Analysis of large power systems

NASA Technical Reports Server (NTRS)

Dommel, H. W.

1975-01-01

Computer-oriented power systems analysis procedures in the electric utilities are surveyed. The growth of electric power systems is discussed along with the solution of sparse network equations, power flow, and stability studies.

Use and Characteristics of Electronic Health Record Systems among Office-Based Physician Practices: United States, ...

MedlinePlus

... on Vital and Health Statistics Annual Reports Health Survey Research Methods Conference Reports from the National Medical Care Utilization and Expenditure Survey Clearinghouse on Health Indexes Statistical Notes for Health ...

A Dynamic Human Health Risk Assessment System

PubMed Central

Prasad, Umesh; Singh, Gurmit; Pant, A. B.

2012-01-01

An online human health risk assessment system (OHHRAS) has been designed and developed in the form of a prototype database-driven system and made available for the population of India through a website – www.healthriskindia.in. OHHRAS provide the three utilities, that is, health survey, health status, and bio-calculators. The first utility health survey is functional on the basis of database being developed dynamically and gives the desired output to the user on the basis of input criteria entered into the system; the second utility health status is providing the output on the basis of dynamic questionnaire and ticked (selected) answers and generates the health status reports based on multiple matches set as per advise of medical experts and the third utility bio-calculators are very useful for the scientists/researchers as online statistical analysis tool that gives more accuracy and save the time of user. The whole system and database-driven website has been designed and developed by using the software (mainly are PHP, My-SQL, Deamweaver, C++ etc.) and made available publically through a database-driven website (www.healthriskindia.in), which are very useful for researchers, academia, students, and general masses of all sectors. PMID:22778520

US EPA Research on Monochloramine Disinfection Kinetics of Nitrosomonas europaea

EPA Science Inventory

Based on utility surveys, 30 to 63% of utilities practicing chloramination for secondary disinfection experience nitrification episodes (American Water Works Association 2006). Nitrification in drinking water distribution systems is undesirable and may result in water quality deg...

USEPA Research on Monochloramine Disinfection Kinetics of Nitrosomonas Europaea

EPA Science Inventory

Based on utility surveys, 30 to 63% of utilities practicing chloramination for secondary disinfection experience nitrification episodes (American Water Works Association 2006). Nitrification in drinking water distribution systems is undesirable and may result in water quality deg...

Electronic Health Record Systems and Intent to Apply for Meaningful Use Incentives among Office-based Physician ...

MedlinePlus

... on Vital and Health Statistics Annual Reports Health Survey Research Methods Conference Reports from the National Medical Care Utilization and Expenditure Survey Clearinghouse on Health Indexes Statistical Notes for Health ...

Conducting Sanitary Surveys of Water Supply Systems. Student Workbook.

ERIC Educational Resources Information Center

1976

This workbook is utilized in connection with a 40-hour course on sanitary surveys of water supply systems for biologists, chemists, and engineers with experience as a water supply evaluator. Practical training is provided in each of the 21 self-contained modules. Each module outlines the purpose, objectives and content for that section. The course…

Increased hospital and emergency department utilization by individuals with recent criminal justice involvement: results of a national survey.

PubMed

Frank, Joseph W; Linder, Jeffrey A; Becker, William C; Fiellin, David A; Wang, Emily A

2014-09-01

Individuals involved with the criminal justice system have increased health needs and poor access to primary care. To examine hospital and emergency department (ED) utilization and related costs by individuals with recent criminal justice involvement. Cross-sectional survey. Non-institutionalized, civilian U.S. adult participants (n = 154,356) of the National Survey on Drug Use and Health (2008-2011). Estimated proportion of adults who reported past year 1) hospitalization or 2) ED utilization according to past year criminal justice involvement, defined as 1) parole or probation, 2) arrest without subsequent correctional supervision, or 3) no criminal justice involvement; estimated annual expenditures using unlinked data from the Medical Expenditure Panel Survey. An estimated 5.7 million adults reported parole or probation and an additional 3.9 million adults reported an arrest in the past year. Adults with recent parole or probation and those with a recent arrest, compared with the general population, had higher rates of hospitalization (12.3 %, 14.3 %, 10.5 %; P < 0.001) and higher rates of ED utilization (39.3 %, 47.2 %, 26.9 %; P < 0.001). Recent parole or probation was an independent predictor of hospitalization (adjusted odds ratio [AOR], 1.21; 95 % confidence interval [CI], 1.02-1.44) and ED utilization (AOR, 1.35; 95 % CI, 1.12-1.63); Recent arrest was an independent predictor of hospitalization (AOR, 1.26; 95 % CI, 1.08-1.47) and ED utilization (AOR, 1.81; 95 % CI, 1.53-2.15). Individuals with recent criminal justice involvement make up 4.2 % of the U.S. adult population, yet account for an estimated 7.2 % of hospital expenditures and 8.5 % of ED expenditures. Recent criminal justice involvement is associated with increased hospital and ED utilization and costs. The criminal justice system may offer an important point of contact for efforts to improve the healthcare utilization patterns of a large and vulnerable population.

Factors Associated with Assignment of Therapeutic Homework in a Large Public Children's Mental Health System.

PubMed

Trask, Emily Velazquez; Barounis, Kya; Carlisle, Brandon L; Garland, Ann F; Aarons, Gregory A

2018-03-24

Therapeutic homework is a fundamental skill-building component of the majority of evidence-based therapies and is associated with better treatment outcomes. However, it is rarely utilized in public mental health settings. To determine barriers to homework use and identify predictors of clinicians' assignment of homework, an online survey was administered to 267 clinicians in a large diverse public mental health system. Clinicians who were younger, licensed, whose supervisors asked about homework and whose clients completed their homework more frequently were predictors of greater homework utilization. The survey results are discussed and a novel idea to increase the use of homework is introduced.

Survey Feedback as an Organization Development Strategy in a Public School District.

ERIC Educational Resources Information Center

Rosenbach, William E.; And Others

1983-01-01

Survey feedback can be applied as an organization development (OD) technique in public school systems. The technique, if suited to goals of an OD effort, can result in multiple positive outcomes. In addition to improvements characteristic of OD, the results of survey feedback can be utilized in making strategic decisions. (Author/MH)

Technology survey of electrical power generation and distribution for MIUS application

NASA Technical Reports Server (NTRS)

Gill, W. L.; Redding, T. E.

1975-01-01

Candidate electrical generation power systems for the modular integrated utility systems (MIUS) program are described. Literature surveys were conducted to cover both conventional and exotic generators. Heat-recovery equipment associated with conventional power systems and supporting equipment are also discussed. Typical ranges of operating conditions and generating efficiencies are described. Power distribution is discussed briefly. Those systems that appear to be applicable to MIUS have been indicated, and the criteria for equipment selection are discussed.

Troubleshooting crude vacuum tower overhead ejector systems

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

Lines, J.R.; Frens, L.L.

1995-03-01

Routinely surveying tower overhead vacuum systems can improve performance and product quality. These vacuum systems normally provide reliable and consistent operation. However, process conditions, supplied utilities, corrosion, erosion and fouling all have an impact on ejector system performance. Refinery vacuum distillation towers use ejector systems to maintain tower top pressure and remove overhead gases. However, as with virtually all refinery equipment, performance may be affected by a number of variables. These variables may act independently or concurrently. It is important to understand basic operating principles of vacuum systems and how performance is affected by: utilities, corrosion and erosion, fouling, andmore » process conditions. Reputable vacuum-system suppliers have service engineers that will come to a refinery to survey the system and troubleshoot performance or offer suggestions for improvement. A skilled vacuum-system engineer may be needed to diagnose and remedy system problems. The affect of these variables on performance is discussed. A case history is described of a vacuum system on a crude tower in a South American refinery.« less

US GEOLOGICAL SURVEY'S NATIONAL SYSTEM FOR PROCESSING AND DISTRIBUTION OF NEAR REAL-TIME HYDROLOGICAL DATA.

USGS Publications Warehouse

Shope, William G.; ,

1987-01-01

The US Geological Survey is utilizing a national network of more than 1000 satellite data-collection stations, four satellite-relay direct-readout ground stations, and more than 50 computers linked together in a private telecommunications network to acquire, process, and distribute hydrological data in near real-time. The four Survey offices operating a satellite direct-readout ground station provide near real-time hydrological data to computers located in other Survey offices through the Survey's Distributed Information System. The computerized distribution system permits automated data processing and distribution to be carried out in a timely manner under the control and operation of the Survey office responsible for the data-collection stations and for the dissemination of hydrological information to the water-data users.

Surveying System

NASA Technical Reports Server (NTRS)

1988-01-01

Sunrise Geodetic Surveys are setting up their equipment for a town survey. Their equipment differs from conventional surveying systems that employ transit rod and chain to measure angles and distances. They are using ISTAC Inc.'s Model 2002 positioning system, which offers fast accurate surveying with exceptional signals from orbiting satellites. The special utility of the ISTAC Model 2002 is that it can provide positioning of the highest accuracy from Navstar PPS signals because it requires no knowledge of secret codes. It operates by comparing the frequency and time phase of a Navstar signal arriving at one ISTAC receiver with the reception of the same set of signals by another receiver. Data is computer processed and translated into three dimensional position data - latitude, longitude and elevation.

The NASA SETI sky survey: Recent developments

NASA Technical Reports Server (NTRS)

Klein, M. J.; Gulkis, S.; Olsen, E. T.; Renzetti, N. A.

1989-01-01

NASA's Search for Extraterrestrial Intelligence (SETI) project utilizes two complementary search strategies: a sky survey and a targeted search. The SETI team at the Jet Propulsion Laboratory (JPL) in Pasadena, California, has primary responsibility to develop and carry out the sky survey part. Described here is progress that has been made developing the major elements of the survey including a 2-million channel wideband spectrum analyzer system that is being designed and constructed by JPL for the Deep Space Network (DSN). The system will be a multiuser instrument; it will serve as a prototype for the SETI sky survey processor. This prototype system will be used to test the signal detection and observational strategies on DSN antennas in the near future.

The NASA SETI sky survey - Recent developments

NASA Technical Reports Server (NTRS)

Klein, Michael J.; Gulkis, Samuel; Olsen, Edward T.; Renzetti, Nicholas A.

1988-01-01

NASA's Search for Extraterrestrial Intelligence (SETI) project utilizes two complimentary search strategies: a sky survey and a targeted search. The SETI team at the Jet Propulsion Laboratory have primary responsibility to develop and carry out the sky survey part of the Microwave Observing Project. The paper describes progress that has been made to develop the major elements of the survey including a two-million channel wideband spectrum analyzer system that is being developed and constructed by JPL for the Deep Space Network. The new system will be a multiuser instrument that will serve as a prototype for the SETI Sky Survey processor. This system will be used to test the signal detection and observational strategies on deep-space network antennas in the near future.

Racial Differences in the Usage of Information Technology: Evidence from a National Physician Survey

PubMed Central

Lee, Doohee; Rutsohn, Phil

2012-01-01

Information technology (IT) is a key mechanism for improving the quality of healthcare and containing costs, but racial differences in the utilization of IT among practicing physicians are unknown. The current study, using a national physician survey (n = 6,628), investigated racial differences in the utilization of IT. White physicians and minority physicians were directly compared. We first conducted both descriptive and inferential analyses to detect the difference in IT utilization by race and then performed multiple logistic regressions to test whether race remains significant in relation to IT utilization. Results reveal racial differences in the usage of IT. Compared to their minority counterparts, white physicians underutilized a preventive service reminder system. On the other hand, white physicians favored utilizing electronic communications with patients and exchanging clinical data and images with other providers. PMID:22783155

Feasibility Assessment of ITS Deployment Analysis System (IDAS) for ITS Evaluation

DOT National Transportation Integrated Search

2003-12-01

This study investigated the feasibility of utilizing the ITS Deployment Analysis System (IDAS) program version 2.2 as a tool for evaluating Intelligent Transportation Systems (ITS) deployment plans. Firstly, an online survey was conducted among metro...

Photovoltaic battery & charge controller market & applications survey. An evaluation of the photovoltaic system market for 1995

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

Hammond, R.L.; Turpin, J.F.; Corey, G.P.

1996-12-01

Under the sponsorship of the Department of Energy, Office of Utility Technologies, the Battery Analysis and Evaluation Department and the Photovoltaic System Assistance Center of Sandia National Laboratories (SNL) initiated a U.S. industry-wide PV Energy Storage System Survey. Arizona State University (ASU) was contracted by SNL in June 1995 to conduct the survey. The survey included three separate segments tailored to: (a) PV system integrators, (b) battery manufacturers, and (c) PV charge controller manufacturers. The overall purpose of the survey was to: (a) quantify the market for batteries shipped with (or for) PV systems in 1995, (b) quantify the PVmore » market segments by battery type and application for PV batteries, (c) characterize and quantify the charge controllers used in PV systems, (d) characterize the operating environment for energy storage components in PV systems, and (e) estimate the PV battery market for the year 2000. All three segments of the survey were mailed in January 1996. This report discusses the purpose, methodology, results, and conclusions of the survey.« less

Energy Efficiency for Florida Educational Facilities: The 1996 Energy Survey of Florida Schools. Final Report.

ERIC Educational Resources Information Center

Callahan, Michael P.; Parker, Danny S.; Dutton, Wanda L.; McIlvaine, Janet E. R.

Florida has recently completed a survey of energy use and related physical and operational characteristics of the state's public schools. This report presents results from 1,298 surveys received (680 providing matching utility data) revealing that total energy costs for the Florida school system totaled $205 million in 1995. Other data show that…

Electronic Mentoring of LIS Research Utilizing BITNET: An ACRL Pilot Project.

ERIC Educational Resources Information Center

Gregory, Vicki L.

1992-01-01

Describes an ACRL (American College and Research Libraries) project that utilized the electronic conferencing facility of BITNET to provide a system of mentoring for academic librarians conducting research. Results of an electronic mail survey of participants that examined experience levels, attitudes, problems, and communication patterns are…

Information system technologies' role in augmenting dermatologists' knowledge of prescription medication costs.

PubMed

DeMarco, Sebastian S; Paul, Ravi; Kilpatrick, Russell J

2015-12-01

Despite the recent rising costs of once affordable dermatologic prescription medications, a survey measuring dermatologists' attitudes, beliefs, and knowledge of the cost of drugs they commonly prescribe has not been conducted. Awareness of drug costs is hindered by a lack of access to data about the prices of medicines. No surveys of physicians have addressed this issue by proposing new information system technologies that augment prescription medication price transparency and measuring how receptive physicians are to using these novel solutions in their daily clinical practice. Our research aims to investigate these topics with a survey of physicians in dermatology. Members of the North Carolina Dermatology Association were contacted through their electronic mailing list and asked to take an online survey. The survey asked several questions about dermatologists' attitudes and beliefs about drug costs. To measure their knowledge of prescription medications, the National Average Drug Acquisition Cost was used as an authoritative price that was compared to the survey takers' price estimates of drugs commonly used in dermatology. Physicians' willingness to use four distinct information system technologies that increase drug price transparency was also assessed. Dermatologists believe drug costs are an important factor in patient care and believe access to price information would allow them to provide a higher quality of care. Dermatologists' knowledge of the costs of medicines they commonly prescribe is poor, but they want to utilize information system technologies that increase access to drug pricing information. There is an unmet demand for information system technologies which increase price transparency of medications in dermatology. Physicians and IT professionals have the opportunity to create novel information systems that can be utilized to help guide cost conscious clinical decision making. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

36 CFR 1010.7 - Actions that do not require an EA or EIS.

Code of Federal Regulations, 2012 CFR

2012-07-01

... surveys and minor boundary adjustments or transfers of administrative jurisdiction resulting in no significant change in land use; (16) Archaeological surveys and permits involving only surface collection or... utility right-of-way; and (37) Experimental testing of no longer than 180 days of mass transit systems...

36 CFR 1010.7 - Actions that do not require an EA or EIS.

Code of Federal Regulations, 2014 CFR

2014-07-01

... surveys and minor boundary adjustments or transfers of administrative jurisdiction resulting in no significant change in land use; (16) Archaeological surveys and permits involving only surface collection or... utility right-of-way; and (37) Experimental testing of no longer than 180 days of mass transit systems...

36 CFR 1010.7 - Actions that do not require an EA or EIS.

Code of Federal Regulations, 2011 CFR

2011-07-01

... surveys and minor boundary adjustments or transfers of administrative jurisdiction resulting in no significant change in land use; (16) Archaeological surveys and permits involving only surface collection or... utility right-of-way; and (37) Experimental testing of no longer than 180 days of mass transit systems...

36 CFR 1010.7 - Actions that do not require an EA or EIS.

Code of Federal Regulations, 2010 CFR

2010-07-01

... surveys and minor boundary adjustments or transfers of administrative jurisdiction resulting in no significant change in land use; (16) Archaeological surveys and permits involving only surface collection or... utility right-of-way; and (37) Experimental testing of no longer than 180 days of mass transit systems...

Geophysical Surveys for Locating Buried Utilities, Lake Pontchartrain Levees, New Orleans

DTIC Science & Technology

2014-06-01

4 Figure 3. GPR concepts...this study. Electromagnetic (EM) induction, magnetic, and ground penetrating radar ( GPR ) geophysical methods were evaluated to determine which...surveys GPR is a ground-based geophysical instrument that transmits high- frequency EM pulses into the subsurface. The GPR system consists of a

Remote sensing of land-based voids using computer enhanced infrared thermography

NASA Astrophysics Data System (ADS)

Weil, Gary J.

1989-10-01

Experiments are described in which computer-enhanced infrared thermography techniques are used to detect and describe subsurface land-based voids, such as voids surrounding buried utility pipes, voids in concrete structures such as airport taxiways, abandoned buried utility storage tanks, and caves and underground shelters. Infrared thermography also helps to evaluate bridge deck systems, highway pavements, and garage concrete. The IR thermography techniques make it possible to survey large areas quickly and efficiently. The paper also surveys the advantages and limitations of thermographic testing in comparison with other forms of NDT.

SPS market analysis

NASA Astrophysics Data System (ADS)

Goff, H. C.

1980-05-01

A market analysis task included personal interviews by GE personnel and supplemental mail surveys to acquire statistical data and to identify and measure attitudes, reactions and intentions of prospective small solar thermal power systems (SPS) users. Over 500 firms were contacted, including three ownership classes of electric utilities, industrial firms in the top SIC codes for energy consumption, and design engineering firms. A market demand model was developed which utilizes the data base developed by personal interviews and surveys, and projected energy price and consumption data to perform sensitivity analyses and estimate potential markets for SPS.

MONOCHLORAMINE MICROELECTRODE FOR IN SITU APPLICATION WITHIN THE BIOFILM OF CHLORAMINATED DRINKING WATER DISTRIBUTION SYSTEMS- Abstract

EPA Science Inventory

Many utilities in the United States are using monochloramine as a secondary disinfectant as a result of the implementation of the Stage 1 and Stage 2 Disinfectants and Disinfection Byproduct Rules. A recent survey suggests that an additional 12% of drinking water utilities are c...

Patient ratings of case managers in a medical home: associations with patient satisfaction and health care utilization.

PubMed

Jubelt, Lindsay E; Graham, Jove; Maeng, Daniel D; Li, Huilin; Epstein, Andrew J; Metlay, Joshua P

2014-11-18

Case managers are employed in medical homes to coordinate care for clinically complex patients. To measure the association of patient perceptions of case manager performance with overall satisfaction and subsequent health care utilization. Retrospective cohort study. Integrated health system in Pennsylvania. Members of the health system-owned health plan who 1) received primary care in the health system's clinics, 2) were exposed to clinic-embedded case managers, and 3) completed a survey of satisfaction with care. Survey assessment of case manager performance and overall satisfaction with care and claims-based assessment of case manager performance and subsequent hospitalizations or emergency department visits. Survey measures were dichotomized into very good versus less than very good. A total of 1755 patients (44%) completed the survey and 1415 met study criteria. Survey respondents who reported very good ratings of case manager performance across all items had a higher probability of reporting very good overall satisfaction with care (92.2% vs. 62.5%; P < 0.001) and had a lower incidence of subsequent emergency department visits (incidence rate ratio, 0.79 [95% CI, 0.64 to 0.98]; P = 0.029) but not hospitalizations (incidence rate ratio, 0.92 [CI, 0.75 to 1.11]; P = 0.37) up to 2 years after the survey compared with survey respondents who reported less-than-very good case manager performance on 1 or more questions on the survey. Satisfaction data demonstrated substantial ceiling effects. Survey nonresponse may have introduced bias in the results. Patients' favorable perceptions of case managers are associated with higher overall satisfaction with care and may lower risk for future acute care use. Robert Wood Johnson Foundation and the U.S. Department of Veterans Affairs.

The role of patient experience surveys in quality assurance and improvement: a focus group study in English general practice.

PubMed

Boiko, Olga; Campbell, John L; Elmore, Natasha; Davey, Antoinette F; Roland, Martin; Burt, Jenni

2015-12-01

Despite widespread adoption of patient feedback surveys in international health-care systems, including the English NHS, evidence of a demonstrable impact of surveys on service improvement is sparse. To explore the views of primary care practice staff regarding the utility of patient experience surveys. Qualitative focus groups. Staff from 14 English general practices. Whilst participants engaged with feedback from patient experience surveys, they routinely questioned its validity and reliability. Participants identified surveys as having a number of useful functions: for patients, as a potentially therapeutic way of getting their voice heard; for practice staff, as a way of identifying areas of improvement; and for GPs, as a source of evidence for professional development and appraisal. Areas of potential change stimulated by survey feedback included redesigning front-line services, managing patient expectations and managing the performance of GPs. Despite this, practice staff struggled to identify and action changes based on survey feedback alone. Whilst surveys may be used to endorse existing high-quality service delivery, their use in informing changes in service delivery is more challenging for practice staff. Drawing on the Utility Index framework, we identified concerns relating to reliability and validity, cost and feasibility acceptability and educational impact, which combine to limit the utility of patient survey feedback. Feedback from patient experience surveys has great potential. However, without a specific and renewed focus on how to translate feedback into action, this potential will remain incompletely realized. © 2014 The Authors Health Expectations Published by John Wiley & Sons Ltd.

High road utilizers surveys compared to police data for road traffic crash hotspot localization in Rwanda and Sri Lanka.

PubMed

Staton, Catherine A; De Silva, Vijitha; Krebs, Elizabeth; Andrade, Luciano; Rulisa, Stephen; Mallawaarachchi, Badra Chandanie; Jin, Kezhi; RicardoVissoci, Joao; Østbye, Truls

2016-01-20

Road traffic crashes (RTCs) are a leading cause of death. In low and middle income countries (LMIC) data to conduct hotspot analyses and safety audits are usually incomplete, poor quality, and not computerized. Police data are often limited, but there are no alternative gold standards. This project evaluates high road utilizer surveys as an alternative to police data to identify RTC hotspots. Retrospective police RTC data was compared to prospective data from high road utilizer surveys regarding dangerous road locations. Spatial analysis using geographic information systems was used to map dangerous locations and identify RTC hotspots. We assessed agreement (Cohen's Kappa), sensitivity/specificity, and cost differences. In Rwanda police data identified 1866 RTC locations from 2589 records while surveys identified 1264 locations from 602 surveys. In Sri Lanka, police data identified 721 RTC locations from 752 records while survey data found 3000 locations from 300 surveys. There was high agreement (97 %, 83 %) and kappa (0.60, 0.60) for Rwanda and Sri Lanka respectively. Sensitivity and specificity are 92 % and 95 % for Rwanda and 74 % and 93 % for Sri Lanka. The cost per crash location identified was $2.88 for police and $2.75 for survey data in Rwanda and $2.75 for police and $1.21 for survey data in Sri Lanka. Surveys to locate RTC hotspots have high sensitivity and specificity compared to police data. Therefore, surveys can be a viable, inexpensive, and rapid alternative to the use of police data in LMIC.

Literacy Lessons and Preservice Teachers: Belief Systems, Reflective Responses

ERIC Educational Resources Information Center

Thomas, Ursula

2010-01-01

Purpose: The purpose of this research is to examine preservice teacher's knowledge bases and beliefs about literacy and the impact of their personal reading experiences on literacy instruction. Methodology: This study utilized mixed methodology. This included survey data and open coding. Data were collected using a survey, an annotated DRTA lesson…

Monochloramine Cometabolism by Ammonia-Oxidizing Bacteria. Report #4341

EPA Science Inventory

Chloramine use is widespread in United States (US) drinking water distribution systems as a secondary disinfectant. In a recent survey of water utilities, 30% of the respondents used chloramines to maintain distribution system residual (AWWA Water Quality and Technology Division...

Measurement of Sexual Health in the U.S.: An Inventory of Nationally Representative Surveys and Surveillance Systems

PubMed Central

Ivankovich, Megan B.; Leichliter, Jami S.; Douglas, John M.

2013-01-01

Objectives To identify opportunities within nationally representative surveys and surveillance systems to measure indicators of sexual health, we reviewed and inventoried existing data systems that include variables relevant to sexual health. Methods We searched for U.S. nationally representative surveys and surveillance systems that provided individual-level sexual health data. We assessed the methods of each data system and catalogued them by their measurement of the following domains of sexual health: knowledge, communication, attitudes, service access and utilization, sexual behaviors, relationships, and adverse health outcomes. Results We identified 18 U.S.-focused, nationally representative data systems: six assessing the general population, seven focused on special populations, and five addressing health outcomes. While these data systems provide a rich repository of information from which to assess national measures of sexual health, they present several limitations. Most importantly, apart from data on service utilization, routinely gathered, national data are currently focused primarily on negative aspects of sexual health (e.g., risk behaviors and adverse health outcomes) rather than more positive attributes (e.g., healthy communication and attitudes, and relationship quality). Conclusion Nationally representative data systems provide opportunities to measure a broad array of domains of sexual health. However, current measurement gaps indicate the need to modify existing surveys, where feasible and appropriate, and develop new tools to include additional indicators that address positive domains of sexual health of the U.S. population across the life span. Such data can inform the development of effective policy actions, services, prevention programs, and resource allocation to advance sexual health. PMID:23450886

Utility of Ground-Penetrating Radar as a Root Biomass Survey Tool in Forest Systems

Treesearch

John R. Butnor; J.A. Doolittle; Kurt H. Johnsen; L. Samuelson; T. Stokes; L. Kress

2003-01-01

Traditional methods of measuring tree root biomass are labor intensive and destructive in nature. We studied the utility of ground-penetrating radar (GPR) to measure tree root biomass in situ within a replicated, intensive culture forestry experiment planted with loblolly pine (Pinus taeda L.). The study site was located in Decatur County, Georgia,...

Utilizing Technology Effectively to Improve Millennials' Educational Performance: An Exploratory Look at Business Students' Perceptions

ERIC Educational Resources Information Center

Aviles, Maria; Eastman, Jacqueline K.

2012-01-01

Purpose: The purpose of this paper is to discuss how technological tools, such as Web 2.0 and online learning management systems, can be utilized to improve Millennials' educational performance. Design/methodology/approach: An exploratory survey of Millennial business students was conducted to measure their self-reported use and perceived…

Research on lunar and planet development and utilization

NASA Astrophysics Data System (ADS)

Iwata, Tsutomu; Etou, Takao; Imai, Ryouichi; Oota, Kazuo; Kaneko, Yutaka; Maeda, Toshihide; Takano, Yutaka

1992-08-01

Status of the study on unmanned and manned lunar missions, unmanned Mars missions, lunar resource development and utilization missions, remote sensing exploration missions, survey and review to elucidate the problems of research and development for lunar resource development and utilization, and the techniques and equipment for lunar and planet exploration are presented. Following items were studied respectively: (1) spacecraft systems for unmanned lunar missions, such as lunar observation satellites, lunar landing vehicles, lunar surface rovers, lunar surface hoppers, and lunar sample retrieval; (2) spacecraft systems for manned lunar missions, such as manned lunar bases, lunar surface operation robots, lunar surface experiment systems, manned lunar take-off and landing vehicles, and lunar freight transportation ships; (3) spacecraft systems for Mars missions, such as Mars satellites, Phobos and Deimos sample retrieval vehicles, Mars landing explorers, Mars rovers, Mars sample retrieval; (4) lunar resource development and utilization; and (5) remote sensing exploration technologies.

Exploiting Electric and Magnetic Fields for Underwater Characterization

DTIC Science & Technology

2011-03-01

geophysical surveys are primarily limited to passive magnetic systems towed from a surface vessel. These systems utilize fluxgate , Overhauser, or atomic... magnetometer sensors, often deployed in arrays towed from the stern of small to moderate-size vessels. Active source electromagnetic methods have been

Estimation of a Preference-Based Summary Score for the Patient-Reported Outcomes Measurement Information System: The PROMIS®-Preference (PROPr) Scoring System.

PubMed

Dewitt, Barry; Feeny, David; Fischhoff, Baruch; Cella, David; Hays, Ron D; Hess, Rachel; Pilkonis, Paul A; Revicki, Dennis A; Roberts, Mark S; Tsevat, Joel; Yu, Lan; Hanmer, Janel

2018-06-01

Health-related quality of life (HRQL) preference-based scores are used to assess the health of populations and patients and for cost-effectiveness analyses. The National Institutes of Health Patient-Reported Outcomes Measurement Information System (PROMIS ® ) consists of patient-reported outcome measures developed using item response theory. PROMIS is in need of a direct preference-based scoring system for assigning values to health states. To produce societal preference-based scores for 7 PROMIS domains: Cognitive Function-Abilities, Depression, Fatigue, Pain Interference, Physical Function, Sleep Disturbance, and Ability to Participate in Social Roles and Activities. Online survey of a US nationally representative sample ( n = 983). Preferences for PROMIS health states were elicited with the standard gamble to obtain both single-attribute scoring functions for each of the 7 PROMIS domains and a multiplicative multiattribute utility (scoring) function. The 7 single-attribute scoring functions were fit using isotonic regression with linear interpolation. The multiplicative multiattribute summary function estimates utilities for PROMIS multiattribute health states on a scale where 0 is the utility of being dead and 1 the utility of "full health." The lowest possible score is -0.022 (for a state viewed as worse than dead), and the highest possible score is 1. The online survey systematically excludes some subgroups, such as the visually impaired and illiterate. A generic societal preference-based scoring system is now available for all studies using these 7 PROMIS health domains.

Architecture-led Requirements and Safety Analysis of an Aircraft Survivability Situational Awareness System

DTIC Science & Technology

2015-05-01

quality attributes. Prioritization of the utility tree leafs driven by mission goals help the user ensure that critical requirements are well-specified...Methods: State of the Art and Future Directions”, ACM Computing Surveys. 1996. 10 Laitenberger, Oliver , “A Survey of Software Inspection Technologies, Handbook on Software Engineering and Knowledge Engineering”. 2002.

Application of near-surface geophysics as part of a hydrologic study of a subsurface drip irrigation system along the Powder River floodplain near Arvada, Wyoming

USGS Publications Warehouse

Sams, James I.; Veloski, Garret; Smith, Bruce D.; Minsley, Burke J.; Engle, Mark A.; Lipinski, Brian A.; Hammack, Richard W.; Zupancic, John W.

2014-01-01

Rapid development of coalbed natural gas (CBNG) production in the Powder River Basin (PRB) of Wyoming has occurred since 1997. National attention related to CBNG development has focused on produced water management, which is the single largest cost for on-shore domestic producers. Low-cost treatment technologies allow operators to reduce their disposal costs, provide treated water for beneficial use, and stimulate oil and gas production by small operators. Subsurface drip irrigation (SDI) systems are one potential treatment option that allows for increased CBNG production by providing a beneficial use for the produced water in farmland irrigation.Water management practices in the development of CBNG in Wyoming have been aided by integrated geophysical, geochemical, and hydrologic studies of both the disposal and utilization of water. The U.S. Department of Energy (DOE) National Energy Technology Laboratory (NETL) and the U.S. Geological Survey (USGS) have utilized multi-frequency airborne, ground, and borehole electromagnetic (EM) and ground resistivity methods to characterize the near-surface hydrogeology in areas of produced water disposal. These surveys provide near-surface EM data that can be compared with results of previous surveys to monitor changes in soils and local hydrology over time as the produced water is discharged through SDI.The focus of this investigation is the Headgate Draw SDI site, situated adjacent to the Powder River near the confluence of a major tributary, Crazy Woman Creek, in Johnson County, Wyoming. The SDI system was installed during the summer of 2008 and began operation in October of 2008. Ground, borehole, and helicopter electromagnetic (HEM) conductivity surveys were conducted at the site prior to the installation of the SDI system. After the installation of the subsurface drip irrigation system, ground EM surveys have been performed quarterly (weather permitting). The geophysical surveys map the heterogeneity of the near-surface geology and hydrology of the study area. The geophysical data are consistent between surveys using different techniques and between surveys carried out at different times from 2007 through 2011. This paper summarizes geophysical results from the 4-year monitoring study of the SDI system.

An Early Survey of Best Practices for the Use of Small Unmanned Aerial Systems by the Electric Utility Industry

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

Lusk, Rick M.; Monday, William

This technical manual is about doing things safely. It isn’t so much a how-to guide as it is a collection of best practices from unmanned aerial system (UAS) operators from all over the world. The desired end state is to provide a touchstone for utility businesses, directors, managers, and operators that will inform them as they begin to strategize, plan, and incorporate this technology into day-to-day operations.

Fiber optic video monitoring system for remote CT/MR scanners clinically accepted

NASA Astrophysics Data System (ADS)

Tecotzky, Raymond H.; Bazzill, Todd M.; Eldredge, Sandra L.; Tagawa, James; Sayre, James W.

1992-07-01

With the proliferation of CT travel to distant scanners to review images before their patients can be released. We designed a fiber-optic broadband video system to transmit images from seven scanner consoles to fourteen remote monitoring stations in real time. This system has been used clinically by radiologists for over one years. We designed and conducted a user survey to categorize the levels of system use by section (Chest, GI, GU, Bone, Neuro, Peds, etc.), to measure operational utilization and acceptance of the system into the clinical environment, to clarify the system''s importance as a clinical tool for saving radiologists travel-time to distant CT the system''s performance and limitations as a diagnostic tool. The study was administered directly to radiologists using a printed survey form. The results of the survey''s compiled data show a high percentage of system usage by a wide spectrum of radiologists. Clearly, this system has been accepted into the clinical environment as a highly valued diagnostic tool in terms of time savings and functional flexibility.

Municipal GIS incorporates database from pipe lines

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

Not Available

1994-05-01

League City, a coastal area community of about 35,000 population in Galveston County, Texas, has developed an impressive municipal GIS program. The system represents a textbook example of what a municipal GIS can represent and produce. In 1987, the city engineer was authorized to begin developing the area information system. City survey personnel used state-of-the-art Global Positioning System (GPS) technology to establish a first order monumentation program with a grid of 78 monuments set over 54 sq mi. Street, subdivision, survey, utilities, taxing criteria, hydrology, topography, environmental and other concerns were layered into the municipal GIS database program. Today, areamore » developers submit all layout, design, and land use plan data to the city in digital format without hard copy. Multi-color maps with high resolution graphics can be quickly generate for cross-referenced queries sensitive to political, environmental, engineering, taxing, and/or utility capacity jurisdictions. The design of both the GIS and data base system are described.« less

Study of Lyndon B. Johnson Space Center utility systems

NASA Technical Reports Server (NTRS)

Redding, T. E.; Huber, W. C.

1977-01-01

The results of an engineering study of potential energy saving utility system modifications for the NASA Lyndon B. Johnson Space Center are presented. The objective of the study was to define and analyze utility options that would provide facility energy savings in addition to the approximately 25 percent already achieved through an energy loads reduction program. A systems engineering approach was used to determine total system energy and cost savings resulting from each of the ten major options investigated. The results reported include detailed cost analyses and cost comparisons of various options. Cost are projected to the year 2000. Also included are a brief description of a mathematical model used for the analysis and the rationale used for a site survey to select buildings suitable for analysis.

Technology evaluation of heating, ventilation, and air conditioning for MIUS application

NASA Technical Reports Server (NTRS)

Gill, W. L.; Keough, M. B.; Rippey, J. O.

1974-01-01

Potential ways of providing heating, ventilation, and air conditioning for a building complex serviced by a modular integrated utility system (MIUS) are examined. Literature surveys were conducted to investigate both conventional and unusual systems to serve this purpose. The advantages and disadvantages of the systems most compatible with MIUS are discussed.

The Rise of Data in Education Systems: Collection, Visualization and Use

ERIC Educational Resources Information Center

Lawn, Martin, Ed.

2013-01-01

The growth of education systems and the construction of the state have always been connected. The processes of governing education systems always utilized data through a range of administrative records, pupil testing, efficiency surveys and international projects. By the late twentieth century, quantitative data had gained enormous influence in…

Satellites in Canadian broadcasting

NASA Astrophysics Data System (ADS)

Siocos, C. A.

The involvement of Canadian broadcasting and related enterprises in satellite telecommunications is surveyed. This includes point-to-point transmissions and direct ones to the general public. The mode of such utilizations is indicated in both these cases. For the forthcoming DBS systems the many types of service offerings and utilization concepts under discussion elasewhere are presented as well as the business prospects and regulatory climate offering them.

Design considerations for lunar base photovoltaic power systems

NASA Technical Reports Server (NTRS)

Hickman, J. Mark; Curtis, Henry B.; Landis, Geoffrey A.

1990-01-01

A survey was made of factors that may affect the design of photovoltaic arrays for a lunar base. These factors, which include the lunar environment and system design criteria, are examined. A photovoltaic power system design with a triangular array geometry is discussed and compared to a nuclear reactor power systems and a power system utilizing both nuclear and solar power sources.

Psychometrics of the MHSIP Adult Consumer Survey.

PubMed

Jerrell, Jeanette M

2006-10-01

The reliability and validity of the Mental Health Statistics Improvement Program (MHSIP) Adult Consumer Survey were assessed in a statewide convenience sample of 459 persons with severe mental illness served through a public mental health system. Consistent with previous findings and the intent of its developers, three factors were identified that demonstrate good internal consistency, moderate test-retest reliability, and good convergent validity with consumer perceptions of other aspects of their care. The reliability and validity of the MHSIP Adult Consumer Survey documented in this study underscore its scientific and practical utility as an abbreviated tool for assessing access, quality and appropriateness, and outcome in mental health service systems.

The new camera calibration system at the US Geological Survey

USGS Publications Warehouse

Light, D.L.

1992-01-01

Modern computerized photogrammetric instruments are capable of utilizing both radial and decentering camera calibration parameters which can increase plotting accuracy over that of older analog instrumentation technology from previous decades. Also, recent design improvements in aerial cameras have minimized distortions and increased the resolving power of camera systems, which should improve the performance of the overall photogrammetric process. In concert with these improvements, the Geological Survey has adopted the rigorous mathematical model for camera calibration developed by Duane Brown. An explanation of the Geological Survey's calibration facility and the additional calibration parameters now being provided in the USGS calibration certificate are reviewed. -Author

Managing data from remeasured plots: An evaluation of existing systems

Treesearch

John C. Byrne; Michael D. Sweet

1992-01-01

Proper management of the valuable data from remeasured (or permanent) forest growth plots with data base management systems (DBMS) can greatly add to their utility. Twelve desired features for such a system (activities that facilitate the storage, accuracy, and use of the data for analysis) are described and used to evaluate the 36 systems found by a survey conducted...

Geophysical Surveys of the San Andreas and Crystal Springs Reservoir System Including Seismic-Reflection Profiles and Swath Bathymetry, San Mateo County, California

USGS Publications Warehouse

Finlayson, David P.; Triezenberg, Peter J.; Hart, Patrick E.

2010-01-01

This report describes geophysical data acquired by the U.S. Geological Survey (USGS) in San Andreas Reservoir and Upper and Lower Crystal Springs Reservoirs, San Mateo County, California, as part of an effort to refine knowledge of the location of traces of the San Andreas Fault within the reservoir system and to provide improved reservoir bathymetry for estimates of reservoir water volume. The surveys were conducted by the Western Coastal and Marine Geology (WCMG) Team of the USGS for the San Francisco Public Utilities Commission (SFPUC). The data were acquired in three separate surveys: (1) in June 2007, personnel from WCMG completed a three-day survey of San Andreas Reservoir, collecting approximately 50 km of high-resolution Chirp subbottom seismic-reflection data; (2) in November 2007, WCMG conducted a swath-bathymetry survey of San Andreas reservoir; and finally (3) in April 2008, WCMG conducted a swath-bathymetry survey of both the upper and lower Crystal Springs Reservoir system. Top of PageFor more information, contact David Finlayson.

A procedure for linking psychosocial job characteristics data to health surveys.

PubMed Central

Schwartz, J E; Pieper, C F; Karasek, R A

1988-01-01

A system is presented for linking information about psychosocial characteristics of job situations to national health surveys. Job information can be imputed to individuals on surveys that contain three-digit US Census occupation codes. Occupational mean scores on psychosocial job characteristics-control over task situation (decision latitude), psychological work load, physical exertion, and other measures-for the linkage system are derived from US national surveys of working conditions (Quality of Employment Surveys 1969, 1972, and 1977). This paper discusses a new method for reducing the biases in multivariate analyses that are likely to arise when utilizing linkage systems based on mean scores. Such biases are reduced by modifying the linkage system to adjust imputed individual scores for demographic factors such as age, education, race, marital status and, implicitly, sex (since men and women have separate linkage data bases). Statistics on the linkage system's efficiency and reliability are reported. All dimensions have high inter-survey reproducibility. Despite their psychosocial nature, decision latitude and physical exertion can be more efficiently imputed with the linkage system than earnings (a non-psychosocial job characteristic). The linkage system presented here is a useful tool for initial epidemiological studies of the consequences of psychosocial job characteristics and constitutes the methodological basis for the subsequent paper. PMID:3389426

Student Perceptions of a Wireless Audience Response System

ERIC Educational Resources Information Center

Walton, Abram; Homan, Scott; Naimi, Linda; Tomovic, Cynthia

2008-01-01

Purpose: The purpose of this paper is to identify and measure the perceptions and attitudes of students regarding the classroom performance system (CPS). Design/methodology/approach: The paper reviews a range of recently published (1993-2006) works on pedagogy and educational technology. A survey methodology was utilized to measure students'…

A Titan Explorer Mission Utilizing Solar Electric Propulsion and Chemical Propulsion Systems

NASA Technical Reports Server (NTRS)

Cupples, Michael; Coverstone, Vicki

2003-01-01

Mission and Systems analyses were performed for a Titan Explorer Mission scenario utilizing medium class launch vehicles, solar electric propulsion system (SEPS) for primary interplanetary propulsion, and chemical propulsion for capture at Titan. An examination of a range of system factors was performed to determine their affect on the payload delivery capability to Titan. The effect of varying the launch vehicle, solar array power, associated number of SEPS thrusters, chemical propellant combinations, tank liner thickness, and tank composite overwrap stress factor was investigated. This paper provides a parametric survey of the aforementioned set of system factors, delineating their affect on Titan payload delivery, as well as discussing aspects of planetary capture methodology.

Advances in Robotic, Human, and Autonomous Systems for Missions of Space Exploration

NASA Technical Reports Server (NTRS)

Gross, Anthony R.; Briggs, Geoffrey A.; Glass, Brian J.; Pedersen, Liam; Kortenkamp, David M.; Wettergreen, David S.; Nourbakhsh, I.; Clancy, Daniel J.; Zornetzer, Steven (Technical Monitor)

2002-01-01

Space exploration missions are evolving toward more complex architectures involving more capable robotic systems, new levels of human and robotic interaction, and increasingly autonomous systems. How this evolving mix of advanced capabilities will be utilized in the design of new missions is a subject of much current interest. Cost and risk constraints also play a key role in the development of new missions, resulting in a complex interplay of a broad range of factors in the mission development and planning of new missions. This paper will discuss how human, robotic, and autonomous systems could be used in advanced space exploration missions. In particular, a recently completed survey of the state of the art and the potential future of robotic systems, as well as new experiments utilizing human and robotic approaches will be described. Finally, there will be a discussion of how best to utilize these various approaches for meeting space exploration goals.

Compensation for Distributed Solar. A Survey of Options to Preserve Stakeholder Value

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

Flores-Espino, Francisco

2015-09-01

Compensation mechanisms for electricity generation systems installed behind the meter are under scrutiny in several jurisdictions in the United States. Legislators in 29 states introduced bills to amend net metering provisions in 2014, and in 33 states in the 2015 legislative session as of August 20, 2015. Some utilities have also sought to increase the revenue they receive from net-metered customers through rate redesign. The circumstances that have triggered the recent push for change include a growing percentage of net-metered customers, potential effects of distributed generation on cost allocation, decreasing photovoltaic (PV) system costs, the challenges of integrating high levelsmore » of solar generation in the distribution network, and increasing pressure on utility business models. This report presents a survey of options to charge and compensate PV customers, as well as options that may preserve utility revenues in scenarios with increased DG. These options could be used as building blocks to create a distributed generation (DG) compensation policy that may preserve the value of the different stakeholders and balance their interests.« less

Treatment need and utilization among youth entering the juvenile corrections system.

PubMed

Johnson, Timothy P; Cho, Young Ik; Fendrich, Michael; Graf, Ingrid; Kelly-Wilson, Lisa; Pickup, Lillian

2004-03-01

Relatively little is known about the substance abuse treatment need patterns and experiences of youth incarcerated in the United States juvenile justice system. To address this issue, four analytic questions concerned with understanding the predictors of treatment need and utilization patterns among adolescents entering the juvenile corrections system are examined. Data analyzed were collected as part of a face-to-face survey of 401 youth who entered the Illinois juvenile correctional system in mid-2000. Overall, need for treatment and treatment utilization each were predicted by sets of social environmental and personal characteristics, in addition to several sociodemographic variables. Less than half of youth with an identified need for treatment reported receiving treatment. Considerable variability in the effects of demographic and social environmental indicators on treatment need and utilization across race groups also was observed. These findings underscore the need for the continual development of the cultural competence of treatment providers and the expansion of on-site provision of substance abuse treatment services to incarcerated juveniles.

Survey of Active Vibration Isolation Systems for Microgravity Applications

NASA Technical Reports Server (NTRS)

Grodsinsky, Carlos M.; Whorton, Mark S.

2000-01-01

In view of the utility of space vehicles as orbiting science laboratories, the need for vibration isolation systems for acceleration-sensitive experiments has gained increasing visibility. To date, three active microgravity vibration isolation systems have successfully been demonstrated in flight. A tutorial discussion of the microgravity vibration isolation problem, including a description of the acceleration environment of the International Space Station and attenuation requirements, as well as a comparison or the dynamics of passive isolation, active rack-level isolation, and active payload-level isolation is provided. The flight test results of the three demonstrated systems: suppression of transient accelerations by levitation, the microgravity vibration isolation mount, and the active rack isolation system are surveyed.

Trust in the Health Care System and the Use of Preventive Health Services by Older Black and White Adults

PubMed Central

Schulz, Richard; Harris, Roderick; Silverman, Myrna; Thomas, Stephen B.

2009-01-01

Objectives. We sought to find racial differences in the effects of trust in the health care system on preventive health service use among older adults. Methods. We conducted a telephone survey with 1681 Black and White older adults. Survey questions explored respondents' trust in physicians, medical research, and health information sources. We used logistic regression and controlled for covariates to assess effects of race and trust on the use of preventive health services. Results. We identified 4 types of trust through factor analysis: trust in one's own personal physician, trust in the competence of physicians' care, and trust in formal and informal health information sources. Blacks had significantly less trust in their own physicians and greater trust in informal health information sources than did Whites. Greater trust in one's own physician was associated with utilization of routine checkups, prostate-specific antigen tests, and mammograms, but not with flu shots. Greater trust in informal information sources was associated with utilization of mammograms. Conclusions. Trust in one's own personal physician is associated with utilization of preventive health services. Blacks' relatively high distrust of their physicians likely contributes to health disparities by causing reduced utilization of preventive services. Health information disseminated to Blacks through informal means is likely to increase Blacks' utilization of preventive health services. PMID:18923129

Use of the internet to study the utility values of the public.

PubMed Central

Lenert, Leslie A.; Sturley, Ann E.

2002-01-01

One of the most difficult tasks in cost-effectiveness analysis is the measurement of quality weights (utilities) for health states. The task is difficult because subjects often lack familiarity with health states they are asked to rate and because utilities measures such as the standard gamble, ask subjects to perform tasks that are complex and far from everyday experience. A large body of research suggests that computer methods can play an important role in explaining health states and measuring utilities. However, administering computer surveys to a "general public" sample, the most relevant sample for cost-effectiveness analysis, is logistically difficult. In this paper, we describe a software system designed to allow the study of general population preferences in a volunteer Internet survey panel. The approach, which relied on over sampling of ethnic groups and older members of the panel, produced a data set with an ethnically, chronologically and geographically diverse group of respondents, but was not successful in replicating the joint distribution of demographic patterns in the population. PMID:12463862

Executive control systems in the engineering design environment. M.S. Thesis

NASA Technical Reports Server (NTRS)

Hurst, P. W.

1985-01-01

An executive control system (ECS) is a software structure for unifying various applications codes into a comprehensive system. It provides a library of applications, a uniform access method through a cental user interface, and a data management facility. A survey of twenty-four executive control systems designed to unify various CAD/CAE applications for use in diverse engineering design environments within government and industry was conducted. The goals of this research were to establish system requirements to survey state-of-the-art architectural design approaches, and to provide an overview of the historical evolution of these systems. Foundations for design are presented and include environmental settings, system requirements, major architectural components, and a system classification scheme based on knowledge of the supported engineering domain(s). An overview of the design approaches used in developing the major architectural components of an ECS is presented with examples taken from the surveyed systems. Attention is drawn to four major areas of ECS development: interdisciplinary usage; standardization; knowledge utilization; and computer science technology transfer.

Equity in health care utilization in Chile.

PubMed

Núñez, Alicia; Chi, Chunhuei

2013-08-12

One of the most extensive Chilean health care reforms occurred in July 2005, when the Regime of Explicit Health Guarantees (AUGE) became effective. This reform guarantees coverage for a specific set of health conditions. Thus, the purpose of this study is to provide timely evidence for policy makers to understand the current distribution and equity of health care utilization in Chile.The authors analyzed secondary data from the National Socioeconomic Survey (CASEN) for the years 1992-2009 and the 2006 Satisfaction and Out-of-Pocket Payment Survey to assess equity in health care utilization using two different approaches. First, we used a two-part model to estimate factors associated with the utilization of health care. Second, we decomposed income-related inequalities in medical care use into contributions of need and non-need factors and estimated a horizontal inequity index.Findings of this empirical study include evidence of inequities in the Chilean health care system that are beneficial to the better-off. We also identified some key factors, including education and health care payment, which affect the utilization of health care services. Results of this study could help researchers and policy makers identify targets for improving equity in health care utilization and strengthening availability of health care services accordingly.

The Fundamental Stellar Parameters of FGK Stars in the SEEDS Survey

NASA Astrophysics Data System (ADS)

Rich, Evan; Wisniewski, John P.; SEEDS Team

2017-01-01

Large exoplanet surveys have successfully detected thousands of exoplanets to-date. Utilizing these detections and non-detections to constrain our understanding of the formation and evolution of planetary systems also requires a detailed understanding of the basic properties of their host stars. We have determined the basic stellar properties of F, K, and G stars in the Strategic Exploration of Exoplanets and Disks with Subaru (SEEDS) survey from echelle spectra taken at the Apache Point Observatory's 3.5m telescope. Using ROBOSPECT to extract line fluxes and TGVIT to calculate the fundamental parameters, we have computed Teff, log(g), vt, [Fe/H], chromospheric activity, lithium abundance, and the age for our sample. Our methodology was calibrated against previously published results for a portion of our sample. The future meta-analysis of the results of the SEEDS survey will utilize our results to constrain the occurrence of detected co-moving companions with the properties of their host stars.

[Estimating medicinal yield of Seutellaria baicalensis in Beijing-Tianjin-Hebei region based on 3S technology].

PubMed

Liu, Jin-xinp; Lu, Heng; Zeng, Yan; Yue, Jian-wei; Meng, Fan-yun; Zhang, Yi-guang

2012-09-01

Resources survey of traditional Chinese medicine and reserves estimation are found to be the most important issues for the protection and utilization of traditional Chinese medicine resources, this paper used multi-spatial resolution remote sensing images (RS) , geographic information systems (GIS) and global positioning system (GPS) , to establish Scutellaria resources survey of 3S data platform. Combined with the traditional field survey methods, small-scale habitat types were established based on different skullcap reserve estimation model, which can estimate reserves of the wild Scutellaria in Beijing-Tianjin-Hebei region and improve the estimation accuracy. It can provide an important parameter for the fourth national survey of traditional Chinese medicine resources and traditional Chinese medicine reserves estimates based on 3S technology by multiple spatial scales model.

A study of the potential impacts of space utilization

NASA Technical Reports Server (NTRS)

Cheston, T. S.; Chafer, C. M.; Chafer, S. B.; Webb, D. C.; Stadd, C. A.

1979-01-01

Because the demand for comprehensive impact analysis of space technologies will increase with the use of space shuttles, the academic social sciences/humanities community was surveyed in order to determine their interests in space utilization, to develop a list of current and planned courses, and to generate a preliminary matrix of relevant social sciences. The academic scope/focus of a proposed social science space-related journal was identified including the disciplines which should be represented in the editorial board/reviewer system. The time and funding necessary to develop a self-sustaining journal were assessed. Cost income, general organizational structure, marking/distribution and funding sources were analyzed. Recommendations based on the survey are included.

WisDOT statewide customer satisfaction survey : [project brief].

DOT National Transportation Integrated Search

2013-03-01

The Wisconsin Department of Transportation (WisDOT) is a major public agency with numerous customers utilizing a variety of services and programs to support the entire statewide multimodal transportation system. The department also houses the Divisio...

The utility of an online diagnostic decision support system (Isabel) in general practice: a process evaluation.

PubMed

Henderson, Emily J; Rubin, Greg P

2013-05-01

To evaluate the utility of Isabel, an online diagnostic decision support system developed by Isabel Healthcare primarily for secondary medical care, in the general practice setting. Focus groups were conducted with clinicians to understand why and how they used the system. A modified online post-use survey asked practitioners about its impact on their decision-making. Normalization process theory (NPT) was used as a theoretical framework to determine whether the system could be incorporated into routine clinical practice. The system was introduced by NHS County Durham and Darlington in the UK in selected general practices as a three-month pilot. General practitioners and nurse practitioners who had access to Isabel as part of the Primary Care Trust's pilot. General practitioners' views, experiences and usage of the system. Seven general practices agreed to pilot Isabel. Two practices did not subsequently use it. The remaining five practices conducted searches on 16 patients. Post-use surveys (n = 10) indicated that Isabel had little impact on diagnostic decision-making. Focus group participants stated that, although the diagnoses produced by Isabel in general did not have an impact on their decision-making, they would find the tool useful if it were better tailored to the primary care setting. Our analysis concluded that normalization was not likely to occur in its current form. Isabel was of limited utility in this short pilot study and may need further modification for use in general practice.

Barriers to Implementing a Reporting and Learning Patient Safety System: Pediatric Chiropractic Perspective.

PubMed

Pohlman, Katherine A; Carroll, Linda; Hartling, Lisa; Tsuyuki, Ross T; Vohra, Sunita

2016-04-01

A reporting and learning system is a method of monitoring the occurrence of incidents that affect patient safety. This cross-sectional survey asked pediatric chiropractors about factors that may limit their participation in such a system. The list of potential barriers for participation was developed using a systematic approach. All members of the 2 pediatric councils associated with US national chiropractic organizations were invited to complete the survey (N = 400). The cross-sectional survey was created using an online survey tool (REDCap) and sent directly to member emails addressed by the respective executive committees. Of the 400 potential respondents, 81 responded (20.3%). The most common limitations to participating were identified as time pressure (96%) and patient concerns (81%). Reporting and learning systems have been utilized to increase safety awareness in many high-risk industries. To be successful, future patient safety studies with pediatric chiropractors need to ensure these barriers are understood and addressed. © The Author(s) 2015.

Categorization of Survey Text Utilizing Natural Language Processing and Demographic Filtering

DTIC Science & Technology

2017-09-01

SURVEY TEXT UTILIZING NATURAL LANGUAGE PROCESSING AND DEMOGRAPHIC FILTERING by Christine M. Cairoli September 2017 Thesis Advisor: Lyn...DATE September 2017 3. REPORT TYPE AND DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE CATEGORIZATION OF SURVEY TEXT UTILIZING NATURAL...words) Thousands of Navy survey free text comments are overlooked every year because reading and interpreting comments is expensive, time consuming

Methods of Conserving Heating Energy Utilized in Thirty-One Public School Systems.

ERIC Educational Resources Information Center

Davis, Kathy Eggers

The Memphis City School System was notified by Memphis Light, Gas, and Water that it was necessary to reduce its consumption of natural gas during the winter of 1975-76. A survey was developed and sent to 44 large public school systems to determine which methods of heating energy conservation were used most frequently and which methods were most…

Mind the Gap: Accounting Information Systems Curricula Development in Compliance with IFAC Standards in a Developing Country

ERIC Educational Resources Information Center

Aleqab, Mahmoud Mohmad Ahmad; Nurunnabi, Mohammad; Adel, Dalia

2015-01-01

The authors examine the consistency between the current practices in designing and teaching accounting information systems (AIS) curricula and the International Federation of Accountants (IFAC) requirements for International Education Practice Statement 2 and International Education Standards 2. Utilizing a survey and interviews data in Jordan,…

State Network Utilization Study: Mississippi Educational Television.

ERIC Educational Resources Information Center

Wilson, Savan; And Others

This document is the result of a utilization study of Mississippi Educational Television where 27 target audiences were identified and surveyed. The following information is included: a draft of and updated state network utilization studies; planning and management strategies; a profile of the survey populations; a distance learning survey report;…

A national assessment of children with special health care needs: prevalence of special needs and use of health care services among children in the military health system.

PubMed

Williams, Thomas V; Schone, Eric M; Archibald, Nancy D; Thompson, Joseph W

2004-08-01

Children are frequently perceived to be healthy, low-risk individuals with a majority of clinical services devoted to health maintenance and preventive clinical services. However, a subset of children have unique needs that require specialized care to achieve optimal health outcomes. The purpose of this research was to use survey tools that have been developed to identify children with special health care needs (CSHCN) to measure prevalence and resource needs of these children in the military health system (MHS). The US Department of Defense manages the MHS, which is one of the largest integrated health care systems in the world and provides care to almost 2,000000 children. We incorporated the CSHCN survey screener and assessment questions into the annual health care survey of beneficiaries who are eligible for benefits within the MHS. In addition, we used claims information available from inpatient and outpatient services. We used parent reports from the survey to estimate the prevalence of CSHCN. Incorporating claims data and restricting our analyses to those who were enrolled continuously in a military health maintenance organization (TRICARE Prime), we described utilization of different types of health care resources and compared CSHCN with their healthy counterparts. Finally, we examined alternative types of special needs and performed regression analyses to identify the major determinants of health needs and resource utilization to guide system management and policy development. CSHCN compose 23% of the TRICARE Prime enrollees who are younger than 18 years and whose parents responded to the survey. The needs of a majority of these children consist of prescription medications and services targeting medical, mental health, and educational needs. CSHCN experience 5 times as many admissions and 10 times as many days in hospitals compared with children without special needs. CSHCN are responsible for nearly half of outpatient visits for enrolled children and more than three quarters of inpatient days. Service utilization varies dramatically by type of special need and other demographic variables. CSHCN represent a major challenge to organized systems of care and our society. Because they represent a group of children who are particularly at risk with potential for improved health outcomes, efforts to improve quality, coordinate care, and optimize efficiency should focus on this target population.

Population Preferences for Health Care in Liberia: Insights for Rebuilding a Health System

PubMed Central

Kruk, Margaret E; Rockers, Peter C; Tornorlah Varpilah, S; Macauley, Rose

2011-01-01

Objective To quantify the influence of health system attributes, particularly quality of care, on preferences for health clinics in Liberia, a country with a high burden of disease that is rebuilding its health system after 14 years of civil war. Data Sources/Study Setting Informed by focus group discussions, a discrete choice experiment (DCE) was designed to assess preferences for structure and process of care at health clinics. The DCE was fielded in rural, northern Liberia as part of a 2008 population-based survey on health care utilization. Data Collection The survey response rate was 98 percent with DCE data available for 1,431 respondents. Mixed logit models were used to estimate the influence of six attributes on choice of hypothetical clinics for a future illness. Principal Findings Participants' choice of clinic was most influenced by provision of a thorough physical exam and consistent availability of medicines. Respectful treatment and government (versus NGO) management marginally increased utility, whereas waiting time was not significant. Conclusions Liberians value technical quality of care over convenience, courtesy, and public management in selecting clinics for curative care. This suggests that investments in improved competence of providers and availability of medicines may increase population utilization of essential services as well as promote better clinical outcomes. PMID:21517835

Population preferences for health care in liberia: insights for rebuilding a health system.

PubMed

Kruk, Margaret E; Rockers, Peter C; Tornorlah Varpilah, S; Macauley, Rose

2011-12-01

OBJECTIVE. To quantify the influence of health system attributes, particularly quality of care, on preferences for health clinics in Liberia, a country with a high burden of disease that is rebuilding its health system after 14 years of civil war. DATA SOURCES/STUDY SETTING. Informed by focus group discussions, a discrete choice experiment (DCE) was designed to assess preferences for structure and process of care at health clinics. The DCE was fielded in rural, northern Liberia as part of a 2008 population-based survey on health care utilization. DATA COLLECTION. The survey response rate was 98 percent with DCE data available for 1,431 respondents. Mixed logit models were used to estimate the influence of six attributes on choice of hypothetical clinics for a future illness. PRINCIPAL FINDINGS. Participants' choice of clinic was most influenced by provision of a thorough physical exam and consistent availability of medicines. Respectful treatment and government (versus NGO) management marginally increased utility, whereas waiting time was not significant. CONCLUSIONS. Liberians value technical quality of care over convenience, courtesy, and public management in selecting clinics for curative care. This suggests that investments in improved competence of providers and availability of medicines may increase population utilization of essential services as well as promote better clinical outcomes. © Health Research and Educational Trust.

NON-COMMUNITY WATER SYSTEMS DATABASE

EPA Science Inventory

Resource Purpose:Virtually every SIC code has some establishments which are classified as public water supplies under the SDWA. The survey (entering its design phase) will provide information on drinking water utilization and production at these establishments. With such...

A survey of industry practices regarding shielding of substations against direct lightning strokes

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

Mousa, A.M.; Wehling, R.J.

1993-01-01

A survey of industry practices regarding shielding of substations against direct lightning strokes is presented and analyzed. The survey is based on responses from 114 companies including consultants and utilities both from within and from outside North America. The survey identifies the shielding design methods in use, the factors affecting the selection of a shielding method, the shielding design criteria and the governing factors, the performance of the different shielding methods and miscellaneous related aspects. The survey revealed a large number (35) of shielding failure incidents; 34 of which occurred in systems designed using either the fixed shielding angle methodmore » or Wagner's 1942 method.« less

Survey of electric utility demand for coal. [1972-1992; by utility and state

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

Asbury, J.G.; Caruso, J.V.; Kouvalis, A.

1979-08-01

This report presents the results of a survey of electric utility demand for coal in the United States. The sources of survey information are: (1) Federal Energy Regulatory Commission Form 423 data on utility coal purchases during the period July 1972 through December 1978 and (2) direct telephone survey data on utility coal-purchase intentions for power plants to be constructed by 1992. Price and quantity data for coal used in existing plants are presented to illustrate price and market-share trends in individual coal-consuming states during recent years. Coal source, quality, quantity, and transportation data are reported for existing and plannedmore » generating plants.« less

A Survey of Active Vibration Isolation Systems for Microgravity Applications

NASA Technical Reports Server (NTRS)

Grodsinsky, Carlos M.; Whorton, Mark S.

2000-01-01

In view of the utility of space vehicles as orbiting science laboratories, the need for vibration isolation systems for acceleration sensitive experiments has gained increasing visibility. To date, three active microgravity vibration isolation systems have successfully been demonstrated in flight. This paper provides a tutorial discussion of the microgravity vibration isolation problem including a description of the acceleration environment of the International Space Station and attenuation requirements as well as a comparison of the dynamics of passive isolation, active rack-level isolation, and active payload-level isolation. This paper also surveys the flight test results of the three demonstrated systems: Suppression of Transient Accelerations By Levitation (STABLE); the Microgravity Vibration Isolation Mount (MIM); and the Active Rack Isolation System (ARIS).

A population-based analysis of healthcare utilization of persons with back disorders: results from the Canadian Community Health Survey 2000-2001.

PubMed

Lim, Kim-Lian; Jacobs, Philip; Klarenbach, Scott

2006-01-15

A retrospective, population-based analysis. To analyze the utilization of a variety of healthcare services for persons with and without a chronic back disorder, and to identify factors associated with specific patterns of healthcare resource use. Although there have been studies of how chronic back disorders influence the use of specific healthcare services, we do not currently have a broad, population-based overview of how this condition influences healthcare service utilization. Person-level data were taken from the 2000-2001 Canadian Community Health Survey (CCHS), a nationwide cross-sectional survey of health determinants, health status, and health system utilization of Canadians. A series of binary logistic regressions examining healthcare resource utilization were performed on a full study sample (n = 113,229), as well as a restricted sample (n = 36,713) with attention focused on subjects with a single diagnosis of a chronic back disorder. Persons with chronic back disorders were more likely to use physician resources (multivariate odds ratio [OR] = 1.2; 95% confidence interval, 1.1-1.2), and nonphysician resources (OR range, 2.1-3.6) compared with persons without the condition, with chiropractic care having an odds ratio of 3.6 (95% confidence interval, 3.5-3.8). Higher socioeconomic status, the presence of activity-limiting pain, and depressive symptoms were associated with a significant increase in utilization of almost all healthcare services. With increasing disability as indicated by the presence of pain and functional limitations, and the presence of depressive symptoms, the higher the utilization of physician and nonphysician resources, with the exception of chiropractic care, which appears to be used by those with less severe symptoms. Lower socioeconomic status was associated with significantly lower receipt of services for almost all healthcare providers.

Using model based systems engineering for the development of the Large Synoptic Survey Telescope's operational plan

NASA Astrophysics Data System (ADS)

Selvy, Brian M.; Claver, Charles; Willman, Beth; Petravick, Don; Johnson, Margaret; Reil, Kevin; Marshall, Stuart; Thomas, Sandrine; Lotz, Paul; Schumacher, German; Lim, Kian-Tat; Jenness, Tim; Jacoby, Suzanne; Emmons, Ben; Axelrod, Tim

2016-08-01

We† provide an overview of the Model Based Systems Engineering (MBSE) language, tool, and methodology being used in our development of the Operational Plan for Large Synoptic Survey Telescope (LSST) operations. LSST's Systems Engineering (SE) team is using a model-based approach to operational plan development to: 1) capture the topdown stakeholders' needs and functional allocations defining the scope, required tasks, and personnel needed for operations, and 2) capture the bottom-up operations and maintenance activities required to conduct the LSST survey across its distributed operations sites for the full ten year survey duration. To accomplish these complimentary goals and ensure that they result in self-consistent results, we have developed a holistic approach using the Sparx Enterprise Architect modeling tool and Systems Modeling Language (SysML). This approach utilizes SysML Use Cases, Actors, associated relationships, and Activity Diagrams to document and refine all of the major operations and maintenance activities that will be required to successfully operate the observatory and meet stakeholder expectations. We have developed several customized extensions of the SysML language including the creation of a custom stereotyped Use Case element with unique tagged values, as well as unique association connectors and Actor stereotypes. We demonstrate this customized MBSE methodology enables us to define: 1) the rolls each human Actor must take on to successfully carry out the activities associated with the Use Cases; 2) the skills each Actor must possess; 3) the functional allocation of all required stakeholder activities and Use Cases to organizational entities tasked with carrying them out; and 4) the organization structure required to successfully execute the operational survey. Our approach allows for continual refinement utilizing the systems engineering spiral method to expose finer levels of detail as necessary. For example, the bottom-up, Use Case-driven approach will be deployed in the future to develop the detailed work procedures required to successfully execute each operational activity.

A technical analysis for cogeneration systems with potential applications in twelve California industrial plants. [energy saving heat-electricity utility systems

NASA Technical Reports Server (NTRS)

Moretti, V. C.; Davis, H. S.; Slonski, M. L.

1978-01-01

In a study sponsored by the State of California Energy Resources Conservation and Development Commission, 12 industrial plants in five utility districts were surveyed to assess the potential applications of the cogeneration of heat and electricity in California industry. Thermodynamic calculations were made for each plant in determining the energy required to meet the existing electrical and steam demands. The present systems were then compared to conceptual cogeneration systems specified for each plant. Overall energy savings were determined for the cogeneration applications. Steam and gas turbine topping cycle systems were considered as well as bottoming cycle systems. Types of industries studied were: pulp and paper, timber, cement, petroleum refining, enhanced oil recovery, foods processing, steel and glass

Effects off system factors on the economics of and demand for small solar thermal power systems

NASA Technical Reports Server (NTRS)

1981-01-01

Market penetration as a function time, SPS performance factors, and market/economic considerations was estimated, and commercialization strategies were formulated. A market analysis task included personal interviews and supplemental mail surveys to acquire statistical data and to identify and measure attitudes, reactions and intentions of prospective SPS users. Interviews encompassed three ownership classes of electric utilities and industrial firms in the SIC codes for energy consumption. A market demand model was developed which utilized the data base developed, and projected energy price and consumption data to perform sensitivity analyses and estimate potential market for SPS.

Philippines: Small-scale renewable energy update

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

NONE

1997-12-01

This paper gives an overview of the application of small scale renewable energy sources in the Philippines. Sources looked at include solar, biomass, micro-hydroelectric, mini-hydroelectric, wind, mini-geothermal, and hybrid. A small power utilities group is being spun off the major utility, to provide a structure for developing rural electrification programs. In some instances, private companies have stepped forward, avoiding what is perceived as overwhelming beaurocracy, and installed systems with private financing. The paper provides information on survey work which has been done on resources, and the status of cooperative programs to develop renewable systems in the nation.

Effects off system factors on the economics of and demand for small solar thermal power systems

NASA Astrophysics Data System (ADS)

1981-09-01

Market penetration as a function time, SPS performance factors, and market/economic considerations was estimated, and commercialization strategies were formulated. A market analysis task included personal interviews and supplemental mail surveys to acquire statistical data and to identify and measure attitudes, reactions and intentions of prospective SPS users. Interviews encompassed three ownership classes of electric utilities and industrial firms in the SIC codes for energy consumption. A market demand model was developed which utilized the data base developed, and projected energy price and consumption data to perform sensitivity analyses and estimate potential market for SPS.

Implications of sampling design and sample size for national carbon accounting systems

Treesearch

Michael Köhl; Andrew Lister; Charles T. Scott; Thomas Baldauf; Daniel Plugge

2011-01-01

Countries willing to adopt a REDD regime need to establish a national Measurement, Reporting and Verification (MRV) system that provides information on forest carbon stocks and carbon stock changes. Due to the extensive areas covered by forests the information is generally obtained by sample based surveys. Most operational sampling approaches utilize a combination of...

Comparing the Utility of the 2000 and 2005 Carnegie Classification Systems in Research on Students' College Experiences and Outcomes

ERIC Educational Resources Information Center

McCormick, Alexander C.; Pike, Gary R.; Kuh, George D.; Chen, Pu-Shih Daniel

2009-01-01

This study compares the explanatory power of the 2000 edition of Carnegie Classification, the 2005 revision of the classification, and selected variables underlying Carnegie's expanded 2005 classification system using data from the National Survey of Student Engagement's spring 2004 administration. Results indicate that the 2000 and 2005…

Development of a solid polymer electrolyte electrolysis cell module and ancillary components for a breadboard water electrolysis system

NASA Technical Reports Server (NTRS)

Porter, F. J., Jr.

1972-01-01

Solid polymer electrolyte technology in a water electrolysis system along with ancillary components to generate oxygen and hydrogen for a manned space station application are considered. Standard commercial components are utilized wherever possible. Presented are the results of investigations, surveys, tests, conclusions and recommendations for future development efforts.

APPLICATION OF STABLE ISOTOPE TECHNIQUES TO AIR POLLUTION RESEARCH

EPA Science Inventory

Stable isotope techniques provide a robust, yet under-utilized tool for examining pollutant effects on plant growth and ecosystem function. Here, we survey a range of mixing model, physiological and system level applications for documenting pollutant effects. Mixing model examp...

Nurses' perceptions of research utilization in a corporate health care system.

PubMed

McCloskey, Donna Jo

2008-01-01

To explore selected characteristics of nurses based upon educational level (masters, baccalaureate, associate degree/diploma), years of experience, and hospital position (management, advanced practice, staff nurse) that might affect perceived availability of research resources, attitude towards research, support, and research use in practice. A descriptive nonexperimental mailed survey design was used for this study. Nurses in five hospitals within a corporate hospital system were surveyed using the Research Utilization Questionnaire (RUQ). The RUQ was used to measure nurses' perceptions of research utilization in the four dimensions of perceived use of research, attitude toward research, availability of research resources, and perceived support for research activities. ANOVA was used to analyze the data. Statistically significant differences (p<.001) were found in the perceived use of research, attitude toward research, availability of research resources, and perceived support for research activities based on educational level and organizational position. No significant differences were found in the perception of nurses based on years of experience. The results of this study have implications for staff nurses, administrators, advanced practice nurses, and educators working in hospital systems. The different perceptions based upon educational level and hospital position can be integrated and used at all levels of nursing practice to promote research utilization and evidence-based practice initiatives within the organizational structure. The results of this study have nursing implications within administration and for nursing practice. The different perceptions that were found based upon educational level and hospital position can be positively integrated and used by administrators and by nurses all levels of nursing practice to promote research utilization and evidence based practice initiatives within the organizational structure.

A Long-Term Performance Enhancement Method for FOG-Based Measurement While Drilling

PubMed Central

Zhang, Chunxi; Lin, Tie

2016-01-01

In the oil industry, the measurement-while-drilling (MWD) systems are usually used to provide the real-time position and orientation of the bottom hole assembly (BHA) during drilling. However, the present MWD systems based on magnetic surveying technology can barely ensure good performance because of magnetic interference phenomena. In this paper, a MWD surveying system based on a fiber optic gyroscope (FOG) was developed to replace the magnetic surveying system. To accommodate the size of the downhole drilling conditions, a new design method is adopted. In order to realize long-term and high position precision and orientation surveying, an integrated surveying algorithm is proposed based on inertial navigation system (INS) and drilling features. In addition, the FOG-based MWD error model is built and the drilling features are analyzed. The state-space system model and the observation updates model of the Kalman filter are built. To validate the availability and utility of the algorithm, the semi-physical simulation is conducted under laboratory conditions. The results comparison with the traditional algorithms show that the errors were suppressed and the measurement precision of the proposed algorithm is better than the traditional ones. In addition, the proposed method uses a lot less time than the zero velocity update (ZUPT) method. PMID:27483270

A Long-Term Performance Enhancement Method for FOG-Based Measurement While Drilling.

PubMed

Zhang, Chunxi; Lin, Tie

2016-07-28

In the oil industry, the measurement-while-drilling (MWD) systems are usually used to provide the real-time position and orientation of the bottom hole assembly (BHA) during drilling. However, the present MWD systems based on magnetic surveying technology can barely ensure good performance because of magnetic interference phenomena. In this paper, a MWD surveying system based on a fiber optic gyroscope (FOG) was developed to replace the magnetic surveying system. To accommodate the size of the downhole drilling conditions, a new design method is adopted. In order to realize long-term and high position precision and orientation surveying, an integrated surveying algorithm is proposed based on inertial navigation system (INS) and drilling features. In addition, the FOG-based MWD error model is built and the drilling features are analyzed. The state-space system model and the observation updates model of the Kalman filter are built. To validate the availability and utility of the algorithm, the semi-physical simulation is conducted under laboratory conditions. The results comparison with the traditional algorithms show that the errors were suppressed and the measurement precision of the proposed algorithm is better than the traditional ones. In addition, the proposed method uses a lot less time than the zero velocity update (ZUPT) method.

Multi-Robot Assembly Strategies and Metrics.

PubMed

Marvel, Jeremy A; Bostelman, Roger; Falco, Joe

2018-02-01

We present a survey of multi-robot assembly applications and methods and describe trends and general insights into the multi-robot assembly problem for industrial applications. We focus on fixtureless assembly strategies featuring two or more robotic systems. Such robotic systems include industrial robot arms, dexterous robotic hands, and autonomous mobile platforms, such as automated guided vehicles. In this survey, we identify the types of assemblies that are enabled by utilizing multiple robots, the algorithms that synchronize the motions of the robots to complete the assembly operations, and the metrics used to assess the quality and performance of the assemblies.

A survey on hysteresis modeling, identification and control

NASA Astrophysics Data System (ADS)

Hassani, Vahid; Tjahjowidodo, Tegoeh; Do, Thanh Nho

2014-12-01

The various mathematical models for hysteresis such as Preisach, Krasnosel'skii-Pokrovskii (KP), Prandtl-Ishlinskii (PI), Maxwell-Slip, Bouc-Wen and Duhem are surveyed in terms of their applications in modeling, control and identification of dynamical systems. In the first step, the classical formalisms of the models are presented to the reader, and more broadly, the utilization of the classical models is considered for development of more comprehensive models and appropriate controllers for corresponding systems. In addition, the authors attempt to encourage the reader to follow the existing mathematical models of hysteresis to resolve the open problems.

Multi-Robot Assembly Strategies and Metrics

PubMed Central

MARVEL, JEREMY A.; BOSTELMAN, ROGER; FALCO, JOE

2018-01-01

We present a survey of multi-robot assembly applications and methods and describe trends and general insights into the multi-robot assembly problem for industrial applications. We focus on fixtureless assembly strategies featuring two or more robotic systems. Such robotic systems include industrial robot arms, dexterous robotic hands, and autonomous mobile platforms, such as automated guided vehicles. In this survey, we identify the types of assemblies that are enabled by utilizing multiple robots, the algorithms that synchronize the motions of the robots to complete the assembly operations, and the metrics used to assess the quality and performance of the assemblies. PMID:29497234

Equity in health care utilization in Chile

PubMed Central

2013-01-01

One of the most extensive Chilean health care reforms occurred in July 2005, when the Regime of Explicit Health Guarantees (AUGE) became effective. This reform guarantees coverage for a specific set of health conditions. Thus, the purpose of this study is to provide timely evidence for policy makers to understand the current distribution and equity of health care utilization in Chile. The authors analyzed secondary data from the National Socioeconomic Survey (CASEN) for the years 1992–2009 and the 2006 Satisfaction and Out-of-Pocket Payment Survey to assess equity in health care utilization using two different approaches. First, we used a two-part model to estimate factors associated with the utilization of health care. Second, we decomposed income-related inequalities in medical care use into contributions of need and non-need factors and estimated a horizontal inequity index. Findings of this empirical study include evidence of inequities in the Chilean health care system that are beneficial to the better-off. We also identified some key factors, including education and health care payment, which affect the utilization of health care services. Results of this study could help researchers and policy makers identify targets for improving equity in health care utilization and strengthening availability of health care services accordingly. PMID:23937894

The Use of Minipigs for Preclinical Safety Assessment by the Pharmaceutical Industry: Results of an IQ DruSafe Minipig Survey.

PubMed

Colleton, Curtis; Brewster, David; Chester, Anne; Clarke, David O; Heining, Peter; Olaharski, Andrew; Graziano, Michael

2016-04-01

The use of minipigs in preclinical safety testing of pharmaceuticals is considered an alternative to the more traditional dog and nonhuman primate (NHP) nonrodent species. Substantial evidence exists to suggest that the anatomy, physiology, and biochemistry of minipigs are similar enough to humans to consider them as valid nonrodent models for pharmaceutical safety testing. Since the utilization of minipigs was last assessed over 5 years ago, the Preclinical Safety Leadership Group (DruSafe) of the International Consortium for Innovation and Quality in Pharmaceutical Development conducted this survey to provide an updated assessment of the utility, perceived value, and impediments to the use of minipigs in preclinical safety testing. Of the 32 participating members of DruSafe, 15 responded to the survey representing both large and small companies. Respondents indicated that the minipig has been utilized mostly for short-term safety assessment studies with dermal, oral, and parenteral routes of administration. Minipigs are widely accepted as appropriate models for cardiovascular assessments and have been used to a limited extent for reproductive toxicology testing. Overall responses indicated that safety testing for large molecules using this species is relatively low due to a lack of background data, reagents or biomarkers, concerns regarding immune system characterization and poor suitability for developmental toxicity assessments. Most companies utilized contract research organizations for definitive safety toxicity assessment studies. Conclusions of this survey indicate that minipig is an acceptable nonrodent species largely limited to studies using small molecules, primarily dermal products, and results are comparable to those reported 5 years ago. © The Author(s) 2016.

A combined model to assess technical and economic consequences of changing conditions and management options for wastewater utilities.

PubMed

Giessler, Mathias; Tränckner, Jens

2018-02-01

The paper presents a simplified model that quantifies economic and technical consequences of changing conditions in wastewater systems on utility level. It has been developed based on data from stakeholders and ministries, collected by a survey that determined resulting effects and adapted measures. The model comprises all substantial cost relevant assets and activities of a typical German wastewater utility. It consists of three modules: i) Sewer for describing the state development of sewer systems, ii) WWTP for process parameter consideration of waste water treatment plants (WWTP) and iii) Cost Accounting for calculation of expenses in the cost categories and resulting charges. Validity and accuracy of this model was verified by using historical data from an exemplary wastewater utility. Calculated process as well as economic parameters shows a high accuracy compared to measured parameters and given expenses. Thus, the model is proposed to support strategic, process oriented decision making on utility level. Copyright © 2017 Elsevier Ltd. All rights reserved.

Survey of flue gas desulfurization systems: Dickerson Station, Potomac Electric Power Co. Final report, Feb--Aug 1975

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

Isaacs, G.A.

1975-09-01

Results are given of a survey of a flue gas desulfurization system, utilizing the Chemico/Basic MgO-SO2 removal/recovery process, that has been retrofitted to handle approximately half of the exhaust gas from the 190 MW unit 3 at Potomac Electric Power Company's Dickerson Station. The system was installed at a cost of SO.5 million. The boiler burns 2% sulfur coal and is equipped with a 94% efficient electrostatic precipitator. A single two-stage scrubber/absorber is used. The liquor streams for the two stages are separate, both operating in a closed-loop mode. Magnesium oxide (MgO) is regenerated off-site. (GRA)

A Framework to Survey the Energy Efficiency of Installed Motor Systems

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

Rao, Prakash; Hasanbeigi, Ali; McKane, Aimee

2013-08-01

While motors are ubiquitous throughout the globe, there is insufficient data to properly assess their level of energy efficiency across regional boundaries. Furthermore, many of the existing data sets focus on motor efficiency and neglect the connected drive and system. Without a comprehensive survey of the installed motor system base, a baseline energy efficiency of a country or region’s motor systems cannot be developed. The lack of data impedes government agencies, utilities, manufacturers, distributers, and energy managers when identifying where to invest resources to capture potential energy savings, creating programs aimed at reducing electrical energy consumption, or quantifying the impactsmore » of such programs. This paper will outline a data collection framework for use when conducting a survey under a variety of execution models to characterize motor system energy efficiency within a country or region. The framework is intended to standardize the data collected ensuring consistency across independently conducted surveys. Consistency allows for the surveys to be leveraged against each other enabling comparisons to motor system energy efficiencies from other regions. In creating the framework, an analysis of various motor driven systems, including compressed air, pumping, and fan systems, was conducted and relevant parameters characterizing the efficiency of these systems were identified. A database using the framework will enable policymakers and industry to better assess the improvement potential of their installed motor system base particularly with respect to other regions, assisting in efforts to promote improvements to the energy efficiency of motor driven systems.« less

Optimization of Supercomputer Use on EADS II System

NASA Technical Reports Server (NTRS)

Ahmed, Ardsher

1998-01-01

The main objective of this research was to optimize supercomputer use to achieve better throughput and utilization of supercomputers and to help facilitate the movement of non-supercomputing (inappropriate for supercomputer) codes to mid-range systems for better use of Government resources at Marshall Space Flight Center (MSFC). This work involved the survey of architectures available on EADS II and monitoring customer (user) applications running on a CRAY T90 system.

Explaining public satisfaction with health-care systems: findings from a nationwide survey in China.

PubMed

Munro, Neil; Duckett, Jane

2016-06-01

To identify factors associated with health-care system satisfaction in China. Recent research suggests that socio-demographic characteristics, self-reported health, income and insurance, ideological beliefs, health-care utilization, media use and perceptions of services may affect health-care system satisfaction, but the relative importance of these factors is poorly understood. New data from China offer the opportunity to test theories about the sources of health-care system satisfaction. Stratified nationwide survey sample analysed using multilevel logistic regression. 3680 Chinese adults residing in family dwellings between 1 November 2012 and 17 January 2013. Satisfaction with the way the health-care system in China is run. We find only weak associations between satisfaction and socio-demographic characteristics, self-reported health and income. We do, however, find that satisfaction is strongly associated with having insurance and belief in personal responsibility for meeting health-care costs. We also find it is negatively associated with utilization, social media use, perceptions of access as unequal and perceptions of service providers as unethical. To improve satisfaction, Chinese policymakers - and their counterparts in countries with similar health-care system characteristics - should improve insurance coverage and the quality of health services, and tackle unethical medical practices. © 2015 The Authors. Health Expectations published by John Wiley & Sons Ltd.

Usual source of care and the quality of medical care experiences: a cross-sectional survey of patients from a Taiwanese community.

PubMed

Tsai, Jenna; Shi, Leiyu; Yu, Wei-Lung; Lebrun, Lydie A

2010-07-01

This study used a recent patient survey to examine the relationship between having a usual source of care (USC) and the quality of ambulatory medical care experiences in Taiwan, where there is universal health insurance coverage. The study design was a cross-sectional survey of 879 patients in Taichung County, Taiwan. Children and adults visiting hospital-based physicians were included. Quality of care was measured using items from the Primary Care Assessment Tool (PCAT), representing 7 ambulatory medical care domains: first contact (ie, access and utilization), longitudinality (ie, ongoing care), coordination (ie, referrals and information systems), comprehensiveness (ie, services available and provided), family centeredness, community orientation, and cultural competence. USC was defined based on responses to 3 survey items from the PCAT. Having a USC was significantly associated with higher quality of medical care experiences. Specifically, having a USC was associated with improved accessibility and utilization, ongoing care, coordination of referrals, and healthcare providers' family centeredness and cultural competence. However, having a USC was not strongly related with comprehensiveness of services, coordination of information systems, or healthcare providers' community orientation. In a region with universal health insurance, patients with a USC reported higher quality of medical care experiences compared with those without a USC. Beyond the provision of health insurance coverage, efforts to improve quality of care should include policies promoting USC.

Information Services; A Survey of the History and Present Status of the Field. MOREL Regional Information System for Educators.

ERIC Educational Resources Information Center

Grimes, George

This document is one of a series describing the background, functions, and utilization of the Regional Information System (RIS) developed by the Michigan-Ohio Regional Educational Laboratory (MOREL). The continuing history of the field of librarianship and information services is reviewed in this report. The first part covers ancient times to the…

School Personnel Perceptions of Youth with Disabilities Returning to High School from the Juvenile Justice System

ERIC Educational Resources Information Center

Sinclair, James S.; Unruh, Deanne K.; Griller Clark, Heather; Waintrup, Miriam G.

2017-01-01

Little is known about the perceptions of teachers of their students returning from the juvenile justice system, which can influence student relationships and student engagement, both of which are critical to reduce recidivism rates. This study utilized an online survey to examine the perceptions of a convenience sample of 283 school personnel…

An Examination of Information Security Training and Education for IT Professionals in a Community College: A Case Study

ERIC Educational Resources Information Center

Stark, Adam

2017-01-01

This case study research explored the cybersecurity systems and training and education of IT professionals at a member college of the Florida College System. Thematic analysis was utilized to analyze interview transcripts of 6 respondents. A more descriptive analysis was completed using the survey responses from 15 respondents. From this analysis…

Examining the Utility of the Schoolwide Expectations Survey for Specific Settings (SESSS): A Data-Informed Approach to Developing Expectation Matrices

ERIC Educational Resources Information Center

Royer, David James

2017-01-01

To best support all students' academic, behavioral, and social needs, an integrated systems approach is necessary. In such systems, all faculty and staff ideally recognize student success is a shared responsibility and collaborate in a data-informed process to define common student behavioral expectations to facilitate success academically,…

Barriers to and Facilitators of Research Utilization: A Survey of Registered Nurses in China

PubMed Central

Wang, Li-Ping; Jiang, Xiao-Lian; Wang, Lei; Wang, Guo-Rong; Bai, Yang-Jing

2013-01-01

Aims This survey aims to describe the perception of barriers to and facilitators of research utilization by registered nurses in Sichuan province, China, and to explore the factors influencing the perceptions of the barriers to and facilitators of research utilization. Methods A cross sectional survey design and a double cluster sampling method were adopted. A total of 590 registered nurses from 3 tertiary level hospitals in Sichuan province, China, were recruited in a period from September 2006 to January 2007. A modified BARRUERS Scale and a Facilitators Scale were used. Data were analyzed with descriptive statistics, rank transformation test, and multiple linear regression. Results Barriers related to the setting subscale were more influential than barriers related to other subscales. The lack of authority was ranked as the top greatest barrier (15.7%), followed by the lack of time (13.4%) and language barrier (15.0%). Additional barriers identified were the reluctance of patients to research utilization, the lack of funding, and the lack of legal protection. The top three greatest facilitators were enhancing managerial support (36.9%), advancing education to increase knowledge base (21.1%), and increasing time for reviewing and implementing (17.5%), while cooperation of patients to research utilization, establishing a panel to evaluate researches, and funding were listed as additional facilitators. Hospital, educational background, research experience, and knowledge on evidence-based nursing were the factors influencing perceptions of the barriers and facilitators. Conclusions Nurses in China are facing a number of significant barriers in research utilization. Enhancing managerial support might be the most promising facilitator, given Chinese traditional culture and existing health care system. Hospital, educational background, research experience and knowledge on evidence-based nursing should be taken into account to promote research utilization. The BARRIERS Scale should consider funding and involvement of patients in research utilization. PMID:24312380

Report: Congressionally Requested Information on EPA Utilization of Integrated Risk Information System

EPA Pesticide Factsheets

Report #13-P-0127, January 31, 2013. 85 percent of the EPA survey respondents reported that they have used IRIS as their primary source for cancer values and 81 percent have used IRIS as their primary source for non-cancer values.

PLANNING STUDY TO MODEL AND MONITOR COAL PILE RUNOFF. PHASE I

EPA Science Inventory

The report describes a planning study for predicting and monitoring the hydrologic and chemical characteristics of effluent streams resulting from precipitation impacting on open storage of coal. It includes: a survey of utilities on storage habits and treatment systems for coal ...

Piloted Simulation to Evaluate the Utility of a Real Time Envelope Protection System for Mitigating In-Flight Icing Hazards

NASA Technical Reports Server (NTRS)

Ranaudo, Richard J.; Martos, Borja; Norton, Bill W.; Gingras, David R.; Barnhart, Billy P.; Ratvasky, Thomas P.; Morelli, Eugene

2011-01-01

The utility of the Icing Contamination Envelope Protection (ICEPro) system for mitigating a potentially hazardous icing condition was evaluated by 29 pilots using the NASA Ice Contamination Effects Flight Training Device (ICEFTD). ICEPro provides real time envelope protection cues and alerting messages on pilot displays. The pilots participating in this test were divided into two groups; a control group using baseline displays without ICEPro, and an experimental group using ICEPro driven display cueing. Each group flew identical precision approach and missed approach procedures with a simulated failure case icing condition. Pilot performance, workload, and survey questionnaires were collected for both groups of pilots. Results showed that real time assessment cues were effective in reducing the number of potentially hazardous upset events and in lessening exposure to loss of control following an incipient upset condition. Pilot workload with the added ICEPro displays was not measurably affected, but pilot opinion surveys showed that real time cueing greatly improved their situation awareness of a hazardous aircraft state.

Using multi-disciplinary optimization and numerical simulation on the transiting exoplanet survey satellite

NASA Astrophysics Data System (ADS)

Stoeckel, Gerhard P.; Doyle, Keith B.

2017-08-01

The Transiting Exoplanet Survey Satellite (TESS) is an instrument consisting of four, wide fieldof- view CCD cameras dedicated to the discovery of exoplanets around the brightest stars, and understanding the diversity of planets and planetary systems in our galaxy. Each camera utilizes a seven-element lens assembly with low-power and low-noise CCD electronics. Advanced multivariable optimization and numerical simulation capabilities accommodating arbitrarily complex objective functions have been added to the internally developed Lincoln Laboratory Integrated Modeling and Analysis Software (LLIMAS) and used to assess system performance. Various optical phenomena are accounted for in these analyses including full dn/dT spatial distributions in lenses and charge diffusion in the CCD electronics. These capabilities are utilized to design CCD shims for thermal vacuum chamber testing and flight, and verify comparable performance in both environments across a range of wavelengths, field points and temperature distributions. Additionally, optimizations and simulations are used for model correlation and robustness optimizations.

Psychometric properties of the Transitions from Foster Care Key Leader Survey.

PubMed

Salazar, Amy M; Brown, Eric C; Monahan, Kathryn C; Catalano, Richard F

2016-04-01

This study summarizes the development and piloting of the Transitions from Foster Care Key Leader Survey (TFC-KLS), an instrument designed to measure change in systems serving young people transitioning from foster care to adulthood. The Jim Casey Youth Opportunity Initiative's logic model was used as a basis for instrument development. The instrument was piloted with 119 key leaders in six communities. Seven of eight latent scales performed well in psychometric testing. The relationships among the 24 measures of system change were explored. A CFA testing overall model fit was satisfactory following slight modifications. Finally, a test of inter-rater reliability between two raters did not find reliable reporting of service availability in a supplemental portion of the survey. The findings were generally positive and supported the validity and utility of the instrument for measuring system change, following some adaptations. Implications for the field are discussed. Copyright © 2015 Elsevier Ltd. All rights reserved.

[Change of citizen's expectations for health activity in transition to a "Core City": focus on newly established public health centers].

PubMed

Hoshiko, Michiko; Hara, Kunio; Ishitake, Tatsuya

2010-01-01

This article aims to predict the future course of city administration and public health centers through clarifying the actual state and local residents' expectations of new public health centers on becoming a "Core City". Online questionnaire surveys targeting Kurume City residents were conducted in March 2008 (before becoming a Core City) and in October 2008, six months after becoming a Core City. Questions involved awareness of the Core City concept and the expectations for administration of the Core City and its new public health centers. The recognition rate for the Core City concept was 62.6% in the first questionnaire survey and 78.9% in the second survey, demonstrating a significant increase (P < 0.001). The expectations for the Core City centered on "Vitalization of the city" in both surveys. However, in the second survey results, "Nothing in particular" accounted for 81.2% of the responses for what the residents felt as a change after becoming a Core City. On the other hand, "Vitalization of the city" recorded 5.5% for the same question, showing a low rate. "Health promotion, Cancer check-ups, and Vaccination" were the most commonly chosen responses regarding expectations of the new public health centers in both surveys, accounting for approximately 30%. Nonetheless, the response to a question asking about actual utilization of the public health centers revealed a high rate of 83.4% for "Nothing in particular" in the second survey result. The recognition rate for the "Health Promotional Members" system implemented by the Kurume City public health centers from 2007 was a low 6.5%. Furthermore, the responses to the "District-Assigned Public Health Service" system to be introduced from 2009 were: In favor 52.6%, Opposed 3.0%, and Neither 44.3%. Although residents' expectations of public health centers are high, the surveys revealed that the health promotional activities provided by the public health centers were not fully utilized. In the future, the recognition rate of the "District-Assigned Public Health Service" starting in 2009 should be improved as quickly as possible to enhance the support system to accommodate individual health needs.

How do researchers categorize drugs, and how do drug users categorize them?

PubMed Central

Lee, Juliet P.; Antin, Tamar M.J.

2011-01-01

This paper considers drug classifications and terms widely used in US survey research, and compares these to classifications and terms used by drug users. We begin with a critical review of drug classification systems, including those oriented to public policy and health services as well as survey research. We then consider the results of a pile sort exercise we conducted with 76 respondents within a mixed method study of Southeast Asian American adolescent and young adult drug users in urban Northern California, USA. We included the pile sort to clarify how respondents handled specific terms which we understood to be related to Ecstasy and methamphetamines. Results of the pile sort were analyzed using graphic layout algorithms as well as content analysis of pile labels. Similar to the national surveys, our respondents consistently differentiated Ecstasy terms from methamphetamine terms. We found high agreement between some specific local terms (thizz, crystal) and popular drug terms, while other terms thought to be mainstream (crank, speed) were reported as unknown by many respondents. In labeling piles, respondents created taxonomies based on consumption method (in particular, pill) as well as the social contexts of use. We conclude by proposing that divergences between drug terms utilized in survey research and those used by drug users may reflect two opposing tendencies: the tendency of survey researchers to utilize standardized language that constructs persons and experiences as relatively homogeneous, varying only within measurable degrees, and the tendency of drug users to utilize specialized language (argot) that reflects their understandings of their experiences as hybrid and diverse. The findings problematize the validity of drug terms and categories used in survey research. PMID:24431475

How do researchers categorize drugs, and how do drug users categorize them?

PubMed

Lee, Juliet P; Antin, Tamar M J

2012-01-01

This paper considers drug classifications and terms widely used in US survey research, and compares these to classifications and terms used by drug users. We begin with a critical review of drug classification systems, including those oriented to public policy and health services as well as survey research. We then consider the results of a pile sort exercise we conducted with 76 respondents within a mixed method study of Southeast Asian American adolescent and young adult drug users in urban Northern California, USA. We included the pile sort to clarify how respondents handled specific terms which we understood to be related to Ecstasy and methamphetamines. Results of the pile sort were analyzed using graphic layout algorithms as well as content analysis of pile labels. Similar to the national surveys, our respondents consistently differentiated Ecstasy terms from methamphetamine terms. We found high agreement between some specific local terms ( thizz , crystal ) and popular drug terms, while other terms thought to be mainstream ( crank , speed ) were reported as unknown by many respondents. In labeling piles, respondents created taxonomies based on consumption method (in particular, pill ) as well as the social contexts of use. We conclude by proposing that divergences between drug terms utilized in survey research and those used by drug users may reflect two opposing tendencies: the tendency of survey researchers to utilize standardized language that constructs persons and experiences as relatively homogeneous, varying only within measurable degrees, and the tendency of drug users to utilize specialized language (argot) that reflects their understandings of their experiences as hybrid and diverse. The findings problematize the validity of drug terms and categories used in survey research.

Maternal Health Care Utilization Among Syrian Refugees in Lebanon and Jordan.

PubMed

Tappis, Hannah; Lyles, Emily; Burton, Ann; Doocy, Shannon

2017-09-01

Purpose The influx of Syrian refugees into Jordan and Lebanon over the last 5 years presents an immense burden to national health systems. This study was undertaken to assess utilization of maternal health services among Syrian refugees in both countries. Description A cross-sectional survey of Syrian refugees living in urban and rural (non-camp) settings was conducted using a two-stage cluster survey design with probability proportional to size sampling in 2014-2015. Eighty-six percent of surveyed households in Lebanon and 88% of surveyed households in Jordan included women with a live birth in the last year. Information from women in this sub-set of households was analyzed to understand antenatal and intrapartum health service utilization. Assessment A majority of respondents reported seeking antenatal care, 82% and 89% in Jordan and Lebanon, respectively. Women had an average of at least six antenatal care visits. Nearly all births (98% in Jordan and 94% in Lebanon) took place in a health facility. Cesarean rates were similar in both countries; approximately one-third of all births were cesarean deliveries. A substantial proportion of women incurred costs for intrapartum care; 33% of Syrian women in Jordan and 94% of Syrian women in Lebanon reported paying out of pocket for their deliveries. The proportion of women incurring costs for intrapartum care was higher in Jordan both countries for women with cesarean deliveries compared to those with vaginal deliveries; however, this difference was not statistically significant in either country (Jordan p-value = 0.203; Lebanon p-value = 0.099). Conclusion Syrian refugees living in Jordan and Lebanon had similar levels of utilization of maternal health services, despite different health systems and humanitarian assistance provisions. As expected, a substantial proportion of households incurred out-of-pocket costs for essential maternal and newborn health services, making cost a major factor in care-seeking decisions and locations. As health financing policies shift to account for the continued burden of refugee hosting on the health system, sustained attention to the availability and quality of essential maternal and newborn health services is needed to protect both refugee and host populations women's rights to health and health care during pregnancy, childbirth, and the postpartum period.

The role of ERTS in the establishment and of a nationwide land cover information system

NASA Technical Reports Server (NTRS)

Abram, P.; Tullos, J.

1974-01-01

The economic potential of utilizing an ERTS type satellite in the development, updating, and maintenance of a nation-wide land cover information system in the post-1977 time frame was examined. Several alternative acquisition systems were evaluated for land cover data acquisition, processing, and interpretation costs in order to determine, on a total life cycle cost basis, under which conditions of user demand (i.e., area of coverage, frequency of coverage, timeliness of information, and level of information detail) an ERTS type satellite would be cost effective, and what the annual cost savings benefits would be. It was concluded that a three satellite system with high and low altitude aircraft and ground survey team utilizing automatic interpretation and classification techniques is an economically sound proposal.

Gender Differences in Resilience of Academic Deans

ERIC Educational Resources Information Center

Isaacs, Albert J.

2014-01-01

The purpose of this investigation was to determine the difference in the levels of resilience characteristics between male and female deans within a state university system. Resilience is the ability to operate in a changing environment while consistently maintaining one's effectiveness. This quantitative study utilized the survey, Personal…

Standardizing the nomenclature of Martian impact crater ejecta morphologies

USGS Publications Warehouse

Barlow, Nadine G.; Boyce, Joseph M.; Costard, Francois M.; Craddock, Robert A.; Garvin, James B.; Sakimoto, Susan E.H.; Kuzmin, Ruslan O.; Roddy, David J.; Soderblom, Laurence A.

2000-01-01

The Mars Crater Morphology Consortium recommends the use of a standardized nomenclature system when discussing Martian impact crater ejecta morphologies. The system utilizes nongenetic descriptors to identify the various ejecta morphologies seen on Mars. This system is designed to facilitate communication and collaboration between researchers. Crater morphology databases will be archived through the U.S. Geological Survey in Flagstaff, where a comprehensive catalog of Martian crater morphologic information will be maintained.

An Overview of ANN Application in the Power Industry

NASA Technical Reports Server (NTRS)

Niebur, D.

1995-01-01

The paper presents a survey on the development and experience with artificial neural net (ANN) applications for electric power systems, with emphasis on operational systems. The organization and constraints of electric utilities are reviewed, motivations for investigating ANN are identified, and a current assessment is given from the experience of 2400 projects using ANN for load forecasting, alarm processing, fault detection, component fault diagnosis, static and dynamic security analysis, system planning, and operation planning.

Utility of Follow-Up Skeletal Surveys in Suspected Child Physical Abuse Evaluations

ERIC Educational Resources Information Center

Zimmerman, Stephanie; Makoroff, Kathi; Care, Marguerite; Thomas, Amy; Shapiro, Robert

2005-01-01

Objective: To evaluate the utility of a follow-up skeletal survey in suspected child physical abuse evaluations. Methods: In this prospective study, follow-up skeletal surveys were recommended for 74 children who, after an initial skeletal survey and evaluation by the Child Abuse Team, were suspected victims of physical abuse. The number and…

Application of solar energy to air conditioning systems

NASA Technical Reports Server (NTRS)

Nash, J. M.; Harstad, A. J.

1976-01-01

The results of a survey of solar energy system applications of air conditioning are summarized. Techniques discussed are both solar powered (absorption cycle and the heat engine/Rankine cycle) and solar related (heat pump). Brief descriptions of the physical implications of various air conditioning techniques, discussions of status, proposed technological improvements, methods of utilization and simulation models are presented, along with an extensive bibliography of related literature.

Coal-seismic, desktop computer programs in BASIC; Part 7, Display and compute shear-pair seismograms

USGS Publications Warehouse

Hasbrouck, W.P.

1983-01-01

Processing of geophysical data taken with the U.S. Geological Survey's coal-seismic system is done with a desk-top, stand-alone computer. Programs for this computer are written in the extended BASIC language utilized by the Tektronix 4051 Graphic System. This report discusses and presents five computer pro grams used to display and compute shear-pair seismograms.

CANFAR + Skytree: Mining Massive Datasets as an Essential Part of the Future of Astronomy

NASA Astrophysics Data System (ADS)

Ball, Nicholas M.

2013-01-01

The future study of large astronomical datasets, consisting of hundreds of millions to billions of objects, will be dominated by large computing resources, and by analysis tools of the necessary scalability and sophistication to extract useful information. Significant effort will be required to fulfil their potential as a provider of the next generation of science results. To-date, computing systems have allowed either sophisticated analysis of small datasets, e.g., most astronomy software, or simple analysis of large datasets, e.g., database queries. At the Canadian Astronomy Data Centre, we have combined our cloud computing system, the Canadian Advanced Network for Astronomical Research (CANFAR), with the world's most advanced machine learning software, Skytree, to create the world's first cloud computing system for data mining in astronomy. This allows the full sophistication of the huge fields of data mining and machine learning to be applied to the hundreds of millions of objects that make up current large datasets. CANFAR works by utilizing virtual machines, which appear to the user as equivalent to a desktop. Each machine is replicated as desired to perform large-scale parallel processing. Such an arrangement carries far more flexibility than other cloud systems, because it enables the user to immediately install and run the same code that they already utilize for science on their desktop. We demonstrate the utility of the CANFAR + Skytree system by showing science results obtained, including assigning photometric redshifts with full probability density functions (PDFs) to a catalog of approximately 133 million galaxies from the MegaPipe reductions of the Canada-France-Hawaii Telescope Legacy Wide and Deep surveys. Each PDF is produced nonparametrically from 100 instances of the photometric parameters for each galaxy, generated by perturbing within the errors on the measurements. Hence, we produce, store, and assign redshifts to, a catalog of over 13 billion object instances. This catalog is comparable in size to those expected from next-generation surveys, such as Large Synoptic Survey Telescope. The CANFAR+Skytree system is open for use by any interested member of the astronomical community.

Indian Psychiatric Society-World Psychiatric Association - World Health Organization survey on usefulness of International Classification of Diseases-10

PubMed Central

Avasthi, Ajit; Grover, Sandeep; Maj, Mario; Reed, Geoffrey; Thirunavukarasu, M.; Garg, Uttam Chand

2014-01-01

Background: World Health Organization (WHO) is in the process of revising the International Classification of Diseases 10 (ICD-10). For increasing the acceptability of the ICD-11, WHO along with World Psychiatric Association (WPA), conducted a survey of psychiatrists around the world, in which 386 psychiatrists from India participated. Aim: To present the findings of “WPA-WHO Global Survey of Psychiatrists’ Attitudes toward Mental Disorders Classification” for Indian psychiatrists who participated in the survey as members of Indian Psychiatric Society. Methodology: The online survey was sent to qualified psychiatrists who are members of Indian Psychiatric Society and are residing in India. Results: Of the 1702 members who were urged to participate in the survey, 386 (22.7%) participated. Most(79%) of the psychiatrists opined that they use formal classificatory systems in their day-to-day clinical practice. ICD-10 was the most commonly (71%) followed classificatory system. Nearly half (48%) felt the need for only 10–30 categories for use in clinical settings and another 44% opined that 31-100 categories are required for use. Most of the participants (85%) suggested that a modified/simpler classificatory system should be designed for primary care practitioners. Similarly, the same number of participants (89%) argued that for maximum utility of a nosological system diagnostic criteria should provide flexible guidance that allows cultural variation and clinical judgement. About 75% opined that the diagnostic system they were using was difficult to apply across cultures. Conclusion: Findings of the survey suggest that classificatory systems are routinely used in day-to-day practice by most of the participating psychiatrists in India and most expect that future classificatory system should provide flexible guidance that allows cultural variation and clinical judgement. PMID:25568475

Battery energy storage market feasibility study

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

Kraft, S.; Akhil, A.

1997-07-01

Under the sponsorship of the Department of Energy`s Office of Utility Technologies, the Energy Storage Systems Analysis and Development Department at Sandia National Laboratories (SNL) contracted Frost and Sullivan to conduct a market feasibility study of energy storage systems. The study was designed specifically to quantify the energy storage market for utility applications. This study was based on the SNL Opportunities Analysis performed earlier. Many of the groups surveyed, which included electricity providers, battery energy storage vendors, regulators, consultants, and technology advocates, viewed energy storage as an important enabling technology to enable increased use of renewable energy and as amore » means to solve power quality and asset utilization issues. There are two versions of the document available, an expanded version (approximately 200 pages, SAND97-1275/2) and a short version (approximately 25 pages, SAND97-1275/1).« less

The Design and Implementation of the 2016 National Survey of Children's Health.

PubMed

Ghandour, Reem M; Jones, Jessica R; Lebrun-Harris, Lydie A; Minnaert, Jessica; Blumberg, Stephen J; Fields, Jason; Bethell, Christina; Kogan, Michael D

2018-05-09

Introduction Since 2001, the Health Resources and Services Administration's Maternal and Child Health Bureau (HRSA MCHB) has funded and directed the National Survey of Children's Health (NSCH) and the National Survey of Children with Special Health Care Needs (NS-CSHCN), unique sources of national and state-level data on child health and health care. Between 2012 and 2015, HRSA MCHB redesigned the surveys, combining content into a single survey, and shifting from a periodic interviewer-assisted telephone survey to an annual self-administered web/paper-based survey utilizing an address-based sampling frame. Methods The U.S. Census Bureau fielded the redesigned NSCH using a random sample of addresses drawn from the Census Master Address File, supplemented with a unique administrative flag to identify households most likely to include children. Data were collected June 2016-February 2017 using a multi-mode design, encouraging web-based responses while allowing for paper mail-in responses. A parent/caregiver knowledgeable about the child's health completed an age-appropriate questionnaire. Experiments on incentives, branding, and contact strategies were conducted. Results Data were released in September 2017. The final sample size was 50,212 children; the overall weighted response rate was 40.7%. Comparison of 2016 estimates to those from previous survey iterations are not appropriate due to sampling and mode changes. Discussion The NSCH remains an invaluable data source for key measures of child health and attendant health care system, family, and community factors. The redesigned survey extended the utility of this resource while seeking a balance between previous strengths and innovations now possible.

Practical implications of incentive systems are utilized by dental franchises.

PubMed

Yavner, S B

1989-01-01

The success of any dental practice depends, among other factors, on the critical role of staff employees. In order to encourage desired staff behaviors, incentive systems can be designed for employee dentists, assistants/hygienists and managers. A survey of dental franchises was conducted in 1987 for the purpose of examining their incentive control systems. The specific incentives employed by these dental franchises for their employees are analyzed. The implications of these incentive systems used by dental franchise organizations for all dental practices are then discussed.

Utilization of patient classification systems in Swedish hospitals and the degree of satisfaction among nursing staff.

PubMed

Perroca, Marcia Galan; Ek, Anna-Christina

2007-07-01

Although patient classification tools have been used in Sweden since the 1980s, few studies have examined how they are utilized and monitored. This paper investigates the patient classification systems implemented in hospitals in the country as well as the level of satisfaction of nurses with the implemented instrument. A postal survey method was used in which a total of 128 questionnaires were sent to nurse managers. Twenty-three hospitals were identified with patient classification systems currently in operation. The Zebra and Beakta systems are the most commonly used instruments. Nurse managers appear to be satisfied with the patient classification systems in use on their wards as a whole except for their inability to measure the quality of care provided, the time spent to use the instruments and the fact that the administration do not estimate nursing staff requirements using the system.

Texas Conservation Guide for Municipal Services: A Report to Texas Cities.

ERIC Educational Resources Information Center

Walker, Jacilyn G.; DeHaven, Martha L.

This document presents a collection of energy conservation ideas gathered from a survey of Texas cities and via a national search of recent technical information. The conservation ideas presented are grouped into categories of: administrative concerns, public buildings, public vehicle fleets, transportation systems, municipal utilities, alternate…

76 FR 30368 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-25

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for... collect follow-up data on a sample of children and families for the National Survey of Child and... utilization of children and families who come to the attention of the child welfare system. Information is...

Self-Mutilating Adolescents in Secure Confinement: A Nationwide Survey of Institutional Response Systems.

ERIC Educational Resources Information Center

Traver, Michael D.; Rule, Warren R.

1996-01-01

Reviews the types of treatment facilities being utilized by youth facilities nationwide and their practices regarding self-mutilating residents. Results indicate varied frequencies of self-harming behavior. Findings suggest that departments that chose to take responsibility for stabilizing mutilating adolescents as a distinct group express greater…

Factors That Impact Nurses’ Utilization of Electronic Mail (E-Mail).

DTIC Science & Technology

1998-05-21

of a system but did little to influence behavior. A study by Golden, Beauclair , & Sussman (1992) surveyed 200 electronic mail account holders at an...Aldine Publishing. Golden, P. A., Beauclair , R., & Sussman, L. (1992). Factors affecting electronic mail use. Computers in Human Behavior, 8, 297-311

Applications of Operations Research Techniques in Tufts University Libraries.

ERIC Educational Resources Information Center

Rouse, William B., Ed.

This collection of papers is based on projects done in conjunction with a senior level/graduate course, "Applications of Operations Research Techniques in Systems Engineering." These seven papers describe research studies which utilized user surveys and/or statistical methods to analyze various library operations. The papers are…

Analysing the primacy of distance in the utilization of health services in the Ahafo-Ano South district, Ghana.

PubMed

Buor, Daniel

2003-01-01

Although the distance factor has been identified as key in the utilization of health services in rural areas of developing countries, it has been analysed without recourse to related factors of travel time and transport cost. Also, the influence of distance on vulnerable groups in utilization has not been an object of survey by researchers. This paper addresses the impact of distance on utilization, and how distance compares with travel time and transport cost that are related to it in the utilization of health services in the Ahafo-Ano South (rural) district in Ghana. The study, a cross-sectional survey, also identifies the position of distance among other important factors of utilization. A sample of 400, drawn through systematic random technique, was used for the survey. Data were analysed using the regression model and some graphic techniques. The main instruments used in data collection were formal (face-by-face) interview and a questionnaire. The survey finds that distance is the most important factor that influences the utilization of health services in the Ahafo-Ano South district. Other key factors are income, service cost and education. The effect of travel time on utilization reflects that of distance and utilization. Recommendations to reduce distance coverage, improve formal education and reduce poverty have been made.

Racial disparities in the impact of chronic pruritus: A cross-sectional study on quality of life and resource utilization in United States veterans.

PubMed

Shaw, Fiona M; Luk, Kevin Man Hin; Chen, Kuang-Ho; Wrenn, Glenda; Chen, Suephy C

2017-07-01

Chronic pruritus has a lifetime prevalence of up to 26% in the worldwide population. Research has shown that the incidence and quality of life (QoL) impact of chronic pruritus varies by race. We sought to explore the effects of race on specific pruritus-related QoL factors and resource utilization. We performed a cross-sectional, national telephone survey of 6000 US veterans randomly sampled from the Veterans Hospital Patient Database. We administered surveys to assess QoL impact and resource utilization of chronic pruritus. Nonwhites overall reported higher levels of burning and scarring with their pruritus. African Americans had a significantly greater emotional impact and use of special soaps, lotions, and clothes. African Americans were also more likely to visit their primary care provider for pruritus (P = .03), yet had similar numbers of specialty care visits. Because our sample was drawn from a veteran population, generalizability may be limited. The data indicate a racial disparity in specific QoL impact and resource utilization from pruritus. These findings merit further exploration into explanations, such as access, communication, trust of the medical system, and biologic differences. Published by Elsevier Inc.

Children's orthodontic utilization in the United States: Socioeconomic and surveillance considerations.

PubMed

Laniado, Nadia; Oliva, Stephanie; Matthews, Gregory J

2017-11-01

There has been no epidemiologic study of malocclusion prevalence and treatment need in the United States since the Third National Health and Nutrition Examination Survey, conducted from 1988 to 1991. In this descriptive study, the authors sought to estimate orthodontic treatment prevalence by examining a nationally representative survey to assess current pediatric dental and orthodontic utilization. The 2009 and 2013 Medical Expenditure Panel Surveys were used to categorize and compare all types of pediatric dental and orthodontic procedures in children and adolescents up to 20 years old. Descriptive variables included dental insurance, poverty level, and racial/ethnic background. Visits for orthodontic procedures constituted the third largest treatment category (14.5%) and were greatest among the uninsured and higher income populations. Children with public insurance had the fewest orthodontic visits (9.4%). Racial/ethnic disparities were most pronounced among orthodontic visits, with black and Hispanic children receiving the fewest orthodontic procedures (8.89% and 10.56%, respectively). Orthodontic treatment prevalence data suggest that significant disparities exist in orthodontic utilization based on race/ethnicity, poverty level, and insurance status. To establish the burden of malocclusion, describe populations in greatest need of interventions, and craft appropriate programs and policies, an active orthodontic surveillance system is essential. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

Violence Against Children Surveys (VACS): towards a global surveillance system.

PubMed

Chiang, Laura F; Kress, Howard; Sumner, Steven A; Gleckel, Jessie; Kawemama, Philbert; Gordon, Rebecca N

2016-04-01

To describe the Violence Against Children Surveys (VACS). The survey is a national, household survey that systematically measures the prevalence, nature and consequences of sexual, physical and emotional violence against children. This report provides information about the history, implementation, ethical protections, utility, results, limitations, and future directions of the VACS work. The study has been implemented in 11 countries in Africa, Asia and the Caribbean, providing each of these countries with baseline data and momentum to address violence against children as a public health and human rights priority. These data are novel in each country, and VACS is well poised to contribute to an existing surveillance system or be used as the basis of a periodic surveillance system. Without ongoing surveillance to assess prevalence and the impact of policy, prevention and response programming, violence will likely continue to be overlooked as the linchpin public health crisis that it is, globally and in individual countries. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

76 FR 72955 - Proposed Collection; Comment Request: “Ethical Dilemmas in Surgery and Utilization of Hospital...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-28

... Request: ``Ethical Dilemmas in Surgery and Utilization of Hospital Ethics Consultation Service: A Survey.... Proposed Collection: Title: Ethical Dilemmas in Surgery and Utilization of Hospital Ethics Consultation...: This survey is intended to collect information about the ethical dilemmas that surgeons have faced in...

Archive of Sediment Data Collected from Sandy Point to Belle Pass, Louisiana, 1983 through 2000 (Vibracore Surveys: 00SCC, CR83, P86, and USACE Borehole Cores)

USGS Publications Warehouse

Dreher, Chandra A.; Flocks, James G.; Ferina, Nick F.; Kulp, Mark A.

2008-01-01

This CD-ROM publication was prepared by an agency of the U.S. Government. Although these data have been processed successfully on a computer system at the U.S. Geological Survey, no warranty expressed or implied is made regarding the display or utility of data on any other system, or for general or scientific purposes, nor shall the act of distribution imply any such warranty. The U.S. Geological Survey shall not be held liable for improper or incorrect use of the data described and (or) contained herein. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement, recommendation, or favoring by the U.S. Government nor any agency thereof.

Registry data for cross-country comparisons of migrants' healthcare utilization in the EU: a survey study of availability and content

PubMed Central

2009-01-01

Background Cross-national comparable data on migrants' use of healthcare services are important to address problems in access to healthcare; to identify high risk groups for prevention efforts; and to evaluate healthcare systems comparatively. Some of the main obstacles limiting analyses of health care utilization are lack of sufficient coverage and availability of reliable and valid healthcare data which includes information allowing for identification of migrants. The objective of this paper was to reveal which registry data on healthcare utilization were available in the EU countries in which migrants can be identified; and to determine to what extent data were comparable between the EU countries. Methods A questionnaire survey on availability of healthcare utilization registries in which migrants can be identified was carried out among all national statistic agencies and other relevant national health authorities in the 27 EU countries in 2008-9 as part of the Migrant and Ethnic Minority Health Observatory-project (MEHO). The information received was compared with information from a general survey on availability of survey and registry data on migrants conducted by Agency of Public Health, Lazio Region, Italy within the MEHO-project; thus, the information on registries was double-checked to assure accuracy and verification. Results Available registry data on healthcare utilization which allow for identification on migrants on a national/regional basis were only reported in 11 EU countries: Austria, Belgium, Denmark, Finland, Greece, Italy, Luxembourg, the Netherlands, Poland, Slovenia, and Sweden. Data on hospital care, including surgical procedures, were most frequently available whereas only few countries had data on care outside the hospital. Regarding identification of migrants, five countries reported having information on both citizenship and country of birth, one reported availability of information on country of birth, and five countries reported availability of information on citizenship. Conclusion Lack of registry data in 16 EU countries, shortage of data on healthcare utilization, and the diversity in the definition of migrant status hampers cross-national comparisons and calls for an urgent establishment of registries, expansion of the existing registry information, and adoption of a common, generally acceptable definition and identification method of migrants across the EU. PMID:19922657

Precise time technology for selected Air Force systems: Present status and future requirements

NASA Technical Reports Server (NTRS)

Yannoni, N. F.

1981-01-01

Precise time and time interval (PTTI) technology is becoming increasingly significant to Air Force operations as digital techniques find expanded utility in military missions. Timing has a key role in the function as well as in navigation. A survey of the PTTI needs of several Air Force systems is presented. Current technology supporting these needs was reviewed and new requirements are emphasized for systems as they transfer from initial development to final operational deployment.

Occupational Therapy in the Context of Head Start: A Preliminary Survey Study

ERIC Educational Resources Information Center

Bowyer, Patricia; Moore, Cary C.; Thom, Carly

2016-01-01

This preliminary, descriptive study yields information on the utilization of occupational therapy services within Head Start programs. Participants completed an Internet-based survey of 25 questions pertaining to the understanding, scope, and utilization of occupational therapy services. Surveys were completed by 35 respondents nationwide. A total…

Symptomatology and health care utilization of women primary care patients who experienced childhood sexual abuse.

PubMed

Hulme, P A

2000-11-01

The purpose of this study was to (1) determine the symptomatology of women primary care patients who experienced childhood sexual abuse (CSA), using both a self-report survey and a chart review, and (2) determine their health care utilization patterns, using chart and information system reviews. An ex post facto research design was used. Women primary care patients who experienced CSA were compared with those who reported no CSA. Participants were recruited from a random sample of women patients from a large primary care clinic. They were mailed the survey; chart and information system reviews were conducted on those who returned surveys. Of the 395 participants, 23% reported past CSA on the survey. Women who experienced CSA reported 44 out of 51 physical and psychosocial symptoms more frequently than their counterparts who reported no past CSA. Further, they experienced these symptoms more intensely and in greater number. In their charts, however, far fewer differences in symptoms between groups were found. Nonetheless, women who experienced CSA visited the primary care clinic an average of 1.33 more times than women with no CSA, and they incurred an average of $150 more in primary care charges over a 2-year period. The findings indicate that many women primary care patients who experienced CSA suffer multiple symptoms that are not reflected in their charts. In addition, the findings demonstrate that not only is CSA associated with increased primary care visits, but also increased primary care costs, as measured by charges.

Utility of the PALM-COEIN classification of abnormal uterine bleeding for Indian gynecologists.

PubMed

Bandi, Nirmala D; Arumugam, Chandrasekharan P; Venkata, Meenakumari R N; Nannam, Lahari

2016-05-01

To study the clinical utility of the PALM-COEIN classification for abnormal uterine bleeding in day-to-day practice in India. Between April and November 2014, a cross-sectional survey was undertaken of gynecologists practicing in Chittoor and Nellore. Doctors possessing a postgraduate degree in gynecology and obstetrics, and postgraduate students in the gynecology department of medical colleges were invited to participate. A validated questionnaire containing 15 questions was distributed, the opinions were collated, and the results analyzed. Among 150 invited gynecologists, 120 agreed to participate, and 119 completed the survey fully. Overall, 95 (79.8%) respondents were aware of the classification, and 56 (47.1%) responded that the PALM-COEIN system is very good, 46 (38.7%) that it is average, and 17 (14.3%) that it is poor. By subgroup, 16 of 20 (80.0%) faculty members, 46 of 56 (82.1%) postgraduate students, and 33 of 43 (76.7%) practitioners responded that the system is useful. Indian doctors generally believe that the PALM-COEIN system is clinically useful and a step forward in the management of abnormal uterine bleeding. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Plant utilization against digestive system disorder in Southern Assam, India.

PubMed

Choudhury, Prakash Roy; Choudhury, Manabendra Dutta; Ningthoujam, Sanjoy Singh; Mitra, Abhijit; Nath, Deepa; Talukdar, Anupam Das

2015-12-04

Being one of the most common types of life threatening diseases in Southern Assam, India, the digestive system disorders (DSD) have gained much attention in recent decades. Traditional beliefs and inadequate income of mass population result in the use of alternative phytotherapies to treat the diseases. The present paper documents the medicinal knowledge and utilization of plants for treatment of digestive system disorders in Southern Assam, India by Disease Consensus Index (DCI). It also determines the most suitable plant species used to treat digestive system disorders in the study area. The study was based on ethnomedicinal field survey covering a period of 1 year from 2014-2015. The ethnomedicinal information was collected by using semi-structured questionnaires from different traditional Bengali people having knowledge on medicinal plants. Collected data were analyzed by calculating DCI. During the survey, 29 informants were interviewed and a total of 49 plants under 46 genera belonging to 33 families were listed. Data analysis revealed that Litsea glutinosa, Momordica charantia, Andrographis paniculata, Lawsonia inermis, Cleome viscosa, Psidium guajava, Ageratum conyzoides, Cuscuta reflexa, Cynodon dactylon and Carica papaya are the most prominent plants among the people of Southern Assam for treating DSD. This explorative survey emphasizes the need to preserve and document the traditional healing practices for managing DSD inviting for more imminent scientific research on the plants to determine their efficacy as well as safety. With the help of statistical analysis (DCI), we propose 10 priority plants for DSD in present work. Systematic pharmacological study with these plants may contribute significant result. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

National environmental specimen bank survey. [Location of 657 collections of environmental specimens

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

Van Hook, R.I.; Huber, E.E.

1976-01-01

This report presents the data base developed in the National Environmental Specimen Bank (NESB) Survey. The methodology utilized in developing the mailing lists and in developing and maintaining the data base records also is included. The NESB Survey Data Base is computerized in the Oak Ridge Computerized Hierarchical Information System, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37830. The NESB Survey mailing list consisted of 4500 names and addresses. The 657 environmental specimen collections that were located and documented in the NESB Survey Data Base include the following categories: animal, atmospheric, geological, microbiological, plant, and water. However, the majority ofmore » the collections identified are biological in nature. Three indices of the NESB Survey Data Base are included in this report: respondents names and addresses categorized by organizational affiliation; (2) alphabetical listing of respondents; and geographical sampling location for materials in collections.« less

Perceptions of the Feasibility and Practicalities of Text Messaging-Based Infectious Disease Surveillance: A Questionnaire Survey.

PubMed

Dang, Linh Thuy; Vu, Nguyen Cong; Vu, Thiem Dinh; James, Spencer L; Katona, Peter; Katona, Lindsay; Rosen, Joseph M; Nguyen, Cuong Kieu

2016-05-25

In Vietnam, infectious disease surveillance data are collected via a paper-based system through four government tiers leading to a large delay. Meanwhile, mobile phones are abundant and very popular in the country, and known to be a useful tool in health care worldwide. Therefore, there is a great potential for the development of a timely disease surveillance system through the use of mobile phone short message service (SMS) text messages. This study aims to explore insights about the feasibility and practicalities of the utilization of SMS text messaging-based interventions in disease-reporting systems by identifying potential challenges and barriers in the text messaging process and looking at lessons learned. An SMS text messaging-based disease tracking system was set up in Vietnam with patient reports texted by clinic staff. Two 6-month trials utilizing this disease tracking system were designed and implemented in two northern provinces of Vietnam to report two infectious diseases: diarrhea and influenza-like illness. A structured self-reported questionnaire was developed to measure the feasibility and practicalities of the system from the participants. On the completion of the second trial in 2013, participating health staff from 40 commune health centers in the two pilot provinces were asked to complete the survey (N=80). Most participants were female (61%, 49/80) and nearly half (44%, 35/80) were heads of a commune health center. Approximately two-thirds (63%, 50/80) of participants retained the basic structure of the SMS text message report and there was a strong influence (OR 28.2, 95% CI 5.3-151.2) of those people on the time they spent texting the information. The majority (88%, 70/80) felt the information conveyed in the SMS text message report was not difficult to understand. Most (86%, 69/80) believed that they could report all 28 infectious diseases asked for by the Ministry of Health by using SMS text messaging. From a health center staff perspective, a disease-reporting system utilizing text messaging technology is easy to use and has great potential to be implemented and expanded nationwide. The survey showed positive perceptions and feedback from the participants and contributed to a promising practical solution to improve the surveillance system of infectious disease in Vietnam.

Raster graphic helmet-mounted display study

NASA Technical Reports Server (NTRS)

Beamon, William S.; Moran, Susanna I.

1990-01-01

A design of a helmet mounted display system is presented, including a design specification and development plan for the selected design approach. The requirements for the helmet mounted display system and a survey of applicable technologies are presented. Three helmet display concepts are then described which utilize lasers, liquid crystal display's (LCD's), and subminiature cathode ray tubes (CRT's), respectively. The laser approach is further developed in a design specification and a development plan.

Needs analysis of a flexible computerized management infrastructure

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

Usman, S.; Hajek, B. K.; Ali, S. F.

2006-07-01

The United States' Energy Policy Act of 2005 is expected to facilitate construction of new commercial nuclear power plants. In the meanwhile, current plants are in the process of obtaining licenses for extended operation beyond their predetermined design life. In this beneficial yet challenging situation, it seems desirable to develop a strategic plan for smooth and seamless transition from paper based procedure systems to computer based procedure systems for improved performance and safety of the existing nuclear power plants. Many utilities already maintain procedures using word processing software, but it is common to print paper copies for daily use. Atmore » this time it is highly desirable to better understand the collective as well as individual document management needs of a commercial nuclear power plant as they migrate to a computer based system. As a contributory role in initiating a strategic plan, this paper offers a comprehensive questionnaire that is suitable for conducting a survey to determine the related needs of the utilities. The questionnaire covers three major areas: Formatting and User Friendly Features; Technical and Environmental Considerations; and Safety, System Integrity and Regulatory Considerations. A plan to conduct the proposed survey is also outlined in the future work section of this paper. (authors)« less

Demand-Side Management and Integrated Resource Planning: Findings from a Survey of 24 Electric Utilities

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

Schweitzer, M.

1991-01-01

Integrated resource planning differs from traditional utility planning practices primarily in its increased attention to demand-side management (DSM) programs and its integration of supply- and demand-side resources into a combined resource portfolio. This report details the findings from an Oak Ridge National Laboratory (ORNL) survey of 24 electric utilities that have well-developed integrated planning processes. These utilities account for roughly one-third of total capacity, electricity generation, and DSM-program expenditures nationwide. The ORNL survey was designed to obtain descriptive data on a national sample of utilities and to test a number of hypothesized relationships between selected utility characteristics and the mixmore » of resources selected for the integrated plan, with an emphasis on the use of DSM resources and the processes by which they are chosen. The survey solicited information on each utility's current and projected resource mix, operating environment, procedures used to screen potential DSM resources, techniques used to obtain public input and to integrate supply- and demand-side options into a unified plan, and procedures used in the final selection of resources for the plan.« less

Development of an evidence-based decision pathway for vestibular schwannoma treatment options.

PubMed

Linkov, Faina; Valappil, Benita; McAfee, Jacob; Goughnour, Sharon L; Hildrew, Douglas M; McCall, Andrew A; Linkov, Igor; Hirsch, Barry; Snyderman, Carl

To integrate multiple sources of clinical information with patient feedback to build evidence-based decision support model to facilitate treatment selection for patients suffering from vestibular schwannomas (VS). This was a mixed methods study utilizing focus group and survey methodology to solicit feedback on factors important for making treatment decisions among patients. Two 90-minute focus groups were conducted by an experienced facilitator. Previously diagnosed VS patients were recruited by clinical investigators at the University of Pittsburgh Medical Center (UPMC). Classical content analysis was used for focus group data analysis. Providers were recruited from practices within the UPMC system and were surveyed using Delphi methods. This information can provide a basis for multi-criteria decision analysis (MCDA) framework to develop a treatment decision support system for patients with VS. Eight themes were derived from these data (focus group + surveys): doctor/health care system, side effects, effectiveness of treatment, anxiety, mortality, family/other people, quality of life, and post-operative symptoms. These data, as well as feedback from physicians were utilized in building a multi-criteria decision model. The study illustrated steps involved in the development of a decision support model that integrates evidence-based data and patient values to select treatment alternatives. Studies focusing on the actual development of the decision support technology for this group of patients are needed, as decisions are highly multifactorial. Such tools have the potential to improve decision making for complex medical problems with alternate treatment pathways. Copyright © 2016 Elsevier Inc. All rights reserved.

Utilization of robotic "remote presence" technology within North American intensive care units.

PubMed

Reynolds, Eliza M; Grujovski, Andre; Wright, Tim; Foster, Michael; Reynolds, H Neal

2012-09-01

To describe remote presence robotic utilization and examine perceived physician impact upon care in the intensive care unit (ICU). Data were obtained from academic, university, community, and rural medical facilities in North America with remote presence robots used in ICUs. Objective utilization data were extracted from a continuous monitoring system. Physician data were obtained via an Internet-based survey. As of 2010, 56 remote presence robots were deployed in 25 North American ICUs. Of 10,872 robot activations recorded, 10,065 were evaluated. Three distinct utilization patterns were discovered. Combining all programs revealed a pattern that closely reflects diurnal ICU activity. The physician survey revealed staff are senior (75% >40 years old, 60% with >16 years of clinical practice), trained in and dedicated to critical care. Programs are mature (70% >3 years old) and operate in a decentralized system, originating from cities with >50,000 population and provided to cities >50,000 (80%). Of the robots, 46.6% are in academic facilities. Most physicians (80%) provide on-site and remote ICU care, with 60% and 73% providing routine or scheduled rounds, respectively. All respondents (100%) believed patient care and patient/family satisfaction were improved. Sixty-six percent perceived the technology was a "blessing," while 100% intend to continue using the technology. Remote presence robotic technology is deployed in ICUs with various patterns of utilization that, in toto, simulate normal ICU work flow. There is a high rate of deployment in academic ICUs, suggesting the intensivists shortage also affects large facilities. Physicians using the technology are generally senior, experienced, and dedicated to critical care and highly support the technology.

The Large Area KX Quasar Survey: Photometric Redshift Selection and the Complete Quasar Catalogue

NASA Astrophysics Data System (ADS)

Maddox, Natasha; Hewett, P. C.; Peroux, C.

2013-01-01

We have completed a large area, ˜600 square degree, spectroscopic survey for luminous quasars flux-limited in the K-band. The survey utilises the UKIRT Infrared Deep Sky Survey (UKIDSS) Large Area Survey (LAS) in regions of sky within the Sloan Digital Sky Survey (SDSS) footprint. We exploit the K-band excess (KX) of all quasars with respect to Galactic stars in combination with a custom-built photometric redshift/classification scheme to identify quasar candidates for spectroscopic follow-up observations. The survey is complete to K≤16.6, and includes >3200 known quasars from the SDSS, with more than 250 additional confirmed quasars from the KX-selection which eluded the SDSS quasar selection algorithm. The selection is >95% complete with respect to known SDSS quasars and >95% efficient, largely independent of redshift and magnitude. The KX-selected quasars will provide new constraints on the fraction of luminous quasars reddened by dust with E(B-V)≤0.5 mag. Several projects utilizing the KX quasars are ongoing, including a spectroscopic campaign searching for dusty quasar intervening absorption systems. The KX survey is a well-defined sample of quasars useful for investigating the properties of luminous quasars with intermediate levels of dust extinction either within their host galaxies or due to intervening absorption systems.

Music information retrieval in compressed audio files: a survey

NASA Astrophysics Data System (ADS)

Zampoglou, Markos; Malamos, Athanasios G.

2014-07-01

In this paper, we present an organized survey of the existing literature on music information retrieval systems in which descriptor features are extracted directly from the compressed audio files, without prior decompression to pulse-code modulation format. Avoiding the decompression step and utilizing the readily available compressed-domain information can significantly lighten the computational cost of a music information retrieval system, allowing application to large-scale music databases. We identify a number of systems relying on compressed-domain information and form a systematic classification of the features they extract, the retrieval tasks they tackle and the degree in which they achieve an actual increase in the overall speed-as well as any resulting loss in accuracy. Finally, we discuss recent developments in the field, and the potential research directions they open toward ultra-fast, scalable systems.

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

Keller, M.R.

A pneumatically deployed membrane system was used to conduct radiological surveys of the pipes and drains at a Department of Energy (DOE) Formerly Utilized Sites Remedial Action Program (FUSRAP) site in Adrian, Michigan. Remedial action consisted of the removal of residual radioactive sludge and oil. The innovative technology was used to transport a high-sensitivity probe specifically designed for this application, through designated pipes and drains. Use of this system made it possible to survey over 1,000 linear ft of underground drain line in one week, with no significant safety hazards. This was the first time this technology had been fieldmore » tested at a site, resulting in cost savings of more than $1.5 million.« less

The Catalina Sky Survey for Near-Earth Objects

NASA Astrophysics Data System (ADS)

Christensen, E.

The Catalina Sky Survey (CSS) specializes in the detection of the closest transients in our transient universe: near-Earth objects (NEOs). CSS is the leading NEO survey program since 2005, with a discovery rate of 500-600 NEOs per year. This rate is set to substantially increase starting in 2014 with the deployment of wider FOV cameras at both survey telescopes, while a proposed 3-telescope system in Chile would provide a new and significant capability in the Southern Hemisphere beginning as early as 2015. Elements contributing to the success of CSS may be applied to other surveys, and include 1) Real-time processing, identification, and reporting of interesting transients; 2) Human-assisted validation to ensure a clean transient stream that is efficient to the limits of the system (˜ 1σ); 3) an integrated follow-up capability to ensure threshold or high-priority transients are properly confirmed and followed up. Additionally, the open-source nature of the CSS data enables considerable secondary science (i.e. CRTS), and CSS continues to pursue collaborations to maximize the utility of the data.

Using Faculty Characteristics to Predict Attitudes toward Developmental Education

ERIC Educational Resources Information Center

Sides, Meredith Louise Carr

2017-01-01

The study adapted Astin's I-E-O model and utilized multiple regression analyses to predict faculty attitudes toward developmental education. The study utilized a cross-sectional survey design to survey faculty members at 27 different higher education institutions in the state of Alabama. The survey instrument was a self-designed questionnaire that…

The Urban Intensive Land-use Evaluation in Xi’an, Based on Fuzzy Comprehensive Evaluation

NASA Astrophysics Data System (ADS)

Shi, Ru; Kang, Zhiyuan

2018-01-01

The intensive land-use is the basis of urban “stock optimization”, and scientific and reasonable evaluation is the important content of the land-intensive utilization. In this paper, through the survey of Xi’an urban land-use condition, we construct the suitable evaluation index system of Xi’an’ intensive land-use, by using Analytic Hierarchy Process (AHP) and Fuzzy Comprehensive Evaluation (FCE) of combination. And through the analysis of the influencing factors of land-intensive utilization, we provide a reference for the future development direction.

Knowledge, attitudes, practices, and barriers related to research utilization: a survey among pharmacists in Malaysia.

PubMed

Tan, Sin Yee; Hatah, Ernieda

2017-04-01

Background Research utilization is part of evidence-based practice referring to the process of reviewing and critiquing scientific research and applying the findings to one's own clinical practice. Many studies on research utilization have been conducted with doctors and nurses, but to our knowledge, none have been investigated amongst pharmacists. Objective To assess research utilization and its barriers among pharmacists and identify potential influencing factors. Setting Malaysia. Methods This cross-sectional survey was administered online and by mail to a convenient sample of pharmacists working in hospitals, health clinics, and retail pharmacies in rural and urban areas. Main outcome measure Pharmacists' research utilization knowledge, attitudes, and practices. Results Six hundred surveys were mailed to potential respondents, and 466 were returned (77.7% response rate). Twenty-eight respondents completed the survey online. The respondents' research utilization knowledge, attitudes, and practices were found to be moderate. Research utilization was associated with respondents' knowledge and attitude scores (P < 0.001). When factors related to research utilization were modelled, higher educational level was associated with higher level of research utilization (P < 0.001) while less involvement in journal clubs, more years of service (3-7 years and more than 7 years) were associated with low and moderate research utilization, respectively. The main reported barrier to research utilization was lack of sufficient authority to change patient care procedures. Conclusion Pharmacists' research utilization knowledge, attitudes, and practices can be improved by encouraging pharmacists to pursue higher degrees, promoting active participation in institutions' journal clubs, and introducing senior clinical pharmacist specialization.

Glass-Cockpit Pilot Subjective Ratings of Predictive Information, Collocation, and Mission Status Graphics: An Analysis and Summary of the Future Focus of Flight Deck Research Survey

NASA Technical Reports Server (NTRS)

Bartolone, Anthony; Trujillo, Anna

2002-01-01

NASA Langley Research Center has been researching ways to improve flight crew decision aiding for systems management. Our current investigation is how to display a wide variety of aircraft parameters in ways that will improve the flight crew's situation awareness. To accomplish this, new means are being explored that will monitor the overall health of a flight and report the current status of the aircraft and forecast impending problems to the pilots. The initial step in this research was to conduct a survey addressing how current glass-cockpit commercial pilots would value a prediction of the status of critical aircraft systems. We also addressed how this new type of data ought to be conveyed and utilized. Therefore, two other items associated with predictive information were also included in the survey. The first addressed the need for system status, alerts and procedures, and system controls to be more logically grouped together, or collocated, on the flight deck. The second idea called for the survey respondents opinions on the functionality of mission status graphics; a display methodology that groups a variety of parameters onto a single display that can instantaneously convey a complete overview of both an aircraft's system and mission health.

Wireless data collection of self-administered surveys using tablet computers.

PubMed

Singleton, Kyle W; Lan, Mars; Arnold, Corey; Vahidi, Mani; Arangua, Lisa; Gelberg, Lillian; Bui, Alex A T

2011-01-01

The accurate and expeditious collection of survey data by coordinators in the field is critical in the support of research studies. Early methods that used paper documentation have slowly evolved into electronic capture systems. Indeed, tools such as REDCap and others illustrate this transition. However, many current systems are tailored web-browsers running on desktop/laptop computers, requiring keyboard and mouse input. We present a system that utilizes a touch screen interface running on a tablet PC with consideration for portability, limited screen space, wireless connectivity, and potentially inexperienced and low literacy users. The system was developed using C#, ASP.net, and SQL Server by multiple programmers over the course of a year. The system was developed in coordination with UCLA Family Medicine and is currently deployed for the collection of data in a group of Los Angeles area clinics of community health centers for a study on drug addiction and intervention.

Design of a Mars Airplane Propulsion System for the Aerial Regional-Scale Environmental Survey (ARES) Mission Concept

NASA Technical Reports Server (NTRS)

Kuhl, Christopher A.

2008-01-01

The Aerial Regional-Scale Environmental Survey (ARES) is a Mars exploration mission concept that utilizes a rocket propelled airplane to take scientific measurements of atmospheric, surface, and subsurface phenomena. The liquid rocket propulsion system design has matured through several design cycles and trade studies since the inception of the ARES concept in 2002. This paper describes the process of selecting a bipropellant system over other propulsion system options, and provides details on the rocket system design, thrusters, propellant tank and PMD design, propellant isolation, and flow control hardware. The paper also summarizes computer model results of thruster plume interactions and simulated flight performance. The airplane has a 6.25 m wingspan with a total wet mass of 185 kg and has to ability to fly over 600 km through the atmosphere of Mars with 45 kg of MMH / MON3 propellant.

Wireless Data Collection of Self-administered Surveys using Tablet Computers

PubMed Central

Singleton, Kyle W.; Lan, Mars; Arnold, Corey; Vahidi, Mani; Arangua, Lisa; Gelberg, Lillian; Bui, Alex A.T.

2011-01-01

The accurate and expeditious collection of survey data by coordinators in the field is critical in the support of research studies. Early methods that used paper documentation have slowly evolved into electronic capture systems. Indeed, tools such as REDCap and others illustrate this transition. However, many current systems are tailored web-browsers running on desktop/laptop computers, requiring keyboard and mouse input. We present a system that utilizes a touch screen interface running on a tablet PC with consideration for portability, limited screen space, wireless connectivity, and potentially inexperienced and low literacy users. The system was developed using C#, ASP.net, and SQL Server by multiple programmers over the course of a year. The system was developed in coordination with UCLA Family Medicine and is currently deployed for the collection of data in a group of Los Angeles area clinics of community health centers for a study on drug addiction and intervention. PMID:22195187

Coastal change analysis of Lovells Island using high resolution ground based LiDAR imagery

NASA Astrophysics Data System (ADS)

Ly, Jennifer K.

Many methods have been employed to study coastline change. These methods range from historical map analysis to GPS surveys to modern airborne LiDAR and satellite imagery. These previously used methods can be time consuming, labor intensive, and expensive and have varying degrees of accuracy and temporal coverage. Additionally, it is often difficult to apply such techniques in direct response to an isolated event within an appropriate temporal framework. Here we utilize a new ground based Canopy Biomass LiDAR (CBL) system built at The University of Massachusetts Boston (in collaboration with the Rochester Institute of Technology) in order to identify and analyze coastal change on Lovells Island, Boston Harbor. Surveys of a bluff developing in an eroding drumlin and beach cusps on a high-energy cobble beach on Lovells Island were conducted in June, September and December of 2013. At each site for each survey, the CBL was set up and multiple scans of each feature were taken on a predetermined transect that was established parallel to the high-water mark at distances relative to the scale of the bluff and cusps. The scans from each feature were compiled, integrated and visualized using Meshlab. Results from our surveys indicate that the highly portable and easy to deploy CBL system produces images of exceptional clarity, with the capacity to resolve small-scale changes to coastal features and systems. The CBL, while still under development (and coastal surveying protocols with it are just being established), appears to be an ideal tool for analyzing coastal geological features and is anticipated to prove to be a useful tool for the observation and analysis of coastal change. Furthermore, there is significant potential for utilizing the low cost ultra-portable CBL in frequent deployments to develop small-scale erosion rate and sediment budget analyses.

Battery energy storage market feasibility study -- Expanded report

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

Kraft, S.; Akhil, A.

1997-09-01

Under the sponsorship of the US Department of Energy`s Office of Utility Technologies, the Energy Storage Systems Analysis and Development Department at Sandia National Laboratories (SNL) contracted Frost and Sullivan to conduct a market feasibility study of energy storage systems. The study was designed specifically to quantify the battery energy storage market for utility applications. This study was based on the SNL Opportunities Analysis performed earlier. Many of the groups surveyed, which included electricity providers, battery energy storage vendors, regulators, consultants, and technology advocates, viewed battery storage as an important technology to enable increased use of renewable energy and asmore » a means to solve power quality and asset utilization issues. There are two versions of the document available, an expanded version (approximately 200 pages, SAND97-1275/2) and a short version (approximately 25 pages, SAND97-1275/1).« less

A longitudinal study of the effects of dual-earner couples' utilization of family-friendly workplace supports on work and family outcomes.

PubMed

Hammer, Leslie B; Neal, Margaret B; Newsom, Jason T; Brockwood, Krista J; Colton, Cari L

2005-07-01

Little research exists on the effects of the utilization of workplace supports on work-family conflict and job satisfaction. With family systems theory as a framework, 2 waves of national survey data were collected from 234 couples (N = 468) caring for children and for aging parents. Data were analyzed with structural equation modeling techniques. Longitudinal results indicate that individuals' use of workplace supports was related to work-family conflict in the direction opposite to expectations and was related to job satisfaction in the direction consistent with expectations. Differential effects for wives versus husbands were found. In addition, couples' use of workplace supports was only minimally related to wives' outcomes. Results are discussed in terms of gender differences, family systems theory, and methodological and measurement issues related to the longitudinal study of utilization of workplace supports. Copyright 2005 APA, all rights reserved.

Awareness, attitudes, and use of crisis hotlines among youth at-risk for suicide.

PubMed

Crosby Budinger, Meghan; Cwik, Mary F; Riddle, Mark A

2015-04-01

Crisis hotlines have been central to suicide prevention efforts; however, utilization among youth remains low. A sample of at-risk youth was surveyed about their awareness, utilization, and attitudes toward local and national crisis hotlines. Youth reported low rates of awareness and utilization, yet expressed a strong interest in phone hotlines (41% vs. 59% for new media categories combined). Youth reported stigma, but that help-seeking could be positively influenced by peers and adults in their support system. Implications include making crisis services available across several mediums and the importance of engaging trusted others in youth suicide awareness campaigns and prevention efforts. © 2014 The American Association of Suicidology.

18 CFR 367.1830 - Account 183, Preliminary survey and investigation charges.

Code of Federal Regulations, 2010 CFR

2010-04-01

... account must be credited and the appropriate service company property account charged. If the work is... HOLDING COMPANY ACT OF 2005, FEDERAL POWER ACT AND NATURAL GAS ACT UNIFORM SYSTEM OF ACCOUNTS FOR CENTRALIZED SERVICE COMPANIES SUBJECT TO THE PROVISIONS OF THE PUBLIC UTILITY HOLDING COMPANY ACT OF 2005...

Using Student Feedback to Improve PLA Portfolio Courses

ERIC Educational Resources Information Center

Rust, Dianna Zeh; Brinthaupt, Thomas M.

2017-01-01

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

PSI in Community and Two Year Colleges: Potential and Limitations.

ERIC Educational Resources Information Center

Beyer, Barry K.

A survey of relevant research strongly suggests that the Personalized System of Instruction (PSI) offers considerable potential for community college instruction. It has five main features: students move at their own rates of speed, utilize written study guides, demonstrate mastery of each unit before continuing, meet with proctors for periodic…

Art History Interactive Videodisc Project at the University of Iowa.

ERIC Educational Resources Information Center

Sustik, Joan M.

1981-01-01

Discusses an "intelligent" videodisc system utilizing a H-P 2000 computer and an optical videodisc for retrieval of images of art slides stored on disc at the University of Iowa. The results of a user survey are discussed, including such concerns as image quality, search time, and programing limitations. (Author/JJD)

Methodology for utilizing survey skid data.

DOT National Transportation Integrated Search

1975-01-01

This report sets forth procedures for utilizing survey skid data with consideration given to testing variabilities and relationships between the three testing devices used in Virginia namely, the Virginia Department of Highways & Transportation's tra...

Quantifying Missed Nursing Care Using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey.

PubMed

Orique, Sabrina B; Patty, Christopher M; Sandidge, Alisha; Camarena, Emma; Newsom, Rose

2017-12-01

The aim of this article is to describe the use of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data to measure missed nursing care and construct a missed nursing care metric. Missed nursing care varies widely within and between US hospitals. Missed nursing care can be measured utilizing the HCAHPS data. This cross-sectional study used HCAHPS data to measure missed care. This analysis includes HCAHPS data from 1125 acute care patients discharged between January 2014 and December 2014. A missed care index was computed by dividing the total number of missed care occurrences as reported by the patient into the total number of survey responses that did not indicate missed care. The computed missed care index for the organization was 0.6 with individual unit indices ranging from 0.2 to 1.4. Our methods utilize existing data to quantify missed nursing care. Based on the assessment, nursing leaders can develop interventions to decrease the incidence of missed care. Further data should be gathered to validate the incidence of missed care from HCAHPS reports.

Requirements for a transformerless power conditioning system

NASA Technical Reports Server (NTRS)

Klein, J.; Koerner, T.; Rippel, W.; Kalbach, J.

1984-01-01

Requirements for development of a Transformerless Power Conditioning Subsystem (TPCS) that will meet utility, manufacturer, and customer needs are detailed. Issues analyzed include current utility guidelines, safety and grounding issues that appear as local codes, various kinds of TPCS connections that can be developed, dc injection, and a brief survey of TPCS circuit topologies that will meet requirements. The major result is that a finite time exists for control operation before dc injection into the distribution transformer causes customer outage (on the order of seconds). This time permits the control system to sense a dc injection condition and remove the TPCS from the utility system. Requirements for such a control system are specified. A three wire connection will ensure balanced operation for customer loads and two wire connections caused average value dc to be injected into single phase loads. This type of connection also allows for the lowest array voltage. The conclusion is that requirements for a TPCS can be determined and that there are not showstopping issues preventing implementation. The actual design and topology of the TPCS was left for further study.

The determinants of long-term care utilization and equity of access to care among older adults in Dong-Ku of Incheon Metropolitan city, South Korea.

PubMed

Park, J M

2005-01-01

Under the current health care system, around three percent of the elderly remain uninsured. Based on the 2003 Dong-Ku Health Status Survey and the Aday and Andersen Access Framework, the present study examined the social and behavioral determinants of long-term care utilization and the extent to which equity in the use of long-term care services for the elderly has been achieved. The results indicate that universal health insurance system has not yielded a fully equitable distribution of services. Type of coverage and resource availability do not remain predictors of long-term care utilization. The data suggest that a universal health insurance system exists in South Korea with significant access problems for the population without insurance. Access differences also arise from obstacles in expanding the scope and level of plan benefits due to financial disparity among insurers. Health policy reforms must continue to concentrate on extending insurance coverage to the uninsured and establishing long-term insurance system for the elderly.

Geography, Not Health System Affiliations, Determines Patients' Revisits to the Emergency Department.

PubMed

Rising, Kristin L; Karp, David N; Powell, Rhea E; Victor, Timothy W; Carr, Brendan G

2018-04-01

To determine how frequently patients revisit the emergency department after an initial encounter, and to describe revisit capture rates for the same hospital, health system, and geographic region. Florida state data from January 1, 2010, to June 30, 2011, from the Healthcare Cost and Utilization Project. This is a retrospective cohort study of emergency department return visits among Florida adults over an 18-month period. We evaluated pairs of index and 30-day return emergency department visits and compared capture rates for hospital, health system, and geographic units. Data were obtained from the Agency for Healthcare Research and Quality's Healthcare Cost and Utilization Project and the American Hospital Association Annual Survey Database. Among 9,416,212 emergency department visits, 22.6 percent (2,124,441) were associated with a 30-day return. Seventy percent (1,477,772) of 30-day returns occurred to the same hospital. The 30-day return capture rates were highest within the same geographic area: county-level capture at 92 percent (IQR=86-96 percent) versus health system capture at 75 percent (IQR = 68-81 percent). Acute care utilization patterns are often independent of health system boundaries. Current population-based health care models that attribute patients to a single provider or health system may be strengthened by considering geographic patterns of acute care utilization. © Health Research and Educational Trust.

FAMNET: The Use of an Electronic Mail System in Canadian Academic Family Medicine

PubMed Central

Ostbye, Truls; Needler, M.C.; Shires, David B.

1988-01-01

The major Canadian universities are connected via a computer communications network called `Netnorth'. We have used Netnorth's accessible, low-cost, electronic mail system to develop a network of academic Family Medicine users (Famnet). We then tested Famnet's utility for conducting rapid surveys. Famnet shows promise of being a useful means of undertaking regular inter-departmental communication. This system may also increase collegiality among Canadian Departments of Family Medicine and facilitate international communication in family medicine. PMID:21264023

An In-Depth Study of the Four-Day College Week. Part I; The Four-Day College Week: Revolution or Evolution. Part II; A Survey of Common Practices of Texas Colleges Utilizing the Four-Day College Week.

ERIC Educational Resources Information Center

Riley, Bob E.

This two-part report discusses the implementation of the four-day week on college campuses and summarizes the results of a survey conducted to investigate: (1) the history of the four-day college week in Texas; (2) how Texas colleges using this system integrate their operations into the four-day week; and (3) the future acceptance of the four-day…

Social welfare utilization and needs of older adults in Taiwan: survey research.

PubMed

Hsieh, Hsiu-Fen; Chen, Kuei-Min; Lin, Mei-Hui; Wang, Yueh-Chin; Huang, Hsin-Ting

2014-01-01

The demand for long-term care for older adults has escalated sharply. A good policy dedicated to the welfare of older adults has improved their quality of life. The purpose of this study was to explore the social welfare utilization and needs of older adults and compare their differences among age groups, genders, and functional dependency levels. Three hundred eighty-four stratified, random-sampled Taiwanese community-dwelling older adults were recruited for this survey research. Participants rated their utilization of and needs for the 30 social welfare services provided by the government on a Likert-type scale. The most widely used and needed social welfare services by the older adults were senior monetary stipend and a subsidy for the national health insurance premium. Young-old, male, and functionally independent older adults had more knowledge of the social welfare services than their counterparts. While designing a comprehensive social welfare system, differing needs of different age groups, genders, and functional dependency levels should be taken into consideration. Copyright © 2014 Elsevier Inc. All rights reserved.

Assessing the utility of TAM, TPB, and UTAUT for advanced driver assistance systems.

PubMed

Rahman, Md Mahmudur; Lesch, Mary F; Horrey, William J; Strawderman, Lesley

2017-11-01

Advanced Driver Assistance Systems (ADAS) are intended to enhance driver performance and improve transportation safety. The potential benefits of these technologies, such as reduction in number of crashes, enhancing driver comfort or convenience, decreasing environmental impact, etc., have been acknowledged by transportation safety researchers and federal transportation agencies. Although these systems afford safety advantages, they may also challenge the traditional role of drivers in operating vehicles. Driver acceptance, therefore, is essential for the implementation of these systems into the transportation system. Recognizing the need for research into the factors affecting driver acceptance, this study assessed the utility of the Technology Acceptance Model (TAM), the Theory of Planned Behavior (TPB), and the Unified Theory of Acceptance and Use of Technology (UTAUT) for modelling driver acceptance in terms of Behavioral Intention to use an ADAS. Each of these models propose a set of factors that influence acceptance of a technology. Data collection was done using two approaches: a driving simulator approach and an online survey approach. In both approaches, participants interacted with either a fatigue monitoring system or an adaptive cruise control system combined with a lane-keeping system. Based on their experience, participants responded to several survey questions to indicate their attitude toward using the ADAS and their perception of its usefulness, usability, etc. A sample of 430 surveys were collected for this study. Results found that all the models (TAM, TPB, and UTAUT) can explain driver acceptance with their proposed sets of factors, each explaining 71% or more of the variability in Behavioral Intention. Among the models, TAM was found to perform the best in modelling driver acceptance followed by TPB. The findings of this study confirm that these models can be applied to ADAS technologies and that they provide a basis for understanding driver acceptance. Copyright © 2017 Elsevier Ltd. All rights reserved.

Phylotype Dynamics of Bacterial P Utilization Genes in Microbialites and Bacterioplankton of a Monomictic Endorheic Lake.

PubMed

Valdespino-Castillo, Patricia M; Alcántara-Hernández, Rocío J; Merino-Ibarra, Martín; Alcocer, Javier; Macek, Miroslav; Moreno-Guillén, Octavio A; Falcón, Luisa I

2017-02-01

Microbes can modulate ecosystem function since they harbor a vast genetic potential for biogeochemical cycling. The spatial and temporal dynamics of this genetic diversity should be acknowledged to establish a link between ecosystem function and community structure. In this study, we analyzed the genetic diversity of bacterial phosphorus utilization genes in two microbial assemblages, microbialites and bacterioplankton of Lake Alchichica, a semiclosed (i.e., endorheic) system with marked seasonality that varies in nutrient conditions, temperature, dissolved oxygen, and water column stability. We focused on dissolved organic phosphorus (DOP) utilization gene dynamics during contrasting mixing and stratification periods. Bacterial alkaline phosphatases (phoX and phoD) and alkaline beta-propeller phytases (bpp) were surveyed. DOP utilization genes showed different dynamics evidenced by a marked change within an intra-annual period and a differential circadian pattern of expression. Although Lake Alchichica is a semiclosed system, this dynamic turnover of phylotypes (from lake circulation to stratification) points to a different potential of DOP utilization by the microbial communities within periods. DOP utilization gene dynamics was different among genetic markers and among assemblages (microbialite vs. bacterioplankton). As estimated by the system's P mass balance, P inputs and outputs were similar in magnitude (difference was <10 %). A theoretical estimation of water column P monoesters was used to calculate the potential P fraction that can be remineralized on an annual basis. Overall, bacterial groups including Proteobacteria (Alpha and Gamma) and Bacteroidetes seem to be key participants in DOP utilization responses.

Coordination and establishment of centralized facilities and services for the University of Alaska ERTS survey of the Alaskan environment

NASA Technical Reports Server (NTRS)

Belon, A. E. (Principal Investigator); Miller, J. M.

1973-01-01

The author has identified the following significant results. Scene 1072-21173 of the Anaktuvuk Pass region of the Brooks Range, Alaska, was studied from the point of view of a resource survey for purposes of land use planning as part of the effort to develop ERTS data processing and interpretation techniques. Other data sources and surface observations were utilized to produce a resource survey of a remote and undeveloped region of Alaska. Three vegetative types are apparent: moist tundra, low brush, and high brush. Watersheds are easily defined on the multispectral imagery. Features related indirectly to economic minerals are discernible from ERTS-1 imagery supported by ground truth data. These include mountains, outwash plains and alluvial deposits, drainage patterns, lineaments and probable bedding planes. This region falls within present land class categories which are not inconsistent with the imperatives of the resources. These land class categories include native village withdrawals, regional deficiency area, national interest study area for possible inclusion in a national system, public interest areas, utility corridor, and state land selection.

A survey of the neuroscience resource landscape: perspectives from the neuroscience information framework.

PubMed

Cachat, Jonathan; Bandrowski, Anita; Grethe, Jeffery S; Gupta, Amarnath; Astakhov, Vadim; Imam, Fahim; Larson, Stephen D; Martone, Maryann E

2012-01-01

The number of available neuroscience resources (databases, tools, materials, and networks) available via the Web continues to expand, particularly in light of newly implemented data sharing policies required by funding agencies and journals. However, the nature of dense, multifaceted neuroscience data and the design of classic search engine systems make efficient, reliable, and relevant discovery of such resources a significant challenge. This challenge is especially pertinent for online databases, whose dynamic content is largely opaque to contemporary search engines. The Neuroscience Information Framework was initiated to address this problem of finding and utilizing neuroscience-relevant resources. Since its first production release in 2008, NIF has been surveying the resource landscape for the neurosciences, identifying relevant resources and working to make them easily discoverable by the neuroscience community. In this chapter, we provide a survey of the resource landscape for neuroscience: what types of resources are available, how many there are, what they contain, and most importantly, ways in which these resources can be utilized by the research community to advance neuroscience research. Copyright © 2012 Elsevier Inc. All rights reserved.

Measuring Sexual Violence on Campus: Climate Surveys and Vulnerable Groups

ERIC Educational Resources Information Center

de Heer, Brooke; Jones, Lynn

2017-01-01

Since the 2014 "Not Alone" report on campus sexual assault, the use of climate surveys to measure sexual violence on campuses across the United States has increased considerably. The current study utilizes a quasi meta-analysis approach to examine the utility of general campus climate surveys, which include a measure of sexual violence,…

5 CFR 591.220 - How does OPM calculate energy utility cost indexes?

Code of Federal Regulations, 2012 CFR

2012-01-01

... may vary from one COLA survey area to another, OPM compares the utility cost for the same size dwelling in the COLA survey area and the Washington, DC, area. (b) OPM applies the following six-step... and cooling plus all other household energy uses for the COLA survey area and the Washington, DC, area...

5 CFR 591.220 - How does OPM calculate energy utility cost indexes?

Code of Federal Regulations, 2013 CFR

2013-01-01

... may vary from one COLA survey area to another, OPM compares the utility cost for the same size dwelling in the COLA survey area and the Washington, DC, area. (b) OPM applies the following six-step... and cooling plus all other household energy uses for the COLA survey area and the Washington, DC, area...

5 CFR 591.220 - How does OPM calculate energy utility cost indexes?

Code of Federal Regulations, 2014 CFR

2014-01-01

... may vary from one COLA survey area to another, OPM compares the utility cost for the same size dwelling in the COLA survey area and the Washington, DC, area. (b) OPM applies the following six-step... and cooling plus all other household energy uses for the COLA survey area and the Washington, DC, area...

Water Utility Management Strategies in Turkey: The current situation and the challenges

NASA Astrophysics Data System (ADS)

Alp, E.; Aksoy, M. N.; Koçer, B.

2013-12-01

As the effects of climate change becomes more prominent, current challenges related to water and wastewater management is becoming more serious. Providing water that satisfies environmental and safety standards in terms of quantity and quality is needed to maintain human life without compromising the need of future generations. Besides providing safe and affordable water, necessary treatment should be achieved according to several important factors such as receiving body standards, discharge standards, water reuse options. Therefore, management of water becomes more crucial than ever that states have to provide accessibility of safe water with affordable cost to its citizens with the means of effective utility management, including water treatment facilities, wastewater treatment facilities, water supply facilities and water distribution systems. Water utilities encounter with several challenges related to cost, infrastructure, population, legislation, workforce and resource. This study aims to determine the current situation and the necessary strategies to improve utility management in Turkish municipalities in a sustainable manner. US Environment Protection Agency (EPA) has formed a tool on effective utility management that assists utilities to provide a solution for both current and future challenges. In this study, we used EPA's guidelines and developed a survey consists of 60 questions under 10 sub-topics (Product Quality, Employee & Leadership Development, Stakeholder Understanding & Support, Operational Optimization, Infrastructure Stability, Financial Viability, Community Sustainability, Customer Satisfaction, Operational Resiliency, and Water Resource Adequacy). This survey was sent to the managers of 25 metropolitan municipalities in Turkey to assess the current condition of municipalities. After the evaluation of the survey results for each topic, including the importance given by managers, facilities were rated according to their level of achievement. The scores were given for Rate Achievement from 1 to 5 and Rank Importance from 1 to 10 to the survey outcomes for each topic. Then, rating and ranking matrix was constructed according to score ranges. Results show that Product Quality, Stakeholder Understanding & Support, Infrastructure Stability and Customer Satisfaction are the major topics that needs to be improved according to the utility managers in Turkey. According to the outcomes of the study, water losses and unbilled unmetered consumption of water appeared to be the most important issues with the utility management. The utility managers also think there is still room for improvement to satisfy the needs of the users. Even though the rehabilitation of the infrastructure is a costly investment, it can be compensated with the help of the increased revenues as a result of improvement in water loss and unbilled water use. Suggestions given as a result of this study aim to aid decision makers and local authorities to overcome the significant problems faced during management and to achieve a sustainable utility management.

Oral syringe use survey.

PubMed

Baldwin, J N; Wedemeyer, H F

1980-09-01

Use of oral syringes at children's and ASHP-accredited residency hospitals in the United States was surveyed. Questionnaires were mailed to 131 hospitals; 117 (89.3%) were returned. Of the responding hospitals, 54.5% of children's hospitals and 67.1% of residency hospitals used oral syringes. There was no definite preference for a particular brand or type (glass vs. plastic) of syringe. Patients who often required liquid dosage forms, including pediatric and geriatric patients and patients with nasogastric tubes, were most frequently included in oral syringe distribution systems. Twenty-six of the 73 hospitals utilizing oral syringes used them for most unit dose liquids in all drug distribution systems. The remainder reported use for specific medications or circumstances. Expiration dating policies varied from 24 hours to one year to the manufacturer's expiration dating. The survey indicates widespread use of oral syringes and identifies a need for evaluation of medication stability in these devices.

Utilization of Healthcare in the Typhoid Fever Surveillance in Africa Program.

PubMed

Panzner, Ursula; Pak, Gi Deok; Aaby, Peter; Adu-Sarkodie, Yaw; Ali, Mohammad; Aseffa, Abraham; Baker, Stephen; Bjerregaard-Andersen, Morten; Crump, John A; Deerin, Jessica; Cruz Espinoza, Ligia Maria; Gasmelseed, Nagla; Heriniaina, Jean Noël; Hertz, Julian T; Im, Justin; von Kalckreuth, Vera; Keddy, Karen H; Lankoande, Bruno; Løfberg, Sandra; Meyer, Christian G; Oresto, Michael Munishi; Park, Jin Kyung; Park, Se Eun; Rakotozandrindrainy, Raphaël; Sarpong, Nimako; Soura, Abdramane Bassiahi; Gassama Sow, Amy; Tall, Adama; Teferi, Mekonnen; Worku, Alemayehu; Yeshitela, Biruk; Wierzba, Thomas F; Marks, Florian

2016-03-15

Assessing healthcare utilization is important to identify weaknesses of healthcare systems, to outline action points for preventive measures and interventions, and to more accurately estimate the disease burden in a population. A healthcare utilization survey was developed for the Typhoid Fever Surveillance in Africa Program (TSAP) to adjust incidences of salmonellosis determined through passive, healthcare facility-based surveillance. This cross-sectional survey was conducted at 11 sites in 9 sub-Saharan African countries. Demographic data and healthcare-seeking behavior were assessed at selected households. Overall and age-stratified percentages of each study population that sought healthcare at a TSAP healthcare facility and elsewhere were determined. Overall, 88% (1007/1145) and 81% (1811/2238) of the population in Polesgo and Nioko 2, Burkina Faso, respectively, and 63% (1636/2590) in Butajira, Ethiopia, sought healthcare for fever at any TSAP healthcare facility. A far smaller proportion-namely, 20%-45% of the population in Bissau, Guinea-Bissau (1743/3885), Pikine, Senegal (1473/4659), Wad-Medani, Sudan (861/3169), and Pietermaritzburg, South Africa (667/2819); 18% (483/2622) and 9% (197/2293) in Imerintsiatosika and Isotry, Madagascar, respectively; and 4% (127/3089) in Moshi, Tanzania-sought healthcare at a TSAP healthcare facility. Patients with fever preferred to visit pharmacies in Imerintsiatosika and Isotry, and favored self-management of fever in Moshi. Age-dependent differences in healthcare utilization were also observed within and across sites. Healthcare utilization for fever varied greatly across sites, and revealed that not all studied populations were under optimal surveillance. This demonstrates the importance of assessing healthcare utilization. Survey data were pivotal for the adjustment of the program's estimates of salmonellosis and other conditions associated with fever. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

Global health resource utilization associated with pacemaker complications.

PubMed

Waweru, Catherine; Steenrod, Anna; Wolff, Claudia; Eggington, Simon; Wright, David Jay; Wyrwich, Kathleen W

2017-07-01

To estimate health resource utilization (HRU) associated with the management of pacemaker complications in various healthcare systems. Electrophysiologists (EPs) from four geographical regions (Western Europe, Australia, Japan, and North America) were invited to participate. Survey questions focused on HRU in the management of three chronic pacemaker complications (i.e. pacemaker infections requiring extraction, lead fractures/insulation breaches requiring replacement, and upper extremity deep venous thrombosis [DVT]). Panelists completed a maximum of two web-based surveys (iterative rounds). Mean, median values, and interquartile ranges were calculated and used to establish consensus. Overall, 32 and 29 panelists participated in the first and second rounds of the Delphi panel, respectively. Consensus was reached on treatment and HRU associated with a typical pacemaker implantation and complications. HRU was similar across regions, except for Japan, where panelists reported the longest duration of hospital stay in all scenarios. Infections were the most resource-intensive complications and were characterized by intravenous antibiotics days of 9.6?13.5 days and 21.3?29.2 days for pocket and lead infections respectively; laboratory and diagnostic tests, and system extraction and replacement procedures. DVT, on the other hand, was the least resource intensive complication. The results of the panel represent the views of the respondents who participated and may not be generalizable outside of this panel. The surveys were limited in scope and, therefore, did not include questions on management of acute complications (e.g. hematoma, pneumothorax). The Delphi technique provided a reliable and efficient approach to estimating resource utilization associated with chronic pacemaker complications. Estimates from the Delphi panel can be used to generate costs of pacemaker complications in various regions.

A feasibility study: California Department of Forestry and Fire Protection utilization of infrared technologies for wildland fire suppression and management

NASA Technical Reports Server (NTRS)

Nichols, J. D.; Britten, R. A.; Parks, G. S.; Voss, J. M.

1990-01-01

NASA's JPL has completed a feasibility study using infrared technologies for wildland fire suppression and management. The study surveyed user needs, examined available technologies, matched the user needs with technologies, and defined an integrated infrared wildland fire mapping concept system configuration. System component trade-offs were presented for evaluation in the concept system configuration. The economic benefits of using infrared technologies in fire suppression and management were examined. Follow-on concept system configuration development and implementation were proposed.

Urban Space Explorer: A Visual Analytics System for Urban Planning.

PubMed

Karduni, Alireza; Cho, Isaac; Wessel, Ginette; Ribarsky, William; Sauda, Eric; Dou, Wenwen

2017-01-01

Understanding people's behavior is fundamental to many planning professions (including transportation, community development, economic development, and urban design) that rely on data about frequently traveled routes, places, and social and cultural practices. Based on the results of a practitioner survey, the authors designed Urban Space Explorer, a visual analytics system that utilizes mobile social media to enable interactive exploration of public-space-related activity along spatial, temporal, and semantic dimensions.

Coal-seismic, desktop computer programs in BASIC; Part 6, Develop rms velocity functions and apply mute and normal movement

USGS Publications Warehouse

Hasbrouck, W.P.

1983-01-01

Processing of data taken with the U.S. Geological Survey's coal-seismic system is done with a desktop, stand-alone computer. Programs for this computer are written in the extended BASIC language utilized by the Tektronix 4051 Graphic System. This report presents computer programs used to develop rms velocity functions and apply mute and normal moveout to a 12-trace seismogram.

Using Operational Analysis to Improve Access to Pulmonary Function Testing.

PubMed

Ip, Ada; Asamoah-Barnieh, Raymond; Bischak, Diane P; Davidson, Warren J; Flemons, W Ward; Pendharkar, Sachin R

2016-01-01

Background. Timely pulmonary function testing is crucial to improving diagnosis and treatment of pulmonary diseases. Perceptions of poor access at an academic pulmonary function laboratory prompted analysis of system demand and capacity to identify factors contributing to poor access. Methods. Surveys and interviews identified stakeholder perspectives on operational processes and access challenges. Retrospective data on testing demand and resource capacity was analyzed to understand utilization of testing resources. Results. Qualitative analysis demonstrated that stakeholder groups had discrepant views on access and capacity in the laboratory. Mean daily resource utilization was 0.64 (SD 0.15), with monthly average utilization consistently less than 0.75. Reserved testing slots for subspecialty clinics were poorly utilized, leaving many testing slots unfilled. When subspecialty demand exceeded number of reserved slots, there was sufficient capacity in the pulmonary function schedule to accommodate added demand. Findings were shared with stakeholders and influenced scheduling process improvements. Conclusion. This study highlights the importance of operational data to identify causes of poor access, guide system decision-making, and determine effects of improvement initiatives in a variety of healthcare settings. Importantly, simple operational analysis can help to improve efficiency of health systems with little or no added financial investment.

Experience with the ULISS-30 inertial survey system for local geodetic and cadastral network control

NASA Astrophysics Data System (ADS)

Forsberg, Rene

1991-09-01

The capability of the recently developed SAGEM ULISS-30 inertial survey system for performing local surveys at high accuracies have been tested in a field campaign carried out November 1989 on the island of Fyn, Denmark, in cooperation with the Swedish National Land Survey. In the test a number of lines between existing national geodetic control points were surveyed, along with points in the less reliably determined cadastral network, forming an irregular network pattern of 10 15 km extent. The survey involved frequent offset measurements (up to 50 100 m) with an ISS-integrated total station. The profile geometries were not particularly suited for inertial surveys, with narrow and rather winding roads, necessitating frequent vehicle turns. In addition to the pure inertial surveys a kinematic GPS/inertial test was also carried out, using a pair of Ashtech L-XII receivers. The inertial survey results, analyzed with a smoothing algoritm utilizing common points on forward/backward runs, indicate that 5-cm accuracies are possible on reasonably straight profiles of 5 km length, corresponding to a 10 ppm “best-case” accuracy for double-run traverses. On longer, more winding traverses error levels of 10 20 cm are typical. To handle the inertial data optimally, proper network adjustments are required. A discussion of suitable adjustment models of both conventional and collocation type is included in the paper.

Physician utilization and expenditures in a Medicaid Population

PubMed Central

Buczko, William

1986-01-01

The determinants of physician visit utilization and expenditures for the full-year Medicaid enrollees in the State Medicaid household survey portion of the National Medical Care Utilization and Expenditure Survey are analyzed in this article. The regression analyses for the probability of a physician visit, for number of physician visits, and for physician visit expenditures underscore the importance of perceived health status as a determinant of both physician utilization and expenditures. Other important determinants of physician utilization and expenditures were regular source of care, State, enrollment group, sex, and family size. PMID:10312009

Toward Successful Implementation of Speech Recognition Technology: A Survey of SRT Utilization Issues in Healthcare Settings.

PubMed

Clarke, Martina A; King, Joshua L; Kim, Min Soon

2015-07-01

To evaluate physician utilization of speech recognition technology (SRT) for medical documentation in two hospitals. A quantitative survey was used to collect data in the areas of practice, electronic equipment used for documentation, documentation created after providing care, and overall thoughts about and satisfaction with the SRT. The survey sample was from one rural and one urban facility in central Missouri. In addition, qualitative interviews were conducted with a chief medical officer and a physician champion regarding implementation issues, training, choice of SRT, and outcomes from their perspective. Seventy-one (60%) of the anticipated 125 surveys were returned. A total of 16 (23%) participants were practicing in internal medicine and 9 (13%) were practicing in family medicine. Fifty-six (79%) participants used a desktop and 14 (20%) used a laptop (2%) computer. SRT products from Nuance were the dominant SRT used by 59 participants (83%). Windows operating systems (Microsoft, Redmond, WA) was used by more than 58 (82%) of the survey respondents. With regard to user experience, 42 (59%) participants experienced spelling and grammatical errors, 15 (21%) encountered clinical inaccuracy, 9 (13%) experienced word substitution, and 4 (6%) experienced misleading medical information. This study shows critical issues of inconsistency, unreliability, and dissatisfaction in the functionality and usability of SRT. This merits further attention to improve the functionality and usability of SRT for better adoption within varying healthcare settings.

Association of Inpatient Antimicrobial Utilization Measures with Antimicrobial Stewardship Activities and Facility Characteristics of Veterans Affairs Medical Centers.

PubMed

Graber, Christopher J; Jones, Makoto M; Chou, Ann F; Zhang, Yue; Goetz, Matthew Bidwell; Madaras-Kelly, Karl; Samore, Matthew H; Glassman, Peter A

2017-05-01

Antimicrobial stewardship programs (ASPs) have been advocated to improve antimicrobial utilization, but program implementation is variable. Antimicrobial stewardship programs (ASPs) have been advocated to improve antimicrobial utilization, but program implementation is variable. To determine associations between ASPs and facility characteristics, and inpatient antimicrobial utilization measures in the Veterans Affairs (VA) system in 2012. In 2012, VA administered a survey on antimicrobial stewardship practices to designated ASP contacts at VA acute care hospitals. From the survey, we identified 34 variables across 3 domains (evidence, organizational context, and facilitation) that were assessed using multivariable least absolute shrinkage and selection operator regression against 4 antimicrobial utilization measures from 2012: aggregate acute care antimicrobial use, antimicrobial use in patients with non-infectious primary discharge diagnoses, missed opportunities to convert from parenteral to oral antimicrobial therapy, and double anaerobic coverage. All 130 VA facilities with acute care services. Variables associated with at least 3 favorable changes in antimicrobial utilization included presence of postgraduate physician/pharmacy training programs, number of antimicrobial-specific order sets, frequency of systematic de-escalation review, presence of pharmacists and/or infectious diseases (ID) attendings on acute care ward teams, and formal ID training of the lead ASP pharmacist. Variables associated with 2 unfavorable measures included bed size, the level of engagement with VA Antimicrobial Stewardship Task Force online resources, and utilization of antimicrobial stop orders. Formalization of ASP processes and presence of pharmacy and ID expertise are associated with favorable utilization. Systematic de-escalation review and order set establishment may be high-yield interventions. Journal of Hospital Medicine 2017;12:301-309. © 2017 Society of Hospital Medicine

"It's Like a Cyber-Security Blanket": The Utility of Remote Activity Monitoring in Family Dementia Care.

PubMed

Mitchell, Lauren L; Peterson, Colleen M; Rud, Shaina R; Jutkowitz, Eric; Sarkinen, Andrielle; Trost, Sierra; Porta, Carolyn M; Finlay, Jessica M; Gaugler, Joseph E

2018-03-01

Technologies have emerged that aim to help older persons with Alzheimer's disease and related dementias (ADRDs) remain at home while also supporting their caregiving family members. However, the usefulness of these innovations, particularly in home-based care contexts, remains underexplored. The current study evaluated the acceptability and utility of an in-home remote activity monitoring (RAM) system for 30 family caregivers of persons with ADRD via quantitative survey data collected over a 6-month period and qualitative survey and interview data collected for up to 18 months. A parallel convergent mixed methods design was employed. The integrated qualitative and quantitative data suggested that RAM technology offered ongoing monitoring and provided caregivers with a sense of security. Considerable customization was needed so that RAM was most appropriate for persons with ADRD. The findings have important clinical implications when considering how RAM can supplement, or potentially substitute for, ADRD family care.

Survey of resource opportunities and critical evaluation of economic requirements

NASA Technical Reports Server (NTRS)

Clark, Benton C.

1991-01-01

A series of mission analyses were performed to evaluate human mission to Mars and the moon with and without the aid of planetary resource utilization. The types of trade studies that are considered include the use of resources to manufacture propellant, food, habitat atmospheric gases, and lander habitat structure. Also, the potential for export of resources from the moon, Mars, Phobos, Deimos, and selected asteroids is also examined. In all cases, mass leveraging is evaluated. For certain cases, economic factors are evaluated as well. It is concluded that some uses are highly leveraging on the mission, whereas others have lesser impact and, therefore, should be afforded lesser priority in resource utilization studies. This survey is made with a consistent set of scaling laws for spacecraft propulsion and habitation systems and subsystems, and therefore, provides a rational basis for comparing different resource locations and use strategies.

The effects of citizenship status on service utilization and general satisfaction with healthcare: a cross-cultural study.

PubMed

Khaled, Salma M; Shockley, Bethany; Abdul Rahim, Hanan F

2017-02-01

To explore the role of citizenship status as a predictor of general satisfaction with healthcare services in Qatar, including potential interaction with utilization and health insurance coverage type. A cross-sectional survey conducted in 2012. A household survey in the State of Qatar in the Arab Gulf. A nationally representative sample of 2750 citizens and noncitizens aged 18 years and older. General satisfaction status with Qatar's healthcare system. Citizenship status, healthcare utilization, health insurance type. Citizens were significantly less likely to be satisfied with Qatar's healthcare system than noncitizens (odds ratio (OR) = 0.30, P < 0.001). The association between private health insurance and overall satisfaction was not significantly different between citizens and noncitizens (P = 0.19). However, the association between utilization of healthcare services and overall satisfaction was moderated by citizenship (P < 0.001). Among citizens, non-users were less likely to be satisfied than recent users (OR = 1.88, P < 0.05), while the opposite pattern was observed among noncitizens (OR = 0.51, P < 0.05). These patterns persisted even after controlling for potential confounders. The study revealed significant population differences in satisfaction between recent users and non-users within citizenship groups. These differences may stem from different expectations with respect to healthcare services. Understanding these expectations may have important policy implications for cross-cultural contexts. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Autonomous In-Situ Resources Prospector

NASA Technical Reports Server (NTRS)

Dissly, R. W.; Buehler, M. G.; Schaap, M. G.; Nicks, D.; Taylor, G. J.; Castano, R.; Suarez, D.

2004-01-01

This presentation will describe the concept of an autonomous, intelligent, rover-based rapid surveying system to identify and map several key lunar resources to optimize their ISRU (In Situ Resource Utilization) extraction potential. Prior to an extraction phase for any target resource, ground-based surveys are needed to provide confirmation of remote observation, to quantify and map their 3-D distribution, and to locate optimal extraction sites (e.g. ore bodies) with precision to maximize their economic benefit. The system will search for and quantify optimal minerals for oxygen production feedstock, water ice, and high glass-content regolith that can be used for building materials. These are targeted because of their utility and because they are, or are likely to be, variable in quantity over spatial scales accessible to a rover (i.e., few km). Oxygen has benefits for life support systems and as an oxidizer for propellants. Water is a key resource for sustainable exploration, with utility for life support, propellants, and other industrial processes. High glass-content regolith has utility as a feedstock for building materials as it readily sinters upon heating into a cohesive matrix more readily than other regolith materials or crystalline basalts. Lunar glasses are also a potential feedstock for oxygen production, as many are rich in iron and titanium oxides that are optimal for oxygen extraction. To accomplish this task, a system of sensors and decision-making algorithms for an autonomous prospecting rover is described. One set of sensors will be located in the wheel tread of the robotic search vehicle providing contact sensor data on regolith composition. Another set of instruments will be housed on the platform of the rover, including VIS-NIR imagers and spectrometers, both for far-field context and near-field characterization of the regolith in the immediate vicinity of the rover. Also included in the sensor suite are a neutron spectrometer, ground-penetrating radar, and an instrumented cone penetrometer for subsurface assessment. Output from these sensors will be evaluated autonomously in real-time by decision-making software to evaluate if any of the targeted resources has been detected, and if so, to quantify their abundance. Algorithms for optimizing the mapping strategy based on target resource abundance and distribution are also included in the autonomous software. This approach emphasizes on-the-fly survey measurements to enable efficient and rapid prospecting of large areas, which will improve the economics of ISRU system approaches. The mature technology will enable autonomous rovers to create in-situ resource maps of lunar or other planetary surfaces, which will facilitate human and robotic exploration.

Developing a Continuous Quality Improvement Assessment Using a Patient-Centered Approach in Optimizing Systemic Lupus Erythematosus Disease Control.

PubMed

Updyke, Katelyn Mariko; Urso, Brittany; Beg, Shazia; Solomon, James

2017-10-09

Systemic lupus erythematosus (SLE) is a multi-organ, autoimmune disease in which patients lose self-tolerance and develop immune complexes which deposit systemically causing multi-organ damage and inflammation. Patients often experience unpredictable flares of symptoms with poorly identified triggers. Literature suggests exogenous exposures may contribute to flares in symptoms. An online pilot survey was marketed globally through social media to self-reported SLE patients with the goal to identify specific subpopulations who are susceptible to disease state changes based on analyzed exogenous factors. The pilot survey was promoted for two weeks, 80 respondents fully completed the survey and were included in statistical analysis. Descriptive statistical analysis was performed on de-identified patient surveys and compared to previous literature studies reporting known or theorized triggers in the SLE disease state. The pilot survey identified similar exogenous triggers compared to previous literature, including antibiotics, increasing beef intake, and metal implants. The goal of the pilot survey is to utilize similar questions to develop a detailed internet-based patient interactive form that can be edited and time stamped as a method to promote continuous quality improvement assessments. The ultimate objective of the platform is to interact with SLE patients from across the globe longitudinally to optimize disease control and improve quality of care by allowing them to avoid harmful triggers.

Developing a Continuous Quality Improvement Assessment Using a Patient-Centered Approach in Optimizing Systemic Lupus Erythematosus Disease Control

PubMed Central

Urso, Brittany; Beg, Shazia; Solomon, James

2017-01-01

Systemic lupus erythematosus (SLE) is a multi-organ, autoimmune disease in which patients lose self-tolerance and develop immune complexes which deposit systemically causing multi-organ damage and inflammation. Patients often experience unpredictable flares of symptoms with poorly identified triggers. Literature suggests exogenous exposures may contribute to flares in symptoms. An online pilot survey was marketed globally through social media to self-reported SLE patients with the goal to identify specific subpopulations who are susceptible to disease state changes based on analyzed exogenous factors. The pilot survey was promoted for two weeks, 80 respondents fully completed the survey and were included in statistical analysis. Descriptive statistical analysis was performed on de-identified patient surveys and compared to previous literature studies reporting known or theorized triggers in the SLE disease state. The pilot survey identified similar exogenous triggers compared to previous literature, including antibiotics, increasing beef intake, and metal implants. The goal of the pilot survey is to utilize similar questions to develop a detailed internet-based patient interactive form that can be edited and time stamped as a method to promote continuous quality improvement assessments. The ultimate objective of the platform is to interact with SLE patients from across the globe longitudinally to optimize disease control and improve quality of care by allowing them to avoid harmful triggers. PMID:29226052

A program to support the full utilization of data from existing social surveys of environmental noise

NASA Technical Reports Server (NTRS)

Fields, J. M.

1980-01-01

A brief review is presented of a three-part project (partially supported by NASA), which promotes greater utilization of social survey data for gaining new information about human response to environmental noise. The goal is accomplished by (1) publishing a catalog of existing social surveys on environmental noise, (2) establishing a data archive for noise survey data sets, and (3) reanalyzing selected surveys to address substantial and methodological issues. A finding about annoyance scales illustrates the use of a comparative analysis.

Power system modeling and optimization methods vis-a-vis integrated resource planning (IRP)

NASA Astrophysics Data System (ADS)

Arsali, Mohammad H.

1998-12-01

The state-of-the-art restructuring of power industries is changing the fundamental nature of retail electricity business. As a result, the so-called Integrated Resource Planning (IRP) strategies implemented on electric utilities are also undergoing modifications. Such modifications evolve from the imminent considerations to minimize the revenue requirements and maximize electrical system reliability vis-a-vis capacity-additions (viewed as potential investments). IRP modifications also provide service-design bases to meet the customer needs towards profitability. The purpose of this research as deliberated in this dissertation is to propose procedures for optimal IRP intended to expand generation facilities of a power system over a stretched period of time. Relevant topics addressed in this research towards IRP optimization are as follows: (1) Historical prospective and evolutionary aspects of power system production-costing models and optimization techniques; (2) A survey of major U.S. electric utilities adopting IRP under changing socioeconomic environment; (3) A new technique designated as the Segmentation Method for production-costing via IRP optimization; (4) Construction of a fuzzy relational database of a typical electric power utility system for IRP purposes; (5) A genetic algorithm based approach for IRP optimization using the fuzzy relational database.

Oropharyngeal dysphagia: surveying practice patterns of the speech-language pathologist.

PubMed

Martino, Rosemary; Pron, Gaylene; Diamant, Nicholas E

2004-01-01

The present study was designed to obtain a comprehensive view of the dysphagia assessment practice patterns of speech-language pathologists and their opinion on the importance of these practices using survey methods and taking into consideration clinician, patient, and practice-setting variables. A self-administered mail questionnaire was developed following established methodology to maximize response rates. Eight dysphagia experts independently rated the new survey for content validity. Test-retest reliability was assessed with a random sample of 23 participants. The survey was sent to 50 speech-language pathologists randomly selected from the Canadian professional association database of members who practice in dysphagia. Surveys were mailed according to the Dillman Total Design Method and included an incentive offer. High survey (64%) and item response (95%) rates were achieved and clinicians were reliable reporters of their practice behaviors (ICC>0.60). Of all the clinical assessment items, 36% were reported with high (>80%) utilization and 24% with low (<20%) utilization, the former pertaining to tongue motion and vocal quality after food/fluid intake and the latter to testing of oral sensation without food. One-third (33%) of instrumental assessment items were highly utilized and included assessment of bolus movement and laryngeal response to bolus misdirection. Overall, clinician experience and teaching institutions influenced greater utilization. Opinions of importance were similar to utilization behaviors (r = 0.947, p = 0.01). Of all patients referred for dysphagia assessment, full clinical assessments were administered to 71% of patients but instrumental assessments to only 36%. A hierarchical model of practice behavior is proposed to explain this pattern of progressively decreasing item utilization.

A preliminary study of the statistical analyses and sampling strategies associated with the integration of remote sensing capabilities into the current agricultural crop forecasting system

NASA Technical Reports Server (NTRS)

Sand, F.; Christie, R.

1975-01-01

Extending the crop survey application of remote sensing from small experimental regions to state and national levels requires that a sample of agricultural fields be chosen for remote sensing of crop acreage, and that a statistical estimate be formulated with measurable characteristics. The critical requirements for the success of the application are reviewed in this report. The problem of sampling in the presence of cloud cover is discussed. Integration of remotely sensed information about crops into current agricultural crop forecasting systems is treated on the basis of the USDA multiple frame survey concepts, with an assumed addition of a new frame derived from remote sensing. Evolution of a crop forecasting system which utilizes LANDSAT and future remote sensing systems is projected for the 1975-1990 time frame.

Ethnomedicine in healthcare systems of the world: a Semester at Sea pilot survey in 11 countries.

PubMed

Muleady-Mecham, Nancy E; Schley, Stephanie

2009-06-17

An understanding and appreciation for the varied healthcare systems in use throughout the world are increasingly vital for medical personnel as patient populations are now composed of ethnically diverse people with wide-ranging belief systems. While not a statistically valid survey, this pilot study gives a global overview of healthcare differences around the world. A pilot study of 459 individuals from 11 different countries around the world was administered by 33 students in the upper division course, People, Pathology, and World Medicine from Semester at Sea, Fall 2007, to ascertain trends in healthcare therapies. Open-ended surveys were conducted in English, through an interpreter, or in the native language. Western hospital use ranked highly for all countries, while ethnomedical therapies were utilized to a lesser degree. Among the findings, mainland China exhibited the greatest overall percentage of ethnomedical therapies, while the island of Hong Kong, the largest use of Western hospitals. The figures and trends from the surveys suggest the importance of understanding diverse cultural healthcare beliefs when treating individuals of different ethnic backgrounds. The study also revealed the increasingly complex and multisystem-based medical treatments being used internationally.

Shared Decision Making in Local School Planning: An Urban School System's Experience.

ERIC Educational Resources Information Center

Elenbogen, Janet C.; Hiestand, Nancy I.

The practices and perceptions of a shared planning team decision-making model and the effects on student achievement and attendance are examined in this study. Survey results, test scores, and background data on schools were utilized to analyze the relationships among the degree of shared decision-making and planning effectiveness ratings, student…

Leadership Mindsets of First-Year Undergraduate Students: An Assessment of a Leadership-Themed Living Learning Community

ERIC Educational Resources Information Center

Dunn, Allison L.; Odom, Summer F.; Moore, Lori L.; Rotter, Craig

2016-01-01

First-year college students in a leadership-themed living-learning community (N= 60) at Texas A&M University were surveyed to examine if participation in the learning community influenced their leadership mindset using hierarchical and systemic thinking preferences. Utilizing a pre-test and post-test methodology, significant differences for…

The Value of Wilderness Orientation Programs at Colleges and Universities in the United States.

ERIC Educational Resources Information Center

Gass, Michael A.

A 1983 mail survey identified 34 universities and colleges utilizing the wilderness environment as a means to indoctrinate students into a school setting and resulted in: (1) the creation of a networking system of these institutions; (2) the identification of the University of Missouri at Columbia, Cornell University, Towson State University,…

The fundamental stellar parameters of FGK stars in the SEEDS survey Norman, OK 73071, USA

NASA Astrophysics Data System (ADS)

Rich, Evan A.; Wisniewski, John P.; McElwain, Michael W.; Hashimoto, Jun; Kudo, Tomoyuki; Kusakabe, Nobuhiko; Okamoto, Yoshiko K.; Abe, Lyu; Akiyama, Eiji; Brandner, Wolfgang; Brandt, Timothy D.; Cargile, Phillip; Carson, Joseph C.; Currie, Thayne M.; Egner, Sebastian; Feldt, Markus; Fukagawa, Misato; Goto, Miwa; Grady, Carol A.; Guyon, Olivier; Hayano, Yutaka; Hayashi, Masahiko; Hayashi, Saeko S.; Hebb, Leslie; Hełminiak, Krzysztof G.; Henning, Thomas; Hodapp, Klaus W.; Ishii, Miki; Iye, Masanori; Janson, Markus; Kandori, Ryo; Knapp, Gillian R.; Kuzuhara, Masayuki; Kwon, Jungmi; Matsuo, Taro; Mayama, Satoshi; Miyama, Shoken; Momose, Munetake; Morino, Jun-Ichi; Moro-Martin, Amaya; Nakagawa, Takao; Nishimura, Tetsuo; Oh, Daehyeon; Pyo, Tae-Soo; Schlieder, Joshua; Serabyn, Eugene; Sitko, Michael L.; Suenaga, Takuya; Suto, Hiroshi; Suzuki, Ryuji; Takahashi, Yasuhiro H.; Takami, Michihiro; Takato, Naruhisa; Terada, Hiroshi; Thalmann, Christian; Tomono, Daigo; Turner, Edwin L.; Watanabe, Makoto; Yamada, Toru; Takami, Hideki; Usuda, Tomonori; Tamura, Motohide

2017-12-01

Large exoplanet surveys have successfully detected thousands of exoplanets to-date. Utilizing these detections and non-detections to constrain our understanding of the formation and evolution of planetary systems also requires a detailed understanding of the basic properties of their host stars. We have determined the basic stellar properties of F, K and G stars in the Strategic Exploration of Exoplanets and Disks with Subaru (SEEDS) survey from Echelle spectra taken at the Apache Point Observatory's 3.5m telescope. Using ROBOSPECT to extract line equivalent widths and Temperature Gravity microtrubulent Velocity ITerations to calculate the fundamental parameters, we have computed Teff, log(g), vt, [Fe/H], chromospheric activity and the age for our sample. Our methodology was calibrated against previously published results for a portion of our sample. The distribution of [Fe/H] in our sample is consistent with that typical of the Solar neighbourhood. Additionally, we find the ages of most of our sample are <500 Myr, but note that we cannot determine robust ages from significantly older stars via chromospheric activity age indicators. The future meta-analysis of the frequency of wide stellar and sub-stellar companions imaged via the SEEDS survey will utilize our results to constrain the occurrence of detected comoving companions with the properties of their host stars.

Biological and geochemical data along Indian Point, Vermilion Bay, Louisiana

USGS Publications Warehouse

Richwine, Kathryn A.; Marot, Marci E.; Smith, Christopher G.; Osterman, Lisa E.; Adams, C. Scott

2015-09-14

This publication was prepared by an agency of the United States Government. Although these data were processed successfully on a computer system at the U.S. Geological Survey, no warranty expressed or implied is made regarding the display or utility of the data on any other system, or for general or scientific purposes, nor shall the act of distribution imply any such warranty. The U.S. Geological Survey shall not be held liable for improper or incorrect use of the data described and (or) contained herein. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement, recommendation, or favoring by the United States Government or any agency

Assessing advantages and barriers to telemedicine adoption in the practice setting: A MyCareTeam(TM) exemplar.

PubMed

L'Esperance, Shaun T; Perry, Donna J

2016-06-01

Telemedicine is an evolving field that holds great potential to improve patient outcomes. The National Organization of Nurse Practitioner Faculties core competencies now require all nurse practitioners (NPs) to be competent utilizing telemedicine to address various patient and healthcare system needs. While telemedicine offers advantages to patient care, adoption of new technologies can be challenging. An assessment of perceived advantages and barriers to MyCareTeam, an online diabetes management system, was conducted at an adult diabetes clinic. Two survey questionnaires were developed based on the Diffusion of Innovations (DOI) theory. The surveys were administered to patients in the clinic waiting room and sent to all clinical staff via an e-mail link. The findings of this project suggested a novel way to classify patients with regard to their use of the technology with implications for practice. Recommendations include outreach to enhance knowledge and awareness of MyCareTeam, reinforcing the full scope of the system, and improved technical support. DOI theory is a framework that may be utilized by NPs as a tool for assessing advantages and barriers to telemedicine applications in the practice setting in order to identify strategies to promote adoption and use. ©2015 American Association of Nurse Practitioners.

Age and choice in health insurance: evidence from a discrete choice experiment.

PubMed

Becker, Karolin; Zweifel, Peter

2008-01-01

A uniform package of benefits and uniform cost sharing are elements of regulation inherent in most social health insurance systems. Both elements risk burdening the population with a welfare loss if preferences for risk and insurance attributes differ. This suggests the introduction of more choice in social health insurance packages may be advantageous; however, it is widely believed that this would not benefit the elderly.A representative telephone survey of 1000 people aged >24 years living in the German- and French-speaking parts of Switzerland was conducted. Participants were asked to compare the status quo (i.e. their current insurance contract) with ten hypothetical alternatives. In addition, participants were asked questions concerning utilization of healthcare services; overall satisfaction with the healthcare system, insurer and insurance policy; and a general preference for new elements in the insurance package. Socioeconomic variables surveyed were age, sex, total household income, education (seven categories ranging from primary school to university degree), place of residence, occupation, and marital status. To examine the relationship between age and willingness to pay (WTP) for additional options in Swiss social health insurance.A representative telephone survey of 1000 people aged >24 years living in the German- and French-speaking parts of Switzerland was conducted. Participants were asked to compare the status quo (i.e. their current insurance contract) with ten hypothetical alternatives. In addition, participants were asked questions concerning utilization of healthcare services; overall satisfaction with the healthcare system, insurer and insurance policy; and a general preference for new elements in the insurance package. Socioeconomic variables surveyed were age, sex, total household income, education (seven categories ranging from primary school to university degree), place of residence, occupation, and marital status. A discrete choice experiment was developed using six attributes (deductibles, co-payment, access to alternative medicines, medication choice, access to innovation, and monthly premium) that are currently in debate within the context of Swiss health insurance. These attributes have been shown to be important in the choice of insurance contract. Using statistical design optimization procedures, the number of choice sets was reduced to 27 and randomly split into three groups. One choice was included twice to test for consistency. Two random effects probit models were developed: a simple model where marginal utilities and WTP values were not allowed to vary according to socioeconomic characteristics, and a more complex model where the values were permitted to depend on socioeconomic variables.A representative telephone survey of 1000 people aged >24 years living in the German- and French-speaking parts of Switzerland was conducted. Participants were asked to compare the status quo (i.e. their current insurance contract) with ten hypothetical alternatives. In addition, participants were asked questions concerning utilization of healthcare services; overall satisfaction with the healthcare system, insurer and insurance policy; and a general preference for new elements in the insurance package. Socioeconomic variables surveyed were age, sex, total household income, education (seven categories ranging from primary school to university degree), place of residence, occupation, and marital status. All chosen elements proved relevant for choice in the simple model. Accounting for socioeconomic characteristics in the comprehensive model reveals preference heterogeneity for contract attributes, but also for the propensity to consider deviating from the status quo and choosing an alternative health insurance contract. The findings suggest that while the elderly do exhibit a stronger status quo bias than younger age groups, they require less rather than more specific compensation for selected cutbacks, indicating a potential for contracts that induce self-rationing in return for lower premiums.

Experimental Methods to Evaluate Science Utility Relative to the Decadal Survey

NASA Technical Reports Server (NTRS)

Widergren, Cynthia

2012-01-01

The driving factor for competed missions is the science that it plans on performing once it has reached its target body. These science goals are derived from the science recommended by the most current Decadal Survey. This work focuses on science goals in previous Venus mission proposals with respect to the 2013 Decadal Survey. By looking at how the goals compare to the survey and how much confidence NASA has in the mission's ability to accomplish these goals, a method was created to assess the science return utility of each mission. This method can be used as a tool for future Venus mission formulation and serves as a starting point for future development of create science utility assessment tools.

Energy conservation and analysis and evaluation. [specifically at Slidell Computer Complex

NASA Technical Reports Server (NTRS)

1976-01-01

The survey assembled and made recommendations directed at conserving utilities and reducing the use of energy at the Slidell Computer Complex. Specific items included were: (1) scheduling and controlling the use of gas and electricity, (2) building modifications to reduce energy, (3) replacement of old, inefficient equipment, (4) modifications to control systems, (5) evaluations of economizer cycles in HVAC systems, and (6) corrective settings for thermostats, ductstats, and other temperature and pressure control devices.

A Comprehensive Evaluation System for Military Hospitals' Response Capability to Bio-terrorism.

PubMed

Wang, Hui; Jiang, Nan; Shao, Sicong; Zheng, Tao; Sun, Jianzhong

2015-05-01

The objective of this study is to establish a comprehensive evaluation system for military hospitals' response capacity to bio-terrorism. Literature research and Delphi method were utilized to establish the comprehensive evaluation system for military hospitals' response capacity to bio-terrorism. Questionnaires were designed and used to survey the status quo of 134 military hospitals' response capability to bio-terrorism. Survey indicated that factor analysis method was suitable to for analyzing the comprehensive evaluation system for military hospitals' response capacity to bio-terrorism. The constructed evaluation system was consisted of five first-class and 16 second-class indexes. Among them, medical response factor was considered as the most important factor with weight coefficient of 0.660, followed in turn by the emergency management factor with weight coefficient of 0.109, emergency management consciousness factor with weight coefficient of 0.093, hardware support factor with weight coefficient of 0.078, and improvement factor with weight coefficient of 0.059. The constructed comprehensive assessment model and system are scientific and practical.

Large wind-turbine projects in the United States wind energy program

NASA Technical Reports Server (NTRS)

Thomas, R. L.; Robbins, W. H.

1980-01-01

The technological development of large, horizontal-axis wind turbines (100 kW-2500 kW) is surveyed with attention to prototype projects managed by NASA. Technical feasibility has been demonstrated in utility service for systems with a rated power of up to 200 kW and a rotor diameter of 125 ft (Mod-OA). Current designs of large wind turbines such as the 2500 kW Mod-2 are projected to be cost competitive for utility applications when produced in quantity, with capital costs of 600 to 700 dollars per kW (in 1977 dollars).

NEXRAD and the Broadcast Weather Industry: Preparing to Share the Technology.

NASA Astrophysics Data System (ADS)

Robertson, Michele M.; Droegemeier, Kelvin K.

1990-01-01

This paper describes results from a survey designed to establish the current level of radar and computer technology of the television weather industry, and to assess the awareness and attitudes of television weather forecasters toward the Next Generation Weather Radar (NEXRAD) program and its potential impact on the field of broadcast meteorology. The survey was distributed to one affiliate station in each of the 213 national television markets, and a 46% response rate was achieved over a 4-week period. The survey results indicate substantial awareness of and interest in NEXRAD, along with a willingness to learn more about its capabilities and potential for use in the private sector. Survey participants suggested that potential private NEXRAD users work directly with the National Weather Service (NWS) and its affiliates so as to fully utilize the capabilities of the new radar system.

The healthy diver: A cross-sectional survey to evaluate the health status of recreational scuba diver members of Divers Alert Network (DAN).

PubMed

Ranapurwala, Shabbar I; Kucera, Kristen L; Denoble, Petar J

2018-01-01

Scuba diver fitness is paramount to confront environmental stressors of diving. However, the diving population is aging and the increasing prevalence of diseases may be a concern for diver fitness. The purpose of this study is to assess the demographics, lifestyle factors, disease prevalence, and healthcare access and utilization of Divers Alert Network (DAN) members and compare them with those from the general population. DAN membership health survey (DMHS) was administered online in 2011 to DAN members in the United States (US). Health status of DMHS respondents was compared with the general US population data from the Center for Disease Control and Prevention's Behavioral Risk Factor Surveillance System using two-sided student's t-tests and Mantel-Haenszel chi-square tests. Univariate and multivariate logistic regression analyses were conducted to identify factors associated with healthcare utilization among the DMHS participants. Compared to the general US population, the DMHS population had lower prevalence of asthma, heart attack, angina, stroke, diabetes, hypertension, hypercholesterolemia, and disabilities (p<0.01); more heavy alcohol drinkers, and fewer smokers (p<0.01); and greater access and utilization (routine checkup) of healthcare (p<0.01). Healthcare utilization in males was lower than among females. Increasing age and increase in the number of chronic illnesses were associated with increased healthcare utilization. DAN members are healthier than the general US population. DAN members also have better access to healthcare and utilize healthcare for preventive purposes more often than the general population. DAN members appear to have a better fitness level than their non-diving peers.

GloVis

USGS Publications Warehouse

Houska, Treva R.; Johnson, A.P.

2012-01-01

The Global Visualization Viewer (GloVis) trifold provides basic information for online access to a subset of satellite and aerial photography collections from the U.S. Geological Survey Earth Resources Observation and Science (EROS) Center archive. The GloVis (http://glovis.usgs.gov/) browser-based utility allows users to search and download National Aerial Photography Program (NAPP), National High Altitude Photography (NHAP), Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER), Earth Observing-1 (EO-1), Global Land Survey, Moderate Resolution Imaging Spectroradiometer (MODIS), and TerraLook data. Minimum computer system requirements and customer service contact information also are included in the brochure.

Machine Learning in Ultrasound Computer-Aided Diagnostic Systems: A Survey

PubMed Central

Zhang, Fan; Li, Xuelong

2018-01-01

The ultrasound imaging is one of the most common schemes to detect diseases in the clinical practice. There are many advantages of ultrasound imaging such as safety, convenience, and low cost. However, reading ultrasound imaging is not easy. To support the diagnosis of clinicians and reduce the load of doctors, many ultrasound computer-aided diagnosis (CAD) systems are proposed. In recent years, the success of deep learning in the image classification and segmentation led to more and more scholars realizing the potential of performance improvement brought by utilizing the deep learning in the ultrasound CAD system. This paper summarized the research which focuses on the ultrasound CAD system utilizing machine learning technology in recent years. This study divided the ultrasound CAD system into two categories. One is the traditional ultrasound CAD system which employed the manmade feature and the other is the deep learning ultrasound CAD system. The major feature and the classifier employed by the traditional ultrasound CAD system are introduced. As for the deep learning ultrasound CAD, newest applications are summarized. This paper will be useful for researchers who focus on the ultrasound CAD system. PMID:29687000

Machine Learning in Ultrasound Computer-Aided Diagnostic Systems: A Survey.

PubMed

Huang, Qinghua; Zhang, Fan; Li, Xuelong

2018-01-01

The ultrasound imaging is one of the most common schemes to detect diseases in the clinical practice. There are many advantages of ultrasound imaging such as safety, convenience, and low cost. However, reading ultrasound imaging is not easy. To support the diagnosis of clinicians and reduce the load of doctors, many ultrasound computer-aided diagnosis (CAD) systems are proposed. In recent years, the success of deep learning in the image classification and segmentation led to more and more scholars realizing the potential of performance improvement brought by utilizing the deep learning in the ultrasound CAD system. This paper summarized the research which focuses on the ultrasound CAD system utilizing machine learning technology in recent years. This study divided the ultrasound CAD system into two categories. One is the traditional ultrasound CAD system which employed the manmade feature and the other is the deep learning ultrasound CAD system. The major feature and the classifier employed by the traditional ultrasound CAD system are introduced. As for the deep learning ultrasound CAD, newest applications are summarized. This paper will be useful for researchers who focus on the ultrasound CAD system.

The Effects of Geography and Spatial Behavior on Health Care Utilization among the Residents of a Rural Region

PubMed Central

Arcury, Thomas A; Gesler, Wilbert M; Preisser, John S; Sherman, Jill; Spencer, John; Perin, Jamie

2005-01-01

Objective This analysis determines the importance of geography and spatial behavior as predisposing and enabling factors in rural health care utilization, controlling for demographic, social, cultural, and health status factors. Data Sources A survey of 1,059 adults in 12 rural Appalachian North Carolina counties. Study Design This cross-sectional study used a three-stage sampling design stratified by county and ethnicity. Preliminary analysis of health services utilization compared weighted proportions of number of health care visits in the previous 12 months for regular check-up care, chronic care, and acute care across geographic, sociodemographic, cultural, and health variables. Multivariable logistic models identified independent correlates of health services utilization. Data Collection Methods Respondents answered standard survey questions. They located places in which they engaged health related and normal day-to-day activities; these data were entered into a geographic information system for analysis. Principal Findings Several geographic and spatial behavior factors, including having a driver's license, use of provided rides, and distance for regular care, were significantly related to health care utilization for regular check-up and chronic care in the bivariate analysis. In the multivariate model, having a driver's license and distance for regular care remained significant, as did several predisposing (age, gender, ethnicity), enabling (household income), and need (physical and mental health measures, number of conditions). Geographic measures, as predisposing and enabling factors, were related to regular check-up and chronic care, but not to acute care visits. Conclusions These results show the importance of geographic and spatial behavior factors in rural health care utilization. They also indicate continuing inequity in rural health care utilization that must be addressed in public policy. PMID:15663706

Solar heating and cooling system design and development

NASA Technical Reports Server (NTRS)

1978-01-01

Application surveys and performance studies were conducted to determine a solar heating and hot water configuration that could be used in a variety of applications, and to identify subsystem modules that could be utilized in a building block fashion to adapt hardware items to single and multi-family residential and commercial systems. Topics discussed include: subsystem development for the solar collectors, controls, other components, energy management module, and the heating system configuration test. Operational tests conducted at an Illinois farmhouse, and a YWCA in Spokane, Washington are discussed.

Improved Airborne Gravity Results Using New Relative Gravity Sensor Technology

NASA Astrophysics Data System (ADS)

Brady, N.

2013-12-01

Airborne gravity data has contributed greatly to our knowledge of subsurface geophysics particularly in rugged and otherwise inaccessible areas such as Antarctica. Reliable high quality GPS data has renewed interest in improving the accuracy of airborne gravity systems and recent improvements in the electronic control of the sensor have increased the accuracy and ability of the classic Lacoste and Romberg zero length spring gravity meters to operate in turbulent air conditions. Lacoste and Romberg type gravity meters provide increased sensitivity over other relative gravity meters by utilizing a mass attached to a horizontal beam which is balanced by a ';zero length spring'. This type of dynamic gravity sensor is capable of measuring gravity changes on the order of 0.05 milliGals in laboratory conditions but more commonly 0.7 to 1 milliGal in survey use. The sensor may have errors induced by the electronics used to read the beam position as well as noise induced by unwanted accelerations, commonly turbulence, which moves the beam away from its ideal balance position otherwise known as the reading line. The sensor relies on a measuring screw controlled by a computer which attempts to bring the beam back to the reading line position. The beam is also heavily damped so that it does not react to most unwanted high frequency accelerations. However this heavily damped system is slow to react, particularly in turns where there are very high Eotvos effects. New sensor technology utilizes magnetic damping of the beam coupled with an active feedback system which acts to effectively keep the beam locked at the reading line position. The feedback system operates over the entire range of the system so there is now no requirement for a measuring screw. The feedback system operates at very high speed so that even large turbulent events have minimal impact on data quality and very little, if any, survey line data is lost because of large beam displacement errors. Airborne testing along with results from ground based van testing and laboratory results have shown that the new sensor provides more consistent gravity data, as measured by repeated line surveys, as well as preserving the inherent sensitivity of the Lacoste and Romberg zero length spring design. The sensor also provides reliability during survey operation as there is no mechanical counter screw. Results will be presented which show the advantages of the new sensor system over the current technology in both data quality and survey productivity. Applications include high resolution geoid mapping, crustal structure investigations and resource mapping of minerals, oil and gas.

Exploring status and determinants of prenatal and postnatal visits in western China: in the background of the new health system reform.

PubMed

Fan, Xiaojing; Zhou, Zhongliang; Dang, Shaonong; Xu, Yongjian; Gao, Jianmin; Zhou, Zhiying; Su, Min; Wang, Dan; Chen, Gang

2017-07-20

Prenatal and postnatal visits are two effective interventions for protection and promotion of maternal health by reducing maternal mortality and improving the quality of birth. There is limited nationally representative data regarding the changes of prenatal and postnatal visits since the latest health system reform initiated in 2009 in Shaanxi, China. The aim of this study was to explore the current status and determinants of prenatal and postnatal visits in the background of new health system reform. Data were drawn from two waves of National Health Service Surveys in Shaanxi Province which were conducted prior and post the health system reform in 2008 and 2013, respectively. A concentration index was employed to measure the degree of income-related inequality of maternal health services utilization. Multilevel mix-effects logistic regressions were applied to study the factors associated with prenatal and postnatal visits. The study sample consists of 2398 women aged 15-49 years old. The data of the 5th National Health Services Survey in 2013 showed in the criterion of the World Health Organization (WHO), the percentage of women receiving ≥4 prenatal visits was 84.79% for urban women and 82.20% for rural women, with women receiving ≥3 postnatal visits were 26.48 and 25.29% for urban and rural women respectively. In the criterion of China's ≥ 5 prenatal visits the percentages were 72.25% for urban women and 70.33% for rural women; 61.69% of urban women and 71.50% of rural women received ≥1 postnatal visits. As for urban women, the concentration index of postnatal visit utilization was -0.075 (95% CI:-0.148, -0.020) after the health system reform. The determinants related to prenatal and postnatal visits were the change of reform, women's education, parity and the delivery institution. This study showed the utilization of prenatal and postnatal visits met the requirement of the WHO, higher than other areas in China and other developing countries after the new health system reform. The new health system reform increased the utilization of postnatal visits in poor urban women and improved the frequency of prenatal and postnatal visits in rural women.

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

PubMed

Morlock, L L; Alexander, J A

1986-12-01

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

User's guide to SSARRMENU

USGS Publications Warehouse

Mastin, M.C.; Le, Thanh

2001-01-01

The U.S. Geological Survey, in cooperation with Pierce County Department of Public Works, Washington, has developed an operational tool called the Puyallup Flood-Alert System to alert users of impending floods in the Puyallup River Basin. The system acquires and incorporates meteorological and hydrological data into the Streamflow Synthesis and Reservoir Regulation (SSARR) hydrologic flow-routing model to simulate floods in the Puyallup River Basin. SSARRMENU is the user-interactive graphical interface between the user, the input and output data, and the SSARR model. In a companion cooperative project with Pierce County, the SSARR model for the Puyallup River Basin was calibrated and validated. The calibrated model is accessed through SSARRMENU, which has been specifically programed for the Puyallup River and the needs of Pierce County. SSARRMENU automates the retrieval of data from ADAPS (Automated DAta Processing System, the U.S. Geological Survey?s real-time hydrologic database), formats the data for use with SSARR, initiates SSARR model runs, displays alerts for impending floods, and provides utilities to display the simulated and observed data. An on-screen map of the basin and a series of menu items provide the user wi

Plan of study for the Northern Atlantic Coastal Plain Regional Aquifer System Analysis

USGS Publications Warehouse

Meisler, Harold

1980-01-01

Sediments of Cretaceous to Holocene age compose the Northern Atlantic Coastal Plain aquifer system in an area of 50,000 square miles in parts of New York, New Jersey, Delaware, Maryland, Virginia, and North Carolina. The aquifer system is a major source of water supply in the area. About 1.4 billion gallons is withdrawn from its aquifers each day. Increasing withdrawal of ground water has created or intensified several problems such as declining water levels, development of large cones of depression, saltwater intrusion, spreading of ground-water contamination, and land subsidence. The U.S. Geological Survey has begun a comprehensive study that will define the geology, hydrology, and geochemistry of the aquifer system. The effects of future utilization of the aquifer system will be determined and alternative plans for water withdrawal will be evaluated through computer simulation modeling. This report describes the objectives, organization, and work plans of the study, and describes the work to be accomplished in each U.S. Geological Survey District of the study area.

Survey of flue gas desulfurization systems: Duck Creek Station, Central Illinois Light Co. Final report, Jul-Dec 1978

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

Laseke, B.A. Jr.

The report presents the results of a survey of operational flue gas desulfurization (FGD) systems on coal-fired utility boilers in the United States. The FGD system installed on Unit 1 at the Duck Creek Station of Central Illinois Light Company is described in terms of design and performance. The system consists of four parallel, wet-limestone, rod-deck scrubber modules designed for 25% capacity each, providing a total sulfur dioxide removal efficiency of 85%. The bottom ash, fly ash, and scrubbing wastes are disposed of in a sludge pond lined with a natural impermeable material. The first module of this four modulemore » FGD system was placed in service on July 1, 1976, and operated intermittently throughout the remainder of the year and for approximately one month in early 1977. On July 23, 1978, the three remaining modules were completed and all four modules were placed in the gas path for treatment of high sulfur flue gas.« less

Increasing the appeal and utilization of services for alcohol and drug problems: what consumers and their social networks prefer.

PubMed

Tucker, Jalie A; Foushee, H Russell; Simpson, Cathy A

2009-01-01

A large gap exists in the United States between population need and the utilization of treatment services for substance-related problems. Surveying consumer preferences may provide valuable information for developing more attractive services with greater reach and impact on population health. A state-level telephone survey using random digit dialling sampling methods assessed preferences for available professional, mutual help, and lay resources, as well as innovative computerized and self-help resources that enhance anonymity (N=439 households in Alabama). Respondents preferred help that involved personal contact compared to computerized help or self-help, but were indifferent whether personalized help was dispensed by professional or lay providers. Attractive service features included lower cost, insurance coverage, confidentiality, rapid and convenient appointments, and addressing functional problems and risks of substance misuse. Respondents in households with a member who misused substances rated services more negatively, especially if services had been used. The findings highlight the utility of viewing substance misusers and their social networks as consumers, and the implications for improving the system of care and for designing and marketing services that are responsive to user preferences are discussed.

Survey of Italian human milk banks.

PubMed

De Nisi, Giuseppe; Moro, Guido E; Arslanoglu, Sertac; Ambruzzi, Amalia M; Biasini, Augusto; Profeti, Claudio; Tonetto, Paola; Bertino, Enrico

2015-05-01

At present, the Italian Association of Donor Human Milk Banks (Associazione Italiana Banche del Latte Umano Donato, AIBLUD) consists of 31 milk banks, whose management is based on Italian Guidelines. In 2013, AIBLUD performed a systematic survey to collect data on the activities of banks operating in Italy in the years previous to this date. The purpose of this survey was to evaluate the operational procedures of Italian Human Milk Banks in order to identify both areas of strength and room for improvement. A questionnaire was utilized to obtain national data from the 28 banks active in the year 2012 in order to evaluate the number of donors, volume of human milk collected, and other information relating to the period 2007 to 2012. In all, 89% of the banks (25/28) responded to the survey. Data received primarily concerned the number of donors, volume of milk collected, and average amount of milk from each donor in the period 2007 to 2012. It was evident that in 2012 human milk banks collected a higher volume of milk than in 2007. Further, the average amount of milk from each donor was higher. Most of the milk banks were following the Italian Guidelines for traceability, control of donors, bacteriological checks, method of pasteurization, storage, thawing, type of containers, and utilization of the Hazard Analysis and Critical Control Points system. This survey identified both areas of strength and room for improvement in the Italian human milk banks. © The Author(s) 2015.

Modelling healthcare systems with phase-type distributions.

PubMed

Fackrell, Mark

2009-03-01

Phase-type distributions constitute a very versatile class of distributions. They have been used in a wide range of stochastic modelling applications in areas as diverse as telecommunications, finance, biostatistics, queueing theory, drug kinetics, and survival analysis. Their use in modelling systems in the healthcare industry, however, has so far been limited. In this paper we introduce phase-type distributions, give a survey of where they have been used in the healthcare industry, and propose some ideas on how they could be further utilized.

Principles of cost-benefit analysis for ERTS experiments, volumes 1 and 2

NASA Technical Reports Server (NTRS)

1973-01-01

The basic elements of a cost-benefit study are discussed along with special considerations for ERTS experiments. Elements required for a complete economic analysis of ERTS are considered to be: statement of objectives, specification of assumptions, enumeration of system alternatives, benefit analysis, cost analysis nonefficiency considerations, and final system selection. A hypothetical cost-benefit example is presented with the assumed objective of an increase in remote sensing surveys of grazing lands to better utilize available forage to lower meat prices.

Thermal surveillance of volcanoes of the Cascade Range and Iceland utilizing ERTS DCP systems and imagery

NASA Technical Reports Server (NTRS)

Friedman, J. D. (Principal Investigator)

1973-01-01

The author has identified the following significant results. Significant results of the thermal surveillance of volcanoes experiment during 1972 included the design, construction, emplacement, and successful operation at volcanic sites in the Cascade Range, North America and on Surtsey, Iceland, of automated thermistor arrays which transmit ground and fumarole temperatures via the ERTS-1 data communication system to Goddard Space Flight Center. Temperature, radiance, and anomalous heat flow variations are being plotted by a U.S. Geological Survey IBM 360/65 computer program to show daily fluctuations at each of the sites. Results are being compiled in conjunction with NASA and USGS aircraft infrared survey data to provide thermal energy yield estimates during the current repose period of several Cascade Range volcanic systems. ERTS-1 MSS images have provided new information on the extent of structural elements controlling thermal emission at Lassen Volcanic National Park.

Archive of digital boomer seismic reflection data collected offshore northeast Florida during USGS cruise 02FGS01, October 2002

USGS Publications Warehouse

Subino, Janice A.; Forde, Arnell S.; Dadisman, Shawn V.; Wiese, Dana S.; Calderon, Karynna

2012-01-01

This Digital Versatile Disc (DVD) publication was prepared by an agency of the United States Government. Although these data have been processed successfully on a computer system at the U.S. Geological Survey, no warranty expressed or implied is made regarding the display or utility of the data on any other system, nor shall the act of distribution imply any such warranty. The U.S. Geological Survey shall not be held liable for improper or incorrect use of the data described and (or) contained herein. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement, recommendation, or favoring by the United States Government or any agency thereof.

We Work with Them? Healthcare Workers Interpretation of Organizational Relations Mined from Electronic Health Records

PubMed Central

Chen, You; Lorenzi, Nancy; Nyemba, Steve; Schildcrout, Jonathan S.; Malin, Bradley

2014-01-01

Objective Models of healthcare organizations (HCOs) are often defined up front by a select few administrative officials and managers. However, given the size and complexity of modern healthcare systems, this practice does not scale easily. The goal of this work is to investigate the extent to which organizational relationships can be automatically learned from utilization patterns of electronic health record (EHR) systems. Method We designed an online survey to solicit the perspectives of employees of a large academic medical center. We surveyed employees from two administrative areas: 1) Coding & Charge Entry and 2) Medical Information Services and two clinical areas: 3) Anesthesiology and 4) Psychiatry. To test our hypotheses we selected two administrative units that have work-related responsibilities with electronic records; however, for the clinical areas we selected two disciplines with very different patient responsibilities and whose accesses and people who accessed were similar. We provided each group of employees with questions regarding the chance of interaction between areas in the medical center in the form of association rules (e.g., Given someone from Coding & Charge Entry accessed a patient’s record, what is the chance that someone from Medical Information Services access the same record?). We compared the respondent predictions with the rules learned from actual EHR utilization using linear-mixed effects regression models. Results The findings from our survey confirm that medical center employees can distinguish between association rules of high and non-high likelihood when their own area is involved. Moreover, they can make such distinctions between for any HCO area in this survey. It was further observed that, with respect to highly likely interactions, respondents from certain areas were significantly better than other respondents at making such distinctions and certain areas’ associations were more distinguishable than others. Conclusions These results illustrate that EHR utilization patterns may be consistent with the expectations of HCO employees. Our findings show that certain areas in the HCO are easier than others for employees to assess, which suggests that automated learning strategies may yield more accurate models of healthcare organizations than those based on the perspectives of a select few individuals. PMID:24845147

Charting health system reconstruction in post-war Liberia: a comparison of rural vs. remote healthcare utilization.

PubMed

Kentoffio, Katherine; Kraemer, John D; Griffiths, Thomas; Kenny, Avi; Panjabi, Rajesh; Sechler, G Andrew; Selinsky, Stephen; Siedner, Mark J

2016-09-07

Despite a growing global emphasis on universal healthcare, access to basic primary care for remote populations in post-conflict countries remains a challenge. To better understand health sector recovery in post-conflict Liberia, this paper seeks to evaluate changes in utilization of health services among rural populations across a 5-year time span. We assessed trends in healthcare utilization among the national rural population using the Liberian Demographic and Health Survey (DHS) from 2007 and 2013. We compared these results to results obtained from a two-staged cluster survey in 2012 in the district of Konobo, Liberia, to assess for differential health utilization in an isolated, remote region. Our primary outcomes of interest were maternal and child health service care seeking and utilization. Most child and maternal health indicators improved in the DHS rural sub-sample from 2007 to 2013. However, this progress was not reflected in the remote Konobo population. A lower proportion of women received 4+ antenatal care visits (AOR 0.28, P < 0.001) or any postnatal care (AOR 0.25, P <0.001) in Konobo as compared to the 2013 DHS. Similarly, a lower proportion of children received professional care for common childhood illnesses, including acute respiratory infection (9 % vs. 52 %, P < 0.001) or diarrhea (11 % vs. 46 %, P < 0.001). Our data suggest that, despite the demonstrable success of post-war rehabilitation in rural regions, particularly remote populations in Liberia remain at disproportionate risk for limited access to basic health services. As a renewed effort is placed on health systems reconstruction in the wake of the Ebola-epidemic, a specific focus on solutions to reach isolated populations will be necessary in order to ensure extension of coverage to remote regions such as Konobo.

Energy survey study and report of hospitals in Chicago: Saint Anthony Hospital: Appendix A: Part 2, Final report

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

Not Available

1988-08-01

This study is part of a three-phased demonstration program to reduce energy consumption in hospitals through practical life-cycle/cost-effective modifications and alterations. Funds for the demonstration program are being provided by the American Hospital Association (AHA), the Department of Energy (DOE), and the Department of Health and Human Services (DHHS). A thorough study and evaluation of all building systems is made to identify the most cost effective approaches to energy conservation. The primary objective of the study is to investigate and analyze energy usage of the facility and to identify all life cycle, cost-effective changes required to effect a reduction inmore » energy consumption. On November 2, 1987, Consulting Consortium, Inc., was instructed to proceed with this analysis. Initial meetings were arranged with the hospital administrators to convey the purpose of the study and to request utility billing data, small scale floor plans of the facility, and to arrange for engineering walk-through surveys. The survey at St. Anthony was initiated on December 8, 1987. This report summarizes the findings together with data and information gathered during the course of that visit and other subsequent visits. This report describes the architectural, mechanical and electrical systems of the Saint Anthony Hospital. In addition, an analysis of the base year energy usage as derived from utility bills and statement of the current energy consumption trends for the hospital, and a list of recommendations for reducing energy consumption is included.« less

Integrated Campaign Probabilistic Cost, Schedule, Performance, and Value for Program Office Support

NASA Technical Reports Server (NTRS)

Cornelius, David; Sasamoto, Washito; Daugherty, Kevin; Deacon, Shaun

2012-01-01

This paper describes an integrated assessment tool developed at NASA Langley Research Center that incorporates probabilistic analysis of life cycle cost, schedule, launch performance, on-orbit performance, and value across a series of planned space-based missions, or campaign. Originally designed as an aid in planning the execution of missions to accomplish the National Research Council 2007 Earth Science Decadal Survey, it utilizes Monte Carlo simulation of a series of space missions for assessment of resource requirements and expected return on investment. Interactions between simulated missions are incorporated, such as competition for launch site manifest, to capture unexpected and non-linear system behaviors. A novel value model is utilized to provide an assessment of the probabilistic return on investment. A demonstration case is discussed to illustrate the tool utility.

The process of development of a prioritization tool for a clinical decision support build within a computerized provider order entry system: Experiences from St Luke's Health System.

PubMed

Wolf, Matthew; Miller, Suzanne; DeJong, Doug; House, John A; Dirks, Carl; Beasley, Brent

2016-09-01

To establish a process for the development of a prioritization tool for a clinical decision support build within a computerized provider order entry system and concurrently to prioritize alerts for Saint Luke's Health System. The process of prioritizing clinical decision support alerts included (a) consensus sessions to establish a prioritization process and identify clinical decision support alerts through a modified Delphi process and (b) a clinical decision support survey to validate the results. All members of our health system's physician quality organization, Saint Luke's Care as well as clinicians, administrators, and pharmacy staff throughout Saint Luke's Health System, were invited to participate in this confidential survey. The consensus sessions yielded a prioritization process through alert contextualization and associated Likert-type scales. Utilizing this process, the clinical decision support survey polled the opinions of 850 clinicians with a 64.7 percent response rate. Three of the top rated alerts were approved for the pre-implementation build at Saint Luke's Health System: Acute Myocardial Infarction Core Measure Sets, Deep Vein Thrombosis Prophylaxis within 4 h, and Criteria for Sepsis. This study establishes a process for developing a prioritization tool for a clinical decision support build within a computerized provider order entry system that may be applicable to similar institutions. © The Author(s) 2015.

Robust System for Automated Identification of Martian Impact Craters

NASA Astrophysics Data System (ADS)

Stepinski, T. F.; Mendenhall, M. P.

2006-12-01

Detailed analysis of the number and morphology of impact craters on Mars provides the worth of information about the geologic history of its surface. Global catalogs of Martian craters have been compiled (for example, the Barlow catalog) but they are not comprehensive, especially for small craters. Existing methods for machine detection of craters from images suffer from low efficiency and are not practical for global surveys. We have developed a robust two-stage system for an automated cataloging of craters from digital topography data (DEM). In the first stage an innovative crater-finding transform is performed on a DEM to identify centers of potential craters, their extents, and their basic characteristics. This stage produces a preliminary catalog. In the second stage a machine learning methods are employed to eliminate false positives. Using the MOLA derived DEMs with resolution of 1/128 degrees/pixel, we have applied our system to six ~ 106 km2 sites. The system has identified 3217 craters, 43% more than are present in the Barlow catalog. The extra finds are predominantly small craters that are most difficult to account for in manual surveys. Because our automated survey is DEM-based, the resulting catalog lists craters' depths in addition to their positions, sizes, and measures of shape. This feature significantly increases the scientific utility of any catalog generated using our system. Our initial calculations yield a training set that will be used to identify craters over the entire Martian surface with estimated accuracy of 95%. Moreover, because our method is pixel-based and scale- independent, the present training set may be used to identify craters in higher resolution DEMs derived from Mars Express HRSC images. It also can be applied to future topography data from Mars and other planets. For example, it may be utilized to catalog craters on Mercury and the Moon using altimetry data to be gathered by Messenger and Lunar Reconnaissance Orbiter spacecrafts.

ADHD and Health Services Utilization in the National Health Interview Survey

ERIC Educational Resources Information Center

Cuffe, Steven P.; Moore, Charity G.; McKeown, Robert

2009-01-01

Objective: Describe the general health, comorbidities and health service use among U.S. children with ADHD. Method: The 2001 National Health Interview Survey (NHIS) contained the Strengths and Difficulties Questionnaire (SDQ; used to determine probable ADHD), data on medical problems, overall health, and health care utilization. Results: Asthma…

[Satisfaction and perceived quality of people insured by the Social Health Protection in Mexico. Methodological foundations].

PubMed

Saturno-Hernández, Pedro J; Gutiérrez-Reyes, Juan Pablo; Vieyra-Romero, Waldo Ivan; Romero-Martínez, Martín; O'Shea-Cuevas, Gabriel Jaime; Lozano-Herrera, Javier; Tavera-Martínez, Sonia; Hernández-Ávila, Mauricio

2016-01-01

To describe the conceptual framework and methods for implementation and analysis of the satisfaction survey of the Mexican System for Social Protection in Health. We analyze the methodological elements of the 2013, 2014 and 2015 surveys, including the instrument, sampling method and study design, conceptual framework, and characteristics and indicators of the analysis. The survey captures information on perceived quality and satisfaction. Sampling has national and State representation. Simple and composite indicators (index of satisfaction and rate of reported quality problems) are built and described. The analysis is completed using Pareto diagrams, correlation between indicators and association with satisfaction by means of multivariate models. The measurement of satisfaction and perceived quality is a complex but necessary process to comply with regulations and to identify strategies for improvement. The described survey presents a design and rigorous analysis focused on its utility for improving.

Optimization and Control of Cyber-Physical Vehicle Systems

PubMed Central

Bradley, Justin M.; Atkins, Ella M.

2015-01-01

A cyber-physical system (CPS) is composed of tightly-integrated computation, communication and physical elements. Medical devices, buildings, mobile devices, robots, transportation and energy systems can benefit from CPS co-design and optimization techniques. Cyber-physical vehicle systems (CPVSs) are rapidly advancing due to progress in real-time computing, control and artificial intelligence. Multidisciplinary or multi-objective design optimization maximizes CPS efficiency, capability and safety, while online regulation enables the vehicle to be responsive to disturbances, modeling errors and uncertainties. CPVS optimization occurs at design-time and at run-time. This paper surveys the run-time cooperative optimization or co-optimization of cyber and physical systems, which have historically been considered separately. A run-time CPVS is also cooperatively regulated or co-regulated when cyber and physical resources are utilized in a manner that is responsive to both cyber and physical system requirements. This paper surveys research that considers both cyber and physical resources in co-optimization and co-regulation schemes with applications to mobile robotic and vehicle systems. Time-varying sampling patterns, sensor scheduling, anytime control, feedback scheduling, task and motion planning and resource sharing are examined. PMID:26378541

Optimization and Control of Cyber-Physical Vehicle Systems.

PubMed

Bradley, Justin M; Atkins, Ella M

2015-09-11

A cyber-physical system (CPS) is composed of tightly-integrated computation, communication and physical elements. Medical devices, buildings, mobile devices, robots, transportation and energy systems can benefit from CPS co-design and optimization techniques. Cyber-physical vehicle systems (CPVSs) are rapidly advancing due to progress in real-time computing, control and artificial intelligence. Multidisciplinary or multi-objective design optimization maximizes CPS efficiency, capability and safety, while online regulation enables the vehicle to be responsive to disturbances, modeling errors and uncertainties. CPVS optimization occurs at design-time and at run-time. This paper surveys the run-time cooperative optimization or co-optimization of cyber and physical systems, which have historically been considered separately. A run-time CPVS is also cooperatively regulated or co-regulated when cyber and physical resources are utilized in a manner that is responsive to both cyber and physical system requirements. This paper surveys research that considers both cyber and physical resources in co-optimization and co-regulation schemes with applications to mobile robotic and vehicle systems. Time-varying sampling patterns, sensor scheduling, anytime control, feedback scheduling, task and motion planning and resource sharing are examined.

The Fundamental Stellar Parameters of FGK Stars in the SEEDS Survey Norman, OK 73071, USA

NASA Technical Reports Server (NTRS)

Rich, Evan A.; Wisniewski, John P.; McElwain, Michael W.; Hashimoto, Jun; Kudo, Tomoyuki; Kusakabe, Nobuhiko; Okamoto, Yoshiko K.; Abe, Lyu; Akiyama, Eiji; Brandner, Wolfgang;

Trends in capacity utilization for therapeutic monoclonal antibody production.

PubMed

Langer, Eric S

2009-01-01

The administration of high doses of therapeutic antibodies requires large-scale, efficient, cost effective manufacturing processes. An understanding of how the industry is using its available production capacity is important for production planning, and facility expansion analysis. Inaccurate production planning for therapeutic antibodies can have serious financial ramifications. In the recent 5(th) Annual Report and Survey of Biopharmaceutical Manufacturing Capacity and Production, 434 qualified respondents from 39 countries were asked to indicate, among other manufacturing issues, their current trends and future predictions with respect to the production capacity utilization of monoclonal antibodies in mammalian cell culture systems. While overall production of monoclonals has expanded dramatically since 2003, the average capacity utilization for mammalian cell culture systems, has decreased each year since 2003. Biomanufacturers aggressively attempt to avoid unanticipated high production demands that can create a capacity crunch. We summarize trends associated with capacity utilization and capacity constraints which indicate that biopharmaceutical manufacturers are doing a better job planning for capacity. The results have been a smoothing of capacity use shifts and an improved ability to forecast capacity and outsourcing needs. Despite these data, today, the instability and financial constraints caused by the current global economic crisis are likely to create unforeseen shifts in our capacity utilization and capacity expansion trends. These shifts will need to be measured in subsequent studies.

Association of patient preferences for participation in decision making with length of stay and costs among hospitalized patients.

PubMed

Tak, Hyo Jung; Ruhnke, Gregory W; Meltzer, David O

2013-07-08

Patient participation in medical decision making has been associated with improved patient satisfaction and health outcomes. However, there is little evidence concerning its effects on resource utilization. Patient participation in medical decision making has been hypothesized to decrease excess utilization but might be expected to increase utilization when other decision makers have incentives to reduce utilization, as under prospective payment systems for hospital care. To examine the relationship between patient preferences for participation in medical decision making and health care utilization among hospitalized patients. Survey study in an academic research setting. A survey that included questions about preferences to receive medical information and to participate in medical decision making was administered to all patients admitted to the University of Chicago Medical Center general internal medicine service between July 1, 2003, and August 31, 2011, and completed by 21,754 (69.6%) of admitted patients. The survey data were linked with administrative data, including length of stay and total hospitalization costs. We used generalized linear models to measure the association of patient preference for participation in decision making with length of stay and costs. The mean length of stay was 5.34 days, and the mean hospitalization costs were $14,576. While 96.3% of patients expressed a desire to receive information about their illnesses and treatment options, 71.1% of patients preferred to leave medical decision making to their physician. Preference to participate in decision making increased with educational level and with private health insurance. Compared with patients who had a strong desire to delegate decisions to their physician, patients who preferred to participate in decision making concerning their care had a 0.26-day (95% CI, 0.06-0.47 day) longer length of stay (P = .01) and $865 (95% CI, $155-$1575) higher total hospitalization costs (P = .02). Patient preference to participate in decision making concerning their care may be associated with increased resource utilization among hospitalized patients. Variation in patient preference to participate in medical decision making and its effects on costs and outcomes in the presence of varying physician incentives deserve further examination.

Peritoneal dialysis in Asia.

PubMed

Cheng, I K

1996-01-01

The socioeconomic status of Asian countries is diverse, and government reimbursement policies for treatment of patients suffering from end-stage renal disease (ESRD) vary greatly from one country to another. Both of these factors have a major impact not only on the choice of treatment for ESRD but also on the utilization of peritoneal dialysis (PD) in this region. Based on the data collected from 11 representative Asian countries, several observations can be made. First, the treatment rates for ESRD in these countries correlated closely with their gross domestic product (GDP) per capita income. Second, the PD utilization rate appeared to have a biphasic relationship with the GDP per capita income and treatment rate, in that countries with the highest and the lowest treatment rates tended to have lower PD utilization rates, whereas countries with modest treatment rates tended to have higher PD utilization rates. The reason for low PD utilization in countries with the highest treatment rates differs from that in countries with low treatment rates. In the former, because of full government reimbursement, there is little physician incentive to introduce PD as an alternative form of ESRD treatment to in-center hemodialysis (HD), whereas in the latter, the complete lack of government reimbursement prevents the introduction of PD as a form of treatment. This pattern is likely to change in the future because, of the 11 countries surveyed, all except Thailand have recorded a growth rate which is higher for PD than HD over the last three years. The rate of utilization of different PD systems varies greatly among different Asian countries. Automated PD has yet to gain popularity in Asia. Conventional straight-line systems remain the dominant PD systems in use in Hong Kong, Korea, Thailand, and the Philippines, while in Malaysia and Singapore UV germicidal connection devices are most popular. However, in all these countries there has been a progressive shift over the last three years from the straight-line systems with or without germicidal connection devices to the disconnect systems. In China and India, where PD has been introduced only recently, the disconnect systems are used almost exclusively. The disconnect systems are also the most popular systems in use in Japan and Taiwan. As data concerning the cost-effectiveness of different PD systems becomes available, it is likely that trend towards a more liberal use of disconnect systems will continue in the future. The usage of low calcium peritoneal dialysate and the average number of daily CAPD exchanges also vary among the Asian countries. Low calcium peritoneal dialysate has been introduced only in Japan, Hong Kong, and Singapore, with the highest utilization rate (90%) recorded in Singapore. The Philippines had the lowest average number of daily peritoneal exchanges (6L) among the countries surveyed, followed by Hong Kong (6.4L), China and Indonesia (7L), and the rest (8L). The use of a lower number of exchanges was introduced in some countries, initially, mainly as a cost-saving measure based on the assumption that Asians are of small body build. The justification for the continued use of a lower number of exchanges among Asian patients is debatable, but is supported by the acceptable, long-term clinical outcome of patients given this form of dialysis prescription. It is suggested that long-term prospective studies on dialysis adequacy and clinical outcome should be done in different ethnic groups in Asia to see if the similar guidelines with regard to dialysis adequacy can be applied uniformly to Orientals and Caucasians.

The Utility of an Online Convenience Panel for Reaching Rare and Dispersed Populations.

PubMed

Sell, Randall; Goldberg, Shoshana; Conron, Kerith

2015-01-01

Gaps in data collection systems, as well as challenges associated with gathering data from rare and dispersed populations, render current health surveillance systems inadequate to identify and monitor efforts to reduce health disparities. Using sexual and gender minorities we investigated the utility of using a large nonprobability online panel to conduct rapid population assessments of such populations using brief surveys. Surveys of the Google Android Panel (four assessing sexual orientation and one assessing gender identity and sex assigned at birth) were conducted resulting in invitation of 53,739 application users (37,505 of whom viewed the invitation) to generate a total of 34,759 who completed screening questions indicating their sexual orientation, or gender identity and sex at birth. Where possible we make comparisons to similar data from two population-based surveys (NHIS and NESARC). We found that 99.4% to 100.0% of respondents across our Google Android panel samples completed the screening questions and 97.8% to 99.2% of those that consented to participate in our surveys indicated they were "OK" with the content of surveys that assessed sexual orientation and sex/gender. In our Google Android panel samples there was a higher percentage of sexual minority respondents than in either NHIS or NESARC with 7.4% of men and 12.4% of women reporting gay, lesbian or bisexual identities. The proportion sexual minority was 2.8 to 5.6 times higher in the Google Android panel samples than was found in the 2012 NHIS sample, for men and women, respectively. The percentage of "transgender" identified individuals in the Google sample was 0.7%, which is similar to 0.5% transgender identified through the Massachusetts BRFSS, and using a transgender status item we found that 2.0% of the overall sample fit could be classified as transgender. The Google samples sometimes more closely approximated national averages for ethnicity and race than NHIS.

The Utility of an Online Convenience Panel for Reaching Rare and Dispersed Populations

PubMed Central

Sell, Randall; Goldberg, Shoshana; Conron, Kerith

2015-01-01

Gaps in data collection systems, as well as challenges associated with gathering data from rare and dispersed populations, render current health surveillance systems inadequate to identify and monitor efforts to reduce health disparities. Using sexual and gender minorities we investigated the utility of using a large nonprobability online panel to conduct rapid population assessments of such populations using brief surveys. Surveys of the Google Android Panel (four assessing sexual orientation and one assessing gender identity and sex assigned at birth) were conducted resulting in invitation of 53,739 application users (37,505 of whom viewed the invitation) to generate a total of 34,759 who completed screening questions indicating their sexual orientation, or gender identity and sex at birth. Where possible we make comparisons to similar data from two population-based surveys (NHIS and NESARC). We found that 99.4% to 100.0% of respondents across our Google Android panel samples completed the screening questions and 97.8% to 99.2% of those that consented to participate in our surveys indicated they were “OK” with the content of surveys that assessed sexual orientation and sex/gender. In our Google Android panel samples there was a higher percentage of sexual minority respondents than in either NHIS or NESARC with 7.4% of men and 12.4% of women reporting gay, lesbian or bisexual identities. The proportion sexual minority was 2.8 to 5.6 times higher in the Google Android panel samples than was found in the 2012 NHIS sample, for men and women, respectively. The percentage of “transgender” identified individuals in the Google sample was 0.7%, which is similar to 0.5% transgender identified through the Massachusetts BRFSS, and using a transgender status item we found that 2.0% of the overall sample fit could be classified as transgender. The Google samples sometimes more closely approximated national averages for ethnicity and race than NHIS. PMID:26641840

An evaluation of pre-hospital emergency medical systems for suspected ST-elevation myocardial infarction in Colorado.

PubMed

Engelman, Glenn H; Carry, Patrick M; Kubes, Kyle M; Gleason, Michael J

2016-11-01

Patients presenting with ST-elevation myocardial infarction (STEMI) benefit from rapid cardiac reperfusion therapy. Emergency medical service (EMS) agencies can improve patient outcomes by calling STEMI alerts to the receiving facility. The aim of this study was to evaluate the use of pre-hospital activation systems for suspected ST-elevation myocardial infarctions (STEMI) throughout Colorado. A cross sectional, survey design was utilized to collect all data from EMS agencies in Colorado. A univariable logistic regression model was used to identify factors predictive of an agency reporting that they utilize a STEMI activation protocol. 84.5% [95% CI: 78.3 to 90.7%] of agencies included indicate that they utilize a STEMI activation protocol. Based on the logistic regression analysis, the number of EMT employees was significantly associated with whether or not an agency indicates that they utilize a STEMI activation protocol. For every 10% increase in the number of EMTs employed by an EMS agency, there was a 3.0 [95% CI: 1.5 to 6.0, p = 0.0012] fold increase in the odds of the agency indicating they utilize a STEMI activation protocol. Our study provides evidence that larger agencies are more likely to utilize a STEMI activation protocol. In areas without a STEMI system of care, improvements in smaller agencies that cover more ground (with longer transport times) should be the focus for protocol implementation. Based on the current prevalence of such training, competency based training in reading ST-elevations on ECG should be considered by EMS agencies.

Connecting Families to Their Health Record and Care Team: The Use, Utility, and Impact of a Client/Family Health Portal at a Children’s Rehabilitation Hospital

PubMed Central

Maxwell, Joanne; Karmali, Amir; Hagens, Simon; Pinto, Madhu; Williams, Laura; Adamson, Keith

2017-01-01

Background Health care portals have the potential to provide consumers with timely, transparent access to health care information and engage them in the care process. Objective The objective was to examine the use, utility, and impact on engagement in care and caregiver-provider communication of a client/family portal providing access to electronic health records (EHRs) and secure, 2-way e-messaging with care providers. Methods We conducted a prospective, mixed-methods study involving collection of caregivers’ portal usage information over a 14-month period (from portal introduction in January 2015 to the end of the study period in March 2016), a Web-based survey for caregivers administered after a minimum of 2 months’ exposure to the portal and repeated 2 months later, and focus groups or individual interviews held with caregivers and service providers at the same points in time. The survey assessed caregivers’ perceptions of the utility of and satisfaction with the EHR and e-messaging, and the portal’s impact on client engagement and perceptions of caregiver-provider communication. A total of 18 caregivers (parents) completed surveys and 6 also took part in focus groups or interviews. In addition, 5 service providers from different disciplines took part in focus groups or interviews. Results Although usage patterns varied, the typical pattern was a steady level of use (2.5 times a month over an average of 9 months), which is higher than typically reported use. The portal pages most frequently accessed were the home page, health record main page, appointment main page, and reports main page. The Web-based survey captured caregivers’ perceptions of usefulness of and satisfaction with the EHR and portal messaging, as well as the portal’s impact on their engagement in care and perceptions of caregiver-provider communication. The surveys indicated a moderate degree of utility of and satisfaction with the portal features, and a low but emerging impact on engagement in care and caregiver-provider communication (survey scales measuring these outcomes displayed excellent internal consistency, with Cronbach alpha ranging from .89 to .95). Qualitative themes from focus groups and interviews supported and extended the survey findings. Caregivers and service providers saw appreciable information benefits and provided recommendations to increase portal use and utility. Caregivers focused on the scope of organizational adoption of the portal system and indicated their hopes for the future of the portal, whereas service providers were concerned about how to best manage their investment of time and effort in preparing client-friendly reports and messaging clients via the portal. Conclusions Overall, the findings show the promise of the portal and the need for ongoing evaluation to show the portal’s ultimate potential in enhancing engagement in care and communication with care providers. PMID:28385680

A summary of ERTS data applications in Alaska

NASA Technical Reports Server (NTRS)

Miller, J. M.; Belon, A. E.

1974-01-01

ERTS has proven to be an exceedingly useful tool for the preparation of urgently needed resource surveys in Alaska. For this reason the wide utilization of ERTS data by federal, state and industrial agencies in Alaska is increasingly directed toward the solution of operational problems in resource inventories, environmental surveys, and land use planning. Examples of some applications are discussed in connection with surveys of potential agricultural lands; mapping of predicted archaeological sites; permafrost terrain and aufeis mapping; snow melt enhancement from Prudhoe Bay roads; geologic interpretations correlated ith possible new petroleum fields, with earthquake activity, and with plate tectonic motion along the Denali fault system; hydrology in monitoring surging glaciers and the break-up characteristics of the Chena River watershed; sea-ice morphology correlated with marine mammal distribution; and coastal sediment plume circulation patterns.

Sensor Acquisition for Water Utilities: A Survey and Technology List

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

Alai, M; Glascoe, L; Love, A

2005-03-07

The early detection of the deliberate biological and chemical contamination of water distribution systems is a necessary capability for securing the nation's water supply. Current and emerging early-detection technology capabilities and shortcomings need to be identified and assessed to provide government agencies and water utilities with an improved methodology for assessing the value of installing these technologies. The Department of Homeland Security (DHS) has tasked a multi-laboratory team to evaluate current and future needs to protect the nation's water distribution infrastructure by supporting an objective evaluation of current and new technologies. The primary deliverables from this Operational Technology Demonstration (OTD)more » are the following: (1) establishment of an advisory board for review and approval of testing protocols, technology acquisition processes and recommendations for technology test and evaluation in laboratory and field settings; (2) development of a technology acquisition process; (3) creation of laboratory and field testing and evaluation capability; and (4) testing of candidate technologies for insertion into a water early warning system. The initial phase of this study involves the development of two separate but complementary strategies to be reviewed by the advisory board: (1) a technology acquisition strategy, and (2) a technology evaluation strategy. Lawrence Livermore National Laboratory and Sandia National Laboratories are tasked with the first strategy, while Los Alamos, Pacific Northwest, and Oak Ridge National Laboratories are tasked with the second strategy. The first goal of the acquisition strategy is the development of a technology survey process that includes a review of previous sensor surveys and current test programs and then the development of a method to solicit and select existing and emerging sensor technologies for evaluation and testing. In this paper we discuss a survey of previous efforts by governmental agencies and private companies with the aim of facilitating a water sensor technology acquisition procedure. We provide a survey of previous sensor studies with regard to the use of Early Warning Systems (EWS) including earlier surveys, testing programs, and response studies. In the project we extend this earlier work by developing a list of important sensor specifications that are then used to help assemble a sensor selection criteria. A list of sensor technologies with their specifications is appended to this document. This list will assist the second goal of the project which is a recommendation of candidate technologies for laboratory and field testing.« less

Use of an online survey during an outbreak of clostridium perfringens in a retirement community-Arizona, 2012.

PubMed

Yasmin, Seema; Pogreba-Brown, Kristen; Stewart, Jennifer; Sunenshine, Rebecca

2014-01-01

An outbreak of gastrointestinal (GI) illness among retirement community residents was reported to the Maricopa County Department of Public Health. Online surveys can be useful for rapid investigation of disease outbreaks, especially when local health departments lack time and resources to perform telephone interviews. Online survey utility among older populations, which may lack computer access or literacy, has not been defined. To investigate and implement prevention measures for a GI outbreak and assess the utility of an online survey among retirement community residents. A retrospective cohort investigation was conducted using an online survey distributed through the retirement community e-mail listserv; a follow-up telephone survey was conducted to assess computer literacy and Internet access. A case was defined as any GI illness occurring among residents during March 1-14, 2012. A barbecue in a retirement community of 3000 residents. Retirement community residents. Residents were directed to discard leftover food and seek health care for symptoms. A telephone survey was conducted to assess the utility of online surveys in this population. Computer literacy and Internet access of retirement community residents. Of 1000 residents on the listserv, 370 (37%) completed the online survey (mean age, 69.7 years; 60.6% women); 66 residents (17.8%) reported a GI illness after the barbecue, 63 (95.5%) reported diarrhea, and 5 (7.6%) reported vomiting. Leftover beef from an attendee's refrigerator grew Clostridium perfringens. Of 552 residents contacted by telephone, 113 completed the telephone survey (mean age, 71.3 years; 63.3% women), 101 (89.4%) reported the ability to send e-mail, 82 (81.2%) checked e-mail daily, and 28 (27.7%) checked e-mail on a handheld device. The attack rate was 17.8% for online versus 2.7% for telephone respondents (P < .001). This outbreak demonstrated the utility of an online survey to rapidly collect information and implement prevention measures among an older demographic.

Transcriptional Profiling of the Iron Starvation Response in Bordetella pertussis Provides New Insights into Siderophore Utilization and Virulence Gene Expression ▿ §

PubMed Central

Brickman, Timothy J.; Cummings, Craig A.; Liew, Sin-Yee; Relman, David A.; Armstrong, Sandra K.

2011-01-01

Serological studies of patients with pertussis and the identification of antigenic Bordetella pertussis proteins support the hypothesis that B. pertussis perceives an iron starvation cue and expresses multiple iron source utilization systems in its natural human host environment. Furthermore, previous studies using a murine respiratory tract infection model showed that several of these B. pertussis iron systems are required for colonization and persistence and are differentially expressed over the course of infection. The present study examined genome-wide changes in B. pertussis gene transcript abundance in response to iron starvation in vitro. In addition to known iron source utilization genes, we identified a previously uncharacterized iron-repressed cytoplasmic membrane transporter system, fbpABC, that is required for the utilization of multiple structurally distinct siderophores including alcaligin, enterobactin, ferrichrome, and desferrioxamine B. Expression of type III secretion system genes was also found to be upregulated during iron starvation in both B. pertussis strain Tohama I and Bordetella bronchiseptica strain RB50. In a survey of type III secretion system protein production by an assortment of B. pertussis laboratory-adapted and low-passage clinical isolate strains, iron limitation increased the production and secretion of the type III secretion system-specific translocation apparatus tip protein Bsp22 in all Bvg-proficient strains. These results indicate that iron starvation in the infected host is an important environmental cue influencing not only Bordetella iron transport gene expression but also the expression of other important virulence-associated genes. PMID:21742863

Survey of the Literature: Controlled Generation of Liquid Droplets

DTIC Science & Technology

1988-08-01

modified to permit greater reproducibility and drop size consistency utilizes a hypodermic syringe positioned in a soleniod , with its plunger filled...1.0 SOLENOID ATM. XCESS VALVE FROM CLOCK CIRCUIT CENTERING SCREWS Figure 3. Apparatus of Reil and Hallett (1969) for Production of Uniform nrops Using...Generator, Using an Inverted Aerosol Outlet. 49 Drop Generating System NOZZLE POWDERED IRON FILL ELECTRIC SOLENOID MICROMETER SCREW CHECK VALVE

Multi-Objective Optimization for Trustworthy Tactical Networks: A Survey and Insights

DTIC Science & Technology

2013-06-01

existing data sources, gathering and maintaining the data needed , and completing and reviewing the collection of information. Send comments regarding...problems: using repeated cooperative games [12], hedonic games [25], and nontransferable utility cooperative games [27]. It should be noted that trust...examined an optimal task allocation problem in a distributed computing system where program modules need to be allocated to different processors to

Air Force Aerospace Medicine Enterprise Ambulatory Medical Care Survey

DTIC Science & Technology

2014-03-01

aerospace medicine • utilization • health care • Air Force Introduction The planning and management of health care delivery is becoming increasingly...preferences and to adhere to the prescribed regimen. In the broader context of heath care systems, managers and policy makers influence budget and...providers, managers , policy makers, and researchers on the effectiveness of health care organization, patterns of service use, quality of care, health

The Impact an Integrated Workforce of a Rural Southwestern School District Has in the Making of a Blue Ribbon School

ERIC Educational Resources Information Center

Goolsby, Annie J.

2013-01-01

This study utilized a contemporary approach to qualitative research, the descriptive survey design, to discover whether a diverse workforce was a major influence in producing a rural Blue Ribbon School. The population represented the school systems of a county located in the West South Central region of the United States. In this study, the terms…

Elements of an Alternative to Nuclear Power as a Response to the Energy-Environment Crisis in India: Development as Freedom and a Sustainable Energy Utility

ERIC Educational Resources Information Center

Mathai, Manu V.

2009-01-01

Even as the conventional energy system is fundamentally challenged by the "energy-environment crisis," its adherents have presented the prospect of "abundant" and purportedly "green" nuclear power as part of a strategy to address the crisis. Surveying the development of nuclear power in India, this article finds that…

The healthy diver: A cross-sectional survey to evaluate the health status of recreational scuba diver members of Divers Alert Network (DAN)

PubMed Central

Kucera, Kristen L.; Denoble, Petar J.

2018-01-01

Background Scuba diver fitness is paramount to confront environmental stressors of diving. However, the diving population is aging and the increasing prevalence of diseases may be a concern for diver fitness. Purpose The purpose of this study is to assess the demographics, lifestyle factors, disease prevalence, and healthcare access and utilization of Divers Alert Network (DAN) members and compare them with those from the general population. Methods DAN membership health survey (DMHS) was administered online in 2011 to DAN members in the United States (US). Health status of DMHS respondents was compared with the general US population data from the Center for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System using two-sided student’s t-tests and Mantel-Haenszel chi-square tests. Univariate and multivariate logistic regression analyses were conducted to identify factors associated with healthcare utilization among the DMHS participants. Results Compared to the general US population, the DMHS population had lower prevalence of asthma, heart attack, angina, stroke, diabetes, hypertension, hypercholesterolemia, and disabilities (p<0.01); more heavy alcohol drinkers, and fewer smokers (p<0.01); and greater access and utilization (routine checkup) of healthcare (p<0.01). Healthcare utilization in males was lower than among females. Increasing age and increase in the number of chronic illnesses were associated with increased healthcare utilization. Conclusions DAN members are healthier than the general US population. DAN members also have better access to healthcare and utilize healthcare for preventive purposes more often than the general population. DAN members appear to have a better fitness level than their non-diving peers. PMID:29566018

A Novel Electronic Data Collection System for Large-Scale Surveys of Neglected Tropical Diseases

PubMed Central

King, Jonathan D.; Buolamwini, Joy; Cromwell, Elizabeth A.; Panfel, Andrew; Teferi, Tesfaye; Zerihun, Mulat; Melak, Berhanu; Watson, Jessica; Tadesse, Zerihun; Vienneau, Danielle; Ngondi, Jeremiah; Utzinger, Jürg; Odermatt, Peter; Emerson, Paul M.

2013-01-01

Background Large cross-sectional household surveys are common for measuring indicators of neglected tropical disease control programs. As an alternative to standard paper-based data collection, we utilized novel paperless technology to collect data electronically from over 12,000 households in Ethiopia. Methodology We conducted a needs assessment to design an Android-based electronic data collection and management system. We then evaluated the system by reporting results of a pilot trial and from comparisons of two, large-scale surveys; one with traditional paper questionnaires and the other with tablet computers, including accuracy, person-time days, and costs incurred. Principle Findings The electronic data collection system met core functions in household surveys and overcame constraints identified in the needs assessment. Pilot data recorders took 264 (standard deviation (SD) 152 sec) and 260 sec (SD 122 sec) per person registered to complete household surveys using paper and tablets, respectively (P = 0.77). Data recorders felt a lack of connection with the interviewee during the first days using electronic devices, but preferred to collect data electronically in future surveys. Electronic data collection saved time by giving results immediately, obviating the need for double data entry and cross-correcting. The proportion of identified data entry errors in disease classification did not differ between the two data collection methods. Geographic coordinates collected using the tablets were more accurate than coordinates transcribed on a paper form. Costs of the equipment required for electronic data collection was approximately the same cost incurred for data entry of questionnaires, whereas repeated use of the electronic equipment may increase cost savings. Conclusions/Significance Conducting a needs assessment and pilot testing allowed the design to specifically match the functionality required for surveys. Electronic data collection using an Android-based technology was suitable for a large-scale health survey, saved time, provided more accurate geo-coordinates, and was preferred by recorders over standard paper-based questionnaires. PMID:24066147

Do mental health professionals use diagnostic classifications the way we think they do? A global survey

PubMed Central

First, Michael B.; Rebello, Tahilia J.; Keeley, Jared W.; Bhargava, Rachna; Dai, Yunfei; Kulygina, Maya; Matsumoto, Chihiro; Robles, Rebeca; Stona, Anne‐Claire; Reed, Geoffrey M.

2018-01-01

We report on a global survey of diagnosing mental health professionals, primarily psychiatrists, conducted as a part of the development of the ICD‐11 mental and behavioural disorders classification. The survey assessed these professionals' use of various components of the ICD‐10 and the DSM, their attitudes concerning the utility of these systems, and usage of “residual” (i.e., “other” or “unspecified”) categories. In previous surveys, most mental health professionals reported they often use a formal classification system in everyday clinical work, but very little is known about precisely how they are using those systems. For example, it has been suggested that most clinicians employ only the diagnostic labels or codes from the ICD‐10 in order to meet administrative requirements. The present survey was conducted with clinicians who were members of the Global Clinical Practice Network (GCPN), established by the World Health Organization as a tool for global participation in ICD‐11 field studies. A total of 1,764 GCPN members from 92 countries completed the survey, with 1,335 answering the questions with reference to the ICD‐10 and 429 to the DSM (DSM‐IV, DSM‐IV‐TR or DSM‐5). The most frequent reported use of the classification systems was for administrative or billing purposes, with 68.1% reporting often or routinely using them for that purpose. A bit more than half (57.4%) of respondents reported often or routinely going through diagnostic guidelines or criteria systematically to determine whether they apply to individual patients. Although ICD‐10 users were more likely than DSM‐5 users to utilize the classification for administrative purposes, other differences were either slight or not significant. Both classifications were rated to be most useful for assigning a diagnosis, communicating with other health care professionals and teaching, and least useful for treatment selection and determining prognosis. ICD‐10 was rated more useful than DSM‐5 for administrative purposes. A majority of clinicians reported using “residual” categories at least sometimes, with around 12% of ICD‐10 users and 19% of DSM users employing them often or routinely, most commonly for clinical presentations that do not conform to a specific diagnostic category or when there is insufficient information to make a more specific diagnosis. These results provide the most comprehensive available information about the use of diagnostic classifications of mental disorders in ordinary clinical practice. PMID:29856559

Do mental health professionals use diagnostic classifications the way we think they do? A global survey.

PubMed

First, Michael B; Rebello, Tahilia J; Keeley, Jared W; Bhargava, Rachna; Dai, Yunfei; Kulygina, Maya; Matsumoto, Chihiro; Robles, Rebeca; Stona, Anne-Claire; Reed, Geoffrey M

2018-06-01

We report on a global survey of diagnosing mental health professionals, primarily psychiatrists, conducted as a part of the development of the ICD-11 mental and behavioural disorders classification. The survey assessed these professionals' use of various components of the ICD-10 and the DSM, their attitudes concerning the utility of these systems, and usage of "residual" (i.e., "other" or "unspecified") categories. In previous surveys, most mental health professionals reported they often use a formal classification system in everyday clinical work, but very little is known about precisely how they are using those systems. For example, it has been suggested that most clinicians employ only the diagnostic labels or codes from the ICD-10 in order to meet administrative requirements. The present survey was conducted with clinicians who were members of the Global Clinical Practice Network (GCPN), established by the World Health Organization as a tool for global participation in ICD-11 field studies. A total of 1,764 GCPN members from 92 countries completed the survey, with 1,335 answering the questions with reference to the ICD-10 and 429 to the DSM (DSM-IV, DSM-IV-TR or DSM-5). The most frequent reported use of the classification systems was for administrative or billing purposes, with 68.1% reporting often or routinely using them for that purpose. A bit more than half (57.4%) of respondents reported often or routinely going through diagnostic guidelines or criteria systematically to determine whether they apply to individual patients. Although ICD-10 users were more likely than DSM-5 users to utilize the classification for administrative purposes, other differences were either slight or not significant. Both classifications were rated to be most useful for assigning a diagnosis, communicating with other health care professionals and teaching, and least useful for treatment selection and determining prognosis. ICD-10 was rated more useful than DSM-5 for administrative purposes. A majority of clinicians reported using "residual" categories at least sometimes, with around 12% of ICD-10 users and 19% of DSM users employing them often or routinely, most commonly for clinical presentations that do not conform to a specific diagnostic category or when there is insufficient information to make a more specific diagnosis. These results provide the most comprehensive available information about the use of diagnostic classifications of mental disorders in ordinary clinical practice. © 2018 World Psychiatric Association.

Vertical equity of healthcare in Taiwan: health services were distributed according to need

PubMed Central

2013-01-01

Introduction To test the hypothesis that the distribution of healthcare services is according to health need can be achieved under a rather open access system. Methods The 2001 National Health Interview Survey of Taiwan and National Health Insurance claims data were linked in the study. Health need was defined by self-perceived health status. We used Concentration index to measure need-related inequality in healthcare utilization and expenditure. Results People with greater health need received more healthcare services, indicating a pro-need character of healthcare distribution, conforming to the meaning of vertical equity. For outpatient service, subjects with the highest health need had higher proportion of ever use in a year than those who had the least health need and consumed more outpatient visits and expenditures per person per year. Similar patterns were observed for emergency services and hospitalization. The concentration indices of utilization for outpatient, emergency services, and hospitalization suggest that the distribution of utilization was related to health need, whereas the preventive service was less related to need. Conclusions The universal coverage plus healthcare networking system makes it possible for healthcare to be utilized according to need. Taiwan’s experience can serve as a reference for health reform. PMID:23363855

The eye-tracking computer device for communication in amyotrophic lateral sclerosis.

PubMed

Spataro, R; Ciriacono, M; Manno, C; La Bella, V

2014-07-01

To explore the effectiveness of communication and the variables affecting the eye-tracking computer system (ETCS) utilization in patients with late-stage amyotrophic lateral sclerosis (ALS). We performed a telephone survey on 30 patients with advanced non-demented ALS that were provisioned an ECTS device. Median age at interview was 55 years (IQR = 48-62), with a relatively high education (13 years, IQR = 8-13). A one-off interview was made and answers were later provided with the help of the caregiver. The interview included items about demographic and clinical variables affecting the daily ETCS utilization. The median time of ETCS device possession was 15 months (IQR = 9-20). The actual daily utilization was 300 min (IQR = 100-720), mainly for the communication with relatives/caregiver, internet surfing, e-mailing, and social networking. 23.3% of patients with ALS (n = 7) had a low daily ETCS utilization; most reported causes were eye-gaze tiredness and oculomotor dysfunction. Eye-tracking computer system is a valuable device for AAC in patients with ALS, and it can be operated with a good performance. The development of oculomotor impairment may limit its functional use. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Impact of Individual-, Environmental-, and Policy-Level Factors on Health Care Utilization Among US Farmworkers

PubMed Central

Mayer, Joni A.; Gabbard, Susan; Kronick, Richard G.; Roesch, Scott C.; Malcarne, Vanessa L.; Zuniga, Maria L.

2011-01-01

Objectives. We examined individual-, environmental-, and policy-level correlates of US farmworker health care utilization, guided by the behavioral model for vulnerable populations and the ecological model. Methods. The 2006 and 2007 administrations of the National Agricultural Workers Survey (n = 2884) provided the primary data. Geographic information systems, the 2005 Uniform Data System, and rurality and border proximity indices provided environmental variables. To identify factors associated with health care use, we performed logistic regression using weighted hierarchical linear modeling. Results. Approximately half (55.3%) of farmworkers utilized US health care in the previous 2 years. Several factors were independently associated with use at the individual level (gender, immigration and migrant status, English proficiency, transportation access, health status, and non-US health care utilization), the environmental level (proximity to US–Mexico border), and the policy level (insurance status and workplace payment structure). County Federally Qualified Health Center resources were not independently associated. Conclusions. We identified farmworkers at greatest risk for poor access. We made recommendations for change to farmworker health care access at all 3 levels of influence, emphasizing Federally Qualified Health Center service delivery. PMID:21330594

Vertical equity of healthcare in Taiwan: health services were distributed according to need.

PubMed

Wang, Shiow-Ing; Yaung, Chih-Liang

2013-01-31

To test the hypothesis that the distribution of healthcare services is according to health need can be achieved under a rather open access system. The 2001 National Health Interview Survey of Taiwan and National Health Insurance claims data were linked in the study. Health need was defined by self-perceived health status. We used Concentration index to measure need-related inequality in healthcare utilization and expenditure. People with greater health need received more healthcare services, indicating a pro-need character of healthcare distribution, conforming to the meaning of vertical equity. For outpatient service, subjects with the highest health need had higher proportion of ever use in a year than those who had the least health need and consumed more outpatient visits and expenditures per person per year. Similar patterns were observed for emergency services and hospitalization. The concentration indices of utilization for outpatient, emergency services, and hospitalization suggest that the distribution of utilization was related to health need, whereas the preventive service was less related to need. The universal coverage plus healthcare networking system makes it possible for healthcare to be utilized according to need. Taiwan's experience can serve as a reference for health reform.

Utilization of alternative systems of medicine as health care services in India: Evidence on AYUSH care from NSS 2014.

PubMed

Rudra, Shalini; Kalra, Aakshi; Kumar, Abhishek; Joe, William

2017-01-01

AYUSH, an acronym for Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homeopathy represents the alternative systems of medicine recognized by the Government of India. Understanding the patterns of utilization of AYUSH care has been important for various reasons including an increased focus on its mainstreaming and integration with biomedicine-based health care system. Based on a nationally representative health survey 2014, we present an analysis to understand utilization of AYUSH care across socioeconomic and demographic groups in India. Overall, 6.9% of all patients seeking outpatient care in the reference period of last two weeks have used AYUSH services without any significant differentials across rural and urban India. Importantly, public health facilities play a key role in provisioning of AYUSH care in rural areas with higher utilization in Chhattisgarh, Kerala and West Bengal. Use of AYUSH among middle-income households is lower when compared with poorer and richer households. We also find that low-income households display a greater tendency for AYUSH self-medication. AYUSH care utilization is higher among patients with chronic diseases and also for treating skin-related and musculo-skeletal ailments. Although the overall share of AYUSH prescription drugs in total medical expenditure is only about 6% but the average expenditure for drugs on AYUSH and allopathy did not differ hugely. The discussion compares our estimates and findings with other studies and also highlights major policy issues around mainstreaming of AYUSH care.

Utilization of alternative systems of medicine as health care services in India: Evidence on AYUSH care from NSS 2014

PubMed Central

2017-01-01

AYUSH, an acronym for Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homeopathy represents the alternative systems of medicine recognized by the Government of India. Understanding the patterns of utilization of AYUSH care has been important for various reasons including an increased focus on its mainstreaming and integration with biomedicine-based health care system. Based on a nationally representative health survey 2014, we present an analysis to understand utilization of AYUSH care across socioeconomic and demographic groups in India. Overall, 6.9% of all patients seeking outpatient care in the reference period of last two weeks have used AYUSH services without any significant differentials across rural and urban India. Importantly, public health facilities play a key role in provisioning of AYUSH care in rural areas with higher utilization in Chhattisgarh, Kerala and West Bengal. Use of AYUSH among middle-income households is lower when compared with poorer and richer households. We also find that low-income households display a greater tendency for AYUSH self-medication. AYUSH care utilization is higher among patients with chronic diseases and also for treating skin-related and musculo-skeletal ailments. Although the overall share of AYUSH prescription drugs in total medical expenditure is only about 6% but the average expenditure for drugs on AYUSH and allopathy did not differ hugely. The discussion compares our estimates and findings with other studies and also highlights major policy issues around mainstreaming of AYUSH care. PMID:28472197

EXPERIMENTING WITH MULTI-ATTRIBUTE UTILITY SURVEY METHODS IN A MULTI-DIMENSIONAL VALUATION PROBLEM. (R824699)

EPA Science Inventory

Abstract

The use of willingness-to-pay (WTP) survey techniques based on multi-attribute utility (MAU) approaches has been recommended by some authors as a way to deal simultaneously with two difficulties that increasingly plague environmental valuation. The first of th...

Factors Influencing Service-Learning Utilization in Social Work: Results from an Online Survey of Faculty

ERIC Educational Resources Information Center

Cronley, Courtney; Madden, Elissa; Davis, Jaya; Preble, Kathleen

2014-01-01

The current study (N = 209) explored service-learning utilization in social work education by examining the influence of personal and institutional characteristics, perceived barriers, and beliefs about service-learning outcomes. Results of an online survey of social work educators showed that neither personal nor institutional characteristics…

Publication search and retrieval system

USGS Publications Warehouse

Winget, Elizabeth A.

1981-01-01

The publication search and retrieval system of the Branch of Atlantic-Gulf of Mexico Geology, U.S. Geological Survey, Woods Hole, Mass., is a procedure for listing and describing branch-sponsored publications. It is designed for maintenance and retrieval by those having limited knowledge of computer languages and programs. Because this branch currently utilizes the Hewlett-Packard HP-1000 computer with RTE-IVB operating system, database entry and maintenance is performed in accordance with the TE-IVB Terminal User’s Reference Manual (Hewlett-Packard Company, 1980) and within the constraints of GRASP (Bowen and Botbol, 1975) and WOLF (Evenden, 1978).

Triangulation-based 3D surveying borescope

NASA Astrophysics Data System (ADS)

Pulwer, S.; Steglich, P.; Villringer, C.; Bauer, J.; Burger, M.; Franz, M.; Grieshober, K.; Wirth, F.; Blondeau, J.; Rautenberg, J.; Mouti, S.; Schrader, S.

2016-04-01

In this work, a measurement concept based on triangulation was developed for borescopic 3D-surveying of surface defects. The integration of such measurement system into a borescope environment requires excellent space utilization. The triangulation angle, the projected pattern, the numerical apertures of the optical system, and the viewing angle were calculated using partial coherence imaging and geometric optical raytracing methods. Additionally, optical aberrations and defocus were considered by the integration of Zernike polynomial coefficients. The measurement system is able to measure objects with a size of 50 μm in all dimensions with an accuracy of +/- 5 μm. To manage the issue of a low depth of field while using an optical high resolution system, a wavelength dependent aperture was integrated. Thereby, we are able to control depth of field and resolution of the optical system and can use the borescope in measurement mode with high resolution and low depth of field or in inspection mode with low resolution and higher depth of field. First measurements of a demonstrator system are in good agreement with our simulations.

41 CFR 102-75.60 - What are landholding agencies' responsibilities concerning real property surveys?

Code of Federal Regulations, 2010 CFR

2010-07-01

... agencies' responsibilities concerning real property surveys? 102-75.60 Section 102-75.60 Public Contracts... What are landholding agencies' responsibilities concerning real property surveys? A landholding agency's responsibilities concerning real property utilization surveys are to— (a) Survey real property...

Utility-Scale Lithium-Ion Storage Cost Projections for Use in Capacity Expansion Models

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

Cole, Wesley J.; Marcy, Cara; Krishnan, Venkat K.

2016-11-21

This work presents U.S. utility-scale battery storage cost projections for use in capacity expansion models. We create battery cost projections based on a survey of literature cost projections of battery packs and balance of system costs, with a focus on lithium-ion batteries. Low, mid, and high cost trajectories are created for the overnight capital costs and the operating and maintenance costs. We then demonstrate the impact of these cost projections in the Regional Energy Deployment System (ReEDS) capacity expansion model. We find that under reference scenario conditions, lower battery costs can lead to increased penetration of variable renewable energy, withmore » solar photovoltaics (PV) seeing the largest increase. We also find that additional storage can reduce renewable energy curtailment, although that comes at the expense of additional storage losses.« less

An inventory of irrigated lands for selected counties within the state of California based on LANDSAT and supporting aircraft data

NASA Technical Reports Server (NTRS)

Colwell, R. N. (Principal Investigator)

1977-01-01

The author has identified the following significant results: (1) Goals of the irrigated lands project were addressed by the design and implementation of a multiphase sampling scheme that was founded on the utilization of a LANDSAT-based remote sensing system. (2) The synoptic coverage of LANDSAT and the eighteen day orbit cycle allowed the project to study agricultural test sites in a variety of environmental regions and monitor the development of crops throughout the major growing season. (3) The capability to utilize multidate imagery is crucial to the reliable estimation of irrigated acreage in California where multiple cropping is widespread and current estimation systems must rely on single data survey techniques. (4) In addition, the magnitude of agricultural acreage in California makes estimation by conventional methods impossible.

Nonvascular thoracic magnetic resonance imaging: the current state of training, utilization, and perceived value: survey of the Society of Thoracic Radiology membership.

PubMed

Ackman, Jeanne B; Wu, Carol C; Halpern, Elkan F; Abbott, Gerald F; Shepard, Jo-Anne O

2014-07-01

The aim of the study was to determine the current state of training, utilization, and perceived value of nonvascular thoracic magnetic resonance imaging (MRI). The URL link for this anonymous, IRB-approved survey was e-mailed to all Society of Thoracic Radiology members with available e-mail addresses (733), of whom 693 were qualified to respond as per the survey's instructions. Survey questions focused on MRI training, interpretation volume, perceived value of thoracic MRI, and barriers to its utilization. Study data were collected and managed using Research Electronic Data Capture (REDCap) electronic data capture tools and analyzed with χ tests. The survey response rate was 27% (190/693). Thirty-seven percent (67/180) of respondents reported that they interpreted and reported zero thoracic MRIs and 64% (116/182) interpreted or reported <10 MRIs over the prior year. The perceived value of thoracic MRI was highest for chest wall and neurovascular involvement and evaluation of the mediastinum, particularly thymus, next highest for assessment of pleural or diaphragmatic lesions, and lowest for assessment of lung function with hyperpolarized gases. Seventy-three percent (121/166) of respondents felt it would be of value to increase utilization of thoracic MRI. Perceived obstacles to increasing thoracic MRI utilization included lack of: awareness of referring health care providers as to the value of thoracic MRI (59%, 98/166), radiologist proficiency or comfort with thoracic MRI (46%, 77/166), standardized protocols (38%, 64/166), technologist experience (38%, 63/166), and sufficient training during residency and/or fellowship (32%, 54/166). Twenty-five percent (41/166) of respondents reported insufficient thoracic MRI literature and limited CME courses and lectures in this field as an additional impediment. The majority of survey respondents reported limited experience in thoracic MRI interpretation, a recognition of thoracic MRI's value, and an interest in increasing its utilization. Improved education of radiologists, technologists, and referring clinicians would ameliorate the current state.

[Development and application of a web-based expert system using artificial intelligence for management of mental health by Korean emigrants].

PubMed

Bae, Jeongyee

2013-04-01

The purpose of this project was to develop an international web-based expert system using principals of artificial intelligence and user-centered design for management of mental health by Korean emigrants. Using this system, anyone can access the system via computer access to the web. Our design process utilized principles of user-centered design with 4 phases: needs assessment, analysis, design/development/testing, and application release. A survey was done with 3,235 Korean emigrants. Focus group interviews were also conducted. Survey and analysis results guided the design of the web-based expert system. With this system, anyone can check their mental health status by themselves using a personal computer. The system analyzes facts based on answers to automated questions, and suggests solutions accordingly. A history tracking mechanism enables monitoring and future analysis. In addition, this system will include intervention programs to promote mental health status. This system is interactive and accessible to anyone in the world. It is expected that this management system will contribute to Korean emigrants' mental health promotion and allow researchers and professionals to share information on mental health.

A survey of the utilization of anti-pseudomonal beta-lactam therapy in cystic fibrosis patients.

PubMed

Zobell, Jeffery T; Young, David C; Waters, C Dustin; Ampofo, Krow; Cash, Jared; Marshall, Bruce C; Olson, Jared; Chatfield, Barbara A

2011-10-01

The purpose of this study was to characterize the utilization of anti-pseudomonal beta-lactam antibiotics in the treatment of acute pulmonary exacerbations (APE) among Cystic Fibrosis Foundation (CFF)-accredited care centers. An anonymous national cross-sectional survey of CFF-accredited care centers was performed using an electronic survey tool (SurveyMonkey.com®). One hundred and twenty-one of 261 centers completed the survey (46%) representing 56% (14,856/26,740) of patients in the CFF Patient Registry. One hundred and nineteen of 121 (98%) respondents reported using beta-lactams for the treatment of APE. Intermittent dosing regimens constituted 155/167 (93%) reported regimens, while extended infusions were 12/167 (7%). Ceftazidime was the most commonly utilized beta-lactam comprising 74/167 (44%) of all infusions (intermittent and extended) of which 70/74 (95%) were intermittent infusions. The majority of intermittent ceftazidime regimens (56/70; 80%) were at doses lower than CFF and European guidelines recommended doses. In conclusion, a great majority of respondents use intermittent anti-pseudomonal beta-lactam antibiotics, with over half of respondents utilizing lower than guidelines recommended doses. While this is of concern, it is not known if optimization of dosing strategies according to guidelines recommendations will result in clinical benefit. Copyright © 2011 Wiley-Liss, Inc.

Health-state utilities in a prisoner population: a cross-sectional survey

PubMed Central

Chong, Christopher AKY; Li, Sicong; Nguyen, Geoffrey C; Sutton, Andrew; Levy, Michael H; Butler, Tony; Krahn, Murray D; Thein, Hla-Hla

2009-01-01

Background Health-state utilities for prisoners have not been described. Methods We used data from a 1996 cross-sectional survey of Australian prisoners (n = 734). Respondent-level SF-36 data was transformed into utility scores by both the SF-6D and Nichol's method. Socio-demographic and clinical predictors of SF-6D utility were assessed in univariate analyses and a multivariate general linear model. Results The overall mean SF-6D utility was 0.725 (SD 0.119). When subdivided by various medical conditions, prisoner SF-6D utilities ranged from 0.620 for angina to 0.764 for those with none/mild depressive symptoms. Utilities derived by the Nichol's method were higher than SF-6D scores, often by more than 0.1. In multivariate analysis, significant independent predictors of worse utility included female gender, increasing age, increasing number of comorbidities and more severe depressive symptoms. Conclusion The utilities presented may prove useful for future economic and decision models evaluating prison-based health programs. PMID:19715571

Complementary and alternative medicine among veterans and military personnel: a synthesis of population surveys.

PubMed

Davis, Margot T; Mulvaney-Day, Norah; Larson, Mary Jo; Hoover, Ronald; Mauch, Danna

2014-12-01

Recent reports reinforce the widespread interest in complementary and alternative medicine (CAM), not only among military personnel with combat-related disorders, but also among providers who are pressed to respond to patient demand for these therapies. However, an understanding of utilization of CAM therapies in this population is lacking. The goals of this study are to synthesize the content of self-report population surveys with information on use of CAM in military and veteran populations, assess gaps in knowledge, and suggest ways to address current limitations. The research team conducted a literature review of population surveys to identify CAM definitions, whether military status was queried, the medical and psychological conditions queried, and each specific CAM question. Utilization estimates specific to military/veterans were summarized and limitations to knowledge was classified. Seven surveys of CAM utilization were conducted with military/veteran groups. In addition, 7 household surveys queried military status, although there was no military/veteran subgroup analysis. Definition of CAM varied widely limiting cross-survey analysis. Among active duty and Reserve military, CAM use ranged between 37% and 46%. Survey estimates do not specify CAM use that is associated with a medical or behavioral health condition. Comparisons between surveys are hampered due to variation in methodologies. Too little is known about reasons for using CAM and conditions for which it is used. Additional information could be drawn from current surveys with additional subgroup analysis, and future surveys of CAM should include military status variable.

Summary of survey data from the Katy, North, Northwest and Gulf transitways, April 1985 through November 1988. Interim report, September 1984-August 1989

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

Bullard, D.L.

1989-08-01

In order to improve mobility within the Houston metropolitan area, the Metropolitan Transit Authority of Harris County and the Texas State Department of Highways and Public Transportation have joined together to implement an extensive system of transitways in the medians of the city's existing freeway system. These lanes are reserved for the exclusive use of high-occupancy vehicles. At present, carpools are permitted to use three of the four transitways in operation. Texas Transportation Institute (TTI) is currently monitoring the impacts associated with the implementation and operation of these facilities. In addition, TTI is also engaged in an assessment of publicmore » attitudes concerning the transitways. This assessment is being accomplished through the periodic distribution of survey questionnaires to both transitway users and nonusers. The report presents the results of transitway user and nonuser surveys performed in the Katy, North, Northwest and Gulf Transitway corridors. In addition to obtaining socio-economic, demographic and travel information, the surveys were designed to: determine perceptions of transitway utilization; identify why individuals have chosen their present travel mode; and assess commuter attitudes and impacts pertaining to the transitways.« less

Concrete bridge deck early problem detection and mitigation using robotics

NASA Astrophysics Data System (ADS)

Gucunski, Nenad; Yi, Jingang; Basily, Basily; Duong, Trung; Kim, Jinyoung; Balaguru, Perumalsamy; Parvardeh, Hooman; Maher, Ali; Najm, Husam

2015-04-01

More economical management of bridges can be achieved through early problem detection and mitigation. The paper describes development and implementation of two fully automated (robotic) systems for nondestructive evaluation (NDE) and minimally invasive rehabilitation of concrete bridge decks. The NDE system named RABIT was developed with the support from Federal Highway Administration (FHWA). It implements multiple NDE technologies, namely: electrical resistivity (ER), impact echo (IE), ground-penetrating radar (GPR), and ultrasonic surface waves (USW). In addition, the system utilizes advanced vision to substitute traditional visual inspection. The RABIT system collects data at significantly higher speeds than it is done using traditional NDE equipment. The associated platform for the enhanced interpretation of condition assessment in concrete bridge decks utilizes data integration, fusion, and deterioration and defect visualization. The interpretation and visualization platform specifically addresses data integration and fusion from the four NDE technologies. The data visualization platform facilitates an intuitive presentation of the main deterioration due to: corrosion, delamination, and concrete degradation, by integrating NDE survey results and high resolution deck surface imaging. The rehabilitation robotic system was developed with the support from National Institute of Standards and Technology-Technology Innovation Program (NIST-TIP). The system utilizes advanced robotics and novel materials to repair problems in concrete decks, primarily early stage delamination and internal cracking, using a minimally invasive approach. Since both systems use global positioning systems for navigation, some of the current efforts concentrate on their coordination for the most effective joint evaluation and rehabilitation.

Archive of side scan sonar and bathymetry data collected during USGS Cruise 06FSH01 offshore of Siesta Key, Florida, May 2006

USGS Publications Warehouse

Ciembronowicz, Katherine T.; Flocks, James G.; Wiese, Dana S.; DeWitt, Nancy T.; Ferina, Nick F.; Robbins, Lisa L.; Harrison, Arnell S.

2007-01-01

This DVD publication was prepared by an agency of the United States Government. Although these data have been processed successfully on a computer system at the U.S. Geological Survey, no warranty expressed or implied is made regarding the display or utility of the data on any other system, or for general or scientific purposes, nor shall the act of distribution imply any such warranty. The U.S. Geological Survey shall not be held liable for improper or incorrect use of the data described and (or) contained herein. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement, recommendation, or favoring by the United States Government or any agency thereof.

Survey of holographic security systems

NASA Astrophysics Data System (ADS)

Kontnik, Lewis T.; Lancaster, Ian M.

1990-04-01

The counterfeiting of products and financial instruments is a major problem throughout the world today. The dimensions of the problem are growing, accelerated by the expanding availability of production technologies to sophisticated counterfeiters and the increasing capabilities of these technologies. Various optical techniques, including holography, are beingused in efforts to mark authentic products and to distinguish them from copies. Industry is recognizing that the effectiveness of these techniques depends on such factors as the economics of the counterfeiting process and the distribution channels for the products involved, in addition to the performance of the particular optical security technologies used. This paper surveys the nature of the growing counterfeit market place and reviews the utility of holographic optical security systems. In particular, we review the use of holograms on credit cards and other products; and outline certain steps the holography industry should take to promote these application.

Archive of digital Chirp subbottom profile data collected during USGS cruises 10CCT01, 10CCT02, and 10CCT03, Mississippi and Alabama Gulf Islands, March and April 2010

USGS Publications Warehouse

Forde, Arnell S.; Dadisman, Shawn V.; Flocks, James G.; Wiese, Dana S.; DeWitt, Nancy T.; Pfeiffer, William R.; Kelso, Kyle W.; Thompson, Phillip R.

2011-01-01

This Digital Versatile Disc (DVD) publication was prepared by an agency of the United States Government. Although these data have been processed successfully on a computer system at the U.S. Geological Survey, no warranty expressed or implied is made regarding the display or utility of the data on any other system, nor shall the act of distribution imply any such warranty. The U.S. Geological Survey shall not be held liable for improper or incorrect use of the data described and (or) contained herein. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement, recommendation, or favoring by the United States Government or any agency thereof.

Archive of digital boomer seismic reflection data collected offshore east-central Florida during USGS cruises 96FGS01 and 97FGS01 in November of 1996 and May of 1997

USGS Publications Warehouse

Subino, Janice A.; Forde, Arnell S.; Dadisman, Shawn V.; Wiese, Dana S.; Calderon, Karynna

2012-01-01

This Digital Versatile Disc (DVD) publication was prepared by an agency of the United States Government. Although these data have been processed successfully on a computer system at the U.S. Geological Survey, no warranty expressed or implied is made regarding the display or utility of the data on any other system, nor shall the act of distribution imply any such warranty. The U.S. Geological Survey shall not be held liable for improper or incorrect use of the data described and (or) contained herein. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement, recommendation, or favoring by the United States Government or any agency thereof.

Archive of Digital Chirp Sub-bottom profile data collected during USGS cruise 09CCT01 offshore of Sabine Pass and Galveston, Texas, March 2009

USGS Publications Warehouse

Forde, Arnell S.; Dadisman, Shawn V.; Flocks, James G.; Dellapenna, Timothy M.; Sanford, Jordan M.; Wiese, Dana S.

2010-01-01

This Digital Versatile Disc (DVD) publication was prepared by an agency of the United States Government. Although these data have been processed successfully on a computer system at the U.S. Geological Survey, no warranty expressed or implied is made regarding the display or utility of the data on any other system, nor shall the act of distribution imply any such warranty. The U.S. Geological Survey shall not be held liable for improper or incorrect use of the data described and (or) contained herein. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement, recommendation, or favoring by the United States Government or any agency thereof.

Lewis Research Center studies of multiple large wind turbine generators on a utility network

NASA Technical Reports Server (NTRS)

Gilbert, L. J.; Triezenberg, D. M.

1979-01-01

A NASA-Lewis program to study the anticipated performance of a wind turbine generator farm on an electric utility network is surveyed. The paper describes the approach of the Lewis Wind Energy Project Office to developing analysis capabilities in the area of wind turbine generator-utility network computer simulations. Attention is given to areas such as, the Lewis Purdue hybrid simulation, an independent stability study, DOE multiunit plant study, and the WEST simulator. Also covered are the Lewis mod-2 simulation including analog simulation of a two wind turbine system and comparison with Boeing simulation results, and gust response of a two machine model. Finally future work to be done is noted and it is concluded that the study shows little interaction between the generators and between the generators and the bus.

Medicare and Medicaid programs; Home Health Prospective Payment System rate update for CY 2014, home health quality reporting requirements, and cost allocation of home health survey expenses. Final rule.

PubMed

2013-12-02

This final rule will update the Home Health Prospective Payment System (HH PPS) rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, the low-utilization payment adjustment (LUPA) add-on, and the non-routine medical supply (NRS) conversion factor under the Medicare prospective payment system for home health agencies (HHAs), effective January 1, 2014. As required by the Affordable Care Act, this rule establishes rebasing adjustments, with a 4-year phase-in, to the national, standardized 60-day episode payment rates; the national per-visit rates; and the NRS conversion factor. In addition, this final rule will remove 170 diagnosis codes from assignment to diagnosis groups within the HH PPS Grouper, effective January 1, 2014. Finally, this rule will establish home health quality reporting requirements for CY 2014 payment and subsequent years and will clarify that a state Medicaid program must provide that, in certifying HHAs, the state's designated survey agency carry out certain other responsibilities that already apply to surveys of nursing facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID), including sharing in the cost of HHA surveys. For that portion of costs attributable to Medicare and Medicaid, we will assign 50 percent to Medicare and 50 percent to Medicaid, the standard method that CMS and states use in the allocation of expenses related to surveys of nursing homes.

What’s Needed from Climate Modeling to Advance Actionable Science for Water Utilities?

NASA Astrophysics Data System (ADS)

Barsugli, J. J.; Anderson, C. J.; Smith, J. B.; Vogel, J. M.

2009-12-01

“…perfect information on climate change is neither available today nor likely to be available in the future, but … over time, as the threats climate change poses to our systems grow more real, predicting those effects with greater certainty is non-discretionary. We’re not yet at a level at which climate change projections can drive climate change adaptation.” (Testimony of WUCA Staff Chair David Behar to the House Committee on Science and Technology, May 5, 2009) To respond to this challenge, the Water Utility Climate Alliance (WUCA) has sponsored a white paper titled “Options for Improving Climate Modeling to Assist Water Utility Planning for Climate Change. ” This report concerns how investments in the science of climate change, and in particular climate modeling and downscaling, can best be directed to help make climate projections more actionable. The meaning of “model improvement” can be very different depending on whether one is talking to a climate model developer or to a water manager trying to incorporate climate projections in to planning. We first surveyed the WUCA members on present and potential uses of climate model projections and on climate inputs to their various system models. Based on those surveys and on subsequent discussions, we identified four dimensions along which improvement in modeling would make the science more “actionable”: improved model agreement on change in key parameters; narrowing the range of model projections; providing projections at spatial and temporal scales that match water utilities system models; providing projections that water utility planning horizons. With these goals in mind we developed four options for improving global-scale climate modeling and three options for improving downscaling that will be discussed. However, there does not seem to be a single investment - the proverbial “magic bullet” -- which will substantially reduce the range of model projections at the scales at which utility planning is conducted. In the near term we feel strongly that water utilities and climate scientists should work together to leverage the upcoming Coupled Model Intercomparison Project, Phase 5 (CMIP5; a coordinated set climate model experiments that will be used to support the upcoming IPCC Fifth Assessment) to better benefit water utilities. In the longer term, even with model and downscaling improvements, it is very likely that substantial uncertainty about future climate change at the desired spatial and temporal scales will remain. Nonetheless, there is no doubt the climate is changing, and the challenge is to work with what we have, or what we can reasonably expect to have in the coming years to make the best decisions we can.

Academic Dishonesty and Video Game Play: Is New Media Use Changing Conceptions of Cheating?

ERIC Educational Resources Information Center

Hamlen, Karla R.

2012-01-01

In this study, an online survey was utilized to investigate relationships among participants' willingness to cheat in academic or business settings and the strategies they tend to utilize in video game play. 113 participants completed the survey, and 86 students (23 middle school, 44 high school, 8 college undergraduate, and 11 graduate) yielded…

The Use of Recommended Transition Education Practices and Perceptions of Administrative Support: A Quantitative and Qualitative Analysis

ERIC Educational Resources Information Center

Little, Karen Sopina

2012-01-01

This study utilized a mixed-methods approach to explore the relationship between the implementation of recommended transition education practices and perceptions of administrative support of transition education. Utilizing a web-based survey, I surveyed 120 secondary educators across Oklahoma to determine the extent to which they reported the use…

Identification of design features to enhance utilization and acceptance of systems for Internet-based decision support at the point of care.

PubMed

Gadd, C S; Baskaran, P; Lobach, D F

1998-01-01

Extensive utilization of point-of-care decision support systems will be largely dependent on the development of user interaction capabilities that make them effective clinical tools in patient care settings. This research identified critical design features of point-of-care decision support systems that are preferred by physicians, through a multi-method formative evaluation of an evolving prototype of an Internet-based clinical decision support system. Clinicians used four versions of the system--each highlighting a different functionality. Surveys and qualitative evaluation methodologies assessed clinicians' perceptions regarding system usability and usefulness. Our analyses identified features that improve perceived usability, such as telegraphic representations of guideline-related information, facile navigation, and a forgiving, flexible interface. Users also preferred features that enhance usefulness and motivate use, such as an encounter documentation tool and the availability of physician instruction and patient education materials. In addition to identifying design features that are relevant to efforts to develop clinical systems for point-of-care decision support, this study demonstrates the value of combining quantitative and qualitative methods of formative evaluation with an iterative system development strategy to implement new information technology in complex clinical settings.

Survey on Robot-Assisted Surgical Techniques Utilization in US Pediatric Surgery Fellowships.

PubMed

Maizlin, Ilan I; Shroyer, Michelle C; Yu, David C; Martin, Colin A; Chen, Mike K; Russell, Robert T

2017-02-01

Robotic technology has transformed both practice and education in many adult surgical specialties; no standardized training guidelines in pediatric surgery currently exist. The purpose of our study was to assess the prevalence of robotic procedures and extent of robotic surgery education in US pediatric surgery fellowships. A deidentified survey measured utilization of the robot, perception on the utility of the robot, and its incorporation in training among the program directors of Accreditation Council for Graduate Medical Education (ACGME) pediatric surgery fellowships in the United States. Forty-one of the 47 fellowship programs (87%) responded to the survey. While 67% of respondents indicated the presence of a robot in their facility, only 26% reported its utilizing in their surgical practice. Among programs not utilizing the robot, most common reasons provided were lack of clear supportive evidence, increased intraoperative time, and incompatibility of instrument size to pediatric patients. While 58% of program directors believe that there is a future role for robotic surgery in children, only 18% indicated that robotic training should play a part in pediatric surgery education. Consequently, while over 66% of survey respondents received training in robot-assisted surgical technique, only 29% of fellows receive robot-assisted training during their fellowship. A majority of fellowships have access to a robot, but few utilize the technology in their current practice or as part of training. Further investigation is required into both the technology's potential benefits in the pediatric population and its role in pediatric surgery training.

Computer systems for automatic earthquake detection

USGS Publications Warehouse

Stewart, S.W.

1974-01-01

U.S Geological Survey seismologists in Menlo park, California, are utilizing the speed, reliability, and efficiency of minicomputers to monitor seismograph stations and to automatically detect earthquakes. An earthquake detection computer system, believed to be the only one of its kind in operation, automatically reports about 90 percent of all local earthquakes recorded by a network of over 100 central California seismograph stations. The system also monitors the stations for signs of malfunction or abnormal operation. Before the automatic system was put in operation, all of the earthquakes recorded had to be detected by manually searching the records, a time-consuming process. With the automatic detection system, the stations are efficiently monitored continuously. 

Catalog of selected heavy duty transport energy management models

NASA Technical Reports Server (NTRS)

Colello, R. G.; Boghani, A. B.; Gardella, N. C.; Gott, P. G.; Lee, W. D.; Pollak, E. C.; Teagan, W. P.; Thomas, R. G.; Snyder, C. M.; Wilson, R. P., Jr.

1983-01-01

A catalog of energy management models for heavy duty transport systems powered by diesel engines is presented. The catalog results from a literature survey, supplemented by telephone interviews and mailed questionnaires to discover the major computer models currently used in the transportation industry in the following categories: heavy duty transport systems, which consist of highway (vehicle simulation), marine (ship simulation), rail (locomotive simulation), and pipeline (pumping station simulation); and heavy duty diesel engines, which involve models that match the intake/exhaust system to the engine, fuel efficiency, emissions, combustion chamber shape, fuel injection system, heat transfer, intake/exhaust system, operating performance, and waste heat utilization devices, i.e., turbocharger, bottoming cycle.

Development and Demonstration of a Self-Calibrating Pseudolite Array for Task Level Control of a Planetary Rover

NASA Technical Reports Server (NTRS)

Rock, Stephen M.; LeMaster, Edward A.

2001-01-01

Pseudolites can extend the availability of GPS-type positioning systems to a wide range of applications not possible with satellite-only GPS. One such application is Mars exploration, where the centimeter-level accuracy and high repeatability of CDGPS would make it attractive for rover positioning during autonomous exploration, sample collection, and habitat construction if it were available. Pseudolites distributed on the surface would allow multiple rovers and/or astronauts to share a common navigational reference. This would help enable cooperation for complicated science tasks, reducing the need for instructions from Earth and increasing the likelihood of mission success. Conventional GPS Pseudolite arrays require that the devices be pre-calibrated through a Survey of their locations, typically to sub-centimeter accuracy. This is a problematic task for robots on the surface of another planet. By using the GPS signals that the Pseudolites broadcast, however, it is possible to have the array self-survey its own relative locations, creating a SelfCalibrating Pseudolite Array (SCPA). This requires the use of GPS transceivers instead of standard pseudolites. Surveying can be done either at carrier- or code-phase levels. An overview of SCPA capabilities, system requirements, and self-calibration algorithms is presented in another work. The Aerospace Robotics Laboratory at Statif0id has developed a fully operational prototype SCPA. The array is able to determine the range between any two transceivers with either code- or carrier-phase accuracy, and uses this inter-transceiver ranging to determine the at-ray geometry. This paper presents results from field tests conducted at Stanford University demonstrating the accuracy of inter-transceiver ranging and its viability and utility for array localization, and shows how transceiver motion may be utilized to refine the array estimate by accurately determining carrier-phase integers and line biases. It also summarizes the overall system requirements and architecture, and describes the hardware and software used in the prototype system.

Contemporary analysis of practicing otolaryngologists.

PubMed

Harrill, Willard C; Melon, David E; Seshul, Merritt J; Katz, Marc S; Zanation, Adam M

2018-05-04

To investigate contemporary issues facing practicing otolaryngologists including workforce dynamics, ancillary service modeling, otolaryngic allergy integration, ambulatory surgery center utilization, and relevant certificate of need legislation. A cross-sectional survey analysis of academic and private practicing otolaryngologists in North and South Carolina in 2016. A cross-sectional survey was e-mailed to 510 practicing otolaryngologists in North and South Carolina. A 21.3% survey response rate was achieved. Otolaryngology workforce was defined by horizontal aggregation of otolaryngologists into larger group models, with fewer solo practitioners being replaced by younger otolaryngologists or employing otolaryngology extenders. Excluding academic practice, few otolaryngologists have chosen direct hospital employment as a career option, although otolaryngologists with fewer years of practice are pursuing that option with greater frequency. Ancillary services showed audiology and hearing aid services being the most common, followed by otolaryngic allergy, point-of-service computed tomography, and ultrasound. Although otolaryngologists tend to avoid vertical integration, ambulatory surgery center (ASC) ownership trends favor a joint venture model with a hospital system partner. Most otolaryngologists favor changes to certificate of need legislation to improve patient access to these lower-cost facilities, regardless of whether they currently utilize or have access to an ASC. Otolaryngology is uniquely positioned to adapt and respond to current paradigm shifts within ambulatory medicine. Further analysis is needed to prepare current and future otolaryngologists for the demands and opportunities these challenges pose as patient-centered care models and consumer dynamics shape future patient expectations and utilization of healthcare. 5. Laryngoscope, 2018. © 2018 The American Laryngological, Rhinological and Otological Society, Inc.

Impact of unilateral conductive hearing loss due to aural atresia on academic performance in children.

PubMed

Kesser, Bradley W; Krook, Kaelyn; Gray, Lincoln C

2013-09-01

This study evaluates the effect of unilateral conductive hearing loss secondary to aural atresia on elementary school children's academic performance. Case control survey and review of audiometric data. One hundred thirty-two surveys were mailed to families of children with aural atresia, and 48 surveys were sent to families of children with unilateral sensorineural hearing loss (SNHL) to identify rates of grade retention, use of any resource, and behavioral problems. Audiometric data of the cohort were tabulated. Of the 40 atresia patients, none repeated a grade, but 65% needed some resources: 12.5% currently use a hearing aid, 32.5% use(d) a frequency-modulated system in school, 47.5% had an Individualized Education Plan, and 45% utilized speech therapy. Compared to the unilateral SNHL group and a cohort of children with unilateral SNHL in an earlier study, children with unilateral atresia were less likely to repeat a grade. Children in both unilateral atresia and SNHL groups were more likely to utilize some resource in the academic setting compared to the unilateral SNHL children in the prior study. Unilateral conductive hearing loss due to aural atresia has an impact on academic performance in children, although not as profound when compared to children with unilateral SNHL. The majority of these children with unilateral atresia utilize resources in the school setting. Parents, educators, and health care professionals should be aware of the impact of unilateral conductive hearing loss and offer appropriate habilitative services. Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

Becoming Informed Consumers: A National Survey of Parents' Experience with Respite Services. Guide Materials for Respite Care for Families with Members Who Are Disabled. Final Project Report.

ERIC Educational Resources Information Center

Knoll, James A.; Bedford, Sara

The project sought to determine the content and form of materials that would enable parents of children with disabilities to become informed critical consumers of respite services. Project activities included establishment and utilization of a national advisory panel; an indepth review of the literature on family supports, systems change, and…

The Perceptions of the Automotive Supply Industry Related to Information Technology Utilization and Creating Barriers to Competitive Market Entry: A Case Study of the Implications for Strategic Planning

ERIC Educational Resources Information Center

Cargal, Joseph L.

2010-01-01

The purpose of this study was to examine information technology/systems strategy related factors in the automotive supply industry based on responses to the Strategic Planning and Business Performance Survey provided to automotive suppliers. This population produces supplies to the automotive industry with products valued at hundreds of billions…

Interactive boundary delineation of agricultural lands using graphics workstations

NASA Technical Reports Server (NTRS)

Cheng, Thomas D.; Angelici, Gary L.; Slye, Robert E.; Ma, Matt

1992-01-01

A review is presented of the computer-assisted stratification and sampling (CASS) system developed to delineate the boundaries of sample units for survey procedures. CASS stratifies the sampling units by land-cover and land-use type, employing image-processing software and hardware. This procedure generates coverage areas and the boundaries of stratified sampling units that are utilized for subsequent sampling procedures from which agricultural statistics are developed.

The Information Processing Role of the Informal and Quasi-Formal Support Systems among the Hispanic Elderly: Implications for the Delivery of Formal Social Services.

ERIC Educational Resources Information Center

Starrett, Richard A.; And Others

The study examined relationships among factors influencing utilization of social services by Hispanic elderly, particularly factors categorized as: (1) informal, such as support groups of family, kin, neighbors, friends, and (2) quasi-formal, such as church groups. Thirty-seven variables and data selected from a 1979-80 15-state survey of 1,805…

Smart Interpretation - Application of Machine Learning in Geological Interpretation of AEM Data

NASA Astrophysics Data System (ADS)

Bach, T.; Gulbrandsen, M. L.; Jacobsen, R.; Pallesen, T. M.; Jørgensen, F.; Høyer, A. S.; Hansen, T. M.

2015-12-01

When using airborne geophysical measurements in e.g. groundwater mapping, an overwhelming amount of data is collected. Increasingly larger survey areas, denser data collection and limited resources, combines to an increasing problem of building geological models that use all the available data in a manner that is consistent with the geologists knowledge about the geology of the survey area. In the ERGO project, funded by The Danish National Advanced Technology Foundation, we address this problem, by developing new, usable tools, enabling the geologist utilize her geological knowledge directly in the interpretation of the AEM data, and thereby handle the large amount of data, In the project we have developed the mathematical basis for capturing geological expertise in a statistical model. Based on this, we have implemented new algorithms that have been operationalized and embedded in user friendly software. In this software, the machine learning algorithm, Smart Interpretation, enables the geologist to use the system as an assistant in the geological modelling process. As the software 'learns' the geology from the geologist, the system suggest new modelling features in the data. In this presentation we demonstrate the application of the results from the ERGO project, including the proposed modelling workflow utilized on a variety of data examples.

Methods for measuring utilization of mental health services in two epidemiologic studies

PubMed Central

NOVINS, DOUGLAS K.; BEALS, JANETTE; CROY, CALVIN; MANSON, SPERO M.

2015-01-01

Objectives of Study Psychiatric epidemiologic studies often include two or more sets of questions regarding service utilization, but the agreement across these different questions and the factors associated with their endorsement have not been examined. The objectives of this study were to describe the agreement of different sets of mental health service utilization questions that were included in the American Indian Service Utilization Psychiatric Epidemiology Risk and Protective Factors Project (AI-SUPERPFP), and compare the results to similar questions included in the baseline National Comorbidity Survey (NCS). Methods Responses to service utilization questions by 2878 AI-SUPERPFP and 5877 NCS participants were examined by calculating estimates of service use and agreement (κ) across the different sets of questions. Logistic regression models were developed to identify factors associated with endorsement of specific sets of questions. Results In both studies, estimates of mental health service utilization varied across the different sets of questions. Agreement across the different question sets was marginal to good (κ = 0.27–0.69). Characteristics of identified service users varied across the question sets. Limitations Neither survey included data to examine the validity of participant responses to service utilization questions. Recommendations for Further Research Question wording and placement appear to impact estimates of service utilization in psychiatric epidemiologic studies. Given the importance of these estimates for policy-making, further research into the validity of survey responses as well as impacts of question wording and context on rates of service utilization is warranted. PMID:18767205

A Strategic Roadmap to Centauri

NASA Technical Reports Server (NTRS)

Johnson, Les; Harris, David; Trausch, Ann; Matloff, Gregory L.; Taylor, Travis; Cutting, Kathleen

2005-01-01

This paper discusses the connectivity between in-space propulsion and in-space fabrication/repair and is based upon a workshop presentation by Les Johnson, manager of the In-Space Propulsion (ISP) Technology Project at NASA's Marshall Space Flight Center (MSFC) in Huntsville, Ala.. Technologies under study by ISP include aerocapture, advanced solar-electric propulsion, solar-thermal propulsion, advanced chemical propulsion, tethers and solar-photon sails. These propulsion systems are all approaching technology readiness levels (TRLs) at which they can be considered for application in space-science and exploration missions. Historically, human frontiers have expanded as people have learned to live off the land in new environments and to exploit local resorces. With this expansion, frontier settlements have required development of transportation improvements to carry tools and manufactured products to and from the frontier. It is demonstrated how ISP technologies will assist in the development of the solar-system frontier. In-space fabrication and repair will both require and assist the development of ISP propulsion systems, whether humans choose to settle planetary surfaces or to exploit resources of small Solar System bodies. As was true for successful terrestrial pioneers, in-space settlement and exploitation will require sophisticated surveys of inner and outer Solar System objects. ISP technologies will contribute to the success of these surveys, as well as to the efforts to retrieve Solar System resources. In a similar fashion, the utility of ISP products will be greatly enhanced by the technologies of in-space repair and fabrication. As in-space propulsion, fabrication and repair develop, human civilization may expand well beyond the Earth. In the future, small human communities (preceded by robotic explorers) may utilize these techniques to set sail f or the nearest stars.

A Strategic Roadmap to Centauri

NASA Astrophysics Data System (ADS)

Johnson, L.; Harris, D.; Trausch, A.; Matloff, G. L.; Taylor, T.; Cutting, K.

This paper discusses the connectivity between in-space propulsion and in-space fabrication/repair and is based upon a workshop presentation by Les Johnson, manager of the In-Space Propulsion (ISP) Technology Project at NASA's Marshall Space Flight Center (MSFC) in Huntsville, Alabama. Technologies under study by ISP include aerocapture, advanced solar- electric propulsion, solar-thermal propulsion, advanced chemical propulsion, tethers and solar-photon sails. These propulsion systems are all approaching technology readiness levels (TRLs) at which they can be considered for application in space- science and exploration missions. Historically, human frontiers have expanded as people have learned to “live-off-the-land” in new environments and to exploit local resources. With this expansion, frontier settlements have required development of transportation improvements to carry tools and manufactured products to and from the frontier. It is demonstrated how ISP technologies will assist in the development of the solar-system frontier. In-space fabrication and repair will both require and assist the development of ISP propulsion systems, whether humans choose to settle planetary surfaces or to exploit resources of small Solar System bodies. As was true for successful terrestrial pioneers, in-space settlement and exploitation will require sophisticated surveys of inner and outer Solar System objects. ISP technologies will contribute to the success of these surveys, as well as to the efforts to retrieve Solar System resources. In a similar fashion, the utility of ISP products will be greatly enhanced by the technologies of in-space repair and fabrication. As in-space propulsion, fabrication and repair develop, human civilization may expand well beyond the Earth. In the future, small human communities (preceded by robotic explorers) may utilize these techniques to set sail for the nearest stars.

Enhancing Response Rates in Physician Surveys: The Limited Utility of Electronic Options

PubMed Central

Nicholls, Keith; Chapman, Kathryn; Shaw, Thomas; Perkins, Allen; Sullivan, Margaret Murray; Crutchfield, Susan; Reed, Eddie

2011-01-01

Objective To evaluate the utility of offering physicians electronic options as alternatives to completing mail questionnaires. Data Source A survey of colorectal cancer screening practices of Alabama primary care physicians, conducted May–June 2010. Study Design In the follow-up to a mail questionnaire, physicians were offered options of completing surveys by telephone, fax, email, or online. Data Collection Method Detailed records were kept on the timing and mode of completion of surveys. Principal Findings Eighty-eight percent of surveys were returned by mail, 10 percent were returned by fax, and only 2 percent were completed online; none were completed by telephone or email. Conclusions Offering fax options increases response rates, but providing other electronic options does not. PMID:21492157

The rate of antibiotic utilization in Iranian under 5-year-old children with acute respiratory tract illness: A nationwide community-based study

PubMed Central

Mostafavi, Nasser; Rashidian, Arash; Karimi-Shahanjarini, Akram; Khosravi, Ardeshir; Kelishadi, Roya

2015-01-01

Background: To investigate the prevalence of antibiotic usage in children aged <5 years with acute respiratory tract illness (ARTI) in Iran. Materials and Methods: Data were collected from a national health survey conducted in 2010 (Iran's Multiple Indicator Demographic and Health Survey). Participants of this cross-sectional study were selected by multistage stratified cluster-random sampling from 31 provinces of Iran. Parents of children with <5 years of age responded to questions about the occurrence of any cough during the previous 2 weeks, referral to private/governmental/other health care systems, and utilization of any oral/injection form of antibiotics. Data were analyzed using SPSS software18. The chi-square test was used to determine antibiotic consumption in various gender and residency groups and also a place of residence with the referral health care system. Results: Of the 9345 children under 5 years who participated in the study, 1506 cases (16.2%) had ARTI during 2 weeks prior to the interview, in whom 1143 (75.9%) were referred to urban or rural health care centers (43.4 vs. 30.4%; P < 0.001). Antibiotics were utilized by 715 (62.6%) of affected children. Injection formulations were used for 150 (13.1%) patients. The frequency of receiving antibiotics was higher in urban than in rural inhabitants (66.0% vs. 57.7% P < 0.05). Conclusion: The prevalence of total and injection antibiotics usage in children <5 years with ARTI is alarmingly high in Iran. Therefore, interventions to reduce antibiotic use are urgently needed. PMID:26487870

Monitoring the multi-faceted problem of youth violence: the Asian/Pacific Islander Youth Violence Prevention Center's surveillance system.

PubMed

Sugimoto-Matsuda, Jeanelle J; Hishinuma, Earl S; Momohara, Christie-Brianna K; Rehuher, Davis; Soli, Fa'apisa M; Bautista, Randy Paul M; Chang, Janice Y

2012-10-01

Youth violence (YV) is a complex public health issue that spans geographic, ethnic, and socioeconomic lines. The Asian/Pacific Islander Youth Violence Prevention Center conducts qualitative and quantitative research on YV in Hawai'i. A critical element in YV prevention involves measuring YV and its risk-protective factors to determine the scope of the problem and to monitor changes across time. Under the Asian/Pacific Islander Youth Violence Prevention Center's (APIYVPC's) surveillance umbrella, a variety of methodologies are utilized. The major forms of active surveillance are a School-Wide Survey for youth, and a Safe Community Household Survey for adults. A variety of secondary data sources are accessed, such as the Centers for Disease Control and Prevention (Youth Risk Behavior Surveillance System), the Hawai'i State Department of the Attorney General, the Hawai'i State Department of Education, and the Hawai'i State Department of Health. State data are especially important for the Center, because most of these sources disaggregate ethnicity data for Asian Americans/Pacific Islanders. This paper details the surveillance methodologies utilized by the APIYVPC to monitor YV in one specific community and in Hawai'i, in comparison to the rest of the State and nation. Empirical results demonstrate the utility of each methodology and how they complement one another. Individually, each data source lends valuable information to the field of YV prevention; however, collectively, the APIYVPC's surveillance methods help to paint a more complete picture regarding violence rates and the relationship between YV and its risk-protective factors, particularly for minority communities.

The Satisfaction and Use of Research Ethics Board Information Systems in Canada.

PubMed

Detlor, Brian; Wilson, Michael J

2015-10-01

This article reports findings from a national survey of Research Ethics Board (REB) personnel across Canada on the satisfaction and use of information systems that support the review and administration of research ethics protocols. Findings indicate that though a wide variety of REB systems are utilized, the majority fall short of desired characteristics. Despite these shortcomings, most respondents are satisfied with their current REB systems. Satisfaction is dependent on the volume of protocols processed in relation to the robustness of the system. Boards with higher volumes are more satisfied with full-fledged systems; however, the satisfaction of REBs with lower volumes is not affected by the robustness of the REB system used. Recommendations are provided. © The Author(s) 2015.

Opportunities and challenges for the use of large-scale surveys in public health research: A comparison of the assessment of cancer screening behaviors

PubMed Central

Hamilton, Jada G.; Breen, Nancy; Klabunde, Carrie N.; Moser, Richard P.; Leyva, Bryan; Breslau, Erica S.; Kobrin, Sarah C.

2014-01-01

Large-scale surveys that assess cancer prevention and control behaviors are a readily-available, rich resource for public health researchers. Although these data are used by a subset of researchers who are familiar with them, their potential is not fully realized by the research community for reasons including lack of awareness of the data, and limited understanding of their content, methodology, and utility. Until now, no comprehensive resource existed to describe and facilitate use of these data. To address this gap and maximize use of these data, we catalogued the characteristics and content of four surveys that assessed cancer screening behaviors in 2005, the most recent year with concurrent periods of data collection: the National Health Interview Survey, Health Information National Trends Survey, Behavioral Risk Factor Surveillance System, and California Health Interview Survey. We documented each survey's characteristics, measures of cancer screening, and relevant correlates; examined how published studies (n=78) have used the surveys’ cancer screening data; and reviewed new cancer screening constructs measured in recent years. This information can guide researchers in deciding how to capitalize on the opportunities presented by these data resources. PMID:25300474

Borehole survey instrument

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

Sharp, H.E.; Lin, J.W. III; Macha, E.S.

1984-12-04

A borehole survey instrument is provided having a meniscus type floating compass member with indicia thereon for indicating azimuth and inclination. A light source is disposed below the indicia for illuminating the indicia upward through the liquid through which the meniscus type floating compass member floats. A lens system is provided for focusing the image of the illuminated compass member upon a film disposed below the compass member. This arrangement permits the centering post for the compass member to be of minimum diameter consistent with rigidity requirements and permits a high angle compass member to indicate angles of inclination approachingmore » ninety degrees. A multiple light bulb light source is utilized and each light bulb is mounted in a manner which permits a single light bulb to illuminate the entire compass member. A hand-held programming and diagnostic unit is provided which may be momentarily electrically mated with the borehole survey tool to input a programmed timed delay and diagnostically test both the condition of the light bulbs utilized as the illumination source and the state of the batteries within the instrument. This hand-held programmable unit eliminates all the mechanical programming switches and permits the instrument to be completely sealed from the pressure, fluids and contaminants normally found in a well bore.« less

Effect of Radiological Countermeasures on Subjective Well-Being and Radiation Anxiety after the 2011 Disaster: The Fukushima Health Management Survey.

PubMed

Murakami, Michio; Takebayashi, Yoshitake; Takeda, Yoshihito; Sato, Akiko; Igarashi, Yasumasa; Sano, Kazumi; Yasutaka, Tetsuo; Naito, Wataru; Hirota, Sumire; Goto, Aya; Ohira, Tetsuya; Yasumura, Seiji; Tanigawa, Koichi

2018-01-12

After the Fukushima Daiichi Nuclear Power Station accident in 2011, concerns about radiation exposure and decline in subjective well-being have been reported. To tackle these problems, various countermeasures in relation to radiation have been implemented. In this study, we comprehensively evaluated the effects of radiological countermeasures on subjective well-being (e.g., satisfaction with life (SWL) and emotional well-being) and radiation anxiety, through a questionnaire survey targeting Fukushima residents ( N = 1023). Propensity scores matching was applied to evaluate significant effects of radiological countermeasures on subjective well-being and radiation anxiety. Among the radiological countermeasures, thyroid examination, whole body counter, and air dose monitoring showed the highest proportions of participation, utilization, and useful evaluation, suggesting a high degree of public attention focused on these countermeasures. The basic survey was associated with significant increases in SWL and self-rated health (SH). Thyroid examination was significantly associated with not only a reduction in radiation anxiety but also an increase of emotional stress, suggesting the importance of careful design of system and detailed communication. Food inspection was associated with deterioration in SH. Those who utilized explanatory meetings showed increases in sadness, worry, and radiation anxiety, indicating that additional attention is required of the experts and authorities involved in explanatory meetings.

Effect of Radiological Countermeasures on Subjective Well-Being and Radiation Anxiety after the 2011 Disaster: The Fukushima Health Management Survey

PubMed Central

Murakami, Michio; Takeda, Yoshihito; Sato, Akiko; Igarashi, Yasumasa; Sano, Kazumi; Yasutaka, Tetsuo; Naito, Wataru; Hirota, Sumire; Goto, Aya; Ohira, Tetsuya; Yasumura, Seiji; Tanigawa, Koichi

2018-01-01

After the Fukushima Daiichi Nuclear Power Station accident in 2011, concerns about radiation exposure and decline in subjective well-being have been reported. To tackle these problems, various countermeasures in relation to radiation have been implemented. In this study, we comprehensively evaluated the effects of radiological countermeasures on subjective well-being (e.g., satisfaction with life (SWL) and emotional well-being) and radiation anxiety, through a questionnaire survey targeting Fukushima residents (N = 1023). Propensity scores matching was applied to evaluate significant effects of radiological countermeasures on subjective well-being and radiation anxiety. Among the radiological countermeasures, thyroid examination, whole body counter, and air dose monitoring showed the highest proportions of participation, utilization, and useful evaluation, suggesting a high degree of public attention focused on these countermeasures. The basic survey was associated with significant increases in SWL and self-rated health (SH). Thyroid examination was significantly associated with not only a reduction in radiation anxiety but also an increase of emotional stress, suggesting the importance of careful design of system and detailed communication. Food inspection was associated with deterioration in SH. Those who utilized explanatory meetings showed increases in sadness, worry, and radiation anxiety, indicating that additional attention is required of the experts and authorities involved in explanatory meetings. PMID:29329263

The national land use data program of the US Geological Survey

NASA Technical Reports Server (NTRS)

Anderson, J. R.; Witmer, R. E.

1975-01-01

The Land Use Data and Analysis (LUDA) Program which provides a systematic and comprehensive collection and analysis of land use and land cover data on a nationwide basis is described. Maps are compiled at about 1:125,000 scale showing present land use/cover at Level II of a land use/cover classification system developed by the U.S. Geological Survey in conjunction with other Federal and state agencies and other users. For each of the land use/cover maps produced at 1:125,000 scale, overlays are also compiled showing Federal land ownership, river basins and subbasins, counties, and census county subdivisions. The program utilizes the advanced technology of the Special Mapping Center of the U.S. Geological Survey, high altitude NASA photographs, aerial photographs acquired for the USGS Topographic Division's mapping program, and LANDSAT data in complementary ways.

Summary of carpool survey data from the Katy, Northwest and Gulf Transitways. Interim report, September 1984-February 1989

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

Bullard, D.L.

1989-02-01

In an effort to provide increased mobility within the Houston metropolitan area, a major commitment has been made to implement an extensive system of transitways in the median of the city's freeway network. These lanes are reserved for high-occupancy vehicles. At present, carpools are permitted to use three of the four transitways currently in operation. This report presents the results of transitway carpool surveys performed on the Katy, Northwest and Gulf Transitways. In addition to obtaining socio-economic, demographic, and travel information, the surveys were designed to: determine perceptions of transitway utilization; identify why individuals have chosen to carpool; and assessmore » carpooler attitudes and impacts pertaining to the transitways. The report covers the time period from October 1985 through November 1988.« less

The US Geological Survey's national coal resource assessment: The results

USGS Publications Warehouse

Ruppert, Leslie F.; Kirschbaum, Mark A.; Warwick, Peter D.; Flores, Romeo M.; Affolter, Ronald H.; Hatch, Joseph R.

2002-01-01

The US Geological Survey and the State geological surveys of many coal-bearing States recently completed a new assessment of the top producing coal beds and coal zones in five major producing coal regions—the Appalachian Basin, Gulf Coast, Illinois Basin, Colorado Plateau, and Northern Rocky Mountains and Great Plains. The assessments, which focused on both coal quality and quantity, utilized geographic information system technology and large databases. Over 1,600,000 million short tons of coal remain in over 60 coal beds and coal zones that were assessed. Given current economic, environmental, and technological restrictions, the majority of US coal production will occur in that portion of the assessed coal resource that is lowest in sulfur content. These resources are concentrated in parts of the central Appalachian Basin, Colorado Plateau, and the Northern Rocky Mountains.

Use of participatory modeling workshops in a water-stressed basin of northern Mexico to assess sustainable water resources management and conduct community outreach

NASA Astrophysics Data System (ADS)

Vivoni, E. R.; Mayer, A. S.; Halvorsen, K. E.; Robles-Morua, A.; Kossak, D.

2016-12-01

A series of iterative participatory modeling workshops were held in Sonora, México with the goal of developing water resources management strategies in a water-stressed basin subject to hydro-climatic variability and change. A model of the water resources system, consisting of watershed hydrology, water resources infrastructure, and groundwater models, was developed deliberatively in the workshops, along with scenarios of future climate and development. Participants used the final version of the water resources systems model to select from supply-side and demand-side water resources management strategies. The performance of the strategies was based on the reliability of meeting current and future demands at a daily time scale over a year's period. Pre- and post-workshop surveys were developed and administered. The survey questions focused on evaluation of participants' modeling capacity and the utility and accuracy of the models. The selected water resources strategies and the associated, expected reliability varied widely among participants. Most participants could be clustered into three groups with roughly equal numbers of participants that varied in terms of reliance on expanding infrastructure vs. demand modification; expectations of reliability; and perceptions of social, environmental, and economic impacts. The wide range of strategies chosen and associated reliabilities indicate that there is a substantial degree of uncertainty in how future water resources decisions could be made in the region. The pre- and post-survey results indicate that participants believed their modeling abilities increased and beliefs in the utility of models increased as a result of the workshops

Health Insurance Utilization and Its Impact: Observations from the Middle-Aged and Elderly in China

PubMed Central

Li, Yang; Wang, Xiaojun; Ma, Chi; Ma, Shuangge

2013-01-01

Objective In China, despite a high coverage rate, health insurance is not used for all illness episodes. Our goal is to identify subjects’ characteristics associated with insurance utilization and the association between utilization and medical expenditure. Methods A survey was conducted in January and February of 2012. 2093 middle-aged and elderly subjects (45 years old and above) were surveyed. Results Heath insurance was not utilized for 12.6% (inpatient), 53.3% (outpatient), and 72.6% (self-treatment) of disease episodes. Subjects’ characteristics were associated with insurance utilization. Inpatient and outpatient treatments were expensive. In the multivariate analysis of outpatient treatment expenditure, insurance utilization was significantly associated with higher treatment cost, lost income, and gross total cost. Conclusion Utilization of health insurance may need to be improved. Insurance utilization can reduce out-of-pocket medical expenditure. However, the amount paid by the insured is still high. Policy intervention is needed to further improve the effectiveness of health insurance. PMID:24324654

SkICAT: A cataloging and analysis tool for wide field imaging surveys

NASA Technical Reports Server (NTRS)

Weir, N.; Fayyad, U. M.; Djorgovski, S. G.; Roden, J.

1992-01-01

We describe an integrated system, SkICAT (Sky Image Cataloging and Analysis Tool), for the automated reduction and analysis of the Palomar Observatory-ST ScI Digitized Sky Survey. The Survey will consist of the complete digitization of the photographic Second Palomar Observatory Sky Survey (POSS-II) in three bands, comprising nearly three Terabytes of pixel data. SkICAT applies a combination of existing packages, including FOCAS for basic image detection and measurement and SAS for database management, as well as custom software, to the task of managing this wealth of data. One of the most novel aspects of the system is its method of object classification. Using state-of-theart machine learning classification techniques (GID3* and O-BTree), we have developed a powerful method for automatically distinguishing point sources from non-point sources and artifacts, achieving comparably accurate discrimination a full magnitude fainter than in previous Schmidt plate surveys. The learning algorithms produce decision trees for classification by examining instances of objects classified by eye on both plate and higher quality CCD data. The same techniques will be applied to perform higher-level object classification (e.g., of galaxy morphology) in the near future. Another key feature of the system is the facility to integrate the catalogs from multiple plates (and portions thereof) to construct a single catalog of uniform calibration and quality down to the faintest limits of the survey. SkICAT also provides a variety of data analysis and exploration tools for the scientific utilization of the resulting catalogs. We include initial results of applying this system to measure the counts and distribution of galaxies in two bands down to Bj is approximately 21 mag over an approximate 70 square degree multi-plate field from POSS-II. SkICAT is constructed in a modular and general fashion and should be readily adaptable to other large-scale imaging surveys.

National trends in anterior cervical fusion procedures.

PubMed

Marawar, Satyajit; Girardi, Federico P; Sama, Andrew A; Ma, Yan; Gaber-Baylis, Licia K; Besculides, Melanie C; Memtsoudis, Stavros G

2010-07-01

Population-based database analysis. To analyze trends in patient- and healthcare-system-related characteristics, utilization and outcomes associated with anterior cervical spine fusions. Anterior cervical decompression and spine fusion (ACDF) is one of the most commonly performed surgical procedures of the spine. However, few data analyzing trends in patient- and healthcare-system-related characteristics, utilization and outcomes exist. Data from 1990 to 2004 collected in the National Hospital Discharge Survey were accessed. ACDF procedures were identified. Five-year periods of interest (POI) were created for temporal analysis and changes in the prevalence and utilization of this procedure as well as in patient- and healthcare-system-related variables were examined. The changes in the occurrence of procedure-related complications were evaluated. An estimated total of 771,932 discharges after ACDF were identified. Temporally, an almost 8-fold increase in total prevalence was accompanied by a similar increase in utilization (23/100.000 civilians/POI to 157/100.000/civilians/POI). The highest increase in utilization was observed in those > or =65 years (28-fold). Average age increased from 47.2 years to 50.5 years over time. Length of hospital stay decreased from 5.17 days to 2.38 days. Overall procedure-related complication rates decreased from 4.6% to 3.03%. The prevalence of hypertension, diabetes mellitus, hypercholesterolemia, obesity, pulmonary, and coronary artery increased over time among patients undergoing ACDF. Despite limitations inherent to secondary analysis of large databases, we identified a number of significant changes in the utilization, demographics, and outcomes associated with ACDF, which can be used to assess the effect of changes in medical care, direct health care resources, and future research. The effect of the increased prevalence of comorbidities on medical practice remains to be evaluated. Further studies are necessary to evaluate causal relationships.

Developing a science of clinical utility in diagnostic classification systems field study strategies for ICD-11 mental and behavioral disorders.

PubMed

Keeley, Jared W; Reed, Geoffrey M; Roberts, Michael C; Evans, Spencer C; Medina-Mora, María Elena; Robles, Rebeca; Rebello, Tahilia; Sharan, Pratap; Gureje, Oye; First, Michael B; Andrews, Howard F; Ayuso-Mateos, José Luís; Gaebel, Wolfgang; Zielasek, Juergen; Saxena, Shekhar

2016-01-01

The World Health Organization (WHO) Department of Mental Health and Substance Abuse has developed a systematic program of field studies to evaluate and improve the clinical utility of the proposed diagnostic guidelines for mental and behavioral disorders in the Eleventh Revision of the International Classification of Diseases and Related Health Problems (ICD-11). The clinical utility of a diagnostic classification is critical to its function as the interface between health encounters and health information, and to making the ICD-11 be a more effective tool for helping the WHO's 194 member countries, including the United States, reduce the global disease burden of mental disorders. This article describes the WHO's efforts to develop a science of clinical utility in regard to one of the two major classification systems for mental disorders. We present the rationale and methodologies for an integrated and complementary set of field study strategies, including large international surveys, formative field studies of the structure of clinicians' conceptualization of mental disorders, case-controlled field studies using experimental methodologies to evaluate the impact of proposed changes to the diagnostic guidelines on clinicians' diagnostic decision making, and ecological implementation field studies of clinical utility in the global settings in which the guidelines will ultimately be implemented. The results of these studies have already been used in making decisions about the structure and content of ICD-11. If clinical utility is indeed among the highest aims of diagnostic systems for mental disorders, as their developers routinely claim, future revision efforts should continue to build on these efforts. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Effect of private health insurance on health care utilization in a universal public insurance system: a case of South Korea.

PubMed

Jeon, Boyoung; Kwon, Soonman

2013-11-01

This study examined the effect of private health insurance (PHI) on health care utilization in South Korea using a nationally representative sample of 9512 adults participating in Korea Health Panel Survey (KHPS). We compared the health care utilization and subsequent expenditure according to whether or not and how many PHIs are purchased, controlling for the endogeneity of insurance purchase by propensity score matching method and Heckman-type treatment effect model. The results of this study show that the probability of any health care utilization, both outpatient care and inpatient care, is higher for the people who have PHI. For those who utilize health care, PHI has a positive impact on outpatient expenditure, but not on the number of outpatient visits. The effect of PHI on the number of inpatient days and expenditure is not statistically significant among the users of inpatient care. These results imply a need for policy options to mitigate the moral hazard effect of PHI in the outpatient care sector. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Exploring Health System Responsiveness in Ambulatory Care and Disease Management and its Relation to Other Dimensions of Health System Performance (RAC) – Study Design and Methodology

PubMed Central

Röttger, Julia; Blümel, Miriam; Engel, Susanne; Grenz-Farenholtz, Brigitte; Fuchs, Sabine; Linder, Roland; Verheyen, Frank; Busse, Reinhard

2015-01-01

Background: The responsiveness of a health system is considered to be an intrinsic goal of health systems and an essential aspect in performance assessment. Numerous studies have analysed health system responsiveness and related concepts, especially across different countries and health systems. However, fewer studies have applied the concept for the evaluation of specific healthcare delivery structures and thoroughly analysed its determinants within one country. The aims of this study are to assess the level of perceived health system responsiveness to patients with chronic diseases in ambulatory care in Germany and to analyse the determinants of health system responsiveness as well as its distribution across different population groups. Methods and Analysis: The target population consists of chronically ill people in Germany, with a focus on patients suffering from type 2 diabetes and/or from coronary heart disease (CHD). Data comes from two different sources: (i) cross-sectional survey data from a postal survey and (ii) claims data from a German sickness fund. Data from both sources will be linked at an individual-level. The postal survey has the purpose of measuring perceived health system responsiveness, health related quality of life, experiences with disease management programmes (DMPs) and (subjective) socioeconomic background. The claims data consists of information on (co)morbidities, service utilization, enrolment within a DMP and sociodemographic characteristics, including the type of residential area. Discussion: RAC is one of the first projects linking survey data on health system responsiveness at individual level with claims data. With this unique database, it will be possible to comprehensively analyse determinants of health system responsiveness and its relation to other aspects of health system performance assessment. The results of the project will allow German health system decision-makers to assess the performance of nonclinical aspects of healthcare delivery and their determinants in two important areas of health policy: in ambulatory and chronic disease care. PMID:26188807

Exploring Health System Responsiveness in Ambulatory Care and Disease Management and its Relation to Other Dimensions of Health System Performance (RAC) - Study Design and Methodology.

PubMed

Röttger, Julia; Blümel, Miriam; Engel, Susanne; Grenz-Farenholtz, Brigitte; Fuchs, Sabine; Linder, Roland; Verheyen, Frank; Busse, Reinhard

2015-05-20

The responsiveness of a health system is considered to be an intrinsic goal of health systems and an essential aspect in performance assessment. Numerous studies have analysed health system responsiveness and related concepts, especially across different countries and health systems. However, fewer studies have applied the concept for the evaluation of specific healthcare delivery structures and thoroughly analysed its determinants within one country. The aims of this study are to assess the level of perceived health system responsiveness to patients with chronic diseases in ambulatory care in Germany and to analyse the determinants of health system responsiveness as well as its distribution across different population groups. The target population consists of chronically ill people in Germany, with a focus on patients suffering from type 2 diabetes and/or from coronary heart disease (CHD). Data comes from two different sources: (i) cross-sectional survey data from a postal survey and (ii) claims data from a German sickness fund. Data from both sources will be linked at an individual-level. The postal survey has the purpose of measuring perceived health system responsiveness, health related quality of life, experiences with disease management programmes (DMPs) and (subjective) socioeconomic background. The claims data consists of information on (co)morbidities, service utilization, enrolment within a DMP and sociodemographic characteristics, including the type of residential area. RAC is one of the first projects linking survey data on health system responsiveness at individual level with claims data. With this unique database, it will be possible to comprehensively analyse determinants of health system responsiveness and its relation to other aspects of health system performance assessment. The results of the project will allow German health system decision-makers to assess the performance of nonclinical aspects of healthcare delivery and their determinants in two important areas of health policy: in ambulatory and chronic disease care. © 2015 by Kerman University of Medical Sciences.

Water-level data from wells in the vicinity of the Waste Isolation Pilot Plant, southeastern New Mexico

USGS Publications Warehouse

Richey, S.F.

1987-01-01

The U.S. Geological Survey monitored water levels in wells in the vicinity of the Waste Isolation Pilot Plant, a storage facility constructed in bedded salts in which defense-associated transuranic wastes will be deposited, in southeastern New Mexico during 1977 to 1985. A variety of methods was used to measure water levels. The particular method utilized at a given time depended on several factors, including the amount of condensation in the well, well-head configuration, depth to water, rate of water level change, and availability of equipment. The five methods utilized were: air line, Lynes pressure sentry system, M-scope, steel tape, and winch. (Lantz-PTT)

A Survey of Collective Intelligence

NASA Technical Reports Server (NTRS)

Wolpert, David H.; Tumer, Kagan

1999-01-01

This chapter presents the science of "COllective INtelligence" (COIN). A COIN is a large multi-agent systems where: i) the agents each run reinforcement learning (RL) algorithms; ii) there is little to no centralized communication or control; iii) there is a provided world utility function that, rates the possible histories of tile full system. Tile conventional approach to designing large distributed systems to optimize a world utility does not use agents running RL algorithms. Rather that approach begins with explicit modeling of the overall system's dynamics, followed by detailed hand-tuning of the interactions between the components to ensure that they "cooperate" as far as the world utility is concerned. This approach is labor-intensive, often results in highly non-robust systems, and usually results in design techniques that, have limited applicability. In contrast, with COINs we wish to solve the system design problems implicitly, via the 'adaptive' character of the RL algorithms of each of the agents. This COIN approach introduces an entirely new, profound design problem: Assuming the RL algorithms are able to achieve high rewards, what reward functions for the individual agents will, when pursued by those agents, result in high world utility? In other words, what reward functions will best ensure that we do not have phenomena like the tragedy of the commons, or Braess's paradox? Although still very young, the science of COINs has already resulted in successes in artificial domains, in particular in packet-routing, the leader-follower problem, and in variants of Arthur's "El Farol bar problem". It is expected that as it matures not only will COIN science expand greatly the range of tasks addressable by human engineers, but it will also provide much insight into already established scientific fields, such as economics, game theory, or population biology.

Development of Deep-tow Autonomous Cable Seismic (ACS) for Seafloor Massive Sulfides (SMSs) Exploration.

NASA Astrophysics Data System (ADS)

Asakawa, Eiichi; Murakami, Fumitoshi; Tsukahara, Hitoshi; Saito, Shutaro; Lee, Sangkyun; Tara, Kenji; Kato, Masafumi; Jamali Hondori, Ehsan; Sumi, Tomonori; Kadoshima, Kazuyuki; Kose, Masami

2017-04-01

Within the EEZ of Japan, numerous surveys exploring ocean floor resources have been conducted. The exploration targets are gas hydrates, mineral resources (manganese, cobalt or rare earth) and especially seafloor massive sulphide (SMS) deposits. These resources exist in shallow subsurface areas in deep waters (>1500m). For seismic explorations very high resolution images are required. These cannot be effectively obtained with conventional marine seismic techniques. Therefore we have been developing autonomous seismic survey systems which record the data close to the seafloor to preserve high frequency seismic energy. Very high sampling rate (10kHz) and high accurate synchronization between recording systems and shot time are necessary. We adopted Cs-base atomic clock considering its power consumption. At first, we developed a Vertical Cable Seismic (VCS) system that uses hydrophone arrays moored vertically from the ocean bottom to record close to the target area. This system has been successfully applied to SMS exploration. Specifically it fixed over known sites to assess the amount of reserves with the resultant 3D volume. Based on the success of VCS, we modified the VCS system to use as a more efficient deep-tow seismic survey system. Although there are other examples of deep-tow seismic systems, signal transmission cables present challenges in deep waters. We use our autonomous recording system to avoid these problems. Combining a high frequency piezoelectric source (Sub Bottom Profiler:SBP) that automatically shots with a constant interval, we achieve the high resolution deep-tow seismic without data transmission/power cable to the board. Although the data cannot be monitored in real-time, the towing system becomes very simple. We have carried out survey trial, which showed the systems utility as a high-resolution deep-tow seismic survey system. Furthermore, the frequency ranges of deep-towed source (SBP) and surface towed sparker are 700-2300Hz and 10-200Hz respectively. Therefore we can use these sources simultaneously and distinguish the records of each source in the data processing stage. We have developed new marine seismic survey systems with autonomous recording for the exploration of the ocean floor resources. The applications are vertical cable seismic (VCS) and deep-tow seismic (ACS). These enable us the recording close to the seafloor and give the high resolution results with a simple, cost-effective configuration.

Biological effects of exposure to magnetic resonance imaging: an overview

PubMed Central

Formica, Domenico; Silvestri, Sergio

2004-01-01

The literature on biological effects of magnetic and electromagnetic fields commonly utilized in magnetic resonance imaging systems is surveyed here. After an introduction on the basic principles of magnetic resonance imaging and the electric and magnetic properties of biological tissues, the basic phenomena to understand the bio-effects are described in classical terms. Values of field strengths and frequencies commonly utilized in these diagnostic systems are reported in order to allow the integration of the specific literature on the bio-effects produced by magnetic resonance systems with the vast literature concerning the bio-effects produced by electromagnetic fields. This work gives an overview of the findings about the safety concerns of exposure to static magnetic fields, radio-frequency fields, and time varying magnetic field gradients, focusing primarily on the physics of the interactions between these electromagnetic fields and biological matter. The scientific literature is summarized, integrated, and critically analyzed with the help of authoritative reviews by recognized experts, international safety guidelines are also cited. PMID:15104797

Comparison of Shallow Survey 2012 Multibeam Datasets

NASA Astrophysics Data System (ADS)

Ramirez, T. M.

2012-12-01

The purpose of the Shallow Survey common dataset is a comparison of the different technologies utilized for data acquisition in the shallow survey marine environment. The common dataset consists of a series of surveys conducted over a common area of seabed using a variety of systems. It provides equipment manufacturers the opportunity to showcase their latest systems while giving hydrographic researchers and scientists a chance to test their latest algorithms on the dataset so that rigorous comparisons can be made. Five companies collected data for the Common Dataset in the Wellington Harbor area in New Zealand between May 2010 and May 2011; including Kongsberg, Reson, R2Sonic, GeoAcoustics, and Applied Acoustics. The Wellington harbor and surrounding coastal area was selected since it has a number of well-defined features, including the HMNZS South Seas and HMNZS Wellington wrecks, an armored seawall constructed of Tetrapods and Akmons, aquifers, wharves and marinas. The seabed inside the harbor basin is largely fine-grained sediment, with gravel and reefs around the coast. The area outside the harbor on the southern coast is an active environment, with moving sand and exposed reefs. A marine reserve is also in this area. For consistency between datasets, the coastal research vessel R/V Ikatere and crew were used for all surveys conducted for the common dataset. Using Triton's Perspective processing software multibeam datasets collected for the Shallow Survey were processed for detail analysis. Datasets from each sonar manufacturer were processed using the CUBE algorithm developed by the Center for Coastal and Ocean Mapping/Joint Hydrographic Center (CCOM/JHC). Each dataset was gridded at 0.5 and 1.0 meter resolutions for cross comparison and compliance with International Hydrographic Organization (IHO) requirements. Detailed comparisons were made of equipment specifications (transmit frequency, number of beams, beam width), data density, total uncertainty, and IHO compliance. Results from an initial analysis indicate that more factors need to be considered to properly compare sonar quality from processed results than just utilizing the same vessel with the same vessel configuration. Survey techniques such as focusing the beams over a narrower beam width can greatly increase data quality. While each sonar manufacturer was required to meet Special Order IHO specifications, line spacing was not specified and allowed for a greater data density despite equipment specification.

Health Care Utilization and Expenditures for Children with Autism: Data from U.S. National Samples

ERIC Educational Resources Information Center

Liptak, Gregory S.; Stuart, Tami; Auinger, Peggy

2006-01-01

Little is known about the use of medical services by children who have autism (ASD). Provide nationally representative data for health service utilization and expenditures of children with ASD. Cross-sectional survey using the Medical Expenditure Panel (MEPS), and National (Hospital) Ambulatory Medical Care Surveys (N(H)AMCS). A total of 80…

On the feasibility of real-time mapping of the geoelectric field across North America

USGS Publications Warehouse

Love, Jeffrey J.; Rigler, E. Joshua; Kelbert, Anna; Finn, Carol A.; Bedrosian, Paul A.; Balch, Christopher C.

2018-06-08

A review is given of the present feasibility for accurately mapping geoelectric fields across North America in near-realtime by modeling geomagnetic monitoring and magnetotelluric survey data. Should this capability be successfully developed, it could inform utility companies of magnetic-storm interference on electric-power-grid systems. That real-time mapping of geoelectric fields is a challenge is reflective of (1) the spatiotemporal complexity of geomagnetic variation, especially during magnetic storms, (2) the sparse distribution of ground-based geomagnetic monitoring stations that report data in realtime, (3) the spatial complexity of three-dimensional solid-Earth impedance, and (4) the geographically incomplete state of continental-scale magnetotelluric surveys.

Public and private healthcare services utilization by non-institutional elderly in Hong Kong: is the inverse care law operating?

PubMed

Yam, Ho-Kwan; Mercer, Stewart W; Wong, Lai-Yi; Chan, Wan-Kin; Yeoh, Eng-Kiong

2009-08-01

To assess the factors associated with healthcare services utilization by the non-institutional elderly across five types of service utilization (Western medicine doctors in Government clinics, private Western medicine doctors, Chinese medicine practitioners, Emergency Units, and hospitalization). A secondary data analysis of a territory-wide cross-sectional survey collected by the Government among a representative sample of 4812 elderly (aged 60 and above) in Hong Kong. Our analysis, based on Anderson's behavioral framework, shows that need factors (relating to actual or perceived illness and diseases) are significantly related to the healthcare services utilization examined. However, enabling factors, such as monthly household income per capita, play a significant role in determining the utilization. Although the lower-income elderly consult more Government clinics and less private clinics than the more affluent, they have a lower total utilization of healthcare services despite having significantly greater healthcare needs. This suggests a mismatch of need and supply within the mixed economy of private and public healthcare services and suggests the existence of an 'inverse care law' in Hong Kong amongst elderly citizens. The findings raise concerns of inequities in Hong Kong's healthcare system, raising implications for future healthcare reforms.

Barriers to Innovation in Urban Wastewater Utilities: Attitudes of Managers in California.

PubMed

Kiparsky, Michael; Thompson, Barton H; Binz, Christian; Sedlak, David L; Tummers, Lars; Truffer, Bernhard

2016-06-01

In many regions of the world, urban water systems will need to transition into fundamentally different forms to address current stressors and meet impending challenges-faster innovation will need to be part of these transitions. To assess the innovation deficit in urban water organizations and to identify means for supporting innovation, we surveyed wastewater utility managers in California. Our results reveal insights about the attitudes towards innovation among decision makers, and how perceptions at the level of individual managers might create disincentives for experimentation. Although managers reported feeling relatively unhindered organizationally, they also spend less time on innovation than they feel they should. The most frequently reported barriers to innovation included cost and financing; risk and risk aversion; and regulatory compliance. Considering these results in the context of prior research on innovation systems, we conclude that collective action may be required to address underinvestment in innovation.

Barriers to Innovation in Urban Wastewater Utilities: Attitudes of Managers in California

NASA Astrophysics Data System (ADS)

Kiparsky, Michael; Thompson, Barton H.; Binz, Christian; Sedlak, David L.; Tummers, Lars; Truffer, Bernhard

2016-06-01

In many regions of the world, urban water systems will need to transition into fundamentally different forms to address current stressors and meet impending challenges—faster innovation will need to be part of these transitions. To assess the innovation deficit in urban water organizations and to identify means for supporting innovation, we surveyed wastewater utility managers in California. Our results reveal insights about the attitudes towards innovation among decision makers, and how perceptions at the level of individual managers might create disincentives for experimentation. Although managers reported feeling relatively unhindered organizationally, they also spend less time on innovation than they feel they should. The most frequently reported barriers to innovation included cost and financing; risk and risk aversion; and regulatory compliance. Considering these results in the context of prior research on innovation systems, we conclude that collective action may be required to address underinvestment in innovation.

The APU and the 1978 Mathematics Survey

ERIC Educational Resources Information Center

Bell, Alan

1977-01-01

A tentative structure for a survey concerned with assessing the whole range of outcomes of school mathematics education is outlined. The structure provides for surveying content categories, process categories, and attitudes, utilizing practical manipulative problems. (MN)

Research Networking Systems: The State of Adoption at Institutions Aiming to Augment Translational Research Infrastructure

PubMed Central

Obeid, Jihad S; Johnson, Layne M; Stallings, Sarah; Eichmann, David

2015-01-01

Fostering collaborations across multiple disciplines within and across institutional boundaries is becoming increasingly important with the growing emphasis on translational research. As a result, Research Networking Systems that facilitate discovery of potential collaborators have received significant attention by institutions aiming to augment their research infrastructure. We have conducted a survey to assess the state of adoption of these new tools at the Clinical and Translational Science Award (CTSA) funded institutions. Survey results demonstrate that most CTSA funded institutions have either already adopted or were planning to adopt one of several available research networking systems. Moreover a good number of these institutions have exposed or plan to expose the data on research expertise using linked open data, an established approach to semantic web services. Preliminary exploration of these publically-available data shows promising utility in assessing cross-institutional collaborations. Further adoption of these technologies and analysis of the data are needed, however, before their impact on cross-institutional collaboration in research can be appreciated and measured. PMID:26491707

Research Networking Systems: The State of Adoption at Institutions Aiming to Augment Translational Research Infrastructure.

PubMed

Obeid, Jihad S; Johnson, Layne M; Stallings, Sarah; Eichmann, David

Fostering collaborations across multiple disciplines within and across institutional boundaries is becoming increasingly important with the growing emphasis on translational research. As a result, Research Networking Systems that facilitate discovery of potential collaborators have received significant attention by institutions aiming to augment their research infrastructure. We have conducted a survey to assess the state of adoption of these new tools at the Clinical and Translational Science Award (CTSA) funded institutions. Survey results demonstrate that most CTSA funded institutions have either already adopted or were planning to adopt one of several available research networking systems. Moreover a good number of these institutions have exposed or plan to expose the data on research expertise using linked open data, an established approach to semantic web services. Preliminary exploration of these publically-available data shows promising utility in assessing cross-institutional collaborations. Further adoption of these technologies and analysis of the data are needed, however, before their impact on cross-institutional collaboration in research can be appreciated and measured.

The LANDSAT system operated in Brazil by CNPq/INPE - results obtained in the area of mapping and future perspectives

NASA Technical Reports Server (NTRS)

Dejesusparada, N. (Principal Investigator); Barbosa, M. N.

1981-01-01

The LANDSAT system, operated in the country by CNPg/INPE since 1973, systematically acquires, produces, and distributes both multispectral and panchromatic images obtained through remote sensing satellites to thousands of researchers and technicians involved in the natural resources survey. To cooperate in the solution of national problems, CNPq/INPE is developing efforts in the area of manipulation of those images with the objective of making them useful as planimetric bases for the simple revision of already published maps or for its utilization as basic material in regions not yet reliability mapped. The results obtained from performed tests are presented and the existing limitations are discussed. The new system purchased to handle data from the next series of LANDSAT as well as from MAPSAT and SPOT which will be in operation within the 80's decade, and are designed not only for natural resources survey but also for the solution of cartographic problems.

Evaluation of Advanced Computing Techniques and Technologies: Reconfigurable Computing

NASA Technical Reports Server (NTRS)

Wells, B. Earl

2003-01-01

The focus of this project was to survey the technology of reconfigurable computing determine its level of maturity and suitability for NASA applications. To better understand and assess the effectiveness of the reconfigurable design paradigm that is utilized within the HAL-15 reconfigurable computer system. This system was made available to NASA MSFC for this purpose, from Star Bridge Systems, Inc. To implement on at least one application that would benefit from the performance levels that are possible with reconfigurable hardware. It was originally proposed that experiments in fault tolerance and dynamically reconfigurability would be perform but time constraints mandated that these be pursued as future research.

Natural Resource Information System. Volume 1: Overall description

NASA Technical Reports Server (NTRS)

1972-01-01

A prototype computer-based Natural Resource Information System was designed which could store, process, and display data of maximum usefulness to land management decision making. The system includes graphic input and display, the use of remote sensing as a data source, and it is useful at multiple management levels. A survey established current decision making processes and functions, information requirements, and data collection and processing procedures. The applications of remote sensing data and processing requirements were established. Processing software was constructed and a data base established using high-altitude imagery and map coverage of selected areas of SE Arizona. Finally a demonstration of system processing functions was conducted utilizing material from the data base.

Optofluidic platforms based on surface-enhanced Raman scattering.

PubMed

Lim, Chaesung; Hong, Jongin; Chung, Bong Geun; deMello, Andrew J; Choo, Jaebum

2010-05-01

We report recent progress in the development of surface-enhanced Raman scattering (SERS)-based optofluidic platforms for the fast and sensitive detection of chemical and biological analytes. In the current context, a SERS-based optofluidic platform is defined as an integrated analytical device composed of a microfluidic element and a sensitive Raman spectrometer. Optofluidic devices for SERS detection normally involve nanocolloid-based microfluidic systems or metal nanostructure-embedded microfluidic systems. In the current review, recent advances in both approaches are surveyed and assessed. Additionally, integrated real-time sensing systems that combine portable Raman spectrometers with microfluidic devices are also reviewed. Such real-time sensing systems have significant utility in environmental monitoring, forensic science and homeland defense applications.

Socioeconomic inequalities in the use of outpatient services in Brazil according to health care need: evidence from the World Health Survey.

PubMed

Szwarcwald, Célia L; Souza-Júnior, Paulo R B; Damacena, Giseli N

2010-07-23

The Brazilian health system is founded on the principle of equity, meaning provision of equal care for equal needs. However, little is known about the impact of health policies in narrowing socioeconomic health inequalities. Using data from the Brazilian World Health Survey, this paper addresses socioeconomic inequalities in the use of outpatient services according to intensity of need. A three-stage cluster sampling was used to select 5000 adults (18 years and over). The non-response rate was 24.7% and calibration of the natural expansion factors was necessary to obtain the demographic structure of the Brazilian population. Utilization was established by use of outpatient services in the 12 months prior to the interview. Socioeconomic inequalities were analyzed by logistic regression models using years of schooling and private health insurance as independent variables, and controlling by age and sex. Effects of the socioeconomic variables on health services utilization were further analyzed according to self-rated health (good, fair and poor), considered as an indicator of intensity of health care need. Among the 5000 respondents, 63.4% used an outpatient service in the year preceding the survey. The association of health services utilization and self-rated health was significant (p < 0.001). Regarding socioeconomic inequalities, the less educated used health services less frequently, despite presenting worse health conditions. Highly significant effects were found for both socioeconomic variables, years of schooling (p < 0.001) and private health insurance (p < 0.00), after controlling for age and sex. Stratifying by self-rated health, the effects of both socioeconomic variables were significant among those with good health status, but not statistically significant among those with poor self-rated health. The analysis showed that the social gradient in outpatient services utilization decreases as the need is more intense. Among individuals with good self-rated health, possible explanations for the inequality are the lower use of preventive services and unequal supply of health services among the socially disadvantaged groups, or excessive use of health services by the wealthy. On the other hand, our results indicate an adequate performance of the Brazilian health system in narrowing socioeconomic inequalities in health in the most serious situations of need.

Formal support for informal caregivers to older persons with dementia through the course of the disease: an exploratory, cross-sectional study.

PubMed

Lethin, Connie; Leino-Kilpi, Helena; Roe, Brenda; Soto, Maria Martin; Saks, Kai; Stephan, Astrid; Zwakhalen, Sandra; Zabalegui, Adelaida; Karlsson, Staffan

2016-01-29

In European countries, knowledge about availability and utilization of support for informal caregivers caring for older persons (≥65 years) with dementia (PwD) is lacking. To be able to evaluate and develop the dementia support system for informal caregivers to PwD, a survey of European support systems and professionals involved is needed. The aim of this study was to explore support for informal caregivers to PwD in European countries. We investigated the availability and utilization of support in each of the participating countries, and the professional care providers involved, through the dementia disease. A mapping system was used in 2010-2011 to gather information about estimations of availability, utilization, and professional providers of support to informal caregivers caring for PwD. Data collected was representing each country as a whole. There was high availability of counselling, caregiver support, and education from the diagnosis to the intermediate stage, with a decrease in the late to end of life stage. Utilization was low, although there was a small increase in the intermediate stage. Day care and respite care were highly available in the diagnosis to the intermediate stage, with a decrease in the late to end of life stage, but both types of care were utilized by few or no caregivers through any of the disease stages. Professionals specialized in dementia (Bachelor to Master's degree) provided counselling and education, whereas caregiver support for informal caregivers and day care, respite care, and respite care at home were provided by professionals with education ranging from upper secondary schooling to a Master's degree. Counselling, caregiver support, and education were highly available in European countries from diagnosis to the intermediate stage of the dementia disease, decreasing in the late/end of life stages but were rarely utilized. Countries with care systems based on national guidelines for dementia care seem to be more aware of the importance of professionals specialized in dementia care when providing support to informal caregivers. Mapping the systems of support for informal caregivers of PwD is a valuable tool for evaluating existing systems, internationally, nationally and locally for policy making.

Asset Analysis and Operational Concepts for Separation Assurance Flight Testing at Dryden Flight Research Center

NASA Technical Reports Server (NTRS)

Costa, Guillermo J.; Arteaga, Ricardo A.

2011-01-01

A preliminary survey of existing separation assurance and collision avoidance advancements, technologies, and efforts has been conducted in order to develop a concept of operations for flight testing autonomous separation assurance at Dryden Flight Research Center. This effort was part of the Unmanned Aerial Systems in the National Airspace System project. The survey focused primarily on separation assurance projects validated through flight testing (including lessons learned), however current forays into the field were also examined. Comparisons between current Dryden flight and range assets were conducted using House of Quality matrices in order to allow project management to make determinations regarding asset utilization for future flight tests. This was conducted in order to establish a body of knowledge of the current collision avoidance landscape, and thus focus Dryden s efforts more effectively towards the providing of assets and test ranges for future flight testing within this research field.

Regional agriculture surveys using ERTS-1 data

NASA Technical Reports Server (NTRS)

Draeger, W. C.; Nichols, J. D.; Benson, A. S.; Larrabee, D. G.; Jenkus, W. M.; Hay, C. M.

1974-01-01

The Center for Remote Sensing Research has conducted studies designed to evaluate the potential application of ERTS data in performing agricultural inventories, and to develop efficient methods of data handling and analysis useful in the operational context for performing large area surveys. This work has resulted in the development of an integrated system utilizing both human and computer analysis of ground, aerial, and space imagery, which has been shown to be very efficient for regional crop acreage inventories. The technique involves: (1) the delineation of ERTS images into relatively homogeneous strata by human interpreters, (2) the point-by-point classification of the area within each strata on the basis of crop type using a human/machine interactive digital image processing system; and (3) a multistage sampling procedure for the collection of supporting aerial and ground data used in the adjustment and verification of the classification results.

Sea thermal power; A survey study for the Arab coastal waters

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

Abdell-AAL, H.K.; Khan, M.M.

1990-01-01

One of the promising types of renewable energy resource that has potential applications in the Arab world is proposed and described in this article. Known as ocean thermal energy conversion (OTEC), its feasibility is investigated for the Red Sea and the Arabian Gulf/Gulf of Oman. Data on thermal gradients are surveyed, collected, and reported. Promising parameters have been identified for some specific locations along these coastal waters. The proposed system can serve the dual purpose of providing electric power and desalinated water, which is needed by the Arab world. Construction strategies for the OTEC systems are introduced. Building plant-ship formore » utilizing the generated power in the production of hydrogen is recommended. Thus energy could be transported as LH{sub 2} (liquid hydrogen), MeOH (methanol), or NH{sub 3} (ammonia) for end-use consumption or export.« less

Shallow Water Marine UXO Detection Survey, United States Marine Corps Base, Camp Lejeune, North Carolina

DTIC Science & Technology

2011-04-01

resolution time-domain EM metal detector that is capable of detecting both ferrous and nonferrous metallic objects. The EM61 consists of air-cored...modifications to the Geonics EM61 metal detector . Modifications include higher transmitter power and frequency, faster sampling rates, and flexible...towed array (UUTA) electromagnetic system designed by 3Dgeophysics.com (3Dg) utilizes modified and improved Geonics, Ltd. electromagnetic (EM)61 metal

Analysis of CREW 3.1 System Center of Mass (COM)

DTIC Science & Technology

2010-09-01

reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection...5th percentile male values based on the 1988 U.S. Army Anthropometry Survey (ANSUR) (Gordon et al., 1989). Body weights were determined to be 216.21...also contains a utility for importing anthropometric data that is used to build and size the human figure models. This aspect of the software allows

Using SysML for verification and validation planning on the Large Synoptic Survey Telescope (LSST)

NASA Astrophysics Data System (ADS)

Selvy, Brian M.; Claver, Charles; Angeli, George

2014-08-01

This paper provides an overview of the tool, language, and methodology used for Verification and Validation Planning on the Large Synoptic Survey Telescope (LSST) Project. LSST has implemented a Model Based Systems Engineering (MBSE) approach as a means of defining all systems engineering planning and definition activities that have historically been captured in paper documents. Specifically, LSST has adopted the Systems Modeling Language (SysML) standard and is utilizing a software tool called Enterprise Architect, developed by Sparx Systems. Much of the historical use of SysML has focused on the early phases of the project life cycle. Our approach is to extend the advantages of MBSE into later stages of the construction project. This paper details the methodology employed to use the tool to document the verification planning phases, including the extension of the language to accommodate the project's needs. The process includes defining the Verification Plan for each requirement, which in turn consists of a Verification Requirement, Success Criteria, Verification Method(s), Verification Level, and Verification Owner. Each Verification Method for each Requirement is defined as a Verification Activity and mapped into Verification Events, which are collections of activities that can be executed concurrently in an efficient and complementary way. Verification Event dependency and sequences are modeled using Activity Diagrams. The methodology employed also ties in to the Project Management Control System (PMCS), which utilizes Primavera P6 software, mapping each Verification Activity as a step in a planned activity. This approach leads to full traceability from initial Requirement to scheduled, costed, and resource loaded PMCS task-based activities, ensuring all requirements will be verified.

Gender Wage Gaps by College Major in Taiwan: Empirical Evidence from the 1997-2003 Manpower Utilization Survey

ERIC Educational Resources Information Center

Lin, Eric S.

2010-01-01

In this article, we examine the effect of incorporating the fields of study on the explained and unexplained components of the standard Oaxaca decomposition for the gender wage gaps in Taiwan using 1997-2003 Manpower Utilization Survey data. Using several existing and lately developed measures, we inspect the gender wage gap by college major to…

Survey of spatial data needs and land use forecasting methods in the electric utility industry

NASA Technical Reports Server (NTRS)

1981-01-01

A representative sample of the electric utility industry in the United States was surveyed to determine industry need for spatial data (specifically LANDSAT and other remotely sensed data) and the methods used by the industry to forecast land use changes and future energy demand. Information was acquired through interviews, written questionnaires, and reports (both published and internal).

Characteristics of utility cyclists in Queensland, Australia: an examination of the associations between individual, social, and environmental factors and utility cycling.

PubMed

Sahlqvist, Shannon L; Heesch, Kristiann C

2012-08-01

Initiatives to promote utility cycling in countries like Australia and the US, which have low rates of utility cycling, may be more effective if they first target recreational cyclists. This study aimed to describe patterns of utility cycling and examine its correlates, among cyclists in Queensland, Australia. An online survey was administered to adult members of a state-based cycling community and advocacy group (n=1813). The survey asked about demographic characteristics and cycling behavior, motivators and constraints. Utility cycling patterns were described, and logistic regression modeling was used to examine associations between utility cycling and other variables. Forty-seven percent of respondents reported utility cycling: most did so to commute (86%). Most journeys (83%) were >5 km. Being male, younger, employed full-time, or university-educated increased the likelihood of utility cycling (P<.05). Perceiving cycling to be a cheap or a convenient form of transport was associated with utility cycling (P<.05). The moderate rate of utility cycling among recreational cyclists highlights a potential to promote utility cycling among this group. To increase utility cycling, strategies should target female and older recreational cyclists and focus on making cycling a cheap and convenient mode of transport.

Establishment of a dental license regulation authority is required in Korea: results of the Delphi technique.

PubMed

Choi, Jin-Woo; Kim, Kack-Kyun; Lee, Jihyun; Choi, Dong-Ju; Kim, Kyung-Nyun

2017-01-01

In addition to dental education, a system for the evaluation and management of dental licensing and certification is required to meet the growing societal demand for more competent dentists. In this study, the Delphi technique was used to gather opinions from a variety of professionals on the problems of and remedies for the dental license management system in Korea. Delphi surveys were conducted from April 2016 to October 2016 in South Korea. A variety of dental professionals were included and categorized into 3 groups according to their expertise as follows: the basic dentistry group, the clinical dentistry group, and the policy group. The Delphi technique was conducted in 3 rounds of e-mail surveys, each with different questions that probed with increasing depth on the dental license management system. In each successive round, the responses were categorized, scored on a Likert scale, and statistically analyzed. After categorizing the results of the first survey and ranking the results of the second survey using the Delphi technique, regulation by a licensing authority was found to be the most critical issue. This was followed by the license renewal system, continuing education, a tiered licensure system, improvement of foreign license approval, and utilization of retirees, in decreasing order of importance. The third Delphi survey showed a similar ranking, with regulation by a licensing authority being the major concern. Opinions regarding the dental license management system were provided as open-ended responses. The responses of the 3 groups showed statistically significant differences in the scores for the issue of regulation by a licensing authority. After re-grouping into the dentistry group and the policy group, the issue received a significantly higher score in the dentistry group. The quality of dental treatment should be managed to protect patients and dental professionals. For this purpose, the establishment of an independent license regulation authority along with legislative changes is required.

Lot quality assurance sampling techniques in health surveys in developing countries: advantages and current constraints.

PubMed

Lanata, C F; Black, R E

1991-01-01

Traditional survey methods, which are generally costly and time-consuming, usually provide information at the regional or national level only. The utilization of lot quality assurance sampling (LQAS) methodology, developed in industry for quality control, makes it possible to use small sample sizes when conducting surveys in small geographical or population-based areas (lots). This article describes the practical use of LQAS for conducting health surveys to monitor health programmes in developing countries. Following a brief description of the method, the article explains how to build a sample frame and conduct the sampling to apply LQAS under field conditions. A detailed description of the procedure for selecting a sampling unit to monitor the health programme and a sample size is given. The sampling schemes utilizing LQAS applicable to health surveys, such as simple- and double-sampling schemes, are discussed. The interpretation of the survey results and the planning of subsequent rounds of LQAS surveys are also discussed. When describing the applicability of LQAS in health surveys in developing countries, the article considers current limitations for its use by health planners in charge of health programmes, and suggests ways to overcome these limitations through future research. It is hoped that with increasing attention being given to industrial sampling plans in general, and LQAS in particular, their utilization to monitor health programmes will provide health planners in developing countries with powerful techniques to help them achieve their health programme targets.

The use of occupation-based assessments and intervention in the hand therapy setting - A survey.

PubMed

Grice, Kimatha Oxford

2015-01-01

Descriptive survey. This study specifically explored the use of occupation-based assessments and intervention in the hand therapy setting, but also more generally, current practice trends about all assessments being utilized in this setting, frequency of their use, and therapists' perceptions about them. An online survey was distributed via email to members of the American Society of Hand Therapists (ASHT). The survey consisted of ten questions and was administered via Survey Monkey. Responses were received from 22% of those surveyed. A descriptive analysis was completed of the results and indicated that over half use occupation-based assessments on a daily basis; most are related to ADL function and used for the development of goals. The primary reason for not utilizing occupation-based assessments is time limitation. Seventy-nine percent believe these measures are important for the services provided in the hand therapy setting. Occupation-based assessments and intervention are not utilized as much as therapists would like in the hand therapy setting, primarily due to time constraints. While not formally assessed, the majority of those who responded indicated that they do address occupation in their assessments and interventions. Not applicable. Copyright © 2015 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

How Important Are High Response Rates for College Surveys?

ERIC Educational Resources Information Center

Fosnacht, Kevin; Sarraf, Shimon; Howe, Elijah; Peck, Leah K.

2017-01-01

Surveys play an important role in understanding the higher education landscape. About 60 percent of the published research in major higher education journals utilized survey data (Pike, 2007). Institutions also commonly use surveys to assess student outcomes and evaluate programs, instructors, and even cafeteria food. However, declining survey…

NASA Facts, Why Survey from Space?

ERIC Educational Resources Information Center

National Aeronautics and Space Administration, Washington, DC. Educational Programs Div.

In this NASA publication, the technology behind the art of high-altitude surveying is explained in language understood by high school students. The principles behind ground-based surveys are first explained, then several diagrams are utilized in the explanation of photographic surveys. Additional information is provided concerning the use of…

Blood transfusion practice: a survey in Sichuan, China.

PubMed

Liu, Yu; Lin, Jia; Zhong, Ling; He, Yi; Yang, Jia; Wu, Yanhong; Yang, Jing; Li, Qian; Wang, Jingxing; Rao, Shaoqin

2015-02-01

To get full knowledge of current conditions and development in the past seven years of clinical transfusion practice in Sichuan, China. This survey was performed by means of a questionnaire which consisted of three parts of questions including basic conditions of blood banks in the hospitals, procedures for clinical blood transfusion and the utilization of different types of blood products. Thirty-five representative hospitals from different geographic locations in Sichuan province participated in this survey. All of the 35 hospitals returned the questionnaires and 33 hospitals (94.3%) answered the questions completely. The blood bank information system began to be used by more hospitals from 2006 (21.21%, 7/33) to 2012 (48.48%, 16/33). Automated grouping and cross-matching systems have not been used in level 2 hospitals and only 3 level 3 hospitals used automated systems in 2012. Still less common were procedures for evaluation of blood order forms for appropriateness (2/33, 6.06%) and evaluation of appropriateness and effect of blood component transfusion (8/33, 24.2%), and all the hospitals having these procedures are level 3 hospitals. The percentage of whole blood usage in the volume of all types of blood products used decreased a lot from 7.45% in 2006 to 0.16% in 2010. Technological instruments for bedside checking are not used by any of the hospitals. The transfusion service degree of the hospitals in Sichuan, China, has developed a lot in the past seven years; however, there are still some problems including whole blood still being used, albeit decreasing; lack of independent blood banks within the hospitals; lack of dedicated personnel for the transfusion services; lack of education; lack of blood bank information systems and automation; lack of screening for appropriateness for blood orders. Thus, the quality control center of clinical blood transfusion (QCCCBT) of Sichuan province should help the transfusion departments to attract more investment in staffing, equipment and information system from the hospitals, enhance the training of transfusion department staffs, and emphasize the supervision of transfusion department's work on directing clinical blood utilization and evaluating clinical transfusion appropriateness. Copyright © 2014 Elsevier Ltd. All rights reserved.

High Resolution, High Frame Rate Video Technology

NASA Technical Reports Server (NTRS)

1990-01-01

Papers and working group summaries presented at the High Resolution, High Frame Rate Video (HHV) Workshop are compiled. HHV system is intended for future use on the Space Shuttle and Space Station Freedom. The Workshop was held for the dual purpose of: (1) allowing potential scientific users to assess the utility of the proposed system for monitoring microgravity science experiments; and (2) letting technical experts from industry recommend improvements to the proposed near-term HHV system. The following topics are covered: (1) State of the art in the video system performance; (2) Development plan for the HHV system; (3) Advanced technology for image gathering, coding, and processing; (4) Data compression applied to HHV; (5) Data transmission networks; and (6) Results of the users' requirements survey conducted by NASA.

On Becoming Trauma-Informed: Role of the Adverse Childhood Experiences Survey in Tertiary Child and Adolescent Mental Health Services and the Association with Standard Measures of Impairment and Severity.

PubMed

Rahman, Abdul; Perri, Andrea; Deegan, Avril; Kuntz, Jennifer; Cawthorpe, David

2018-01-01

There is a movement toward trauma-informed, trauma-focused psychiatric treatment. To examine Adverse Childhood Experiences (ACE) survey items by sex and by total scores by sex vs clinical measures of impairment to examine the clinical utility of the ACE survey as an index of trauma in a child and adolescent mental health care setting. Descriptive, polychoric factor analysis and regression analyses were employed to analyze cross-sectional ACE surveys (N = 2833) and registration-linked data using past admissions (N = 10,400) collected from November 2016 to March 2017 related to clinical data (28 independent variables), taking into account multicollinearity. Distinct ACE items emerged for males, females, and those with self-identified sex and for ACE total scores in regression analysis. In hierarchical regression analysis, the final models consisting of standard clinical measures and demographic and system variables (eg, repeated admissions) were associated with substantial ACE total score variance for females (44%) and males (38%). Inadequate sample size foreclosed on developing a reduced multivariable model for the self-identified sex group. The ACE scores relate to independent clinical measures and system and demographic variables. There are implications for clinical practice. For example, a child presenting with anxiety and a high ACE score likely requires treatment that is different from a child presenting with anxiety and an ACE score of zero. The ACE survey score is an important index of presenting clinical status that guides patient care planning and intervention in the progress toward a trauma-focused system of care.

From health search to healthcare: explorations of intention and utilization via query logs and user surveys

PubMed Central

White, Ryen W; Horvitz, Eric

2014-01-01

Objective To better understand the relationship between online health-seeking behaviors and in-world healthcare utilization (HU) by studies of online search and access activities before and after queries that pursue medical professionals and facilities. Materials and methods We analyzed data collected from logs of online searches gathered from consenting users of a browser toolbar from Microsoft (N=9740). We employed a complementary survey (N=489) to seek a deeper understanding of information-gathering, reflection, and action on the pursuit of professional healthcare. Results We provide insights about HU through the survey, breaking out its findings by different respondent marginalizations as appropriate. Observations made from search logs may be explained by trends observed in our survey responses, even though the user populations differ. Discussion The results provide insights about how users decide if and when to utilize healthcare resources, and how online health information seeking transitions to in-world HU. The findings from both the survey and the logs reveal behavioral patterns and suggest a strong relationship between search behavior and HU. Although the diversity of our survey respondents is limited and we cannot be certain that users visited medical facilities, we demonstrate that it may be possible to infer HU from long-term search behavior by the apparent influence that health concerns and professional advice have on search activity. Conclusions Our findings highlight different phases of online activities around queries pursuing professional healthcare facilities and services. We also show that it may be possible to infer HU from logs without tracking people's physical location, based on the effect of HU on pre- and post-HU search behavior. This allows search providers and others to develop more robust models of interests and preferences by modeling utilization rather than simply the intention to utilize that is expressed in search queries. PMID:23666794

The Effect of Medicaid Physician Fee Increases on Health Care Access, Utilization, and Expenditures.

PubMed

Callison, Kevin; Nguyen, Binh T

2018-04-01

To evaluate the effect of Medicaid fee changes on health care access, utilization, and spending for Medicaid beneficiaries. We use the 2008 and 2012 waves of the Medical Expenditure Panel Survey linked to state-level Medicaid-to-Medicare primary care reimbursement ratios obtained through surveys conducted by the Urban Institute. We also incorporate data from the Current Population Survey and the Area Resource Files. Using a control group made up of the low-income privately insured, we conduct a difference-in-differences analysis to assess the relationship between Medicaid fee changes and access to care, utilization of health care services, and out-of-pocket medical expenditures for Medicaid enrollees. We find that an increase in the Medicaid-to-Medicare payment ratio for primary care services results in an increase in outpatient physician visits, emergency department utilization, and prescription fills, but only minor improvements in access to care. In addition, we report an increase in total annual out-of-pocket expenditures and spending on prescription medications. Compared to the low-income privately insured, increased primary care reimbursement for Medicaid beneficiaries leads to higher utilization and out-of-pocket spending for Medicaid enrollees. © Health Research and Educational Trust.

Mapping telemedicine efforts: surveying regional initiatives in Denmark.

PubMed

Kierkegaard, Patrick

2015-05-01

The aim of this study is to survey telemedicine services currently in operation across Denmark. The study specifically seeks to answer the following questions: What initiatives are deployed within the different regions? What are the motivations behind the projects? What technologies are being utilized? What medical disciplines are being supported using telemedicine systems? All data were surveyed from the Telemedicinsk Landkort, a newly created database designed to provide a comprehensive and systematic overview of all telemedicine technologies in Denmark. The results of this study suggest that a growing numbers of telemedicine initiatives are currently in operation across Denmark but that considerable variations exist in terms of regional efforts as the number of operational telemedicine projects varied from region to region. The results of this study provide a timely picture of the factors that are shaping the telemedicine landscape of Denmark and suggest potential strategies to help policymakers increase and improve national telemedicine deployment.

Comparison of photovoltaic energy systems for the solar village

NASA Astrophysics Data System (ADS)

Piercefrench, Eric C.

1988-08-01

Three different solar photovoltaic (PV) energy systems are compared to determine if the electrical needs of a solar village could be supplied more economically by electricity generated by the sun than by existing utility companies. The solar village, a one square mile community of 900 homes and 50 businesses, would be located in a semi-remote area of the Arizona desert. A load survey is conducted and information on the solar PV industry is reviewed for equipment specifications, availability, and cost. Three specific PV designs, designated as Stand-Alone, Stand-Alone with interconnection, and Central Solar Plant, were created and then economically compared through present worth analysis against utility supplied electrical costs. A variety of technical issues, such as array protection, system configuration and operation, and practicability, are discussed for each design. The present worth analysis conclusively shows none of the solar PV designs could supply electricity to the solar village for less cost than utility supplied electricity, all other factors being equal. No construction on a solar village should begin until the cost of solar generated electricity is more competitive with electricity generated by coal, oil, and nuclear energy. However, research on ways to reduce solar PV equipment costs and on ways to complement solar PV energy, such as the use of solar thermal ponds for heating and cooling, should continue.

How does the New Cooperative Medical Scheme influence health service utilization? A study in two provinces in rural China.

PubMed

Yu, Baorong; Meng, Qingyue; Collins, Charles; Tolhurst, Rachel; Tang, Shenglan; Yan, Fei; Bogg, Lennart; Liu, Xiaoyun

2010-05-10

Many countries are developing health financing mechanisms to pursue the goal of universal coverage. In China, a rural health insurance system entitled New Cooperative Medical Scheme (NCMS) is being developed since 2003. Although there is concern about whether the NCMS will influence the serious situation of inequity in health service utilization in rural China, there is only limited evidence available. This paper aims to assess the utilisation of outpatient and inpatient services among different income groups and provinces under NCMS in rural China. Using multistage sampling processes, a cross-sectional household survey including 6,147 rural households and 22,636 individuals, was conducted in six counties in Shandong and Ningxia Provinces, China. Chi-square test, Poisson regression and log-linear regression were applied to analyze the association between NCMS and the utilization of outpatient and inpatient services and the length of stay for inpatients. Qualitative methods including individual interview and focus group discussion were applied to explain and complement the findings from the household survey. NCMS coverage was 95.9% in Shandong and 88.0% in Ningxia in 2006. NCMS membership had no significant association with outpatient service utilization regardless of income level and location.Inpatient service utilization has increased for the high income group under NCMS, but for the middle and low income, the change was not significant. Compared with non-members, NCMS members from Ningxia used inpatient services more frequently, while members from Shandong had a longer stay in hospital.High medical expenditure, low reimbursement rate and difference in NCMS policy design between regions were identified as the main reasons for the differences in health service utilization. Outpatient service utilization has not significantly changed under NCMS. Although utilization of inpatient service in general has increased under NCMS, people with high income tend to benefit more than the low income group. While providing financial protection against catastrophic medical expenditure is the principal focus of NCMS, this study recommends that outpatient services should be incorporated in future NCMS policy development. NCMS policy should also be more equity oriented to achieve its policy goal.

Cargo Logistics Airlift Systems Study (CLASS). Volume 5: Summary

NASA Technical Reports Server (NTRS)

Burby, R. J.; Kuhlman, W. H.

1980-01-01

Findings and conclusions derived during the study of freighter aircraft requirements to the year 2008 are summarized. These results represent the stepping off point for the much needed coordinated planning efforts by government agencies, the airlines, the users, and the aircraft manufacturers. The methodology utilized in the investigations is shown. The analysis of the current system encompassed evaluations of the past and current cargo markets and on sight surveys of airport and cargo terminals. The findings that resulted provided the basis for formulating the case study procedures, developing the future scenario, and developing the future cargo market demand.

Studies of the use of high-temperature nuclear heat from an HTGR for hydrogen production

NASA Technical Reports Server (NTRS)

Peterman, D. D.; Fontaine, R. W.; Quade, R. N.; Halvers, L. J.; Jahromi, A. M.

1975-01-01

The results of a study which surveyed various methods of hydrogen production using nuclear and fossil energy are presented. A description of these methods is provided, and efficiencies are calculated for each case. The process designs of systems that utilize the heat from a general atomic high temperature gas cooled reactor with a steam methane reformer and feed the reformer with substitute natural gas manufactured from coal, using reforming temperatures, are presented. The capital costs for these systems and the resultant hydrogen production price for these cases are discussed along with a research and development program.

Looking at patients' choices through the lens of expected utility: a critique and research agenda.

PubMed

Russell, Louise B; Schwartz, Alan

2012-01-01

The expected utility framework underlies much research in medical decision making. Because the framework requires decisions to be decomposed into probabilities of states and the values of those states, researchers have investigated the two components separately from each other and from patients' actual decisions. The authors propose that it would be productive to focus more research on the relationships among risk perceptions, outcome valuations, and choices in the same decision makers. They outline exploratory analyses based on two existing national surveys, the Medical Expenditure Panel Survey and the Joint Canada/United States Survey of Health.

Survey of gadolinium-based contrast agent utilization among the members of the Society for Pediatric Radiology: a Quality and Safety Committee report.

PubMed

Blumfield, Einat; Moore, Michael M; Drake, Mary K; Goodman, Thomas R; Lewis, Kristopher N; Meyer, Laura T; Ngo, Thang D; Sammet, Christina; Stanescu, Arta Luana; Swenson, David W; Slovis, Thomas L; Iyer, Ramesh S

2017-05-01

Gadolinium-based contrast agents (GBCAs) have been used for magnetic resonance (MR) imaging over the last three decades. Recent reports demonstrated gadolinium retention in patients' brains following intravenous administration. Since gadolinium is a highly toxic heavy metal, there is a potential for adverse effects from prolonged retention or deposition, particularly in children. For this reason, the Society (SPR) for Pediatric Radiology Quality and Safety committee conducted a survey to evaluate the current status of GBCAs usage among pediatric radiologists. To assess the usage of GBCAs among SPR members. An online 15-question survey was distributed to SPR members. Survey questions pertained to the type of GBCAs used, protocoling workflow, requirement of renal function or pregnancy tests, and various clinical indications for contrast-enhanced MRI examinations. A total of 163 survey responses were compiled (11.1% of survey invitations), the majority of these from academic institutions in the United States. Ninety-four percent reported that MR studies are always or usually protocoled by pediatric radiologists. The most common GBCA utilized by survey respondents were Eovist (60.7%), Ablavar (45.4%), Gadovist (38.7%), Magnevist (34.4%) and Dotarem (32.5%). For several clinical indications, survey responses regarding GBCA administration were concordant with American College of Radiology (ACR) Appropriateness Criteria, including seizures, headache and osteomyelitis. For other indications, including growth hormone deficiency and suspected vascular ring, survey responses revealed potential overutilization of GBCAs when compared to ACR recommendations. Survey results demonstrate that GBCAs are administered judiciously in children, yet there is an opportunity to improve their utilization with the goal of reducing potential future adverse effects.

3D Buried Utility Location Using A Marching-Cross-Section Algorithm for Multi-Sensor Data Fusion

PubMed Central

Dou, Qingxu; Wei, Lijun; Magee, Derek R.; Atkins, Phil R.; Chapman, David N.; Curioni, Giulio; Goddard, Kevin F.; Hayati, Farzad; Jenks, Hugo; Metje, Nicole; Muggleton, Jennifer; Pennock, Steve R.; Rustighi, Emiliano; Swingler, Steven G.; Rogers, Christopher D. F.; Cohn, Anthony G.

2016-01-01

We address the problem of accurately locating buried utility segments by fusing data from multiple sensors using a novel Marching-Cross-Section (MCS) algorithm. Five types of sensors are used in this work: Ground Penetrating Radar (GPR), Passive Magnetic Fields (PMF), Magnetic Gradiometer (MG), Low Frequency Electromagnetic Fields (LFEM) and Vibro-Acoustics (VA). As part of the MCS algorithm, a novel formulation of the extended Kalman Filter (EKF) is proposed for marching existing utility tracks from a scan cross-section (scs) to the next one; novel rules for initializing utilities based on hypothesized detections on the first scs and for associating predicted utility tracks with hypothesized detections in the following scss are introduced. Algorithms are proposed for generating virtual scan lines based on given hypothesized detections when different sensors do not share common scan lines, or when only the coordinates of the hypothesized detections are provided without any information of the actual survey scan lines. The performance of the proposed system is evaluated with both synthetic data and real data. The experimental results in this work demonstrate that the proposed MCS algorithm can locate multiple buried utility segments simultaneously, including both straight and curved utilities, and can separate intersecting segments. By using the probabilities of a hypothesized detection being a pipe or a cable together with its 3D coordinates, the MCS algorithm is able to discriminate a pipe and a cable close to each other. The MCS algorithm can be used for both post- and on-site processing. When it is used on site, the detected tracks on the current scs can help to determine the location and direction of the next scan line. The proposed “multi-utility multi-sensor” system has no limit to the number of buried utilities or the number of sensors, and the more sensor data used, the more buried utility segments can be detected with more accurate location and orientation. PMID:27827836

3D Buried Utility Location Using A Marching-Cross-Section Algorithm for Multi-Sensor Data Fusion.

PubMed

Dou, Qingxu; Wei, Lijun; Magee, Derek R; Atkins, Phil R; Chapman, David N; Curioni, Giulio; Goddard, Kevin F; Hayati, Farzad; Jenks, Hugo; Metje, Nicole; Muggleton, Jennifer; Pennock, Steve R; Rustighi, Emiliano; Swingler, Steven G; Rogers, Christopher D F; Cohn, Anthony G

2016-11-02

We address the problem of accurately locating buried utility segments by fusing data from multiple sensors using a novel Marching-Cross-Section (MCS) algorithm. Five types of sensors are used in this work: Ground Penetrating Radar (GPR), Passive Magnetic Fields (PMF), Magnetic Gradiometer (MG), Low Frequency Electromagnetic Fields (LFEM) and Vibro-Acoustics (VA). As part of the MCS algorithm, a novel formulation of the extended Kalman Filter (EKF) is proposed for marching existing utility tracks from a scan cross-section (scs) to the next one; novel rules for initializing utilities based on hypothesized detections on the first scs and for associating predicted utility tracks with hypothesized detections in the following scss are introduced. Algorithms are proposed for generating virtual scan lines based on given hypothesized detections when different sensors do not share common scan lines, or when only the coordinates of the hypothesized detections are provided without any information of the actual survey scan lines. The performance of the proposed system is evaluated with both synthetic data and real data. The experimental results in this work demonstrate that the proposed MCS algorithm can locate multiple buried utility segments simultaneously, including both straight and curved utilities, and can separate intersecting segments. By using the probabilities of a hypothesized detection being a pipe or a cable together with its 3D coordinates, the MCS algorithm is able to discriminate a pipe and a cable close to each other. The MCS algorithm can be used for both post- and on-site processing. When it is used on site, the detected tracks on the current scs can help to determine the location and direction of the next scan line. The proposed "multi-utility multi-sensor" system has no limit to the number of buried utilities or the number of sensors, and the more sensor data used, the more buried utility segments can be detected with more accurate location and orientation.

Interest and use of mental health and specialty behavioral medicine counseling in US primary care patients.

PubMed

Baron, Kelly G; Lattie, Emily; Ho, Joyce; Mohr, David C

2013-03-01

Counseling interventions have the potential to improve health and quality of life for primary care patients, but there are few studies describing the interest in and utilization of counseling among this patient population in the USA. The purpose of the study was to evaluate interest in mental health and specialty behavioral medicine counseling and predictors of utilization over 1 year among US primary care patients. Participants in this two-survey longitudinal study included 658 primary care patients in an urban US academic medical center (461 females, age M = 51.05, SD = 15.46 years). Retention rate was 61.2% at survey 2. Patient demographics, depression, anxiety, and interest in counseling services were assessed through a survey mailed 1 week following an outpatient appointment. Respondents to survey 1 were re-contacted 1 year later to assess. Interest and use of the following counseling services were evaluated in the relevant subgroups: mental health (the entire sample and patients with elevated anxiety and/or depression), health/lifestyle (overweight and obese participants), smoking cessation (current and occasional smokers), and pain management (participants with elevated daily pain ratings). At survey 1, 45.7% of the sample reported interest in mental health counseling, and 58.9% of the sample reported interest in behavioral medicine counseling. Among overweight or obese participants, 59.9% were interested in health/lifestyle counseling. Among smokers, 55.3% were interested in smoking cessation, and among participants with chronic pain, 33.8% were interest in pain management. Rates of utilization of services at survey 2 were 21.3% for mental health, 7.7% for health/lifestyle, 6.7% for smoking cessation, and 6.6% for pain management. Interest in receiving services at survey 1 was the strongest predictor of utilization. Results demonstrate high interest but low utilization over 1 year among US primary care patients. Identifying patients interested in counseling services and reducing barriers may help facilitate receipt of services for those with interest and need for behavioral treatments.

2011 Joplin, Missouri Tornado Experience, Mental Health Reactions, and Service Utilization: Cross-Sectional Assessments at Approximately 6 Months and 2.5 Years Post-Event.

PubMed

Houston, J Brian; Spialek, Matthew L; Stevens, Jordan; First, Jennifer; Mieseler, Vicky L; Pfefferbaum, Betty

2015-10-26

Introduction. On May 22, 2011 the deadliest tornado in the United States since 1947 struck Joplin, Missouri killing 161 people, injuring approximately 1,150 individuals, and causing approximately $2.8 billion in economic losses. Methods. This study examined the mental health effects of this event through a random digit dialing sample (N = 380) of Joplin adults at approximately 6 months post-disaster (Survey 1) and a purposive convenience sample (N = 438) of Joplin adults at approximately 2.5 years post-disaster (Survey 2). For both surveys we assessed tornado experience, posttraumatic stress, depression, mental health service utilization, and sociodemographics. For Survey 2 we also assessed social support and parent report of child strengths and difficulties. Results. Probable PTSD relevance was 12.63% at Survey 1 and 26.74% at Survey 2, while current depression prevalence was 20.82% at Survey 1 and 13.33% at Survey 2. Less education and more tornado experience was generally related to greater likelihood of experiencing probable PTSD and current depression for both surveys. Men and younger participants were more likely to report current depression at Survey 1. Low levels of social support (assessed only at Survey 2) were related to more probable PTSD and current depression. For both surveys, we observed low rates of mental health service utilization, and these rates were also low for participants reporting probable PTSD and current depression. At Survey 2 we assessed parent report of child (ages 4 to 17) strengths and difficulties and found that child difficulties were more frequent for younger children (ages 4 to 10) than older children (ages 11 to 17), and that parents reporting probable PTSD reported a greater frequency of children with borderline or abnormal difficulties. Discussion. Overall our results indicate that long-term (multi-year) community disaster mental health monitoring, assessment, referral, outreach, and services are needed following a major disaster like the 2011 Joplin tornado.

2011 Joplin, Missouri Tornado Experience, Mental Health Reactions, and Service Utilization: Cross-Sectional Assessments at Approximately 6 Months and 2.5 Years Post-Event

PubMed Central

Houston, J. Brian; Spialek, Matthew L.; Stevens, Jordan; First, Jennifer; Mieseler, Vicky L.; Pfefferbaum, Betty

2015-01-01

Introduction. On May 22, 2011 the deadliest tornado in the United States since 1947 struck Joplin, Missouri killing 161 people, injuring approximately 1,150 individuals, and causing approximately $2.8 billion in economic losses. Methods. This study examined the mental health effects of this event through a random digit dialing sample (N = 380) of Joplin adults at approximately 6 months post-disaster (Survey 1) and a purposive convenience sample (N = 438) of Joplin adults at approximately 2.5 years post-disaster (Survey 2). For both surveys we assessed tornado experience, posttraumatic stress, depression, mental health service utilization, and sociodemographics. For Survey 2 we also assessed social support and parent report of child strengths and difficulties. Results. Probable PTSD relevance was 12.63% at Survey 1 and 26.74% at Survey 2, while current depression prevalence was 20.82% at Survey 1 and 13.33% at Survey 2. Less education and more tornado experience was generally related to greater likelihood of experiencing probable PTSD and current depression for both surveys. Men and younger participants were more likely to report current depression at Survey 1. Low levels of social support (assessed only at Survey 2) were related to more probable PTSD and current depression. For both surveys, we observed low rates of mental health service utilization, and these rates were also low for participants reporting probable PTSD and current depression. At Survey 2 we assessed parent report of child (ages 4 to 17) strengths and difficulties and found that child difficulties were more frequent for younger children (ages 4 to 10) than older children (ages 11 to 17), and that parents reporting probable PTSD reported a greater frequency of children with borderline or abnormal difficulties. Discussion. Overall our results indicate that long-term (multi-year) community disaster mental health monitoring, assessment, referral, outreach, and services are needed following a major disaster like the 2011 Joplin tornado. PMID:26579331

A project-based geoscience curriculum: select examples

NASA Astrophysics Data System (ADS)

Brown, L. M.; Kelso, P. R.; White, R. J.; Rexroad, C. B.

2007-12-01

Principles of constructivist educational philosophy serve as a foundation for the recently completed National Science Foundation sponsored undergraduate curricular revision undertaken by the Geology Department of Lake Superior State University. We integrate lecture and laboratory sessions utilizing active learning strategies that focus on real-world geoscience experiences and problems. In this presentation, we discuss details of three research-like projects that require students to access original data, process and model the data using appropriate geological software, interpret and defend results, and disseminate results in reports, posters, and class presentations. The projects are from three upper division courses, Carbonate Systems, Sequence Stratigraphy, and Geophysical Systems, where teams of two to four students are presented with defined problems of durations ranging from a few weeks to an entire semester. Project goals and location, some background information, and specified dates and expectations for interim and final written and oral reports are provided to students. Some projects require the entire class to work on one data set, some require each team to be initially responsible for a portion of the project with teams ultimately merging data for interpretation and to arrive at final conclusions. Some projects require students to utilize data from appropriate geological web sites such as state geological surveys. Others require students to design surveys and utilize appropriate instruments of their choice for field data collection. Students learn usage and applications of appropriate geological software in compiling, processing, modeling, and interpreting data and preparing formal reports and presentations. Students uniformly report heightened interest and motivation when engaged in these projects. Our new curriculum has resulted in an increase in students" quantitative and interpretive skills along with dramatic improvement in communication and interpersonal skills related to group dynamics.

Identification of design features to enhance utilization and acceptance of systems for Internet-based decision support at the point of care.

PubMed Central

Gadd, C. S.; Baskaran, P.; Lobach, D. F.

1998-01-01

Extensive utilization of point-of-care decision support systems will be largely dependent on the development of user interaction capabilities that make them effective clinical tools in patient care settings. This research identified critical design features of point-of-care decision support systems that are preferred by physicians, through a multi-method formative evaluation of an evolving prototype of an Internet-based clinical decision support system. Clinicians used four versions of the system--each highlighting a different functionality. Surveys and qualitative evaluation methodologies assessed clinicians' perceptions regarding system usability and usefulness. Our analyses identified features that improve perceived usability, such as telegraphic representations of guideline-related information, facile navigation, and a forgiving, flexible interface. Users also preferred features that enhance usefulness and motivate use, such as an encounter documentation tool and the availability of physician instruction and patient education materials. In addition to identifying design features that are relevant to efforts to develop clinical systems for point-of-care decision support, this study demonstrates the value of combining quantitative and qualitative methods of formative evaluation with an iterative system development strategy to implement new information technology in complex clinical settings. Images Figure 1 PMID:9929188

Use of social media across US hospitals: descriptive analysis of adoption and utilization.

PubMed

Griffis, Heather M; Kilaru, Austin S; Werner, Rachel M; Asch, David A; Hershey, John C; Hill, Shawndra; Ha, Yoonhee P; Sellers, Allison; Mahoney, Kevin; Merchant, Raina M

2014-11-27

Use of social media has become widespread across the United States. Although businesses have invested in social media to engage consumers and promote products, less is known about the extent to which hospitals are using social media to interact with patients and promote health. The aim was to investigate the relationship between hospital social media extent of adoption and utilization relative to hospital characteristics. We conducted a cross-sectional review of hospital-related activity on 4 social media platforms: Facebook, Twitter, Yelp, and Foursquare. All US hospitals were included that reported complete data for the Centers for Medicare and Medicaid Services Hospital Consumer Assessment of Healthcare Providers and Systems survey and the American Hospital Association Annual Survey. We reviewed hospital social media webpages to determine the extent of adoption relative to hospital characteristics, including geographic region, urban designation, bed size, ownership type, and teaching status. Social media utilization was estimated from user activity specific to each social media platform, including number of Facebook likes, Twitter followers, Foursquare check-ins, and Yelp reviews. Adoption of social media varied across hospitals with 94.41% (3351/3371) having a Facebook page and 50.82% (1713/3371) having a Twitter account. A majority of hospitals had a Yelp page (99.14%, 3342/3371) and almost all hospitals had check-ins on Foursquare (99.41%, 3351/3371). Large, urban, private nonprofit, and teaching hospitals were more likely to have higher utilization of these accounts. Although most hospitals adopted at least one social media platform, utilization of social media varied according to several hospital characteristics. This preliminary investigation of social media adoption and utilization among US hospitals provides the framework for future studies investigating the effect of social media on patient outcomes, including links between social media use and the quality of hospital care and services.

Use of Social Media Across US Hospitals: Descriptive Analysis of Adoption and Utilization

PubMed Central

Griffis, Heather M; Kilaru, Austin S; Werner, Rachel M; Asch, David A; Hershey, John C; Hill, Shawndra; Ha, Yoonhee P; Sellers, Allison; Mahoney, Kevin

2014-01-01

Background Use of social media has become widespread across the United States. Although businesses have invested in social media to engage consumers and promote products, less is known about the extent to which hospitals are using social media to interact with patients and promote health. Objective The aim was to investigate the relationship between hospital social media extent of adoption and utilization relative to hospital characteristics. Methods We conducted a cross-sectional review of hospital-related activity on 4 social media platforms: Facebook, Twitter, Yelp, and Foursquare. All US hospitals were included that reported complete data for the Centers for Medicare and Medicaid Services Hospital Consumer Assessment of Healthcare Providers and Systems survey and the American Hospital Association Annual Survey. We reviewed hospital social media webpages to determine the extent of adoption relative to hospital characteristics, including geographic region, urban designation, bed size, ownership type, and teaching status. Social media utilization was estimated from user activity specific to each social media platform, including number of Facebook likes, Twitter followers, Foursquare check-ins, and Yelp reviews. Results Adoption of social media varied across hospitals with 94.41% (3351/3371) having a Facebook page and 50.82% (1713/3371) having a Twitter account. A majority of hospitals had a Yelp page (99.14%, 3342/3371) and almost all hospitals had check-ins on Foursquare (99.41%, 3351/3371). Large, urban, private nonprofit, and teaching hospitals were more likely to have higher utilization of these accounts. Conclusions Although most hospitals adopted at least one social media platform, utilization of social media varied according to several hospital characteristics. This preliminary investigation of social media adoption and utilization among US hospitals provides the framework for future studies investigating the effect of social media on patient outcomes, including links between social media use and the quality of hospital care and services. PMID:25431831

Use of high-resolution imagery acquired from an unmanned aircraft system for fluvial mapping and estimating water-surface velocity in rivers

NASA Astrophysics Data System (ADS)

Kinzel, P. J.; Bauer, M.; Feller, M.; Holmquist-Johnson, C.; Preston, T.

2013-12-01

The use of unmanned aircraft systems (UAS) for environmental monitoring in the United States is anticipated to increase in the coming years as the Federal Aviation Administration (FAA) further develops guidelines to permit their integration into the National Airspace System. The U.S. Geological Survey's (USGS) National Unmanned Aircraft Systems Project Office routinely obtains Certificates of Authorization from the FAA for utilizing UAS technology for a variety of natural resource applications for the U.S. Department of the Interior (DOI). We evaluated the use of a small UAS along two reaches of the Platte River near Overton Nebraska, USA, to determine the accuracy of the system for mapping the extent and elevation of emergent sandbars and to test the ability of a hovering UAS to identify and track tracers to estimate water-surface velocity. The UAS used in our study is the Honeywell Tarantula Hawk RQ16 (T-Hawk), developed for the U.S. Army as a reconnaissance and surveillance platform. The T-Hawk has been recently modified by USGS, and certified for airworthiness by the DOI - Office of Aviation Services, to accommodate a higher-resolution imaging payload than was originally deployed with the system. The T-Hawk is currently outfitted with a Canon PowerShot SX230 HS with a 12.1 megapixel resolution and intervalometer to record images at a user defined time step. To increase the accuracy of photogrammetric products, orthoimagery and DEMs using structure-from-motion (SFM) software, we utilized ground control points in the study reaches and acquired imagery using flight lines at various altitudes (200-400 feet above ground level) and oriented both parallel and perpendicular to the river. Our results show that the mean error in the elevations derived from SFM in the upstream reach was 17 centimeters and horizontal accuracy was 6 centimeters when compared to 4 randomly distributed targets surveyed on emergent sandbars. In addition to the targets, multiple transects were surveyed in the reaches for detailed cross-section comparisons to the photogrammetric surface model. When operating the T-Hawk in a hover and stare flight pattern, natural tracers (floating algae) were successfully detected for use in estimating water-surface velocity. A subsequent flight with the T-Hawk is planned this fall to evaluate the ability of the UAS system to detect geomorphic change between successive surveys. While the vertical accuracies and the spatial extent of the T-Hawk system are currently less than conventional airborne LiDAR mapping, further technical advancements could increase the accuracy of UAS products providing a relatively low-cost solution for monitoring project-scale river management activities at a high temporal resolution.

Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES).

PubMed

Kweon, Sanghui; Kim, Yuna; Jang, Myoung-jin; Kim, Yoonjung; Kim, Kirang; Choi, Sunhye; Chun, Chaemin; Khang, Young-Ho; Oh, Kyungwon

2014-02-01

The Korea National Health and Nutrition Examination Survey (KNHANES) is a national surveillance system that has been assessing the health and nutritional status of Koreans since 1998. Based on the National Health Promotion Act, the surveys have been conducted by the Korea Centers for Disease Control and Prevention (KCDC). This nationally representative cross-sectional survey includes approximately 10 000 individuals each year as a survey sample and collects information on socioeconomic status, health-related behaviours, quality of life, healthcare utilization, anthropometric measures, biochemical and clinical profiles for non-communicable diseases and dietary intakes with three component surveys: health interview, health examination and nutrition survey. The health interview and health examination are conducted by trained staff members, including physicians, medical technicians and health interviewers, at a mobile examination centre, and dieticians' visits to the homes of the study participants are followed up. KNHANES provides statistics for health-related policies in Korea, which also serve as the research infrastructure for studies on risk factors and diseases by supporting over 500 publications. KCDC has also supported researchers in Korea by providing annual workshops for data users. KCDC has published the Korea Health Statistics each year, and microdata are publicly available through the KNHANES website (http://knhanes.cdc.go.kr).

Datum maintenance of the main Egyptian geodetic control networks by utilizing Precise Point Positioning "PPP" technique

NASA Astrophysics Data System (ADS)

Rabah, Mostafa; Elmewafey, Mahmoud; Farahan, Magda H.

2016-06-01

A geodetic control network is the wire-frame or the skeleton on which continuous and consistent mapping, Geographic Information Systems (GIS), and surveys are based. Traditionally, geodetic control points are established as permanent physical monuments placed in the ground and precisely marked, located, and documented. With the development of satellite surveying methods and their availability and high degree of accuracy, a geodetic control network could be established by using GNSS and referred to an international terrestrial reference frame used as a three-dimensional geocentric reference system for a country. Based on this concept, in 1992, the Egypt Survey Authority (ESA) established two networks, namely High Accuracy Reference Network (HARN) and the National Agricultural Cadastral Network (NACN). To transfer the International Terrestrial Reference Frame to the HARN, the HARN was connected with four IGS stations. The processing results were 1:10,000,000 (Order A) for HARN and 1:1,000,000 (Order B) for NACN relative network accuracy standard between stations defined in ITRF1994 Epoch1996. Since 1996, ESA did not perform any updating or maintaining works for these networks. To see how non-performing maintenance degrading the values of the HARN and NACN, the available HARN and NACN stations in the Nile Delta were observed. The Processing of the tested part was done by CSRS-PPP Service based on utilizing Precise Point Positioning "PPP" and Trimble Business Center "TBC". The study shows the feasibility of Precise Point Positioning in updating the absolute positioning of the HARN network and its role in updating the reference frame (ITRF). The study also confirmed the necessity of the absent role of datum maintenance of Egypt networks.

Public status and prevalence of acupuncture in Japan.

PubMed

Ishizaki, Naoto; Yano, Tadashi; Kawakita, Kenji

2010-12-01

Acupuncture originated in China and is widespread throughout Asia. It is expected that a higher utilization of this remedy exists in these countries compared to Western countries. We conducted annual nationwide surveys from 2003 through 2006 on the utilization of acupuncture in Japan. Face-to-face interviews were conducted with 2000 individuals randomly chosen from the resident database. Annual utilization percentages, based on the number of respondents, from 2003 to 2006 were 6.5%, 4.8%, 6.4%, and 6.7%, respectively, while lifetime experiences determined in each surveys were estimated as 26.7, 19.4, 24.4 and 25.4, respectively. Respondents who had utilized acupuncture and/or moxibustion tended to be older than those who had no experience. Acupuncture was mainly used for musculoskeletal symptoms, and a detailed breakdown of the musculoskeletal symptoms identified in the 2005 survey showed 50.9% for low back pain, 35.9% for shoulder stiffness and 12.0% for knee pain. Reasons given for continuing therapy included the effective amelioration of symptoms, comfort of the procedure and low number of side-effects, while those who decided against continuing cited no improvement of symptoms, cost and lack of time for treatment. In conclusion, annual utilization of acupuncture and/or moxibustion was estimated at more than 6%, and the percentage of those with a lifetime experience was ∼25%, thus demonstrating the relatively higher utilization of the remedy in Japan over utilization in western countries. Application of the treatment for musculoskeletal problems and utilization by the older population were specific standouts of the use of acupuncture and/or moxibustion in Japan.

Can rural health insurance improve equity in health care utilization? a comparison between China and Vietnam

PubMed Central

2012-01-01

Introduction Health care financing reforms in both China and Vietnam have resulted in greater financial difficulties in accessing health care, especially for the rural poor. Both countries have been developing rural health insurance for decades. This study aims to evaluate and compare equity in access to health care in rural health insurance system in the two countries. Methods Household survey and qualitative study were conducted in 6 counties in China and 4 districts in Vietnam. Health insurance policy and its impact on utilization of outpatient and inpatient service were analyzed and compared to measure equity in access to health care. Results In China, Health insurance membership had no significant impact on outpatient service utilization, while was associated with higher utilization of inpatient services, especially for the higher income group. Health insurance members in Vietnam had higher utilization rates of both outpatient and inpatient services than the non-members, with higher use among the lower than higher income groups. Qualitative results show that bureaucratic obstacles, low reimbursement rates, and poor service quality were the main barriers for members to use health insurance. Conclusions China has achieved high population coverage rate over a short time period, starting with a limited benefit package. However, poor people have less benefit from NCMS in terms of health service utilization. Compared to China, Vietnam health insurance system is doing better in equity in health service utilization within the health insurance members. However with low population coverage, a large proportion of population cannot enjoy the health insurance benefit. Mutual learning would help China and Vietnam address these challenges, and improve their policy design to promote equitable and sustainable health insurance. PMID:22376290

Human impact surveys in Mount Rainier National Park : past, present, and future

Treesearch

Regina M. Rochefort; Darin D. Swinney

2000-01-01

Three survey methods were utilized to describe human impacts in one wilderness management zone of Mount Rainier National Park: wilderness impact cards, social trail and campsite surveys, and condition class surveys. Results were compared with respect to assessment of wilderness condition and ecological integrity. Qualitative wilderness impact cards provided location of...

The Palomar Transient Factory: High Quality Realtime Data Processing in a Cost-Constrained Environment

NASA Astrophysics Data System (ADS)

Surace, J.; Laher, R.; Masci, F.; Grillmair, C.; Helou, G.

2015-09-01

The Palomar Transient Factory (PTF) is a synoptic sky survey in operation since 2009. PTF utilizes a 7.1 square degree camera on the Palomar 48-inch Schmidt telescope to survey the sky primarily at a single wavelength (R-band) at a rate of 1000-3000 square degrees a night. The data are used to detect and study transient and moving objects such as gamma ray bursts, supernovae and asteroids, as well as variable phenomena such as quasars and Galactic stars. The data processing system at IPAC handles realtime processing and detection of transients, solar system object processing, high photometric precision processing and light curve generation, and long-term archiving and curation. This was developed under an extremely limited budget profile in an unusually agile development environment. Here we discuss the mechanics of this system and our overall development approach. Although a significant scientific installation in of itself, PTF also serves as the prototype for our next generation project, the Zwicky Transient Facility (ZTF). Beginning operations in 2017, ZTF will feature a 50 square degree camera which will enable scanning of the entire northern visible sky every night. ZTF in turn will serve as a stepping stone to the Large Synoptic Survey Telescope (LSST), a major NSF facility scheduled to begin operations in the early 2020s.

Computational needs survey of NASA automation and robotics missions. Volume 1: Survey and results

NASA Technical Reports Server (NTRS)

Davis, Gloria J.

1991-01-01

NASA's operational use of advanced processor technology in space systems lags behind its commercial development by more than eight years. One of the factors contributing to this is that mission computing requirements are frequently unknown, unstated, misrepresented, or simply not available in a timely manner. NASA must provide clear common requirements to make better use of available technology, to cut development lead time on deployable architectures, and to increase the utilization of new technology. A preliminary set of advanced mission computational processing requirements of automation and robotics (A&R) systems are provided for use by NASA, industry, and academic communities. These results were obtained in an assessment of the computational needs of current projects throughout NASA. The high percent of responses indicated a general need for enhanced computational capabilities beyond the currently available 80386 and 68020 processor technology. Because of the need for faster processors and more memory, 90 percent of the polled automation projects have reduced or will reduce the scope of their implementation capabilities. The requirements are presented with respect to their targeted environment, identifying the applications required, system performance levels necessary to support them, and the degree to which they are met with typical programmatic constraints. Volume one includes the survey and results. Volume two contains the appendixes.

Different Patterns of Student-Faculty Interaction in Research Universities: An Analysis by Student Gender, Race, SES, and First-Generation Status. A Student Experience in the Research University (SERU) Project Research Paper. Research & Occasional Paper Series: CSHE.10.07

ERIC Educational Resources Information Center

Kim, Young K.; Sax, Linda J.

2007-01-01

This study examined the conditional effects of student-faculty interaction in a large research university system, based on various student characteristics including gender, race, and socio-economic and first-generation status. The study utilized data from the 2006 University of California Undergraduate Experience Survey (UCUES), a longitudinal…

New horizons. [assessment of technology developed and utilized under various NASA programs

NASA Technical Reports Server (NTRS)

1975-01-01

The contribution of space exploration and space related research to the future of man and the accomplishments of the space program are assessed. Topics discussed include: the role of applications satellites in crop surveillance, land use surveys, weather forecasting, education, communications, and pollution monitoring; planetary studies which examine the origin and evolution of the solar system, including dynamic processes that bear directly on earth's environment; and fuel conservation and development of new energy sources.

Essential Steps for Web Surveys: A Guide to Designing, Administering and Utilizing Web Surveys for University Decision-Making. Professional File. Number 102, Winter 2006

ERIC Educational Resources Information Center

Cheskis-Gold, Rena; Loescher, Ruth; Shepard-Rabadam, Elizabeth; Carroll, Barbara

2006-01-01

During the past few years, several Harvard paper surveys were converted to Web surveys. These were high-profile surveys endorsed by the Provost and the Dean of the College, and covered major portions of the university population (all undergraduates, all graduate students, tenured and non-tenured faculty). When planning for these surveys started in…

Water governance within Kenya's Upper Ewaso Ng'iro Basin: Assessing the performance of water projects

NASA Astrophysics Data System (ADS)

McCord, P. F.; Evans, T. P.; Dell'Angelo, J.; Gower, D.; McBride, L.; Caylor, K. K.

2013-12-01

Climate change processes are projected to change the availability and seasonality of streamflow with dramatic implications for irrigated agricultural systems. Within mountain environments, this alteration in water availability may be quite pronounced over a relatively short distance as upstream users with first access to river water directly impact the availability of water to downstream users. Livelihood systems that directly depend on river water for both domestic consumption and practices such as irrigated agriculture are particularly vulnerable. The Mount Kenya region is an exemplary case of a semi-arid upstream-downstream system in which water availability rapidly decreases and directly impacts the livelihoods of river water users existing across this steep environmental gradient. To effectively manage river water within these water-scarce environs, water projects have been established along the major rivers of the Mount Kenya region. These water projects are responsible for managing water within discrete sub-catchments of the region. While water projects develop rules that encourage the responsible use of water and maintenance of the project itself, the efficiency of water allocation to the projects' members remains unclear. This research analyzes water projects from five sub-catchments on the northwest slopes of Mount Kenya. It utilizes data from household surveys and water project management surveys as well as stream gauge data and flow measurements within individual water projects to assess the governance structure and performance of water projects. The performance of water projects is measured through a variety of household level metrics including: farm-level water flow and volume over time, mean and variability in maize yield, per capita crop productivity, household-level satisfaction with water availability, number of days where water volume was insufficient for irrigation, and quantity harvested compared with expected quantity harvested. We present results demonstrating the heterogeneity of these individual measures and discuss the influence of topography, network design, household behaviors and water governance on the overall performance of these water projects. This work is the foundation for an agent-based model of these water projects that investigates the impact of climate change and population pressure on sustained agricultural production in the region. Additionally, the study highlights the utility of pairing distinct fields of scholarship by utilizing both survey responses and hydrological data to study complex social-ecological systems. This pairing allows for insights regarding governance structures that are effectively managing river water in the present and helps to understand the structures that may be suitable for future water management.

e-Cigarette Awareness, Use, and Harm Perceptions in US Adults

PubMed Central

Richardson, Amanda; Niaura, Raymond S.; Vallone, Donna M.; Abrams, David B.

2012-01-01

Objectives. We estimated e-cigarette (electronic nicotine delivery system) awareness, use, and harm perceptions among US adults. Methods. We drew data from 2 surveys conducted in 2010: a national online study (n = 2649) and the Legacy Longitudinal Smoker Cohort (n = 3658). We used multivariable models to examine e-cigarette awareness, use, and harm perceptions. Results. In the online survey, 40.2% (95% confidence interval [CI] = 37.3, 43.1) had heard of e-cigarettes, with awareness highest among current smokers. Utilization was higher among current smokers (11.4%; 95% CI = 9.3, 14.0) than in the total population (3.4%; 95% CI = 2.6, 4.2), with 2.0% (95% CI = 1.0, 3.8) of former smokers and 0.8% (95% CI = 0.35, 1.7) of never-smokers ever using e-cigarettes. In both surveys, non-Hispanic Whites, current smokers, young adults, and those with at least a high-school diploma were most likely to perceive e-cigarettes as less harmful than regular cigarettes. Conclusions. Awareness of e-cigarettes is high, and use among current and former smokers is evident. We recommend product regulation and careful surveillance to monitor public health impact and emerging utilization patterns, and to ascertain why, how, and under what conditions e-cigarettes are being used. PMID:22813087

IKONOS geometric characterization

USGS Publications Warehouse

Helder, Dennis; Coan, Michael; Patrick, Kevin; Gaska, Peter

2003-01-01

The IKONOS spacecraft acquired images on July 3, 17, and 25, and August 13, 2001 of Brookings SD, a small city in east central South Dakota, and on May 22, June 30, and July 30, 2000, of the rural area around the EROS Data Center. South Dakota State University (SDSU) evaluated the Brookings scenes and the USGS EROS Data Center (EDC) evaluated the other scenes. The images evaluated by SDSU utilized various natural objects and man-made features as identifiable targets randomly distribution throughout the scenes, while the images evaluated by EDC utilized pre-marked artificial points (panel points) to provide the best possible targets distributed in a grid pattern. Space Imaging provided products at different processing levels to each institution. For each scene, the pixel (line, sample) locations of the various targets were compared to field observed, survey-grade Global Positioning System locations. Patterns of error distribution for each product were plotted, and a variety of statistical statements of accuracy are made. The IKONOS sensor also acquired 12 pairs of stereo images of globally distributed scenes between April 2000 and April 2001. For each scene, analysts at the National Imagery and Mapping Agency (NIMA) compared derived photogrammetric coordinates to their corresponding NIMA field-surveyed ground control point (GCPs). NIMA analysts determined horizontal and vertical accuracies by averaging the differences between the derived photogrammetric points and the field-surveyed GCPs for all 12 stereo pairs. Patterns of error distribution for each scene are presented.

Fault Location Based on Synchronized Measurements: A Comprehensive Survey

PubMed Central

Al-Mohammed, A. H.; Abido, M. A.

2014-01-01

This paper presents a comprehensive survey on transmission and distribution fault location algorithms that utilize synchronized measurements. Algorithms based on two-end synchronized measurements and fault location algorithms on three-terminal and multiterminal lines are reviewed. Series capacitors equipped with metal oxide varistors (MOVs), when set on a transmission line, create certain problems for line fault locators and, therefore, fault location on series-compensated lines is discussed. The paper reports the work carried out on adaptive fault location algorithms aiming at achieving better fault location accuracy. Work associated with fault location on power system networks, although limited, is also summarized. Additionally, the nonstandard high-frequency-related fault location techniques based on wavelet transform are discussed. Finally, the paper highlights the area for future research. PMID:24701191

APPLICATION OF AUDIO-MAGNETOTELLURIC SURVEYS ON SAO MIGUEL ISLAND, AZORES PORTUGAL.

USGS Publications Warehouse

Hoover, Donald; Rodrigues Da Silva, A.; Pierce, Herbert A.; Amaral, Roberto

1984-01-01

Geothermal exploration and development has been under way on Sao Miguel Island, Azores since 1975. This work had been restricted to the Fogo volcano, one of three dormant silicic volcanic centers on the island. The USGS in 1982 and 1983 conducted reconnaissance natural-source audio-magnetotelluric (AMT) surveys of all three silicic centers to evaluate the potential for geothermal systems at each and to demonstrate the utility of the method in areas of difficult terrain. Results on Fogo showed a low resistivity trend extending from the present production area upslope to the caldera boundary. The upper part of this trend is the upwelling zone of a thermal plume which supplies the production area. Further exploration and drilling are now planned for this area.

Pharmacy students' use and perceptions of Apple mobile devices incorporated into a basic health science laboratory.

PubMed

Bryant, Jennifer E; Richard, Craig A H

To describe pharmacy students' use of mobile devices in a basic health science laboratory and to report the students' perceptions on how solving cases with their mobile devices influenced their attitudes, abilities, and view on the use of mobile devices as tools for pharmacists. First-year pharmacy students utilized mobile devices to solve clinical case studies in a basic health sciences laboratory. A pre-survey and two post-surveys were administered to assess the students' comfort, awareness, use, and perceptions on the use of their mobile devices and apps. The pre-survey and first post-survey each had a response rate of 99%, and the second post-survey had a response rate of 100%. In comparing the pre-survey and first post-survey data, there was a statistically significant increase in the number of students that agreed or strongly agreed that they were more comfortable utilizing their mobile device (p = 0.025), they were more aware of apps for pharmacists (p < 0.005), and they have used more apps that can be useful for pharmacists (p < 0.005). The second post-survey demonstrated that over 78% of students agreed or strongly agreed that completing the case studies influenced them to be more comfortable with their mobile devices, to be more aware of apps that can be useful for pharmacists, and to be more agreeable with mobile device utilization by pharmacists in improving patient care. In addition, the second post-survey also demonstrated that 84% of students responded that using their mobile devices to solve the cases influenced them to either use their mobile device in a clinical setting for a clinical and/or pharmacy-related purpose for the first time or to use it more frequently for this purpose. The use of mobile devices to solve clinical cases in a first-year basic health science laboratory course was perceived as beneficial by students and influenced them to utilize their mobile device even more in a pharmacy practice setting. Copyright © 2016 Elsevier Inc. All rights reserved.

Palm oil mill effluent treatment and utilization to ensure the sustainability of palm oil industries.

PubMed

Hasanudin, U; Sugiharto, R; Haryanto, A; Setiadi, T; Fujie, K

2015-01-01

The purpose of this study was to evaluate the current condition of palm oil mill effluent (POME) treatment and utilization and to propose alternative scenarios to improve the sustainability of palm oil industries. The research was conducted through field survey at some palm oil mills in Indonesia, in which different waste management systems were used. Laboratory experiment was also carried out using a 5 m(3) pilot-scale wet anaerobic digester. Currently, POME is treated through anaerobic digestion without or with methane capture followed by utilization of treated POME as liquid fertilizer or further treatment (aerobic process) to fulfill the wastewater quality standard. A methane capturing system was estimated to successfully produce renewable energy of about 25.4-40.7 kWh/ton of fresh fruit bunches (FFBs) and reduce greenhouse gas (GHG) emissions by about 109.41-175.35 kgCO2e/tonFFB (CO2e: carbon dioxide equivalent). Utilization of treated POME as liquid fertilizer increased FFB production by about 13%. A palm oil mill with 45 ton FFB/hour capacity has potential to generate about 0.95-1.52 MW of electricity. Coupling the POME-based biogas digester and anaerobic co-composting of empty fruit bunches (EFBs) is capable of adding another 0.93 MW. The utilization of POME and EFB not only increases the added value of POME and EFB by producing renewable energy, compost, and liquid fertilizer, but also lowers environmental burden.

Evaluating Several Hundred Predictors for Suspended Particulate Matter in the Northern Gulf of Mexico Using Inherent and Apparent Optical Properties & Considering Their Applicability for Use With Bathymetric Lidar Surveys

NASA Astrophysics Data System (ADS)

Epps, S. A.

2017-12-01

Suspended particulate matter (SPM) is an important agent in generating marine light conditions which in turn have strong influences on biogeochemical systems. SPM also behaves as a vehicle for contaminant migration and is of interest to the estimation of bulk material transport in the marine environment. The measurement of inherent optical properties (IOPs) and apparent optical properties (AOPs) is becoming increasingly important in the prediction of SPM concentration. To more fully utilize data generated in bathymetric lidar surveys, modern systems such as CZMIL (the Coastal Zone Mapping Imaging LIDAR) include a hyperspectral sensor to collect data necessary for remote sensing reflectance (Rrs), an AOP. Some IOPs can be estimated can be estimated from Rrs. Additionally, a bathymetric lidar return signal contains both absorption and backscattering components (IOPs) at 532 nm which may be utilized for SPM prediction. This research utilizes IOP measurements using AC-9, AC-S, BB-9, and LISST-100X-B sensors deployed in the Northern Gulf of Mexico concurrent with SPM collection via filtration. Concomitant Rrs values were collected using a hand held hyperspectral sensor. Several hundred linearly regressed single-parameter estimates are created to predict SPM concentration using the IOPs attenuation, total scatter, backscatter, absorption and significant amalgamations thereof. Multiple wavelengths of light are analyzed for each IOP or IOP combination. Consideration is given to the suitability of each IOP type to SPM concentration prediction. Several criteria are assessed to winnow out the best predictors. These include sensor, data, and environmental limitations. The quantitative analyses of this research assist to identify the best types of IOPs (and wavelengths) for SPM prediction. Rrs at multiple wavelengths is also considered for SPM prediction. This research is focused on the functionality of IOP and AOP based SPM concentration predictions made available from the data products of bathymetric lidar surveys. It has applications for researchers with interest in IOPs, AOPs and SPM. There are also implications for monitoring estuarine, coastal, and offshore environments using bathymetric lidar and in-situ optical sensor suites to estimate SPM.

Challenge of Fetal Mortality

MedlinePlus

... on Vital and Health Statistics Annual Reports Health Survey Research Methods Conference Reports from the National Medical Care Utilization and Expenditure Survey Clearinghouse on Health Indexes Statistical Notes for Health ...

Using Systems Theory to Examine Patient and Nurse Structures, Processes, and Outcomes in Centralized and Decentralized Units.

PubMed

Real, Kevin; Fay, Lindsey; Isaacs, Kathy; Carll-White, Allison; Schadler, Aric

2018-01-01

This study utilizes systems theory to understand how changes to physical design structures impact communication processes and patient and staff design-related outcomes. Many scholars and researchers have noted the importance of communication and teamwork for patient care quality. Few studies have examined changes to nursing station design within a systems theory framework. This study employed a multimethod, before-and-after, quasi-experimental research design. Nurses completed surveys in centralized units and later in decentralized units ( N = 26 pre , N = 51 post ). Patients completed surveys ( N = 62 pre ) in centralized units and later in decentralized units ( N = 49 post ). Surveys included quantitative measures and qualitative open-ended responses. Patients preferred the decentralized units because of larger single-occupancy rooms, greater privacy/confidentiality, and overall satisfaction with design. Nurses had a more complex response. Nurses approved the patient rooms, unit environment, and noise levels in decentralized units. However, they reported reduced access to support spaces, lower levels of team/mentoring communication, and less satisfaction with design than in centralized units. Qualitative findings supported these results. Nurses were more positive about centralized units and patients were more positive toward decentralized units. The results of this study suggest a need to understand how system components operate in concert. A major contribution of this study is the inclusion of patient satisfaction with design, an important yet overlooked fact in patient satisfaction. Healthcare design researchers and practitioners may consider how changing system interdependencies can lead to unexpected changes to communication processes and system outcomes in complex systems.

Organs-on-a-chip: a focus on compartmentalized microdevices.

PubMed

Moraes, Christopher; Mehta, Geeta; Lesher-Perez, Sasha Cai; Takayama, Shuichi

2012-06-01

Advances in microengineering technologies have enabled a variety of insights into biomedical sciences that would not have been possible with conventional techniques. Engineering microenvironments that simulate in vivo organ systems may provide critical insight into the cellular basis for pathophysiologies, development, and homeostasis in various organs, while curtailing the high experimental costs and complexities associated with in vivo studies. In this article, we aim to survey recent attempts to extend tissue-engineered platforms toward simulating organ structure and function, and discuss the various approaches and technologies utilized in these systems. We specifically focus on microtechnologies that exploit phenomena associated with compartmentalization to create model culture systems that better represent the in vivo organ microenvironment.

Gliding in convection currents

NASA Technical Reports Server (NTRS)

Georgii, W

1935-01-01

A survey of the possibilities of gliding in convection currents reveals that heretofore only the most simple kind of ascending convection currents, that is, the "thermic" of insolation, has been utilized to any extent. With the increasing experience in gliding, the utilization of the peculiar nature of the "wind thermic" and increased glider speed promises further advances. Evening, ocean, and height "thermic" are still in the exploration stage, and therefore not amenable to survey in their effects.

The impact of different scenarios for intermittent bladder catheterization on health state utilities: results from an internet-based time trade-off survey.

PubMed

Averbeck, Márcio Augusto; Krassioukov, Andrei; Thiruchelvam, Nikesh; Madersbacher, Helmut; Bøgelund, Mette; Igawa, Yasuhiko

2018-06-08

Intermittent catheterization (IC) is the gold standard for bladder management in patients with chronic urinary retention. Despite its medical benefits, IC-users experience a negative impact on their quality of life (QoL). For health economics based decision making, this impact is normally measured using generic QoL measures (such as EQ-5D) that estimate a single utility score which can be used to calculate Quality-Adjusted Life Years (QALYs). But these generic measures may not be sensitive to all relevant aspects of QoL affected by intermittent catheters. This study used alternative methods to estimate the health state utilities associated with different scenarios: using a multiple-use catheter, one-time-use catheter, pre-lubricated one-time-use catheter, and pre-lubricated one-time-use catheter with one less urinary tract infection (UTI) per year. Health state utilities were elicited through an internet-based Time Trade-Off (TTO) survey in adult volunteers representing the general population in Canada and the UK. Health states were developed to represent the catheters based on the following four attributes: steps and time needed for IC process, pain and the frequency of UTIs. The survey was completed by 956 respondents. One-time-use catheters, pre-lubricated one-time-use catheters and ready-to-use catheters were preferred to multiple-use catheters. The utility gains were associated with the following features: one-time-use (Canada: +0.013, UK: +0.021), ready-to-use (all: +0.017), and one less UTI/year (all: +0.011). Internet-based survey responders may have valued health states differently than the rest of the population: this might be a source of bias. Steps and time needed for the IC process, pain related to IC, and the frequency of UTIs have a significant impact on IC related utilities. These values could be incorporated into a cost utility analysis.

A strategy to assist management in workforce engagement and employee retention in the high tech engineering environment.

PubMed

Kennedy, Elizabeth; Daim, Tugrul U

2010-11-01

Many companies use survey methods in an attempt to gauge employees' attitudes and opinions toward the company. These attitudes and opinions are directly related to an employee's engagement within the company. In many instances, employees wait in vain for the survey response and the subsequent employer actions, but the truth is sometimes management does not know what to do with the results. For this reason, we theorize that this type of survey, typically utilizing the Likert-scale, is not adequately assisting management in addressing employee engagement and retention issues. For instance, in many occasions, once the survey results are tabulated, companies are doing little or nothing to address the issues. In fact, far too many companies make the mistake of conducting employee engagement surveys, and then ignore the answers. Thus, we propose that a company should take advantage of the survey results, and utilize them to provide data to bridge employees' needs and goals with stakeholders' responsibilities and goals by refining and incorporating them into a hierarchical decision model (HDM). Thus, this would essentially be utilizing the quantitative data to determine what to measure qualitatively. We use a case from the high tech industry, specifically focusing on the engineering environment. Engineering environments are known to be more creative and such approaches would be more beneficial. Copyright (c) 2009 Elsevier Ltd. All rights reserved.

Water Utility Lime Sludge Reuse – An Environmental Sorbent ...

EPA Pesticide Factsheets

Lime sludge can be used as an environmental sorbent to remove sulfur dioxide (SO2) and acid gases, by the ultra-fine CaCO3 particles, and to sequester mercury and other heavy metals, by the Natural Organic Matter and residual activated carbon. The laboratory experimental set up included a simulated flue gas preparation unit, a lab-scale wet scrubber, and a mercury analyzer system. The influent mercury concentration was based on a range from 22 surveyed power plants. The reactivity of the lime sludge sample for acid neutralization was determined using a method similar to method ASTM C1318-95. Similar experiments were conducted using reagent calcium carbonate and calcium sulfate to obtain baseline data for comparing with the lime sludge test results. The project also evaluated the techno-economic feasibility and sustainable benefits of reusing lime softening sludge. If implemented on a large scale, this transformative approach for recycling waste materials from water treatment utilities at power generation utilities for environmental cleanup can save both water and power utilities millions of dollars. Huge amounts of lime sludge waste, generated from hundreds of water treatment utilities across the U.S., is currently disposed in landfills. This project evaluated a sustainable and economically-attractive approach to the use of lime sludge waste as a valuable resource for power generation utilities.

2016 End of the year South Carolina PV soft cost and workforce development

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

Fox, Elise B.; Edwards, Thomas B.; Drory, Michael D.

2017-08-16

A solar industry survey was given to professional installers who serve the South Carolina market in order to determine trends in costing, work force needs, and business demographics at the end of 2016. It was found that 70% of the respondents serve the residential sector, while only 7% of the total exclusively serves the residential market. The average size of residential installations remain near 9 kW-DC, while the average size of commercial and utility scale installations continue to grow to 378 kW-DC and 14.8 MW-DC, respectively. The total cost of these residential systems has hovered around $3.50/W-DC since the endmore » of 2015, while commercial installations have dropped to $2.45/W-DC and utility scale installations have dropped to $1.49/W-DC. It is expected that the cost of utility scale installations will continue to drop as there are publically reported utility scale installations with contracted PPAs for less than 4¢/kWh. 52-60% of the cost is associated with hardware only depending upon sector.« less

2016 Alabama PV soft cost and workforce development

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

Fox, E.; Edwards, T.

The Southeastern US has the largest potential for growth in the solar industry. However, currently they languish behind the rest of the US. There are several bright spots including the large number of utility scale installations in North Carolina and the recent successes in South Carolina under Act 236. In order to better understand the impacts of state legislation on the growth of the solar industry in the SE US, the Savannah River National Laboratory has undertaken a study to look at the growth in each state in order to develop recommendations to help reduce the cost of solar andmore » to spur the industry. This is the second report in the series. The first focused on developing cost metrics for South Carolina under Act 236. This report focuses on Alabama, the 49th ranked state for solar business, which has very similar population and median income to South Carolina. For this survey, the ten known in-state installers were contacted. Responses were received from seven, representing 70% of the installers, a majority of which provide both residential and commercial installations. Interestingly, none of the respondents serve the utility scale sector. Overall, costs for Alabama are on track with the rest of the country with a reported average cost of $3.29/W-DC for residential systems and $2.44/W-DC for commercial systems. 60% of this cost is attributed to hardware only. Of the remaining costs, installation contributed to the largest percentage of soft costs followed by overhead, marketing and sales, and permitting, respectively. This also closely mirrors results seen in South Carolina. Job growth in the industry is expected to proceed well. An expected 34-42 additional full time equivalent jobs were expected to be added in Alabama within the six month window following the survey period. During the three years following the survey, this number was expected to double with 89-97 additional jobs being added to the market. In both cases, a vast majority of these jobs were for installation professionals and electricians. Despite the cost of solar, the industry continues to struggle in Alabama, largely due to the absence of any statewide net metering legislation. By current best estimates, there are over 60 residential installations statewide; however, this number is difficult to track due to the lack of a State authority keeping a consolidated list of grid connected distributed power systems. In South Carolina, the Energy Office tracks and reports grid connected distributed power systems by all Cooperatives and utilities. In Alabama, the Energy Office does not fulfill this role and data must be collected directly from each utility and cooperative, which makes collection and analysis difficult. Having a central state agency track this information would be extremely useful towards developing state policy recommendations, particularly if net metering were enabled within the state.« less

Horizontal inequity in public health care service utilization for non-communicable diseases in urban Vietnam

PubMed Central

Kien, Vu Duy; Van Minh, Hoang; Giang, Kim Bao; Weinehall, Lars; Ng, Nawi

2014-01-01

Background A health system that provides equitable health care is a principal goal in many countries. Measuring horizontal inequity (HI) in health care utilization is important to develop appropriate and equitable public policies, especially policies related to non-communicable diseases (NCDs). Design A cross-sectional survey of 1,211 randomly selected households in slum and non-slum areas was carried out in four urban districts of Hanoi city in 2013. This study utilized data from 3,736 individuals aged 15 years and older. Respondents were asked about health care use during the previous 12 months; information included sex, age, and self-reported NCDs. We assessed the extent of inequity in utilization of public health care services. Concentration indexes for health care utilization and health care needs were constructed via probit regression of individual utilization of public health care services, controlling for age, sex, and NCDs. In addition, concentration indexes were decomposed to identify factors contributing to inequalities in health care utilization. Results The proportion of healthcare utilization in the slum and non-slum areas was 21.4 and 26.9%, respectively. HI in health care utilization in favor of the rich was observed in the slum areas, whereas horizontal equity was achieved among the non-slum areas. In the slum areas, we identified some key factors that affect the utilization of public health care services. Conclusion Our results suggest that to achieve horizontal equity in utilization of public health care services, policy should target preventive interventions for NCDs, focusing more on the poor in slum areas. PMID:25095780

Report: Survey Results on Information Used by Water Utilities to Conduct Vulnerability Assessments

EPA Pesticide Factsheets

Report #2004-M-0001, November 21, 2003. EPA developed a Strategic Plan for Homeland Security (Plan), dated Sept 2002, which states that EPA will work with the States, tribes, drinking water utilities, and others to enhance the security of water utilities.

77 FR 5751 - Marine Recreational Fisheries of the United States; National Saltwater Angler Registry and State...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-06

... in carrying out surveys, it may be appropriate to utilize survey designs in USVI that are different... State under the qualifying regional survey option of the rule; and clarify and update various provisions... be designated as an Exempted State under the qualifying regional survey option of the rule; and (4...

Evolutionary Technologies: Fundamentals and Applications to Information/Communication Systems and Manufacturing/Logistics Systems

NASA Astrophysics Data System (ADS)

Gen, Mitsuo; Kawakami, Hiroshi; Tsujimura, Yasuhiro; Handa, Hisashi; Lin, Lin; Okamoto, Azuma

As efficient utilization of computational resources is increasing, evolutionary technology based on the Genetic Algorithm (GA), Genetic Programming (GP), Evolution Strategy (ES) and other Evolutionary Computations (ECs) is making rapid progress, and its social recognition and the need as applied technology are increasing. This is explained by the facts that EC offers higher robustness for knowledge information processing systems, intelligent production and logistics systems, most advanced production scheduling and other various real-world problems compared to the approaches based on conventional theories, and EC ensures flexible applicability and usefulness for any unknown system environment even in a case where accurate mathematical modeling fails in the formulation. In this paper, we provide a comprehensive survey of the current state-of-the-art in the fundamentals and applications of evolutionary technologies.

Investigation of Air Transportation Technology at Ohio University, 1989-1990

NASA Technical Reports Server (NTRS)

Lilley, Robert W.

1990-01-01

The activities of the participants in the Joint University Program (JUP) at Ohio University are briefly surveyed. During 1989 to 1990, five topics received emphasis. A spectrum-efficient weather data uplink system was designed, constructed, and flight tested. An integrated Global Positioning System/Inertial Navigation System (GPS/INS) study continued, utilizing the Redundant strapdown Inertial Measurement Unit (IMU) on loan from NASA. The Ridge Regression theory was refined and applied to air navigation scenarios. System Identification theory was applied to GPS data to point the way to better understanding of the effects of Selective Availability on civilian users of this navigation system. An analysis of thought-related (electroencephalographic) signals for application to control of computer systems that could have significance in aiding paraplegics or for hands-off systems control in industrial or air traffic control areas was carried out.

OTEC riser cable system, Phase II: conceptual design

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

Not Available

1980-10-01

Studies are summarized of conceptual designs of riser cable systems for OTEC pilot plants of both the spar and plantship configurations located at sites off the southeast coast of Puerto Rico. The studies utilize a baseline pilot plant riser cable, the design of which has been developed and reported on in other reports. Baseline riser cable systems for OTEC pilot plants are identified, system hardware consistent with these designs are conceptualized, and comparisons of the various system concepts are provided. It is concluded that there are three riser cable systems feasible for a spar pilot plant platform at the Puntamore » Yeguas site, and two riser cable systems feasible at the plantship pilot plant at the Punta Tuna site. Recommendations for further investigations in the areas of materials, hardware design and pre-installation site surveys are also addressed.« less

Death in the United States, 2011

MedlinePlus

... on Vital and Health Statistics Annual Reports Health Survey Research Methods Conference Reports from the National Medical Care Utilization and Expenditure Survey Clearinghouse on Health Indexes Statistical Notes for Health ...

Particulate matter emissions from combustion of wood in district heating applications

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

Ghafghazi, S.; Sowlati, T.; Sokhansanj, Shahabaddine

2011-01-01

The utilization of wood biomass to generate district heat and power in communities that have access to this energy source is increasing. In this paper the effect of wood fuel properties, combustion condition, and flue gas cleaning system on variation in the amount and formation of particles in the flue gas of typical district heating wood boilers are discussed based on the literature survey. Direct measurements of particulate matter (PM) emissions from wood boilers with district heating applications are reviewed and presented. Finally, recommendations are given regarding the selection of wood fuel, combustion system condition, and flue gas cleaning systemmore » in district heating systems in order to meet stringent air quality standards. It is concluded that utilization of high quality wood fuel, such as wood pellets produced from natural, uncontaminated stem wood, would generate the least PM emissions compared to other wood fuel types. Particulate matter emissions from grate burners equipped with electrostatic precipitators when using wood pellets can be well below stringent regulatory emission limit such as particulate emission limit of Metro Vancouver, Canada.« less

[Prescribed and reported drug use during pregnancy].

PubMed

Osorio-de-Castro, Claudia Garcia Serpa; Pepe, Vera Lucia Edais; Luiza, Vera Lucia; Cosendey, Marly Aparecida Elias; Freitas, Aline Matias de; Miranda, Frederico Fonseca; Bermudez, Jorge Antonio Zepeda; Leal, Maria do Carmo

2004-01-01

Few studies describe drug utilization in pregnancy focusing on prescribing practices. This study is part of a larger survey on perinatal care in the City of Rio de Janeiro, Brazil. The type of hospital (public, contracted out by the Unified National Health System, or private) determined the stratification of 10,072 hospitalized post-partum women, who were asked about medication used during pregnancy. Hospital records supplied information on drugs prescribed during labor. Drugs were classified according to the Anatomical Therapeutic Chemical (ATC) system. Another system was used for specific cases of referred use. A mean of 2.08 drugs was prescribed during labor, and a mean of 2.3 was reported during pregnancy. Anesthetics, antibiotics, oxytocin, and analgesics were the most frequently prescribed during labor, with significant differences between strata. Ferrous sulfate, vitamins, scopolamine, and acetaminophen were the main drugs reported during pregnancy. Women who had attempted abortion referred use of various kinds of tea (49.7%) and misoprostol (9.2%). The drug utilization pattern was consistent with the literature. This study offers knowledge on prescribing patterns during labor and self-reported use during pregnancy in both the public and private sectors.

Developing an Internet- and Mobile-Based System to Measure Cigarette Use Among Pacific Islanders: An Ecological Momentary Assessment Study.

PubMed

Pike, James Russell; Xie, Bin; Tan, Nasya; Sabado-Liwag, Melanie Dee; Orne, Annette; Toilolo, Tupou; Cen, Steven; May, Vanessa; Lee, Cevadne; Pang, Victor Kaiwi; Rainer, Michelle A; Vaivao, Dorothy Etimani S; Lepule, Jonathan Tana; Tanjasiri, Sora Park; Palmer, Paula Healani

2016-01-07

Recent prevalence data indicates that Pacific Islanders living in the United States have disproportionately high smoking rates when compared to the general populace. However, little is known about the factors contributing to tobacco use in this at-risk population. Moreover, few studies have attempted to determine these factors utilizing technology-based assessment techniques. The objective was to develop a customized Internet-based Ecological Momentary Assessment (EMA) system capable of measuring cigarette use among Pacific Islanders in Southern California. This system integrated the ubiquity of text messaging, the ease of use associated with mobile phone apps, the enhanced functionality offered by Internet-based Cell phone-optimized Assessment Techniques (ICAT), and the high survey completion rates exhibited by EMA studies that used electronic diaries. These features were tested in a feasibility study designed to assess whether Pacific Islanders would respond to this method of measurement and whether the data gathered would lead to novel insights regarding the intrapersonal, social, and ecological factors associated with cigarette use. 20 young adult smokers in Southern California who self-identified as Pacific Islanders were recruited by 5 community-based organizations to take part in a 7-day EMA study. Participants selected six consecutive two-hour time blocks per day during which they would be willing to receive a text message linking them to an online survey formatted for Web-enabled mobile phones. Both automated reminders and community coaches were used to facilitate survey completion. 720 surveys were completed from 840 survey time blocks, representing a completion rate of 86%. After adjusting for gender, age, and nicotine dependence, feeling happy (P=<.001) or wanting a cigarette while drinking alcohol (P=<.001) were positively associated with cigarette use. Being at home (P=.02) or being around people who are not smoking (P=.01) were negatively associated with cigarette use. The results of the feasibility study indicate that customized systems can be used to conduct technology-based assessments of tobacco use among Pacific Islanders. Such systems can foster high levels of survey completion and may lead to novel insights for future research and interventions.

Developing an Internet- and Mobile-Based System to Measure Cigarette Use Among Pacific Islanders: An Ecological Momentary Assessment Study

PubMed Central

Tan, Nasya; Sabado-Liwag, Melanie Dee; Orne, Annette; Toilolo, Tupou; Cen, Steven; May, Vanessa; Lee, Cevadne; Pang, Victor Kaiwi; Rainer, Michelle A; Vaivao, Dorothy Etimani S; Lepule, Jonathan Tana; Tanjasiri, Sora Park; Palmer, Paula Healani

2016-01-01

Background Recent prevalence data indicates that Pacific Islanders living in the United States have disproportionately high smoking rates when compared to the general populace. However, little is known about the factors contributing to tobacco use in this at-risk population. Moreover, few studies have attempted to determine these factors utilizing technology-based assessment techniques. Objective The objective was to develop a customized Internet-based Ecological Momentary Assessment (EMA) system capable of measuring cigarette use among Pacific Islanders in Southern California. This system integrated the ubiquity of text messaging, the ease of use associated with mobile phone apps, the enhanced functionality offered by Internet-based Cell phone-optimized Assessment Techniques (ICAT), and the high survey completion rates exhibited by EMA studies that used electronic diaries. These features were tested in a feasibility study designed to assess whether Pacific Islanders would respond to this method of measurement and whether the data gathered would lead to novel insights regarding the intrapersonal, social, and ecological factors associated with cigarette use. Methods 20 young adult smokers in Southern California who self-identified as Pacific Islanders were recruited by 5 community-based organizations to take part in a 7-day EMA study. Participants selected six consecutive two-hour time blocks per day during which they would be willing to receive a text message linking them to an online survey formatted for Web-enabled mobile phones. Both automated reminders and community coaches were used to facilitate survey completion. Results 720 surveys were completed from 840 survey time blocks, representing a completion rate of 86%. After adjusting for gender, age, and nicotine dependence, feeling happy (P=<.001) or wanting a cigarette while drinking alcohol (P=<.001) were positively associated with cigarette use. Being at home (P=.02) or being around people who are not smoking (P=.01) were negatively associated with cigarette use. Conclusions The results of the feasibility study indicate that customized systems can be used to conduct technology-based assessments of tobacco use among Pacific Islanders. Such systems can foster high levels of survey completion and may lead to novel insights for future research and interventions. PMID:26743132

Self-calibrating pseudolite arrays: Theory and experiment

NASA Astrophysics Data System (ADS)

Lemaster, Edward Alan

Tasks envisioned for future-generation Mars rovers---sample collection, area survey, resource mining, habitat construction, etc.---will require greatly enhanced navigational capabilities over those possessed by the 1997 Mars Sojourner rover. Many of these tasks will involve cooperative efforts by multiple rovers and other agents, necessitating both high accuracy and the ability to share navigation information among different users. On Earth, satellite-based carrier-phase differential GPS provides a means of delivering centimeter-level, drift-free positioning to multiple users in contact with a reference base station. It would be highly desirable to have a similar navigational capability for use in Mars exploration. This research has originated a new local-area navigation system---a Self-Calibrating Pseudolite Array (SCPA)---that can provide centimeter-level localization to multiple rovers by utilizing GPS-based pseudolite transceivers deployed in a ground-based array. Such a system of localized beacons can replace or augment a system based on orbiting satellite transmitters. Previous pseudolite arrays have relied upon a priori information to survey the locations of the pseudolites, which must be accurately known to enable navigation within the array. In contrast, an SCPA does not rely upon other measurement sources to determine these pseudolite locations. This independence is a key requirement for autonomous deployment on Mars, and is accomplished through the use of GPS transceivers containing both transmit and receive components and through algorithms that utilize limited motion of a transceiver-bearing rover to determine the locations of the stationary transceivers. This dissertation describes the theory and operation of GPS transceivers, and how they can be used for navigation within a Self-Calibrating Pseudolite Array. It presents new algorithms that can be used to self-survey such arrays robustly using no a priori information, even under adverse conditions such as high-multipath environments. It then describes the experimental SCPA prototype developed at Stanford University and used in conjunction with the K9 Mars rover operated by NASA Ames Research Center. Using this experimental system, it provides experimental validation of both successful positioning using GPS transceivers and full calibration of an SCPA following deployment in an unknown configuration.

Enhancement on infectious diseases nursing plan information system.

PubMed

Yeh, Mei-Lin; Hao, Te-Hui; Hsu, Chien-Yeh

2009-01-01

Based on researches, the most time-consuming nursing activities, in teaching hospital, are: room patrols, the blood pressure survey, the body temperature pulse breath survey, the nursing record maintenance. The nursing record is one way to communicate data. It can allow the medical service team to understand what measures the nursing staff once did for sickness, as well as responses from sickness. Nevertheless, it is the key component to utilize the record with a clinical nursing plan, so as to provide a proficient health management. Since the maintenance of nursing plan is costly and time-consuming, therefore, it is essential to establish the nursing plan information system, which can effectively promote the nursing quality. This research main body comes from one infectious disease division nursing plan information system, which was developed in 1992, and its data base covers entire courtyard compatibility and various faculties characteristic nursing plan. The nursing staff often complained that this system is not user-friendly, its contents are not comprehensive, and sometimes it does not let staff choose the right diagnosis. Therefore this research is based on history analysis and the questionnaire survey procedure first, the infectious disease nursing plan use number of times, the frequency and the project content, then by the literature scientific theory and result of the improvement group discussion together. The original 38 infectious disease division nursing plan will be expanded to 45 nursing plans. Moreover, the common 38 infectious disease code (ICD-9), and its corresponding diagnosis items, shall automatically appear in the disease diagnose code field, so it would be better off for the nursing staff to set up the nursing plan efficiently. Infectious disease division nursing plan information system utilization ratio is promoted 9.6-folds, according to research outcome. Each task consumes 3.68 minutes beforehand-including computer program operation, the printing of nursing plan, and now it turned out that it shall not take more than 3.08 minutes. The time efficiency is raised by 17% (0.6 minute). Yet only 17% of the users are satisfied with it before, and now 74% nursing staffs are happy with the new tool.Therefore, it shall not only improve our service quality, but also save labor cost by using this information supplementary system.

On Becoming Trauma-Informed: Role of the Adverse Childhood Experiences Survey in Tertiary Child and Adolescent Mental Health Services and the Association with Standard Measures of Impairment and Severity

PubMed Central

Rahman, Abdul; Perri, Andrea; Deegan, Avril; Kuntz, Jennifer; Cawthorpe, David

2018-01-01

Context There is a movement toward trauma-informed, trauma-focused psychiatric treatment. Objective To examine Adverse Childhood Experiences (ACE) survey items by sex and by total scores by sex vs clinical measures of impairment to examine the clinical utility of the ACE survey as an index of trauma in a child and adolescent mental health care setting. Design Descriptive, polychoric factor analysis and regression analyses were employed to analyze cross-sectional ACE surveys (N = 2833) and registration-linked data using past admissions (N = 10,400) collected from November 2016 to March 2017 related to clinical data (28 independent variables), taking into account multicollinearity. Results Distinct ACE items emerged for males, females, and those with self-identified sex and for ACE total scores in regression analysis. In hierarchical regression analysis, the final models consisting of standard clinical measures and demographic and system variables (eg, repeated admissions) were associated with substantial ACE total score variance for females (44%) and males (38%). Inadequate sample size foreclosed on developing a reduced multivariable model for the self-identified sex group. Conclusion The ACE scores relate to independent clinical measures and system and demographic variables. There are implications for clinical practice. For example, a child presenting with anxiety and a high ACE score likely requires treatment that is different from a child presenting with anxiety and an ACE score of zero. The ACE survey score is an important index of presenting clinical status that guides patient care planning and intervention in the progress toward a trauma-focused system of care. PMID:29401055

Electronic implementation of national nursing standards--NANDA, NOC and NIC as an effective teaching tool.

PubMed

Allred, Sharon K; Smith, Kevin F; Flowers, Laura

2004-01-01

With the increased interest in evidence-based medicine, Internet access and the growing emphasis on national standards, there is an increased challenge for teaching institutions and nursing services to teach and implement standards. At the same time, electronic clinical documentation tools have started to become a common format for recording nursing notes. The major aim of this paper is to ascertain and assess the availability of clinical nursing tools based on the NANDA, NOC and NIC standards. Faculty at 20 large nursing schools and directors of nursing at 20 hospitals were interviewed regarding the use of nursing standards in clinical documentation packages, not only for teaching purposes but also for use in hospital-based systems to ensure patient safety. A survey tool was utilized that covered questions regarding what nursing standards are being taught in the nursing schools, what standards are encouraged by the hospitals, and teaching initiatives that include clinical documentation tools. Information was collected on how utilizing these standards in a clinical or hospital setting can improve the overall quality of care. Analysis included univariate and bivariate analysis. The consensus between both groups was that the NANDA, NOC and NIC national standards are the most widely taught and utilized. In addition, a training initiative was identified within a large university where a clinical documentation system based on these standards was developed utilizing handheld devices.

Acceptance of e-learning devices by dental students.

PubMed

Schulz, Peter; Sagheb, Keyvan; Affeldt, Harald; Klumpp, Hannah; Taylor, Kathy; Walter, Christian; Al-Nawas, Bilal

2013-01-01

E-Learning programs and their corresponding devices are increasingly employed to educate dental students during their clinical training. Recent progress made in the development of e-learning software as well as in hardware (computers, tablet PCs, smartphones) caused us to more closely investigate into the habits of dental students in dealing with these learning techniques. Dental students during their clinical training attended a survey compiled in cooperation with biostatisticians. The questionnaire probands were asked to complete based on previous surveys of similar subjects, allowing single as well as multiple answers. The data, which were obtained with respect to the learning devices students commonly employ, were compared with their internet learning activities. The e-learning devices utilized are of heterogeneous brands. Each student has access to at least one hardware type suitable for e-learning. All students held mobile devices, about 90 percent employed laptops, and about 60 percent possess smartphones. Unexceptional all participants of the survey acknowledged an unlimited internet access. In contrast, only 16 percent of students utilized tablet PCs. A detailed analysis of the survey outcome reveals that an increasing use of mobile devices (tablet PC, smartphone) facilitates internet learning activities while at the same time utilization of computers (desktop, laptop) declines. Dental students overwhelmingly accept e-learning during their clinical training. Students report outstanding preconditions to conduct e-learning as both their access to hardware and to the internet is excellent. Less satisfying is the outcome of our survey regarding the utilization of e-learning programs. Depending of the hardware employed only one-third to barely one-half of students comprise learning programs.

A survey of personal digital assistant use in a sample of New Zealand doctors.

PubMed

Menzies, Oliver H; Thwaites, John

2012-03-30

To gather information about handheld computing hardware and software usage by hospital based doctors in New Zealand (NZ). An online tool (SurveyMonkey) was used to conduct the survey from 27 June to 10 September 2010. Distribution of the survey was via an email to all NZ District Health Boards (DHBs). There were 850 responses. About half of respondents (52%) used a personal digital assistant (PDA), 90% using it at least once daily. Usage varied greatly between DHBs (27-100%), perhaps related to institutional support. Among PDA users, the most common applications were the non-clinical; Scheduler (95%), Contacts (97%), and Tasks (83%). Users felt PDAs helped considerably with organisation and time saving. For non-users there were a range of barriers to usage, cost being a large factor. Another major barrier identified by both users and non-users was lack of organisational integration and support. Half of survey respondents used a PDA. PDA usage of responders from different DHBs varied considerably. Perceived barriers to PDA use included cost and lack of institutional support. A collaborative approach between clinical leadership and Information Technology teams to address barriers may result in increased utility and usage of PDAs in the NZ health system.

Bathymetric Surveys of Lake Arthur and Raccoon Lake, Pennsylvania, June 2007

USGS Publications Warehouse

Hittle, Clinton D.; Ruby, A. Thomas

2008-01-01

In spring of 2007, bathymetric surveys of two Pennsylvania State Park lakes were performed to collect accurate data sets of lake-bed elevations and to develop methods and techniques to conduct similar surveys across the state. The lake-bed elevations and associated geographical position data can be merged with land-surface elevations acquired through Light Detection and Ranging (LIDAR) techniques. Lake Arthur in Butler County and Raccoon Lake in Beaver County were selected for this initial data-collection activity. In order to establish accurate water-surface elevations during the surveys, benchmarks referenced to NAVD 88 were established on land at each lake by use of differential global positioning system (DGPS) surveys. Bathymetric data were collected using a single beam, 210 kilohertz (kHz) echo sounder and were coupled with the DGPS position data utilizing a computer software package. Transects of depth data were acquired at predetermined intervals on each lake, and the shoreline was delineated using a laser range finder and compass module. Final X, Y, Z coordinates of the geographic positions and lake-bed elevations were referenced to NAD 83 and NAVD 88 and are available to create bathymetric maps of the lakes.

Utilization of Marketing Techniques in California Community Colleges.

ERIC Educational Resources Information Center

Gregory, Judi A.

A survey of the 107 California community colleges was conducted during Spring 1980 to assess the extent to which college administrators had adopted marketing techniques. The survey instrument listed 31 such techniques under six general categories: marketing surveys, direct advertising, public information, high school recruiting, community…

77 FR 67380 - Submission for OMB Review; Comment Request: Ethical Dilemmas in Surgery and Utilization of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-09

...; Comment Request: Ethical Dilemmas in Surgery and Utilization of Hospital Ethics Consultation Service: A..., unless it displays a currently valid OMB control number. Proposed Collection: Title: Ethical Dilemmas in Surgery and Utilization of Hospital Ethics Consultation Service: A Survey. Type of Information Collection...

An evaluation of the feasibility and usability of a proof of concept mobile app for adverse event reporting post influenza vaccination.

PubMed

Wilson, Kumanan; Atkinson, Katherine M; Westeinde, Jacqueline; Bell, Cameron; Marty, Kim; Fergusson, Dean; Deeks, Shelley L; Crowcroft, Natasha; Bettinger, Julie A

2016-07-02

The Canadian National Vaccine Safety network (CANVAS) gathers and analyzes safety data on individuals receiving the influenza vaccine during the early stages of annual influenza vaccination campaigns with data collected via participant surveys through the Internet. We sought to examine whether it was feasible to use a mobile application (app) to facilitate AEFI reporting for the CANVAS network. To explore this, we developed a novel smartphone app, recruited participants from a hospital influenza immunization clinic and by word of mouth and instructed them to download and utilize the app. The app reminded participants to complete the CANVAS AEFI surveillance surveys ("AEFI surveys") on day 8 and 30, a survey capturing app usability metrics at day 30 ("usability survey") and provided a mechanism to report AEFI events spontaneously throughout the whole study period. All survey results and spontaneous reports were recorded on a privacy compliant, cloud server. A software plug-in, Lookback, was used to record the on-screen experience of the app sessions. Of the 76 participants who consented to participate, 48(63%) successfully downloaded the app and created a profile. In total, 38 unique participants completed all of the required surveillance surveys; transmitting 1104 data points (survey question responses and spontaneous reports) from 83 completed surveys, including 21 usability surveys and one spontaneous report. In total, we received information on new or worsening health conditions after receiving the influenza vaccine from 11(28%) participants. Of the usability survey responses, 86% agreed or strongly agreed that they would prefer to use a mobile app based reporting system instead of a web-based system. The single spontaneous report received was from a participant who had also reported using the Day 8 survey. Of Lookback observable sessions, an accurate transmission proportion of 100% (n=290) was reported for data points. We demonstrated that a mobile app can be used for AEFI reporting, although download and survey completion proportions suggest potential barriers to adoption. Future studies should examine implementation of mobile reporting in a broader audience and impact on the quality of reporting of adverse events following immunization.

Victoria's Child FIRST and IFS differential response system: progress and issues.

PubMed

Lonne, Bob; Brown, Gerry; Wagner, Ingrid; Gillespie, Kerri

2015-01-01

Differential response has long been utilized by statutory child protection systems in Australia. This article describes the advent and history of Victoria's differential response system, with a particular focus on the Child FIRST and IFS programme. This program entails a partnership arrangement between the Department of Human Services child protection services and community-based, not-for-profit agencies to provide a diverse range of early intervention and prevention services. The findings of a recent external service system evaluation, a judicial inquiry, and the large-scale Child and Family Services Outcomes Survey of parents/carers perspectives of their service experiences are used to critically examine the effectiveness of this differential response approach. Service-user perspectives of the health and wellbeing of children and families are identified, as well as the recognized implementation issues posing significant challenges for the goal of an integrated partnership system. The need for ongoing reform agendas is highlighted along with the policy, program and structural tensions that exist in differential response systems, which are reliant upon partnerships and shared responsibilities for protecting children and assisting vulnerable families. Suggestions are made for utilizing robust research and evaluation that gives voice to service users and promotes their rights and interests. Copyright © 2014 Elsevier Ltd. All rights reserved.

Comet/Asteroid Protection System (CAPS): A Space-Based System Concept for Revolutionizing Earth Protection and Utilization of Near-Earth Objects

NASA Technical Reports Server (NTRS)

Mazanek, Daniel D.; Roithmayr, Carlos M.; Antol, Jeffrey; Kay-Bunnell, Linda; Werner, Martin R.; Park, Sang-Young; Kumar, Renjith R.

2002-01-01

There exists an infrequent, but significant hazard to life and property due to impacting asteroids and comets. There is currently no specific search for long-period comets, smaller near-Earth asteroids, or smaller short-period comets. These objects represent a threat with potentially little or no warning time using conventional ground-based telescopes. These planetary bodies also represent a significant resource for commercial exploitation, long-term sustained space exploration, and scientific research. The Comet/Asteroid Protection System (CAPS) would expand the current detection effort to include long-period comets, as well as small asteroids and short-period comets capable of regional destruction. A space-based detection system, despite being more costly and complex than Earth-based initiatives, is the most promising way of expanding the range of detectable objects, and surveying the entire celestial sky on a regular basis. CAPS is a future spacebased system concept that provides permanent, continuous asteroid and comet monitoring, and rapid, controlled modification of the orbital trajectories of selected bodies. CAPS would provide an orbit modification system capable of diverting kilometer class objects, and modifying the orbits of smaller asteroids for impact defense and resource utilization. This paper provides a summary of CAPS and discusses several key areas and technologies that are being investigated.

Enhanced Sidescan-Sonar Imagery, North-Central Long Island Sound

USGS Publications Warehouse

McMullen, K.Y.; Poppe, L.J.; Schattgen, P.T.; Doran, E.F.

2008-01-01

The U.S. Geological Survey, National Oceanic and Atmospheric Administration (NOAA), and Connecticut Department of Environmental Protection have been working cooperatively to map the sea-floor geology within Long Island Sound. Sidescan-sonar imagery collected during three NOAA hydrographic surveys (H11043, H11044, and H11045) was used to interpret the surficial-sediment distribution and sedimentary environments within the Sound. The original sidescan-sonar imagery generated by NOAA was used to evaluate hazards to navigation, which does not require consistent tonal matching throughout the survey. In order to fully utilize these data for geologic interpretation, artifacts within the imagery, primarily due to sidescan-system settings (for example, gain changes), processing techniques (for example, lack of across-track normalization) and environmental noise (for example, sea state), need to be minimized. Sidescan-sonar imagery from surveys H11043, H11044, and H11045 in north-central Long Island Sound was enhanced by matching the grayscale tones between adjacent sidescan-sonar lines to decrease the patchwork effect caused by numerous artifacts and to provide a more coherent sidescan-sonar image for use in geologic interpretation.

Galaxy Interactions and AGN-triggering to z~1: an unprecedented new view from the Hyper Suprime-Cam Survey

NASA Astrophysics Data System (ADS)

Goulding, Andy D.; Greene, Jenny E.; Bezanson, Rachel; Greco, Johnny; Johnson, Sean; Medezinski, Elinor; Strauss, Michael A.; HSC Collaboration

2017-01-01

Collisions and interactions between galaxies are thought to be pivotal stages in their formation and evolution, causing the rapid production of new stars, and may also serve as a mechanism for fueling supermassive black holes (BH). Harnessing the exquisite spatial resolution (0.3—0.7 arcsec) afforded by the new 1400 deg2 Hyper Suprime-Cam (HSC) Survey, we present our new constraints on the importance of major and minor mergers in growing BHs throughout the last ~7 Gyrs. Utilizing the first ~170 deg2 of the HSC Survey, and mid-infrared observations in the WISE All-Sky survey, we have robustly selected active galactic nuclei (AGN), starburst, and mass-matched control galaxy samples, totaling ~120,000 spectroscopically confirmed systems at i<22 mag. We identify galaxy interactions using a novel machine-learning technique, and use these data to map the growth of BHs as a function of interaction-stage, redshift and AGN luminosity, ultimately providing the necessary large-number statistics required to investigate merger—AGN triggering in the context of galaxy evolution out to z~1.

Electric utility use of fireside additives. Final report

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

Locklin, D.W.; Krause, H.H.; Anson, D.

1980-01-01

Fireside additives have been used or proposed for use in fossil-fired utility boilers to combat a number of problems related to boiler performance and reliability. These problems include corrosion, fouling, superheat control, and acidic emissions. Fuel additives and other fireside additives have been used mainly with oil firing; however, there is growing experience with additives in coal-firing, especially for flyash conditioning to improve the performance of electrostatic precipitators. In decisions regarding the selection and use of additives, utilities have had to rely extensively on empiricism, due partly to an incomplete understanding of processes involved and partly to the limited amountmore » of quantitative data. The study reported here was sponsored by the Electric Power Research Institute to assemble and analyze pertinent operating experience and to recommend guidelines for utility decisions on the use of additives. The combined results of the state-of-the-art review of technical literature and a special survey of utility experience are reported. A total of 38 utilities participated in the survey, providing information on trials conducted on 104 units in 93 different plants. Altogether, 445 separate trials were reported, each representing a unit/additive/fuel combination. Additives used in these trials included 90 different additive formulations, both pure compounds and proprietary products. These formulations were categorized into 37 generic classes according to their chemical constituents, and the results of the survey are presented by these generic classes. The findings are organized according to the operating problems for which fireside additives are used. Guidelines are presented for utility use in additive selection and in planning additive trials.« less

Hospital-Based Outpatient Direct Access to Physical Therapist Services: Current Status in Wisconsin.

PubMed

Boissonnault, William G; Lovely, Karen

2016-11-01

Direct access to physical therapist services is available in all 50 states, with reported benefits including reduced health care costs, enhanced patient satisfaction, and no apparent compromised patient safety. Despite the benefits and legality of direct access, few data exist regarding the degree of model adoption, implementation, and utilization. The purposes of the study were: (1) to investigate the extent of implementation and utilization of direct access to outpatient physical therapist services in Wisconsin hospitals and medical centers, (2) to identify barriers to and facilitators for the provisioning of such services, and (3) to identify potential differences between facilities that do and do not provide direct access services. A descriptive survey was conducted. Eighty-nine survey questionnaires were distributed via email to the directors of rehabilitation services at Wisconsin hospitals and medical centers. The survey investigated facility adoption of the direct access model, challenges to and resources utilized during model implementation, and current barriers affecting model utilization. Forty-seven (52.8%) of the 89 survey questionnaires were completed and returned. Forty-two percent of the survey respondents (20 of 47) reported that their facility offered direct access to physical therapist services, but fewer than 10% of patients were seen via direct access at 95% of the facilities offering such services. The most frequently reported obstacles to model implementation and utilization were lack of health care provider, administrator, and patient knowledge of direct access; its legality in Wisconsin; and physical therapists' differential diagnosis and medical screening abilities. Potential respondent bias and limited generalizability of the results are limitations of the study. These findings apply to hospitals and medical centers located in Wisconsin, not to facilities located in other geographic regions. Respondents representing direct access organizations reported more timely access to physical therapist services, enhanced patient satisfaction, decreased organizational health care costs, and improved efficiency of resource utilization as benefits of model implementation. For organizations without direct access, not being an organizational priority, concerns from referral sources, and concerns that the physician-patient relationship would be negatively affected were noted as obstacles to model adoption. © 2016 American Physical Therapy Association.

75 FR 65673 - Notice of Information Collection

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-26

... purpose of this survey is to assimilate lunar regolith stimulant requirements as well as Apollo sample.... III. Data Title: Lunar Regolith & Stimulant Users' Survey for the In Situ Resource Utilization Web...

75 FR 53349 - Notice of Information Collection

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-31

... purpose of this survey is to assimilate lunar regolith stimulant requirements as well as Apollo sample.... III. Data Title: Lunar Regolith & Stimulant Users' Survey for the In Situ Resource Utilization Web...

Advanced lighting guidelines: 1993. Final report

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

Eley, C.; Tolen, T.M.; Benya, J.R.

1993-12-31

The 1993 Advanced Lighting Guidelines document consists of twelve guidelines that provide an overview of specific lighting technologies and design application techniques utilizing energy-efficient lighting practice. Lighting Design Practice assesses energy-efficient lighting strategies, discusses lighting issues, and explains how to obtain quality lighting design and consulting services. Luminaires and Lighting Systems surveys luminaire equipment designed to take advantage of advanced technology lamp products and includes performance tables that allow for accurate estimation of luminaire light output and power input. The additional ten guidelines -- Computer-Aided Lighting Design, Energy-Efficient Fluorescent Ballasts, Full-Size Fluorescent Lamps, Compact Fluorescent Lamps, Tungsten-Halogen Lamps, Metal Halidemore » and HPS Lamps, Daylighting and Lumen Maintenance, Occupant Sensors, Time Scheduling Systems, and Retrofit Control Technologies -- each provide a product technology overview, discuss current products on the lighting equipment market, and provide application techniques. This document is intended for use by electric utility personnel involved in lighting programs, lighting designers, electrical engineers, architects, lighting manufacturers` representatives, and other lighting professionals.« less

Applications of ultrasensitive magnetic measurement technologies (invited) (abstract)

NASA Astrophysics Data System (ADS)

Hirschkoff, Eugene C.

1993-05-01

The development of reliable, easy-to-use magnetic measurement systems with significantly enhanced levels of sensitivity has opened up a number of broad new areas of application for magnetic sensing. Magnetometers based on optical pumping offer sensitivities at the picotesla level, while those that utilize superconducting quantum interference devices can operate at the femtotesla level. These systems are finding applications in areas as diverse as geophysical exploration, communications, and medical diagnostics. This review briefly surveys the capabilities and application areas for a number of magnetic sensing technologies. The emphasis then focuses on the application of the most sensitive of these to the field of medical diagnostics and functional imaging. Protocols for specific applications to noninvasive presurgical planning and to the noninvasive assay of cortical dysfunction in diseases ranging from epilepsy to migraine and schizophrenia will be described in detail. Data will be presented reporting independent validation of these techniques in ten patients who subsequently underwent surgery. Routine and reliable utilization of this ultrasensitive magnetic sensing technology in the clinic is now feasible and practical.

On Building a Search Interface Discovery System

NASA Astrophysics Data System (ADS)

Shestakov, Denis

A huge portion of the Web known as the deep Web is accessible via search interfaces to myriads of databases on the Web. While relatively good approaches for querying the contents of web databases have been recently proposed, one cannot fully utilize them having most search interfaces unlocated. Thus, the automatic recognition of search interfaces to online databases is crucial for any application accessing the deep Web. This paper describes the architecture of the I-Crawler, a system for finding and classifying search interfaces. The I-Crawler is intentionally designed to be used in the deep web characterization surveys and for constructing directories of deep web resources.

Are implicit policy assumptions about climate adaptation trying to push drinking water utilities down an impossible path?

NASA Astrophysics Data System (ADS)

Klasic, M. R.; Ekstrom, J.; Bedsworth, L. W.; Baker, Z.

2017-12-01

Extreme events such as wildfires, droughts, and flooding are projected to be more frequent and intense under a changing climate, increasing challenges to water quality management. To protect and improve public health, drinking water utility managers need to understand and plan for climate change and extreme events. This three year study began with the assumption that improved climate projections were key to advancing climate adaptation at the local level. Through a survey (N = 259) and interviews (N = 61) with California drinking water utility managers during the peak of the state's recent drought, we found that scientific information was not a key barrier hindering adaptation. Instead, we found that managers fell into three distinct mental models based on their interaction with, perceptions, and attitudes, towards scientific information and the future of water in their system. One of the mental models, "modeled futures", is a concept most in line with how climate change scientists talk about the use of information. Drinking water utilities falling into the "modeled future" category tend to be larger systems that have adequate capacity to both receive and use scientific information. Medium and smaller utilities in California, that more often serve rural low income communities, tend to fall into the other two mental models, "whose future" and "no future". We show evidence that there is an implicit presumption that all drinking water utility managers should strive to align with "modeled future" mental models. This presentation questions this assumption as it leaves behind many utilities that need to adapt to climate change (several thousand in California alone), but may not have the technical, financial, managerial, or other capacity to do so. It is clear that no single solution or pathway to drought resilience exists for water utilities, but we argue that a more explicit understanding and definition of what it means to be a resilient drinking water utility is necessary. By highlighting, then questioning, the assumption that all utility managers should strive to have "modeled future" mentalities, this presentation seeks to foster an open dialogue around which pathway or pathways are most feasible for supporting drinking water utility managers planning for climate change.

Technical communications in aerospace - An analysis of the practices reported by U.S. and European aerospace engineers and scientists

NASA Technical Reports Server (NTRS)

Pinelli, Thomas E.; Barclay, Rebecca O.; Kennedy, John M.; Glassman, Myron

1990-01-01

The flow of scientific and technical information (STI) at the individual, organizational, national, and international levels is studied. The responses of U.S and European aerospace engineers and scientists to questionnaires concerning technical communications in aerospace are examined. Particular attention is given to the means used to communicate information and the social system of the aerospace knowledge diffusion process. Demographic data about the survey respondents are provided. The methods used to communicate technical data and the sources utilized to solve technical problems are described. The importance of technical writing skills and the use of computer technology in the aerospace field are discussed. The derived data are useful for R&D and information managers in order to improve access to and utilization of aerospace STI.

Appalachian National Scenic Trail pilot survey

Treesearch

Stan Zarnoch; Michael Bowker; Ken Cordell; Matt Owens; Gary T. Green; Allison Ginn

2011-01-01

Visitation statistics on the Appalachian National Scenic Trail (AT) are important for management and Federal Government reporting purposes. However, no survey methodology has been developed to obtain accurate trailwide estimates over linear trails that traverse many hundreds of back-country miles. This research develops a stratified random survey design which utilizes...

A Manpower Survey of Semi-Skilled and Unskilled Job Opportunities in Sarasota County.

ERIC Educational Resources Information Center

Jones, Robert Y.

Surveyed were 201 business establishments in Sarasota County, Florida, to determine available jobs suitable for educable mentally retarded (EMR) graduates of high school vocational education program. Types of businesses surveyed were automobile dealers; cleaners and janitorial services; general construction; government, utilities, and schools;…

An Evaluation of Project Learning Tree in British Columbia, 1980-81.

ERIC Educational Resources Information Center

Conry, Robert F.; Jeroski, Sharon F.

Evaluation of Project Learning Tree (PLT) involved a survey of PLT's utilization in British Columbia and the field experiment. The survey included participant observers' reports on PLT teacher training workshops, a mail survey of workshop participants, and telephone interviews with selected respondents. Two treatment conditions were effected at…

Clerical Workers on Flexitime: A Survey of Three Industries.

ERIC Educational Resources Information Center

Swart, J. Carroll

1985-01-01

This article reports on a survey of flexitime programs in three industries: banking, insurance, and public utilities. It addresses these questions: To what extent is flexitime in use among clerical workers? What are flexitime's effects on employee and organizational performance? Survey results concern work quality, absenteeism, overtime, job…

75 FR 45118 - Agency Information Collection Request; 30-Day Public Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-02

...: National Blood Collection and Utilization Survey--Extension--OMB No. 0990-0313--The Office of the Advisory Committee on Blood Safety and Availability. Abstract: The NBCUS is a biennial survey of the blood collection.... This survey will significantly improve the Federal Government's capacity to understand the dynamics of...

Using Online Surveys to Promote and Assess Learning

ERIC Educational Resources Information Center

Taylor, Laura; Doehler, Kirsten

2014-01-01

This article explores the use of online survey software to collect data from students during class to efficiently use class time. Several example activities for an introductory statistics classroom are considered. We also discuss utilization of online survey software for other purposes such as collecting assessment information and student…

Data Mining to Chart the Arctic: Analysis of Approaches to Incorporate Outside Source Data into NOAA Office of Coast Survey Workflow

NASA Astrophysics Data System (ADS)

Rennoll, V.

2016-02-01

The National Centers for Environmental Information provide public access to a wealth of seafloor mapping data, both from National Ocean Service hydrographic surveys and outside source collections. Utilizing the outside source data to improve nautical charts created by the National Oceanic and Atmospheric Administration (NOAA) is an appealing alternative to traditional surveys, largely in areas with significant data gaps where hydrographic surveys are not planned. However, much of the outside data are collected in transit lines and lack traditional overlapping main scheme lines and crosslines. Spanning multiple years and vessels, these transit line data collections were obtained using disparate operating procedures and have inconsistent qualities. Here, a workflow was developed to ingest these variable depth data within a defined region by assessing their quality and utility for nautical charting. The workflow was evaluated with a navigationally significant area in the Bering Sea, where bathymetric data collected from ten vessels over a period of twelve years were available. The outside data were shown to be of sufficient quality through comparisons with existing NOAA surveys and then used to demonstrate where the data could provide new or updated information on nautical charts, and provide reconnaissance for future hydrographic planning. The utility assessment of the data, however, was hindered by lack of a verified survey-scale sounding database, against which the outside source data could be compared. Having developed the workflow, it is recommended that further outside data is ingested by NOAA's Office of Coast Survey and that a database is developed with full-scale chart soundings for outside data comparisons.

Utilization of tooth filling services by people with disabilities in Taiwan.

PubMed

Chen, Ming-Chuan; Kung, Pei-Tseng; Su, Hsun-Pi; Yen, Suh-May; Chiu, Li-Ting; Tsai, Wen-Chen

2016-04-05

The oral condition of people with disabilities has considerable influence on their physical and mental health. However, nationwide surveys regarding this group have not been conducted. For this study, we used the National Health Insurance Research Database to explore the tooth filling utilization among people with disabilities. Using the database of the Ministry of the Interior in 2008 which included people with disabilities registered, we merged with the medical claims database in 2008 of the Bureau of National Health Insurance to calculate the tooth filling utilization and to analyze relative factors. We recruited 993,487 people with disabilities as the research sample. The tooth filling utilization was 17.53 %. The multiple logistic regression result showed that the utilization rate of men was lower than that of women (OR = 0.78, 95 % CI = 0.77-0.79) and older people had lower utilization rates (aged over 75, OR = 0.22, 95 % CI = 0.22-0.23) compared to those under the age of 20. Other factors that significantly influenced the low tooth filling utilization included a low education level, living in less urbanized areas, low economic capacity, dementia, and severe disability. We identified the factors that influence and decrease the tooth-filling service utilization rate: male sex, old age, low education level, being married, indigenous ethnicity, residing in a low urbanization area, low income, chronic circulatory system diseases, dementia, and severe disabilities. We suggest establishing proper medical care environments for high-risk groups to maintain their quality of life.

Manuals Used in the National Aquatic Resource Surveys

EPA Pesticide Factsheets

Various manuals are used to communicate the methods and guidelines for the National Aquatic Resource Surveys. The Field Operations Manual: outlines the field protocols that crews will utilize to sample sites.

Childbearing Differences among Three Generations of U.S. Women

MedlinePlus

... on Vital and Health Statistics Annual Reports Health Survey Research Methods Conference Reports from the National Medical Care Utilization and Expenditure Survey Clearinghouse on Health Indexes Statistical Notes for Health ...

Reproductive health service utilization and social determinants among married female rural-to-urban migrants in two metropolises, China.

PubMed

Liu, Zhi-Yong; Li, Jiang; Hong, Yang; Yao, Lan

2016-12-01

Reproductive health (RH) education and services of female migrants in China have become an important health issue. This research aimed to investigate the RH knowledge and utilization among married female migrants, and to explore the influencing factors from the perspectives of population and sociology. We conducted a cross-section survey in Shenzhen and Wuhan, China, using the purposive sampling method. A total of 1021 rural-to-urban married migrants were recruited, with 997 valid survey results obtained. A face-to-face structured questionnaire survey was used, with primary focus on knowledge of fertility, contraception, family planning policy and sexual transmitted diseases/acquired immunodeficiency syndrome (STD/AIDs), and RH service utilization. The results showed that the RH service utilization (38.0%) was at a low level in married migrants and the accessibility of RH service was poor. Females who migrated to (OR=0.32) Wuhan obtained fewer RH consultations than those in Shenzhen. The workers with high school education received additional RH consultations and checkup services than those with other background education, apart from the white collar workers who received extra RH consultations and checkup services than the blue collar workers (P<0.05). We can draw a conclusion that the utilization of RH services in married female migrants remains at a low level in China. RH service utilization can be improved via the relevant health departments by enhancing the responsibility of maternal and health care in the community health service center.

User Guide and Documentation for Five MODFLOW Ground-Water Modeling Utility Programs

USGS Publications Warehouse

Banta, Edward R.; Paschke, Suzanne S.; Litke, David W.

2008-01-01

This report documents five utility programs designed for use in conjunction with ground-water flow models developed with the U.S. Geological Survey's MODFLOW ground-water modeling program. One program extracts calculated flow values from one model for use as input to another model. The other four programs extract model input or output arrays from one model and make them available in a form that can be used to generate an ArcGIS raster data set. The resulting raster data sets may be useful for visual display of the data or for further geographic data processing. The utility program GRID2GRIDFLOW reads a MODFLOW binary output file of cell-by-cell flow terms for one (source) model grid and converts the flow values to input flow values for a different (target) model grid. The spatial and temporal discretization of the two models may differ. The four other utilities extract selected 2-dimensional data arrays in MODFLOW input and output files and write them to text files that can be imported into an ArcGIS geographic information system raster format. These four utilities require that the model cells be square and aligned with the projected coordinate system in which the model grid is defined. The four raster-conversion utilities are * CBC2RASTER, which extracts selected stress-package flow data from a MODFLOW binary output file of cell-by-cell flows; * DIS2RASTER, which extracts cell-elevation data from a MODFLOW Discretization file; * MFBIN2RASTER, which extracts array data from a MODFLOW binary output file of head or drawdown; and * MULT2RASTER, which extracts array data from a MODFLOW Multiplier file.

A study to develop improved spacecraft show survey methods using Skylab/EREP data: Demonstration of the utility of the S190 and S192 data. [Sierra Nevadas in California, Cascades in Washington and Oregon, Upper Columbia Basin in Idaho and Montana, and Salt-Verde Watershed in Arizona

NASA Technical Reports Server (NTRS)

Barnes, J. C. (Principal Investigator); Bowley, C. J.; Smallwood, M. D.

1974-01-01

The author has identified the following significant results. This interim report provides a demonstration of the utility of spacecraft acquired Skylab S190A and S190B photography and S192 imagery for mapping areal extent of snow cover in western United States test site areas. The data sample is from the SL-2 mission flown in June 1973. Results of the investigation indicate that areal snow cover extent can be mapped more accurately from the S190A and S190B photography than from any other spacecraft system, including ERTS. The results of a qualitative analysis of the S192 imagery indicate considerable potential for the utility of multispectral snow cover analysis; the potential for distinguishing snow from clouds automatically is particularly significant.

Barriers to prostate cancer prevention and community recommended health education strategies in an urban African American community in Jackson, Mississippi.

PubMed

Ekúndayò, Olúgbémiga T; Tataw, David B

2013-01-01

This article describes the use of survey research in collaboration with the African American urban community of Georgetown, Jackson, Mississippi to identify and understand prostate cancer knowledge, resource utilization, and health education strategies considered most effective in reaching the community with prostate cancer prevention messages. The study revealed profound needs in disease identification and resources awareness and utilization. Barriers to utilization were identified by participants to include lack of self-efficacy, low self-esteem, lack of trust in the health care system, limited knowledge of prostate pathology, and limited ability to pay. Participants' recommended strategies for reaching the community with prostate cancer education include traditional and nontraditional strategies. The list of recommendations exclude modern-day outlets such as handheld devices, Twitter, Facebook, blogs, wikis, and other Internet-based outlets. The findings provide a road map for program development and an intervention research agenda custom-tailored to the Georgetown community of Jackson, Mississippi.

[Determinants of health care utilization in Costa Rica].

PubMed

Morera Salas, Melvin; Aparicio Llanos, Amada

2010-01-01

To analyze the determinants of health care utilization (visits to the doctor) in Costa Rica using an econometric approach. Data were drawn from the National Survey of Health for Costa Rica 2006. We modeled the Grossman approach to the demand for health services by using a standard negative binomial regression, and used a hurdle model for the principal-agent specification. The factors determining healthcare utilization were level of education, self-assessed health, number of declared chronic diseases and geographic region of residence. The number of outpatient visits to the doctor depends on the proxies for medical need, but we found no multivariate association between the use of outpatient visits and income or insurance status. This result suggests that there is no problem with access in the public - almost universal - Costa Rican health system. No conclusive results were obtained on the influence of the physician on the frequency of use of health care services, as postulated by the principal-agent model. Copyright © 2010 SESPAS. Published by Elsevier Espana. All rights reserved.

Identifying collaborative care teams through electronic medical record utilization patterns.

PubMed

Chen, You; Lorenzi, Nancy M; Sandberg, Warren S; Wolgast, Kelly; Malin, Bradley A

2017-04-01

The goal of this investigation was to determine whether automated approaches can learn patient-oriented care teams via utilization of an electronic medical record (EMR) system. To perform this investigation, we designed a data-mining framework that relies on a combination of latent topic modeling and network analysis to infer patterns of collaborative teams. We applied the framework to the EMR utilization records of over 10 000 employees and 17 000 inpatients at a large academic medical center during a 4-month window in 2010. Next, we conducted an extrinsic evaluation of the patterns to determine the plausibility of the inferred care teams via surveys with knowledgeable experts. Finally, we conducted an intrinsic evaluation to contextualize each team in terms of collaboration strength (via a cluster coefficient) and clinical credibility (via associations between teams and patient comorbidities). The framework discovered 34 collaborative care teams, 27 (79.4%) of which were confirmed as administratively plausible. Of those, 26 teams depicted strong collaborations, with a cluster coefficient > 0.5. There were 119 diagnostic conditions associated with 34 care teams. Additionally, to provide clarity on how the survey respondents arrived at their determinations, we worked with several oncologists to develop an illustrative example of how a certain team functions in cancer care. Inferred collaborative teams are plausible; translating such patterns into optimized collaborative care will require administrative review and integration with management practices. EMR utilization records can be mined for collaborative care patterns in large complex medical centers. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com

A survey of CPU-GPU heterogeneous computing techniques

DOE PAGES

Mittal, Sparsh; Vetter, Jeffrey S.

2015-07-04

As both CPU and GPU become employed in a wide range of applications, it has been acknowledged that both of these processing units (PUs) have their unique features and strengths and hence, CPU-GPU collaboration is inevitable to achieve high-performance computing. This has motivated significant amount of research on heterogeneous computing techniques, along with the design of CPU-GPU fused chips and petascale heterogeneous supercomputers. In this paper, we survey heterogeneous computing techniques (HCTs) such as workload-partitioning which enable utilizing both CPU and GPU to improve performance and/or energy efficiency. We review heterogeneous computing approaches at runtime, algorithm, programming, compiler and applicationmore » level. Further, we review both discrete and fused CPU-GPU systems; and discuss benchmark suites designed for evaluating heterogeneous computing systems (HCSs). Furthermore, we believe that this paper will provide insights into working and scope of applications of HCTs to researchers and motivate them to further harness the computational powers of CPUs and GPUs to achieve the goal of exascale performance.« less

Vision-Based Georeferencing of GPR in Urban Areas

PubMed Central

Barzaghi, Riccardo; Cazzaniga, Noemi Emanuela; Pagliari, Diana; Pinto, Livio

2016-01-01

Ground Penetrating Radar (GPR) surveying is widely used to gather accurate knowledge about the geometry and position of underground utilities. The sensor arrays need to be coupled to an accurate positioning system, like a geodetic-grade Global Navigation Satellite System (GNSS) device. However, in urban areas this approach is not always feasible because GNSS accuracy can be substantially degraded due to the presence of buildings, trees, tunnels, etc. In this work, a photogrammetric (vision-based) method for GPR georeferencing is presented. The method can be summarized in three main steps: tie point extraction from the images acquired during the survey, computation of approximate camera extrinsic parameters and finally a refinement of the parameter estimation using a rigorous implementation of the collinearity equations. A test under operational conditions is described, where accuracy of a few centimeters has been achieved. The results demonstrate that the solution was robust enough for recovering vehicle trajectories even in critical situations, such as poorly textured framed surfaces, short baselines, and low intersection angles. PMID:26805842

Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions

PubMed Central

Mendis, S.; Al Bashir, Igbal; Dissanayake, Lanka; Varghese, Cherian; Fadhil, Ibtihal; Marhe, Esha; Sambo, Boureima; Mehta, Firdosi; Elsayad, Hind; Sow, Idrisa; Algoe, Maltie; Tennakoon, Herbert; Truong, Lai Die; Lan, Le Thi Tuyet; Huiuinato, Dismond; Hewageegana, Neelamni; Fahal, Naiema A. W.; Mebrhatu, Goitom; Tshering, Gado; Chestnov, Oleg

2012-01-01

Objective. The objective was to evaluate the capacity of primary care (PC) facilities to implement basic interventions for prevention and management of major noncommunicable diseases (NCDs), including cardiovascular diseases and diabetes. Methods. A cross-sectional survey was done in eight low- and middle-income countries (Benin, Bhutan, Eritrea, Sri Lanka, Sudan, Suriname, Syria, and Vietnam) in 90 PC facilities randomly selected. The survey included questions on the availability of human resources, equipment, infrastructure, medicines, utilization of services, financing, medical information, and referral systems. Results and Conclusions. Major deficits were identified in health financing, access to basic technologies and medicines, medical information systems, and the health workforce. The study has provided the foundation for strengthening PC to address noncommunicable diseases. There are important implications of the findings of this study for all low- and middle-income countries as capacity of PC is fundamental for equitable prevention and control of NCDs. PMID:23251789

Psychologists’ perspectives on the diagnostic classification of mental disorders: Results from the WHO-IUPsyS Global Survey

PubMed Central

Evans, Spencer C.; Reed, Geoffrey M.; Roberts, Michael C.; Esparza, Patricia; Watts, Ann D.; Correia, João Mendonça; Ritchie, Pierre; Maj, Mario; Saxena, Shekhar

2013-01-01

This study examined psychologists’ views and practices regarding diagnostic classification systems for mental and behavioral disorders so as to inform the development of the ICD-11 by the World Health Organization (WHO). WHO and the International Union of Psychological Science (IUPsyS) conducted a multilingual survey of 2155 psychologists from 23 countries, recruited through their national psychological associations. Sixty percent of global psychologists routinely used a formal classification system, with ICD-10 used most frequently by 51% and DSM-IV by 44%. Psychologists viewed informing treatment decisions and facilitating communication as the most important purposes of classification, and preferred flexible diagnostic guidelines to strict criteria. Clinicians favorably evaluated most diagnostic categories, but identified a number of problematic diagnoses. Substantial percentages reported problems with crosscultural applicability and cultural bias, especially among psychologists outside the USA and Europe. Findings underscore the priority of clinical utility and professional and cultural differences in international psychology. Implications for ICD-11 development and dissemination are discussed. PMID:23750927

A survey of CPU-GPU heterogeneous computing techniques

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

Mittal, Sparsh; Vetter, Jeffrey S.

As both CPU and GPU become employed in a wide range of applications, it has been acknowledged that both of these processing units (PUs) have their unique features and strengths and hence, CPU-GPU collaboration is inevitable to achieve high-performance computing. This has motivated significant amount of research on heterogeneous computing techniques, along with the design of CPU-GPU fused chips and petascale heterogeneous supercomputers. In this paper, we survey heterogeneous computing techniques (HCTs) such as workload-partitioning which enable utilizing both CPU and GPU to improve performance and/or energy efficiency. We review heterogeneous computing approaches at runtime, algorithm, programming, compiler and applicationmore » level. Further, we review both discrete and fused CPU-GPU systems; and discuss benchmark suites designed for evaluating heterogeneous computing systems (HCSs). Furthermore, we believe that this paper will provide insights into working and scope of applications of HCTs to researchers and motivate them to further harness the computational powers of CPUs and GPUs to achieve the goal of exascale performance.« less

Evaluation tools for undergraduate program planning in times of financial austerity.

PubMed

O'Palka, J; Harris, P R

1990-05-01

This article describes the administration and outcome of two evaluation tools developed by faculty of the dietetic program for ongoing assessment of a Plan IV dietetic education program over a 4-year period. Interns and internship directors were asked to evaluate the level of skills and knowledge base of interns compared with their internship classmates. Interns were also asked to rate the effectiveness of undergraduate course assignments and activities for internship preparation. As a result of the surveys, the home economics core course work was deleted, credits were shifted from food science to nutrient metabolism courses, and credits in clinical nutrition were increased. Projects in clinical nutrition and food systems management were modified. The surveys justified program requirements and utilization of resources, and provided an additional, effective measure of faculty competence.

SEAFLOOR EXPLORATION AND CHARACTERIZATION: PREREQUISITE TO OCEAN SPACE UTILIZATION.

USGS Publications Warehouse

Hill, Gary; Lockwood, Millington

1987-01-01

A historical survey of US bathymetric mapping is presented up through the major mapping project begun in response to the 1983, establishment of an Exclusive Economic Zone (EEZ), 200 nautical miles seaward. The EEZ extends sovereign rights for the purposes of exploring, exploiting, conserving, and managing natural resources in the coastal ocean. This new area is approximately 3. 4 million square nautical miles or about 1. 3 times the total US land area. To characterize the resources within it, the US National Oceanic and Atmospheric Administration (NOAA) and the US Geological Survey (USGS) are undertaking systematic mapping programs of the EEZ. NOAA's effort includes detailed bathymetric mapping of the seabed. The USGS is using a wide-swath side-scan sonar system to map the EEZ seafloor on a reconaissance scale.