual negotiation skills and personal relationships. In the second, a "planned-giving" model, the process for obtaining and renewing funds is institutionalized, agreed upon, and monitored. The ways in which deans, administrators, department chairs, and center directors attend to, decide upon, and carry out financial decisions can influence how people throughout the medical school think about interdisciplinary and collaborative activities marshalled though centers and institutes.

[Certified medical centers--A measurable benefit to patients?!].

PubMed

Eberlein-Gonska, Maria; Schellong, Sebastian; Baumann, Michael

2007-01-01

The establishment of medical centers should meet the high requirements of the healthcare system. They should provide innovative solutions for a number of problems, e.g. the interdisciplinary collaboration of various health departments with due regard to their autonomy. This is reminiscent of the implementation and advancement of a quality management system required by law where a clear idea of how to manage the organizational and procedural structures as an integral part of the management concept implemented is missing. The genuine efforts to implement and advance interdisciplinary medical centers are up against "bogus models" created out of sheer marketing interests. The term "medical center" has so far not been protected under trademark law, leaving patients, relatives or even the referring physicians unsure about how to judge a medical center's actual performance. The same is true of certified centers. Their numbers are growing, but not so the transparency about the amount of measurable, traceable and understandable benefits that a certified center provides to the patient. Therefore clear demands need to be placed on certified centers, especially with regard to the implementation of a concept that provides interdisciplinarity and process-oriented transparent structures and defines quality ratios and quality objectives. This includes providing resources for the continuous collection and evaluation of hard and soft data as well as deriving improvement measures. The three centers of the University Hospital Dresden--the University Cancer Center, the University Vascular Center and the University Pain Center--fulfil this high demand. They have created fundamentals for measurable improvement of patient care and are able to present first results.

Patient-centered medical homes in Louisiana had minimal impact on Medicaid population's use of acute care and costs.

PubMed

Cole, Evan S; Campbell, Claudia; Diana, Mark L; Webber, Larry; Culbertson, Richard

2015-01-01

The patient-centered medical home model of primary care has received considerable attention for its potential to improve outcomes and reduce health care costs. Yet little information exists about the model's ability to achieve these goals for Medicaid patients. We sought to evaluate the effect of patient-centered medical home certification of Louisiana primary care clinics on the quality and cost of care over time for a Medicaid population. We used a quasi-experimental pre-post design with a matched control group to assess the effect of medical home certification on outcomes. We found no impact on acute care use and modest support for reduced costs and primary care use among medical homes serving higher proportions of chronically ill patients. These findings provide preliminary results related to the ability of the patient-centered medical home model to improve outcomes for Medicaid beneficiaries. The findings support a case-mix-adjusted payment policy for medical homes going forward. Project HOPE—The People-to-People Health Foundation, Inc.

Integration of medical imaging into a multi-institutional hospital information system structure.

PubMed

Dayhoff, R E

1995-01-01

The Department of Veterans Affairs (VA) is providing integrated text and image data to its clinical users at its Washington and Baltimore medical centers and, soon, at nine other medical centers. The DHCP Imaging System records clinically significant diagnostic images selected by medical specialists in a variety of departments, including cardiology, gastroenterology, pathology, dermatology, surgery, radiology, podiatry, dentistry, and emergency medicine. These images, which include color and gray scale images, and electrocardiogram waveforms, are displayed on workstations located throughout the medical centers. Integration of clinical images with the VA's electronic mail system allows transfer of data from one medical center to another. The ability to incorporate transmitted text and image data into on-line patient records at the collaborating sites is an important aspect of professional consultation. In order to achieve the maximum benefits from an integrated patient record system, a critical mass of information must be available for clinicians. When there is also seamless support for administration, it becomes possible to re-engineer the processes involved in providing medical care.

76 FR 55917 - Medicare Program; Notification of Closure of St. Vincent's Medical Center; Extension of the...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-09

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-1587-N2... Submission of Applications AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice of... hospitals to apply to the Centers for Medicare & Medicaid Services (CMS) to receive St. Vincent's Medical...

Family-centered Care in the Outpatient General Psychiatry Clinic.

PubMed

Heru, Alison M

2015-09-01

Although family research supports family-centered care for all medical specialties, the benefit of family-centered care has not been fully realized in outpatient practice. Physicians, including psychiatrists, are not routinely taught how to work with families and may not be aware of the evidence-base for family interventions. However, some medical specialties, such as family medicine and palliative care, have a clinical practice that routinely includes the family. Clinicians working in medical clinics, such as diabetes clinics, know that successful management of chronic illness requires family involvement. Psychiatric clinics, such as The Family Center for Bipolar Disorder at Beth Israel Medical Center in New York City, also have a family-centered practice and show improved patient outcomes. This article provides guidelines, including clinical interview questions, to help psychiatrists practice family-centered care, either in a private office or in a general psychiatric outpatient clinic. The guidelines include questions that identify when to seek an in-depth family assessment or consultation. Family-centered care will become more useful when health care reimbursement focuses on patient outcome.

[Regional network for patients with dementia--carrying out Kumamoto model for dementia].

PubMed

Ikeda, Manabu

2014-01-01

The Japanese government has tried to establish 150 Medical Centers for Dementia (MCDs) since 2008 to overcome the dementia medical service shortage. MCDs are required to provide special medical services for dementia and connect with other community resources in order to contribute to building a comprehensive support network for demented patients. The main specific needs are as follows: 1) special medical consultation; 2) differential diagnosis and early intervention; 3) medical treatment for the acute stage of BPSD; 4) corresponding to serious physical complications of dementia; 5) education for general physicians (GPs) and other community professionals. According to the population rate, two dementia medical centers were planned in Kumamoto Prefecture. However, it seemed to be too few to cover the vast Kumamoto area. Therefore, the local government and I proposed to the Japanese government that we build up networks that consist of one core MCD in our university hospital and several regional MCDs in local mental hospitals. The local government selected seven (nine at present) centers according to the area balance and condition of equipment. The Japanese government has recommended and funded such networks between core and regional centers since 2010. The main roles of the core centers are as follows: 1) early diagnosis such as Mild cognitive impairment, very mild Alzheimer's disease, Dementia with Lewy bodies, and Frontotemporal lobar degeneration using comprehensive neuropsychological batteries and neuroimagings, such as MRI and SPECT scans; 2) education for GPs; 3) training for young consultants. The core center opens case conferences at least every one or two months for all staff of regional centers to maintain the quality of all centers and give training opportunities for standardized international assessment scales. While the main roles of the regional centers are differential diagnosis, intervention for BPSD, and management of general medical problems using local networks with general hospitals and GPs, and organizing local networks for dementia with GPs and care staff In short, the regional centers take responsibility for ordinal clinical work for dementia. To construct a more extensive network, each regional center must hold regional case conferences and lectures on dementia for care staff and GPs sharing knowledge and skills acquired from case conferences by the core center.

Outpatient prescription practices in rural township health centers in Sichuan Province, China

PubMed Central

2012-01-01

Background Sichuan Province is an agricultural and economically developing province in western China. To understand practices of prescribing medications for outpatients in rural township health centers is important for the development of the rural medical and health services in this province and western China. Methods This is an observational study based on data from the 4th National Health Services Survey of China. A total of 3,059 prescriptions from 30 township health centers in Sichuan Province were collected and analyzed. Seven indicators were employed in the analyses to characterize the prescription practices. They are disease distribution, average cost per encounter, number of medications per encounter, percentage of encounters with antibiotics, percentage of encounters with glucocorticoids, percentage of encounters with combined glucocorticoids and antibiotics, and percentage of encounters with injections. Results The average medication cost per encounter was 16.30 Yuan ($2.59). About 60% of the prescriptions contained Chinese patent medicine (CPM), and almost all prescriptions (98.07%) contained western medicine. 85.18% of the prescriptions contained antibiotics, of which, 24.98% contained two or more types of antibiotics; the percentage of prescriptions with glucocorticoids was 19.99%; the percentage of prescriptions with both glucocorticoids and antibiotics was 16.67%; 51.40% of the prescriptions included injections, of which, 39.90% included two or more injections. Conclusions The findings from this study demonstrated irrational medication uses of antibiotics, glucocorticoids and injections prescribed for outpatients in the rural township health centers in Sichuan Province. The reasons for irrational medication uses are not only solely due to the pursuit of maximizing benefits in the township health centers, but also more likely attributable to the lack of medical knowledge of rational medication uses among rural doctors and the lack of medical devices for disease diagnosis in those township health centers. The policy implication from this study is to enhance professional training in rational medication uses for rural doctors, improve hardware facilities for township health centers, promote health education to rural residents and establish a public reporting system to monitor prescription practices in rural township health centers, etc. PMID:22988946

Medical Center Staff Attitudes about Spanking

PubMed Central

Gershoff, Elizabeth T.; Font, Sarah A.; Taylor, Catherine A.; Foster, Rebecca H.; Garza, Ann Budzak; Olson-Dorff, Denyse; Terreros, Amy; Nielsen-Parker, Monica; Spector, Lisa

2016-01-01

Several medical professional organizations, including the American Academy of Pediatrics, recommend that parents avoid hitting children for disciplinary purposes (e.g., spanking) and that medical professionals advise parents to use alternative methods. The extent to which medical professionals continue to endorse spanking is unknown. This study is the first to examine attitudes about spanking among staff throughout medical settings, including non-direct care staff. A total of 2,580 staff at a large general medical center and 733 staff at a children’s hospital completed an online survey; respondents were roughly divided between staff who provide direct care to patients (e.g., physicians, nurses) and staff who do not (e.g., receptionists, lab technicians). Less than half (44% and 46%) of staff at each medical center agreed that spanking is harmful to children, although almost all (85% and 88%) acknowledged that spanking can lead to injury. Men, staff who report being religious, and staff who held non-direct care positions at the medical center reported stronger endorsement of spanking and perceived their co-workers to be more strongly in favor of spanking. Non-direct care staff were more supportive of spanking compared with direct care staff on every item assessed. All staff underestimated the extent to which their co-workers held negative views of spanking. If medical centers and other medical settings are to lead the charge in informing the community about the harms of spanking, comprehensive staff education about spanking is indicated. PMID:27744218

Medical center staff attitudes about spanking.

PubMed

Gershoff, Elizabeth T; Font, Sarah A; Taylor, Catherine A; Foster, Rebecca H; Garza, Ann Budzak; Olson-Dorff, Denyse; Terreros, Amy; Nielsen-Parker, Monica; Spector, Lisa

2016-11-01

Several medical professional organizations, including the American Academy of Pediatrics, recommend that parents avoid hitting children for disciplinary purposes (e.g., spanking) and that medical professionals advise parents to use alternative methods. The extent to which medical professionals continue to endorse spanking is unknown. This study is the first to examine attitudes about spanking among staff throughout medical settings, including non-direct care staff. A total of 2580 staff at a large general medical center and 733 staff at a children's hospital completed an online survey; respondents were roughly divided between staff who provide direct care to patients (e.g., physicians, nurses) and staff who do not (e.g., receptionists, lab technicians). Less than half (44% and 46%) of staff at each medical center agreed that spanking is harmful to children, although almost all (85% and 88%) acknowledged that spanking can lead to injury. Men, staff who report being religious, and staff who held non-direct care positions at the medical center reported stronger endorsement of spanking and perceived their co-workers to be more strongly in favor of spanking. Non-direct care staff were more supportive of spanking compared with direct care staff on every item assessed. All staff underestimated the extent to which their co-workers held negative views of spanking. If medical centers and other medical settings are to lead the charge in informing the community about the harms of spanking, comprehensive staff education about spanking is indicated. Copyright © 2016 Elsevier Ltd. All rights reserved.

A Novel Anti-Beta2-Microglobulin Antibody Inhibition of Androgen Receptor Expression, Survival, and Progression in Prostate Cancer Cells

DTIC Science & Technology

2010-05-01

Uro -Oncology Research Pro- gram, Dept. of Medicine, Cedars-Sinai Medical Center, 8750 Beverly Blvd., Atrium 103, Los Angeles, CA 90048. Tel.: 310...ORGANIZATION: Cedars-Sinai Medical Center Los Angeles, California 90048 REPORT DATE: May...Cedars-Sinai Medical Center Los Angeles, California 90048 9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM

5 strategies for improving performance of academic medical centers.

PubMed

Valletta, Robert M; Harkness, Alicia

2013-06-01

Academic medical centers should consider five strategies for becoming more cost-efficient and profitable as reforms are implemented: Make faculty responsible for cost and quality. Explore opportunities to collaborate with community hospitals. Extend care and education beyond the walls of the organization, employing technology and innovative teaching practices. Maximize healthcare IT investment by sharing data-rich patient records with other medical centers and research institutes. Align research with business strategy.

WebGLORE: a web service for Grid LOgistic REgression.

PubMed

Jiang, Wenchao; Li, Pinghao; Wang, Shuang; Wu, Yuan; Xue, Meng; Ohno-Machado, Lucila; Jiang, Xiaoqian

2013-12-15

WebGLORE is a free web service that enables privacy-preserving construction of a global logistic regression model from distributed datasets that are sensitive. It only transfers aggregated local statistics (from participants) through Hypertext Transfer Protocol Secure to a trusted server, where the global model is synthesized. WebGLORE seamlessly integrates AJAX, JAVA Applet/Servlet and PHP technologies to provide an easy-to-use web service for biomedical researchers to break down policy barriers during information exchange. http://dbmi-engine.ucsd.edu/webglore3/. WebGLORE can be used under the terms of GNU general public license as published by the Free Software Foundation.

pyNBS: A Python implementation for network-based stratification of tumor mutations.

PubMed

Huang, Justin K; Jia, Tongqiu; Carlin, Daniel E; Ideker, Trey

2018-03-28

We present pyNBS: a modularized Python 2.7 implementation of the network-based stratification (NBS) algorithm for stratifying tumor somatic mutation profiles into molecularly and clinically relevant subtypes. In addition to release of the software, we benchmark its key parameters and provide a compact cancer reference network that increases the significance of tumor stratification using the NBS algorithm. The structure of the code exposes key steps of the algorithm to foster further collaborative development. The package, along with examples and data, can be downloaded and installed from the URL http://www.github.com/huangger/pyNBS/. jkh013@ucsd.edu.

High End Visualization of Geophysical Datasets Using Immersive Technology: The SIO Visualization Center.

NASA Astrophysics Data System (ADS)

Newman, R. L.

2002-12-01

How many images can you display at one time with Power Point without getting "postage stamps"? Do you have fantastic datasets that you cannot view because your computer is too slow/small? Do you assume a few 2-D images of a 3-D picture are sufficient? High-end visualization centers can minimize and often eliminate these problems. The new visualization center [http://siovizcenter.ucsd.edu] at Scripps Institution of Oceanography [SIO] immerses users into a virtual world by projecting 3-D images onto a Panoram GVR-120E wall-sized floor-to-ceiling curved screen [7' x 23'] that has 3.2 mega-pixels of resolution. The Infinite Reality graphics subsystem is driven by a single-pipe SGI Onyx 3400 with a system bandwidth of 44 Gbps. The Onyx is powered by 16 MIPS R12K processors and 16 GB of addressable memory. The system is also equipped with transmitters and LCD shutter glasses which permit stereographic 3-D viewing of high-resolution images. This center is ideal for groups of up to 60 people who can simultaneously view these large-format images. A wide range of hardware and software is available, giving the users a totally immersive working environment in which to display, analyze, and discuss large datasets. The system enables simultaneous display of video and audio streams from sources such as SGI megadesktop and stereo megadesktop, S-VHS video, DVD video, and video from a Macintosh or PC. For instance, one-third of the screen might be displaying S-VHS video from a remotely-operated-vehicle [ROV], while the remaining portion of the screen might be used for an interactive 3-D flight over the same parcel of seafloor. The video and audio combinations using this system are numerous, allowing users to combine and explore data and images in innovative ways, greatly enhancing scientists' ability to visualize, understand and collaborate on complex datasets. In the not-distant future, with the rapid growth in networking speeds in the US, it will be possible for Earth Sciences Departments to collaborate effectively while limiting the amount of physical travel required. This includes porting visualization content to the popular, low-cost Geowall visualization systems, and providing web-based access to databanks filled with stock geoscience visualizations.

Biostatistical and medical statistics graduate education

PubMed Central

2014-01-01

The development of graduate education in biostatistics and medical statistics is discussed in the context of training within a medical center setting. The need for medical researchers to employ a wide variety of statistical designs in clinical, genetic, basic science and translational settings justifies the ongoing integration of biostatistical training into medical center educational settings and informs its content. The integration of large data issues are a challenge. PMID:24472088

An academic medical center under prolonged rocket attack--organizational, medical, and financial considerations.

PubMed

Bar-El, Yaron; Michaelson, Moshe; Hyames, Gila; Skorecki, Karl; Reisner, Shimon A; Beyar, Rafael

2009-09-01

The Rambam Medical Center, the major academic health center in northern Israel, serving a population of two million and providing specialized tertiary care, was exposed to an unprecedented experience during the Second Lebanon War in the summer of 2006. For more than one month, it was subjected to continuous rocket attacks, but it continued to provide emergency and routine medical services to the civilian population and also served the military personnel who were evacuated from the battlefront. To accomplish the goals of serving the population while itself being under fire, the Rambam Medical Center had to undertake major organizational decisions, which included maximizing safety within the hospital by shifting patients and departments, ensuring that the hospital was properly fortified, managing the health professional teams' work schedules, and providing needed services for the families of employees. The Rambam Medical Center's Level I trauma center expertise included multidisciplinary teams and extensive collaborations; modern imaging modalities usually reserved for peacetime medical practice were frequently used. The function of the hospital teams during the war was efficient and smooth, based on the long-term actions taken to prepare for disasters and wartime conditions. Routine hospital services continued, although at 60% of normal occupancy. Financial losses incurred were primarily due to the decrease in revenue-generating activity. The two most important components of managing the hospital under these conditions are (1) the ability to arrive at prompt and meaningful decisions with respect to the organizational and medical hospital operations and (2) the leadership and management of the professional staff and teams.

Comparing antibiotic self-medication in two socio-economic groups in Guatemala City: a descriptive cross-sectional study.

PubMed

Ramay, Brooke M; Lambour, Paola; Cerón, Alejandro

2015-04-27

Self-medication with antibiotics may result in antimicrobial resistance and its high prevalence is of particular concern in Low to Middle Income Countries (LMIC) like Guatemala. A better understanding of self-medication with antibiotics may represent an opportunity to develop interventions guiding the rational use of antibiotics. We aimed to compare the magnitude of antibiotic self-medication and the characteristics of those who self-medicate in two pharmacies serving disparate socio-economic communities in Guatemala City. We conducted a descriptive, cross-sectional study in one Suburban pharmacy and one City Center pharmacy in Guatemala City. We used a questionnaire to gather information about frequency of self-medication, income and education of those who self-medicate. We compared proportions between the two pharmacies, using two-sample z-test as appropriate. Four hundred and eighteen respondents completed the survey (221 in the Suburban pharmacy and 197 in the City Center pharmacy). Most respondents in both pharmacies were female (70%). The reported monthly income in the suburban pharmacy was between $1,250.00-$2,500.00, the city-center pharmacy reported a monthly income between $125.00- $625.00 (p < 0.01). Twenty three percent of Suburban pharmacy respondents and 3% in the City Center pharmacy completed high school (p < 0.01). Proportion of self-medication was 79% in the Suburban pharmacy and 77% in City Center pharmacy. In both settings, amoxicillin was reported as the antibiotic most commonly used. High proportions of self-medication with antibiotics were reported in two pharmacies serving disparate socio-economic groups in Guatemala City. Additionally, self-medicating respondents were most often women and most commonly self-medicated with amoxicillin. Our findings support future public health interventions centered on the regulation of antibiotic sales and on the potential role of the pharmacist in guiding prescription with antibiotics in Guatemala.

Hospitals prepare plans, drill staff to ensure that potential Ebola patients are identified, isolated, and managed safely.

PubMed

2014-12-01

Hospitals around the country have stepped up their efforts to train staff and implement procedures to ensure the safe identification and management of any patients with signs of Ebola virus disease (EVD). Ronald Reagan UCLA Medical Center in Los Angeles, CA, held an "Ebola preparedness exercise" to give staff an opportunity to walk through the hospital's protocol for handling a simulated patient with EVD. The University of Alabama at Birmingham (UAB) Medical Center has held similar exercises, and is now holding twice-weekly meetings of its leadership team to make sure that all new developments in the Ebola outbreak are communicated. UCLA Medical Center has prepared PPE kits based on the practices developed at Emory University Hospital, which has thus far had the most experience in this country in caring for patients with EVD. The UCLA Health System has adjusted its medical record system so that a red flag is placed on the electronic medical record [EMR] of any patient who has recently traveled to a high-risk area. UAB Medical Center has incorporated what had been a paper-and-pencil screening tool for EVD into its electronic medical record. Training on PPE as well as EVD screening is being provided to first-responders and 911 call center dispatchers in the UAB system.

Innovations in Teaching on Aging: Integrative and Interactive Approaches.

ERIC Educational Resources Information Center

Timiras, Paola S.

1981-01-01

Presents summaries of current programs on aging and gerontology at these five institutions: University of Texas Health Science Center (San Antonio), Michigan State University (East Lansing), University of California (Berkeley), University of Colorado Medical Center (Denver), and University of Kentucky Medical Center (Lexington). (CS)

Scaffold Attachment Factor B1: A Novel Chromatin Regulator of Prostate Cancer Metabolism

DTIC Science & Technology

2016-10-01

INVESTIGATOR: SUNGYONG YOU PhD CONTRACTING ORGANIZATION: Cedars-Sinai Medical Center Los Angeles, CA 90048 REPORT DATE: October 2016 TYPE OF REPORT...NUMBER CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048-1804 9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR...Bioinformatics. The Urologic Oncology Program, held in Cedars- Sinai Medical Center, Los Angeles, California, March 10, 2015. Oral Presentation: 1. You S

A Business Case Analysis: Establishment of a Sub-Acute Ward for Tripler Army Medical Center

DTIC Science & Technology

2007-03-31

7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) S. PERFORMING ORGANIZATION REPORT Tripler Army Medical Center I Jarrett White Road TAMC, Hawaii ...Reichenberg, CHES Tripler Army Medical Center, Hawaii Date Complete: 31 March 2007 Date Submitted: 31 March 2007 Running Heading: Establishment of a Sub... Hawaii for his personal insight. Running Heading: Establishment of a Sub-Acute Ward 4 Abstract This business case examines the likely costs and

Consumerism: forcing medical practices toward patient-centered care.

PubMed

Ozmon, Jeff

2007-01-01

Consumerism has been apart of many industries over the years; now consumerism may change the way many medical practices deliver healthcare. With the advent of consumer-driven healthcare, employers are shifting the decision-making power to their employees. Benefits strategies like health savings accounts and high-deductible insurance plans now allow the patients to control how and where they spend their money on medical care. Practices that seek to attract the more affluent and informed consumers are beginning to institute patient-centered systems designs that invite patients to actively participate in their healthcare. This article will outline the changes in the healthcare delivery system facing medical practices, the importance of patient-centered care, and six strategies to implement to change toward more patient-centered care.

Advertising by academic medical centers.

PubMed

Larson, Robin J; Schwartz, Lisa M; Woloshin, Steven; Welch, H Gilbert

2005-03-28

Many academic medical centers have increased their use of advertising to attract patients. While the content of direct-to-consumer pharmaceutical advertisements (ads) has been studied, to our knowledge, advertising by academic medical centers has not. We aimed to characterize advertising by the nation's top academic medical centers. We contacted all 17 medical centers named to the US News & World Report 2002 honor roll of "America's Best Hospitals" for a semistructured interview regarding their advertising practices. In addition, we obtained and systematically analyzed all non-research-related print ads placed by these institutions in their 5 most widely circulating local newspapers during 2002. Of the 17 institutions, 16 reported advertising to attract patients; 1 stated, "We're just word of mouth." While all 17 centers confirmed the presence of an institutional review board process for approving advertising to attract research subjects, none reported a comparable process for advertising to attract patients. We identified 127 unique non-research-related print ads for the 17 institutions during 2002 (mean, 7.5; range, 0-39). Three ads promoted community events with institution sponsorship, 2 announced genuine public services, and 122 were aimed at attracting patients. Of the latter group, 36 ads (29.5%) promoted the medical center as a whole, while 65 (53.3%) promoted specific clinical departments and 21 (17.2%) promoted single therapeutic interventions or diagnostic tests. The most commonly used marketing strategies included appealing to emotions (61.5%), highlighting institution prestige (60.7%), mentioning a symptom or disease (53.3%), and promoting introductory lectures or special offers likely to lead to further business (47.5%). Of the 21 ads for single interventions, most were for unproved (38.1%) or cosmetic (28.6%) procedures. While more than half of these ads presented benefits, none quantified their positive claims and just 1 mentioned potential harms. Advertising to attract patients is common among top academic medical centers but is not subjected to the oversight standard for clinical research. Many of the ads seemed to place the interests of the medical center before the interests of the patients.

Payment and Care for Hematopoietic Cell Transplantation Patients: Toward a Specialized Medical Home for Complex Care Patients.

PubMed

Gajewski, James L; McClellan, Mark B; Majhail, Navneet S; Hari, Parameswaran N; Bredeson, Christopher N; Maziarz, Richard T; LeMaistre, Charles F; Lill, Michael C; Farnia, Stephanie H; Komanduri, Krishna V; Boo, Michael J

2018-01-01

Patient-centered medical home models are fundamental to the advanced alternative payment models defined in the Medicare Access and Children's Health Insurance Plan Reauthorization Act (MACRA). The patient-centered medical home is a model of healthcare delivery supported by alternative payment mechanisms and designed to promote coordinated medical care that is simultaneously patient-centric and population-oriented. This transformative care model requires shifting reimbursement to include a per-patient payment intended to cover services not previously reimbursed such as disease management over time. Payment is linked to quality measures, including proportion of care delivered according to predefined pathways and demonstrated impact on outcomes. Some medical homes also include opportunities for shared savings by reducing overall costs of care. Recent proposals have suggested expanding the medical home model to specialized populations with complex needs because primary care teams may not have the facilities or the requisite expertise for their unique needs. An example of a successful care model that may provide valuable lessons for those creating specialty medical home models already exists in many hematopoietic cell transplantation (HCT) centers that deliver multidisciplinary, coordinated, and highly specialized care. The integration of care delivery in HCT centers has been driven by the specialty care their patients require and by the payment methodology preferred by the commercial payers, which has included bundling of both inpatient and outpatient care in the peritransplant interval. Commercial payers identify qualified HCT centers based on accreditation status and comparative performance, enabled in part by center-level comparative performance data available within a national outcomes database mandated by the Stem Cell Therapeutic and Research Act of 2005. Standardization across centers has been facilitated via voluntary accreditation implemented by Foundation for the Accreditation of Cell Therapy. Payers have built on these community-established programs and use public outcomes and program accreditation as standards necessary for inclusion in specialty care networks and contracts. Although HCT centers have not been described as medical homes, most HCT providers have already developed the structures that address critical requirements of MACRA for medical homes. Copyright © 2017 The American Society for Blood and Marrow Transplantation. Published by Elsevier Inc. All rights reserved.

Initial Benchmarking of the Quality of Medical Care in Childhood-Onset Systemic Lupus Erythematosus.

PubMed

Mina, Rina; Harris, Julia G; Klein-Gitelman, Marisa S; Appenzeller, Simone; Centeville, Maraisa; Eskra, Diane; Huggins, Jennifer L; Johnson, Anne L; Khubchandani, Raju; Khandekar, Prachi; Lee, Jiha; Liu, Hai Mei; Pendl, Joshua D; Silva, Clovis A; Silva, Marco F; Zaal, Ahmad I; DeWitt, Esi Morgan; Ardoin, Stacy P; Brunner, Hermine I

2016-02-01

To assess the quality of medical care in childhood-onset systemic lupus erythematosus (SLE) at tertiary pediatric rheumatology centers as measured by observance of SLE quality indicators (SLE-QIs). International consensus has been achieved for childhood-onset SLE-QIs capturing medical care provision in 9 domains: diagnostic testing, education of cardiovascular (CV) risk and lifestyles, lupus nephritis (LN), medication management, bone health, ophthalmologic surveillance, transition, pregnancy, and vaccination. Using medical record information, the level of performance of these childhood-onset SLE-QIs was assessed in childhood-onset SLE populations treated at 4 tertiary pediatric rheumatology centers in the US, 2 in Brazil, and 1 center in India. A total of 483 childhood-onset SLE patients were assessed. Care for the 310 US patients differed markedly for childhood-onset SLE-QIs addressing LN, bone health, vaccinations, education on CV risk, and transition planning. Performance of safety blood testing for medications was high at all centers. Despite often similar performance on the childhood-onset SLE-QI, access to kidney biopsies was lower in Brazil than in the US. Irrespective of the country of practice, larger centers tended to meet the childhood-onset SLE-QIs more often than smaller centers. The childhood-onset SLE-QIs, evidence-based minimum standards of medical care, are not consistently met in the US or some other countries outside the US. This has the potential to contribute to suboptimal childhood-onset SLE outcomes. © 2016, American College of Rheumatology.

Initial Benchmarking of the Quality of Medical Care of Childhood-Onset Systemic Lupus Erythematosus

PubMed Central

Mina, Rina; Harris, Julia G.; Klein-Gitelman, Marisa S.; Appenzeller, Simone; Centeville, Maraisa; Eskra, Diane; Huggins, Jennifer L.; Johnson, Anne L.; Khubchandani, Raju; Khandekar, Prachi; Lee, Jiha; Liu, HaiMei; Pendl, Joshua D.; Silva, Clovis A.; Silva, Marco F.; Zaal, Ahmad I.; DeWitt, Esi Morgan; Ardoin, Stacy P.; Brunner, Hermine I.

2015-01-01

Objective To assess the quality of medical care in childhood-onset systemic lupus erythematosus (cSLE) at tertiary pediatric rheumatology centers as measured by observance cSLE quality indicators (cSLE-QI). Methods International consensus has been achieved for cSLE-QI (Hollander et al. Arthritis Care & Research, 2013) capturing medical care provision in nine domains: diagnostic testing, education of cardiovascular (CV) risk and lifestyles, lupus nephritis (LN), medication management, bone health, ophthalmological surveillance, transition, pregnancy and vaccination. Using medical record information, the level of performance these cSLE-QI was assessed in cSLE populations treated at four tertiary pediatric rheumatology centers in the U.S, two in Brazil, and one center in India. Results A total of 483 cSLE patients were assessed. Care for the 310 U.S. patients differed markedly for cSLE-QI addressing LN, bone health, vaccinations, education on CV risk, and transition planning. Performance of safety blood testing for medications was high at all centers. Despite often similar performance on the cSLE-QI, access to kidney biopsies was lower in Brazil than in the U.S. Irrespective of country of practice, larger centers tended to meet the cSLE-QI more often than smaller centers. Conclusions The cSLE-QI, evidence based minimum standards of medical care, are not consistently met in the U.S. or some other countries outside the U.S. This has the potential to contribute to suboptimal cSLE outcomes. PMID:26219749

[RABIN MEDICAL CENTER - A TERTIARY CENTER OF EXCELLENCE IN SERVICE, TEACHING AND RESEARCH].

PubMed

Niv, Yaron; Halpern, Eyran

2017-04-01

Rabin Medical Center (RMC) belongs to Clalit Health Services and is a tertiary, academic medical center with all the facilities of modern and advanced medicine. Annually in the RMC, 650,000 patients are treated in the outpatient clinics, and 100,000 patients are hospitalized in the hospital departments. All these patients are treated by 4500 devoted staff members, including 1000 physicians and 2000 nurses. RMC is one of the largest, centrally located medical centers for medical and nursing students' education in Israel, taking place in clinical departments, as well as in basic sciences courses. We also have a nursing school attached to the hospital. Our vision supports excellence in research. We have a special Research Department that supports RMC researchers, with research coordinators, and all the relevant facilities to assist in clinical and basic science studies. We also promote collaboration efforts with many academic centers in Israel and abroad. The scope of RMC research is broad, including 700 new studies every year and 1500 active studies currently. This issue of Harefuah is dedicated to the clinical and basic science research conducted at RMC with original papers presenting research performed by our departments and laboratories.

Characteristics of medical teachers using student-centered teaching methods.

PubMed

Kim, Kyong-Jee; Hwang, Jee-Young

2017-09-01

This study investigated characteristics of medical teachers who have adopted student-centered teaching methods into their teaching. A 24-item questionnaire consisted of respondent backgrounds, his or her use of student-centered teaching methods, and awareness of the school's educational objectives and curricular principles was administered of faculty members at a private medical school in Korea. Descriptive statistics and chi-square analysis were conducted to compare faculty use of student-centered approaches across different backgrounds and awareness of curricular principles. Overall response rate was 70% (N=140/200), approximately 25% (n=34) of whom were using student-centered teaching methods. Distributions in the faculty use of student-centered teaching methods were significantly higher among basic sciences faculty (versus clinical sciences faculty), with teaching experiences of over 10 years (versus less than 10 years), and who were aware of the school's educational objectives and curricular principles. Our study indicates differences in medical faculty's practice of student-centered teaching across disciplines, teaching experiences, and their understanding of the school's educational objectives curricular principles. These findings have implications for faculty development and institutional support to better promote faculty use of student-centered teaching approaches.

Planetree health information services: public access to the health information people want.

PubMed Central

Cosgrove, T L

1994-01-01

In July 1981, the Planetree Health Resource Center opened on the San Francisco campus of California Pacific Medical Center (Pacific Presbyterian Medical Center). Planetree was founded on the belief that access to information can empower people and help them face health and medical challenges. The Health Resource Center was created to provide medical library and health information resources to the general public. Over the last twelve years, Planetree has tried to develop a consumer health library collection and information service that is responsive to the needs and interests of a diverse public. In an effort to increase accessibility to the medical literature, a consumer health library classification scheme was created for the organization of library materials. The scheme combines the specificity and sophistication of the National Library of Medicine classification scheme with the simplicity of common lay terminology. PMID:8136762

Use of a computerized medication shared decision making tool in community mental health settings: impact on psychotropic medication adherence.

PubMed

Stein, Bradley D; Kogan, Jane N; Mihalyo, Mark J; Schuster, James; Deegan, Patricia E; Sorbero, Mark J; Drake, Robert E

2013-04-01

Healthcare reform emphasizes patient-centered care and shared decision-making. This study examined the impact on psychotropic adherence of a decision support center and computerized tool designed to empower and activate consumers prior to an outpatient medication management visit. Administrative data were used to identify 1,122 Medicaid-enrolled adults receiving psychotropic medication from community mental health centers over a two-year period from community mental health centers. Multivariate linear regression models were used to examine if tool users had higher rates of 180-day medication adherence than non-users. Older clients, Caucasian clients, those without recent hospitalizations, and those who were Medicaid-eligible due to disability had higher rates of 180-day medication adherence. After controlling for sociodemographics, clinical characteristics, baseline adherence, and secular changes over time, using the computerized tool did not affect adherence to psychotropic medications. The computerized decision tool did not affect medication adherence among clients in outpatient mental health clinics. Additional research should clarify the impact of decision-making tools on other important outcomes such as engagement, patient-prescriber communication, quality of care, self-management, and long-term clinical and functional outcomes.

Medical Simulation Practices 2010 Survey Results

NASA Technical Reports Server (NTRS)

McCrindle, Jeffrey J.

2011-01-01

Medical Simulation Centers are an essential component of our learning infrastructure to prepare doctors and nurses for their careers. Unlike the military and aerospace simulation industry, very little has been published regarding the best practices currently in use within medical simulation centers. This survey attempts to provide insight into the current simulation practices at medical schools, hospitals, university nursing programs and community college nursing programs. Students within the MBA program at Saint Joseph's University conducted a survey of medical simulation practices during the summer 2010 semester. A total of 115 institutions responded to the survey. The survey resus discuss overall effectiveness of current simulation centers as well as the tools and techniques used to conduct the simulation activity

Lincoln County Primary Care Center Is a Model for Good Health.

ERIC Educational Resources Information Center

Casto, James E.

1992-01-01

Describes a rural West Virginia health-care center as a successful model program for integration between the clinic and community. Describes center facilities, funding sources, community cooperation, and cooperative residency program with regional medical school. Discusses implications for other medical-education programs. Describes differences…

76 FR 30948 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-27

... Act of 1995: Proposed Project: Reconciliation Tool for the Teaching Health Center Graduate Medical Education Program--[NEW] The Teaching Health Center Graduate Medical Education (THCGME) program, Section... statute provides that eligible teaching health centers receive payments for both direct and indirect costs...

A Study to Identify Functions Which Inhibit or Facilitate the Health Care Delivery Process on Ward 51 at Walter Reed Army Medical Center, Washington, D.C.

DTIC Science & Technology

1980-08-01

PROCESS ON WARD 51 AT WALTER REED ARMY MEDICAL CENTER, WASHINGTON, D.C. A Problem-Solving Project D TIC Submitted to the Faculty of ELECTE- Baylor...HEALTH CARN DELIVERY PROCESS ON WARD 51 AT WALTER RIED ARM1Y MEDICAL CENTER, WASHINGTON, D.C. 12. PERSONAL AUTHOR(S) LTC Ella L. Fletcher 130. TYPE OF...functions which Inhibit or acqpiir’o delivery- process on Ward 51 at Walter Reed Army M6edical Center. The interaction among ps physicians, nurses

Demographics of emergency medical care at the Indianapolis 500 mile race (1983-1990).

PubMed

Bock, H C; Cordell, W H; Hawk, A C; Bowdish, G E

1992-10-01

The Indianapolis 500 Mile Race, the largest single-day, single-venue sporting event in the world, is attended by an estimated 400,000 people. Major illness and injury are treated at the Hanna Emergency Medical Center, the track hospital. Minor illness is treated at ten outlying aid stations. We describe the demographics of emergency medical care at the Hanna Emergency Medical Center. Descriptive. Patient care data for patients treated at the medical center are first recorded on paper charts and then coded and transferred to computer. Data regarding patients treated at the medical center during eight consecutive races (1983-1990) were analyzed. Frequency of treatment and medical cardiac arrest rates were calculated. Aid station data and medical center records from nonrace days were not analyzed. The average number of patients treated per year at the track hospital was 139. The total number treated over the eight-year period was 1,113, yielding a frequency of treatment of 0.35 per 1,000. Analysis showed 16.2% of the proprietary treatment codes involved intoxication; 15.4%, lacerations (other than feet); 11.0%, pre-existing conditions; and 8.5%, heat illness. During the eight years, there were four medical cardiac arrests (incidence of 0.0125 per 10,000 spectators), all resulting in death. A fifth spectator died after being struck by a wheel from a race car. There were no driver deaths on race day. Descriptive data regarding medical care of crowds may be useful to emergency specialists who must staff, order supplies, and plan treatment facilities for similar mass gatherings. It is evident from this and other mass-gathering studies that there is a need for consistency in nomenclature and data collection. This will allow more accurate comparisons of emergency medical care between venues.

EarthScope: Cyberinfrastructure to access Plate Boundary Observatory data products and services

NASA Astrophysics Data System (ADS)

Meertens, C. M.; Mattioli, G. S.; Miller, M.; Boler, F. M.; Crosby, C. J.; Mencin, D.; Phillips, D. A.; Snett, L.

2013-12-01

The wealth of data from geodetic observing systems, especially the Plate Boundary Observatory (PBO), presents major data management challenges. The challenges are driven by ingenious new uses of Global Positioning System (GPS) data, demands for higher-rate, lower latency data, the need for continued access and long term preservation of archival data, the expansion of data users into other science, engineering and commercial arenas, and the growth of enhanced products that expand the utility of the data. To meet these challenges, UNAVCO has established a comprehensive suite of data services encompassing sensor network data operations, data product generation (through the activities of partners at Massachusetts Institute of Technology, Central Washington University, New Mexico Institute of Mining and Technology, and the University of California, San Diego - UCSD), data management, access and archiving, and advanced cyberinfrastructure. PBO sensor systems include 1,100 continuously operating GPS stations, 79 borehole geophysical sites (with a combination of strainmeters, tiltmeters, seismometers, pore pressure gauges, and meteorological sensors), and 6 long baseline strainmeters. Imaging data acquired for EarthScope include large volumes of satellite synthetic aperture radar (SAR) and airborne LiDAR data. Core data products such as daily GPS position time series and derived crustal motion velocities have been augmented with real-time data streams and positions calculated every second from 367 PBO stations. Higher rate (5 Hz) data files are available for applications such as GPS seismology. Efforts are underway with UCSD to integrate GPS and accelerometers at a subset of PBO sites to increase the reliability and capability of the observations. These observations have utility for research and hazards mitigation. Ingenious methods of GPS data analysis, developed by the University of Colorado and the University Corporation for Atmospheric Research, measure snow depth, near surface soil moisture, and vegetation. Along with atmospheric water vapor estimates, these products are expanding the utility of the data into atmospheric, environmental, ecological and soil sciences. Another new PBO product, hydrologic loading models derived from the NASA Global Land Data Assimilation System, is available for correcting GPS time series and hydrologic studies. To facilitate discovery and access of these extensive, diverse, and distributed data collections, UNAVCO has led collaborative efforts to develop web services and federated query capabilities for GPS, LiDAR and SAR. These services form the foundations for global integration projects such as EarthCube, GEO Geohazard Supersites and Natural Laboratories, and COOPEUS. In order to further curation and enhance access and processing capabilities, UNAVCO is exploring cloud computing and storage with UCSD and Amazon that will increase capacity over the next five years. Finally, with the rich set of data and services offered from PBO comes the need to help users better understand data techniques, observations, and quality. To serve this need, UNAVCO is enhancing online resources and, with its community partners, will continue to develop technical short courses and workshops.

The Performance of Trauma Research Centers of Iran during the Past 10 Years; A Science Monitor Survey.

PubMed

Yadollahi, Mahnaz; Shamsedini, Narges; Shayan, Leila; Rezaianzadeh, Abbas; Bolandparvaz, Shahram

2014-01-01

To compare and evaluation of scores of trauma research center of Shiraz University of Medical Sciences in Iran with other trauma research centers in Iran. The assessment scores of each center were gathered from Iran medical research and Ministry of Health and Medical Education website. Each score is recorded in helical year which is defined from the 21th of March of every year until the 20th of March of the next. They are ranked and scored by knowledge production, capacity development, and research projects. The total evaluation scores of the trauma research center of Iran's Universities of Medical Sciences have increased from establishment. The highest increase in assessment scores was related to Tehran Trauma Research Center. An upward trend was observed in the total indicators of knowledge production index of all the trauma research centers from 2001/2002 to 2011/2012. An ascending trend was showed in the published articles score of Shiraz and Kashan Trauma Research Centers through the recent years. The increasing trend in scores of trauma research centers in Iran indicated a significant role in the knowledge production but it is need to find barriers of research and doing interventional projects to promote trauma care and prevention.

The Performance of Trauma Research Centers of Iran during the Past 10 Years; A Science Monitor Survey

PubMed Central

Yadollahi, Mahnaz; Shamsedini, Narges; Shayan, Leila; Rezaianzadeh, Abbas; Bolandparvaz, Shahram

2014-01-01

Objective: To compare and evaluation of scores of trauma research center of Shiraz University of Medical Sciences in Iran with other trauma research centers in Iran. Methods: The assessment scores of each center were gathered from Iran medical research and Ministry of Health and Medical Education website. Each score is recorded in helical year which is defined from the 21th of March of every year until the 20th of March of the next. They are ranked and scored by knowledge production, capacity development, and research projects. Results: The total evaluation scores of the trauma research center of Iran's Universities of Medical Sciences have increased from establishment. The highest increase in assessment scores was related to Tehran Trauma Research Center. An upward trend was observed in the total indicators of knowledge production index of all the trauma research centers from 2001/2002 to 2011/2012. An ascending trend was showed in the published articles score of Shiraz and Kashan Trauma Research Centers through the recent years. Conclusion: The increasing trend in scores of trauma research centers in Iran indicated a significant role in the knowledge production but it is need to find barriers of research and doing interventional projects to promote trauma care and prevention. PMID:27162863

Developing physician leaders in academic medical centers.

PubMed

Bachrach, D J

1997-01-01

While physicians have historically held positions of leadership in academic medical centers, there is an increasing trend that physicians will not only guide the clinical, curriculum and scientific direction of the institution, but its business direction as well. Physicians are assuming a greater role in business decision making and are found at the negotiating table with leaders from business, insurance and other integrated health care delivery systems. Physicians who lead "strategic business units" within the academic medical center are expected to acquire and demonstrate enhanced business acumen. There is an increasing demand for formal and informal training programs for physicians in academic medical centers in order to better prepare them for their evolving roles and responsibilities. These may include the pursuit of a second degree in business or health care management; intramurally conducted courses in leadership skill development, management, business and finance; or involvement in extramurally prepared and delivered training programs specifically geared toward physicians as conducted at major universities, often in their schools of business or public health. While part one of this series, which appeared in Volume 43, No. 6 of Medical Group Management Journal addressed, "The changing role of physician leaders at academic medical centers," part 2 will examine as a case study the faculty leadership development program at the University of Texas M.D. Anderson Cancer Center. These two articles were prepared by the author from his research into, and the presentation of a thesis entitled. "The importance of leadership training and development for physicians in academic medical centers in an increasingly complex health care environment," prepared for the Credentials Committee of the American College of Healthcare Executives in partial fulfillment of the requirements for Fellowship in this College.*

Platelet-Derived Growth Factor-BB Stimulates Fibronectin Gene Expression in Fibroblasts Isolated from Rat Thoracic Aorta

DTIC Science & Technology

1994-06-13

MARYLAND 20814-4799 TEACHING HOSPITALS WALTER REED ARMY MEDtCA L CENTER APPROVAL SHEET NAVAL HOSPITAL. BETHESDA MALCOLM GROW AIR FORCE MEDICAL ...CENTER WILFORD HALL "IR FORCE MEDICAL CENTER Title of Dissertation: "Platelet-derived growth factor-BB stimulates fibronectin gene expression in...fascinating world of basic medical science. His dedication and pursuit of excellence in all facets of his work are standards by which I will guide my own

Implementation of medical monitor system based on networks

NASA Astrophysics Data System (ADS)

Yu, Hui; Cao, Yuzhen; Zhang, Lixin; Ding, Mingshi

2006-11-01

In this paper, the development trend of medical monitor system is analyzed and portable trend and network function become more and more popular among all kinds of medical monitor devices. The architecture of medical network monitor system solution is provided and design and implementation details of medical monitor terminal, monitor center software, distributed medical database and two kind of medical information terminal are especially discussed. Rabbit3000 system is used in medical monitor terminal to implement security administration of data transfer on network, human-machine interface, power management and DSP interface while DSP chip TMS5402 is used in signal analysis and data compression. Distributed medical database is designed for hospital center according to DICOM information model and HL7 standard. Pocket medical information terminal based on ARM9 embedded platform is also developed to interactive with center database on networks. Two kernels based on WINCE are customized and corresponding terminal software are developed for nurse's routine care and doctor's auxiliary diagnosis. Now invention patent of the monitor terminal is approved and manufacture and clinic test plans are scheduled. Applications for invention patent are also arranged for two medical information terminals.

Prime Contractors | Division of Cancer Prevention

Cancer.gov

2015-2018 Efficacy and Intermediate Endpoint Biomarkers: The Research Institute of Fox Chase Cancer Center SRI International IIT Research Institute University of Texas MD Anderson Cancer Center University of Alabama at Birmingham Medical College of Wisconsin University of Oklahoma Health Sciences Center Weill Medical College of Cornell University Toxicology and Pharmacology

A Podiatric Medical Residency Program in an Academic Health Science Center

ERIC Educational Resources Information Center

Bogy, Louis T.; And Others

1977-01-01

The podiatric medical residency program in the Health Science Center at San Antonio provides an intensive exposure for the newly graduated podiatrist to practice in a multidisciplinary environment. Residents become more familiar with general medical and surgical diseases and disorders as well as podiatric pathology. (LBH)

Research Plan for the National Center for Medical Rehabilitation Research.

ERIC Educational Resources Information Center

National Inst. of Child Health and Human Development (NIH), Bethesda, MD.

This research plan describes a framework for defining and developing the field of rehabilitation sciences and research opportunities for the National Center for Medical Rehabilitation Research (NCMRR) and other agencies funding medical rehabilitation research. The plan addresses the needs of both persons who are involved in habilitation and in…

42 CFR 482.90 - Condition of participation: Patient and living donor selection.

Code of Federal Regulations, 2011 CFR

2011-10-01

... principles of medical ethics. Transplant centers must: (1) Ensure that a prospective living donor receives a... candidate on its waiting list, the candidate's medical record must contain documentation that the candidate... selected to receive a transplant, the center must document in the patient's medical record the patient...

Design for Medical Education. The Development and Planning of a Medical College and Care Center.

ERIC Educational Resources Information Center

Peery, Thomas M.; Green, Alan C.

Planning and design procedures which one medical education center employed in translating its educational objectives, philosophy and techniques into laboratory, classroom and clinic facilities are described. Basic planning considerations included--(1) determination of the curriculum, (2) facility utilization rate, (3) housing of research…

Defense.gov Special Report: Traumatic Brain Injury

Science.gov Websites

Excellence TBI Resources Brainline Military The Michael E. DeBakey VA Medical Center Congressionally Directed Medical Research Program NIH: National Institute of Neurological Disorders NIH: Traumatic Brain Injury Research CDC: Give Brain Injury a Voice Center for Medical Excellence for Multimedia Brainline.org - Brain

Medical Device Plug-and-Play Interoperability Standards and Technology Leadership

DTIC Science & Technology

2014-10-01

downloads/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/ CDRH /CDRHReports/UCM391521.pdf. Dr. Goldman spoke in multiple panels at this workshop...downloads/AboutFDA/CentersOffices/OfficeofMedicalProductsandTo bacco/ CDRH /CDRHReports/UCM391521.pdf  Arney D, Plourde J, Schrenker R, Mattegunta P

The Future of Nearshore Processes Research

NASA Astrophysics Data System (ADS)

Elko, N.; Feddersen, F.; Foster, D. L.; Holman, R. A.; McNinch, J.; Ozkan-Haller, H. T.; Plant, N. G.; Raubenheimer, B.; Elgar, S.; Hay, A. E.; Holland, K. T.; Kirby, J. T., Jr.; Lippmann, T. C.; Miller, J. K.; Stockdon, H. F.; Ashton, A. D.; Boehm, A. B.; Clark, D.; Cowen, E.; Dalyander, S.; Gelfenbaum, G. R.; Hapke, C. J.; MacMahan, J.; McNamara, D.; Mulligan, R. P.; Palmsten, M. L.; Ruggiero, P.; Sherwood, C. R.; Hsu, T. J.

2014-12-01

Over 70 members of the nearshore coastal processes research community convened in April 2014 to discuss a vision for the future of nearshore science while celebrating the memories and contributions of our recently departed colleague, Abby Sallenger. The participants reviewed community accomplishments over the past four decades. Federal agencies, including FEMA, NOAA, NPS, USGS, USACE, and NRL discussed the most pressing societal needs within the coastal zone. The group engaged in a retrospective of the last four decades of progress, assessed the current status and limitations of nearshore processes research, and developed a vision for the future that focuses on societally relevant problems. The top research topics identified included: Long-term Coastal Impacts: Meaningfully improve our understanding and prediction of the long-term coastal effects of sea level rise and changes in storminess patterns and associated efforts to protect coastal infrastructure. Extreme Events: Coastal flooding, overland flow, and concurrent morphological evolution during extreme events including the subsequent process of coastal recovery. Human and Ecosystem Health: Linkages between physical coastal processes (transport and mixing) and land-based pollution (pathogens, nutrients, toxic contaminants). Critical for addressing these research questions is enabling infrastructure, such as new observational tools and data sets, models, and nearshore-community communication and collaboration. Idea and concepts developed during the meeting (to be published in Shore and Beach) will be presented to foster collaboration and advocacy amongst the wider nearshore community. Meeting materials are available at: https://scripps.ucsd.edu/centers/nearshorefuture/.

What's New in the Ocean in Google Earth and Maps

NASA Astrophysics Data System (ADS)

Austin, J.; Sandwell, D. T.

2014-12-01

Jenifer Austin, Jamie Adams, Kurt Schwehr, Brian Sullivan, David Sandwell2, Walter Smith3, Vicki Ferrini4, and Barry Eakins5, 1 Google Inc., 1600 Amphitheatre Parkway, Mountain View, California, USA 2 University of California-San Diego, Scripps Institute of Oceanography, La Jolla, California ,USA3 NOAA Laboratory for Satellite Altimetry, College Park, Maryland, USA4 Lamont Doherty, Columbia University5 NOAAMore than two-thirds of Earth is covered by oceans. On the almost 6 year anniversary of launching an explorable ocean seafloor in Google Earth and Maps, we updated our global underwater terrain dataset in partnership with Lamont-Doherty at Columbia, the Scripps Institution of Oceanography, and NOAA. With this update to our ocean map, we'll reveal an additional 2% of the ocean in high resolution representing 2 years of work by Columbia, pulling in data from numerous institutions including the Campeche Escarpment in the Gulf of Mexico in partnership with Charlie Paul at MBARI and the Schmidt Ocean Institute. The Scripps Institution of Oceanography at UCSD has curated 30 years of data from more than 8,000 ship cruises and 135 different institutions to reveal 15 percent of the seafloor at 1 km resolution. In addition, explore new data from an automated pipeline built to make updates to our Ocean Map more scalable in partnership with NOAA's National Geophysical Data Center (link to http://www.ngdc.noaa.gov/mgg/bathymetry/) and the University of Colorado CIRES program (link to http://cires.colorado.edu/index.html).

ASTRONAUT CONRAD, CHARLES (PETE), JR. - X-RAYS - MEDICAL TEAM MEMBERS - CAPE

NASA Image and Video Library

1965-08-17

S65-28699 (17 Aug. 1965) --- Astronaut Charles Conrad Jr. (dark shirt), pilot for the Gemini-5 spaceflight, discusses x-rays with members of the medical team at Cape Kennedy. Left to right are Dr. Eugene Tubbs; astronaut Conrad; Dr. Charles A. Berry, chief, Center Medical Programs, Manned Spacecraft Center; and Dr. Robert Moser (seated), Medical Monitor with the U.S. Army.

Introduction to Medical Terminology for Claretian Medical Center Worker Education Program of Northeastern Illinois University's Chicago Teachers' Center in Partnership with the Union of Needletrades, Industrial, Textile Employers (UNITE).

ERIC Educational Resources Information Center

Essex Community Coll., MD.

This manual consists of glossaries and descriptions of medical terminology for use in a workplace literacy program for hospital workers. The sections are as follows: hospital patient care areas; hospital departments; medical specialists; word elements (root, prefix, suffix, combining vowel, compound word); surgical procedures; diseases and…

Reducing length of stay provides key to improvement in Veterans Administration Medical Center.

PubMed

Huebler, L A; Christian, J A; Marcella, L W

1980-02-01

Concerted resolve and coordinated planning on the part of both administrative and patient care staff at the medical center made it possible to treat more patients in fewer beds than ever before and to improve the core staffing ratio at the same time. Staffing was enhanced and new programs were developed using available resources. Reduction of the average LOS for patients throughout the medical center was a primary factor in these achievements. In addition, formal quality assurance activities were strengthened; with careful planning and increased funding, the renovation of facilities and purchase of new equipment was also possible, thus making the improvement project comprehensive. These changes have had a major, beneficial impact on the delivery of health care a the Dublin Veterans Administration Medical Center.

Relating calls to US poison centers for potential exposures to medications to Centers for Disease Control and Prevention reporting of influenza-like illness.

PubMed

Beauchamp, Gillian A; McKeown, Nathanael J; Rodriguez, Sergio; Spyker, Daniel A

2016-03-01

The Centers for Disease Control (CDC) monitors influenza like illness (ILI) and the National Poison Data System (NPDS) warehouses call data uploaded by US poison centers regarding reported exposures to medication. We examined the relationship between calls to poison centers regarding reported exposures to medications commonly used to treat ILI and weekly reports of ILI. The CDC reports ILI, by age group, for each of 10 Health and Human Services (HHS) regions. We examined NPDS summary data from calls reported to poison centers regarding reported exposures to acetaminophen, cough/cold medications, and promethazine, for the same weeks, age groups, and HHS regions for influenza seasons 2000-2013. ILI and NPDS exposures were examined using graphical plots, descriptive statistics, stepwise regression analysis, and Geographic Information Systems (GIS). About 5,101,841 influenza-like illness cases were reported to the CDC, and 2,122,940 calls regarding reported exposures to medications commonly used to treat ILI, were reported by poison centers to the NPDS over the 13 flu seasons. Analysis of stepwise models of the linear untransformed data involving 24 NPDS data groups and for 60 ILI measures, over the 13 influenza seasons, demonstrated that reported exposures to medications used to treat ILI correlated with reported cases of ILI with a median R(2 )=( )0.489 (min R(2 )=( )0.248, max R(2 )=( )0.717), with mean ± SD of R(2 )=( )0.494 ± 0.121. Median number of parameters used (degrees of freedom - 1) was 7. NPDS data regarding poison center calls for selected ILI medication exposures were highly correlated with CDC ILI data. Since NPDS data are available in real time, it provides complimentary ILI monitoring. This approach may provide public health value in predicting other illnesses which are not currently as thoroughly monitored.

Teleradiology network system and computer-aided diagnosis workstation using the web medical image conference system with a new information security solution

NASA Astrophysics Data System (ADS)

Satoh, Hitoshi; Niki, Noboru; Eguchi, Kenji; Ohmatsu, Hironobu; Kaneko, Masahiro; Kakinuma, Ryutaru; Moriyama, Noriyuki

2011-03-01

We have developed the teleradiology network system with a new information security solution that provided with web medical image conference system. In the teleradiology network system, the security of information network is very important subjects. We are studying the secret sharing scheme as a method safely to store or to transmit the confidential medical information used with the teleradiology network system. The confidential medical information is exposed to the risk of the damage and intercept. Secret sharing scheme is a method of dividing the confidential medical information into two or more tallies. Individual medical information cannot be decoded by using one tally at all. Our method has the function of RAID. With RAID technology, if there is a failure in a single tally, there is redundant data already copied to other tally. Confidential information is preserved at an individual Data Center connected through internet because individual medical information cannot be decoded by using one tally at all. Therefore, even if one of the Data Centers is struck and information is damaged, the confidential medical information can be decoded by using the tallies preserved at the data center to which it escapes damage. We can safely share the screen of workstation to which the medical image of Data Center is displayed from two or more web conference terminals at the same time. Moreover, Real time biometric face authentication system is connected with Data Center. Real time biometric face authentication system analyzes the feature of the face image of which it takes a picture in 20 seconds with the camera and defends the safety of the medical information. We propose a new information transmission method and a new information storage method with a new information security solution.

Golden opportunity or sudden death threats.

PubMed

Beltran, Robert A

2005-11-01

King/Drew Medical Center is the only minority academic medical center west of the Mississippi River. As a result of the McCone Commission investigation into the Watts Riots of 1965, it was initially established as the Martin Luther King Hospital. Upon the establishment of Drew University in the mid-70s, the name change was made to recognize the existence of the College of Medicine at Drew University and its affiliated hospital. The medical school and hospital are known as the King/Drew Medical Complex. Referenced are the issues and challenges faced by the institution that have resulted in the current crisis. Restoration and rehabilitation of the academic medical center can be achieved by identifying the uncommon common goals of stakeholders in a collaborative and integrated process.

AL-Amyloidosis Presenting with Negative Congo Red Staining in the Setting of High Clinical Suspicion: A Case Report

DTIC Science & Technology

2012-01-01

1Department of Internal Medicine, William Beaumont Army Medical Center, 5005 N Piedras Street, Building 7777, 9th floor East, El Paso, TX 79920, USA...2Department of Nephrology, William Beaumont Army Medical Center, 5005 N Piedras Street, Building 7777, 12th floor, El Paso, TX 79920, USA 3Propath...NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) William Beaumont Army Medical Center,Department of Nephrology,5005 N Piedras Street,Building

How to develop a low cost, in-house distance learning center for continuing medical education. Part II.

PubMed

Lanza, Vincenzo

2002-12-01

The first part of this paper discussed the advantages and communication tools needed to create a Distance Learning Center for continuing medical education by using an Intranet or the Internet. This part continues with an explanation of the hardware, software (largely free) and human resources needed for videoconferencing as well as the costs. Suitable even for small hospitals Distance Learning Centers can be of higher quality than traditional methods of continuing medical education.

Cardiac transplantation. Organ procurement to patient discharge.

PubMed

Rudolphi, D M; Nagy, K M; Verne, D J

1987-01-01

The care of the cardiac transplant patient is complex, yet rewarding. During the hospital stay, the patients, families, and nurses develop close-knit relationships that last after discharge. The cardiac transplant patients at Hershey Medical Center have formed a support group. To promote organ donation, they wear T-shirts, hats, and coats with the logo, "I got my heart at HMC," (Hershey Medical Center). This not only increases awareness of the need for organ donation, but also gives Hershey Medical Center recognition for its cardiac transplantation program.

Clinical case management and navigation for colonoscopy screening in an academic medical center.

PubMed

Cavanagh, Mary F; Lane, Dorothy S; Messina, Catherine R; Anderson, Joseph C

2013-08-01

One of 5 nationally funded Centers for Disease Control and Prevention Colorectal Cancer (CRC) Screening Demonstration Programs, Project SCOPE, was conducted at an academic medical center and provided colonoscopy screening at no cost to underserved minority patients from local community health centers. Established barriers to CRC screening (eg, financial, language, transportation) among the target population were addressed through clinical coordination of care by key project staff. The use of a clinician with a patient navigator allowed for the performance of precolonoscopy "telephone visits" instead of office visits to the gastroenterologist in virtually all patients. The clinician elicited information relevant to making screening decisions (eg, past medical and surgical history, focused review of systems, medication/supplement use, CRC screening history). The patient navigator reduced barriers, including, but not limited to, scheduling, transportation, and physical navigation of the medical center on the day of colonoscopy. Preprogram preparation was vital in laying groundwork for the project, yet enhancements to the program were ongoing throughout the screening period. Detailed referral forms from primary care physicians, coupled with information obtained during telephone interviews, facilitated high colonoscopy completion rates and excellent patient satisfaction. Similarly valuable was the employment of a bilingual patient navigator, who provided practical and emotional patient support. Academic medical centers can be efficient models for providing CRC screening to disadvantaged populations. Coordination of care by a preventive medicine department, directing the recruitment, scheduling, prescreening education, and the evaluation and preparation of target populations had an overall positive effect on CRC screening with colonoscopy among patients from a community health center. © 2013 American Cancer Society.

[HIGH VELOCITY PENETRATING HEAD AND NECK INJURIES OF SYRIAN CIVIL WAR CASUALTIES TREATED IN THE GALILEE MEDICAL CENTER].

PubMed

Ronen, Ohad; Assadi, Nidal; Sela, Eyal

2017-05-01

For two years the State of Israel has been treating casualties from the Syrian civil war. The Galilee Medical Center in Nahariya is the main hospital for this humanitarian mission. Objectives: To evaluate the demographic and clinical characteristics of the casualties that were treated in our department. Information from medical records of all Syrian casualties evacuated to the Galilee Medical Center were evaluated. Between March 2013 and December 2014, 450 casualties were evacuated to the Galilee Medical Center. Of those, 45 were treated in the Department of Otolaryngology - Head and Neck Surgery. Of the 45 cases, 43 were male (95.5%) and the mean age was 30.4 years (range 1-79 years). There was a significant difference in terms of gender (p <0.0001). The majority of cases (42.1%) were aged 21-27 years. The most common cause of injury was a gunshot wound. Thirty five patients (77.7%) suffered from multiple trauma, and complex injuries of the maxillofacial bones and upper respiratory tract. Eight (18%) of the cases arrived at the medical center with a tracheotomy. The average length of hospital stay was 15 days (range: 1-141). Of the 450 cases, 97.3% were discharged back to Syria, and 12 died. Of all Syrian injured treated in the ENT department, the vast majority were young men. The main cause of injury was gunshot wounds. It is likely that the lack of protective gear that exist in western armies is a factor in the complex injuries treated at the Galilee Medical Center.

Some Recent Observations on the Burning of Isolated N-Heptane and Alcohol Droplets

NASA Technical Reports Server (NTRS)

Dryer, F. L.; Kazakov, A.; Urban, B. D.

2001-01-01

In a joint program involving Prof. F.A. Williams of the University of California, San Diego and Dr. V. Nayagam of the National Center for Microgravity Research on Combustion and Fluid Dynamics, the combustion of liquid fuel droplets of n-heptane, n-decane, methanol, methanol-water, ethanol and ethanol-water having initial diameters between about 1 mm and 6 mm continues to be studied. The objectives of the work are to improve fundamental knowledge of droplet combustion dynamics for pure fuels and fuel-water mixtures through microgravity experiments and theoretical analyses. The Princeton contributions to the collaborative program supports the engineering design, data analysis, and data interpretation requirements for the study of initially single component, spherically symmetric, isolated droplet combustion studies through experiments and numerical modeling. The complementary UCSD contributions apply asymptotic theoretical analyses and are described in the published literature and in a companion communication in this conference. The combined program continues to focus on analyses of results obtained from Fiber Supported Droplet Combustion (FSDC) experiments (FSDC-2, STS- 94) conducted with the above fuels in shuttle cabin air and Droplet Combustion Experiment (DCE) data obtained for unsupported and fiber supported droplets of n-heptane in Helium-Oxygen mixtures and cabin air (STS-83, STS-94). The program is preparing for a second DCE experimental mission using methanol/methanol-water as fuels and helium-oxygen-nitrogen environments. DCE-2 is to be conducted aboard the International Space Station. Emphases of recent Princeton work are on the study of simple alcohols (methanol, ethanol) and alcohol/water mixtures as fuels, with time-dependent measurements of drop size, flame-standoff, liquid-phase composition, and finally, extinction. Ground based experiments have included bench-scale studies at Princeton and collaborative experimental studies in the 2.2 second drop tower at NASA-Glenn Research Center.

Building a Digital Library for Multibeam Data, Images and Documents

NASA Astrophysics Data System (ADS)

Miller, S. P.; Staudigel, H.; Koppers, A.; Johnson, C.; Cande, S.; Sandwell, D.; Peckman, U.; Becker, J. J.; Helly, J.; Zaslavsky, I.; Schottlaender, B. E.; Starr, S.; Montoya, G.

2001-12-01

The Scripps Institution of Oceanography, the UCSD Libraries and the San Diego Supercomputing Center have joined forces to establish a digital library for accessing a wide range of multibeam and marine geophysical data, to a community that ranges from the MGG researcher to K-12 outreach clients. This digital library collection will include 233 multibeam cruises with grids, plots, photographs, station data, technical reports, planning documents and publications, drawn from the holdings of the Geological Data Center and the SIO Archives. Inquiries will be made through an Ocean Exploration Console, reminiscent of a cockpit display where a multitude of data may be displayed individually or in two or three-dimensional projections. These displays will provide access to cruise data as well as global databases such as Global Topography, crustal age, and sediment thickness, thus meeting the day-to-day needs of researchers as well as educators, students, and the public. The prototype contains a few selected expeditions, and a review of the initial approach will be solicited from the user community during the poster session. The search process can be focused by a variety of constraints: geospatial (lat-lon box), temporal (e.g., since 1996), keyword (e.g., cruise, place name, PI, etc.), or expert-level (e.g., K-6 or researcher). The Storage Resource Broker (SRB) software from the SDSC manages the evolving collection as a series of distributed but related archives in various media, from shipboard data through processing and final archiving. The latest version of MB-System provides for the systematic creation of standard metadata, and for the harvesting of metadata from multibeam files. Automated scripts will be used to load the metadata catalog to enable queries with an Oracle database management system. These new efforts to bridge the gap between libraries and data archives are supported by the NSF Information Technology and National Science Digital Library (NSDL) programs, augmented by UC funds, and closely coordinated with Digital Library for Earth System Education (DLESE) activities.

A midwifery-led in-hospital birth center within an academic medical center: successes and challenges.

PubMed

Perdion, Karen; Lesser, Rebecca; Hirsch, Jennifer; Barger, Mary; Kelly, Thomas F; Moore, Thomas R; Lacoursiere, D Yvette

2013-01-01

The University of California San Diego Community Women's Health Program (CWHP) has emerged as a successful and sustainable coexistence model of women's healthcare. The cornerstone of this midwifery practice is California's only in-hospital birth center. Located within the medical center, this unique and physically separate birth center has been the site for more than 4000 births. With 10% cesarean delivery and 98% breast-feeding rates, it is an exceptional example of low-intervention care. Integrating this previously freestanding birth center into an academic center has brought trials of mistrust and ineffectual communication. Education, consistent leadership, and development of multidisciplinary guidelines aided in overcoming these challenges. This collaborative model provides a structure in which residents learn to be respectful consultants and appreciate differences in medical practice. The CWHP and its Birth Center illustrates that through persistence and flexibility a collaborative model of maternity services can flourish and not only positively influence new families but also future generations of providers.

Mental health issues among college students: who gets referred for psychopharmacology evaluation?

PubMed

Kirsch, Daniel J; Doerfler, Leonard A; Truong, Debbie

2015-01-01

To describe diagnostic and psychotropic medication prescription characteristics among college students referred by college counseling centers for psychopharmacologic evaluation. Participants were 540 college students referred by 6 college counseling centers in Massachusetts between November 2005 and May 2011. Students completed self-report measures of depression, anxiety, suicidal ideation and attempts, and substance use. Information regarding DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th edition) diagnosis, previous history of medication prescription, and current psychotropic medication(s) prescribed by the consulting psychiatrist was obtained from medical records. Depression, anxiety, and attention-deficit/hyperactivity disorder (ADHD) were the most common psychiatric problems identified in students. Half of these students had been prescribed mediation prior to evaluation. Antidepressant medication was the most frequently prescribed medication. A large proportion of students reported previous thoughts of suicide, and 12% had made at least 1 suicide attempt. Depression, anxiety, and ADHD are common among students referred by college counseling centers for medication evaluation and treatment.

Roles of Medical Record and Statistic Staff on Research at the Tawanchai Center.

PubMed

Pattaranit, Rumpan; Chantachum, Vasana; Lekboonyasin, Orathai; Pradubwong, Suteera

2015-08-01

The medical record and statistic staffs play a crucial role behind the achievements of treatment and research of physicians, nurses and other health care professionals. The medical record and statistic staff are in charge of keeping patient medical records; creating databases; presenting information; sorting patient's information; providing patient medical records and related information for various medical teams and researchers; Besides, the medical record and statistic staff have collaboration with the Center of Cleft Lip-Palate, Khon Kaen University in association with the Tawanchai Project. The Tawanchai Center is an organization, involving multidisciplinary team which aims to continuing provide care for patients with cleft lip and palate and craniofacial deformities who need a long term of treatment since newborns until the age of 19 years. With support and encouragement from the Tawanchai team, the medical record and statistic staff have involved in research under the Tawanchai Centre since then and produced a number of publications locally and internationally.

Public Use of Mobile Medical Applications: A Case Study on Cloud-Based Medical Service of Taiwan.

PubMed

Lu, Chen-Luan; Yan, Yu-Hua

2016-01-01

The use of smart mobile devices has been getting increasingly popular. The focus of this study is an attempt to explore the development of mobile medical App by medical centers and regional hospitals of Taiwan and the function of the App for comparison. The results show indicated that many hospitals developed Apps for the public for mobile medical service, of which 26 medical centers (100%) and 72 regional hospitals (84.7%) availed appointment making service via Apps. The result indicated variance at significant level (p < 0.01). There are 23 medical centers (88.5%) and 74 regional hospitals (87.1%) availed Apps for checking service progress. The result indicated insignificant variance level (p > 0.01). We can see that mobile medical service is gradually emerging as a vital issue. Yet, this is a new domain in medical service. With the mushrooming of medical applications in smart mobile devices, the medical service system is expected to be installed in these devices to enhance interactive mode of operation and inquiry services, such as medication and inquiries into physical examination results. By then, people can learn the status of their health with this system.

Integrated care management: aligning medical call centers and nurse triage services.

PubMed

Kastens, J M

1998-01-01

Successful integrated delivery systems must aggressively design new approaches to managing patient care. Implementing a comprehensive care management model to coordinate patient care across the continuum is essential to improving patient care and reducing costs. The practice of telephone nursing and the need for experienced registered nurses to staff medical call centers, nurse triage centers, and outbound telemanagement is expanding as the penetration of full-risk capitated managed care contracts are signed. As health systems design their new care delivery approaches and care management models, medical call centers will be an integral approach to managing demand for services, chronic illnesses, and prevention strategies.

School-Based Health Centers and the Patient-Centered Medical Home. Position Statement

ERIC Educational Resources Information Center

National Assembly on School-Based Health Care, 2010

2010-01-01

The patient-centered medical home (PCMH) is an innovative care delivery model designed to provide comprehensive primary care services to people of all ages by fostering partnerships between patients, families, health care providers and the community. National Assembly on School-Based Health Care (NASBHC) recommends practices and policies that…

78 FR 52605 - Announcing the Twenty First Public Meeting of the Crash Injury Research and Engineering Network...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-23

... First Public Meeting of the Crash Injury Research and Engineering Network (CIREN) AGENCY: National... announces the Twenty First Public Meeting of members of the Crash Injury Research and Engineering Network... of centers, medical and engineering. Medical centers are based at Level I Trauma Centers that admit...

76 FR 46359 - Announcing the Nineteenth Public Meeting of the Crash Injury Research and Engineering Network...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-02

... Nineteenth Public Meeting of the Crash Injury Research and Engineering Network (CIREN) AGENCY: National... announces the Nineteenth Public Meeting of members of the Crash Injury Research and Engineering Network... of centers, medical and engineering. Medical centers are based at Level I Trauma Centers that admit...

77 FR 46154 - Announcing the Twentieth Public Meeting of the Crash Injury Research and Engineering Network (CIREN)

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-02

... Twentieth Public Meeting of the Crash Injury Research and Engineering Network (CIREN) AGENCY: National... announces the Twentieth Public Meeting of members of the Crash Injury Research and Engineering Network... of centers, medical and engineering. Medical centers are based at Level I Trauma Centers that admit...

Press releases by academic medical centers: not so academic?

PubMed

Woloshin, Steven; Schwartz, Lisa M; Casella, Samuel L; Kennedy, Abigail T; Larson, Robin J

2009-05-05

The news media are often criticized for exaggerated coverage of weak science. Press releases, a source of information for many journalists, might be a source of those exaggerations. To characterize research press releases from academic medical centers. Content analysis. Press releases from 10 medical centers at each extreme of U.S. News & World Report's rankings for medical research. Press release quality. Academic medical centers issued a mean of 49 press releases annually. Among 200 randomly selected releases analyzed in detail, 87 (44%) promoted animal or laboratory research, of which 64 (74%) explicitly claimed relevance to human health. Among 95 releases about primary human research, 22 (23%) omitted study size and 32 (34%) failed to quantify results. Among all 113 releases about human research, few (17%) promoted studies with the strongest designs (randomized trials or meta-analyses). Forty percent reported on the most limited human studies--those with uncontrolled interventions, small samples (<30 participants), surrogate primary outcomes, or unpublished data--yet 58% lacked the relevant cautions. The effects of press release quality on media coverage were not directly assessed. Press releases from academic medical centers often promote research that has uncertain relevance to human health and do not provide key facts or acknowledge important limitations. National Cancer Institute.

Can Japanese students embrace learner-centered methods for teaching medical interviewing skills? Focus groups.

PubMed

Saiki, Takuya; Mukohara, Kei; Otani, Takashi; Ban, Nobutaro

2011-01-01

Students' perceptions of learner-centered methods for teaching medical interviewing skills have not been fully explored. To explore Japanese students' perceptions of learner-centered methods for teaching medical interviewing skills such as role play with student-created scenarios, peer-assisted video reviews, and student-led small group debriefing. We conducted three focus groups with a total of 15 students who participated in the learner-centered seminars on medical interviewing skills at the Nagoya University School of Medicine. The transcripts were analyzed by two authors independently. Keywords and concepts were identified and a thematic framework was developed. Overall, students valued the experience of writing their own scenarios for role play, but some questioned their realism. Many students commented that peer-assisted video reviews provided them with more objective perspectives on their performance. However, some students expressed concerns about competitiveness during the video reviews. While students appreciated teachers' minimum involvement in the group debriefing, some criticized that teachers did not explain the objectives of the seminar clearly. Many students had difficulties in exchanging constructive feedback. We were able to gain new insights into positive and negative perceptions of students about learner-centered methods for teaching medical interviewing skills at one medical school in Japan.

76 FR 60059 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-28

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel, Research Centers in Wound Healing. Date: October 19, 2011. Time: 12 p.m... General Medical Sciences, National Institutes of Health, 45 Center Drive, Room 3AN18, Bethesda, MD 20892...

The Volume and Mix of Inpatient Services Provided by Academic Medical Centers.

ERIC Educational Resources Information Center

Moy, Ernest; And Others

1996-01-01

A study examined trends in the volume and type of inpatient clinical diagnoses, common medical services, and specialized services in academic medical centers (AMCs)--integrated and independent, other teaching hospitals, and nonteaching hospitals. Results indicate that despite rapid change in the health care environment, little change has occurred…

PROJECT HEAD START MEDICAL--A GUIDE FOR DIRECTION OF CHILD DEVELOPMENT CENTERS.

ERIC Educational Resources Information Center

Office of Economic Opportunity, Washington, DC.

HEALTH SERVICES OF PROJECT HEAD START CHILD DEVELOPMENT CENTERS PROVIDE--A MEDICAL EVALUATION OF EACH CHILD INCLUDING MEDICAL HISTORY, DEVELOPMENTAL ASSESSMENT, AND PHYSICAL EXAMINATION, SCREENING TESTS FOR VISION, HEARING, SPEECH, AND TUBERCULOSIS, LABORATORY TESTS OF URINE FOR ALBUMIN AND TESTS OF SUGAR AND BLOOD FOR ANEMIA, DENTAL ASSESSMENT,…

75 FR 61861 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-06

... and other research facilities approved by the Chief Medical Director to obtain data from those... research purposes determined to be necessary and proper by the Chief Medical Director. 5. The name(s) of a...) regional offices, VA Medical Centers, the VA Records Management Center, St. Louis, Missouri, and at the...

Repurposing With Purpose: Creating a Collaborative Learning Space to Support Institutional Interprofessional Initiatives.

PubMed

Young, Lauren M; Machado, Connie K; Clark, Susan B

2015-01-01

When the University of Mississippi Medical Center embraced a didactic shift to patient-centered, interprofessional education of its medical, dental, nursing, pharmacy, and allied health students, the Rowland Medical Library repurposed space to support the cause and created a collaborative learning space designated for campus-wide utility.

Medical Training Aid

NASA Technical Reports Server (NTRS)

1992-01-01

Dr. Steven S. Saliterman developed his Dynacath Critical Care Patient Simulator as a training system for medical personnel involved in critical care management and hemodynamic monitoring. The system incorporates NASA simulation technology and allows hospitals and medical manufacturers to conduct training away from the patient's bedside. Dr. Saliterman was formerly employed by Ames Research Center and Johnson Space Center.

42 CFR 411.355 - General exceptions to the referral prohibition related to both ownership/investment and...

Code of Federal Regulations, 2013 CFR

2013-10-01

... medical center means an affiliated medical school, faculty practice plan, hospital, teaching facility... whose primary purpose is supporting the teaching mission of the academic medical center.) The components... § 411.355(e)(3)); and (D) Provides either substantial academic services or substantial clinical teaching...

42 CFR 411.355 - General exceptions to the referral prohibition related to both ownership/investment and...

Code of Federal Regulations, 2010 CFR

2010-10-01

... medical center means an affiliated medical school, faculty practice plan, hospital, teaching facility... whose primary purpose is supporting the teaching mission of the academic medical center.) The components... § 411.355(e)(3)); and (D) Provides either substantial academic services or substantial clinical teaching...

42 CFR 411.355 - General exceptions to the referral prohibition related to both ownership/investment and...

Code of Federal Regulations, 2011 CFR

2011-10-01

... medical center means an affiliated medical school, faculty practice plan, hospital, teaching facility... whose primary purpose is supporting the teaching mission of the academic medical center.) The components... § 411.355(e)(3)); and (D) Provides either substantial academic services or substantial clinical teaching...

42 CFR 411.355 - General exceptions to the referral prohibition related to both ownership/investment and...

Code of Federal Regulations, 2014 CFR

2014-10-01

... medical center means an affiliated medical school, faculty practice plan, hospital, teaching facility... whose primary purpose is supporting the teaching mission of the academic medical center.) The components... § 411.355(e)(3)); and (D) Provides either substantial academic services or substantial clinical teaching...

42 CFR 411.355 - General exceptions to the referral prohibition related to both ownership/investment and...

Code of Federal Regulations, 2012 CFR

2012-10-01

... medical center means an affiliated medical school, faculty practice plan, hospital, teaching facility... whose primary purpose is supporting the teaching mission of the academic medical center.) The components... § 411.355(e)(3)); and (D) Provides either substantial academic services or substantial clinical teaching...

Medication Adherence among Adolescents in a School-Based Health Center

ERIC Educational Resources Information Center

Mears, Cynthia J.; Charlebois, Nicole M.; Holl, Jane L.

2006-01-01

School-based health centers are an integral part of the health care delivery system for low-income children. Medication adherence for these patients may be challenging because the student is often responsible for bringing home the prescription and receiving the instructions. This study assesses medication fill, initiation, and adherence rates…

Rebuilding the Trust: Independent Review Group Report on Rehabilitative Care and Administrative Processes at Walter Reed Army Medical Center and National Naval Medical Center

DTIC Science & Technology

2007-04-11

conditions and administrative hurdles and failed to place proper priority on solutions. • A smooth integration is lacking for transition into a joint Walter...accounts the evolution of rapid joint battlefield medical response, rapid evacuation with intensive care, quality air transportation, and unsurpassed...and increased survival is the result of more efficient joint medical response on the battlefield and medical tactics, techniques and procedures that

U.S. Army Medical Department Journal, April-June 2008

DTIC Science & Technology

2008-06-01

IGR), against dengue vector mosquitoes. In the Peruvian Amazon community at Iquitos, Stancil42 (Naval Medical Research Center Detachment, Peru ...Research Unit- Kenya, Nairobi; Naval Medical Research Center Detachment, Lima, Peru ; Naval Medical Research Unit-2, Jakarta, Indonesia; and the Naval...These projects have revealed that sand flies often emerge from the soil beneath tents and camps. In an effort to prevent sand flies breeding in rodent

Using Technology, Clinical Workflow Redesign, and Team Solutions to Achieve the Patient Centered Medical Home

DTIC Science & Technology

2011-01-01

The Quadruple Aim: Working Together, Achieving Success 2011 Military Health System Conference TMA and Services Using Technology, Clinical Workflow...Redesign, and Team Solutions to Achieve the Patient Centered Medical Home LTC Nicole Kerkenbush, MHA, MN Army Medical Department, Office of the...Surgeon General Chief Medical Information Officer 1 Military Health System Conference Report Documentation Page Form ApprovedOMB No. 0704-0188 Public

The Chemistry of Early Self-Replicating Systems

NASA Technical Reports Server (NTRS)

Bada, Jeffrey L.

1996-01-01

The NASA Specialized Center of Research and Training (NSCORT) in Exobiology is a consortium of scientists at the University of California at San Diego (UCSD), The Salk Institute for Biological Studies (Salk) and The Scripps Research Institute (TSRI). All three institutions are located in close geographical proximity in La Jolla, California. The NSCORT/Exobiology is administered through the Scripps Institution of Oceanography. Since its inception in January 1992, the NSCORT in Exobiology has made major contributions with respect to the question of how life began on Earth. The Principal Investigators (PIs) and their associated Fellows have published numerous articles in peer reviewed journals on topics relevant to Exobiology. They have presented papers and sponsored symposia at several meetings of national and international scientific societies. A total of 30 undergraduate, 12 graduate and 15 postdoctoral Fellows have been supported by the NSCORT. The Fellows have met on their own at least once a month to discuss Exobiology topics and research progress. The NSCORT has arranged seminars and evening discussion meetings, and offered an undergraduate class on "Biochemical Evolution" as well as graduate courses dealing with topics in Exobiology. A visiting scientist program has allowed 11 scientists from the U.S. and 4 foreign countries to conduct cooperative research with the various PIs. An active outreach program has been initiated, which includes an Exobiology high school level teaching module and curriculum guide, and an elementary school level booklet about basic atomic structure and formation of the universe, Sun and Earth. A World Wide Web Homepage (http://www-chem.ucsd.edu/-nscort/ NSCORT.html) has been developed, which describes the NSCORT activities, research programs and Fellowship opportunities. The various activities of the NSCORT in Exobiology have received wide-spread coverage in both the scientific and public media. The major function of the NSCORT is the training of young scientists in the field of Exo- biology. Thus, the bulk of the $1,000,000 annual budget is used to support the research and training of undergraduate, graduate and post-doctoral Fellows who are selected on a competitive basis. About five Fellows at each level are supported each year. Our goal is to train scientists whose major research interest is Exobiology, but whose mastery in the classical fields of chemistry, biology and earth science is so strong that they outstanding candidates for either graduate school or academic tenure-track positions in departments at leading national and international Universities. Applicants for these Fellowships are solicited by advertisements in journals such as Science and Nature and in organizational newsletters such as the one published by the International Society for the Study of the Origin of Life (ISSOL), by contacting academic and NASA colleagues working in Exobiology or related fields and by recruiting students who have already been admitted into the various academic programs with which the PIs are affiliated.

[The development of organization of medical social care of adolescents].

PubMed

Chicherin, L P; Nagaev, R Ia

2014-01-01

The model of the subject of the Russian Federation is used to consider means of development of health protection and health promotion in adolescents including implementation of the National strategy of activities in interest of children for 2012-2017 approved by decree No761 of the President of Russia in June 1 2012. The analysis is carried out concerning organization of medical social care to this group of population in medical institutions and organizations of different type in the Republic of Bashkortostan. Nowadays, in 29 territories medical social departments and rooms, 5 specialized health centers for children, 6 clinics friendly to youth are organized. The analysis of manpower support demonstrates that in spite of increasing of number of rooms and departments of medical social care for children and adolescents decreasing of staff jobs both of medical personnel and psychologists and social workers occurs. The differences in priorities of functioning of departments and rooms of medical social care under children polyclinics, health centers for children and clinics friendly to youth are established. The questionnaire survey of pediatricians and adolescents concerning perspectives of development of adolescent service established significant need in development of specialized complex center. At the basis of such center problems of medical, pedagogical, social, psychological, legal profile related to specific characteristics of development and medical social needs of adolescents can be resolved. The article demonstrates organizational form of unification on the functional basis of the department of medical social care of children polyclinic and clinic friendly to youth. During three years, number of visits of adolescents to specialists of the center increases and this testifies awareness of adolescents and youth about activities of department of medical social care. The most percentage of visits of adolescents to specialists was made with prevention purpose. Among physicians about 93% approved the given model of development of medical social service for adolescents.

What do clinicians want? Interest in integrative health services at a North Carolina academic medical center

PubMed Central

Kemper, Kathi J; Dirkse, Deborah; Eadie, Dee; Pennington, Melissa

2007-01-01

Background Use of complementary medicine is common, consumer driven and usually outpatient focused. We wished to determine interest among the medical staff at a North Carolina academic medical center in integrating diverse therapies and services into comprehensive care. Methods We conducted a cross sectional on-line survey of physicians, nurse practitioners and physician assistants at a tertiary care medical center in 2006. The survey contained questions on referrals and recommendations in the past year and interest in therapies or services if they were to be provided at the medical center in the future. Results Responses were received from 173 clinicians in 26 different departments, programs and centers. There was strong interest in offering several specific therapies: therapeutic exercise (77%), expert consultation about herbs and dietary supplements (69%), and massage (66%); there was even stronger interest in offering comprehensive treatment programs such as multidisciplinary pain management (84%), comprehensive nutritional assessment and advice (84%), obesity/healthy lifestyle promotion (80%), fit for life (exercise and lifestyle program, 76%), diabetes healthy lifestyle promotion (73%); and comprehensive psychological services for stress management, including hypnosis and biofeedback (73%). Conclusion There is strong interest among medical staff at an academic health center in comprehensive, integrated services for pain, obesity, and diabetes and in specific services in fitness, nutrition and stress management. Future studies will need to assess the cost-effectiveness of such services, as well as their financial sustainability and impact on patient satisfaction, health and quality of life. PMID:17291340

Tufts academic health information network: concept and scenario.

PubMed

Stearns, N S

1986-04-01

Tufts University School of Medicine's new health sciences education building, the Arthur M. Sackler Center for Health Communications, will house a modern medical library and computer center, classrooms, auditoria, and media facilities. The building will also serve as the center for an information and communication network linking the medical school and adjacent New England Medical Center, Tufts' primary teaching hospital, with Tufts Associated Teaching Hospitals throughout New England. Ultimately, the Tufts network will join other gateway networks, information resource facilities, health care institutions, and medical schools throughout the world. The center and the network are intended to facilitate and improve the education of health professionals, the delivery of health care to patients, the conduct of research, and the implementation of administrative management approaches that should provide more efficient utilization of resources and save dollars. A model and scenario show how health care delivery and health care education are integrated through better use of information transfer technologies by health information specialists, practitioners, and educators.

Tufts academic health information network: concept and scenario.

PubMed Central

Stearns, N S

1986-01-01

Tufts University School of Medicine's new health sciences education building, the Arthur M. Sackler Center for Health Communications, will house a modern medical library and computer center, classrooms, auditoria, and media facilities. The building will also serve as the center for an information and communication network linking the medical school and adjacent New England Medical Center, Tufts' primary teaching hospital, with Tufts Associated Teaching Hospitals throughout New England. Ultimately, the Tufts network will join other gateway networks, information resource facilities, health care institutions, and medical schools throughout the world. The center and the network are intended to facilitate and improve the education of health professionals, the delivery of health care to patients, the conduct of research, and the implementation of administrative management approaches that should provide more efficient utilization of resources and save dollars. A model and scenario show how health care delivery and health care education are integrated through better use of information transfer technologies by health information specialists, practitioners, and educators. PMID:3708191

Medical student and medical school teaching faculty perceptions of conflict of interest.

PubMed

Andresen, Nicholas S; Olson, Tyler S; Krasowski, Matthew D

2017-07-11

Attitudes towards conflict of interest (COI) and COI policy are shaped during medical school and influence both the education of medical students and their future medical practice. Understanding the current attitudes of medical students and medical school teaching faculty may provide insight into what is taught about COI and COI policy within the 'hidden' medical curriculum. Differences between medical student and medical school teaching faculty perceptions of COI and COI policy have not been compared in detail. The authors surveyed first year medical students and medical school teaching faculty at one academic medical center. The response rate was 98.7% (150/152) for students and 34.2% (69/202) for faculty. Students were less likely than faculty to agree that lecturers should disclose COI to any learners (4.06 vs. 4.31, p = 0.01), but more likely to agree that COI disclosure decreases the presentation of biased material (3.80 vs. 3.21, p < 0.001). Student and faculty responses for all other questions were not different. Many of these responses suggest student and faculty support for stronger COI policy at academic medical centers. Students and faculty perceptions regarding COI and COI policy are largely similar, but differ in terms of the perceived effectiveness of COI disclosure. This study also suggests that medical students and medical school teaching faculty support for stronger COI policy at academic medical centers.

Laughing through this pain: medical clowning during examination of sexually abused children: an innovative approach.

PubMed

Tener, Dafna; Lev-Wiesel, Rachel; Franco, Nessia Lang; Ofir, Shoshi

2010-03-01

This study examined the role of medical clowns during medical examinations of children who were sexually abused. Three case studies are described, illustrating diverse interactions among the victimized child, the medical clown, and the medical forensical examiner during medical forensic examinations held at the Tene Center for Sexually Abused Children, Poria-Pade Medical Center, Israel. The results indicated that medical clowns play a unique role both in lowering anxiety and fear among children before and during the unpleasant forensic examination as well as in mitigating potential retraumatization of the sexual abuse event resulting from the medical examination. The medical clown was found to assist in creating a pleasant and calm atmosphere, thus improving the child's cooperation during the examination.

Monthly Atmospheric 13C/12C Isotopic Ratios for 11 SIO Stations (1977-2008)

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

Keeling, R. F.; Piper, S. C.; Bollenbacher, A. F.

Stable isotopic measurements for atmospheric 13C/12C and 18O/16O at global sampling sites were initiated by Dr. C.D. Keeling and co-workers at Scripps Institution of Oceanography (SIO) in 1977. These isotopic measurements complement the continuing global atmospheric and oceanic CO2 measurements initiated by Keeling in 1957. This work is currently being continued under the direction of R.F. Keeling, who also runs a parallel program at SIO to measure changes in atmospheric O2 and Ar abundances (Scripps O2 Program). A more complete set of 13CO2 data is found online at http://scrippsco2.ucsd.edu/data/atmospheric_co2.html

The impact of cervical cancer education for deaf women using a video educational tool employing American sign language, open captioning, and graphics.

PubMed

Choe, Sun; Lim, Rod Seung-Hwan; Clark, Karen; Wang, Regina; Branz, Patricia; Sadler, Georgia Robins

2009-01-01

Deaf women encounter barriers to accessing cancer information. In this study, we evaluated whether deaf women's knowledge could be increased by viewing a graphically enriched, American Sign Language (ASL) cervical cancer education video. A blind, randomized trial evaluated knowledge gain and retention. Deaf women (n = 130) completed questionnaires before, after, and 2 months after viewing the video. With only a single viewing of the in-depth video, the experimental group gained and retained significantly more cancer knowledge than the control group. Giving deaf women access to the ASL cervical cancer education video (http://cancer.ucsd.edu/deafinfo) significantly increased their knowledge of cervical cancer.

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

NONE

When the facilities design and construction team at the University of California, San Diego (UCSD) started planning to upgrade and expand their control system, they had several critical goals for the project. They wanted a building automation system (BAS) that could achieve optimum energy savings while maximizing the efficiency of the facilities staff. They needed the new system to link 26 campus buildings--containing a variety of existing systems--to one central location for monitoring and diagnostics. They wanted a single vendor to handle installation, software development, service and support--and they wanted the entire project completed without downtime. At the core ofmore » these technologies is the Metasys{reg_sign} facility management system from Johnson Controls.« less

Assessment and Mitigation of Radiation, EMP, Debris & Shrapnel Impacts at Megajoule-Class Laser Facilities

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

Eder, D C; Anderson, R W; Bailey, D S

2009-10-05

The generation of neutron/gamma radiation, electromagnetic pulses (EMP), debris and shrapnel at mega-Joule class laser facilities (NIF and LMJ) impacts experiments conducted at these facilities. The complex 3D numerical codes used to assess these impacts range from an established code that required minor modifications (MCNP - calculates neutron and gamma radiation levels in complex geometries), through a code that required significant modifications to treat new phenomena (EMSolve - calculates EMP from electrons escaping from laser targets), to a new code, ALE-AMR, that is being developed through a joint collaboration between LLNL, CEA, and UC (UCSD, UCLA, and LBL) for debrismore » and shrapnel modelling.« less

Biomedical Big Data Training Collaborative (BBDTC): An effort to bridge the talent gap in biomedical science and research.

PubMed

Purawat, Shweta; Cowart, Charles; Amaro, Rommie E; Altintas, Ilkay

2017-05-01

The BBDTC (https://biobigdata.ucsd.edu) is a community-oriented platform to encourage high-quality knowledge dissemination with the aim of growing a well-informed biomedical big data community through collaborative efforts on training and education. The BBDTC is an e-learning platform that empowers the biomedical community to develop, launch and share open training materials. It deploys hands-on software training toolboxes through virtualization technologies such as Amazon EC2 and Virtualbox. The BBDTC facilitates migration of courses across other course management platforms. The framework encourages knowledge sharing and content personalization through the playlist functionality that enables unique learning experiences and accelerates information dissemination to a wider community.

Dynamic biometric identification from multiple views using the GLBP-TOP method.

PubMed

Wang, Yu; Shen, Xuanjing; Chen, Haipeng; Zhai, Yujie

2014-01-01

To realize effective and rapid dynamic biometric identification with low computational complexity, a video-based facial texture program that extracts local binary patterns from three orthogonal planes in the frequency domain of the Gabor transform (GLBP-TOP) was proposed. Firstly, each normalized face was transformed by Gabor wavelet to get the enhanced Gabor magnitude map, and then the LBP-TOP operator was applied to the maps to extract video texture. Finally, weighted Chi square statistics based on the Fisher Criterion were used to realize the identification. The proposed algorithm was proved effective through the biometric experiments using the Honda/UCSD database, and was robust against changes of illumination and expressions.

Interdisciplinary collaboration: what private practice can learn from the health center experience.

PubMed

Hilton, Irene V

2014-01-01

Ideas on what medical-dental integration can look like on a practical level can be gained from studying efforts made in Federally Qualified Health Centers (Health Centers). Over the last 15 years, Health Centers have embarked on several initiatives that incorporated the development of infrastructure for medical-dental integration. This paper reviews these efforts and highlights successes, challenges and best practices that can bolster efforts in all dental practice settings.

76 FR 51403 - Lyle E. Craker, PhD; Order Regarding Officially Noticed Evidence and Motion for Reconsideration

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-18

... studies of marijuana, which were sponsored by the California Center for Medical Cannabis Research (CMCR...), every one of the 17 CMCR [California Center for Medical Cannabis Research]-sponsored pre- clinical or.... Id. (The program is also referred to as the ``Center for Medicinal Cannabis Research'' (CMCR). Tr...

The Vital Role of Patient Feedback in the Critical Assessment of a Patient-Centered Care Objective Structured Clinical Examination

ERIC Educational Resources Information Center

Rentfro, Allison Carothers

2011-01-01

Priorities in medical education have increasingly emphasized teaching skills and fostering attitudes related to patient-centered care (Beckman & Frankel, 2003; Haidet & Paterniti, 2003). The challenge for academic medical centers is to implement these competencies into their curriculum and assess the outcomes. Using a qualitative single…

Network of fully integrated multispecialty hospital imaging systems

NASA Astrophysics Data System (ADS)

Dayhoff, Ruth E.; Kuzmak, Peter M.

1994-05-01

The Department of Veterans Affairs (VA) DHCP Imaging System records clinically significant diagnostic images selected by medical specialists in a variety of departments, including radiology, cardiology, gastroenterology, pathology, dermatology, hematology, surgery, podiatry, dental clinic, and emergency room. These images are displayed on workstations located throughout a medical center. All images are managed by the VA's hospital information system, allowing integrated displays of text and image data across medical specialties. Clinicians can view screens of `thumbnail' images for all studies or procedures performed on a selected patient. Two VA medical centers currently have DHCP Imaging Systems installed, and others are planned. All VA medical centers and other VA facilities are connected by a wide area packet-switched network. The VA's electronic mail software has been modified to allow inclusion of binary data such as images in addition to the traditional text data. Testing of this multimedia electronic mail system is underway for medical teleconsultation.

76 FR 10911 - National Institute of General Medical Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-28

... General Medical Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Sciences Special Emphasis Panel; Research Centers in Wound Healing. Date: March 22, 2011. Time: 1 p.m. to 4... General Medical Sciences, National Institutes of Health, 45 Center Drive, Room 3AN18, Bethesda, MD 20892...

Quality of Care Assessment: The Role of Faculty at Academic Medical Centers.

ERIC Educational Resources Information Center

Brook, Robert H.

Currently, there is not a single university medical center in which an acceptable routine system to assure quality of care has been established. This may result from reliance on the structure of the medical education process as a proxy measure to assure that physicians perform appropriately in their role. Several studies have been conducted to…

Defense.gov Special Report: Travels With Panetta - February 2012

Science.gov Websites

medical professionals here today. Story U.S. Defense Secretary Outlines 'State of DOD' to Troops U.S conference to visit with U.S. troops at Ramstein Air Base and Landstuhl Regional Medical Center in Germany E. Panetta's troop visit at Landstuhl Regional Medical Center, Germany Town Hall Meeting with U.S

Buffalo's Center for Immunology: A New Answer to an Old Dilemma

ERIC Educational Resources Information Center

Rose, Noel R.; Bogazzi, Pierluigi E.

1972-01-01

The Center for Immunology at the University of Buffalo provides a viable resource for educating medical students in immunology until a department of immunology can be developed within the medical school. (HS)

NPDES Permit Walter Reed Army Medical Center

EPA Pesticide Factsheets

Under National Pollutant Discharge Elimination System permit number DC0000361, the Department of the Army is authorized to discharge from a facility located at Walter Reed Army Medical Center into receiving waters named Rock Creek.

76 FR 13192 - Mark E. Van Wormer: Debarment Order

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-10

...: The Food and Drug Administration (FDA) is issuing an order under the Federal Food, Drug, and Cosmetic... Medical Center, also known as the Union County Medical, Diagnostic Imaging and Laser Surgery Center, PC...

Application and preventive maintenance of neurology medical equipment in isfahan alzahra hospital.

PubMed

Alikhani, Parivash; Vesal, Sahar; Kashefi, Parviz; Pour, Ramin Etamadi; Khorvash, Fariborz; Askari, Gholamreza; Meamar, Rokhsareh

2013-05-01

Nowadays Medical equipment plays an important role in the treatment and in the medical education. Using outdated preventive maintenance (PM) system may cause problems in the cutting edge medical equipment, Nervous system disease's equipment (In diagnosis and treatment) which are crucial for every medical center. Based on above facts we focused on nervous system treat units' equipment and informed the supervisors and their colleagues about the latest equipment maintenance status and promoted methodical and correct method to be used for medical equipment maintenance. This research is an analytical descriptive and has been done on the base information from a particular time to past. We gathered our required information of 2009 from Alzahra Medical Center. We divided this research info 2 main phases. In the first phase, we picked out Neurosurgery and Neourology diseases medical equipment (diagnosis and therapy equipment) and in the second phase, we need to implement a methodical PM for every equipment. Research has shown that there are 19nervous system equipment in Alzahra Medical center, categorized in diagnostic (13 pcs), therapeutic (4 pcs) and diagnostic-therapeutic (2 pcs). As we declare in methods part of this research, we categorized medical equipment in Food and Drug Administration (FDA) segmentation. Capital-scarce equipment: Magnetic resonance imaging, Eco Doppler, Kamalaarak ultrasonic surgical aspirator, Stereotactic, computed tomography-scan, euroendoscope/vital-scarce equipment: Coblation, Sonoco, vaterjet/scarce equipment: Transcranial color Doppler, electroencephalogram, electromyography, surgical microscope. Survey of application and preventive maintenance of neurology medical equipment in Isfahan Alzahra hospital show there is no P.M system. Implementing a complete P.M system for this medical center is crucial to preventing cause problems for these medical equipment and decreasing maintenance costs and gaining uptime. Researchers of this article have tried to provide PM, use of texts, web and experts.

Surgeon leadership in the coding, billing, and contractual negotiations for fenestrated endovascular aortic aneurysm repair increases medical center contribution margin and physician reimbursement.

PubMed

Aiello, Francesco; Durgin, Jonathan; Daniel, Vijaya; Messina, Louis; Doucet, Danielle; Simons, Jessica; Jenkins, James; Schanzer, Andres

2017-10-01

Fenestrated endovascular aneurysm repair (FEVAR) allows endovascular treatment of thoracoabdominal and juxtarenal aneurysms previously outside the indications of use for standard devices. However, because of considerable device costs and increased procedure time, FEVAR is thought to result in financial losses for medical centers and physicians. We hypothesized that surgeon leadership in the coding, billing, and contractual negotiations for FEVAR procedures will increase medical center contribution margin (CM) and physician reimbursement. At the UMass Memorial Center for Complex Aortic Disease, a vascular surgeon with experience in medical finances is supported to manage the billing and coding of FEVAR procedures for medical center and physician reimbursement. A comprehensive financial analysis was performed for all FEVAR procedures (2011-2015), independent of insurance status, patient presentation, or type of device used. Medical center CM (actual reimbursement minus direct costs) was determined for each index FEVAR procedure and for all related subsequent procedures, inpatient or outpatient, 3 months before and 1 year subsequent to the index FEVAR procedure. Medical center CM for outpatient clinic visits, radiology examinations, vascular laboratory studies, and cardiology and pulmonary evaluations related to FEVAR were also determined. Surgeon reimbursement for index FEVAR procedure, related adjunct procedures, and assistant surgeon reimbursement were also calculated. All financial analyses were performed and adjudicated by the UMass Department of Finance. The index hospitalization for 63 FEVAR procedures incurred $2,776,726 of direct costs and generated $3,027,887 in reimbursement, resulting in a positive CM of $251,160. Subsequent related hospital procedures (n = 26) generated a CM of $144,473. Outpatient clinic visits, radiologic examinations, and vascular laboratory studies generated an additional CM of $96,888. Direct cost analysis revealed that grafts accounted for the largest proportion of costs (55%), followed by supplies (12%), bed (12%), and operating room (10%). Total medical center CM for all FEVAR services was $492,521. Average surgeon reimbursements per FEVAR from 2011 to 2015 increased from $1601 to $2480 while the surgeon payment denial rate declined from 50% to 0%. Surgeon-led negotiations with the Centers for Medicare & Medicaid Services during 2015 resulted in a 27% increase in physician reimbursement for the remainder of 2015 ($2480 vs $3068/case) and a 91% increase in reimbursement from 2011 ($1601 vs $3068). Assistant surgeon reimbursement also increased ($266 vs $764). Concomitant FEVAR-related procedures generated an additional $27,347 in surgeon reimbursement. Physician leadership in the coding, billing, and contractual negotiations for FEVAR results in a positive medical center CM and increased physician reimbursement. Copyright © 2017 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

St. Mary cooks up awareness with heart-healthy booklet, television.

PubMed

Botvin, Judith D

2003-01-01

St. Mary Medical Center, Langhorne, Pa., distributed a half-million copies of its copyrighted booklet, "Heart Healthy Living" as the first of a larger, long-term marketing initiative to raise awareness of the suburban medical center. In addition to the medical center and physicians' offices, St. Mary had the booklet distributed by regional food markets and Fleet Bank. These partnerships and those with food products manufacturers helped reduce expenses. St. Mary physicians appeared on a cable television cooking show as well as in selected grocery markets.

Abortion misinformation from crisis pregnancy centers in North Carolina.

PubMed

Bryant, Amy G; Levi, Erika E

2012-12-01

This study assessed the accuracy of medical information provided by crisis pregnancy centers in North Carolina. We performed a secondary data analysis of a "secret shopper survey" performed by a nonprofit organization. Reports from phone calls and visits to crisis pregnancy centers were analyzed for quality and content of medical information provided. Web sites of crisis pregnancy centers in the state were also reviewed. Thirty-two crisis pregnancy centers were contacted. Nineteen of these were visited. Fourteen centers (44%) offered that they "provide counseling on abortion and its risks." Inaccurate information provided included a link between abortion and breast cancer (16%), infertility (26%) and mental health problems (26%). Of the 36 Web sites identified, 31 (86%) provided false or misleading information, including 26 sites (72%) linking abortion to "post-abortion stress." Many crisis pregnancy centers give inaccurate medical information regarding the risks of abortion. Overstating risks stigmatizes abortion, seeks to intimidate women and is unethical. Copyright © 2012 Elsevier Inc. All rights reserved.

Physician Payment Methods and the Patient-Centered Medical Home: Comment on "A Troubled Asset Relief Program for the Patient-Centered Medical Home".

PubMed

Quinn, Kevin

This commentary analyzes the patient-centered medical home (PCMH) model within a framework of the 8 basic payment methods in health care. PCMHs are firmly within the fee-for-service tradition. Changes to the process and structure of the Resource Based Relative Value Scale, which underlies almost all physician fee schedules, could make PCMHs more financially viable. Of the alternative payment methods being considered, shared savings models are unlikely to transform medical practice whereas capitation models place unrealistic expectations on providers to accept epidemiological risk. Episode payment may strike a feasible balance for PCMHs, with newly available episode definitions presenting opportunities not previously available.

Compliance of child care centers in Pennsylvania with national health and safety performance standards for emergency and disaster preparedness.

PubMed

Olympia, Robert P; Brady, Jodi; Kapoor, Shawn; Mahmood, Qasim; Way, Emily; Avner, Jeffrey R

2010-04-01

To determine the preparedness of child care centers in Pennsylvania to respond to emergencies and disasters based on compliance with National Health and Safety Performance Standards for Out-of-Home Child Care Programs. A questionnaire focusing on the presence of a written evacuation plan, the presence of a written plan for urgent medical care, the immediate availability of equipment and supplies, and the training of staff in first aid/cardiopulmonary resuscitation (CPR) as delineated in Caring for Our Children: National Health and Safety Performance Standards for Out-of-Home Child Care Programs, 2nd Edition, was mailed to 1000 randomly selected child care center administrators located in Pennsylvania. Of the 1000 questionnaires sent, 496 questionnaires were available for analysis (54% usable response rate). Approximately 99% (95% confidence interval [CI], 99%-100%) of child care centers surveyed were compliant with recommendations to have a comprehensive written emergency plan (WEP) for urgent medical care and evacuation, and 85% (95% CI, 82%-88%) practice their WEP periodically throughout the year. More than 20% of centers did not have specific written procedures for floods, earthquakes, hurricanes, blizzards, or bomb threats, and approximately half of the centers did not have specific written procedures for urgent medical emergencies such as severe bleeding, unresponsiveness, poisoning, shock/heart or circulation failure, seizures, head injuries, anaphylaxis or allergic reactions, or severe dehydration. A minority of centers reported having medications available to treat an acute asthma attack or anaphylaxis. Also, 77% (95% CI, 73%-80%) of child care centers require first aid training for each one of its staff members, and 33% (95% CI, 29%-37%) require CPR training. Although many of the child care centers we surveyed are in compliance with the recommendations for emergency and disaster preparedness, specific areas for improvement include increasing the frequency of practice of the WEP, establishing specific written procedures for external disasters and urgent medical emergencies, maintaining the immediate availability of potentially life-saving medications, and ensuring that all child care center staff are trained in first aid and CPR.

Performance Support Tools for Space Medical Operations

NASA Technical Reports Server (NTRS)

Byrne, Vicky; Schmid, Josef; Barshi, Immanuel

2010-01-01

Early Constellation space missions are expected to have medical capabilities similar to those currently on board the Space Shuttle and International Space Station (ISS). Flight surgeons on the ground in Mission Control will direct the Crew Medical Officer (CMO) during medical situations. If the crew is unable to communicate with the ground, the CMO will carry out medical procedures without the aid of a flight surgeon. In these situations, use of performance support tools can reduce errors and time to perform emergency medical tasks. The research presented here is part of the Human Factors in Training Directed Research Project of the Space Human Factors Engineering Project under the Space Human Factors and Habitability Element of the Human Research Program. This is a joint project consisting of human factors teams from the Johnson Space Center (JSC) and the Ames Research Center (ARC). Work on medical training has been conducted in collaboration with the Medical Training Group at JSC and with Wyle that provides medical training to crew members, biomedical engineers (BMEs), and flight surgeons under the Bioastronautics contract. Human factors personnel at Johnson Space Center have investigated medical performance support tools for CMOs and flight surgeons.

2016 Federal Green Challenge Award Winners in the New England Region

EPA Pesticide Factsheets

In the New England region, the 2016 Federal Green Challenge award winners are the Manchester Veterans Affairs (VA) Medical Center, West Haven VA Medical Campus, and the U.S. Naval Undersea Warfare Center..

Challenges and opportunities in the care of international patients: clinical and health services issues for academic medical centers.

PubMed

Martin, Don R

2006-02-01

International visitors who travel to the United States for the express purpose of receiving medical care constitute a small, but unique and important, subset of patients in this country. These visitors have traditionally sought care at what are widely regarded as the premier U.S. academic medical centers. Their care may prove challenging due to logistical, medical, language, and cross-cultural issues, and has the potential to distract from the educational and research missions of these medical centers. The author reflects on how one academic medical center, the Johns Hopkins Medical Institutions, has experienced and responded to these challenges. Specific issues include scheduling and evaluation challenges, language and cultural differences, and arranging continuity care. The author concludes that when an institution invests the resources necessary to address these issues, and enlists physicians stimulated by this challenging group of patients, the arrangement is mutually beneficial to the international patients and the institution. Scholarly evaluation of this phenomenon has been virtually nonexistent, due to both the unique niche occupied by these programs and institutional competition for this group of patients. However, collaborative evaluation of international patient programs will provide the opportunity to assess similarities, differences, and effectiveness, benefiting both those providing and those receiving care by improving the appropriateness and quality of care.

Regulation, Privacy and Security: Chairman's Opening Remarks

PubMed Central

Gabrieli, E.R.

1979-01-01

Medical privacy is a keystone of a free democratic society. To conserve the right of the patient to medical privacy, computerization of the medical data must be regulated. This paper enumerates some steps to be taken urgently for the protection of computerized sensitive medical data. A computer-oriented medical lexicon is urgently needed for accurate coding. Health industry standards should be drafted. The goals of various data centers must be sharply defined to avoid conflicts of interest. Medical privacy should be studied further, and medical data centers should consider cost-effectiveness. State boards for medical privacy should be created to monitor data security procedures. There is a need for purposeful decentralization. A national medical information policy should be drafted, and a national clinical information board should implement the nation's medical information policy.

Factors that influence the choice to work in rural township health centers among 4,669 clinical medical students from five medical universities in Guangxi, China.

PubMed

Qing, Yunbo; Hu, Guijie; Chen, Qingyun; Peng, Hailun; Li, Kailan; Wei, Jinling; Yi, Yanhua

2015-01-01

To produce competent undergraduate-level medical doctors for rural township health centers (THCs), the Chinese government mandated that medical colleges in Central and Western China recruit rural-oriented, tuition-waived medical students (RTMSs) starting in 2010. This study aimed to identify and assess factors that influence the choice to work in rural township health centers among both RTMSs and other students from five medical universities in Guangxi, China. An internet-based self-administered questionnaire survey was conducted with medical students in Guangxi province. Multinomial logistic regression was used to identify factors related to the attitudes toward work in a rural township health center. Among 4,669 medical students, 1,523 (33%) had a positive attitude and 2,574 (55%) had a neutral attitude toward working in THCs. Demographic characteristics, personal job concerns, and knowledge of THCs were associated with the choice of a career in THCs. The factors related to a positive attitude included the following: three-year program, a rural-oriented medical program, being male, an expectation of working in a county or township, a focus on medical career development, some perceived difficulty of getting a job, having family support, sufficient knowledge of THCs, optimism toward THC development, seeking lower working pressure, and a lower expected monthly salary. Male students in a three-year program or a rural-oriented tuition-waived medical education program were more likely to work in THCs. Selecting medical students through interviews to identify their family support and intentions to work in THCs would increase recruitment and retention. Establishing favorable policies and financial incentives to improve living conditions and the social status of rural physicians is necessary.

Gemini 4 prime crew with Official medical nurse for Astronaut crew members

NASA Technical Reports Server (NTRS)

1965-01-01

Gemini 4 prime crew, Astronauts Edward H. White II, (left), and James A. McDivitt (right) are shown with Lt. Dolores (Dee) O'Hare, US Air Force, Center Medical Office, Flight Medicine Branch, Manned Spaceflight Center (MSC). Lieutenant O'Hare has served during several space flights as Official medical nurse for the astronaut crew members on the missions.

Travels with Gates - May 3-4, 2007 - U.S. Department of Defense Official

Science.gov Websites

dozens of wounded warriors for their service and sacrifice during a visit to Brooke Army Medical Center with each servicemember, most times bedside, asking about their medical care, hometowns and future Staff Sgt. Randal C. Young at Brooke Army Medical Center on Fort Sam Houston, Texas, May 4, 2007. U.S

Utilization of rapid response resources and outcomes in a comprehensive cancer center*.

PubMed

Austin, Charles A; Hanzaker, Chris; Stafford, Renae; Mayer, Celeste; Culp, Loc; Lin, Feng-Chang; Chang, Lydia

2014-04-01

To compare the differences in characteristics and outcomes of cancer center patients with other subspecialty medical patients reviewed by rapid response teams. A retrospective cohort study of hospitalized general medicine patients, subspecialty medicine patients, and oncology patients requiring rapid response team activation over a 2-year period from September 2009 to August 2011. Five hundred fifty-seven subspecialty medical patients required rapid response team intervention. A single academic medical center in the southeastern United States (800+ bed) with a dedicated 50-bed inpatient comprehensive cancer care center. Data abstraction from computerized medical records and a hospital quality improvement rapid response database. Of the 557 patients, 135 were cancer center patients. Cancer center patients had a significantly higher Charlson Comorbidity Score (4.4 vs 2.9, < 0.001). Cancer center patients had a significantly longer hospitalization period prior to rapid response team activation (11.4 vs 6.1 d, p < 0.001). There was no significant difference between proportions of patients requiring ICU transfer between the two groups (odds ratio, 1.2; 95% CI, 0.8-1.8). Cancer center patients had a significantly higher in-hospital mortality compared with the other subspecialty medical patients (33% vs 18%; odds ratio, 2.2; 95% CI, 1.50-3.5). If the rapid response team event required an ICU transfer, this finding was more pronounced (56% vs 23%; odds ratio, 4.0; 95% CI, 2.0-7.8). The utilization of rapid response team resources during the 2-year period studied was also much higher for the oncology patients with 37.34 activations per 1,000 patient discharges compared with 20.86 per 1,000 patient discharges for the general medical patients. Oncology patients requiring rapid response team activation have a significantly higher in-hospital mortality rate, particularly if the rapid response team requires ICU transfer. Oncology patients also utilize rapid response team resources at a much higher rate.

Creating a Longitudinal Integrated Clerkship with Mutual Benefits for an Academic Medical Center and a Community Health System

PubMed Central

Poncelet, Ann Noelle; Mazotti, Lindsay A; Blumberg, Bruce; Wamsley, Maria A; Grennan, Tim; Shore, William B

2014-01-01

The longitudinal integrated clerkship is a model of clinical education driven by tenets of social cognitive theory, situated learning, and workplace learning theories, and built on a foundation of continuity between students, patients, clinicians, and a system of care. Principles and goals of this type of clerkship are aligned with primary care principles, including patient-centered care and systems-based practice. Academic medical centers can partner with community health systems around a longitudinal integrated clerkship to provide mutual benefits for both organizations, creating a sustainable model of clinical training that addresses medical education and community health needs. A successful one-year longitudinal integrated clerkship was created in partnership between an academic medical center and an integrated community health system. Compared with traditional clerkship students, students in this clerkship had better scores on Clinical Performance Examinations, internal medicine examinations, and high perceptions of direct observation of clinical skills. Advantages for the academic medical center include mitigating the resources required to run a longitudinal integrated clerkship while providing primary care training and addressing core competencies such as systems-based practice, practice-based learning, and interprofessional care. Advantages for the community health system include faculty development, academic appointments, professional satisfaction, and recruitment. Success factors include continued support and investment from both organizations’ leadership, high-quality faculty development, incentives for community-based physician educators, and emphasis on the mutually beneficial relationship for both organizations. Development of a longitudinal integrated clerkship in a community health system can serve as a model for developing and expanding these clerkship options for academic medical centers. PMID:24867551

Creating a longitudinal integrated clerkship with mutual benefits for an academic medical center and a community health system.

PubMed

Poncelet, Ann Noelle; Mazotti, Lindsay A; Blumberg, Bruce; Wamsley, Maria A; Grennan, Tim; Shore, William B

2014-01-01

The longitudinal integrated clerkship is a model of clinical education driven by tenets of social cognitive theory, situated learning, and workplace learning theories, and built on a foundation of continuity between students, patients, clinicians, and a system of care. Principles and goals of this type of clerkship are aligned with primary care principles, including patient-centered care and systems-based practice. Academic medical centers can partner with community health systems around a longitudinal integrated clerkship to provide mutual benefits for both organizations, creating a sustainable model of clinical training that addresses medical education and community health needs. A successful one-year longitudinal integrated clerkship was created in partnership between an academic medical center and an integrated community health system. Compared with traditional clerkship students, students in this clerkship had better scores on Clinical Performance Examinations, internal medicine examinations, and high perceptions of direct observation of clinical skills.Advantages for the academic medical center include mitigating the resources required to run a longitudinal integrated clerkship while providing primary care training and addressing core competencies such as systems-based practice, practice-based learning, and interprofessional care. Advantages for the community health system include faculty development, academic appointments, professional satisfaction, and recruitment.Success factors include continued support and investment from both organizations' leadership, high-quality faculty development, incentives for community-based physician educators, and emphasis on the mutually beneficial relationship for both organizations. Development of a longitudinal integrated clerkship in a community health system can serve as a model for developing and expanding these clerkship options for academic medical centers.

My revolutionary adventures in the development of modern emergency medical systems in our country.

PubMed

Edlich, Richard F

2008-05-01

The purpose of this article is to describe my exciting adventures in the development of the emergency medical systems in our country. After my training in plastic surgery at the University of Virginia, I accepted the position of Acting Director of the Emergency Room at the University of Virginia Health Science Center. Working with gifted physicians, basic scientists, nurses, and students, we coordinated the development of an emergency medical system that has been replicated throughout our country. Our system included the following: State legislation for the sexual assault victim, public access by the 9-1-1 telephone number, training of rescue squads, emergency radio communication system, trauma centers, poison control centers, emergency medical plan for the President of the United States, national telecommunications system for the deaf, and the first air medical transportation system in Virginia.

Master's Level Graduate Training in Medical Physics at the University of Colorado Health Sciences Center.

ERIC Educational Resources Information Center

Ibbott, Geoffrey S.; Hendee, William R.

1980-01-01

Describes the master's degree program in medical physics developed at the University of Colorado Health Sciences Center. Required courses for the program, and requirements for admission are included in the appendices. (HM)

Photocopy of photograph in Fitzsimons Army Medical Center real property ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in Fitzsimons Army Medical Center real property book (green cloth cover), showing south and east sides. - Fitzsimons General Hospital, Ice Plant, Southwest Corner of East I Avenue & North Thirteenth Street, Aurora, Adams County, CO

Joint marketing cites excellence: Fairview-University Medical Center advertises cooperatively with University of Minnesota Physicians.

PubMed

Botvin, Judith D

2004-01-01

Fairview-University Medical Center and University of Minnesota Physicians, both in Minneapolis, are enjoying the benefits of a co-branded advertising campaign. It includes print ads, brochures, and other marketing devices.

The Worldwide Interplanetary Scintillation (IPS) Stations (WIPSS) Network October 2016 Observing Campaign: Initial WIPSS Data Analyses

NASA Astrophysics Data System (ADS)

Bisi, M. M.; Fallows, R. A.; Jackson, B. V.; Tokumaru, M.; Gonzalez-Esparza, A.; Morgan, J.; Chashei, I. V.; Mejia-Ambriz, J.; Tyul'bashev, S. A.; Manoharan, P. K.; De la Luz, V.; Aguilar-Rodriguez, E.; Yu, H. S.; Barnes, D.; Chang, O.; Odstrcil, D.; Fujiki, K.; Shishov, V.

2017-12-01

Interplanetary Scintillation (IPS) allows for the determination of velocity and a proxy for plasma density to be made throughout the corona and inner heliosphere. Where sufficient observations are undertaken, the results can be used as input to the University of California, San Diego (UCSD) three-dimensional (3-D) time-dependent tomography suite to allow for the full 3-D reconstruction of both velocity and density throughout the inner heliosphere. By combining IPS results from multiple observing locations around the planet, we can increase both the temporal and spatial coverage across the whole of the inner heliosphere and hence improve forecast capability. During October 2016, a unique opportunity arose whereby the European-based LOw Frequency ARray (LOFAR) radio telescope was used to make nearly four weeks of continuous observations of IPS as a heliospheric space-weather trial campaign. This was expanded into a global effort to include observations of IPS from the Murchison Widefield Array (MWA) in Western Australia and many more observations from various IPS-dedicated WIPSS Network systems. LOFAR is a next-generation low-frequency radio interferometer capable of observing in the radio frequency range 10-250 MHz, nominally with up to 80 MHz bandwidth at a time. MWA in Western Australia is capable of observing in the 80-300 MHz frequency range nominally using up to 32 MHz of bandwidth. IPS data from LOFAR, ISEE, the MEXican Array Radio Telescope (MEXART), and, where possible, other WIPSS Network systems (such as LPI-BSA and Ooty), will be used in this study and we will present some initial findings for these data sets. We also make a first attempt at the 3-D reconstruction of multiple pertinent WIPSS results in the UCSD tomography. We will also try to highlight some of the potential future tools that make LOFAR a very unique system to be able to test and validate a whole plethora of IPS analysis methods with the same set of IPS data.

Angle-resolved Photoemission of CeCoIn5: Detailed Comparison to LDA and LDA+DMFT

NASA Astrophysics Data System (ADS)

Allen, J. W.

2008-03-01

Highly-automated photon-dependent angle resolved photoemission spectroscopy (ARPES) in the energy range of 80-200 eV has been used to characterize the three dimensional (3D) Fermi surface (FS) topology and electronic band structure of cleaved single crystals of CeCoIn5. The sample temperature of 26K is well below the lattice coherence onset temperature of 45K found in a recent ``two fluid'' analysis of transport data. Detailed comparison of ARPES FS contours to LDA calculations for the Ce 4f electrons treated as itinerant or confined to the core reveals remarkable agreement to fine topological details of the f-core calculations. Also in agreement to the f-core calculations is the experimental absence of extra electron-like contours predicted in the f-itinerant calculation, originating from α and β bands re-entrant below EF along Z-A. Finally, the areas enclosed by FS contours for the α and β bands are significantly smaller than are found in very low temperature CeCoIn5 de Haas van Alphen data that agrees generally with the f-itinerant calculation. It is concluded that clear signatures of coherence in the transport data can develop at temperatures for which the f-electrons are not yet included in the FS. In this connection, comparison will also be made to recent T-dependent LDA+DMFT calculations for CeIrIn5. This work was done in collaboration with J. D. Denlinger, Feng Wang, R. S. Singh, K. Rossnagel, S. Elgazzar, P. M. Oppeneer, V. S. Zapf and M. B. Maple, and was supported by the U.S. DOE (DE-AC03-76SF00098 at the ALS, DE-FG02-07ER46379 at UM for current work, DE FG02-04ER-46105 at UCSD), by the U.S. NSF (DMR-03-02825 at UM for initial work, DMR-03-35173 at UCSD) and by the Swedish Research Council (VR) and the European Commission (JRC-ITU).

Development of long-pulse heating & current drive actuators & operational techniques compatible with a high-Z divertor & first wall

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

Tynan, George

This was a collaboration between UCSD and MIT to study the effective application of ion-cyclotron heating (ICRH) on the EAST tokamak, located in China. The original goal was for UCSD to develop a diagnostic that would allow measurement of the steady state, or DC, convection pattern that develops on magnetic field lines that attach or connect to the ICRH antenna. This diagnostic would then be used to develop techniques and approaches that minimize or even eliminate such DC convection during application of strong ICRH heating. This was thought to then indicate reduction or elimination of parasitic losses of heating power,more » and thus be an indicator of effective RF heating. The original plan to use high speed digital gas-puff imaging (GPI) of the antenna-edge plasma region in EAST was ultimately unsuccessful due to limitations in machine and camera operations. We then decided to attempt the same experiment on the ALCATOR C-MOD tokamak at MIT which had a similar instrument already installed. This effort was ultimately successful, and demonstrated that the underlying idea of using GPI as a diagnostic for ICRH antenna physics would, in fact, work. The two-dimensional velocity fields of the turbulent structures, which are advected by RF-induced E x B flows, are obtained via the time-delay estimation (TDE) techniques. Both the magnitude and radial extension of the radial electric field E-r were observed to increase with the toroidal magnetic field strength B and the ICRF power. The TDE estimations of RF-induced plasma potentials are consistent with previous results based on the probe measurements of poloidal phase velocity. The results suggest that effective ICRH heating with reduced impurity production is possible when the antenna/box system is designed so as to reduce the RF-induced image currents that flow in the grounded conducting antenna frame elements that surround the RF antenna current straps.« less

Volume-wise destruction of the antiferromagnetic Mott insulating state through quantum tuning.

NASA Astrophysics Data System (ADS)

Uemura, Yasutomo

RENiO3 (RE = rare-earth element) and V2O3 are archetypal Mott insulator systems. When tuned by chemical substitution (RENiO3) or hydrostatic pressure (V2O3) , they exhibit a quantum phase transition (QPT) between an antiferromagnetic Mott insulating state and a paramagnetic metallic state. We demonstrate through muon spin relaxation/rotation (μSR) experiments that the QPT in RENiO3 and V2O3 is first order: the magnetically ordered volume fraction decreases to zero at the QPT, resulting in a broad region of intrinsic phase separation, while the ordered magnetic moment retains its full value until it is suddenly destroyed at the QPT. These two cases correspond to the band-width tuning of Mott transitions, and also associated with structural phase transitions, Volume evolutions of antiferromagnetic transition from μSR will be compared to those of structure by x-ray and metallicity by nano optics, in first-order thermal Mott transition in a V2O3 film at ambient pressure. These results will be compared to the process of destruction of magnetic order in another Mott transition system Ba(Co,Ni)S2 in ``filling control'' without structural transition, and in parent compounds of high-Tc cuprates and Fe-based superconductors. We will also discuss roles of first-order quantum transition in generating soft modes relevant to magnetic resonance mode in unconventional superconductors. Work performed in collaboration with the groups of: J.A. Alonso (Madrid), H. Kageyama (Kyoto). E. Morenzoni (PSI), G.M. Luke (McMaster), C.Q. Jin (IOP Beijing), F.L. Ning (Zhejian), S.J.L. Billinge (Columbia), S. Shamoto, W. Higemoto (JAEA), A. Fujimori (Tokyo), A. Gauzzi (Paris), R. de Renzi (Parma), G. Kotliar (Rutgers), M. Imada (Tokyo), D. Basov (UCSD), I, Schuller (UCSD). supported by NSF DMR-1610633 and DMR-1436095 (DMREF).

The Worldwide Interplanetary Scintillation (IPS) Stations (WIPSS) Network in support of Space-Weather Science and Forecasting

NASA Astrophysics Data System (ADS)

Bisi, M. M.; Gonzalez-Esparza, A.; Jackson, B. V.; Aguilar-Rodriguez, E.; Tokumaru, M.; Chashei, I. V.; Tyul'bashev, S. A.; Manoharan, P. K.; Fallows, R. A.; Chang, O.; Mejia-Ambriz, J. C.; Yu, H. S.; Fujiki, K.; Shishov, V.

2016-12-01

The phenomenon of space weather - analogous to terrestrial weather which describes the changing low-altitude atmospheric conditions on Earth - is essentially a description of the changes in the plasma environment at and near the Earth. Some key parameters for space-weather purposes driving space weather at the Earth include velocity, density, magnetic field, high-energy particles, and radiation coming into and within the near-Earth space environment. Interplanetary scintillation (IPS) can be used to provide a global measure of velocity and density as well as indications of changes in the plasma and magnetic-field rotations along each observational line of sight. If the observations are formally inverted into a three-dimensional (3-D) tomographic reconstruction (such as using the University of California, San Diego - UCSD - kinematic model and reconstruction technique), then source-surface magnetic fields can also be propagated out to the Earth (and beyond) as well as in-situ data also being incorporated into the reconstruction. Currently, this has been done using IPS data only from the Institute for Space-Earth Environmental (ISEE) and has been scientifically since the 1990s, and in a forecast mode since around 2000. There is now a defined IPS Common Data Format (IPSCDFv1.0) which is being implemented by the majority of the IPS community (this also feeds into the tomography). The Worldwide IPS Stations (WIPSS) Network aims to bring together, using IPSCDFv1.0, the worldwide real-time capable IPS observatories with well-developed and tested analyses techniques being unified across all single-site systems (such as MEXART, Pushchino, and Ooty) and cross-calibrated to the multi-site ISEE system (as well as learning from the scientific-based systems such as EISCAT, LOFAR, and the MWA), into the UCSD 3-D tomography to improve the accuracy, spatial and temporal data coverage, and both the spatial and temporal resolution for improved space-weather science and forecast capabilities.

Determination of a clinically important difference and definition of a responder threshold for the UCSD performance-based skills assessment (UPSA) in patients with major depressive disorder.

PubMed

Harvey, Philip D; Jacobson, William; Zhong, Wei; Nomikos, George G; Cronquist Christensen, Michael; Kurre Olsen, Christina; Merikle, Elizabeth

2017-04-15

This article reports an evaluation of the psychometric properties and clinically important difference (CID) threshold of the UCSD Performance-Based Skills Assessment (UPSA) in major depressive disorder (MDD), using data from a large-scale study of the effects of vortioxetine on cognitive functioning and functional capacity in MDD patients. Adults with moderate-to-severe recurrent MDD and self-reported cognitive dysfunction were randomized to 8 weeks of double-blind treatment with vortioxetine 10/20mg QD (flexible), duloxetine 60mg QD, or placebo. Pearson correlation coefficients were calculated between UPSA composite score and demographic/disease characteristics at baseline to examine construct validity. Two methods (distribution-based and anchor-based) were used to establish a CID threshold. A total of 602 patients were randomized; 528 comprised the full analysis set. For the entire sample mean UPSA composite scores were 77.8 at baseline and 83.9 at week 8 (mean change, +6.1). As hypothesized, at baseline, the UPSA composite score correlated with cognitive functioning (Digit Symbol Substitution Test: r=0.36, P<0.001) and workplace productivity (Work Limitations Questionnaire: r=-0.17, P=0.008), but not depressive symptoms (Montgomery-Åsberg Depression Rating Scale: r=0.02, P=0.707) or subjective cognitive dysfunction (Perceived Deficits Questionnaire: r=-0.02, P=0.698). Two versions of the UPSA were used and no inclusion/exclusion criteria were based on the UPSA. These results support the construct validity of UPSA for assessing functional capacity independent of mood symptoms. The estimated CID for changes in UPSA scores was quite consistent at +6.4 points and +6.7 based on distribution-based and anchor-based methods, respectively. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

NASA Global GNSS Network (GGN) Status and Plans

NASA Astrophysics Data System (ADS)

Doelger, S.; Sklar, J.; Blume, F.; Meertens, C. M.; Mattioli, G. S.

2015-12-01

UNAVCO, in conjunction with JPL, is responsible for monitoring the 62 GNSS permanent stations, which include 88 GPS receivers, which comprise the NASA Global GNSS Network (GGN). These sites represent approximately 16% of the ~400 International GNSS Service (IGS) stations, and they provide a globally distributed GNSS network to support NASA operations and its commitments to GGOS. UNAVCO provides data flow monitoring, trouble-shooting, station installation, maintenance, as well as engineering services to improve the capabilities and performance of station infrastructure. Activities this past year include the installation of a geodetic quality wellhead monument for the new SEY2 station to replace SEY1, which is mounted on a UCSD seismic station in the Seychelles Islands. SEY1 will be removed soon to accommodate planned maintenance and upgrades by UCSD. Data from both SEY1 and SEY2 are being collected concurrently until maintenance begins. MRTG (Multi Router Traffic Grapher), a tool to aid in characterizing bandwidth usage and to identify communications problems, is now being used to monitor data throughput at 7 stations where VSAT or radio telemetry are used, including: ABPO; AREQ; FALK; GUAM; HARV; ISPA; QUIN; and STHL. Aging computers are being replaced with new hardware running Linux CentOS. These are semi-ruggedized low power solid-state systems built to endure challenging environments. With the aid of on-site collaborators, systems are now deployed at: FALK; CUSV; KELY; STHL; SANT; and ZAMB. Last, 4 new GPS stations were deployed for NASA's Space Geodesy Project (SGP); three of which (KOKF, KOKG, and KOKR) are located at Koke'e Park Geophysical Observatory on Kauai, Hawai'i, and HAL1 at the Haleakala observatory complex on Maui, Hawai'i. A campaign system was set up at Koke'e in order to sample data quality to determine if an additional station would be viable. Planning is ongoing for deployment of several new stations next year at McDonald Observatory (TX).

Community health centers employ diverse staffing patterns, which can provide productivity lessons for medical practices.

PubMed

Ku, Leighton; Frogner, Bianca K; Steinmetz, Erika; Pittman, Patricia

2015-01-01

Community health centers are at the forefront of ambulatory care practices in their use of nonphysician clinicians and team-based primary care. We examined medical staffing patterns, the contributions of different types of staff to productivity, and the factors associated with staffing at community health centers across the United States. We identified four different staffing patterns: typical, high advanced-practice staff, high nursing staff, and high other medical staff. Overall, productivity per staff person was similar across the four staffing patterns. We found that physicians make the greatest contributions to productivity, but advanced-practice staff, nurses, and other medical staff also contribute. Patterns of community health center staffing are driven by numerous factors, including the concentration of clinicians in communities, nurse practitioner scope-of-practice laws, and patient characteristics such as insurance status. Our findings suggest that other group medical practices could incorporate more nonphysician staff without sacrificing productivity and thus profitability. However, the new staffing patterns that evolve may be affected by characteristics of the practice location or the types of patients served. Project HOPE—The People-to-People Health Foundation, Inc.

NASA Johnson Space Center Medical Licensing Opportunities

NASA Technical Reports Server (NTRS)

Hernandez-Moya, Sonia

2009-01-01

This presentation reviews patented medical items that are available for licensing in the areas of Laboratory Technologies, Medical Devices, Medical Equipment and other technologies that are of interest to the medical community.

Statement of the American Psychological Association in response to the "joint principles: integrating behavioral health care into the patient-centered medical home".

PubMed

Anderson, Norman B; Belar, Cynthia D; Cubic, Barbara A; Garrison, Ellen G; Johnson, Suzanne Bennett; Kaslow, Nadine J

2014-06-01

Comments on the article "Joint principles: Integrating behavioral health care into the patient-centered medical home" (see record 2014-24217-011), presented by the Working Party Group on Integrated Behavioral Healthcare. The American Psychological Association (APA) shares concerns about the lack of reference to behavioral health care in the original 2007 Joint Principles of the Patient-Centered Medical Home for which this new document is intended to supplement but not replace. The decision to support the supplemental Joint Principles was not an easy one for APA, as there is one area of significant concern. That concern is related to the use of the term "physician-directed medical practice"

Holmium:YAG laser coronary angioplasty: quantitative angiography and clinical results in a large experience of a single medical center

NASA Astrophysics Data System (ADS)

Topaz, On; Luxenberg, Michael; Schumacher, Audrey

1994-07-01

Clinical experience with the mid IR holmium:YAG laser in a single medical center (St. Paul Ramsey Medical Center, University of Minnesota Medical School, St. Paul, MN) includes 112 patients who underwent holmium laser coronary angioplasty. Utilizing a unique lasing technique; `pulse and retreat,' we applied this laser to thrombotic and nonthrombotic lesions in patients presenting with unstable angina, stable angina, and acute myocardial infarction. A very high clinical success and very low complication rates were achieved. Holmium:YAG laser is effective and safe therapy for patients with symptomatic coronary artery disease. Unlike excimer lasers, the clinical success, efficacy and safety of holmium laser angioplasty is not compromised when thrombus is present.

Person-centered medical interview

PubMed Central

Đorđević, Veljko; Braš, Marijana; Brajković, Lovorka

2012-01-01

Abstract We are witnessing an unprecedented development of medical science and personalized medicine. However, technological superiority must not make us lose sight of the physical, psychological, social, and spiritual totality of the patient. The core of the medical profession has always been and will be the relationship between the health professional and the person seeking assistance. However, the traditional relationship between the physician and the patient has changed and is greatly impacted by huge social, philosophical, economic, and scientific developments. It is important to develop and promote the culture of health instead of the culture of illness through a patient-doctor collaborative partnership, as well as partnership among professionals. Person-centered medical interview is an important bridge between personalized and person-centered medicine. PMID:22911522

Substantial variation in the acceptance of medically complex live kidney donors across US renal transplant centers

PubMed Central

Reese, PP; Feldman, HI; McBride, MA; Anderson, K; Asch, DA; Bloom, RD

2008-01-01

Concern exists about accepting live kidney donation from “medically complex donors” -those with risk factors for future kidney disease. This study’s aim was to examine variation in complex kidney donor use across United States (US) transplant centers. We conducted a retrospective cohort study of live kidney donors using Organ Procurement and Transplantation Network data. Donors with hypertension, obesity, or estimated glomerular filtration rate (eGFR) <60 ml/minute/1.73m2 were considered medically complex. Among 9319 donors, 2254 (24.2%) were complex: 1194 (12.8%) were obese, 956 (10.3%) hypertensive, and 392 (4.2%) had low eGFR. The mean proportion of medically complex donors at a center was 24% (range 0 – 65%.) In multivariate analysis, donor characteristics associated with medical complexity included spousal relationship to the recipient (OR 1.29, CI 1.06-1.56, p<0.01), low education (OR 1.19, CI 1.04-1.37, p=0.01), older age (OR 1.01 per year, CI 1.01-1.02, p<0.01), and non-US citizenship (OR 0.70, CI 0.51-0.97, p=0.01). Renal transplant centers with the highest transplant volume (OR 1.26, CI 1.02-1.57, p=0.03), and with a higher proportion of (living donation)/(all kidney transplants) (OR 1.97, CI 1.23-3.16, p<0.01) were more likely to use medically complex donors. Though controversial, the use of medically complex donors is widespread and varies widely across centers. PMID:18727695

Photocopy of photograph in the Fitzsimons Army Medical Center real ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of photograph in the Fitzsimons Army Medical Center real property book (green cloth cover), east and south sides. - Fitzsimons General Hospital, Pharmacy & Prophylactic Station, Northwest Corner of West McAfee Avenue & South Eighth Street, Aurora, Adams County, CO

Predictors of Late Reperfusion in STEMI Patients Undergoing Primary Angioplasty. Impact of the Place of First Medical Contact.

PubMed

Carol Ruiz, Antoni; Masip Utset, Josep; Ariza Solé, Albert

2017-03-01

The benefit of primary angioplasty may be reduced if there are delays to reperfusion. Identification of the variables associated with these delays could improve health care. Analysis of the Codi Infart registry of Catalonia and of the time to angioplasty depending on the place of first medical contact. In 3832 patients analyzed, first medical contact took place in primary care centers in 18% and in hospitals without a catheterization laboratory in 37%. Delays were longer in these 2 groups than in patients attended by the outpatient emergency medical system or by hospitals with a catheterization laboratory (P < .0001, results in median): first medical contact to reperfusion indication time was 42minutes in both (overall 35minutes); first medical contact to artery opening time was 131 and 143minutes, respectively (overall 121minutes); total ischemia time was 230 and 260minutes (overall 215minutes). First medical contact to artery opening time > 120minutes was strongly associated with first medical contact in a center without a catheterization laboratory (OR, 4.96; 95% confidence interval, 4.14-5.93), and other factors such as age, previous coronary surgery, first medical contact during evening hours, nondiagnostic electrocardiogram, and Killip class ≥ III. Mortality at 30 days and 1 year was 5.6% and 8.7% and was independently associated with age, longer delay to angioplasty, Killip class ≥ II, and first medical contact in a center with a catheterization laboratory. In more than 50% of patients requiring primary angioplasty, the first medical contact occurs in centers without a catheterization laboratory, which is an important predictor of delay from diagnosis to artery opening. Copyright © 2016 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

Reduced acute inpatient care was largest savings component of Geisinger Health System's patient-centered medical home.

PubMed

Maeng, Daniel D; Khan, Nazmul; Tomcavage, Janet; Graf, Thomas R; Davis, Duane E; Steele, Glenn D

2015-04-01

Early evidence suggests that the patient-centered medical home has the potential to improve patient outcomes while reducing the cost of care. However, it is unclear how this care model achieves such desirable results, particularly its impact on cost. We estimated cost savings associated with Geisinger Health System's patient-centered medical home clinics by examining longitudinal clinic-level claims data from elderly Medicare patients attending the clinics over a ninety-month period (2006 through the first half of 2013). We also used these data to deconstruct savings into its main components (inpatient, outpatient, professional, and prescription drugs). During this period, total costs associated with patient-centered medical home exposure declined by approximately 7.9 percent; the largest source of this savings was acute inpatient care ($34, or 19 percent savings per member per month), which accounts for about 64 percent of the total estimated savings. This finding is further supported by the fact that longer exposure was also associated with lower acute inpatient admission rates. The results of this study suggest that patient-centered medical homes can lead to sustainable, long-term improvements in patient health outcomes and the cost of care. Project HOPE—The People-to-People Health Foundation, Inc.

The Impact of Centers and Institutes on Faculty Life: Findings from a Study of Life Sciences Faculty at Research-Intensive Universities' Medical Schools

ERIC Educational Resources Information Center

Bunton, Sarah A.; Mallon, William T.

2007-01-01

This article reports on the impact of organized research centers on professional effort, productivity, and perceptions of work satisfaction for life sciences faculty members at research intensive universities' medical schools in the U.S. Results indicate that senior center-affiliated faculty members taught less but worked more total hours than…

Providing Medical Information to College Health Center Personnel: A Circuit Librarian Service at the University of Illinois

ERIC Educational Resources Information Center

Stumpff, Julia C.

2003-01-01

College health center personnel are no different from other health practitioners in their need for medical information. To help meet this need, the McKinley Health Center, University of Illinois Urbana-Champaign, developed a partnership in 1997 with the Library of the Health Sciences-Urbana, a regional site library of the University of Illinois at…

Military Nurses Perceptions of Autonomy

DTIC Science & Technology

2002-05-01

Medical Battalion, Fort Sam Houston, TX. 1996-1998 Head Nurse, Newborn Nursery, Bayne -Jones Army Community Hospital, Fort Polk, LA. 1996-1998 Staff Nurse...Army Medical Center, Fort Sam Houston, TX. 1984-1990 NCOIC, Department of Biochemistry , Division of Biochemistry , Walter Reed Army Institute of...Publications:(under previous name De La Hoz)(Selected) De La Hoz, D. and Wood, S. (1995). Pediatric Quick Reference. Brooke Army Medical Center, Fort Sam

The Medical Library and Media Center of Keio University in Tokyo: report on a visit.

PubMed Central

Accart, J P

1995-01-01

The Medical Library and Media Center at Keio University in Tokyo offers many facilities to its users: access to medical information within a large catalog of monographs and journals, online searching and CD-ROM databases, and a dynamic interlibrary loan service. This article is a report of a professional visit to the library on September 30, 1993. PMID:7703947

PASTE: patient-centered SMS text tagging in a medication management system.

PubMed

Stenner, Shane P; Johnson, Kevin B; Denny, Joshua C

2012-01-01

To evaluate the performance of a system that extracts medication information and administration-related actions from patient short message service (SMS) messages. Mobile technologies provide a platform for electronic patient-centered medication management. MyMediHealth (MMH) is a medication management system that includes a medication scheduler, a medication administration record, and a reminder engine that sends text messages to cell phones. The object of this work was to extend MMH to allow two-way interaction using mobile phone-based SMS technology. Unprompted text-message communication with patients using natural language could engage patients in their healthcare, but presents unique natural language processing challenges. The authors developed a new functional component of MMH, the Patient-centered Automated SMS Tagging Engine (PASTE). The PASTE web service uses natural language processing methods, custom lexicons, and existing knowledge sources to extract and tag medication information from patient text messages. A pilot evaluation of PASTE was completed using 130 medication messages anonymously submitted by 16 volunteers via a website. System output was compared with manually tagged messages. Verified medication names, medication terms, and action terms reached high F-measures of 91.3%, 94.7%, and 90.4%, respectively. The overall medication name F-measure was 79.8%, and the medication action term F-measure was 90%. Other studies have demonstrated systems that successfully extract medication information from clinical documents using semantic tagging, regular expression-based approaches, or a combination of both approaches. This evaluation demonstrates the feasibility of extracting medication information from patient-generated medication messages.

Outsourcing your medical practice call center: how to choose a vendor to ensure regulatory compliance.

PubMed

Johnson, Bill

2014-01-01

Medical practices receive hundreds if not thousands of calls every week from patients, payers, pharmacies, and others. Outsourcing call centers can be a smart move to improve efficiency, lower costs, improve customer care, ensure proper payer management, and ensure regulatory compliance. This article discusses how to know when it's time to move to an outsourced call center, the benefits of making the move, how to choose the right call center, and how to make the transition. It also provides tips on how to manage the call center to ensure the objectives are being met.

[The medical social aspects of ambulatory medical care to victims of road traffic accidents].

PubMed

Gorbunkov, V Ia; Bugaev, D A; Derevianko, D V

2012-01-01

The article discusses the issues of the organization of medical care to victims of road traffic accidents. The analysis of primary appealability of patients to the first-aid center of Stavropol and Novorossiysk during 2008-2010 is presented. The sampling consisted of 904 cases of this kind of trauma. It is established that among victims of road traffic accident appealed to first-aid centers the pedestrians consist the major part. The traumas of limbs are among the most frequently occurred cases. The victims with cranio-cerebral injuries are among those who appealed most frequently for medical aid. Besides that in most cases (63.4%) the victims with cranio-cerebral injuries were transported not to the neurologic surgery clinic but to the first-aid center This action increased the number of transport stages and duration of time gap before specialized medical care was applied. The conclusion is made concerning the need of further development of out-patient urgent medical care to victims of road traffic accidents.

Nursing Home Stakeholder Views of Resident Involvement in Medical Care Decisions

PubMed Central

Garcia, Theresa J.; Harrison, Tracie C.; Goodwin, James S.

2017-01-01

Demand by nursing home residents for involvement in their medical care, or, patient-centered care, is expected to increase as baby boomers begin seeking long-term care for their chronic illnesses. To explore the needs in meeting this proposed demand, we used a qualitative descriptive method with content analysis to obtain the joint perspective of key stakeholders on the current state of person-centered medical care in the nursing home. We interviewed 31 nursing home stakeholders: 5 residents, 7 family members, 8 advanced practice registered nurses, 5 physicians, and 6 administrators. Our findings revealed constraints placed by the long-term care system limited medical involvement opportunities and created conflicting goals for patient-centered medical care. Resident participation in medical care was perceived as low, but important. The creation of supportive educational programs for all stakeholders to facilitate a common goal for nursing home admission and to provide assistance through the long-term care system was encouraged. PMID:25721717

Patient-centered medical home model: do school-based health centers fit the model?

PubMed

Larson, Satu A; Chapman, Susan A

2013-01-01

School-based health centers (SBHCs) are an important component of health care reform. The SBHC model of care offers accessible, continuous, comprehensive, family-centered, coordinated, and compassionate care to infants, children, and adolescents. These same elements comprise the patient-centered medical home (PCMH) model of care being promoted by the Affordable Care Act with the hope of lowering health care costs by rewarding clinicians for primary care services. PCMH survey tools have been developed to help payers determine whether a clinician/site serves as a PCMH. Our concern is that current survey tools will be unable to capture how a SBHC may provide a medical home and therefore be denied needed funding. This article describes how SBHCs might meet the requirements of one PCMH tool. SBHC stakeholders need to advocate for the creation or modification of existing survey tools that allow the unique characteristics of SBHCs to qualify as PCMHs.

Astronaut Gordon Cooper receives preflight medical exam for Gemini 5 flight

NASA Image and Video Library

1965-08-17

S65-28710 (17 Aug. 1965) --- Astronaut L. Gordon Cooper Jr., command pilot for the Gemini-5 spaceflight, has his blood pressure checked by Dr. Charles A. Berry, chief, Center Medical Programs, Manned Spacecraft Center, during a preflight physical examination.

38 CFR 17.351 - Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Philippines § 17.351 Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center. Grants to assist the Republic of the Philippines in the replacement and upgrading of equipment and in...

38 CFR 17.351 - Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Philippines § 17.351 Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center. Grants to assist the Republic of the Philippines in the replacement and upgrading of equipment and in...

38 CFR 17.351 - Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Philippines § 17.351 Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center. Grants to assist the Republic of the Philippines in the replacement and upgrading of equipment and in...

38 CFR 17.351 - Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Philippines § 17.351 Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center. Grants to assist the Republic of the Philippines in the replacement and upgrading of equipment and in...

38 CFR 17.351 - Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Philippines § 17.351 Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center. Grants to assist the Republic of the Philippines in the replacement and upgrading of equipment and in...

78 FR 36200 - National Cancer Institute; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-17

... personal privacy. Name of Committee: National Cancer Institute Special Emphasis Panel; Cancer Biology and... Logistics Branch, Division of Extramural Activities, National Cancer Institute, NIH, 9609 Medical Center... Branch, Division of Extramural Activities, National Cancer Institute, NIH, 9609 Medical Center Drive...

A 5-year scientometric analysis of research centers affiliated to Tehran University of Medical Sciences.

PubMed

Yazdani, Kamran; Rahimi-Movaghar, Afarin; Nedjat, Saharnaz; Ghalichi, Leila; Khalili, Malahat

2015-01-01

Since Tehran University of Medical Sciences (TUMS) has the oldest and highest number of research centers among all Iranian medical universities, this study was conducted to evaluate scientific output of research centers affiliated to Tehran University of Medical Sciences (TUMS) using scientometric indices and the affecting factors. Moreover, a number of scientometric indicators were introduced. This cross-sectional study was performed to evaluate a 5-year scientific performance of research centers of TUMS. Data were collected through questionnaires, annual evaluation reports of the Ministry of Health, and also from Scopus database. We used appropriate measures of central tendency and variation for descriptive analyses. Moreover, uni-and multi-variable linear regression were used to evaluate the effect of independent factors on the scientific output of the centers. The medians of the numbers of papers and books during a 5-year period were 150.5 and 2.5 respectively. The median of the "articles per researcher" was 19.1. Based on multiple linear regression, younger age centers (p=0.001), having a separate budget line (p=0.016), and number of research personnel (p<0.001) had a direct significant correlation with the number of articles while real properties had a reverse significant correlation with it (p=0.004). The results can help policy makers and research managers to allocate sufficient resources to improve current situation of the centers. Newly adopted and effective scientometric indices are is suggested to be used to evaluate scientific outputs and functions of these centers.

Student perceptions of a patient- centered medical training curriculum

PubMed Central

Gallentine, Ashley; Salinas-Miranda, Abraham A.; Shaffer-Hudkins, Emily; Hinojosa, Sara; Monroe, Alicia

2014-01-01

Objectives To evaluate a patient-centered medical training curriculum, the SELECT program, through perceptions of the inaugural student cohort. Methods Data were collected from two focus groups conducted in the university setting, comprised of fifteen first-year medical students who participated in the SELECT program during its inaugural year. A questioning protocol was used to guide the focus group discussion, which was transcribed and hand-coded through thematic analyses. Results Various themes related to patient-centered care were identified. Students noted changes in their attitudes towards interacting with patients in an empowering and educative manner as a result of communication and motivational interviewing exercises. Additionally, they recognized certain external, structural barriers as well as internal conflict between pragmatism and emotional intelligence that could potentially hinder patient-centered care. The impact of family dynamics and social support on quality of life and health outcomes was acknowledged. Students also emphasized the value of collaborating with multiple health professionals. Lastly, students provided suggestions for program improvement, namely additional simulations, more education regarding other healthcare professionals’ roles, more standardized experiences, and application of principles to acute and primary care. Conclusions Upon completion of the first year of the SELECT program, students gained an appreciation for patient-centered care and various factors and skills that facilitate such care. Additionally, they experienced a dissonance between didactic concepts from the curriculum and observed medical practices. This study highlights the educational benefits of a patient-centered medical curriculum and provides suggestions for future improvement. PMID:25341218

When a physician and a clinical ethicist collaborate for better patient care.

PubMed

Arawi, Thalia; Charafeddine, Lama

2018-06-01

Bioethics is a relatively new addition to bedside medical care in Arab world which is characterized by a special culture that often makes blind adaptation of western ethics codes and principles; a challenge that has to be faced. To date, the American University of Beirut Medical Center is the only hospital that offers bedside ethics consultations in the Arab Region aiming towards better patient-centered care. This article tackles the role of the bedside clinical ethics consultant as an active member of the medical team and the impact of such consultations on decision-making and patient-centered care. Using the case of a child with multiple medical problems and a futile medical condition, we describe how the collaboration of the medical team and the clinical ethics consultant took a comprehensive approach to accompany and lead the parents and the medical team in their decision-making process and how the consultations allowed several salient issues to be addressed. This approach proved to be effective in the Arab cultural setting and indeed did lead to better patientcentered care. © 2018 John Wiley & Sons Ltd.

The safety net medical home initiative: transforming care for vulnerable populations.

PubMed

Sugarman, Jonathan R; Phillips, Kathryn E; Wagner, Edward H; Coleman, Katie; Abrams, Melinda K

2014-11-01

Despite findings that medical homes may reduce or eliminate health care disparities among underserved and minority populations, most previous medical home pilot and demonstration projects have focused on health care delivery systems serving commercially insured patients and Medicare beneficiaries. To develop a replicable approach to support medical home transformation among diverse practices serving vulnerable and underserved populations. Facilitated by a national program team, convening organizations in 5 states provided coaching and learning community support to safety net practices over a 4-year period. To guide transformation, we developed a framework of change concepts aligned with supporting tools including implementation guides, activity checklists, and measurement instruments. Sixty-five health centers, homeless clinics, private practices, residency training centers, and other safety net practices in Colorado, Idaho, Massachusetts, Oregon, and Pennsylvania. We evaluated implementation of the change concepts using the Patient-Centered Medical Home-Assessment, and conducted a survey of participating practices to assess perceptions of the impact of the technical assistance. All practices implemented key features of the medical home model, and nearly half (47.6%) implemented the 33 identified key changes to a substantial degree as evidenced by level A Patient-Centered Medical Home-Assessment scores. Two thirds of practices that achieved substantial implementation did so only after participating in the initiative for >2 years. By the end of the initiative, 83.1% of sites achieved external recognition as medical homes. Despite resource constraints and high-need populations, safety net clinics made considerable progress toward medical home implementation when provided robust, multimodal support over a 4-year period.

Responses of a vulnerable Hispanic population in New Jersey to Hurricane Sandy: Access to care, medical needs, concerns and ecological ratings

PubMed Central

Burger, Joanna; Gochfeld, Michael; Pittfield, Taryn; Jeitner, Christian

2017-01-01

Recent increases in hurricanes led to a need to evaluate access to medical care, medical needs, and personal and community impact on vulnerable populations, particularly elderly, low income, and minority communities. This article examines access to care, interruptions in medical services, personal impact from Hurricane Sandy, and agreement with ecological statements related to storms, flooding and damages in Hispanic/Latino patients receiving health care at Federally Qualified Health Centers in New Jersey. Only 10 % of 335 Hispanic interviewees were U.S. born. Self-identified personal impact was a better indicator of effects from Sandy, health center use, and medical issues, than was a community impact rating. Respondents who gave a high personal impact rating were more likely to have evacuated, had longer power outage, were more likely to need medical care, had more trouble getting to centers, and had more medical interruptions during Sandy. A higher percentage of respondents who evacuated, needed the center, had trouble getting there, and had more “medical need” than those who did not evacuate. The greatest impacts were on respondents who were told to evacuate before the storm, but did not (46 % had “medical need”). The respondents had high agreement ratings for “storms are due to climate change”, followed by “frequent and stronger storms will come more often”, “flooding is due to sea level rise”, and “changing climate is due mainly to human activity and not natural causes”. These ratings will aid public policy makers and planners in developing resiliency strategies for vulnerable coastal communities. PMID:28644717

Responses of a vulnerable Hispanic population in New Jersey to Hurricane Sandy: Access to care, medical needs, concerns, and ecological ratings.

PubMed

Burger, Joanna; Gochfeld, Michael; Pittfield, Taryn; Jeitner, Christian

2017-01-01

Recent increases in hurricanes led to a need to evaluate access to medical care, medical needs, and personal and community impact on vulnerable populations, particularly elderly, low income, and minority communities. This investigation examined (1) access to care, (2) interruptions in medical services, (3) personal impact from Hurricane Sandy, and (4) agreement with ecological statements related to storms, flooding, and damages in Hispanic/Latino patients receiving health care at Federally Qualified Health Centers in New Jersey. Only 10% of 335 Hispanic interviewees were US born. Self-identified personal impact was a better indicator of effects from Sandy, health center use, and medical issues, than community impact rating. Respondents who provided a high personal impact rating were more likely to have evacuated, had longer power outage, were more likely to need medical care, displayed more trouble getting to centers, and exhibited more medical interruptions during Sandy. A higher % respondents who evacuated, needed the center, had trouble getting there, and had more "medical need" than those who did not evacuate. The greatest impacts were on respondents who were told to evacuate before the storm, but did not (46% had "medical need"). The respondents had high agreement ratings for "storms are due to climate change," followed by "frequent and stronger storms will come more often," "flooding is due to sea level rise," and "changing climate is due mainly to human activity and not natural causes". These ratings may aid public policymakers and planners in developing resiliency strategies for vulnerable coastal communities.

[Training of medical physicists in radiation therapy at the International Educational Center of the Association of Medical Physicists in Russia].

PubMed

Kostylev, V A; Lysenko, M N; Zhgutov, A V; Ulanov, D V; Kislyakova, M V; Kazantsev, P V; Kostylev, D V; Narkevich, B Y

2015-01-01

The efficiency of radiotherapy treatment for cancer patients and use of the state-of-the-art accelerator facilities, in the first place, depends on the qualification and number of medical physicists. The need for the training and continuing professional development (CPD) of medical radiation physicists in Russia and CIS countries has dramatically increased today. The article considers the system of refresher training which should provide the continuing professional development and advance training of medical radiation physicists. The authors analyze the experience of the International Educational Center of the Association of Medical Physicists in Russia involved in the CPD of medical physicists under the IAEA TC projects, RMAPO and N.N. Blokhin RCRC joint educational programs.

The Impact of Price Transparency for Surgical Services.

PubMed

Mehta, Ambar; Xu, Tim; Bai, Ge; Hawley, Kristy L; Makary, Martin A

2018-04-01

Increasing insurance deductibles have prompted some medical centers to initiate transparent pricing. However, the impact of price transparency (PT) on surgical volume, revenue, and patient satisfaction is unknown, along with the barriers to achieving PT. We identified ambulatory surgical centers in the Free Market Medical Association database that publicly list prices for surgical services online. Six of eight centers (75%) responded to our data collection inquiry. Among five centers that reported their patient volume and revenue after adopting PT, patient volume increased by a median of 50 per cent (range 10-200%) at one year. Four centers (80%) reported an increase in revenue by a median of 30 per cent (range 4-75%), whereas three centers (60%) experienced an increase in third-party administrator contracts with the average increase being seven new third-party administrator contracts (range = 2-12 contracts). Three centers (50%) reported a reduction in their administrative burden and five centers (83%) reported an increase in patient satisfaction and patient engagement after PT. The leading barrier reported to making prices transparent was discouragement from another practice, hospital, or insurance company. The findings of this preliminary study may help guide medical practices in designing and implementing PT strategies.

Search for New Superconductors for Energy and Power Applications

DTIC Science & Technology

2014-10-21

superconductors, borides , carbides, silicides, and chalcogenides. In addition, a number of thin film systems have been explored: A15s, superlattices, arrays of...YBa2Cu3O7 Bi2Se3 Eu-Si-C ErRh4B4 Bi2Sr2CaCu2O8 (UD, OD) Sb2Se3 V-Si-C (Ga,Mn)As CuO ZrSe2 Sm-Si-C Hf(FeCo)P Y1-xCaxCrO3 Fe-Te-Se BORIDES Hf-Fe-C-P...Physics, Warsaw, Poland Table III New superconductors, discovered by UCSD MURI team. BORIDES Tc (K) Nb0.9Zr0.1B 11.2 ZrNbxB 9.0 ZrVxB 9.0

The Impact of Cervical Cancer Education for Deaf Women Using a Video Educational Tool Employing American Sign Language, Open Captioning, and Graphics

PubMed Central

Choe, Sun; Lim, Rod Seung-Hwan; Clark, Karen; Wang, Regina; Branz, Patricia; Sadler, Georgia Robins

2013-01-01

Background Deaf women encounter barriers to accessing cancer information. In this study, we evaluated whether deaf women's knowledge could be increased by viewing a graphically enriched, American Sign Language (ASL) cervical cancer education video. Methods A blind, randomized trial evaluated knowledge gain and retention. Deaf women (n = 130) completed questionnaires before, after, and 2 months after viewing the video. Results With only a single viewing of the in-depth video, the experimental group gained and retained significantly more cancer knowledge than the control group. Conclusions Giving deaf women access to the ASL cervical cancer education video (http://cancer.ucsd.edu/deafinfo) significantly increased their knowledge of cervical cancer. PMID:19259859

Earth observation images taken as part of the EarthKAM educational program

NASA Image and Video Library

2000-02-13

S99-E-5267 (13 February 2000) --- City of El Paso, Texas, and Ciudad Juarez, Chihuahua, Mexico and the Rio Grande River, which separates them. An electronic still camera (ESC), mounted in one of Endeavour's aft flight deck windows, is recording imagery of hundreds of Earth targets for the EarthKAM project. Students across the United States and in France, Germany and Japan are taking photos throughout the STS-99 mission. And they are using these new photos, plus all the images already available in the EarthKAM system, to enhance their classroom learning in Earth and space science, social studies, geography, mathematics and more. For general EarthKAM information and more images from this flight, go to http://www.earthkam.ucsd.edu/

The Earth Microbiome Project and Global Systems Biology

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

Gilbert, Jack A.; Jansson, Janet K.; Knight, Rob

Recently, we published the first large-scale analysis of data from the Earth Microbiome Project (1, 2), a truly multidisciplinary research program involving more than 500 scientists and 27,751 samples acquired from 43 countries. These samples represent myriad specimen types and span a wide range of biotic and abiotic factors, geographic locations, and physicochemical properties. The database (https://qiita.ucsd.edu/emp/) is still growing, with over 90,000 amplicon datasets, >500 metagenomic runs, and metabolomics datasets from a similar number of samples. Importantly, the techniques, data and analytical tools are all standardized and publicly accessible, providing a framework to support research at a scale ofmore » integration that just 7 years ago seemed impossible.« less

XRootd, disk-based, caching proxy for optimization of data access, data placement and data replication

NASA Astrophysics Data System (ADS)

Bauerdick, L. A. T.; Bloom, K.; Bockelman, B.; Bradley, D. C.; Dasu, S.; Dost, J. M.; Sfiligoi, I.; Tadel, A.; Tadel, M.; Wuerthwein, F.; Yagil, A.; Cms Collaboration

2014-06-01

Following the success of the XRootd-based US CMS data federation, the AAA project investigated extensions of the federation architecture by developing two sample implementations of an XRootd, disk-based, caching proxy. The first one simply starts fetching a whole file as soon as a file open request is received and is suitable when completely random file access is expected or it is already known that a whole file be read. The second implementation supports on-demand downloading of partial files. Extensions to the Hadoop Distributed File System have been developed to allow for an immediate fallback to network access when local HDFS storage fails to provide the requested block. Both cache implementations are in pre-production testing at UCSD.

Biomedical Research and Technology. A Prognosis for International Economic Leadership. Commission on Academic Medical Centers and the Economy of New England [Report].

ERIC Educational Resources Information Center

New England Board of Higher Education, Boston, MA.

The focus of the work of the Commission on Academic Medical Centers and the Economy of New England is the financing competitors strength and future development of academic centers and biomedical companies in New England. Among the findings and recommendations of the Commission are the following: (1) the New England region will require several…

Use of nondestructive inspection and fiber optic sensing for damage characterization in carbon fiber fuselage structure

NASA Astrophysics Data System (ADS)

Neidigk, Stephen; Le, Jacqui; Roach, Dennis; Duvall, Randy; Rice, Tom

2014-04-01

To investigate a variety of nondestructive inspection technologies and assess impact damage characteristics in carbon fiber aircraft structure, the FAA Airworthiness Assurance Center, operated by Sandia National Labs, fabricated and impact tested two full-scale composite fuselage sections. The panels are representative of structure seen on advanced composite transport category aircraft and measured approximately 56"x76". The structural components consisted of a 16 ply skin, co-cured hat-section stringers, fastened shear ties and frames. The material used to fabricate the panels was T800 unidirectional pre-preg (BMS 8-276) and was processed in an autoclave. Simulated hail impact testing was conducted on the panels using a high velocity gas gun with 2.4" diameter ice balls in collaboration with the University of California San Diego (UCSD). Damage was mapped onto the surface of the panels using conventional, hand deployed ultrasonic inspection techniques, as well as more advanced ultrasonic and resonance scanning techniques. In addition to the simulated hail impact testing performed on the panels, 2" diameter steel tip impacts were used to produce representative impact damage which can occur during ground maintenance operations. The extent of impact damage ranges from less than 1 in2 to 55 in2 of interply delamination in the 16 ply skin. Substructure damage on the panels includes shear tie cracking and stringer flange disbonding. It was demonstrated that the fiber optic distributed strain sensing system is capable of detecting impact damage when bonded to the backside of the fuselage.

EEOC raps hospital. Equal Employment Opportunity Commission.

PubMed

1998-02-06

Baltimore's Veterans Affairs Medical Center lost a $260,000 judgement to a former medical clerk discriminated against by the hospital. The hospital alleged the employee was unreliable and had poor attendance, and the employee lost his home and custody of his daughter after being fired. The Equal Employment Opportunity Commission (EEOC) found the medical center's position implausible. In addition to the cash award, the EEOC recommended that the employee be reinstated.

Emergency Medical Treatment Needs: Chronic and Acute Exposure to Hazardous Materials.

DTIC Science & Technology

1982-06-01

II. CONTROLLING OFFICE NAME AND ADDRESS 12. REPORT DATE Federal Emergency Management Agency June 1982 Washington, D.C. 20472 IS. NUMBER OF PAGES 109...and Centers for Disease Control / NIOSHl . Local or regional (within state) providers/ coordinators of medical care for chemical casualties, i.e...from Poison Control Centers; from Ecology and Environment, Incorporated; and from the Medical University of South Carolina. The major computerized data

Who killed Rambhor?: The state of emergency medical services in India

PubMed Central

Garg, Rajesh H

2012-01-01

In India, the healthcare delivery system starts up from the sub-center at the village level and reaches up to super specialty medical centers providing state of the art emergency medical services (EMS). These highest centers, located in big cities, are considered the last referral points for the patients from nearby cities and states. As the incidents of rail and road accidents have increased in recent years, the role of EMS becomes critical in saving precious lives. But when the facilities and management of these emergency centers succumbs before the patient, then the question arises regarding the adequate availability and quality of EMS. The death of an unknown common man, Rambhor, for want of EMS in three big hospitals in the national capital of India put a big question on the “health” of the emergency health services in India. The emergency services infrastructure seems inadequate and quality and timely provision of EMS to critical patients appears unsatisfactory. There is lack of emergency medicine (EM) specialists in India and also the postgraduation courses in EM have not gained foot in our medical education system. Creation of a Centralized Medical Emergency Body, implementation of management techniques, modification of medical curriculum, and fixing accountability are some of the few steps which are required to improve the EMS in India. PMID:22416155

A Cultural Assessment of Tripler Regional Medical Center.

DTIC Science & Technology

1997-05-15

add value to the beneficiaries. The path Tripler Regional Medical Center has chosen to achieve the level of service quality required to sustain or grow...employing TQM management methods. The goals of this training include improvement in management, service quality , and in employee satisfaction, among

76 FR 14802 - Establishment of Class E Airspace; Lancaster, NH

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-18

... Standard Instrument Approach Procedure (SIAP) serving the Weeks Medical Center Heliport. This action enhances the safety and airspace management of Instrument Flight Rules (IFR) operations within the National... required to support the special standard instrument approach procedures developed for Weeks Medical Center...

Telemedicine: The Up Side, and . . .

ERIC Educational Resources Information Center

Risser, Joseph

1998-01-01

Explores universities involved with training in telemedicine and medical care provided through technology (International Telemedicine Center Inc. www.int-telemedicine.com/univ.html). Discusses the market for telemedicine, companies and university medical centers involved in its development, costs and savings to health care system, barriers to the…

Attitudes of medical students in Lahore, Pakistan towards the doctor–patient relationship

PubMed Central

Krupat, Edward; Asma, Yumna; Fatima, Noor-E-; Attique, Rayan; Mahmood, Umar; Waqas, Ahmed

2015-01-01

Background. A good doctor–patient relationship is the centre stone of modern medicine. Patients are getting increasingly aware about exercising their autonomy and thus modern medicine cannot deliver all its advances to the patients if a good doctor–patient relationship is not established. We initiated this study with the aim to assess the leaning of medical students, who are the future physicians, towards either a doctor-centered or a patient-centered care, and to explore the effects of personal attributes on care such as gender, academic year, etc. Materials & Methods. A cross-sectional study was conducted between July and Sep 2013. CMH Lahore Medical and Dental College Ethical Review Committee approved the study questionnaire. The study population consisted of 1,181 medical students in years 1–5 from two medical colleges. The English version of Patient Practitioner Orientation Scale (PPOS) was used to assess attitudes of medical students towards doctor–patient relationship. PPOS yields a mean score range of 1–6, where 1 signifies tendency towards a doctor centered relationship and 6 signifies patient-centered relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by multiple regression. Results. A total of 783 students formed the final sample (response rate = 92%). Mean PPOS score of the entire sample was 3.40 (± .49 S.D.). Mean sharing sub-scale score was 3.18 (± 0.62 S.D. Mean caring sub-scale score was 3.63 (± 0.56 S.D.). Characteristics associated with most patient-centered attitudes were advanced academic year, having a clinical rotation, foreign background and studying in a private college. Gender, having doctor parents, relationship and residence status had no bearing on the attitudes (p > 0.05). Conclusion. Despite ongoing debate and the emphasis on a patient-centered curriculum, our study suggests that the current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care. PMID:26157621

United States Air Force Summer Research Program -- 1993. Volume 16. Arnold Engineering Development Center. Frank J. Seiler Research Laboratory. Wilford Hall Medical Center

DTIC Science & Technology

1993-12-01

A I 7f t UNITED STATE AIR FORCE SUMMER RESEARCH PROGRAM -- 1993 SUMMER RESEARCH PROGRAM FINAL REPORTS VOLUME 16 ARNOLD ENGINEERING DEVELOPMENT CENTER...FRANK J. SELLER RESEARCH LABORATORY WILFORD HALL MEDICAL CENTER RESEARCH & DEVELOPMENT LABORATORIES 5800 Uplander Way Culver City, CA 90230-6608...National Rd. Vol-Page No: 15-44 Dist Tecumseh High School 8.4 New Carlisle, OH 45344-0000 Barber, Jason Laboratory: AL/CF 1000 10th St. Vol-Page No

Center of Excellence for Laser Applications in Medicine, Microlaser Microscope

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

Webb, R. H.

The Center of Excellence for Laser Applications in Medicine at the Schepens Eye Research Institute (SERI) is a Center for: A core group of researchers who support each other and their various projects for real-time medical imaging and diagnostics in contiguous space at SERI. Clinical collaborators who participate in the core research at SERI, MEEI, and local ophthalmology practices, and at associated sites around the world. Industrial partners who transfer our technology to commercial products that will reach clinical usage everywhere. Students, post-doctoral associates and medical fellows who work with us and learn how to practice real-time medical imaging andmore » diagnostics.« less

A Study to Develop an Assessment Tool and Evaluate the Social Work Service Quality Assurance Plan at Walter Reed Army Medical Center, Brooke Army Medical Center, and Fitzsimons Army Medical Center

DTIC Science & Technology

1987-07-01

the plan identify methods of integration with other military services (Army Community Service, Ariny Drug and Alcohol Prevention and Control Program...home care or out-of-home care setting. 1 2 3 4 5 NA 21.2.2.4 Patient safety and infection control . 1 2 3 4 5 NA 21.2.3 Personnel who provide social...4 5 NA SO2.2.4 Patient safety and infection control . 1 2 3 4 5 NA SO.2.3 Personnel who provide social work services participate in relevant continuing

Academic medical center libraries on the Web.

PubMed Central

Tannery, N H; Wessel, C B

1998-01-01

Academic medical center libraries are moving towards publishing electronically, utilizing networked technologies, and creating digital libraries. The catalyst for this movement has been the Web. An analysis of academic medical center library Web pages was undertaken to assess the information created and communicated in early 1997. A summary of present uses and suggestions for future applications is provided. A method for evaluating and describing the content of library Web sites was designed. The evaluation included categorizing basic information such as description and access to library services, access to commercial databases, and use of interactive forms. The main goal of the evaluation was to assess original resources produced by these libraries. PMID:9803298

Results of an Institutional LGBT Climate Survey at an Academic Medical Center.

PubMed

Chester, Sean D; Ehrenfeld, Jesse M; Eckstrand, Kristen L

2014-12-01

The purpose of this study was to characterize the climate and culture experienced by lesbian, gay, bisexual, and transgender (LGBT) employees and students at one large academic medical center. An anonymous, online institutional climate survey was used to assess the attitudes and experiences of LGBT employees and students. There were 42 LGBT and 14 non-LGBT survey participants. Results revealed that a surprisingly large percentage of LGBT individuals experienced pressure to remain "closeted" and were harassed despite medical center policies of non-discrimination. Continuing training, inclusive policies and practices, and the development of mechanisms to address LGBT-specific harassment are necessary for improving institutional climate.

FDA working to ensure the safety of medical devices used in the pediatric population.

PubMed

Flack, Marilyn Neder; Gross, Thomas P; Reid, Joy Samuels; Mills, Thalia T; Francis, Jacqueline

2012-12-01

Special initiatives exist in FDA's Center for Devices and Radiological Health (CDRH), the Center for Drug Evaluation and Research, and the Center for Biologics Evaluation and Research to ensure the safety and effectiveness of medical products used in the vulnerable pediatric population. This article focuses on the special programs, projects, and special studies implemented by CDRH to ensure this safety and effectiveness in devices used in pediatric patients throughout the devices' total product life-cycles. Pediatricians play a major role in keeping medical devices safe for use in children by reporting device problems to FDA. Published by Elsevier Inc.

PASTE: patient-centered SMS text tagging in a medication management system

PubMed Central

Johnson, Kevin B; Denny, Joshua C

2011-01-01

Objective To evaluate the performance of a system that extracts medication information and administration-related actions from patient short message service (SMS) messages. Design Mobile technologies provide a platform for electronic patient-centered medication management. MyMediHealth (MMH) is a medication management system that includes a medication scheduler, a medication administration record, and a reminder engine that sends text messages to cell phones. The object of this work was to extend MMH to allow two-way interaction using mobile phone-based SMS technology. Unprompted text-message communication with patients using natural language could engage patients in their healthcare, but presents unique natural language processing challenges. The authors developed a new functional component of MMH, the Patient-centered Automated SMS Tagging Engine (PASTE). The PASTE web service uses natural language processing methods, custom lexicons, and existing knowledge sources to extract and tag medication information from patient text messages. Measurements A pilot evaluation of PASTE was completed using 130 medication messages anonymously submitted by 16 volunteers via a website. System output was compared with manually tagged messages. Results Verified medication names, medication terms, and action terms reached high F-measures of 91.3%, 94.7%, and 90.4%, respectively. The overall medication name F-measure was 79.8%, and the medication action term F-measure was 90%. Conclusion Other studies have demonstrated systems that successfully extract medication information from clinical documents using semantic tagging, regular expression-based approaches, or a combination of both approaches. This evaluation demonstrates the feasibility of extracting medication information from patient-generated medication messages. PMID:21984605

San Antonio's Medical Center Corridor: Lessons Learned From The Metropolitan Model Deployment Initiative: Reducing Delay Through Integrated Freeway & Arterial Management

DOT National Transportation Integrated Search

2000-10-01

This report demonstrates the benefits and potential pitfalls of deploying and operating an integrated freeway and arterial management system. In particular, it discusses the lessons learned about the Medical Center Corridor (MCC) Project deployed in ...

WASTE MINIMIZATION OPPORTUNITY ASSESSMENT: OPTICAL FABRICATION LABORATORY - FITZSIMMONS ARMY MEDICAL CENTER

EPA Science Inventory

Under the Waste Reduction Evaluations at Federal Sites (WREAFS) program, RREL has taken the initiative to merge the experience and resources of the EPA with other Federal agencies. At the Fitzsimmons Army Medical Center (FAMC) in Aurora, Colorado, the Army and the EPA cooperated ...

A Sustained Partnership between a Haitian Children’s Hospital and North American Academic Medical Centers

PubMed Central

Koster, Michael P.; Williams, Jackson H.; Gautier, Jacqueline; Alce, Renee; Trappey, Bernard E.

2017-01-01

Global health initiatives from academic medical centers have rapidly proliferated over the last decade. This paper endeavors to describe our 5-year experience as an academic medical collaborative supporting healthcare delivery, medical training, and research at Hôpital Saint Damien-Nos Petits Frères et Soeurs, the only freestanding children’s hospital in Haiti. Descriptions of the history and current activities of our academic medical collaborative, its partnership and communication structure, its evolution to fill the expressed needs of our host site, its funding mechanisms, and its challenges and opportunities for the future are included. PMID:28611976

Development a heuristic method to locate and allocate the medical centers to minimize the earthquake relief operation time.

PubMed

Aghamohammadi, Hossein; Saadi Mesgari, Mohammad; Molaei, Damoon; Aghamohammadi, Hasan

2013-01-01

Location-allocation is a combinatorial optimization problem, and is defined as Non deterministic Polynomial Hard (NP) hard optimization. Therefore, solution of such a problem should be shifted from exact to heuristic or Meta heuristic due to the complexity of the problem. Locating medical centers and allocating injuries of an earthquake to them has high importance in earthquake disaster management so that developing a proper method will reduce the time of relief operation and will consequently decrease the number of fatalities. This paper presents the development of a heuristic method based on two nested genetic algorithms to optimize this location allocation problem by using the abilities of Geographic Information System (GIS). In the proposed method, outer genetic algorithm is applied to the location part of the problem and inner genetic algorithm is used to optimize the resource allocation. The final outcome of implemented method includes the spatial location of new required medical centers. The method also calculates that how many of the injuries at each demanding point should be taken to any of the existing and new medical centers as well. The results of proposed method showed high performance of designed structure to solve a capacitated location-allocation problem that may arise in a disaster situation when injured people has to be taken to medical centers in a reasonable time.

Better trauma care. How Maryland does it.

PubMed

Wish, John R; Long, William B; Edlich, Richard F

2005-01-01

In March, 1970, the Maryland State Police, in cooperation with the University of Maryland, started the first statewide airborne transportation system. It was modeled after the army's success in Korea and Vietnam, where battlefield injuries were flown to front-line MASH units. The world's premier statewide medical aviation division was made possible through a cooperative effort between the Maryland State Police Aviation Division and Dr. R Adams Cowley at the University of Maryland Hospital as a public service to the citizens of the state. The Maryland Institute for Emergency Medical Services Systems (MIEMSS) has five components: (1) aircraft, (2) state troopers, (3) system communications (SYSCOM) center, (4) ambulance and fire emergency rescue, and (5) Level I adult and pediatric trauma centers and a regional burn center. The Maryland State Police Aviation Division now has 12 Aerospace Dauphin AS365N helicopters that operate out of eight fixed points throughout the state. Each helicopter has a two-person crew that consists of a pilot and a paramedic. Since 1993, the overall coordination of emergency medical services (EMS) has been under the purview of MIEMSS, an independent executive-level state agency that is governed by an appointed board and advisory council. To ensure stable funding for Maryland's world renowned emergency medical services (EMS) system, including med-evac helicopters, ambulances, fire equipment, rescue squads, and trauma units, a "surcharge" of $13.50 per year is collected with the automobile registration fee where applicable. The SYSCOM center in Baltimore coordinates the helicopter transport to the scene of the accident as well as referral to the specialty care facility: Adult Level I Trauma Center, Pediatric Level I Trauma Center, and Regional Burn Center. An on-the-scene evaluation of this exemplary emergency medical system in Maryland provides further convincing evidence of the performance of the Maryland State Police Aviation Division as they transported an injured child to the Johns Hopkins Pediatric Level I Trauma Center. It is our belief that the model emergency medical system in Maryland, if replicated throughout our nation, would save the lives of the critically injured.

Critical Care Organizations in Academic Medical Centers in North America: A Descriptive Report.

PubMed

Pastores, Stephen M; Halpern, Neil A; Oropello, John M; Kostelecky, Natalie; Kvetan, Vladimir

2015-10-01

With the exception of a few single-center descriptive reports, data on critical care organizations are relatively sparse. The objectives of our study were to determine the structure, governance, and experience to date of established critical care organizations in North American academic medical centers. A 46-item survey questionnaire was electronically distributed using Survey Monkey to the leadership of 27 identified critical care organizations in the United States and Canada between September 2014 and February 2015. A critical care organization had to be headed by a physician and have primary governance over the majority, if not all, of the ICUs in the medical center. We received 24 responses (89%). The majority of the critical care organizations (83%) were called departments, centers, systems, or operations committees. Approximately two thirds of respondents were from larger (> 500 beds) urban institutions, and nearly 80% were primary university medical centers. On average, there were six ICUs per academic medical center with a mean of four ICUs under critical care organization governance. In these ICUs, intensivists were present in-house 24/7 in 49%; advanced practice providers in 63%; hospitalists in 21%; and telemedicine coverage in 14%. Nearly 60% of respondents indicated that they had a separate hospital budget to support data management and reporting, oversight of their ICUs, and rapid response teams. The transition from the traditional model of ICUs within departmentally controlled services or divisions to a critical care organization was described as gradual in 50% and complete in only 25%. Nearly 90% indicated that their critical care organization governance structure was either moderately or highly effective; a similar number suggested that their critical care organizations were evolving with increasing domain and financial control of the ICUs at their respective institutions. Our survey of the very few critical care organizations in North American academic medical centers showed that the governance models of critical care organizations vary and continue to evolve. Additional studies are warranted to improve our understanding of the factors that can foster the growth of critical care organizations and how they can be effective.

Towards Interactive Medical Content Delivery Between Simulated Body Sensor Networks and Practical Data Center.

PubMed

Shi, Xiaobo; Li, Wei; Song, Jeungeun; Hossain, M Shamim; Mizanur Rahman, Sk Md; Alelaiwi, Abdulhameed

2016-10-01

With the development of IoT (Internet of Thing), big data analysis and cloud computing, traditional medical information system integrates with these new technologies. The establishment of cloud-based smart healthcare application gets more and more attention. In this paper, semi-physical simulation technology is applied to cloud-based smart healthcare system. The Body sensor network (BSN) of system transmit has two ways of data collection and transmission. The one is using practical BSN to collect data and transmitting it to the data center. The other is transmitting real medical data to practical data center by simulating BSN. In order to transmit real medical data to practical data center by simulating BSN under semi-physical simulation environment, this paper designs an OPNET packet structure, defines a gateway node model between simulating BSN and practical data center and builds a custom protocol stack. Moreover, this paper conducts a large amount of simulation on the real data transmission through simulation network connecting with practical network. The simulation result can provides a reference for parameter settings of fully practical network and reduces the cost of devices and personnel involved.

Cross-cultural medical education: can patient-centered cultural competency training be effective in non-Western countries?

PubMed

Ho, Ming-Jung; Yao, Grace; Lee, Keng-Lin; Beach, Mary Catherine; Green, Alexander R

2008-01-01

No evidence addresses the effectiveness of patient-centered cultural competence training in non-Western settings. To examine whether a patient-centered cultural competency curriculum improves medical students' skills in eliciting the patients' perspective and exploring illness-related social factors. Fifty-seven medical students in Taiwan were randomly assigned to either the control (n = 27) or one of two intervention groups: basic (n = 15) and extensive (n = 15). Both intervention groups received two 2-hour patient-centered cultural competency workshops. In addition, the extensive intervention group received a 2-hour practice session. The control group received no training. At the end of the clerkship, all students were evaluated with an objective structured clinical examination (OSCE). Students in the extensive intervention group scored significantly higher than the basic intervention and control groups in eliciting the patient's perspective (F = 18.38, p < 0.001, eta(2) = 0.40). Scores of both intervention groups were significantly higher than the control group in the exploring social factors (F = 6.66, p = 0.003, eta(2) = 0.20). Patient-centered cultural competency training can produce improvement in medical students' cross-cultural communication skills in non-Western settings, especially when adequate practice is provided.

A management plan for hospitals and medical centers facing radiation incidents.

PubMed

Davari, Fereshteh; Zahed, Arash

2015-09-01

Nowadays, application of nuclear technology in different industries has largely expanded worldwide. Proportionately, the risk of nuclear incidents and the resulting injuries have, therefore, increased in recent years. Preparedness is an important part of the crisis management cycle; therefore efficient preplanning seems crucial to any crisis management plan. Equipped with facilities and experienced personnel, hospitals naturally engage with the response to disasters. The main purpose of our study was to present a practical management pattern for hospitals and medical centers in case they encounter a nuclear emergency. In this descriptive qualitative study, data were collected through experimental observations, sources like Safety manuals released by the International Atomic Energy Agency and interviews with experts to gather their ideas along with Delphi method for polling, and brainstorming. In addition, the 45 experts were interviewed on three targeted using brainstorming and Delphi method. We finally proposed a management plan along with a set of practicality standards for hospitals and medical centers to optimally respond to nuclear medical emergencies when a radiation incident happens nearby. With respect to the great importance of preparedness against nuclear incidents adoption and regular practice of nuclear crisis management codes for hospitals and medical centers seems quite necessary.

Case management: a case study.

PubMed

Stanton, M P; Walizer, E M; Graham, J I; Keppel, L

2000-01-01

This article describes the implementation of a pilot case management program at Walter Reed Army Medical Center. I, it we discuss obvious pitfalls and problems implementing case management in a large multiservice center and the steps and processes implemented to expedite and move case management forward in its early stages. The insights shared may be useful for those implementing case management in a complex medical center situation. Other models used in similar situations are also reviewed.

A journey through meaningful use at a large academic medical center: lessons of leadership, administration, and technical implementation.

PubMed

Unger, Melissa D; Aldrich, Alison M; Hefner, Jennifer L; Rizer, Milisa K

2014-01-01

Successfully reporting meaningful use of electronic health records to the Centers for Medicare and Medicaid Services can be a challenging process, particularly for healthcare organizations with large numbers of eligible professionals. This case report describes a successful meaningful use attestation process undertaken at a major academic medical center. It identifies best practices in the areas of leadership, administration, communication, ongoing support, and technological implementation.

Federal Health Care Center: VA and DOD Need to Develop Better Information to Monitor Operations and Improve Efficiency

DTIC Science & Technology

2017-01-01

delivery of health care that would be more accessible and less expensive than operating two federal medical centers serving VA and DOD beneficiaries in...departments—including DOD’s operational readiness mission—by integrating services previously provided by the former North Chicago VA Medical Center...1VA beneficiaries include veterans of military service and certain dependents and survivors. DOD beneficiaries include active duty

The Ambulatory Care Workload Management System for Nursing Reference Manual

DTIC Science & Technology

1991-05-31

MEDICAL DATA SERVICES CENTER BETHESDA, MARYLAND 2088Q-506. 91-03029 SECuRItY CLASSIFICATION OF THIS PAGEr REPORT DOCUMENTATION PAGE Ia. REPORT SECURITY...ORGANIZATION 6b OFFICE SYMBOL 7a. NAME OF MONITORING ORGANIZATION Naval Medical Data Servics (If applicable) Center 6c. ADDRESS (City, State, and ZIPCode) 7b...staffing methodology developed for emergency and ambulatory care departments in naval medical treatment facilities . The staffing model translates varying

The Manned Spacecraft Center and medical technology

NASA Technical Reports Server (NTRS)

Johnston, R. S.; Pool, S. L.

1974-01-01

A number of medically oriented research and hardware development programs in support of manned space flights have been sponsored by NASA. Blood pressure measuring systems for use in spacecraft are considered. In some cases, complete new bioinstrumentation systems were necessary to accomplish a specific physiological study. Plans for medical research during the Skylab program are discussed along with general questions regarding space-borne health service systems and details concerning the Health Services Support Control Center.

38 CFR 17.241 - Sharing medical information services.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Sharing medical... AFFAIRS MEDICAL Sharing of Medical Facilities, Equipment, and Information § 17.241 Sharing medical... Under Secretary for Health shall prescribe, Directors of Department of Veterans Affairs medical centers...

[Research of regional medical consumables reagent logistics system in the modern hospital].

PubMed

Wu, Jingjiong; Zhang, Yanwen; Luo, Xiaochen; Zhang, Qing; Zhu, Jianxin

2013-09-01

To explore the modern hospital and regional medical consumable reagents logistics system management. The characteristics of regional logistics, through cooperation between medical institutions within the region, and organize a wide range of special logistics activities, to make reasonable of the regional medical consumable reagents logistics. To set the regional management system, dynamic management systems, supply chain information management system, after-sales service system and assessment system. By the research of existing medical market and medical resources, to establish the regional medical supplies reagents directory and the initial data. The emphasis is centralized dispatch of medical supplies reagents, to introduce qualified logistics company for dispatching, to improve the modern hospital management efficiency, to costs down. Regional medical center and regional community health service centers constitute a regional logistics network, the introduction of medical consumable reagents logistics services, fully embodies integrity level, relevance, purpose, environmental adaptability of characteristics by the medical consumable reagents regional logistics distribution. Modern logistics distribution systems can increase the area of medical consumables reagent management efficiency and reduce costs.

[The specialty clinical centers within the structure of the regional multi-specialty hospital].

PubMed

Fadeev, M G

2008-01-01

The analysis of the functioning of the regional referral clinical center of hand surgery, the eye injury center, the pediatric burns center and the neurosurgical center situated on the basis of large multi-field hospitals of the City of Ekaterinburg is presented. Such common conditions of their activity as experienced manpower availability and medical Academy chairs maintenance are revealed. The special referral clinical centers organized prior to the perstroyka and reformation, continue to function successfully providing high-tech medical care to the patients of the megapolis and to the inhabitants of the Sverdlovskaya Oblast. The effectiveness and perspectiveness of further functioning of the special referral clinical centers embedded into the structure of the municipal multi-field hospitals in the conditions of health reforms is demonstrated.

77 FR 75640 - Merchant Mariner Medical Advisory Committee: Intercessional Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-21

... Simulation, Training, Assessment, and Research (STAR) Center, Room 217, 2 West Dixie Highway, Dania Beach, FL... 6 (Medical Review Process, 4 (Medications), and 3 (Medical Conditions Subject to Further Review) of...

U.S. Army Medical Department Journal, January-March 2007

DTIC Science & Technology

2007-03-01

Rehabilitation at Walter Reed Army Medical Center, The Growth of the Profession of Occupational Therapy,Medical Care in the Sustainment Brigade, Evidence - Based Medicine : The Way to Cost Effective, Quality Medical Care.

Transforming a family medicine center and residency program into a federally qualified health center.

PubMed

Cousineau, Michael R; Flores, Hector; Cheng, Scott; Gates, Jerry D; Douglas, James H; Clute, Gerald B; Coan, Carl E

2013-05-01

The authors describe a family medicine center before and after a merger between the Keck School of Medicine of the University of Southern California, the California Hospital Medical Center, and the Eisner Pediatric and Family Medical Center in 2012. The merger provided new opportunities to stabilize the financial base of a clinical practice struggling financially and to enhance the training of residents and other health professionals in primary care, which motivated the partners to consider this new model. After 18 months of negotiations, they were able to convert the family medicine center and residency program into a new federally qualified health center. The benefits to this new model include an increase in both patient volume and the quality of education, supporting residency accreditation; a greater number of residents from U.S. medical schools; enhanced education and preparation of primary care physicians for practice in medically underserved communities; enhanced reimbursements and new opportunities for state, local, and federal grants; and quality improvement and new information technology. The partners overcame academic, administrative, legal, and regulatory obstacles, communication barriers, and differences in culture and expectations to achieve this merger. Keys to their success include the commitment of the leaders at the three institutions to the goals of the merger, a dedicated project manager and consultants, opportunities for new revenue sources and reimbursements, and support from a pioneering charitable foundation. The authors conclude by discussing the implications of using community health centers as the focal point for training primary care clinicians and addressing workforce shortages.

A 5-year scientometric analysis of research centers affiliated to Tehran University of Medical Sciences

PubMed Central

Yazdani, Kamran; Rahimi-Movaghar, Afarin; Nedjat, Saharnaz; Ghalichi, Leila; Khalili, Malahat

2015-01-01

Background: Since Tehran University of Medical Sciences (TUMS) has the oldest and highest number of research centers among all Iranian medical universities, this study was conducted to evaluate scientific output of research centers affiliated to Tehran University of Medical Sciences (TUMS) using scientometric indices and the affecting factors. Moreover, a number of scientometric indicators were introduced. Methods: This cross-sectional study was performed to evaluate a 5-year scientific performance of research centers of TUMS. Data were collected through questionnaires, annual evaluation reports of the Ministry of Health, and also from Scopus database. We used appropriate measures of central tendency and variation for descriptive analyses. Moreover, uni-and multi-variable linear regression were used to evaluate the effect of independent factors on the scientific output of the centers. Results: The medians of the numbers of papers and books during a 5-year period were 150.5 and 2.5 respectively. The median of the "articles per researcher" was 19.1. Based on multiple linear regression, younger age centers (p=0.001), having a separate budget line (p=0.016), and number of research personnel (p<0.001) had a direct significant correlation with the number of articles while real properties had a reverse significant correlation with it (p=0.004). Conclusion: The results can help policy makers and research managers to allocate sufficient resources to improve current situation of the centers. Newly adopted and effective scientometric indices are is suggested to be used to evaluate scientific outputs and functions of these centers. PMID:26157724

Print campaign. Branding through print for Corpus Christi (TX) Medical Center.

PubMed

2007-01-01

Corpus Christi Medical Center, a 582-bed healthcare system consisting of four hospitals throughout south Texas, launched a print branding effort at the beginning of the year featuring its own doctors. The print ads promote several of the various service lines offered at the hospitals, including cardiac care.

Marketing the academic medical center group practice.

PubMed

Eudes, J A; Divis, K L

1992-01-01

From a marketing perspective, there are many differences between private and academic medical center (AMC) group practices. Given the growing competition between the two, write John Eudes and Kathy Divis, it is important for the AMC group practice to understand and use these differences to develop a competitive market advantage.

Claretian Medical Center Task Analysis. Worker Education Program.

ERIC Educational Resources Information Center

Union of Needletrades, Industrial and Textile Employees.

This task analysis for positions at the Claretian Medical Center in southeast Chicago was developed to improve communication and customer service in the workplace. The task analysis was prepared through clinic tours, employee interviews, and supervisor questionnaires. It is used for the purpose of curriculum development for onsite instruction in…

21 CFR 312.48 - Dispute resolution.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 5 2011-04-01 2011-04-01 false Dispute resolution. 312.48 Section 312.48 Food and... division in FDA's Center for Drug Evaluation and Research or Center for Biologics Evaluation and Research... 20. (c) Scientific and medical disputes. (1) When scientific or medical disputes arise during the...

78 FR 30933 - National Cancer Institute; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-23

... proposals. Place: National Cancer Institute Shady Grove, Shady Grove, 9609 Medical Center Drive, Room 4W032... Review Officer, Special Review and Logistics Branch, Division of Extramural Activities, National Cancer Institute, 9609 Medical Center Drive, Room 7W108, Bethesda, Md 20892-9750, 240-276-6378, [email protected

Photocopy of post card from Fitzsimons Army Medical Center Public ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of post card from Fitzsimons Army Medical Center Public Affairs Office, building 120. Photograph by Rocky Mountain photo. CO was no copyrighted and is , therefore, in the public domain. - Fitzsimons General Hospital, Memorial Tablet, West McAfee, South of Building No. 524, Aurora, Adams County, CO

A bill to designate the Department of Veterans Affairs Medical Center in Spokane, Washington, as the "Mann-Grandstaff Department of Veterans Affairs Medical Center".

THOMAS, 112th Congress

Sen. Murray, Patty [D-WA

2011-10-13

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

5. Photograph of a line drawing in the possession of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. Photograph of a line drawing in the possession of the Engineer's Office of the Marion, IL Veterans Administration Medical Center. PLOT PLAN; DRAWING 1R, DATED SEPTEMBER 4, 1940. (8 x 10 negative) - Veterans Administration Medical Center, Old State Route 13 West, Marion, Williamson County, IL

3. Photograph of an historic photograph in the possession of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. Photograph of an historic photograph in the possession of the Engineer's Office of the Marion, Illinois Veterans Administration Medical Center. DINING HALL BUILDING #2, LOOKING NE; DATED JANUARY 31, 1942. - Veterans Administration Medical Center, Building No. 2, Old State Route 13 West, Marion, Williamson County, IL

16. Photograph of an historic photograph in the possession of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

16. Photograph of an historic photograph in the possession of the Engineer's Office of the Marion, IL Veterans Administration Medical Center. HOSPITAL BUILDING #1, LOOKING NE; DATED NOVEMBER 30, 1941. - Veterans Administration Medical Center, Building No. 1, Old State Route 13 West, Marion, Williamson County, IL

PREFLIGHT MEDICAL (GT-7)

NASA Image and Video Library

1965-12-02

S65-56315 (2 Dec. 1965) --- Dr. Charles A. Berry (left), chief of the Manned Spacecraft Center (MSC) Medical Programs, and astronauts James A. Lovell Jr. (center), Gemini-7 pilot, and Frank Borman, Gemini-7 command pilot, examine a series of chest x-rays taken during the preflight physical. Photo credit: NASA

To name the Department of Veterans Affairs medical center in Spokane, Washington, as the "Mann-Grandstaff Department of Veterans Affairs Medical Center".

THOMAS, 112th Congress

Rep. McMorris Rodgers, Cathy [R-WA-5

2011-10-13

Senate - 12/21/2012 Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

Sustaining Engagement and Rural Scholarship

ERIC Educational Resources Information Center

Longenecker, Randall

2003-01-01

The Ohio State University Medical Center, a large urban academic medical center, and Mary Rutan Hospital, a rural community hospital in Logan County, Ohio, have been linked through a series of scholarly engagements spanning more than thirty years. What emerges from a qualitative study of key informants with personal knowledge of this interaction…

Program review of the USDA Center for Medical, Agricultural and Veterinary Entomology

USDA-ARS?s Scientific Manuscript database

The USDA-ARS Center for Medical, Agricultural and Veterinary Entomology (CMAVE) has a history that starts in 1932 in Orlando to develop methods to control mosquitoes, including malaria vectors under conditions simulating those of the south Pacific jungles, and other insects affecting man and animals...

Syndrome surveillance of fentanyl-laced heroin outbreaks: Utilization of EMS, Medical Examiner and Poison Center databases.

PubMed

Moore, P Quincy; Weber, Joseph; Cina, Steven; Aks, Steven

2017-11-01

Describe surveillance data from three existing surveillance systems during an unexpected fentanyl outbreak in a large metropolitan area. We performed a retrospective analysis of three data sets: Chicago Fire Department EMS, Cook County Medical Examiner, and Illinois Poison Center. Each included data from January 1, 2015 through December 31, 2015. EMS data included all EMS responses in Chicago, Illinois, for suspected opioid overdose in which naloxone was administered and EMS personnel documented other criteria indicative of opioid overdose. Medical Examiner data included all deaths in Cook County, Illinois, related to heroin, fentanyl or both. Illinois Poison Center data included all calls in Chicago, Illinois, related to fentanyl, heroin, and other prescription opioids. Descriptive statistics using Microsoft Excel® were used to analyze the data and create figures. We identified a spike in opioid-related EMS responses during an 11-day period from September 30-October 10, 2015. Medical Examiner data showed an increase in both fentanyl and mixed fentanyl/heroin related deaths during the months of September and October, 2015 (375% and 550% above the median, respectively.) Illinois Poison Center data showed no significant increase in heroin, fentanyl, or other opioid-related calls during September and October 2015. Our data suggests that EMS data is an effective real-time surveillance mechanism for changes in the rate of opioid overdoses. Medical Examiner's data was found to be valuable for confirmation of EMS surveillance data and identification of specific intoxicants. Poison Center data did not correlate with EMS or Medical Examiner data. Copyright © 2017 Elsevier Inc. All rights reserved.

77 FR 6915 - Medical Diagnostic Equipment Accessibility Standards

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-09

... Israel Deaconess Medical Center (October 22, 2009) accessible facilities and accessible medical equipment... of types of accessible medical equipment required in different types of health care facilities. If... facilities, accessible medical equipment, and auxiliary aids and services; University of Southern California...

Staff Responses When Parents Hit Children in a Hospital Setting.

PubMed

Font, Sarah A; Gershoff, Elizabeth T; Taylor, Catherine A; Terreros, Amy; Nielsen-Parker, Monica; Spector, Lisa; Foster, Rebecca H; Budzak Garza, Ann; Olson-Dorff, Denyse

Physical punishment of children is a prevalent practice that is condemned by most medical professionals given its link with increased risk of child physical abuse and other adverse child outcomes. This study examined the prevalence of parent-to-child hitting in medical settings and the intervention behaviors of staff who witness it. Staff at a children's medical center and a general medical center completed a voluntary, anonymous survey. We used descriptive statistics to examine differences in the experiences of physicians, nurses, and other medical staff. We used logistic regression to predict intervention behaviors among staff who witnessed parent-to-child hitting. Of the hospital staff who completed the survey (N = 2863), we found that 50% of physicians, 24% of nurses, 27% of other direct care staff, and 17% of nondirect care staff witnessed parent-to-child hitting at their medical center in the past year. A majority of physicians, nurses, and other direct care staff reported intervening sometimes or always. Nondirect care staff rarely intervened. Believing staff have the responsibility to intervene, and having comfortable strategies with which to intervene were strongly predictive of intervention behavior. Staff who did not intervene commonly reported that they did not know how to respond. Many medical center staff witness parent-to-child hitting. Although some of the staff reported that they intervened when they witnessed this behavior, the findings indicate that staff may need training to identify when and how they should respond.

Staff Responses When Parents Hit Children in a Hospital Setting

PubMed Central

Font, Sarah A.; Gershoff, Elizabeth T.; Taylor, Catherine A.; Terreros, Amy; Nielsen-Parker, Monica; Spector, Lisa; Foster, Rebecca H.; Budzak Garza, Ann; Olson-Dorff, Denyse

2016-01-01

Objective Physical punishment of children is a prevalent practice that is condemned by most medical professionals given its link with increased risk of child physical abuse and other adverse child outcomes. This study examined the prevalence of parent-to-child hitting in medical settings and the intervention behaviors of staff who witness it. Method Staff at a children's medical center and a general medical center completed a voluntary, anonymous survey. We used descriptive statistics to examine differences in the experiences of physicians, nurses, and other medical staff. We used logistic regression to predict intervention behaviors among staff who witnessed parent-to-child hitting. Results Of the hospital staff who completed the survey (N=2,863), we found that 50% of physicians, 24% of nurses, 27% of other direct care staff, and 17% of non-direct care staff witnessed parent-to-child hitting at their medical center in the past year. A majority of physicians, nurses and other direct care staff reported intervening sometimes or always. Non-direct care staff rarely intervened. Believing staff have the responsibility to intervene and having comfortable strategies with which to intervene were strongly predictive of intervention behavior. Staff who did not intervene commonly reported that they did not know how to respond. Conclusion Many medical center staff witness parent-to-child hitting. Although some of the staff reported that they intervened when they witnessed this behavior, the findings indicate that staff may need training to identify when and how they should respond. PMID:27802257

Health Hazard Evaluation Report HETA 84-046-1584, Hennepin County Medical Center, Minneapolis, Minnesota. [Ethylene oxide and waste anesthetic gases

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

Daniels, W.J.; Orris, P.

1985-04-01

Personal and area air samples were analyzed for ethylene oxide and waste anesthetic gases at Hennepin County Medical Center, Minneapolis, Minnesota in February, April, and July, 1984. The survey was requested by the center to evaluate health problems among employees. Medical questionnaires were administered and interviews were conducted with 59 employees in the instrument and operating room areas of the ear, nose, and throat, and surgery clinics. Ethylene-oxide was not detected during operation of the sterilizer. Nitrous-oxide concentrations of 66 to 138ppm were detected during surgical procedures. The authors conclude that a health hazard due to exposure to waste anestheticmore » gases exists at the center. Recommendations include evaluating the ventilation system and conducting additional monitoring for waste anesthetic gases.« less

Improving communication skill training in patient centered medical practice for enhancing rational use of laboratory tests: The core of bioinformation for leveraging stakeholder engagement in regulatory science.

PubMed

Moura, Josemar de Almeida; Costa, Bruna Carvalho; de Faria, Rosa Malena Delbone; Soares, Taciana Figueiredo; Moura, Eliane Perlatto; Chiappelli, Francesco

2013-01-01

Requests for laboratory tests are among the most relevant additional tools used by physicians as part of patient's health problemsolving. However, the overestimation of complementary investigation may be linked to less reflective medical practice as a consequence of a poor physician-patient communication, and may impair patient-centered care. This scenario is likely to result from reduced consultation time, and a clinical model focused on the disease. We propose a new medical intervention program that specifically targets improving the patient-centered communication of laboratory tests results, the core of bioinformation in health care. Expectations are that medical students training in communication skills significantly improve physicians-patient relationship, reduce inappropriate use of laboratorial tests, and raise stakeholder engagement.

Early experiences with big data at an academic medical center.

PubMed

Halamka, John D

2014-07-01

Beth Israel Deaconess Medical Center (BIDMC), an academic health care institution affiliated with Harvard University, has been an early adopter of electronic applications since the 1970s. Various departments of the medical center and the physician practice groups affiliated with it have implemented electronic health records, filmless imaging, and networked medical devices to such an extent that data storage at BIDMC now amounts to three petabytes and continues to grow at a rate of 25 percent a year. Initially, the greatest technical challenge was the cost and complexity of data storage. However, today the major focus is on transforming raw data into information, knowledge, and wisdom. This article discusses the data growth, increasing importance of analytics, and changing user requirements that have shaped the management of big data at BIDMC. Project HOPE—The People-to-People Health Foundation, Inc.

[Variables determining the amount of care for very preterm neonates: the concept of medical stance].

PubMed

Burguet, A; Menget, A; Chary-Tardy, A-C; Savajols, E; Abed, N; Thiriez, G

2014-02-01

To compare the amount of medical interventions on very preterm neonates (24-31 weeks of gestation) in two French university tertiary care centers, one of which is involved in a Neonatal Developmental Care program. A secondary objective is to assess whether this difference in medical interventions can be linked to a difference in mortality and morbidity rates. We prospectively included all very preterm neonates free from lethal malformation born live in these two centers between 2006 and 2010. These inclusion criteria were met by 1286 patients, for whom we compared the rate of five selected medical interventions: birth by caesarean section, chest intubation in the delivery room, surfactant therapy, pharmacological treatment of patent ductus arteriosus, and red blood cell transfusion. The rates of the five medical interventions were systematically lower in the center that is involved in Neonatal Developmental Care. There was no significant difference in survival at discharge with no severe cerebral ultrasound scan abnormalities between the two centers. There were, however, significantly higher rates of bronchopulmonary dysplasia and nosocomial sepsis and longer hospital stays when the patients were not involved in a Neonatal Developmental Care program. This benchmarking study shows that in France, in the first decade of the 21st century, there are as many ways to handle very preterm neonates as there are centers in which they are born. This brings to light the concept of medical stance, which is the general care approach prior to the treatment itself. This medical stance creates the overall framework for the staff's decision-making regarding neonate care. The different parameters structuring medical stance are discussed. Moreover, this study raises the problematic issue of the aftermath of benchmarking studies when the conclusion is an increase of morbidity in cases where procedure leads to more interventions. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

[E-learning in ENT: Usage in University Medical Centers in Germany].

PubMed

Freiherr von Saß, Peter; Klenzner, Thomas; Scheckenbach, Kathrin; Chaker, Adam

2017-03-01

E-learning is an essential part of innovative medical teaching concepts. The challenging anatomy and physiology in ENT is considered particularly suitable for self-assessed and adaptive e-learning. Usage and data on daily experience with e-learning in German ENT-university hospitals are currently unavailable and the degree of implementation of blended learning including feed-back from medical students are currently not known. We investigated the current need and usage of e-learning in academic ENT medical centers in Germany. We surveyed students and chairs for Otorhinolaryngology electronically and paperbased during the summer semester 2015. Our investigation revealed an overall heterogenous picture on quality and quantity of offered e-learning applications. While the overall amount of e-learning in academic ENT in Germany is rather low, at least half of the ENT-hospitals in medical faculties reported that e-learning had improved their own teaching activities. More collaboration among medical faculties and academic ENT-centers may help to explore new potentials, overcome technical difficulties and help to realize more ambitious projects. © Georg Thieme Verlag KG Stuttgart · New York.

Optimizing perioperative Crohn's disease management: role of coordinated medical and surgical care.

PubMed

Bennett, Jennifer L; Ha, Christina Y; Efron, Jonathan E; Gearhart, Susan L; Lazarev, Mark G; Wick, Elizabeth C

2015-01-28

To investigate rates of re-establishing gastroenterology care, colonoscopy, and/or initiating medical therapy after Crohn's disease (CD) surgery at a tertiary care referral center. CD patients having small bowel or ileocolonic resections with a primary anastomosis between 2009-2012 were identified from a tertiary academic referral center. CD-specific features, medications, and surgical outcomes were abstracted from the medical record. The primary outcome measure was compliance rates with medical follow-up within 4 wk of hospital discharge and surveillance colonoscopy within 12 mo of surgery. Eighty-eight patients met study inclusion criteria with 92% (n=81) of patients returning for surgical follow-up compared to only 41% (n=36) of patients with documented gastroenterology follow-up within four-weeks of hospital discharge, P<0.05. Factors associated with more timely postoperative medical follow-up included younger age, longer length of hospitalization, postoperative biologic use and academic center patients. In the study cohort, 75.0% of patients resumed medical therapy within 12 mo, whereas only 53.4% of patients underwent a colonoscopy within 12 mo of surgery. Our study highlights the need for coordinated CD multidisciplinary clinics and structured handoffs among providers to improve of quality of care in the postoperative setting.

Medically Unexplained Symptoms

MedlinePlus

WRIISC War Related Illness and Injury Study Center Office of Public Health Department of Veterans Affairs MEDICALLY UNEXPLAINED SYMPTOMS A RESOURCE FOR VETERANS, SERVICE MEMBERS, AND THEIR FAMILIES Medically Unexplained ...

A Journey through Meaningful Use at a Large Academic Medical Center: Lessons of Leadership, Administration, and Technical Implementation

PubMed Central

Unger, Melissa D.; Aldrich, Alison M.; Hefner, Jennifer L.; Rizer, Milisa K.

2014-01-01

Successfully reporting meaningful use of electronic health records to the Centers for Medicare and Medicaid Services can be a challenging process, particularly for healthcare organizations with large numbers of eligible professionals. This case report describes a successful meaningful use attestation process undertaken at a major academic medical center. It identifies best practices in the areas of leadership, administration, communication, ongoing support, and technological implementation. PMID:25593572

The patient-centered medical home neighbor: A primary care physician's view.

PubMed

Sinsky, Christine A

2011-01-04

The American College of Physicians' position paper on the patient-centered medical home neighbor (PCMH-N) extends the work of the patient-centered medical home (PCMH) as a means of improving the delivery of health care. Recognizing that the PCMH does not exist in isolation, the PCMH-N concept outlines expectations for comanagement, communication, and care coordination and broadens responsibility for safe, effective, and efficient care beyond primary care to include physicians of all specialties. As such, it is a fitting follow-up to the PCMH and moves further down the road toward improved care for complex patients. Yet, there is more work to be done. Truly transforming the U.S. health care system around personalized medical homes embedded in highly functional medical neighborhoods will require better staffing models; more robust electronic information tools; aligned incentives for quality and efficiency within payment and regulatory policies; and a culture of greater engagement of patients, their families, and communities.

Luxury primary care, academic medical centers, and the erosion of science and professional ethics.

PubMed

Donohoe, Martin

2004-01-01

Medical schools and teaching hospitals have been hit particularly hard by the financial crisis affecting health care in the United States. To compete financially, many academic medical centers have recruited wealthy foreign patients and established luxury primary care clinics. At these clinics, patients are offered tests supported by little evidence of their clinical and/or cost effectiveness, which erodes the scientific underpinnings of medical practice. Given widespread disparities in health, wealth, and access to care, as well as growing cynicism and dissatisfaction with medicine among trainees, the promotion by these institutions of an overt, two-tiered system of care, which exacerbates inequities and injustice, erodes professional ethics. Academic medical centers should divert their intellectual and financial resources away from luxury primary care and toward more equitable and just programs designed to promote individual, community, and global health. The public and its legislators should, in turn, provide adequate funds to enable this. Ways for academic medicine to facilitate this largesse are discussed.

Luxury Primary Care, Academic Medical Centers, and the Erosion of Science and Professional Ethics

PubMed Central

Donohoe, Martin

2004-01-01

Medical schools and teaching hospitals have been hit particularly hard by the financial crisis affecting health care in the United States. To compete financially, many academic medical centers have recruited wealthy foreign patients and established luxury primary care clinics. At these clinics, patients are offered tests supported by little evidence of their clinical and/or cost effectiveness, which erodes the scientific underpinnings of medical practice. Given widespread disparities in health, wealth, and access to care, as well as growing cynicism and dissatisfaction with medicine among trainees, the promotion by these institutions of an overt, two-tiered system of care, which exacerbates inequities and injustice, erodes professional ethics. Academic medical centers should divert their intellectual and financial resources away from luxury primary care and toward more equitable and just programs designed to promote individual, community, and global health. The public and its legislators should, in turn, provide adequate funds to enable this. Ways for academic medicine to facilitate this largesse are discussed. PMID:14748866

The Association of Electronic Health Record Adoption with Staffing Mix in Community Health Centers.

PubMed

Frogner, Bianca K; Wu, Xiaoli; Park, Jeongyoung; Pittman, Patricia

2017-02-01

To assess how medical staffing mix changed over time in association with the adoption of electronic health records (EHRs) in community health centers (CHCs). Community health centers within the 50 states and Washington, DC. Estimated how the change in the share of total medical staff full-time equivalents (FTE) by provider category between 2007 and 2013 was associated with EHR adoption using fractional multinomial logit. 2007-2013 Uniform Data System, an administrative data set of Section 330 federal grant recipients; and Readiness for Meaningful Use and HIT and Patient Centered Medical Home Recognition Survey responses collected from Section 330 recipients between December 2010 and February 2011. Having an EHR system did significantly shift the share of workers over time between physicians and each of the other categories of health care workers. While an EHR system significantly shifted the share of physician and other medical staff, this effect did not significantly vary over time. CHCs with EHRs by the end of the study period had a relatively greater proportion of other medical staff compared to the proportion of physicians. Electronic health records appeared to influence staffing allocation in CHCs such that other medical staff may be used to support adoption of EHRs as well as be leveraged as an important care provider. © Health Research and Educational Trust.

Business continuity after catastrophic medical events: the Joplin medical business continuity report.

PubMed

Carlton, Paul K; Bringle, Dottie

2012-01-01

On May 22, 2011, The St Johns Mercy Medical Center in Joplin, MO, was destroyed by an F-5 tornado. There were 183 patients in the building at that time in this 367-bed Medical Center. The preparation and response were superbly done and resulted in many lives saved. This report is focused on the reconstitution phase of this disaster response, which includes how to restore business continuity. As 95 percent of our medical capacity resides in the private sector in the United States, we must have a proper plan for how to restore business continuity or face the reality of the medical business failing and not providing critical medical services to the community. A tornado in 2007 destroyed a medical center in Sumter County, GA, and it took more than 365 days to restore business continuity at a cost of $18M. The plan executed by the Mercy Medical System after the disaster in Joplin restored business continuity in 88 days and cost a total of $6.6M, with all assets being reusable. The recommendation from these lessons learned is that every county, state, and Federal Emergency Management Agency region has a plan on the shelf to restore business continuity and the means to be able to do so. The hard work that the State of Missouri and the Mercy Medical System did after this disaster can serve as a model for the nation in how to quickly recover from any loss of medical capability.

Elements of the patient-centered medical home associated with health outcomes among veterans: the role of primary care continuity, expanded access, and care coordination.

PubMed

Nelson, Karin; Sun, Haili; Dolan, Emily; Maynard, Charles; Beste, Laruen; Bryson, Christopher; Schectman, Gordon; Fihn, Stephan D

2014-01-01

Care continuity, access, and coordination are important features of the patient-centered medical home model and have been emphasized in the Veterans Health Administration patient-centered medical home implementation, called the Patient Aligned Care Team. Data from more than 4.3 million Veterans were used to assess the relationship between these attributes of Patient Aligned Care Team and Veterans Health Administration hospitalization and mortality. Controlling for demographics and comorbidity, we found that continuity with a primary care provider was associated with a lower likelihood of hospitalization and mortality among a large population of Veterans receiving VA primary care.

NASA Johnson Space Center Biomedical Research Resources

NASA Technical Reports Server (NTRS)

Paloski, W. H.

1999-01-01

Johnson Space Center (JSC) medical sciences laboratories constitute a national resource for support of medical operations and life sciences research enabling a human presence in space. They play a critical role in evaluating, defining, and mitigation the untoward effect of human adaption to space flight. Over the years they have developed the unique facilities and expertise required to perform: biomedical sample analysis and physiological performance tests supporting medical evaluations of space flight crew members and scientific investigations of the operationally relevant medical, physiological, cellular, and biochemical issues associated with human space flight. A general overview of these laboratories is presented in viewgraph form.

Women's Health and Complementary Approaches

MedlinePlus

... Information Center Ongoing Medical Studies Find Active Medical Research Studies on Cranberry (ClinicalTrials.gov) Find Active Medical Research Studies on Menopause (ClinicalTrials.gov) Safety Information Dream Body ...

Expanding rural primary care training by employing information technologies: the need for participation by medical reference librarians.

PubMed

Coggan, J M; Crandall, L A

1995-01-01

The use of rural sites to train badly needed primary care providers requires access to sophisticated medical information not traditionally available outside of academic health centers. Medical reference librarians can play a key role in the development of primary care training sites in rural settings. Electronic information technologies, with proactive support from medical reference librarians, can provide current and detailed information without concern for distance from the health science center library. This paper discusses recent developments in technology, describes current challenges to the application of this technology in rural settings, and provides policy recommendations for medical reference librarians to enhance rural primary care training.

Final Project Report "Advanced Concept Exploration For Fast Ignition Science Program"

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

STEPHENS, Richard B.; McLEAN, Harry M.; THEOBALD, Wolfgang

The Fast Ignition (FI) Concept for Inertial Confinement Fusion has the potential to provide a significant advance in the technical attractiveness of Inertial Fusion Energy (IFE) reactors. FI differs from conventional “central hot spot” (CHS) target ignition by decoupling compression from heating: using the laser (or heavy ion beam or Z pinch) drive pulse (10’s of ns) to create a dense fuel and a second, much shorter (~10 ps) high intensity pulse to ignite a small region of it. There are two major physics issues concerning this concept; controlling the laser-induced generation of large electron currents and their propagation throughmore » high density plasmas. This project has addressed these two significant scientific issues in Relativistic High Energy Density (RHED) physics. Learning to control relativistic laser matter interaction (and the limits and potential thereof) will enable a wide range of applications. While these physics issues are of specific interest to inertial fusion energy science, they are also important for a wide range of other HED phenomena, including high energy ion beam generation, isochoric heating of materials, and the development of high brightness x-ray sources. Generating, controlling, and understanding the extreme conditions needed to advance this science has proved to be challenging: Our studies have pushed the boundaries of physics understanding and are at the very limits of experimental, diagnostic, and simulation capabilities in high energy density laboratory physics (HEDLP). Our research strategy has been based on pursuing the fundamental physics underlying the Fast Ignition (FI) concept. We have performed comprehensive study of electron generation and transport in fast-ignition targets with experiments, theory, and numerical modeling. A major issue is that the electrons produced in these experiments cannot be measured directly—only effects due to their transport. We focused mainly on x-ray continuum photons from bremsstrahlung and x-ray line radiation from K-shell fluorescence. Integrated experiments, which combine target compression with short-pulse laser heating, yield additional information on target heating efficiency. This indirect way of studying the underlying behavior of the electrons must be validated with computational modeling to understand the physics and improve the design. This program execution required a large, well-organized team and it was managed by a joint Collaboration between General Atomics (GA), Lawrence Livermore National Laboratory (LLNL), and the Laboratory for Laser Energetics (LLE). The Collaboration was formed 8 years ago to understand the physics issues of the Fast Ignition concept, building on the strengths of each partner. GA fulfills its responsibilities jointly with the University of California, San Diego (UCSD), The Ohio State University (OSU) and the University of Nevada at Reno (UNR). Since RHED physics is pursued vigorously in many countries, international researchers have been an important part of our efforts to make progress. The division of responsibility was as follows: (1) LLE had primary leadership for channeling studies and the integrated energy transfer, (2) LLNL led the development of measurement methods, analysis, and deployment of diagnostics, and (3) GA together with UCSD, OSU and UNR studied the detailed energy-transfer physics. The experimental program was carried out using the Titan laser at the Jupiter Laser Facility at LLNL, the OMEGA and OMEGA EP lasers at LLE and the Texas Petawatt laser (TPW) at UT Austin. Modeling has been pursued on large computing facilities at LLNL, OSU, and UCSD using codes developed (by us and others) within the HEDLP program, commercial codes, and by leveraging existing supercomputer codes developed by the NNSA ICF program. This Consortium brought together all the components—resources, facilities, and personnel—necessary to accomplish its aggressive goals. The ACE Program has been strongly collaborative, taking advantage of the expertise of the participating institutions to provide a research effort that is far greater than the sum of its parts. The results of this work have firmly strengthened the scientific foundation from which the viability of FI and other applications can be evaluated. Program execution has also led to improved diagnostics for probing dense, hot plasmas, detailed understanding of high-current, relativistic electron energy generation and transport across boundaries and into dense plasmas, and greatly enhanced predictive modeling capabilities. One important aspect of this program was the involvement and training of young scientists including postdoctoral fellows and graduate students. During the entire 8 years of FI and ACE project period since 2005, more than fifteen graduate students completed their doctoral dissertations including three from OSU and two from UCSD in last three years. This project generated an impressive forty articles in high quality journals including nine (including two under review) in Physical Review Letters during the last funding period since 2011.« less

Rural Medical Service Funding: Issues and Alternatives. Rural Information Center Publication Series, No. 7.

ERIC Educational Resources Information Center

Kane, John D. H., III, Comp.; Leuci, Mary Simon, Comp.

By almost any definition, rural America has been medically underserved. This bibliography includes materials available from the National Agricultural Library's (NAL) Rural Information Center. The listed materials include approximately 36 books and monographs, 106 articles, and the names and addresses of 17 related associations. Certain local…

Evaluation and Management of Combat-Related Spinal injuries: A Review Based on Recent Experiences

DTIC Science & Technology

2012-01-01

Piedras St, El Paso, TX 79920, USA bIntegrated Department of Orthopaedic Surgery and Rehabilitation, Walter Reed National Military Medical Center...Surgery, 115th Combat Support Hospital and William Beaumont Army Medical Center, 5005 N. Piedras St, El Paso, TX 79920, USA. Tel.: (330) 329 2594. E

Medical Student Psychiatric Education in Neighborhood Health Settings.

ERIC Educational Resources Information Center

Morrison, Andrew P.

1978-01-01

Harvard medical students in a psychiatric rotation at the Massachusetts Mental Health Center may elect to do part of their work in a neighborhood comprehensive health center in which primary care services are offered. Students are exposed to a multiprofessional and mixed professional-paraprofessional staff, as well as to special patient problems.…

Veterans Affairs and Academic Medical Center Affiliations: The North Texas Experience

ERIC Educational Resources Information Center

Mohl, Paul Cecil; Hendrickse, William; Orsak, Catherine; Vermette, Heidi

2009-01-01

Objective: The authors review the more than 30-year history of the academic affiliation between the Department of Psychiatry at the University of Texas Southwestern Medical Center in Dallas and the Mental Health Service at the Veterans Affairs North Texas Health Care System. Methods: The authors interviewed individuals involved at various stages…

17. Photograph of a line drawing in the possession of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

17. Photograph of a line drawing in the possession of the Engineer's Office of the Marion, IL Veterans Administration Medical Center. FRONT (NORTH) ELEVATION; DRAWING 1-7R, DATED SEPTEMBER 4, 1940. (8 x 10 negative) - Veterans Administration Medical Center, Building No. 1, Old State Route 13 West, Marion, Williamson County, IL

Context view, Building Nos. 2729, with Building No. 28 in ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Context view, Building Nos. 27-29, with Building No. 28 in the center, looking west at front of buildings, from a spot south of Building No. 29 - U.S. Veterans Hospital, Jefferson Barracks, Medical Officer in Charge Residence, VA Medical Center, Jefferson Barracks Division 1 Jefferson Barracks Drive, Saint Louis, Independent City, MO

1. Photograph of a line drawing in the possession of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. Photograph of a line drawing in the possession of the Engineer's Office of the Marion, Illinois Veterans Administration Medical Center. (PLANS & ELEVATIONS); DRAWING 14-1R, DATED SEPTEMBER 4, 1940. (8 x 10 negative) - Veterans Administration Medical Center, Building No. 14, Old State Route 13 West, Marion, Williamson County, IL

4. Photograph of a line drawing in the possession of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. Photograph of a line drawing in the possession of the Engineer's Office of the Marion, Illinois Veterans Administration Medical Center. (PLANS, ELEVATIONS & DETAILS); DRAWING 8-1R, DATED SEPTEMBER 4, 1940. (8 x 10 negative) - Veterans Administration Medical Center, Building No. 8, Old State Route 13 West, Marion, Williamson County, IL

18. Photograph of a line drawing in the possession of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

18. Photograph of a line drawing in the possession of the Engineer's Office of the Marion, IL Veterans Administration Medical Center. SIDE (EAST) ELEVATION & SIDE (WEST) ELEVATION; DRAWING 1-9R, DATED SEPTEMBER 4, 1940. - Veterans Administration Medical Center, Building No. 1, Old State Route 13 West, Marion, Williamson County, IL