WorldWideScience

Sample records for ancillary services review

  1. Loads Providing Ancillary Services: Review of International Experience

    Energy Technology Data Exchange (ETDEWEB)

    Heffner, Grayson; Goldman, Charles; Kintner-Meyer, Michael

    2007-05-01

    In this study, we examine the arrangements for and experiences of end-use loads providing ancillary services (AS) in five electricity markets: Australia, the United Kingdom (UK), the Nordic market, and the ERCOT and PJM markets in the United States. Our objective in undertaking this review of international experience was to identify specific approaches or market designs that have enabled customer loads to effectively deliver various ancillary services (AS) products. We hope that this report will contribute to the ongoing discussion in the U.S. and elsewhere regarding what institutional and technical developments are needed to ensure that customer loads can meaningfully participate in all wholesale electricity markets.

  2. Loads Providing Ancillary Services: Review of InternationalExperience-- Technical Appendix: Market Descriptions

    Energy Technology Data Exchange (ETDEWEB)

    Grayson Heffner, Charles Goldman, Kintner-Meyer, M; Kirby, Brendan

    2007-05-01

    In this study, we examine the arrangements for andexperiences of end-use loads providing ancillary services (AS) in fiveelectricity markets: Australia, the United Kingdom (UK), the Nordicmarket, and the ERCOT and PJM markets in the United States. Our objectivein undertaking this review of international experience was to identifyspecific approaches or market designs that have enabled customer loads toeffectively deliver various ancillary services (AS) products. We hopethat this report will contribute to the ongoing discussion in the U.S.and elsewhere regarding what institutional and technical developments areneeded to ensure that customer loads can meaningfully participate in allwholesale electricity markets.

  3. Ancillary service provision from distributed generation

    International Nuclear Information System (INIS)

    This report summarises the findings of a study undertaken to investigate the potential for establishing ancillary service markets at the distribution level in the UK. Existing arrangements for ancillary service markets globally, the design of these markets, regulatory and legislative changes that may be required, different forms of distributed generation (DG), and prospects of increasing the connection to the distributed network are examined along with commercial frameworks and technical procedures, infrastructure requirements, and the effects on different market participants. The scope for new ancillary services at the distribution level, ancillary services from DG, the prospects for DG, commercial and technical aspects, and impact assessments are reviewed

  4. Ancillary service provision from distributed generation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    This report summarises the findings of a study undertaken to investigate the potential for establishing ancillary service markets at the distribution level in the UK. Existing arrangements for ancillary service markets globally, the design of these markets, regulatory and legislative changes that may be required, different forms of distributed generation (DG), and prospects of increasing the connection to the distributed network are examined along with commercial frameworks and technical procedures, infrastructure requirements, and the effects on different market participants. The scope for new ancillary services at the distribution level, ancillary services from DG, the prospects for DG, commercial and technical aspects, and impact assessments are reviewed.

  5. Ancillary Services from Wind Farms

    DEFF Research Database (Denmark)

    Meeting the EU objectives of sustainable energy supply in the near future involves a dramatic increase of the electricity demand covered by variable renewable sources, among which wind power holds an important role. This important role comes together with ever increasing requirements of wind powe...... plants ability of delivering ancillary services to the power system. The presentation attempts at giving an overview of the present (and future) research on the ability of large (offshore) wind farms to provide power system services....

  6. Ancillary services available to the orthopedic surgeon.

    Science.gov (United States)

    Bert, Jack M

    2008-01-01

    The delivery of high quality medical services is approaching a crisis situation in the United States. As physician reimbursements decline and overhead increases, orthopedic surgeons must seek additional sources of revenue to remain financially viable and control the quality of medical care that they deliver. The orthopedic surgeon group is well positioned to control its own service lines and deliver excellent patient care as a result. This article reviews the possibilities of multiple types of ancillary service lines available for the orthopedic group practice. PMID:18061762

  7. Illustration of Modern Wind Turbine Ancillary Services

    DEFF Research Database (Denmark)

    Margaris, Ioannis D.; Hansen, Anca Daniela; Sørensen, Poul Ejnar; Hatziargyriou, Nikolaos D.

    2010-01-01

    Increasing levels of wind power penetration in modern power systems has set intensively high standards with respect to wind turbine technology during the last years. Security issues have become rather critical and operation of wind farms as conventional power plants is becoming a necessity as wind...... turbines replace conventional units on the production side. This article includes a review of the basic control issues regarding the capability of the Doubly Fed Induction Generator (DFIG) wind turbine configuration to fulfill the basic technical requirements set by the system operators and contribute to...... power system security. An overview of ancillary services provided by wind turbine technology nowadays is provided, i.e., fault ride-through capability, reactive power supply and frequency-active power control....

  8. Reliability Assessment of Coalitions for the Provision of Ancillary Services

    OpenAIRE

    Blank, Marita

    2015-01-01

    The introduction of distributed renewable power units (RPU) changes the operation of electrical power systems. RPU take over tasks of conventional power plants such as energy supply and the provision of ancillary services. The ancillary service provision must be reliable in order to guarantee secure system operations. In this thesis, the RelACs-method is introduced to assess coalitions, i.e. aggregations of RPU, with respect of how reliably they are able to provide ancillary services, particu...

  9. Options for pricing ancillary services in a deregulated power system

    Science.gov (United States)

    Yamin, Hatim Yahya

    2001-07-01

    GENCOs in restructured systems are compensated for selling energy in the market. In a restructured market, a mechanism is required to entice participants in the market to provide ancillary services and to ensure adequate compensation that would guarantee its economic viability. The ISO controls the dispatch of generation, manages the reliability of the transmission grid, provides open access to the transmission, buys and provides ancillary services as required, coordinates day-ahead, hour-ahead schedules and performs real time balancing of load and generation, settles real time imbalances and ancillary services sales and purchases. The ISO, also, administers congestion management protocols for the transmission grid. Since the ISO does not own any generating units it must ensure that there is enough reserves for maintaining reliability according to FERC regulations, and sufficient unloaded generating capacity for balancing services in a real-time market. The ISO could meet these requirements by creating a competitive market for ancillary services, which are metered and remain unbundled to provide an accurate compensation for each supplier and cost to each consumer, In this study, we give an overview for restructuring and ancillary services in a restructured power marketplace. Also, we discuss the effect of GENCOs' actions in the competitive energy and ancillary service markets. In addition, we propose an auction market design for hedging ancillary service costs in California market. Furthermore, we show how to include the n-1 and voltage contingencies in security constrained unit commitment. Finally, we present two approaches for GENCOs' unit commitment in a restructured power market; one is based on game theory and the other is based on market price forecasting. In each of the two GENCOs' unit commitment approaches, we discuss the GENCOs' optimal bidding strategies in energy and ancillary service markets to maximize the GENCOs' profit.

  10. Load Participation in Ancillary Services System from An Operator Perspective

    Energy Technology Data Exchange (ETDEWEB)

    Kujawski, Don [PJM, Audubon, PA (United States); Petri, Mark C. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2011-10-25

    Ancillary services as defined by FERC (Order 888) distinguished by response time, duration, frequency. Met when DR has capability to balance supply and demand; and LMP payment to DR is cost effective.

  11. Frequency control ancillary services in large interconnected systems

    OpenAIRE

    Diouf, Edmond

    2013-01-01

    This research focuses on frequency control ancillary services in large interconnected systems. It analyses and assesses possible alternatives for optimal and innovative solutions of major frequency control issues in large interconnected systems within liberalised electricity markets. Possible improvements in the performance of frequency control are identified. A framework of frequency control ancillary services in large interconnected systems by including loads and wind generation is also pro...

  12. Survey of U.S. Ancillary Services Markets

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Zhi [Argonne National Lab. (ANL), Argonne, IL (United States); Levin, Todd [Argonne National Lab. (ANL), Argonne, IL (United States); Conzelmann, Guenter [Argonne National Lab. (ANL), Argonne, IL (United States)

    2016-01-01

    In addition to providing energy to end-consumers, power system operators are also responsible for ensuring system reliability. To this end, power markets maintain an array of ancillary services to ensure it is always possible to balance the supply and demand for energy in real-time. A subset of these ancillary services are commonly procured through market-based mechanisms: namely, Regulation, Spinning, and Non-spinning Reserves.

  13. Using OWL-S to annotate services with ancillary behaviour

    OpenAIRE

    Belecheanu, R A; Jacyno, M; Payne, T.

    2004-01-01

    This paper introduces the concept of services with ancillary behaviour and illustrates the use of OWL-S to semantically describe them. The OWL-S syntax used reflects the dynamic and core-function independent nature of ancillary behaviour. The approach is illustrated on the case of a ubiquitous computing system designed to offer care in the home of a cardiac patient. Here one of the challenges is to ensure service availability, team awareness and transaction atomicity. The concept of commitmen...

  14. Integration of Flexible Consumers in the Ancillary Service Markets

    DEFF Research Database (Denmark)

    Biegel, Benjamin; Westenholz, Mikkel; Hansen, Lars Henrik;

    2014-01-01

    Flexible consumption devices are often able to quickly adjust the power consumption making these devices very well suited as providers of fast ancillary services such as primary and secondary reserves. As these reserves are among the most well-paid ancillary services, it is an interesting idea...... to let an aggregator control a portfolio of flexible consumption devices and sell the accumulated flexibility in the primary and secondary reserve markets. However, two issues make it difficult for a portfolio of consumption devices to provide ancillary services: First, flexible consumption devices only...... have a limited energy capacity and are therefore not able to provide actual energy deliveries. Second, it is often difficult to make an accurate consumption baseline estimate for a portfolio of flexible consumption devices. These two issues do not fit the current regulations for providing ancillary...

  15. The evolving design of RTO ancillary service markets

    International Nuclear Information System (INIS)

    Although the markets for ancillary services at the North American Independent System Operators are often structured in quite different ways there is an emerging set of core design elements that represent a rough consensus as to what the optimal design configuration for ancillary services should be, albeit with some regional variation. This paper looks back at how the design of ancillary services markets has recently evolved to put this development in context. Thereafter it examines the methods by which ancillary services are procured by highlighting the procurement practices at a number of different Independent System Operators, principally those in California, New York, New England, Texas and the PJM Interconnection, in an attempt to tease out the remaining reasons why the ancillary service markets are still so different. This is important as there are many innovations that are not rooted in regional differences but reflect genuine technical advances and economic efficiency gains and can be replicated across other ISOs to produce more efficient designs, greater reliability and lower costs. (author)

  16. Illustration of Modern Wind Turbine Ancillary Services

    OpenAIRE

    Ioannis D. Margaris; Anca D. Hansen; Poul Sørensen; Nikolaos D. Hatziargyriou

    2010-01-01

    Increasing levels of wind power penetration in modern power systems has set intensively high standards with respect to wind turbine technology during the last years. Security issues have become rather critical and operation of wind farms as conventional power plants is becoming a necessity as wind turbines replace conventional units on the production side. This article includes a review of the basic control issues regarding the capability of the Doubly Fed Induction Generator (DFIG) wind turb...

  17. Optimal generator bidding strategies for power and ancillary services

    Science.gov (United States)

    Morinec, Allen G.

    As the electric power industry transitions to a deregulated market, power transactions are made upon price rather than cost. Generator companies are interested in maximizing their profits rather than overall system efficiency. A method to equitably compensate generation providers for real power, and ancillary services such as reactive power and spinning reserve, will ensure a competitive market with an adequate number of suppliers. Optimizing the generation product mix during bidding is necessary to maximize a generator company's profits. The objective of this research work is to determine and formulate appropriate optimal bidding strategies for a generation company in both the energy and ancillary services markets. These strategies should incorporate the capability curves of their generators as constraints to define the optimal product mix and price offered in the day-ahead and real time spot markets. In order to achieve such a goal, a two-player model was composed to simulate market auctions for power generation. A dynamic game methodology was developed to identify Nash Equilibria and Mixed-Strategy Nash Equilibria solutions as optimal generation bidding strategies for two-player non-cooperative variable-sum matrix games with incomplete information. These games integrated the generation product mix of real power, reactive power, and spinning reserve with the generators's capability curves as constraints. The research includes simulations of market auctions, where strategies were tested for generators with different unit constraints, costs, types of competitors, strategies, and demand levels. Studies on the capability of large hydrogen cooled synchronous generators were utilized to derive useful equations that define the exact shape of the capability curve from the intersections of the arcs defined by the centers and radial vectors of the rotor, stator, and steady-state stability limits. The available reactive reserve and spinning reserve were calculated given a

  18. Demand Response Resources for Energy and Ancillary Services (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    Hummon, M.

    2014-04-01

    Demand response (DR) resources present a potentially important source of grid flexibility particularly on future systems with high penetrations of variable wind an solar power generation. However, DR in grid models is limited by data availability and modeling complexity. This presentation focuses on the co-optimization of DR resources to provide energy and ancillary services in a production cost model of the Colorado test system. We assume each DR resource can provide energy services by either shedding load or shifting its use between different times, as well as operating

  19. Ancillary study management systems: a review of needs

    Directory of Open Access Journals (Sweden)

    Nelson Elizabeth K

    2013-01-01

    Full Text Available Abstract Background The valuable clinical data, specimens, and assay results collected during a primary clinical trial or observational study can enable researchers to answer additional, pressing questions with relatively small investments in new measurements. However, management of such follow-on, “ancillary” studies is complex. It requires coordinating across institutions, sites, repositories, and approval boards, as well as distributing, integrating, and analyzing diverse data types. General-purpose software systems that simplify the management of ancillary studies have not yet been explored in the research literature. Methods We have identified requirements for ancillary study management primarily as part of our ongoing work with a number of large research consortia. These organizations include the Center for HIV/AIDS Vaccine Immunology (CHAVI, the Immune Tolerance Network (ITN, the HIV Vaccine Trials Network (HVTN, the U.S. Military HIV Research Program (MHRP, and the Network for Pancreatic Organ Donors with Diabetes (nPOD. We also consulted with researchers at a range of other disease research organizations regarding their workflows and data management strategies. Lastly, to enhance breadth, we reviewed process documents for ancillary study management from other organizations. Results By exploring characteristics of ancillary studies, we identify differentiating requirements and scenarios for ancillary study management systems (ASMSs. Distinguishing characteristics of ancillary studies may include the collection of additional measurements (particularly new analyses of existing specimens; the initiation of studies by investigators unaffiliated with the original study; cross-protocol data pooling and analysis; pre-existing participant consent; and pre-existing data context and provenance. For an ASMS to address these characteristics, it would need to address both operational requirements (e.g., allocating existing specimens and data

  20. Ancillary services and optimal household energy management with photovoltaic production

    International Nuclear Information System (INIS)

    This article presents a project designed to increase the monetary value of photovoltaic (PV) solar production for residential applications. To contribute to developing new functionalities for this type of PV system and an efficient control system for optimising its operation, this article explains how the proposed system could contract to provide ancillary services, particularly the supply of active power services. This provision of service by a PV-based system for domestic applications, not currently available, has prompted a market design proposal related to the distribution system. The mathematical model for calculating the system's optimal operation (sources, load and exchanges of power with the grid) results in a linear mix integer optimisation problem in which the objective is to maximise the profits achieved by taking part in the electricity market. Our approach is illustrated in a case study. PV producers could gain by taking part in the markets for balancing power or ancillary services despite the negative impact on profit of several types of uncertainty, notably the intermittent nature of the PV source. (author)

  1. Ancillary services and optimal household energy management with photovoltaic production

    International Nuclear Information System (INIS)

    This article presents a project designed to increase the monetary value of photovoltaic (PV) solar production for residential applications. To contribute to developing new functionalities for this type of PV system and an efficient control system for optimising its operation, this article explains how the proposed system could contract to provide ancillary services, particularly the supply of active power services. This provision of service by a PV-based system for domestic applications, not currently available, has prompted a market design proposal related to the distribution system. The mathematical model for calculating the system's optimal operation (sources, load and exchanges of power with the grid) results in a linear mix integer optimisation problem in which the objective is to maximise the profits achieved by taking part in the electricity market. Our approach is illustrated in a case study. PV producers could gain by taking part in the markets for balancing power or ancillary services despite the negative impact on profit of several types of uncertainty, notably the intermittent nature of the PV source.

  2. Commercial Building Loads Providing Ancillary Services in PJM

    Energy Technology Data Exchange (ETDEWEB)

    MacDonald, Jason; Kiliccote, Sila; Boch, Jim; Chen, Jonathan; Nawy, Robert

    2014-06-27

    The adoption of low carbon energy technologies such as variable renewable energy and electric vehicles, coupled with the efficacy of energy efficiency to reduce traditional base load has increased the uncertainty inherent in the net load shape. Handling this variability with slower, traditional resources leads to inefficient system dispatch, and in some cases may compromise reliability. Grid operators are looking to future energy technologies, such as automated demand response (DR), to provide capacity-based reliability services as the need for these services increase. While DR resources are expected to have the flexibility characteristics operators are looking for, demonstrations are necessary to build confidence in their capabilities. Additionally, building owners are uncertain of the monetary value and operational burden of providing these services. To address this, the present study demonstrates the ability of demand response resources providing two ancillary services in the PJM territory, synchronous reserve and regulation, using an OpenADR 2.0b signaling architecture. The loads under control include HVAC and lighting at a big box retail store and variable frequency fan loads. The study examines performance characteristics of the resource: the speed of response, communications latencies in the architecture, and accuracy of response. It also examines the frequency and duration of events and the value in the marketplace which can be used to examine if the opportunity is sufficient to entice building owners to participate.

  3. Effective Ancillary Services Market Designs on High Wind Power Penetration Systems: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Ela, E.; Kirby, B.; Navid, N.; Smith, J. C.

    2011-12-01

    This paper focuses on how the ancillary service market designs are implemented and how they may require changes on systems with greater penetrations of variable renewable energy suppliers, in particular wind power. Ancillary services markets have been developed in many of the restructured power system regions throughout the world. Ancillary services include the services that support the provision of energy to support power system reliability. The ancillary services markets are tied tightly to the design of the energy market and to the physics of the system and therefore careful consideration of power system economics and engineering must be considered in their design. This paper focuses on how the ancillary service market designs are implemented and how they may require changes on systems with greater penetrations of variable renewable energy suppliers, in particular wind power.

  4. Transactive Control and Coordination of Distributed Assets for Ancillary Services

    Energy Technology Data Exchange (ETDEWEB)

    Subbarao, Krishnappa; Fuller, Jason C.; Kalsi, Karanjit; Somani, Abhishek; Pratt, Robert G.; Widergren, Steven E.; Chassin, David P.

    2013-09-18

    The need to diversify energy supplies, the need to mitigate energy-related environmental impact, and the entry of electric vehicles in large numbers present challenges and opportunities to power system professionals. Wind and solar power provide many benefits, and to reap the benefits the resulting increased variability—forecasted as well as unforecasted—should be addressed. Demand resources are receiving increasing attention as one means of providing the grid balancing services. Control and coordination of a large number (~millions) of distributed smart grid assets requires innovative approaches. One such is transactive control and coordination (TC2)—a distributed, agent-based incentive and control system. The TC2 paradigm is to create a market system with the following characteristics: • Participation should be entirely voluntary. • The participant decides at what price s/he is willing to participate. • The bids and responses are automated. Such an approach has been developed and demonstrated by Pacific Northwest National Laboratory for energy markets. It is the purpose of this project to develop a similar approach for ancillary services. In this report, the following ancillary services are considered: • spinning reserve • ramping • regulation. These services are to be provided by the following devices: • refrigerators • water heaters • clothes dryers • variable speed drives. The important results are summarized below: The regulation signal can be divided into an energy-neutral high frequency component and a low frequency component. The high frequency component is particularly well suited for demand resources. The low frequency component, which carries energy non-neutrality, can be handled by a combination of generators and demand resources. An explicit method for such a separation is obtained from an exponentially weighted moving average filter. Causal filters (i.e., filters that process only present and past values of a signal

  5. 78 FR 46177 - Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric...

    Science.gov (United States)

    2013-07-30

    ... Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric Storage...-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric Storage... services. \\6\\ Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for...

  6. Technical and economic aspects of ancillary services markets in the electric power industry: an international comparison

    International Nuclear Information System (INIS)

    We present a comparative analysis of technical and economic aspects of ancillary services on the markets of England and Wales, Nordic Countries, California, Argentina, Australia and Spain, comparing the services of voltage control, frequency regulation and system restoration. All the analyzed markets rely on the existence of an administrator of ancillary services, function that leads to the figure of the system operator. Among the services analyzed, the mandatory nature of voltage control and primary frequency regulation stands out, being both the ancillary services with the higher market price and the shortest period of time requirements. In general, the recognized costs of the services correspond to investments operation, maintenance, and opportunity costs. In the provision of these ancillary services, there are no clear preferences for a particular resource allocation mechanism, where mandatory provision, auctions, competitive offers and different time length bilateral contracts are combined

  7. 77 FR 40413 - Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric...

    Science.gov (United States)

    2012-07-09

    ... 101 Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric... 101 Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric... jurisdiction. \\2\\ Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for...

  8. Capabilities and costs for ancillary services provision by wind power plants. Deliverable D 3.1

    DEFF Research Database (Denmark)

    Faiella, Mariano; Hennig, Tobias; Cutululis, Nicolaos Antonio; Van Hulle, Frans

    This report is the deliverable of the third work package of the REserviceS project and describes the technical options and related costs for the provision of ancillary services specifically from wind energy technologies. It is focused on the set of ancillary services defined in the previous work...... package 2, shown in table 1 below. The information from this deliverable will be used as input to the case studies in subsequent work packages, which are expected to provide additional insights to the actual provision of ancillary services in transmission and distribution networks....

  9. The Nordic approach to market-based provision of ancillary services

    International Nuclear Information System (INIS)

    This paper presents an overview of the markets for ancillary services, which are regulated and traded differently within and across borders in the Nordic countries. We describe the services provided and their characteristics in terms of definition, participation, contracting approach and duration, selection of offers, and dispatch criteria. Further, we assess the costs, specify the payments, and discuss cost allocation, and we conclude with a policy discussion of ancillary services in the Nordic countries

  10. The Nordic approach to market-based provision of ancillary services

    International Nuclear Information System (INIS)

    This paper presents an overview of the markets for ancillary services, which are regulated and traded differently within and across borders in the Nordic countries. We describe the services provided and their characteristics in terms of definition, participation, contracting approach and duration, selection of offers, and dispatch criteria. Further, we assess the costs, specify the payments, and discuss cost allocation, and we conclude with a policy discussion of ancillary services in the Nordic countries. (author)

  11. Ancillary services: technical specifications, system needs and costs. Deliverable D 2.2

    DEFF Research Database (Denmark)

    Holttinen, Hannele; Cutululis, Nicolaos Antonio; Gubina, Andrej;

    2012-01-01

    In this report, different ancillary services are described and a table listing main services is presented. While Chapter 2 is describing the services from (renewable) generators point of view, Chapter 3 is considering future system needs for services with increased wind and solar penetration. The...

  12. Ancillary Services for the European Grid with High Shares of Wind and Solar Power

    DEFF Research Database (Denmark)

    Van Hulle, Frans; Holttinen, Hannele; Kiviluoma, Juha;

    2012-01-01

    With significantly increasing share of variable renewable power generation like wind and solar PV, the need in the power system for ancillary services supporting the network frequency, voltage, etc. changes. Turning this issue around, market opportunities will emerge for wind and solar PV...... technology to deliver such grid services. In the European power system, adequate market mechanisms need to be developed to ensure that there will be an efficient trading of these services. For that purpose a range of (economic) characteristics of wind (and solar) power as providers of grid services need......) conceptually analyzing system needs for ancillary services and at assessing the technical aspects of and cost of delivering these services by solar PV and wind power, in scenarios of high renewable penetration. (2) Investigation of the need for ancillary services in typical transmission and distribution...

  13. Security-constrained ancillary services allocation and pricing in integrated markets

    International Nuclear Information System (INIS)

    Ancillary services are used to control system frequency and to ensure the secure and reliable transmission of electricity from suppliers to consumers. A new dispatch formulation for determining optimal network security constraints for generator active-power schedules and the allocation of ancillary services was presented in this study. The conventional optimal power flow (OPF) formulation was based on an integrated market model with energy and ancillary services procured simultaneously using a co-optimization process. The Newton method for optimizing the Lagrange function formed from individual cost functions and constraints was used. The contingency formulation considered power demand variations at load nodes. Additional control variables were added in order to meet new load demands in the dispatch formulation. A Lagrange function was used to develop an extended set of security constraints as well as individual prices for ancillary service providers. Costs related to maintenance, lower efficiency and lower active-power generation were the variable costs of frequency control. Services compensating the transmission system losses between consumers and suppliers were described as grid loss compensation services. Case studies of representative power systems were used to verify the new dispatch calculation method. The study showed that minimizing the procurement costs of ancillary services can lead to insecure system operations. 13 refs., 3 tabs., 3 figs.

  14. Simulating the Operation of Markets for Bulk-Power Ancillary Services

    OpenAIRE

    Eric Hirst; Brendan Kirby

    1998-01-01

    The U.S. Federal Energy Regulatory Commission (FERC) requires electric utilities to offer six ancillary services. Most of the tariffs filed with FERC price these services on the basis of traditional cost-of-service (embedded) costs, Because most of these services are provided by generating units, however, it should be possible to create competitive markets for them. This paper describes, the structure of, and results from, a spreadsheet model that simulates markets for seven services: losses,...

  15. Ancillary services in the health care industry: is Six Sigma reasonable?

    Science.gov (United States)

    Johnstone, Peter A S; Hendrickson, Julie A W; Dernbach, Allison J; Secord, Ann R; Parker, John C; Favata, Michael A; Puckett, Michael L

    2003-01-01

    Within the naval medical center construct, the disparate disciplines encompassed within ancillary services lend themselves to formal quality analysis and process improvement. This analysis uses the Six Sigma approach. Error rates were investigated and calculated for various processes within ancillary services at Naval Medical Center, San Diego. These were translated into the common metric of defects per million opportunities (DPMO). DPMO rates vary between 21.5 and 420,000. These correspond to Sigma values from 1.7 to approaching 6. Rates vary with biological complexity of the system and the degree of automation available. Some ancillary services translate well into a Six Sigma schema. Systems with high potential patient risk if performed poorly and those amenable to second checking and computer oversight may be candidates for such optimization. This should be undertaken in a local environment conducive to individual error reporting, and in a corporate environment with the will and funding to support the transition. PMID:12593375

  16. Mixed integer non-linear programming and Artificial Neural Network based approach to ancillary services dispatch in competitive electricity markets

    International Nuclear Information System (INIS)

    Highlights: • Ancillary services market management. • Ancillary services requirements forecast based on Artificial Neural Network. • Ancillary services clearing mechanisms without complex bids and with complex bids. - Abstract: Ancillary services represent a good business opportunity that must be considered by market players. This paper presents a new methodology for ancillary services market dispatch. The method considers the bids submitted to the market and includes a market clearing mechanism based on deterministic optimization. An Artificial Neural Network is used for day-ahead prediction of Regulation Down, regulation-up, Spin Reserve and Non-Spin Reserve requirements. Two test cases based on California Independent System Operator data concerning dispatch of Regulation Down, Regulation Up, Spin Reserve and Non-Spin Reserve services are included in this paper to illustrate the application of the proposed method: (1) dispatch considering simple bids; (2) dispatch considering complex bids

  17. Risk Management: Supporting the District's Ancillary Services Staff

    Science.gov (United States)

    Waldmann, Steve; Strasburger, Tom

    2013-01-01

    The everyday operations of a school district depend on a network of people, including students, teachers, staff, and administrators. However, the ancillary services staff are really responsible for making the school day run smoothly. They are often the first employees that students see in the morning, either on the school bus or in the cafeteria,…

  18. Optimal Sizing and Allocation of Residential Photovoltaic Panels in a Distribution Network for Ancillary Services Application

    DEFF Research Database (Denmark)

    Kordheili, Reza Ahmadi; Pourmousavi, Ali; Pillai, Jayakrishnan Radhakrishna; M. Hasanien, Hany; Bak-Jensen, Birgitte; Nehrir, M. Hashem

    Tremendous penetration of renewable energy in electric networks, despite its valuable opportunities, such as balancing reserve and ancillary service, has raised concerns for network operators. Such concern stems from grid operating conditions. Such huge penetration can lead to violation in the gr...

  19. Ancillary services for the European grid with high shares of wind and solar power

    Energy Technology Data Exchange (ETDEWEB)

    Hulle, Frans van [EWEA, Brussels (Belgium); Holttinen, Hannele; Kiviluoma, Juha [VTT (Finland); Cutululis, Nicolaos [DTU (Denmark)

    2012-07-01

    With significantly increasing share of variable renewable power generation like wind and solar PV, the need in the power system for ancillary services supporting the network frequency, voltage, etc. changes. Turning this issue around, market opportunities will emerge for wind and solar PV technology to deliver such grid services. In the European power system, adequate market mechanisms need to be developed to ensure that there will be an efficient trading of these services. For that purpose a range of (economic) characteristics of wind (and solar) power as providers of grid services need to be better understood. This relates both to the technical capabilities of the plants for delivering specific services and to the quantification of the needs. The paper presents the approach of the European lEE project REserviceS, aiming at establishing reference guidance for the ongoing developments in Europe of network codes and electricity market design. Economic insights gained from REserviceS will be shaped into recommendations to be used when establishing electricity market mechanisms and Network Codes at EU level. The project approach presented in the paper consists of two main parts namely (1) conceptually analyzing system needs for ancillary services and at assessing the technical aspects of and cost of delivering these services by solar PV and wind power, in scenarios of high renewable penetration. (2) Investigation of the need for ancillary services in typical transmission and distribution networks, and the cost and options to deliver these services at high penetration. The paper will give an overview of case studies envisaged, together with the intended methods used for the analysis. The paper also gives some initial project results. It presents the outcome of the assessment of ancillary services that are especially relevant for wind and solar power. These are mainly related to frequency, voltage control and restoration of the system. In addition, based on existing

  20. VOLTTRON-Based System for Providing Ancillary Services with Residential Building Loads

    Energy Technology Data Exchange (ETDEWEB)

    Jin, Xin

    2016-07-01

    Ancillary services entail controlled modulation of building equipment to maintain a stable balance of generation and load in the power system. Ancillary services include frequency regulation and contingency reserves, whose acting time ranges from several seconds to several minutes. Many pilot studies have been implemented to use industrial loads to provide ancillary services, and some have explored services from commercial building loads or electric vehicle charging loads. Residential loads, such as space conditioning and water heating, represent a largely untapped resource for providing ancillary services. The residential building sector accounts for a significant fraction of the total electricity use in the United States. Many loads in residential buildings are flexible and could potentially be curtailed or shifted at the request of the grid. However, there are many barriers that prevent residential loads being widely used for ancillary services. One of the major technical barriers is the lack of communication capabilities between end-use devices and the grid. End-use devices need to be able to receive the automatic generation control (AGC) signal from the grid operator and supply certain types of telemetry to verify response. With the advance of consumer electronics, communication-enabled, or 'connected,' residential equipment has emerged to overcome the communication barrier. However, these end-use devices have introduced a new interoperability challenge due to the existence of numerous standards and communication protocols among different end devices. In this paper, we present a VOLTTRON-based system that overcomes these technical challenges and provides ancillary services with residential loads. VOLTTRON is an open-source control and sensing platform for building energy management, facilitating interoperability solutions for end devices. We have developed drivers to communicate and control different types of end devices through standard

  1. Alternative Approaches for Incentivizing the Frequency Responsive Reserve Ancillary Service

    Energy Technology Data Exchange (ETDEWEB)

    Ela, E.; Milligan, M.; Kirby, B.; Tuohy, A.; Brooks, D.

    2012-03-01

    Frequency responsive reserve is the autonomous response of generators and demand response to deviations of system frequency, usually as a result of the instantaneous outage of a large supplier. Frequency responsive reserve arrests the frequency decline resulting in the stabilization of system frequency, and avoids the triggering of under-frequency load-shedding or the reaching of unstable frequencies that could ultimately lead to system blackouts. It is a crucial service required to maintain a reliable and secure power system. Regions with restructured electricity markets have historically had a lack of incentives for frequency responsive reserve because generators inherently provided the response and on large interconnected systems, more than sufficient response has been available. This may not be the case in future systems due to new technologies and declining response. This paper discusses the issues that can occur without proper incentives and even disincentives, and proposes alternatives to introduce incentives for resources to provide frequency responsive reserve to ensure an efficient and reliable power system.

  2. Market and policy barriers for demand response providing ancillary services in U.S. markets

    Energy Technology Data Exchange (ETDEWEB)

    Cappers, Peter [Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States); MacDonald, Jason [Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States); Goldman, Charles [Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)

    2013-03-01

    This study provides an examination of various market and policy barriers to demand response providing ancillary services in both ISO/RTO and non-ISO/RTO regions, especially at the program provider level. It is useful to classify barriers in order to create a holistic understanding and identify parties that could be responsible for their removal. This study develops a typology of barriers focusing on smaller customers that must rely on a program provider (i.e., electric investor owned utility or IOU, ARC) to create an aggregated DR resource in order to bring ancillary services to the balancing authority. The barriers were identified through examinations of regulatory structures, market environments, and product offerings; and discussions with industry stakeholders and regulators. In order to help illustrate the differences in barriers among various wholesale market designs and their constituent retail environments, four regions were chosen to use as case studies: Colorado, Texas, Wisconsin, and New Jersey.

  3. Simulated annealing to handle energy and ancillary services joint management considering electric vehicles

    DEFF Research Database (Denmark)

    Sousa, Tiago M; Soares, Tiago; Morais, Hugo;

    2016-01-01

    The massive use of distributed generation and electric vehicles will lead to a more complex management of the power system, requiring new approaches to be used in the optimal resource scheduling field. Electric vehicles with vehicle-to-grid capability can be useful for the aggregator players in the...... mitigation of renewable sources intermittency and in the ancillary services procurement. In this paper, an energy and ancillary services joint management model is proposed. A simulated annealing approach is used to solve the joint management for the following day, considering the minimization of the...... aggregator total operation costs. The case study considers a distribution network with 33-bus, 66 distributed generation and 2000 electric vehicles. The proposed simulated annealing is matched with a deterministic approach allowing an effective and efficient comparison. The simulated annealing presents a...

  4. Techno-economic analysis of energy storage systems for grid ancillary services

    OpenAIRE

    Peracaula Ruiz, Àlex

    2014-01-01

    In a future with a higher renewable penetration, energy storage technologies will play an important role. They may, for example, use curtailed energy for arbitrage or supply ancillary services, help in relieving the grid congestion, and promote distributed generation. A techno-economic understanding and comparison between several electrical energy storage options is pursued as the main objective. Technologies with particular interest are: pumped hydropower storage, compressed air energy stora...

  5. Usage of direct search methods in predictive control of ancillary services

    International Nuclear Information System (INIS)

    Most European transmission systems are interconnected to ensure the reliability and accessibility of electric power supply. Transmission system operators (TSOs) are responsible for ensuring that contracted cross-border supplies are available and that deficits are accommodated. TSOs typically buy ancillary services in advance for use in periods of deficit. This paper described a predictive control approach for ancillary services in interconnected electricity systems. The model was designed to predict the difference between contracted and actual cross-border transmission of electric power. The power sources were considered as individual power plants. The receding horizon principle was applied in order to compute the time sequences of individual sources for longer prediction periods using only the initial part of the sequences. Coverage included positive tertiary regulation; negative tertiary regulation; quickstart; dispatch reserve; and energy bought from other countries. Inputs were converted into binary values for the optimization algorithm. The technical properties of individual sources were used as fundamental constraints. The optimization algorithm was able to determine optimal sequences of ancillary services within a prediction horizon of 6 hours. 6 refs., 1 tab., 6 figs.

  6. Identifying children in need of ancillary and enabling services: a population approach.

    Science.gov (United States)

    Benedict, Ruth E; Farel, Anita M

    2003-12-01

    Children with chronic or disabling conditions use health, education and social services at a higher rate than their healthy peers. Estimates of the number of children in need of these specialized services are widely varied and often depend on categorical definitions that do not account for either the diversity or commonality of their experiences. Developing methods for identifying the population in need of services, particularly children likely to use long-term ancillary (audiology, occupational, physical or speech therapy, or social work) and/or enabling services (special equipment, personal care assistance, respite care, transportation, or environmental modifications), is essential for effective policy and program implementation. This study examines several recent attempts to operationalize definitions of children with chronic conditions using a noncategorical classification approach. Particular emphasis is placed on the subgroup of children identified as having functional limitations. Proposed operational definitions of children with functional limitations are compared using data from the 1994-1995 Disability Supplement to the US National Health Interview Survey. Estimates of the number of children reported to be using ancillary and enabling services are generated and compared across operational definitions of functional limitation as well as by the number, severity, and type (i.e. mobility, self-care, communication/sensory, social cognition/learning ability) of limitation. Depending on the operational definition selected, 9-14% of US community-dwelling children are estimated to have functional limitations. Among children with limitations, 26-30% regularly use ancillary services and 11-14% use enabling services. The strengths, limitations, and potential applications for each operational definition are discussed. PMID:14512235

  7. Analysis of the Impact of Wind Power Participating in Both Energy and Ancillary Services Markets – The Danish Case

    DEFF Research Database (Denmark)

    Soares, Tiago; Morais, Hugo; Pinson, Pierre

    2014-01-01

    The impact of a high penetration of wind power generation in power systems motivates need for an assessment of its inte raction with electricity markets. With the continuous evolution of wind turbines technology, wind farms have today the ability to provide certain ancillary services with...... appropriate levels of security and reliability . The participation of wind f arms i n ancillary service market s ought to rely on market designs and offering strategies that satisfy power system needs, as well as their operating characteristics . Here we evaluate the system impact of different offering...... strategies that wind farms employ on ene rgy and ancillary service market. A lready proposed Proportional Wind Reserve Strategy (PWRS) and a Continuo us Wind Reserve Strategy (CWRS) are used to determine the amount of available power for ancillary services. A case study based on real and recent dat a for...

  8. 76 FR 36400 - Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric...

    Science.gov (United States)

    2011-06-22

    ... providing ancillary services; and accounting and financial reporting matters as they relate to recovery of costs for electric storage technologies, noting that the Commission's accounting and financial reporting... Requirements for Energy Storage Resources 23. The Commission's accounting \\40\\ and financial...

  9. Resource and revenue potential of California residential load participation in ancillary services

    International Nuclear Information System (INIS)

    Increasing penetrations of intermittent renewable energy resources will require additional power system services. California recently adopted an energy storage mandate to support its renewable portfolio standard, which requires 33% of delivered energy from renewables by 2020. The objective of this paper is to estimate the amount of energy storage that could be provided by residential thermostatically controlled loads, such as refrigerators and air conditioners, and the amount of revenue that could be earned by loads participating in ancillary services markets. We model load aggregations as virtual energy storage, and use simple dynamical system models and publicly available data to generate our resource and revenue estimates. We find that the resource potential is large: 10–40 GW/8–12 GWh, which is significantly more than that required by the mandate. We also find that regulation and spinning/non-spinning reserve revenues vary significantly depending upon type of load and, for heat pumps and air conditioners, climate zone. For example, mean regulation revenues for refrigerators are $11/year, for electric water heaters are $24/year, for air conditioners are $0-32/year, and for heat pumps are $22–56/year. Both consumer choices, such as appliance settings, and policy, such as the design of ancillary service compensation and appliance standards, could increase revenue potentials. - Highlights: • California's energy storage mandate requires 1.325 GW of energy storage by 2020. • Residential loads such as refrigerators have thermal energy storage. • California's residential loads could provide 10-40 GW/8-12 GWh of storage. • Loads participating in ancillary services markets could earn up to $56/load/year. • Consumer choices and policy mechanisms could increase revenue potentials

  10. Technical Feasibility of Ancillary Services provided by ReGen Plants

    OpenAIRE

    Altin, Müfit; Han, Xue; Hansen, Anca Daniela; Løvenstein Olsen, Rasmus; Nicolaos Antonio CUTULULIS; Iov, Florin

    2015-01-01

    This report is the first deliverable in WP1 in the project “Ancillary services from renewable power plants” (RePlan). RePlan is funded as PSO project 2015 no. 12347 by the Danish PSO-programme ForskEL, which is administered by Energinet.DK. RePlan is carried out in collaboration between DTU Wind Energy, DTU Elektro, Aalborg University Energy Technology, Aalborg University Wireless Communication Networks and Vestas Wind System A/S. DTU Wind Energy is manager of the project.

  11. An integrated pan-European ancillary services market for frequency control

    International Nuclear Information System (INIS)

    Real-time balancing of mismatches between consumption and production is one of the key elements for the secure operation of power systems. This takes place within the framework of ancillary services managed by respective national transmission system operating companies. The objective of this paper is to investigate the option of one integrated pan-European ancillary services market. Our contribution is twofold: quantifying the potential benefit of such an option and outlining a possible approach to such an option highlighting its positive properties as well as risks and challenges. In several recently published considerations of pan-European electricity supply models this topic has not been adequately addressed, but we believe it is one of the crucial subjects in shaping the future electricity supply in Europe. -- Author-Highlights: •We investigated the option of a one-area market for frequency control in Continental Europe. •For the current situation a centralised approach may lead to a significant reduction of control reserves. •In the long run it is a possibility to avoid a tremendous increase of needed control reserves. •The implementation of an integrated market is not to be underestimated

  12. Open Automated Demand Response Communications in Demand Response for Wholesale Ancillary Services

    Energy Technology Data Exchange (ETDEWEB)

    Kiliccote, Sila; Piette, Mary Ann; Ghatikar, Girish; Koch, Ed; Hennage, Dan; Hernandez, John; Chiu, Albert; Sezgen, Osman; Goodin, John

    2009-11-06

    The Pacific Gas and Electric Company (PG&E) is conducting a pilot program to investigate the technical feasibility of bidding certain demand response (DR) resources into the California Independent System Operator's (CAISO) day-ahead market for ancillary services nonspinning reserve. Three facilities, a retail store, a local government office building, and a bakery, are recruited into the pilot program. For each facility, hourly demand, and load curtailment potential are forecasted two days ahead and submitted to the CAISO the day before the operation as an available resource. These DR resources are optimized against all other generation resources in the CAISO ancillary service. Each facility is equipped with four-second real time telemetry equipment to ensure resource accountability and visibility to CAISO operators. When CAISO requests DR resources, PG&E's OpenADR (Open Automated DR) communications infrastructure is utilized to deliver DR signals to the facilities energy management and control systems (EMCS). The pre-programmed DR strategies are triggered without a human in the loop. This paper describes the automated system architecture and the flow of information to trigger and monitor the performance of the DR events. We outline the DR strategies at each of the participating facilities. At one site a real time electric measurement feedback loop is implemented to assure the delivery of CAISO dispatched demand reductions. Finally, we present results from each of the facilities and discuss findings.

  13. An assessment of market and policy barriers for demand response providing ancillary services in U.S. electricity markets

    International Nuclear Information System (INIS)

    An impact of increased variable renewable generation is the need for balancing authorities to procure more ancillary services. While demand response resources are technically capable of providing these services, current experience across the U.S. illustrates they are relatively minor players in most regions. Accessing demand response resources for ancillary services may require a number of changes to policies and common practices at multiple levels. Regional reliability councils must first define ancillary services such that demand response resources may provide them. Once the opportunity exists, balancing authorities define and promulgate rules that set the infrastructure investments and performance attributes of a resource wishing to provide such services. These rules also dictate expected revenue streams which reveal the cost effectiveness of these resources. The regulatory compact between utility and state regulators, along with other statutes and decisions by state policymakers, may impact the interest of demand response program providers to pursue these resources as ancillary service providers. This paper identifies within these broad categories specific market and policy barriers to demand response providing ancillary services in different wholesale and retail environments, with emphasis on smaller customers who must be aggregated through a program provider to meet minimum size requirements for wholesale transactions. - Highlights: • We identify barriers keeping demand response from providing ancillary services. • Institutional, financial and program provider business model barriers exist. • Product definitions and rules do not always accommodate demand response well. • Expected revenues are uncertain and may not exceed required investments costs. • Regulatory compact and state statutes limit opportunities for program providers

  14. Development of modified rational buyer auction for procurement of ancillary services utilizing participation matrix

    International Nuclear Information System (INIS)

    The rational buyer auction is based on a simultaneous auction that is the redesigned auction mechanism for ancillary services by the California independent system operator (CAISO). The incentive for the rational buyer auction is CAISO's intent to adopt a common sense rule of substituting higher-quality lower-cost services for lower-quality higher-cost services, when it results in reduced total procurement cost. For the purposes of designing a desirable auction where the minimum cost for the objective function as well as prevention of price reversal are achieved, either the payment cost in marginal pricing auction must be lowered or price reversal in rational buyer auction must be avoided. The objectives of this study are (a) to develop a newly proposed 'modified rational buyer' auction that does not allow price reversal and (b) to propose and validate a solution procedure that is based on participation matrix and discrete programming. The validation of the proposed solution procedure is accomplished through examination of two case studies available in the literature. Based on the first case study data, it is shown that the newly developed modified rational buyer auction avoids price reversal occurrence, while the total payment of ISO is increased by 5.8%, as compared with rational buyer auction. Also in comparison with marginal pricing auction, the ISO payment is lowered by 38.8%, when the newly developed modified rational buyer auction is utilized. For future work, it is recommended that the application of the modified rational buyer auction to joint dispatch of energy and ancillary services is investigated. (author)

  15. Electric industry restructuring, ancillary services, and the potential impact on wind

    Energy Technology Data Exchange (ETDEWEB)

    Kirby, B.; Hirst, E. [Oak Ridge National Lab., TN (United States); Parsons, B.; Porter, K. [National Renewable Energy Lab., Golden, CO (United States)] [and others

    1997-12-31

    The new competitive electric power environment raises increased challenges for wind power. The DOE and EPRI wind programs have dealt extensively with the traditional vertically integrated utility planning and operating environment in which the host utility owns the generation (or purchases the power) and provides dispatch and transmission services. Under this traditional environment, 1794 MW of wind power, principally in California, have been successfully integrated into the U.S. electric power system. Another 4200 MW are installed elsewhere in the world. As issues have arisen, such as intermittency and voltage regulation, they have been successfully addressed with accepted power system procedures and practices. For an intermittent, non-dispatchable resource such as wind, new regulatory rules affecting power transmission services, raise questions about which ancillary services wind plants will be able to sell, which they will be required to purchase, and what the economic impacts will be on individual wind projects. This paper begins to look at issues of concern to wind in a restructured electric industry. The paper first briefly looks at the range of unbundled services and comments on their unique significance to wind. To illustrate the concerns that arise with restructuring, the paper then takes a more detailed look at a single service: regulation. Finally, the paper takes a brief look at technologies and strategies that could improve the competitive position of wind.

  16. Ancillary services and the integration of substantial quantities of wind power

    DEFF Research Database (Denmark)

    Østergaard, Poul Alberg

    2006-01-01

    Denmark has the World’s highest penetration of grid connected wind power in electricity generation with a share of 15.0% of total domestic demand in 2002 [Danish Energy Authority. Rapport fra arbejdsgruppen om kraftvarme- og VE-elektricitet. Bilagsrapport. Copenhagen: Danish Energy Authority; 2001......]. This is unevenly distributed in the two separate electricity systems comprising Denmark, giving a 2003 share as high as 21% in Western Denmark [Eltra. http://www.Eltra.dk. Skærbæk: Eltra; 2004] compared with a more modest 8% in the more densely populated Eastern Denmark [Elkraft System. Miljøberetning 2004...... as the potential impact of heat pumps used for district heating and installed for integration purposes. The analyses are made with particular focus on grid stability and delivery of ancillary services (required to control voltage and frequency) and demonstrate that it is possible to accommodate 50% or more wind...

  17. Cost-Causation-Based Tariffs for Wind Ancillary Service Impacts: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Kirby, B.; Milligan, M.; Wan, Y.

    2006-06-01

    Conference paper discussing the integration cost of wind. Although specific tariffs for wind generation for ancillary services are uncommon, we anticipate that balancing authorities (control areas) and other entities will move toward such tariffs. Tariffs for regulation and imbalance services should be cost-based, recognize the relevant time scales that correspond with utility operational cycles, and properly allocate those costs to those entities that cause the balancing authority to incur the costs. In this paper, we present methods for separating wind's impact into regulation and load following (imbalance) time scales. We show that approximating these impacts with simpler methods can significantly distort cost causation and even cause confusion between the relevant time scales. We present results from NREL's wind data collection program to illustrate the dangers of linearly scaling wind resource data from small wind plants to approximate the wind resource data from large wind plants. Finally, we provide a framework for developing regulation and imbalance tariffs, we outline methods to begin examining contingency reserve requirements for wind plants, we provide guidance on the important characteristics to consider, and we provide hypothetical cases that the tariff can be tested against to determine whether the results are desired.

  18. Integrated Power Management of Conventional Units and Industrial Loads in China’s Ancillary Services Scheduling

    Directory of Open Access Journals (Sweden)

    Mingtao Yao

    2015-05-01

    Full Text Available With the development of the smart grid in China, new opportunities for responsive industrial loads to participate in the provision of ancillary services (AS will become accessible. This paper summarizes AS in China and analyzes the necessary characteristics and advantages of industrial users to provide AS according to their response mechanism. Cement manufacturing and aluminum smelter processes are selected as two representatives of responsive industrial loads. An agent-based model that includes generation, industrial user, and grid agents is proposed. Using two case studies, we analyze the integrated power management of conventional units and industrial loads in day-ahead and real-time AS scheduling based on real device parameters, price mechanisms and production data. The simulation results indicate that the participation of responsive industrial loads in the provision of AS, in China, can improve the coal consumption rate and the system-wide load factor as well as reduce the total system cost for the provision of AS significantly.

  19. Impact of Production from Photovoltaic Power Plants on Increase of Ancillary Services in the Czech Republic

    Directory of Open Access Journals (Sweden)

    Martin Smocek

    2016-01-01

    Full Text Available Renewable energy resources represent a noticeable part of the overall energetic concept development. New integration of renewable energy resources into power grids has a significant impact on the reliability and quality of power supply. The major problem of the photovoltaic and wind power plants is their dependency on weather conditions, since it has a direct effect on their immediate output produced that shows stochastic behaviour. These stochastic outputs result in very adverse impacts on the power grid. Further development of these resources could lead to exceeding of the control and absorption abilities of the power grid. The power grid must be set in balance with respect to the production and consumption of electric power at any time. The operation of photovoltaic power plants impair keeping this balance. That has an adverse impact on the very operation and maintenance of network parameters within the extent required. This survey deals with analysis focused on operation of the photovoltaic power plants with respect to the increase of reserve power in ancillary services in the Czech Republic.

  20. Analysis of the Effects of a Flexible Ramping Ancillary Service Product on Power System Operations: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Krad, Ibrahim; Ibanez, Eduardo; Ela, Erik

    2015-10-19

    The recent increased interest in utilizing variable generation (VG) resources such as wind and solar in power systems has motivated investigations into new operating procedures. Although these resources provide desirable value to a system (e.g., no fuel costs or emissions), interconnecting them provides unique challenges. Their variable, non-controllable nature in particular requires significant attention, because it directly results in increased power system variability and uncertainty. One way to handle this is via new operating reserve schemes. Operating reserves provide upward and downward generation and ramping capacity to counteract uncertainty and variability prior to their realization. For instance, uncertainty and variability in real-time dispatch can be accounted for in the hour-ahead unit commitment. New operating reserve methodologies that specifically account for the increased variability and uncertainty caused by VG are currently being investigated and developed by academia and industry. This paper examines one method inspired by the new operating reserve product being proposed by the California Independent System Operator. The method is based on examining the potential ramping requirements at any given time and enforcing those requirements via a reserve demand curve in the market-clearing optimization as an additional ancillary service product.

  1. Pump Storage Hydropower for delivering Balancing Power and Ancillary Services - A Case Study of Illvatn Pump Storage Power Plant

    OpenAIRE

    Norang, Ingunn

    2015-01-01

    The power markets in Europe are changing rapidly. The drastic shift towards renewable energy and interconnection between power markets has brought with it challenges related to power balance and grid stability. Consumption and generation of electric power needs to be at balance at all times and a secure and reliable power system requires sensitivity to multiple time scales. Increased demand for balancing energy and ancillary services has the potential of making pump storage projects in Norway...

  2. Impact of Market Behavior, Fleet Composition, and Ancillary Services on Revenue Sufficiency

    Energy Technology Data Exchange (ETDEWEB)

    Frew, Bethany [National Renewable Energy Lab. (NREL), Golden, CO (United States); Gallo, Giulia [National Renewable Energy Lab. (NREL), Golden, CO (United States); Brinkman, Gregory [National Renewable Energy Lab. (NREL), Golden, CO (United States); Milligan, Michael [National Renewable Energy Lab. (NREL), Golden, CO (United States); Clark, Kara [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bloom, Aaron [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-06-01

    Revenue insufficiency, or the missing money problem, occurs when the revenues that generators earn from the market are not sufficient to cover both fixed and variable costs to remain in the market and/or justify investments in new capacity, which may be needed for reliability. The near-zero marginal cost of variable renewable generators further exacerbates these revenue challenges. Estimating the extent of the missing money problem in current electricity markets is an important, nontrivial task that requires representing both how the power system operates and how market participants behave. This paper explores the missing money problem using a production cost model that represented a simplified version of the Electric Reliability Council of Texas (ERCOT) energy-only market for the years 2012-2014. We evaluate how various market structures -- including market behavior, ancillary services, and changing fleet compositions -- affect net revenues in this ERCOT-like system. In most production cost modeling exercises, resources are assumed to offer their marginal capabilities at marginal costs. Although this assumption is reasonable for feasibility studies and long-term planning, it does not adequately consider the market behaviors that impact revenue sufficiency. In this work, we simulate a limited set of market participant strategic bidding behaviors by means of different sets of markups; these markups are applied to the true production costs of all gas generators, which are the most prominent generators in ERCOT. Results show that markups can help generators increase their net revenues overall, although net revenues may increase or decrease depending on the technology and the year under study. Results also confirm that conventional, variable-cost-based production cost simulations do not capture prices accurately, and this particular feature calls for proxies for strategic behaviors (e.g., markups) and more accurate representations of how electricity markets work. The

  3. Secure provision of reactive power ancillary services in competitive electricity markets

    Science.gov (United States)

    El-Samahy, Ismael

    decoupled and assumed to be fixed during the reactive power dispatch procedures; however, the effect of reactive power on real power is considered in the model by calculating the required reduction in real power output of a generator due to an increase in its reactive power supply. In this case, real power generation is allowed to be rescheduled, within given limits, from the already dispatched levels obtained from the energy market clearing process. The proposed dispatch model achieves the main objective of an ISO in a competitive electricity market, which is to provide the required reactive power support from generators at least cost while ensuring a secure operation of the power system. The proposed reactive power procurement and dispatch models capture both the technical and economic aspects of power system operation in competitive electricity markets; however, from an optimization point of view, these models represent non-convex mixed integer non-linear programming (MINLP) problems due to the presence of binary variables associated with the different regions of reactive power operation in a synchronous generator. Such MINLP optimization problems are difficult to solve, especially for an actual power system. A novel Generator Reactive Power Classification (GRPC) algorithm is proposed in this thesis to address this issue, with the advantage of iteratively solving the optimization models as a series of non-linear programming (NLP) sub-problems. The proposed reactive power procurement and dispatch models are implemented and tested on the CIGRE 32-bus system, with several case studies that represent different practical operating scenarios. The developed models are also compared with other approaches for reactive power provision, and the results demonstrate the robustness and effectiveness of the proposed model. The results clearly reveal the main features of the proposed models for optimal provision of reactive power ancillary service, in order to suit the requirements of

  4. Compliance with technical codes becomes obligatory for receipt of feed-in tariff and ancillary services bonus for wind power plants in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Boemer, Jens. C. [Ecofys Germany GmbH, Berlin (Germany). Power Systems and Markets Group; Delft Univ. of Technology (Netherlands). Electrical Power Systems Group; Burges, Karsten [Ecofys Germany GmbH, Berlin (Germany). Power Systems and Markets Group; Kumm, Thomas [VDE, Network Technology and Operation Forum (FNN), Berlin (Germany); Poeller, Markus [DIgSILENT GmbH, Gomaringen (Germany)

    2009-07-01

    The German government aims at a share of electricity generation based on renewable sources (RES-E) of more than 30% by 2020. A major part of this share will be reached by the use of wind power plants (WPP). Therefore, when amending the Renewable Energy Sources Act (EEG) in June 2008, the German government acknowledged the importance of enhanced technical requirements for WPP and announced the development of a respective technical ordinance. For all WPP that go into operation after June 2010, full grid code-compliance becomes a precondition for privileged network access, receipt of feed-in tariff, and extra payments (''ancillary services bonus''). The basis for the technical requirements in the EEG has been laid down by Medium-Voltage (MV)-Directive 2008 and the TransmissionCode 2007. However, the work of the authors - consulting the German government during the development of the technical ordinance - showed that the TransmissionCode 2007 needed careful review and some clarifying specifications were proposed. Eventually, the so called ''Ancillary Services Ordinance'' for wind power plants went into power in July 2009. The interrelation between all three grid codes as well as their specifications and implications for renewable energy sources generators, with special regard to wind power plants, are presented in this paper. (orig.)

  5. From a bundled energy-capacity pricing model to an energy-capacity-ancillary services pricing model

    International Nuclear Information System (INIS)

    In this paper, we extend the Chilean power generation pricing mechanism, with capacity and energy payments, to one where ancillary services (AS), as frequency regulation and voltage control, are explicitly recognized. Adequacy and security attributes of the electric system and the public good characteristics of AS are set within the payment structure to distribute the financing of AS among those who benefit from their provision. The contribution to finance the provision of AS is determined assessing the value assigned to the system security by each agent, following what's an efficient pricing mechanism in the presence of public goods

  6. Active Power Control of Wind Turbines for Ancillary Services: A Comparison of Pitch and Torque Control Methodologies

    Energy Technology Data Exchange (ETDEWEB)

    Aho, Jacob; Fleming, Paul; Pao, Lucy Y.

    2016-08-01

    As wind energy generation becomes more prevalent in some regions, there is increased demand for wind power plants to provide ancillary services, which are essential for grid reliability. This paper compares two different wind turbine control methodologies to provide active power control (APC) ancillary services, which include derating or curtailing power generation, providing automatic generation control (AGC), and providing primary frequency control (PFC). The torque APC controller provides all power control through the power electronics whereas the pitch APC controller uses the blade pitch actuators as the primary means of power control. These controllers are simulated under various wind conditions with different derating set points and AGC participation levels. The metrics used to compare their performance are the damage equivalent loads (DELs) induced on the structural components and AGC performance metrics, which are used to determine the payments for AGC services by system operators in the United States. The simulation results show that derating the turbine reduces structural loads for both control methods, with the APC pitch control providing larger reductions in DELs, lower AGC performance scores, and higher root-mean-square pitch rates. Providing AGC increases the structural loads when compared to only derating the turbine, but even the AGC DELs are generally lower than those of the baseline control system. The torque APC control methodology also allows for more sustained PFC responses under certain derating conditions.

  7. A framework for cost-based pricing of transmission and ancillary services in competitive electric power markets

    International Nuclear Information System (INIS)

    In this paper the authors propose a framework for accurate cost determination and pricing of transmission and ancillary services in competitive electric power markets. The proposed framework is based on their anticipation of the evolving environment and industry structure. They envision the future as a competitive energy market with a centralized control entity that coordinates system activities, prices transmission and ancillary services and controls various system resources. This control entity has control over a certain (pre-defined) geographical area. It is proposed that the system operation and control be kept as they are currently done in control centers, no major change in these functions is required for the proposed pricing strategy. The pricing strategy is divided into two main classes based on time scale separation and firmness, short and long term, firm and interruptible contracts. The approach is based on superposition of different transaction on the network, and a three-part tariff design. The charges are directly related to the impact of each transaction on the system

  8. Three utilization patterns of the renovated Moste hydro power plant on an electricity market of power and ancillary services

    International Nuclear Information System (INIS)

    In addition to electricity, most hydro power plants can offer also the ancillary services: secondary and tertiary control reserve. On emerging electricity markets the need for these additional services is becoming more and more important, recognised and also paid. However, for each plant, there is some interdependence among those options. The same plant cannot provide maximal peaking electricity, maximal secondary control reserve as well as maximal tertiary control reserve at the same time. The generation capabilities of the plant must thus be partitioned properly among those options so as to achieve some overall goal (e.g. the maximum of revenue, etc.). This article briefly presents those options for the renovated Moste cascade on the upper Sava river near Bled in Slovenia. A small but effective mixed integer linear programme has been used. (author)

  9. The business of medicine: how to overcome financial obstacles and secure financing for your private practice and ancillary services business.

    Science.gov (United States)

    Nayor, David

    2012-01-01

    Doctors across the country who operate private medical practices are facing increasing financial obstacles, namely shrinking income as a result of rising costs and lower reimbursements. In addition, as hospitals have become overburdened many physicians have opened up private surgical centers; magnetic resonance imaging and computed tomography and positron emission tomography scanning facilities; pathology labs; colonoscopy/endoscopy suites; lithotripsy centers; and other medical businesses typically performed within the hospital. Moreover, many doctors seek loans to purchase existing practices or for their capital contribution in medical partnerships. The past decade has thus seen a significant increase in the number of doctors taking out small business loans. Indeed, banks view the healthcare industry as a large growth market. This article includes practical information, advice, and resources to help doctors to secure bank financing for their practices, ancillary services business, real estate, and equipment on the best possible market terms. PMID:22920034

  10. Ancillary investigations in uveitis

    OpenAIRE

    Vishali Gupta; Amod Gupta

    2013-01-01

    Ancillary investigations are the backbone of uveitis work-up both for anterior and posterior segment diseases. They help in making the diagnosis, ruling out certain differential diagnosis and monitoring inflammation during the follow-up. This review aims to be an overview describing the role of commonly used investigations for uveitis.

  11. Proposal for the award of an industrial services contract for operation of the hostels, apartments and ancillary premises

    CERN Document Server

    2000-01-01

    This document concerns the award of an Industrial Services contract for operation of the hostels, apartments and ancillary premises run by the CERN Housing Service. Following a market survey carried out among 32 firms in ten Member States, a call for tenders (IT-2404/AS/Rev.) was sent on 5 April 2000 to one firm and three consortia in four Member States. By the closing date, CERN had received tenders from the firm and the three consortia. The Finance Committee is invited to agree to the negotiation of a contract with the consortium VIENNA INTERNATIONAL HOTEL MANAGEMENT (AT) - SEREG (CH), the lowest bidder, for an initial period of five years, to enter into force on 1 January 2001, for a total amount of 6 871 850 Swiss francs, not subject to revision until 31 December 2001. The contract will include an option for two one-year extensions beyond the initial five-year period. The consortium has indicated the following distribution by country of the contract value covered by this adjudication proposal: CH-60%, AT-...

  12. Industrial Use of Distributed Generation in Real-Time Energy and Ancillary Service Markets

    Energy Technology Data Exchange (ETDEWEB)

    Hudson, C.R.

    2001-10-24

    Industrial consumers of energy now have the opportunity to participate directly in electricity generation. This report seeks to give the reader (1) insights into the various types of generation services that distributed generation (DG) units could provide, (2) a mechanism to evaluate the economics of using DG, (3) an overview of the status of DG deployment in selected states, and (4) a summary of the communication technologies involved with DG and what testing activities are needed to encourage industrial application of DG. Section 1 provides details on electricity markets and the types of services that can be offered. Subsequent sections in the report address the technical requirements for participating in such markets, the economic decision process that an industrial energy user should go through in evaluating distributed generation, the status of current deployment efforts, and the requirements for test-bed or field demonstration projects.

  13. Online AMR Domestic Load Profile Characteristic Change Monitor to Support Ancillary Demand Services

    DEFF Research Database (Denmark)

    Stephen, Bruce; Isleifsson, Fridrik Rafn; Galloway, Stuart;

    2014-01-01

    remote rural communities, are currently modeled with homogenous and coarse load profiles developed from aggregated data. An objective of AMR deployment is to clarify the nature and variability of the residential LV customer. In this paper, an algorithm for tracking the consistency of the behavior of...... small loads is presented. This would allow them to be assessed for their availability to provide demand services to the grid. In the method presented, significant changes in behavior are detected using Bayesian changepoint analysis which tracks a multivariate Gaussian representation of a residential...

  14. Ancillary revenue pricing

    OpenAIRE

    Wittmer, Andreas; Oberlin, Nicole

    2014-01-01

    The airline industry has evolved from a system of long-established state owned carriers operating in a regular market to a dynamic, deregulated industry. This development - especially the emerging competition of Low Cost Carriers - had a major influence on the price setting behavior of airlines. Profitability of airlines is limited and pricing systems are reconsidered. In order to stay competitive traditional full service carriers consider the implementation of ancillary revenue systems (simi...

  15. Valuation of the ancillary services of a power grid in competitive environment

    International Nuclear Information System (INIS)

    The objective of this research is to establish whether it is possible to define a relevant economical signal for the providing of reactive power. After having recalled the definition of reactive power and its role in voltage holding on the electrical network, the author reviews previous works dealing with the use of frequency adjustment, and more particularly highlights advantages and drawbacks of a valorization method developed by Xu, Kundur and da Silva. Then, he presents the optimized equivalent reactive capacitors method which is assessed on a two-node network, and then a 118 node test network. This method is then tested on a part of the French electrical system corresponding to the 'Grand Ouest' region. The last parts of this research are dealing with the valorization of production capacities in nominal operating regime, with the taking into account of different modifications of the network topology in static regime for the valorization of production capacities

  16. Smart microgrid hierarchical frequency control ancillary service provision based on virtual inertia concept: An integrated demand response and droop controlled distributed generation framework

    International Nuclear Information System (INIS)

    Highlights: • Detailed formulation of the microgrid static and dynamic securities based on droop control and virtual inertia concepts. • Constructing a novel objective function using frequency excursion and rate of change of frequency profiles. • Ensuring the microgrid security subject to the microgrid economic and environmental policies. • Coordinated management of demand response and droop controlled distributed generation resources. • Precise scheduling of day-ahead hierarchical frequency control ancillary services using a scenario based stochastic programming. - Abstract: Low inertia stack, high penetration levels of renewable energy source and great ratio of power deviations in a small power delivery system put microgrid frequency at risk of instability. On the basis of the close coupling between the microgrid frequency and system security requirements, procurement of adequate ancillary services from cost-effective and environmental friendly resources is a great challenge requests an efficient energy management system. Motivated by this need, this paper presents a novel energy management system that is aimed to coordinately manage the demand response and distributed generation resources. The proposed approach is carried out by constructing a hierarchical frequency control structure in which the frequency dependent control functions of the microgrid components are modeled comprehensively. On the basis of the derived modeling, both the static and dynamic frequency securities of an islanded microgrid are provided in primary and secondary control levels. Besides, to cope with the low inertia stack of islanded microgrids, novel virtual inertia concept is devised based on the precise modeling of droop controlled distributed generation resources. The proposed approach is applied to typical test microgrid. Energy and hierarchical reserve resource are scheduled precisely using a scenario-based stochastic programming methodology. Moreover, analyzing the

  17. Peer-to-Peer Consultations: Ancillary Services Peer Exchange with India: Experience from South Africa, Europe & the United States (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2014-05-01

    In support of national and subnational decision makers, the 21st Century Power Partnership regularly works with country partners to organize peer-to-peer consultations on critical issues. In March 2014, 21CPP collaborated with the Regulatory Assistance Project - India to host two peer-to-peer exchanges among experts from India, South Africa, Europe, and the United States to discuss the provision of ancillary services, particularly in the context of added variability and uncertainty from renewable energy. This factsheet provides a high level summary of the peer-to-peer consultation.

  18. Coldwater River NWR Ancillary Bird Observations 2006

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Ancillary bird observations on Coldwater River NWR in 2006 were recorded by local birders. No sampling design was used to generate the observations

  19. Coldwater River NWR Ancillary Bird Observations 2009

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Ancillary bird observations on Coldwater River NWR in 2009 were recorded by local birders. No sampling design was used to generate the observations

  20. The right to arrange ancillary services in line with municipal awards of concession; Das Recht auf Vereinbarung von Nebenleistungen im Rahmen gemeindlicher Konzessionsvergaben

    Energy Technology Data Exchange (ETDEWEB)

    Templin, Wolf [Boos Hummel und Wegerich Rechtsanwaelte, Berlin (Germany)

    2012-12-15

    Due to the plurality of concession contracts currently levelling off in the fields of electricity and natural gas as well as due to the increasing competition for the power distribution systems, the municipal granting of concession contracts as well as the relevant standards come in the focus of the legal disputes. Recently, the increasing competition and the claims of sustainable impacts of the municipalities on the local energy policy also in line with the awarding of concessions have led to the use of concession contracts for the control of local government concerns and climate political concerns of the municipalities. Under this aspect, the author of the contribution under consideration report on the right to arrange ancillary services in line with municipal awards of concession.

  1. 47 CFR 25.149 - Application requirements for ancillary terrestrial components in the mobile-satellite service...

    Science.gov (United States)

    2010-10-01

    ... terrestrial components in the mobile-satellite service networks operating in the 1.5./1.6 GHz, 1.6/2.4 GHz and... service networks operating in the 1.5./1.6 GHz, 1.6/2.4 GHz and 2 GHz mobile-satellite service. (a... shall not exceed the geographical coverage area of the mobile satellite service network of the...

  2. Ancillary Testing in Lung Cancer Diagnosis

    OpenAIRE

    William Dubinski; Leighl, Natasha B.; Ming-Sound Tsao; David M. Hwang

    2012-01-01

    The pathologic diagnosis of lung cancer historically has relied primarily on morphologic features of tumors in histologic sections. With the emergence of new targeted therapies, the pathologist is called upon increasingly to provide not only accurate typing of lung cancers, but also to provide prognostic and predictive information, based on a growing number of ancillary tests, that may have significant impact on patient management. This review provides an overview of ancillary tests currently...

  3. 78 FR 50037 - Hydrographic Services Review Panel

    Science.gov (United States)

    2013-08-16

    ... from individuals with expertise in navigation data, products and services; marine cartography and... National Oceanic and Atmospheric Administration Hydrographic Services Review Panel AGENCY: National Ocean Service, National Oceanic and Atmospheric Administration (NOAA), Department of Commerce. ACTION: Notice...

  4. 75 FR 20809 - Hydrographic Services Review Panel

    Science.gov (United States)

    2010-04-21

    ... expertise in navigation data, products and services; coastal management; fisheries management; coastal and... National Oceanic and Atmospheric Administration Hydrographic Services Review Panel AGENCY: National Ocean Service, National Oceanic and Atmospheric Administration (NOAA), Department of Commerce. ACTION: Notice...

  5. Service design in hotels: A conceptual review

    OpenAIRE

    Akoğlan Kozak, Meryem; Acar Gürel, Dilek

    2015-01-01

    Service design is a significant method of increasing service value in hotels. This article aims to review the service design in hotels, drawing from both the service design theory and the various efforts by hotels as antecedents of service design. Despite the relative increase in hotel service quality in recent decades, customer value perception has not increased as expected. One of the main reason of this is ineffective service offerings. At the same time, the new service is a critical compe...

  6. Prehospital digital photography and automated image transmission in an emergency medical service – an ancillary retrospective analysis of a prospective controlled trial

    Directory of Open Access Journals (Sweden)

    Bergrath Sebastian

    2013-01-01

    Full Text Available Abstract Background Still picture transmission was performed using a telemedicine system in an Emergency Medical Service (EMS during a prospective, controlled trial. In this ancillary, retrospective study the quality and content of the transmitted pictures and the possible influences of this application on prehospital time requirements were investigated. Methods A digital camera was used with a telemedicine system enabling encrypted audio and data transmission between an ambulance and a remotely located physician. By default, images were compressed (jpeg, 640 x 480 pixels. On occasion, this compression was deactivated (3648 x 2736 pixels. Two independent investigators assessed all transmitted pictures according to predefined criteria. In cases of different ratings, a third investigator had final decision competence. Patient characteristics and time intervals were extracted from the EMS protocol sheets and dispatch centre reports. Results Overall 314 pictures (mean 2.77 ± 2.42 pictures/mission were transmitted during 113 missions (group 1. Pictures were not taken for 151 missions (group 2. Regarding picture quality, the content of 240 (76.4% pictures was clearly identifiable; 45 (14.3% pictures were considered “limited quality” and 29 (9.2% pictures were deemed “not useful” due to not/hardly identifiable content. For pictures with file compression (n = 84 missions and without (n = 17 missions, the content was clearly identifiable in 74% and 97% of the pictures, respectively (p = 0.003. Medical reports (n = 98, 32.8%, medication lists (n = 49, 16.4% and 12-lead ECGs (n = 28, 9.4% were most frequently photographed. The patient characteristics of group 1 vs. 2 were as follows: median age – 72.5 vs. 56.5 years, p = 0.001; frequency of acute coronary syndrome – 24/113 vs. 15/151, p = 0.014. The NACA scores and gender distribution were comparable. Median on-scene times were longer with picture

  7. Optimal Policies for Simultaneous Energy Consumption and Ancillary Service Provision for Flexible Loads under Stochastic Prices and No Capacity Reservation Constraint

    OpenAIRE

    Kefayati, Mahdi; Baldick, Ross

    2014-01-01

    Flexible loads, i.e. the loads whose power trajectory is not bound to a specific one, constitute a sizable portion of current and future electric demand. This flexibility can be used to improve the performance of the grid, should the right incentives be in place. In this paper, we consider the optimal decision making problem faced by a flexible load, demanding a certain amount of energy over its availability period, subject to rate constraints. The load is also capable of providing Ancillary ...

  8. Multi-agent Response Simulation of Industrial Loads for Ancillary Services%工业负荷提供辅助服务的多智能体响应模拟

    Institute of Scientific and Technical Information of China (English)

    姚明涛; 胡兆光; 张宁; 段炜; 张健

    2014-01-01

    ABSTRACT:The characteristics of demand side resources, such as fast response and low cost, are very helpful to improve wind power penetration when they are utilized to provide ancillary services for the power system. Typically, industrial demand response resources have the advantages of large capacity, load stability and are easy to manage when they are compared with commerce and inhabitant users. As a result, industrial demand response resources are very suitable to deal with large-scale wind power integration. In order to have an in-depth study on the response mechanism of industrial loads to provide ancillary services, this paper chosen electrolytic aluminum and irrigation pumping station as two typical industrial power users and analyzed the ancillary services type which could be provided. Then, a multi-agent response modeling containing these two kinds of industrial loads and the grid was built based on multi-agent technology. The goal, structure and behavior strategies of each agent were explained in the paper. In the process of simulation, the grid companies could adjust the ancillary services price according to the response of industrial power consumers. The results show that the pricing strategy of ancillary services in this model can fully exploit the response potential of all types of industrial power users to provide ancillary services while satisfying their interests.%挖掘响应迅速且成本较低的需求侧资源为电力系统提供辅助服务,对促进风电消纳具有积极意义。工业需求响应资源与商业、居民等用户相比具有容量大、负荷稳定、易于管理等优势,在应对大规模风电接入等方面具有更明显的优势。为深入研究工业用户提供辅助服务的响应机理,在分析电解铝、灌溉泵站2类典型工业负荷提供辅助服务类型的基础上,基于多智能体技术,构建了包含电网及以上2类工业负荷的多智能体系统,阐述各类智能体的目标

  9. A review of a pleural service.

    Science.gov (United States)

    Aujayeb, A; Parker, S; Bourke, S; Miller, J; Cooper, D

    2016-12-01

    This paper reviews the organisation and outcomes of a pleural service, specifically geared towards the management of malignant pleural effusions, in a district general hospital in the north east of England. We summarise the evidence behind local anaesthetic thoracoscopy and indwelling pleural catheters. We then summarise the review of our service, including a discussion around complications. PMID:27092367

  10. Defining service innovation: a review and synthesis

    OpenAIRE

    Witell, Lars; Snyder, Hannah; Gustafsson, Anders; Fombelle, Paul; Kristensson, Per

    2016-01-01

    Research on service innovation appears in several research disciplines, with important contributions in marketing, management, and operations research. Although the concept is widely used, few research papers have explicitly defined service innovation. This dearth of research is the motivation for the present study. Through a systematic review of 1301 articles on service innovation appearing in academic journals between 1979 and 2014, this article examines research defining service innovation...

  11. 42 CFR 414.40 - Coding and ancillary policies.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Coding and ancillary policies. 414.40 Section 414.40 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES Physicians and...

  12. Ancillary experiments: Opportunities and challenges

    OpenAIRE

    Baldwin, Kate; Bhavnani, Rikhil R.

    2013-01-01

    Ancillary experiments' are a new technique whereby researchers use a completed experiment conducted by others to recover causal estimates of a randomized intervention on new outcomes. The method requires pairing new outcome data with randomized treatments the researchers themselves did not oversee. Since ancillary experiments rely on interventions that have already been undertaken, oftentimes by governments, they can provide a low-cost method with which to identify the effects of large-scale ...

  13. Ancillary Benefits of Climate Policy

    OpenAIRE

    Markandya, Anil; Rübbelke, Dirk T. G.

    2003-01-01

    The benefits of climate policy normally consist exclusively of the reduced impacts of climate change, i.e., the policy’s primary aim. Our analysis of benefits of climate policy suggests, however, that researchers and policymakers should also take account of ancillary benefits, e.g., in the shape of improved air quality induced by climate protection measures. A consideration of both, primary and ancillary benefits, has a positive influence on global climate protection efforts, e.g., because th...

  14. A Critical Review of Service Quality

    OpenAIRE

    Ciceo Andreea; Ionescu Andreea

    2013-01-01

    The aim of this paper is to draw attention upon the importance of service quality and the evolution of the concept accross the years. In order to attain this goal, the authors will make a review of the ”service quality” concept – for what does it stand and how it can be measured?, as well as the most notable managerial implications associated with service quality.

  15. Service quality models in banking: a review

    OpenAIRE

    Jaya Sangeetha; Mahalingam, S.

    2011-01-01

    Purpose – The purpose of this paper is to appraise various service quality models and identify issues for future research based on the analysis of literature. Design/methodology/approach – The paper examines 14 different service quality models reported in the literature applicable to the banking sector. The critical review of the different service quality models is intended to compile the various dimensions which emerged out of the studies, compare the commonality between them, study their re...

  16. 75 FR 54445 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Science.gov (United States)

    2010-09-07

    ..., Debt Management Services. Linda S. Kimberling, Assistant Commissioner, Management (Chief Financial... Fiscal Service Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice. SUMMARY: This...

  17. 47 CFR 90.317 - Fixed ancillary signaling and data transmissions.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Fixed ancillary signaling and data transmissions. 90.317 Section 90.317 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES PRIVATE LAND MOBILE RADIO SERVICES Authorization in the Band 470-512 MHz (UHF-TV Sharing) § 90.317 Fixed ancillary...

  18. Ancillary spending : Working Paper No. 3.2.1

    Energy Technology Data Exchange (ETDEWEB)

    Lasota, M.; McCracken, M.C.; Zanasi, L. [Informetrica Ltd., Ottawa, ON (Canada)

    2002-04-01

    This study discussed the ancillary spending that would be incurred by the Yukon Government as a result of the Alaska Highway Pipeline Project. Ancillary spending refers to investment that is needed to facilitate pipeline construction but is not directly related to the pipeline. It includes investment in roads and highways, water treatment, sewage and solid waste, air transportation, rail transportation (including the White Pass and the Canadian Arctic Railway), port development, schools, health services, and jails. It was determined that ancillary expenditures to the Yukon Government excluding health and correctional services is estimated at $6.95 to $7.85 million in pre-pipeline construction. During the 3 years of pipeline construction and the first 3 years of pipeline operation, the ancillary spending is not expected to be greater than $21.7 million. Ancillary spending includes the need to repair existing facilities and infrastructures after the pipeline is completed. This will provide employment for a variety of skilled people including engineers and trades people. Other developments associated with the AHPP may include gas field and mining development as well as developments in local gas and electricity distribution. 4 refs., 1 tab.

  19. Ancillary spending : Working Paper No. 3.2.1

    International Nuclear Information System (INIS)

    This study discussed the ancillary spending that would be incurred by the Yukon Government as a result of the Alaska Highway Pipeline Project. Ancillary spending refers to investment that is needed to facilitate pipeline construction but is not directly related to the pipeline. It includes investment in roads and highways, water treatment, sewage and solid waste, air transportation, rail transportation (including the White Pass and the Canadian Arctic Railway), port development, schools, health services, and jails. It was determined that ancillary expenditures to the Yukon Government excluding health and correctional services is estimated at $6.95 to $7.85 million in pre-pipeline construction. During the 3 years of pipeline construction and the first 3 years of pipeline operation, the ancillary spending is not expected to be greater than $21.7 million. Ancillary spending includes the need to repair existing facilities and infrastructures after the pipeline is completed. This will provide employment for a variety of skilled people including engineers and trades people. Other developments associated with the AHPP may include gas field and mining development as well as developments in local gas and electricity distribution. 4 refs., 1 tab

  20. 76 FR 55677 - Senior Executive Service (SES) Performance Review Board

    Science.gov (United States)

    2011-09-08

    ... ADMINISTRATION Senior Executive Service (SES) Performance Review Board AGENCY: General Services Administration... Administration SES Performance Review Board. The Performance Review Board assures consistency, stability, and... with regulations prescribed by the Office of Personnel Management, one or more SES performance...

  1. 76 FR 63351 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Science.gov (United States)

    2011-10-12

    ..., Federal Finance. Jeffrey Schramek, Assistant Commissioner, Debt Management Services. Alfred J. Kopec... Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Treasury. ACTION: Notice. SUMMARY: This notice announces the appointment of members...

  2. 77 FR 60177 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Science.gov (United States)

    2012-10-02

    ..., Federal Finance Jeffrey Schramek, Assistant Commissioner, Debt Management Services Sheryl R. Morrow... Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Treasury. ACTION: Notice. SUMMARY: This notice announces the appointment of members...

  3. 75 FR 20400 - Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web Site

    Science.gov (United States)

    2010-04-19

    ... MANAGEMENT Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web Site... Science Foundation in accordance with the Federal Cyber Service Training and Education Initiative as...- enrolled students in Federal agencies. Analysis Agency: Federal Cyber Service: Scholarship For...

  4. 77 FR 25105 - Reporting of Ancillary Airline Passenger Revenues

    Science.gov (United States)

    2012-04-27

    ... wheelchairs and scooters used by passengers with disabilities. See 76 FR 41726. You may review comments to... Office of the Secretary 14 CFR Parts 234 and 241 RIN 2139-AA13 Reporting of Ancillary Airline Passenger... (NPRM) issued on July 15, 2011. The NPRM proposed changes regarding reporting of airline...

  5. Malaria treatment services in Nigeria: A review

    Directory of Open Access Journals (Sweden)

    Benjamin SC Uzochukwu

    2010-01-01

    Full Text Available Malaria remains a major Public Health problem in Nigeria and causes death and illness in children and adults, especially pregnant women. Malaria case management remains a vital component of the malaria control strategies. This entails early diagnosis and prompt treatment with effective antimalarial medicines. The objectives of this review is to enable health professionals to understand the magnitude of malaria treatment services in Nigeria, to improve knowledge for rational malaria management within different health system contexts with a view to improving access to malaria treatment. The review therefore looks at the following areas: clinical disease and epidemiology; the burden of malaria in Nigeria; objectives of treatment; antimalarial treatment policy; malaria diagnosis, treatment strategies/ National responses; treatment sources. The review concludes that for improved malaria treatment services in Nigeria, there is an urgent need to develop adequate strategies that will ensure better access to medicines by getting evidence-based and effective medicines to the people who need them, whether by reducing their costs, promoting equity in access, improving their distribution, increasing their efficacy and acceptability, or slowing down the development of antimicrobial resistance.

  6. Competitive ancillary service procurement in California

    Energy Technology Data Exchange (ETDEWEB)

    Marnay, Chris; Siddiqui, Afzal S.; Khavkin, Mark

    2000-01-01

    California has undertaken a major restructuring of its electricity utility sector. Most electricity is now sold in open markets operated by the PX and other entities. Bilateral contracting among some market participants is also permitted. A group of independent generating companies bids into these markets together with out of state resources. In addition to these markets, CAISO operates markets for both imbalance energy and AS, a quite unusual feature of the California system. These markets were initially quite chaotic and were rife with market power problems. However, various reforms have now created a system that functions well. During the restructuring process, special provisions were made to protect public purpose programs, including renewable generation.

  7. Navigation and Ancillary Information Facility's SPICE

    Data.gov (United States)

    National Aeronautics and Space Administration — The Navigation and Ancillary Information Facility (NAIF), acting under the directions of NASA's Planetary Science Division, has built an information system named...

  8. Evaluation of the Service Review Model with Performance Scorecards

    Science.gov (United States)

    Szabo, Thomas G.; Williams, W. Larry; Rafacz, Sharlet D.; Newsome, William; Lydon, Christina A.

    2012-01-01

    The current study combined a management technique termed "Service Review" with performance scorecards to enhance staff and consumer behavior in a human service setting consisting of 11 supervisors and 56 front-line staff working with 9 adult consumers with challenging behaviors. Results of our intervention showed that service review and scorecards…

  9. [Quality of German medical services: a review].

    Science.gov (United States)

    Braun, J; Robbers, J; Lakomek, H-J

    2016-02-01

    In the current draft of the law on the reform of the support structures of hospital provision (German Hospital Structure Law) the future quality of provision is highly significant. Quality assurance measures are mandatory for hospitals. The Federal General Committee was legally charged with developing the relevant quality indicators for structural, procedural and outcome quality that are designed to form the criteria and the basis for planning decisions in the federal states. This involves a paradigm shift in quality assurance measures in hospitals. In the future, subject to the verified quality, this should have an influence on hospital planning, and the funding or regulation of hospital departments should also adhere to this prescribed quality. This review reveals the course of quality or quality assurance measures in medical services in Germany. The status of the institutions responsible for the quality of care in hospitals and the significance of quality indicators are explained. PMID:26744187

  10. Study of Ancillary Service Market Mechanism for the Promotion of Wind Power Consumption in Northwest Region%西北地区促进风电消纳的辅助服务市场机制研究

    Institute of Scientific and Technical Information of China (English)

    张钦; 辛颂旭; 白建华; 林祺蔚

    2013-01-01

    There are abundant resources including wind energy,water energy,coal and so on in northwest region,which is the important base of the wind power,water power and coal power.To promote the high-efficient consumption of wind power in the large-scale power base of northwest region,the further research of technology,economy and other issues is required.Overall considering the harmonious development of the wind power,water power and coal power,and combining the actual conditions in northwest region,the wind power grid connection in northwest region and the induced share mechanism of ancillary service cost and expense for the peak-load regulation have been focusedly studied.Based on the analysis of the stakeholders related to the coordinated operation of wind power,water power and coal power,the assistant service framework for the promotion of high-efficient wind power consumption is proposed.According to the principle of equity of right and obligation based on the idea "Who get benefits paid",the cost analysis model of paid peaking service considering the wind power grid connection is proposed,and furthermore the share mechanism that the paid peaking cost be solely shared in each Province for the thermal power and centralizedly shared in the grid for the water power is established.The analysis results of the example has proved the effectiveness of the proposed method.%西北地区风能、水能、煤炭等资源丰富,是中国重要的风电、水电与煤电基地.为促进西北大型风电基地的高效消纳,需要深入研究技术、经济等方面面临的问题.统筹考虑了风电与水电、煤电协调发展,结合西北地区实际情况,重点研究西北风电并网后,由此引起的调峰辅助服务成本与费用分摊机制.基于风电与水电、煤电协调运行利益相关方的分析,提出了促进风电高效消纳的辅助服务框架.基于“谁受益、谁付费”的权利与义务对等原则,提出了考虑风电并网的有偿调

  11. 75 FR 67399 - Performance Review Board, Senior Executive Service (SES)

    Science.gov (United States)

    2010-11-02

    ... From the Federal Register Online via the Government Publishing Office NATIONAL AERONAUTICS AND SPACE ADMINISTRATION Performance Review Board, Senior Executive Service (SES) AGENCY: National Aeronautics and Space Administration (NASA). ACTION: Notice of Membership of SES Performance Review...

  12. 77 FR 42365 - Health Services Research and Development Service Scientific Merit Review Board, Notice of Meeting

    Science.gov (United States)

    2012-07-18

    ... 12 noon; and HCR 1-- Infectious Disease from 1 p.m. to 4 p.m. The Career Development Award Review Group will convene from 8 a.m. to 5:30 p.m. On August 29, the Career Development Award Review Group will... AFFAIRS Health Services Research and Development Service Scientific Merit Review Board, Notice of...

  13. Exogam with its ancillary detectors

    International Nuclear Information System (INIS)

    The goal of the meeting was to discuss the status of experiments using Exogam and its ancillary detectors. Presentations include details of experiments already run and those in preparation. This document gathers most of the slides presented at the meeting. The results of 7 experiments are described. There are 9 contributions as it follows: 1) presentation of the Vamos spectrometer p.1-15, 2) the Clara (detector) and Prisma (spectrometer) setup: status and perspectives p.16-33, 3) experiment E344aS: shape coexistence near the N=Z line and collective properties of Kr isotopes investigated by low-energy Coulomb excitation p.34-56, 4) experiment E389: study of effective charges at Sm100 via the nuclear lifetime measurements in Pd96 and Cd98 p.57-68, 5) experiment E375: spectroscopy of trans-fermium nuclei p.69-91, 6) experiment E408S: He8 on Pb208 and Bi209 p.92-102, 7) experiment E462: very neutron rich calcium isotopes at N=32, structure of magic Ca54 studied by gamma-spectroscopy with deep inelastic reactions p.103-115, 8) experiment E451: searching for T=D pairing and a new coupling scheme in Pd92 and Ru88 p.116-141, and 9) experiment E404aS: identification of gamma rays in nuclei around the drip-line nucleus Sm130, probing the maximally deformed light rare earth region

  14. 32 CFR 881.3 - Individual Service Review Board.

    Science.gov (United States)

    2010-07-01

    ... Management, Separations Branch, HQ AFPC/DPPRS, 550 C Street West, Suite 11, Randolph AFB, TX 78150-4713... 32 National Defense 6 2010-07-01 2010-07-01 false Individual Service Review Board. 881.3 Section... Individual Service Review Board. (a) The Commander, Headquarters Air Force Personnel Center (HQ...

  15. Exogam with its ancillary detectors

    Energy Technology Data Exchange (ETDEWEB)

    Theisen, Ch. [CEA Saclay, Dept. d' Astrophysique, de Physique des Particules de Physique Nucleaire et de l' Instrumentation Associee, 91- Gif sur Yvette (France)

    2004-07-01

    The goal of the meeting was to discuss the status of experiments using Exogam and its ancillary detectors. Presentations include details of experiments already run and those in preparation. This document gathers most of the slides presented at the meeting. The results of 7 experiments are described. There are 9 contributions as it follows: 1) presentation of the Vamos spectrometer p.1-15, 2) the Clara (detector) and Prisma (spectrometer) setup: status and perspectives p.16-33, 3) experiment E344aS: shape coexistence near the N=Z line and collective properties of Kr isotopes investigated by low-energy Coulomb excitation p.34-56, 4) experiment E389: study of effective charges at Sm{sup 100} via the nuclear lifetime measurements in Pd{sup 96} and Cd{sup 98} p.57-68, 5) experiment E375: spectroscopy of trans-fermium nuclei p.69-91, 6) experiment E408S: He{sup 8} on Pb{sup 208} and Bi{sup 209} p.92-102, 7) experiment E462: very neutron rich calcium isotopes at N=32, structure of magic Ca{sup 54} studied by gamma-spectroscopy with deep inelastic reactions p.103-115, 8) experiment E451: searching for T=D pairing and a new coupling scheme in Pd{sup 92} and Ru{sup 88} p.116-141, and 9) experiment E404aS: identification of gamma rays in nuclei around the drip-line nucleus Sm{sup 130}, probing the maximally deformed light rare earth region.

  16. 76 FR 60090 - Performance Review Board, Senior Executive Service (SES)

    Science.gov (United States)

    2011-09-28

    ... SPACE ADMINISTRATION Performance Review Board, Senior Executive Service (SES) AGENCY: National Aeronautics and Space Administration (NASA). ACTION: Notice of membership of SES Performance Review Board... performance review function for the SES in NASA is being performed by the NASA PRB and the NASA...

  17. 75 FR 62591 - Performance Review Board, Senior Executive Service (SES)

    Science.gov (United States)

    2010-10-12

    ... SPACE ADMINISTRATION Performance Review Board, Senior Executive Service (SES) AGENCY: National Aeronautics and Space Administration (NASA). ACTION: Notice of Membership of SES Performance Review Board... performance review function for the SES in NASA is being performed by the NASA PRB and the NASA...

  18. 78 FR 50144 - Health Services Research and Development Service, Scientific Merit Review Board; Notice of Meeting

    Science.gov (United States)

    2013-08-16

    ... Paralyzed Veterans of America, Washington, DC; HSR 5--Health Care System Organization and Delivery; Research... health care services, the testing of new methods of health care delivery and management, and nursing... AFFAIRS Health Services Research and Development Service, Scientific Merit Review Board; Notice of...

  19. 75 FR 57086 - Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web Site

    Science.gov (United States)

    2010-09-17

    ... MANAGEMENT Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web Site... April 19, 2010 at 75 FR 20400, allowing for a 60-day public comment period. One comment was received... Foundation in accordance with ] the Federal Cyber Service Training and Education Initiative as described...

  20. 78 FR 6854 - Health Services Research and Development Service Scientific Merit Review Board; Notice of Meeting

    Science.gov (United States)

    2013-01-31

    .... App. 2, that the Centers of Innovation subcommittee of the Health Services Research and Development... AFFAIRS Health Services Research and Development Service Scientific Merit Review Board; Notice of Meeting... the Chief Research and Development Officer. During the closed portion of the meeting, discussion...

  1. A Review of Telemedicine Services in Finland

    DEFF Research Database (Denmark)

    Khatri, Vikramajeet; Peterson, Carrie Beth; Kyriazakos, Sofoklis; Prasad, Neeli R.

    2011-01-01

    Telemedicine is gaining popularity due to the provision of ubiquitous health care services that is a fundamental need for every socialized society. In this paper, telemedicine services in Finland are discussed, as well as how they came into existence, how they are funded, evaluated, and what are...... their impacts on health care systems and society. Telemedicine services like teleradiology, telelaboratory, telepsychiatry and remote consultations, are being offered in all hospital districts. Primary health care centers in Finland are lacking telemedicine services, and are planning to have them...... ubiquitous care. The e-Prescription project is also in the planning stage, which aims to enhance drug safety, prevent forged prescription, and prevent threat to a patient’s life....

  2. Cloud Infrastructure Service Management - A Review

    OpenAIRE

    2012-01-01

    The new era of computing called Cloud Computing allows the user to access the cloud services dynamically over the Internet wherever and whenever needed. Cloud consists of data and resources; and the cloud services include the delivery of software, infrastructure, applications, and storage over the Internet based on user demand through Internet. In short, cloud computing is a business and economic model allowing the users to utilize high-end computing and storage virtually with minimal infrast...

  3. 76 FR 42168 - Health Services Research and Development Service Merit Review Board; Notice of Meeting

    Science.gov (United States)

    2011-07-18

    ... review of the research proposals and critiques. The purpose of the Board is to review research and development applications involving the measurement and evaluation of health care services, the testing of new methods of health care delivery and management, and nursing research. Applications are reviewed...

  4. Financial services with a special review of insurance services

    Directory of Open Access Journals (Sweden)

    Labudović Jasmina D.

    2004-01-01

    Full Text Available The aim of this paper is to point out certain characteristics of insurance market as a specific segment of financial services market. One of the characteristics of this market is the cost of insurance as differentia specific. The model presented in this paper shows how the insurer who is informed about the takeover risk can influence the cost of insurance. The development of insurance market indicates the development of national economies and the living standards. The data about the premium per capita national income per capita, the size of GDP and the number of citizens in different regions contain very interesting information. Processes of transition and macroeconomic reforms have led to a faster development of insurance in ex-socialist countries.

  5. AX Tank Farm ancillary equipment study

    International Nuclear Information System (INIS)

    This report examines the feasibility of remediating ancillary equipment associated with the 241-AX Tank Farm at the Hanford Site. Ancillary equipment includes surface structures and equipment, process waste piping, ventilation components, wells, and pits, boxes, sumps, and tanks used to make waste transfers to/from the AX tanks and adjoining tank farms. Two remedial alternatives are considered: (1) excavation and removal of all ancillary equipment items, and (2) in-situ stabilization by grout filling, the 241-AX Tank Farm is being employed as a strawman in engineering studies evaluating clean and landfill closure options for Hanford single-shell tanks. This is one of several reports being prepared for use by the Hanford Tanks Initiative Project to explore potential closure options and to develop retrieval performance evaluation criteria for tank farms

  6. 75 FR 27375 - Review of Nonpostal Services Language

    Science.gov (United States)

    2010-05-14

    ... Review of Nonpostal Services Language AGENCY: Postal Regulatory Commission. ACTION: Notice. SUMMARY: The... Classification Schedule language. It solicits comments to assist in this task. DATES: Comments are due: June 4.... MC2010-24 to consider the Postal Service's proposed Mail Classification Schedule (MCS) language for...

  7. Prehospital outcomes for ambulance service care: systematic review

    OpenAIRE

    Phung, Viet-Hai; Booth, Andrew; Joanne, Coster; Turner, Janette; Wilson, Richard; Siriwardena, A Niroshan

    2013-01-01

    Background: Ambulance service performance measurement has previously focused on response times and survival. We conducted a systematic review of the international literature on quality measures and outcomes relating to pre-hospital ambulance service care, aiming to identify a broad range of outcome measures to provide a more meaningful assessment of ambulance service care. Methods: We searched a number of electronic databases including CINAHL, the Cochrane Library, EMBASE, Medline, and Web...

  8. 76 FR 78955 - Review of Nonpostal Services

    Science.gov (United States)

    2011-12-20

    ... OLRP program leverages the Postal Service brand, enhances its image, and generates revenues to support...). SUPPLEMENTARY INFORMATION: Regulatory History, 72 FR 73909 (December 28, 2007); 74 FR 2636 (January 15, 2009... goods, is it appropriate to take into account the purpose of licensed consumer good, e.g., items,...

  9. 78 FR 44563 - Senior Executive Service (SES) Performance Review Board

    Science.gov (United States)

    2013-07-24

    ... From the Federal Register Online via the Government Publishing Office FEDERAL LABOR RELATIONS AUTHORITY Senior Executive Service (SES) Performance Review Board AGENCY: Federal Labor Relations Authority... selected to serve on its SES Performance Review Board (PRB). This notice supersedes all previous notices...

  10. Solutions in radiology services management: a literature review

    Directory of Open Access Journals (Sweden)

    Aline Garcia Pereira

    2015-10-01

    Full Text Available AbstractObjective:The present study was aimed at reviewing the literature to identify solutions for problems observed in radiology services.Materials and Methods:Basic, qualitative, exploratory literature review at Scopus and SciELO databases, utilizing the Mendeley and Illustrator CC Adobe softwares.Results:In the databases, 565 papers – 120 out of them, pdf free – were identified. Problems observed in the radiology sector are related to procedures scheduling, humanization, lack of training, poor knowledge and use of management techniques, and interaction with users. The design management provides the services with interesting solutions such as Benchmarking, CRM, Lean Approach, ServiceBlueprinting, continued education, among others.Conclusion:Literature review is an important tool to identify problems and respective solutions. However, considering the small number of studies approaching management of radiology services, this is a great field of research for the development of deeper studies.

  11. 77 FR 8330 - Health Services Research and Development Service Scientific Merit Review Board; Notice of Meeting

    Science.gov (United States)

    2012-02-14

    ... intramural research proposals and critiques. The purpose of the Board is to review research and development applications involving the measurement and evaluation of health care services, the testing of new methods of health care delivery and management, and nursing research. Applications are reviewed for scientific...

  12. 75 FR 39734 - Health Services Research and Development Service Merit Review Board; Notice of Meeting

    Science.gov (United States)

    2010-07-12

    ..., reference to, and oral review of the research proposals and critiques. The purpose of the Board is to review research and development applications involving the measurement and evaluation of health care services, the testing of new methods of health care delivery and management, and nursing research. Applications...

  13. 76 FR 6197 - Health Services Research and Development Service Merit Review Board; Notice of Meeting

    Science.gov (United States)

    2011-02-03

    ..., reference to, and oral review of the research proposals and critiques. The purpose of the Board is to review research and development applications involving the measurement and evaluation of health care services, the testing of new methods of health care delivery and management, and nursing research. Applications...

  14. The relationship of hospital ownership and service composition to hospital charges

    OpenAIRE

    Eskoz, Robin; Peddecord, K. Michael

    1985-01-01

    The relationship of hospital ownership and service composition to hospital charges was examined for 456 general acute hospitals in California. Ancillary services had higher profit margins, both gross and net profits, than daily hospital services. Ancillary services accounted for 55.3 percent of total patient revenue. Charges per day were 23 percent higher for ancillary services than for daily hospital services. Net profits for daily and ancillary services were lowest at county hospitals. Prop...

  15. Solutions in radiology services management: a literature review

    OpenAIRE

    Aline Garcia Pereira; Lizandra Garcia Lupi Vergara; Eugenio Andrés Díaz Merino; Adriano Wagner

    2015-01-01

    AbstractObjective:The present study was aimed at reviewing the literature to identify solutions for problems observed in radiology services.Materials and Methods:Basic, qualitative, exploratory literature review at Scopus and SciELO databases, utilizing the Mendeley and Illustrator CC Adobe softwares.Results:In the databases, 565 papers – 120 out of them, pdf free – were identified. Problems observed in the radiology sector are related to procedures scheduling, humanization, lack of training,...

  16. Citizen Review Panels for Child Protective Services: A National Profile

    Science.gov (United States)

    Jones, Blake L.; Royse, David

    2008-01-01

    Citizen Review Panels (CRPs) for Child Protective Services are groups of citizen-volunteers throughout the United States who are federally mandated to evaluate local and state child protection systems. This study presents a profile of 332 CRP members in 20 states with regards to their demographic information, length of time on the panel, and …

  17. Development through Empowerment: Delivering Effective Public Services - A Literature Review

    OpenAIRE

    Xu, Guo

    2013-01-01

    This paper reviews the channels through which empowerment may improve the efficiency and quality of public service delivery, particularly in developing Asia. Departing from a macro perspective, we focus and revisit microeconomic evidence for three broad measures aimed at empowering the poor: empowerment through voice, empowerment through exit, and empowerment through information.

  18. A Review-Based Reputation Evaluation Approach for Web Services

    Institute of Scientific and Technical Information of China (English)

    Hai-Hua Li; Xiao-Yong Du; Xuan Tian

    2009-01-01

    Web services are commonly perceived as an environment of both offering opportunities and threats.In this environment, one way to minimize threats is to use reputation evaluation, which can be computed, for example, through transaction feedback.However.the current feedback-based approach is inaccurate and inefiective because of its inner limitations(e.g.,feedback quality problem).As the main source of feedback, the qualities of existing on-line reviews are often varied greatly from low to high, the main reasons include:(1)they have no standard expression formats,(2)dishonest comments may exist among these reviews due to malicious attacking.Up to present,the quality problem of review has not been well solved, which greatly degrades their importance on service reputation evaluation. Therefore, we firstly present a novel evaluation approach for review quality in terms of multiple metrics. Then. we make a further improvement in service reputation evaluation based on those filtered reviews. Experimental results show the effectiveness and efficiency of our proposed approach compared with the naive feedback-based approaches.

  19. Discrete choice experiments of pharmacy services: a systematic review.

    Science.gov (United States)

    Vass, Caroline; Gray, Ewan; Payne, Katherine

    2016-06-01

    Background Two previous systematic reviews have summarised the application of discrete choice experiments to value preferences for pharmacy services. These reviews identified a total of twelve studies and described how discrete choice experiments have been used to value pharmacy services but did not describe or discuss the application of methods used in the design or analysis. Aims (1) To update the most recent systematic review and critically appraise current discrete choice experiments of pharmacy services in line with published reporting criteria and; (2) To provide an overview of key methodological developments in the design and analysis of discrete choice experiments. Methods The review used a comprehensive strategy to identify eligible studies (published between 1990 and 2015) by searching electronic databases for key terms related to discrete choice and best-worst scaling (BWS) experiments. All healthcare choice experiments were then hand-searched for key terms relating to pharmacy. Data were extracted using a published checklist. Results A total of 17 discrete choice experiments eliciting preferences for pharmacy services were identified for inclusion in the review. No BWS studies were identified. The studies elicited preferences from a variety of populations (pharmacists, patients, students) for a range of pharmacy services. Most studies were from a United Kingdom setting, although examples from Europe, Australia and North America were also identified. Discrete choice experiments for pharmacy services tended to include more attributes than non-pharmacy choice experiments. Few studies reported the use of qualitative research methods in the design and interpretation of the experiments (n = 9) or use of new methods of analysis to identify and quantify preference and scale heterogeneity (n = 4). No studies reported the use of Bayesian methods in their experimental design. Conclusion Incorporating more sophisticated methods in the design of pharmacy

  20. 76 FR 50272 - Senior Executive Service (SES) Performance Review Board; Members

    Science.gov (United States)

    2011-08-12

    ... RECORDS ADMINISTRATION Senior Executive Service (SES) Performance Review Board; Members AGENCY: National Archives and Records Administration. ACTION: Notice; SES Performance Review Board. SUMMARY: Notice is... Office of Personnel Management, one or more SES Performance Review Boards. The Board shall review...

  1. A REVIEW OF TRADE IN MERCHANDISE AND SERVICES IN 2014

    OpenAIRE

    Makarov, A.; A.Pakhomov

    2015-01-01

    In mid-April 2015, the Secretariat of the World Trade Organization (WTO) released its annual World Trade Report 2014, which reviews the international trade over the past year and its development prospects for the current year. The document off ers preliminary statistics on global trade in merchandise and services, and also an analysis of the main trends in its development depending on specifi c countries and regions1.

  2. Flooding Distributed Denial of Service Attacks-A Review

    Directory of Open Access Journals (Sweden)

    Khadijah W.M. Ghazali

    2011-01-01

    Full Text Available Problem statement: Flaws either in users’ implementation of a network or in the standard specification of protocols has resulted in gaps that allow various kinds of network attack to be launched. Of the kinds of network attacks, denial-of-service flood attacks have caused the most severe impact. Approach: This study reviews recent researches on flood attacks and their mitigation, classifying such attacks as either high-rate flood or low-rate flood. Finally, the attacks are compared against criteria related to their characteristics, methods and impacts. Results: Denial-of-service flood attacks vary in their rates, traffic, targets, goals and impacts. However, they have general similarities that are the methods used are flooding and the main purpose is to achieve denial of service to the target. Conclusion/Recommendations: Mitigation of the denial-of-service flood attacks must correspond to the attack rates, traffic, targets, goals and impacts in order to achieve effective solution.

  3. Competitive intelligence in services organizations: a systematic literature review

    Directory of Open Access Journals (Sweden)

    Danielle Faust Cruz

    2015-02-01

    Full Text Available It is growing the importance of services sector in the global economy. Facing a global and dynamic market, characterized by fierce competition, Competitive Intelligence - CI can help services organizations in decision making process and in the conception of competitive advantages against competitors. This paper aims to outline the state of art concerning the use of competitive intelligence in the services sector organizations, through research and analysis of articles found in major databases. This is a theoretical study consisting of a systematic literature review including bibliometric and content analysis. Relevant publications were retrieved in the following data bases related to the subject: Web of Knowledge, Scopus, Ebsco, ScienceDirect, and Engineering Village. The results allow considering the importance of competitive intelligence for survival and competitiveness of services organizations. Finally, it was verified the existence of a gap related to prescriptive studies, focusing on investigations about the subject, being this type of study relevant to the area to reach maturity

  4. Review of Integrated Psychological Services in Primary Care.

    Science.gov (United States)

    Smith, Michele S

    2016-06-01

    Reviews the book, Integrated Psychological Services in Primary Care edited by William Scott Craig (see record 2016-01850-000). This book opens with an article by the editor, in which he outlines the behavioral health needs of primary care patients and the rationale behind integrating mental health services in primary care settings. Subsequent chapters address basic and practical information for a variety of practice locations, such as Patient Centered Medical Home clinics, the Veteran's Administration medical centers, and primary care settings where the concept of integrated health is new. This is an excellent primer for anyone planning to implement an integrated care program or for those considering moving from an independent practice, agency, or traditional health care/hospital environment into an integrated primary care environment. The authors' writing styles made difficult concepts easy to understand and their knowledge of the utility of integration was evident. (PsycINFO Database Record PMID:27270257

  5. SERVICE MARKETING MIX OF INDIAN HOSPITALS: A CRITICAL REVIEW

    Directory of Open Access Journals (Sweden)

    Dharmesh, MOTWANI

    2014-07-01

    Full Text Available Sreenivas, Srinivasarao and Srinivasa (2013 said that “The health care market has become consumer centered and expecting high quality care at a reasonable price. The mushroomed development of corporate hospitals in India, competition is also bringing massive changes in industry structure. In this context, hospital services’ marketing is slowly and surely coming of age and is being woven into the fabric of hospitals planning and public relations programmes.” The essence of any marketing activity is marketing mix, and the central theme of the present paper revolves around the contemporary service marketing mix offered by Indian hospitals. In this paper author has critically reviewed 51 papers to describe elements of hospital service marketing mix; product, price, place, promotion, people, process and physical evidence.

  6. A review of technology and trends in document delivery services

    International Nuclear Information System (INIS)

    This paper reviews the major lines of technical development being pursued to extend or replace traditional inter-library loan and photocopy service and to facilitate the delivery of source documents to individual end users. Examples of technical approaches discussed are: 1) the inclusion of full text and image data in central online systems; 2) image workstations such as the ADONIS and UMI systems; and 3) the use of electronic networks for document ordering and delivery. Some consideration is given to the policy implications for libraries and information systems. (author). 11 tabs

  7. Sales Forecasting for Fashion Retailing Service Industry: A Review

    Directory of Open Access Journals (Sweden)

    Na Liu

    2013-01-01

    Full Text Available Sales forecasting is crucial for many retail operations. It is especially critical for the fashion retailing service industry in which product demand is very volatile and product’s life cycle is short. This paper conducts a comprehensive literature review and selects a set of papers in the literature on fashion retail sales forecasting. The advantages and the drawbacks of different kinds of analytical methods for fashion retail sales forecasting are examined. The evolution of the respective forecasting methods over the past 15 years is revealed. Issues related to real-world applications of the fashion retail sales forecasting models and important future research directions are discussed.

  8. 75 FR 74091 - Senior Executive Service (SES) Performance Review Board; Members

    Science.gov (United States)

    2010-11-30

    ... RECORDS ADMINISTRATION Senior Executive Service (SES) Performance Review Board; Members AGENCY: National Archives and Records Administration. ACTION: Notice; SES Performance Review Board. SUMMARY: Notice is... regulations prescribed by the Office of Personnel Management, one or more SES Performance Review Boards....

  9. 75 FR 6729 - Senior Executive Service (SES) Performance Review Board; Members

    Science.gov (United States)

    2010-02-10

    ... RECORDS ADMINISTRATION Senior Executive Service (SES) Performance Review Board; Members AGENCY: National Archives and Records Administration. ACTION: Notice; SES Performance Review Board. SUMMARY: Notice is... regulations prescribed by the Office of Personnel Management, one or more SES Performance Review Boards....

  10. Ancillary human health benefits of improved air quality resulting from climate change mitigation

    Directory of Open Access Journals (Sweden)

    Krupnick Alan J

    2008-07-01

    Full Text Available Abstract Background Greenhouse gas (GHG mitigation policies can provide ancillary benefits in terms of short-term improvements in air quality and associated health benefits. Several studies have analyzed the ancillary impacts of GHG policies for a variety of locations, pollutants, and policies. In this paper we review the existing evidence on ancillary health benefits relating to air pollution from various GHG strategies and provide a framework for such analysis. Methods We evaluate techniques used in different stages of such research for estimation of: (1 changes in air pollutant concentrations; (2 avoided adverse health endpoints; and (3 economic valuation of health consequences. The limitations and merits of various methods are examined. Finally, we conclude with recommendations for ancillary benefits analysis and related research gaps in the relevant disciplines. Results We found that to date most assessments have focused their analysis more heavily on one aspect of the framework (e.g., economic analysis. While a wide range of methods was applied to various policies and regions, results from multiple studies provide strong evidence that the short-term public health and economic benefits of ancillary benefits related to GHG mitigation strategies are substantial. Further, results of these analyses are likely to be underestimates because there are a number of important unquantified health and economic endpoints. Conclusion Remaining challenges include integrating the understanding of the relative toxicity of particulate matter by components or sources, developing better estimates of public health and environmental impacts on selected sub-populations, and devising new methods for evaluating heretofore unquantified and non-monetized benefits.

  11. A review of mobile services research: Research gaps and suggestions for future research on mobile apps

    OpenAIRE

    Nysveen, Herbjørn; PER E. PEDERSEN; Skard, Siv E. R.

    2015-01-01

    The working paper starts with an overview of the growth in research on mobile services. Based on the increase in the research on mobile services the last few years, the fact that the last general review article on mobile services we identified was published in 2010, and the change to more appbased mobile services, we argue for the importance of conducting a review to identify gaps in the literature that should be guiding future research on mobile services. The methodology applied ...

  12. Domestic fridge-freezer load aggregation to support ancillary services

    OpenAIRE

    Martin Almenta, M.; Morrow, D. J.; Best, R. J.; Fox, B; A. M. Foley

    2016-01-01

    Grid operators and electricity retailers in Ireland manage peak demand, power system balancing and grid congestion by offering relevant incentives to consumers to reduce or shift their load. The need for active consumers in the home using smart appliances has never been greater, due to increased variable renewable generation and grid constraints. In this paper an aggregated model of a single compressor fridge-freezer population is developed. A price control strategy is examined to quantify an...

  13. Genetic Algorithm based PID controller for Frequency Regulation Ancillary services

    Directory of Open Access Journals (Sweden)

    Sandeep Bhongade

    2010-12-01

    Full Text Available In this paper, the parameters of Proportional, Integral and Derivative (PID controller for Automatic Generation Control (AGC suitable in restructured power system is tuned according to Generic Algorithms (GAs based performance indices. The key idea of the proposed method is to use the fitness function based on Area Control Error (ACE. The functioning of the proposed Genetic Algorithm based PID (GAPID controller has been demonstrated on a 75-bus Indian power system network and the results have been compared with those obtained by using Least Square Minimization method.

  14. Distributed Smart Grid Asset Control Strategies for Providing Ancillary Services

    Energy Technology Data Exchange (ETDEWEB)

    Kalsi, Karanjit; Zhang, Wei; Lian, Jianming; Marinovici, Laurentiu D.; Moya, Christian; Dagle, Jeffery E.

    2013-10-30

    With large-scale plans to integrate renewable generation driven mainly by state-level renewable portfolio requirements, more resources will be needed to compensate for the uncertainty and variability associated with intermittent generation resources. Distributed assets can be used to mitigate the concerns associated with renewable energy resources and to keep costs down. Under such conditions, performing primary frequency control using only supply-side resources becomes not only prohibitively expensive but also technically difficult. It is therefore important to explore how a sufficient proportion of the loads could assume a routine role in primary frequency control to maintain the stability of the system at an acceptable cost. The main objective of this project is to develop a novel hierarchical distributed framework for frequency based load control. The framework involves two decision layers. The top decision layer determines the optimal gain for aggregated loads for each load bus. The gains are computed using decentralized robust control methods, and will be broadcast to the corresponding participating loads every control period. The second layer consists of a large number of heterogeneous devices, which switch probabilistically during contingencies so that aggregated power change matches the desired amount according to the most recently received gains. The simulation results show great potential to enable systematic design of demand-side primary frequency control with stability guarantees on the overall power system. The proposed design systematically accounts for the interactions between the total load response and bulk power system frequency dynamics. It also guarantees frequency stability under a wide range of time varying operating conditions. The local device-level load response rules fully respect the device constraints (such as temperature setpoint, compressor time delays of HVACs, or arrival and departure of the deferrable loads), which are crucial for implementing real load control programs. The promise of autonomous, Grid Friendly™ response by smart appliances in the form of under-frequency load shedding was demonstrated in the GridWise Olympic Peninsula Demonstration in 2006. Each controller monitored the power grid voltage signal and requested that electrical load be shed by its appliance whenever electric power-grid frequency fell below 59.95 Hz. The controllers and their appliances responded reliably to each shallow under-frequency event, which was an average of one event per day and shed their loads for the durations of these events. Another objective of this project was to perform extensive simulation studies to investigate the impact of a population of Grid Friendly™ Appliances (GFAs) on the bulk power system frequency stability. The GFAs considered in this report are represented as demonstration units with water heaters individually modeled.

  15. Mental health services assessment in Brazil: systematic literature review.

    Science.gov (United States)

    da Costa, Pedro Henrique Antunes; Colugnati, Fernando Antonio Basile; Ronzani, Telmo Mota

    2015-10-01

    Assessment in the mental health area is a mechanism able to generate information that positively helps decision-making. Therefore, it is necessary to appropriate on the existing discussions, reasoning the challenges and possibilities linked to knowledge production within this scientific filed. A systematic review of publications about the Brazilian scientific production on mental health service assessment was performed, identifying and discussing methods, assessment perspectives and results. The search for articles was done in IBECS, Lilacs and Scielo databases, considering the publication of Federal Law 10.216. Thirty-five articles were selected based on the used terms and on the inclusion and exclusion criteria. Scientific production in this field is concentrated in the South and Southwest regions and holds different scopes and participants. Such wide range of possibilities is adopted as a way to help improving services and decision-making processes in mental health care. Advances in humanized, participative and community care are highlighted, but requiring more investments, professional qualification and organizational improvements. It is postulated greater integration among research, with evaluations going beyond structural aspects and the comparison with hospitalocentric models. PMID:26465864

  16. National review of maternity services 2008: women influencing change

    Directory of Open Access Journals (Sweden)

    Francis Karen

    2011-07-01

    Full Text Available Abstract Background In 2009 the Australian government announced a major program of reform with the move to primary maternity care. The reform agenda represents a dramatic change to maternity care provision in a society that has embraced technology across all aspects of life including childbirth. Methods A critical discourse analysis of selected submissions in the consultation process to the national review of maternity services 2008 was undertaken to identify the contributions of individual women, consumer groups and organisations representing the interests of women. Results Findings from this critical discourse analysis revealed extensive similarities between the discourses identified in the submissions with the direction of the 2009 proposed primary maternity care reform agenda. The rise of consumer influence in maternity care policy reflects a changing of the guard as doctors' traditional authority is questioned by strong consumer organisations and informed consumers. Conclusions Unified consumer influence advocating a move away from obstetric -led maternity care for all pregnant women appears to be synergistic with the ethos of corporate governance and a neoliberal approach to maternity service policy. The silent voice of one consumer group (women happy with their obstetric-led care in the consultation process has inadvertently contributed to a consensus of opinion in support of the reforms in the absence of the counter viewpoint.

  17. FLECH PowerMax Service Requirement Specification

    DEFF Research Database (Denmark)

    It is expected that in the future, ancillary services will be required at distribution level. This work describes how one of these ancillary services, the PowerMax service, must be spec ified within a market framework. The basis of this work is the Flexibility Clearing House (FLE CH) platform...

  18. 78 FR 75447 - Senior Executive Service; Departmental Offices Performance Review Board

    Science.gov (United States)

    2013-12-11

    ... Senior Executive Service; Departmental Offices Performance Review Board AGENCY: Treasury Department..., Michael P., Deputy Assistant Secretary for Intelligence Community Integration McDonald, William L., Deputy... Capital Services Phillips, Dawn, Associate Chief Human Capital Officer for Policy, Performance &...

  19. 78 FR 9455 - Rehabilitation Research and Development Service Scientific Merit Review Board, Notice of Meeting

    Science.gov (United States)

    2013-02-08

    .... Regenerative Medicine......... February 26-27, Paralyzed Veterans of 2013. America. Career Development Award... AFFAIRS Rehabilitation Research and Development Service Scientific Merit Review Board, Notice of Meeting.... App. 2, that the subcommittees of the Rehabilitation Research and Development Service Scientific...

  20. SERVICE QUALITY OF HOUSING FINANCE: A BRIEF REVIEW

    OpenAIRE

    Pawar S.S; V. K. Sawant

    2016-01-01

    Service quality is defined as a global judgement, or attitude, relating to the superiority of the service. In today's increasing competitive atmosphere providing service quality is important for any service industry. This study deals with service quality gaps in banks as after nationalisation of several commercial banks competition was restricted but with the entry of new generation tech-savvy private banks the banking sector has become too competitive. For comparative purposes, five service ...

  1. Do Online Mental Health Services Improve Help-Seeking for Young People? A Systematic Review

    OpenAIRE

    Kauer, Sylvia Deidre; Mangan, Cheryl; Sanci, Lena

    2014-01-01

    Background Young people regularly use online services to seek help and look for information about mental health problems. Yet little is known about the effects that online services have on mental health and whether these services facilitate help-seeking in young people. Objective This systematic review investigates the effectiveness of online services in facilitating mental health help-seeking in young people. Methods Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyse...

  2. 78 FR 37847 - Senior Executive Service (SES) Performance Review Board; Members

    Science.gov (United States)

    2013-06-24

    ... RECORDS ADMINISTRATION Senior Executive Service (SES) Performance Review Board; Members AGENCY: National Archives and Records Administration. ACTION: Notice of SES Performance Review Board Appointments. SUMMARY... accordance with regulations prescribed by the Office of Personnel Management, one or more SES...

  3. 基于无功辅助服务补偿的发电厂AVC系统机组无功出力分配策略%A reactive power allocation strategy for power plant AVC system based on reactive power ancillary service compensation

    Institute of Scientific and Technical Information of China (English)

    林瑞星; 张蓓; 李旻; 刘柏私; 徐琳

    2013-01-01

    运行机组间无功出力分配是发电厂AVC系统的重要技术环节,分配策略的优劣影响着AVC控制的安全性及发电厂运行的经济性。从提高发电厂收益角度,提出了基于无功辅助服务补偿的发电厂AVC系统机组无功出力分配策略,建立了优化模型。该优化模型考虑了发电厂参与无功辅助服务后机组及变压器损耗增加的成本,在满足调度机构AVC系统下发的控制目标及机组安全运行等约束条件的前提下,以电厂收益最大为优化目标,求取参与AVC控制机组的无功出力控制量并下发相应机组执行。算例仿真验证了基于无功辅助服务补偿后发电厂运行机组间无功出力分配的有效性,能在满足调压要求的同时明显地提高电厂的经济效益。%The reactive power output allocation for generators is an important technical link of automatic voltage control (AVC) system in power plant. The allocation strategy affects the security of the AVC control and operation economy of power plant. In order to improve the profits of the power plant, a reactive power allocation strategy based on the reactive power ancillary services (RPAS) compensation is proposed, and the optimization model is established. The model considers the increasing cost of units and transformer loss when the power plant adopts the RPAS. Under the condition of satisfying the constraints such as the control target of AVC system of the dispatching department and secure operation domain of generators, and taking the maximum profits of power plant as the optimization objective, the model solves the controlling quantity of reactive outputs of AVC generators and then they are implemented by corresponding units. The method is proved to be effective in the simulation and the strategy can satisfy the requirements of voltage regulation and significantly improve the economic efficiency of the power plant.

  4. Clustering and Classification techniques for Web service discovery: A Systematic Review

    OpenAIRE

    Alam, Khubaib Amjad; Chang, Victor; Ahmad, Rodina; Tahir, Muzammil; Akhunzada, Adnan; Vasilakos, Athanasios V.

    2016-01-01

    Context: Web service discovery and selection is becoming significantly challenging due to the exponential growth in number of web services available over the internet. Organizing web services into functionally similar groups or classifying them into certain classes, can greatly facilitate the service discovery process. A plethora of clustering and classification techniques for web services has emerged over the last decade. Objective: This study aims at systematically reviewing and s...

  5. CONCEPTUALIZATION OF E-SERVICES QUALITY AND E-SATISFACTION: A REVIEW OF LITERATURE

    OpenAIRE

    Vijay M. KUMBHAR

    2012-01-01

    There are various approaches to the measure quality of e-services. They have mentioned many dimensions of e-service quality provided by service organisations i.e. banking, restaurant, investment, trade etc. However, sometimes there may be confusions in selecting appropriate dimensions to assess e-services. Therefore, in the present paper author has tried to identify some important dimensions of service quality through extensive review of literature which can be used to assess overall quality ...

  6. Technology review of commercial food service equipment - final report

    Energy Technology Data Exchange (ETDEWEB)

    Rahbar, S.; Krsikapa, S. [Canadian Gas Research Inst., Don Mills, ON (Canada); Fisher, D.; Nickel, J.; Ardley, S.; Zabrowski, D. [Fisher Consultants (Canada); Barker, R.F. [ed.

    1996-05-15

    Market and technical information on gas fired equipment used in the commercial food service sector in Canada and in each province or territory was presented. Results of a market study and technology review were integrated to establish energy consumption and energy saving potential in this sector. Eight categories of commercial cooking appliances were studied. They were: fryers, griddles, broilers, ranges, ovens, tilting skillets, steam kettles and steamers. Focus was on gas fired appliances, although electric appliances were also included. The total energy consumption of the appliances was estimated at 76,140.37 GBtu in 1994. Gas appliances accounted for 63 per cent of the total inventory and consumed 83 per cent of the total energy used. Cooking energy efficiencies for the gas fired commercial cooking equipment ranged from 10 per cent to 60 per cent. The electric appliances had cooking energy efficiencies ranging from 35 per cent to 95 per cent. A list of recommendations were made for the many opportunities to introduce higher efficiency commercial cooking appliances, essential to slow down or to stabilize the energy consumption of cooking appliances over the next decade. 66 refs., 14 tabs., 18 figs.

  7. Organizing Successful New Service Development: A Literature Review

    OpenAIRE

    Jeroen de Jong; Patrick Vermeulen

    2003-01-01

    How should one organize new service development? This is an important topic for decision-makers in service firms. The numerous publications on this subject are highly fragmented. This paper classifies current literature on organizing new service development (NSD) into two evolutionary stages: managing key activities in the NSD process, and creating a climate for continuous innovation. For both stages, its consequences for the initiation and implementation of new services are discussed.

  8. The Impact of Child and Family Service Reviews on Knowledge Management

    Science.gov (United States)

    Mischen, Pamela A.

    2008-01-01

    This article uses knowledge management as a framework to analyze the impact of the child and family review process on child protective service agencies. Results of a qualitative analysis of child and family service reviews and program improvement plans indicated that the process has led to an increase in the use of family team meetings and risk…

  9. Mental Health Services in School-Based Health Centers: Systematic Review

    Science.gov (United States)

    Bains, Ranbir Mangat; Diallo, Ana F.

    2016-01-01

    Mental health issues affect 20-25% of children and adolescents, of which few receive services. School-based health centers (SBHCs) provide access to mental health services to children and adolescents within their schools. A systematic review of literature was undertaken to review evidence on the effectiveness of delivery of mental health services…

  10. Medical Researchers' Ancillary Care Obligations: The Relationship-Based Approach.

    Science.gov (United States)

    Olson, Nate W

    2016-06-01

    In this article, I provide a new account of the basis of medical researchers' ancillary care obligations. Ancillary care in medical research, or medical care that research participants need but that is not required for the validity or safety of a study or to redress research injuries, is a topic that has drawn increasing attention in research ethics over the last ten years. My view, the relationship-based approach, improves on the main existing theory, Richardson and Belsky's 'partial-entrustment model', by avoiding its problematic restriction on the scope of health needs for which researchers could be obligated to provide ancillary care. Instead, it grounds ancillary care obligations in a wide range of morally relevant features of the researcher-participant relationship, including the level of engagement between researchers and participants, and weighs these factors against each other. I argue that the level of engagement, that is, the duration and intensity of interactions, between researchers and participants matters for ancillary care because of its connection to the meaningfulness of a relationship, and I suggest that other morally relevant features can be grounded in researchers' role obligations. PMID:26424512

  11. Ancillary effects of selected acid deposition control policies

    Energy Technology Data Exchange (ETDEWEB)

    Moe, R.J.; Lyke, A.J.; Nesse, R.J.

    1986-08-01

    NAPAP is examining a number of potential ways to reduce the precursors (sulfur dioxide and nitrogen oxides) to acid deposition. However, the policies to reduce acid deposition will have other physical, biological and economic effects unrelated to acid deposition. For example, control policies that reduce sulfur dioxide emissions may also increase visibility. The effects of an acid deposition policy that are unrelated to acid deposition are referred to as ''ancillary'' effects. This reserch identifies and characterizes the principle physical and economic ancillary effects associated with acid deposition control and mitigation policies. In this study the ancillary benefits associated with four specific acid deposition policy options were investigated. The four policy options investigated are: (1) flue gas desulfurization, (2) coal blending or switching, (3) reductions in automobile emissions of NO/sub x/, and (4) lake liming. Potential ancillary benefits of each option were identified and characterized. Particular attention was paid to the literature on economic valuation of potential ancillary effects.

  12. 42 CFR 414.24 - Review, revision, and addition of RVUs for physician services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Review, revision, and addition of RVUs for physician services. 414.24 Section 414.24 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM PAYMENT FOR PART B MEDICAL AND OTHER...

  13. An integrative literature review and empirical validation of motives for introducing shared services in government organizations

    NARCIS (Netherlands)

    Paagman, Arnaud; Tate, Mary; Furtmueller, Elfi; Bloom, de Jessica

    2014-01-01

    This paper contributes to the understanding of the meaning of shared services and motives for introducing shared services in government organizations. We review and clarify definitions of shared services and derive a definition applicable for the government context. Based on an extensive literature

  14. 78 FR 78415 - Submission for Review: Customer Service Surveys, OMB Control No. 3206-0236

    Science.gov (United States)

    2013-12-26

    ... MANAGEMENT Submission for Review: Customer Service Surveys, OMB Control No. 3206-0236 AGENCY: U.S. Office of... information collection request (ICR) 3206-0236, Customer Service Surveys. As required by the Paperwork..., manage and retain a high quality and diverse workforce. Customer service surveys are valuable tools...

  15. Patients' perceptions of services and preferences for care in amyotrophic lateral sclerosis: A review.

    LENUS (Irish Health Repository)

    Foley, Geraldine

    2012-02-01

    Abstract Service providers and service users often have different perspectives on health and social care services. We have undertaken a systematic review of empirical data between 1988 and March 2011 relating to ALS service users\\' perspectives on health and social care services. Forty-seven texts were extracted and a narrative synthesis conducted. Few studies have explored ALS patients\\' experiences in relation to their satisfaction with services. Our review showed that ALS patients expect dignified care but they are often dissatisfied with health care services and have unmet expectations of their care. Most studies of decision-making and preferences for care have focused on end-of-life intervention. Various factors influence preferences for care from the service user perspective and people with ALS may adjust their use of services as they negotiate change. In conclusion, further research on the timeliness of services to meet changing needs of service users is required. The service user experience of allied health care services prior to end-of-life care also warrants investigation. Service providers need to support people with ALS as they negotiate feelings of acceptance and independence. Research to identify the key parameters of the ALS patient experience of services is required.

  16. The reference service in the digital era. Literature review

    OpenAIRE

    Minardi, Elisa

    2007-01-01

    The dramatic increase in accessing information resources due to the World Wide Web and networked full-text periodical databases has revolutionized reference services in the library. Easily accessible digital information has rapidly become one of the hallmarks of the Internet. This "information overload" has given a new dimension to library reference service. Evaluating information sources has become an integral part of everyday library reference service. This added dimension has spotlighted t...

  17. Sector report for Ofsted : SDC – review of public service regulators

    OpenAIRE

    Sustainable Development Commission

    2009-01-01

    This report sets out the findings so far of the Sustainable Development Commission's review of public service regulators for Ofsted. The report includes the relevant policy context, an assessment of progress against the review goals set out by the SDC at the outset of this review, other progress, future developments and opportunities. Publisher PDF

  18. A Review of IT Service Management and Organisational Changes

    DEFF Research Database (Denmark)

    Kræmmergaard, Pernille; Lynge, Bjarne Christoffer; Schou, Christoffer Dalby

    The interest in Information technology service management (ITSM) is increasing in practice and also in research we will argue. The aim of implementation of ITSM in IT organisations is to increase the service towards the IT organisations´ customers, businesses and users, and that requires changes in...

  19. A Framework to Enhance Quality of Service for Content Delivery Network Using Web Services: A Review

    Directory of Open Access Journals (Sweden)

    K.Manivannan

    2011-09-01

    Full Text Available Content Delivery Networks (CDNs is anticipated to provide better performance delivery of content in internet through worldwide coverage, which would be a fence for new content delivery network providers. The appearance of Web as a omnipresent media for sharing content and services has led to the rapid growth of the Internet. At the same time, the number of users accessing Web-based content and services are growing exponentially. This has placed a heavy demand on Internet bandwidth and Web systems hosting content and application services. As a result, many Web sites are unable to manage this demand and offer their services in a timely manner. Content Delivery Networks (CDNs have emerged to overcome these limitations by offering infrastructure and mechanisms to deliver content and services in a scalable manner, and enhancing users Web experience. The planned research provides a framework designed to enhance QoS of Web service processes for real time servicing. QoS parameters of various domains can be combined to provide differentiated services, and allocating dynamically available resources in the midst of customers while delivering high-quality real time multimedia content. While accessing the service by a customer, it is possible to adapt real time streams to vastly changeable network conditions to give suitable quality in spite of factors upsetting Quality of service. To reach these intentions, adaptive web service processes to supply more information for determining the quality and size of the delivered object. The framework includes a section for QoS monitoring and adaptation and QoS faults prediction possibility and convalesce actions in case of failure. The aim of this research is to encourage research about quality of composite services in service-oriented architectures with security measures.

  20. The need for general medical services: a literature review

    OpenAIRE

    Roy Carr-Hill

    1999-01-01

    General Medical Services (GMS) are provided mainly through Family Practices, on a demand led basis: that is, there is no cash limit expect for certain specified selected services such as Practice Nurses etc. Nevertheless, since 1948, the Medical Practices Committee (MPC) have influenced the delivery of GMS through a system of allowances for areas designated as under-doctored; and, of course, there are deprivation payments (mostly in urban areas) and the rural practice allowance. However, ther...

  1. Review of a Community-based Youth Counselling Service

    OpenAIRE

    Lalor, Kevin; O'Dwyer, Sinead; McCrann, Denis

    2006-01-01

    The structure and operation of a community-based youth counselling service operated by the Kildare Youth Services (KYS) is examined with a view to highlighting its preventative nature. Presenting problems are explored, in the context of the wider social milieu. Particularly, recent trends in sexual behaviour, substance abuse and child sexual abuse are examined. Interviews were conducted with a sample of professionals who referred clients, patients and students to the KYS Youth Counselling ...

  2. Review of Wetland Ecosystem Services Valuation in China

    OpenAIRE

    Fang Chen; Qiang Yao

    2014-01-01

    The wetland ecosystem not only supplies human with the production of ecosystem goods, such as pharmaceuticals, food, but also is one of the foundations of civilization and life support systems. With the in-depth understanding of the wetland ecosystem functions, the research of wetland ecosystem services evaluation has attracted much attention. This study summarizes connotation, classification and assessment methods of wetland ecosystem services. The several commonly used the methods of wetlan...

  3. Review of Wetland Ecosystem Services Valuation in China

    Directory of Open Access Journals (Sweden)

    Fang Chen

    2014-11-01

    Full Text Available The wetland ecosystem not only supplies human with the production of ecosystem goods, such as pharmaceuticals, food, but also is one of the foundations of civilization and life support systems. With the in-depth understanding of the wetland ecosystem functions, the research of wetland ecosystem services evaluation has attracted much attention. This study summarizes connotation, classification and assessment methods of wetland ecosystem services. The several commonly used the methods of wetland ecosystem services valuation were chose, including market value, forestation cost, carbon tax, shadow project costs and travel cost. On this basis, the existing problem and the future development of wetland ecosystem service evaluation in China were discussed. Some suggestions were proposed in the future wetland ecosystem valuation and management in China. More attention should be paid to the systematic, integrity evaluation system establishment of wetland ecosystem service. Automatic continuous online monitoring system of wetland should be established, in order to provide more detailed and reliable dynamic data for the evaluation of wetland ecosystem service.

  4. Market-Type Mechanisms and Public Service Equity: A Review of Experiences in European Public Services

    OpenAIRE

    Dan, Sorin; Andrews, Rhys

    2015-01-01

    In seeking to benefit from the competitive pressures exerted through marketization,governments have hoped to gain improvements in public service efficiency. Yet, concerns remain about the effects of marketization on how equitably public services are provided. We consider evidence about the relationship between the introduction of market-type mechanisms in the European public sector and the efficiency and equity of service provision. Our analysis reveals that although market-type mechanisms...

  5. 76 FR 9786 - NIOSH Dose Reconstruction Program Ten-Year Review-Phase I Report on Customer Service; Request for...

    Science.gov (United States)

    2011-02-22

    ... Review--Phase I Report on Customer Service; Request for Public Review and Comment AGENCY: National... Report on Customer Service.'' This publication is part of a review by NIOSH of its program in support of... customer service provided by NIOSH in the program. The document can be found at...

  6. 78 FR 50144 - Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meetings

    Science.gov (United States)

    2013-08-16

    ... Career Development Award Program.... August 6, 2013........ VHA National Conference Center........... VHA National Conference Center. Career Development Award Program.... August 8, 2013........ VHA... AFFAIRS Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of...

  7. Using the Soil and Water Assessment Tool (SWAT) to model ecosystem services: A systematic review

    Science.gov (United States)

    Francesconi, Wendy; Srinivasan, Raghavan; Pérez-Miñana, Elena; Willcock, Simon P.; Quintero, Marcela

    2016-04-01

    SWAT, a watershed modeling tool has been proposed to help quantify ecosystem services. The concept of ecosystem services incorporates the collective benefits natural systems provide primarily to human beings. It is becoming increasingly important to track the impact that human activities have on the environment in order to determine its resilience and sustainability. The objectives of this paper are to provide an overview of efforts using SWAT to quantify ecosystem services, to determine the model's capability examining various types of services, and to describe the approach used by various researchers. A literature review was conducted to identify studies in which SWAT was explicitly used for quantifying ecosystem services in terms of provisioning, regulating, supporting, and cultural aspects. A total of 44 peer reviewed publications were identified. Most of these used SWAT to quantify provisioning services (34%), regulating services (27%), or a combination of both (25%). While studies using SWAT for evaluating ecosystem services are limited (approximately 1% of SWAT's peered review publications), and usage (vs. potential) of services by beneficiaries is a current model limitation, the available literature sets the stage for the continuous development and potential of SWAT as a methodological framework for quantifying ecosystem services to assist in decision-making.

  8. 78 FR 73568 - Senior Executive Service-Performance Review Board

    Science.gov (United States)

    2013-12-06

    ... as members of the Performance Review Board of the U.S. Office of Personnel Management: Ann Marie... Officer Joseph Kennedy, Associate Director for Human Resources Solutions Mark Reinhold, Chief...

  9. Impact of Accreditation on the Quality of Healthcare Services: a Systematic Review of the Literature

    OpenAIRE

    2011-01-01

    BACKGROUND AND OBJECTIVE: Accreditation is usually a voluntary program in which trained external peer reviewers evaluate a healthcare organization's compliance and compare it with pre-established performance standards. The aim of this study was to evaluate the impact of accreditation programs on the quality of healthcare services METHODS: We did a systematic review of the literature to evaluate the impact of accreditation programs on the quality of healthcare services. Several databases were ...

  10. Business Service Sourcing : A Literature Review and Agenda for Future Research

    OpenAIRE

    Nordin, Fredrik; Agndal, Henrik

    2008-01-01

    Business service sourcing is increasing in importance for firms; a trend recognised by significant research efforts among scholars. The rapidly expanding literature is, however, highly fragmented. It is difficult to grasp what has actually been investigated, and what remains to be studied. Therefore, the purpose of this article is to review, analyse and categorise empirical research in the area of business service sourcing. A total of 119 empirically-based articles published in peer-reviewed ...

  11. A review of Fuzzy Based QoS Web Service Discovery

    Directory of Open Access Journals (Sweden)

    R.Buvanesvari

    2013-03-01

    Full Text Available Recently, web service has become an important issue for developers. Selecting a specific service is a crucial task. Some approaches develop extensive description and publication mechanisms while others use syntactic, semantic, and structural reviews of Web service specifications. It is very crucial for finding the most suitable web service from a large collection of web services for successful execution of applications. In many cases, the value of a QoS property may not be precisely defined. Recently, fuzzy is considered as the dominant approaches in Web services which can deal with fuzzy constraints have been proposed. Therefore fuzzy logic can be applied to support for representing such imprecise QoS constraints. In this paper, we will present an overview which focus on developing fuzzy-based approach for Web service discovery. This paper also describes the web service challenges on fuzzy mechanism that summarized and analyzed in order to assess their benefits and limitations.

  12. Systematic Review of Service-Learning in Youth Physical Activity Settings

    Science.gov (United States)

    Carson, Russell L.; Raguse, Allison L.

    2014-01-01

    The extent to which service-learning exists in the field of kinesiology broadly, and more specifically related to the physical activity of youth, remains largely unknown. The purpose of this study was to conduct a systematic review of the service-learning literature in kinesiology, with a specific focus on youth physical activity settings.…

  13. The review of RFID applications in global postal and courier services

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xiao-dan; YUE Shu-jie; WANG Wei-min

    2006-01-01

    On the basis of several practical applications in many countries, this article reviews the potential market scale of radio frequency identification (RFID) and its applications in global postal and courier services through studies and analyses.It gives some suggestions and options in the development of RFID and its application in postal and courier services.

  14. A Systematic Literature Review: Workplace Violence Against Emergency Medical Services Personnel

    OpenAIRE

    Pourshaikhian; Abolghasem Gorji; Aryankhesal; Khorasani-Zavareh; Barati

    2016-01-01

    Context In spite of the high prevalence and consequences of much workplace violence against emergency medical services personnel, this phenomenon has been given insufficient attention. A systematic review can aid the development of guidelines to reduce violence. Objectives The research question addressed by this paper is, “What are the characteristics and findings of studies on workplace violence against emergency medical services...

  15. Engine Tune-up Service. Unit 6: Emission Control Systems. Review Exercise Book. Automotive Mechanics Curriculum.

    Science.gov (United States)

    Bacon, E. Miles

    This book of pretests and review exercises is designed to accompany the Engine Tune-Up Service Student Guide for Unit 6, Emission Control Systems, available separately as CE 031 220. Focus of the exercises and pretests is inspecting, testing, and servicing emission control systems. Pretests and performance checklists are provided for each of the…

  16. Product-oriented design theory for digital information services: A literature review

    NARCIS (Netherlands)

    Wijnhoven, Fons; Kraaijenbrink, Jeroen

    2008-01-01

    Purpose – The purpose of this paper is to give a structured literature review, design concepts, and research propositions related to a product-oriented design theory for information services. Information services facilitate the exchange of information goods with or without transforming these goods.

  17. A review of earthworm impact on soil function and ecosystem services

    NARCIS (Netherlands)

    Blouin, M.; Hodson, M.E.; Delgado, E.A.; Baker, G.; Brussaard, L.; Butt, K.R.; Dai, J.; Dendooven, L.; Peres, G.; Tondoh, J.E.; Cluzeau, D.; Brun, J.J.

    2013-01-01

    Biodiversity is responsible for the provision of many ecosystem services; human well-being is based on these services, and consequently on biodiversity. In soil, earthworms represent the largest component of the animal biomass and are commonly termed ecosystem engineers'. This review considers the c

  18. Access to health services by lesbian, gay, bisexual, and transgender persons: systematic literature review

    OpenAIRE

    Alencar Albuquerque, Grayce; de Lima Garcia, Cintia; da Silva Quirino, Glauberto; Alves, Maria Juscinaide Henrique; Belém, Jameson Moreira; dos Santos Figueiredo, Francisco Winter; da Silva Paiva, Laércio; do Nascimento, Vânia Barbosa; da Silva Maciel, Érika; Valenti, Vitor Engrácia; de Abreu, Luiz Carlos; Adami, Fernando

    2016-01-01

    Background The relationship between users and health services is considered essential to strengthen the quality of care. However, the Lesbian, Gay, Bisexual, and Transgender population suffer from prejudice and discrimination in access and use of these services. This study aimed to identify the difficulties associated with homosexuality in access and utilization of health services. Method A systematic review conducted using PubMed, Cochrane, SciELO, and LILACS, considering the period from 200...

  19. The evolution of service innovation research : A critical review and synthesis

    OpenAIRE

    Carlborg, Per; Kindström, Daniel; Kowalkowski, Christian

    2014-01-01

    The number of service innovation articles has increased dramatically in the past 25 years. By reviewing 128 articles published between 1986 and 2010, primarily in leading marketing and innovation journals, this study analyzes the progression of service innovation research according to topicality and perspective. The authors summarize prior research by clustering it into three evolutional phases and drawing parallels with the evolution of the wider services marketing field. Overall, the view o...

  20. The mystery shopper: an anonymous review of your services.

    Science.gov (United States)

    Steiner, K

    1986-06-01

    Mystery shoppers can provide an unbiased report on the day-to-day functioning of hospital activities. For this study, six shoppers "used" various hospital services and reported their impressions through a questionnaire. The general findings may be applicable to many other well-run health care organizations. PMID:10277499

  1. IPERS guidelines for the international peer review service. Second edition. Procedures for conducting independent peer reviews of probabilistic safety assessments

    International Nuclear Information System (INIS)

    This publication describes the purposes and the objectives of an International Peer Review Service (IPERS) review. The main objective is first to assess whether important technological and methodological issues in the PSA are treated in an adequate manner and, second, whether specific conclusions and applications of the PSA are supported by the underlying technical analysis in an appropriate way. An important aspect for an IPERS review is the communication and exchange of views between the international experts carrying out the review and the members of the PSA team. This TECDOC is intended to give guidance on how an IPERS review is organized and conducted, it describes the steps needed to prepare the review and it highlights the PSA aspects which should be covered in detail. 30 refs, 1 fig., 2 tabs

  2. Improving the Quality of Services in Residential Treatment Facilities: A Strength-Based Consultative Review Process

    Science.gov (United States)

    Pavkov, Thomas W.; Lourie, Ira S.; Hug, Richard W.; Negash, Sesen

    2010-01-01

    This descriptive case study reports on the positive impact of a consultative review methodology used to conduct quality assurance reviews as part of the Residential Treatment Center Evaluation Project. The study details improvement in the quality of services provided to youth in unmonitored residential treatment facilities. Improvements were…

  3. 78 FR 60816 - Senior Executive Services (SES) Performance Review Board: Update

    Science.gov (United States)

    2013-10-02

    ...; ] AGENCY FOR INTERNATIONAL DEVELOPMENT Senior Executive Services (SES) Performance Review Board: Update...--USAID OIG SES Performance Review Board). SUPPLEMENTARY INFORMATION: 5 U.S.C. 4314 (b)(c) requires each... CFR part 430, subpart C and Section 430.307 thereof in particular, one or more SES Performance...

  4. 77 FR 62211 - Senior Executive Services (SES) Performance Review Board: Update

    Science.gov (United States)

    2012-10-12

    ... DEVELOPMENT Senior Executive Services (SES) Performance Review Board: Update AGENCY: Office of Inspector... (for email messages, the subject line should include the following reference --USAID OIG SES..., subpart C and Section 430.307 thereof in particular, one or more SES Performance Review Boards. The...

  5. 76 FR 60799 - Senior Executive Services (SES) Performance Review Board: Update

    Science.gov (United States)

    2011-09-30

    ...; ] AGENCY FOR INTERNATIONAL DEVELOPMENT Senior Executive Services (SES) Performance Review Board: Update...--USAID OIG SES Performance Review Board). SUPPLEMENTARY INFORMATION: 5 U.S.C. 4314 (b) (c) requires each... CFR part 430, subpart C and Section 430.307 thereof in particular, one or more SES Performance...

  6. 76 FR 70703 - Senior Executive Service: Membership of Performance Review Board

    Science.gov (United States)

    2011-11-15

    ... service on the Agency's 2011 and 2012 SES Performance Review Boards. The Agency will use this roster to select SES board members, and an outside member(s) for the convening SES Performance Review Board each... Wells, Barry Wiggins, Sandra Barry Socks, Outside SES Member John Acton, Outside SES Member...

  7. Quality and the academic library reviewing, assessing and enhancing service provision

    CERN Document Server

    2016-01-01

    Quality and the Academic Library: Reviewing, Assessing and Enhancing Service Provision provides an in-depth review and analysis of quality management and service quality in academic libraries. All aspects of quality are considered in the book, including quality assessment, quality review, and quality enhancement. An overview of quality management and service quality concepts, principles, and methods leads to a detailed consideration of how they have been applied in universities and their libraries. A case study approach is used with different perspectives provided from the different stakeholders involved in the quality processes. All contributors adopt a critical reflection approach, reflecting on the implications, impact, and significance of the activities undertaken and the conclusions that can be drawn for future developments. The book concludes with an overall reflection on quality management and service quality in academic libraries with a final analysis of priorities for the future.

  8. An ancillary pumping system for the APS vacuum system

    Energy Technology Data Exchange (ETDEWEB)

    Walters, D.; Noonan, J.; Gagliano, J. [and others

    1997-06-01

    An ancillary pumping system has been designed and installed in the Advanced Photon Source (APS) storage ring. This vacuum system has the ability to pump sectors of the storage ring down from room pressure to ultra-high vacuum (UHV). The ancillary system is a {open_quotes}dry{close_quotes} system that uses a combination of turbomolecular pumps and oil-free roughing pumps. The benefits of this system are the reduction of equipment needed for in-tunnel maintenance, essential for the operation of a UHV storage ring; rapid response to vacuum emergencies and a guard to accidental exposures to hydrocarbon contamination. The operational logic and the pump interlock and controls are described.

  9. Quantum Correlations Reduce Classical Correlations with Ancillary Systems

    Institute of Scientific and Technical Information of China (English)

    LUO Shun-Long; LI Nan

    2010-01-01

    @@ We illustrate the dichotomy of classical/quantum correlations by virtue of monogamy.More precisely,we show that correlations in a bipartite state are classical if and only if each party of the state can be perfectly correlated with other ancillary systems.In particular,this means that if there are quantum correlations between two parties,then the classical(as well as quantum)correlating capabilities of the two parties with other systems have to be strictly reduced.

  10. Unanticipated Consequences: Thinking About Ancillary Benefits and Costs of Greenhouse Gas Emissions Mitigation

    Energy Technology Data Exchange (ETDEWEB)

    Edmonds, James A.

    2005-03-31

    Recently there has been interest in the “ancillary benefits” of potential policies to address climate change. Ancillary benefits occur whenever a policy to address climate change also results in a reduction in some conventional pollutant. Framing the problem in terms of ancillary benefits is too narrow. In general implementation of any policy can have consequences for unpriced environmental externalities that extend beyond the original target of the policy. These ancillary consequences can be either positive, negative, or mixed. This is the inevitable implication of undertaking policy in a non-linear world. In this essay we explore some of the ancillary benefits and costs of addressing climate change.

  11. Review of the convolution algorithm for evaluating service integrated systems

    DEFF Research Database (Denmark)

    Iversen, Villy Bæk

    1997-01-01

    In this paper we give a review of the applicability of the convolution algorithm. By this we are able to evaluate communication networks end--to--end with e.g. BPP multi-ratetraffic models insensitive to the holding time distribution. Rearrangement, minimum allocation, and maximum allocation are ...... included. For each individual traffic stream we are able to find various congestion measures, moments of overflow traffic, and derivatives....

  12. Customer involvement in new service development : a theoretical review of academic studies related to customer participation in new service development processes

    OpenAIRE

    Yanovskaya, Irina

    2012-01-01

    This paper discusses customer involvement in service innovations. It gives a theoretical review of existing academic studies focused on service innovations and customer participation in new service development processes. It aims to develop a model of customer influence on market outcomes through customer involvement in different stages of new service development process. This influence is suggested to be indirect and modified by a number of service success factors. The goal of the research is...

  13. 75 FR 4453 - Health Services Research and Development Service Merit Review Board; Notice of Meeting

    Science.gov (United States)

    2010-01-27

    ... 12 noon and Career Development will convene from 8 a.m. to 5 p.m. On March 3, Career Development will... Research Initiative (NRI) Review 8 a.m.-5 p.m. Career Development Award (CDA) Review 4:30 p.m.-5:30 p.m... Wednesday, March 3, 2010 Meetings conducted simultaneously. 8 a.m.-1 p.m. Career Development Award...

  14. Technology review of commercial food service equipment - final report

    Energy Technology Data Exchange (ETDEWEB)

    Rahbar, S.; Krsikapa, S. [Canadian Gas Research Inst., Don Mills, ON (Canada); Fisher, D.; Nickel, J.; Ardley, S.; Zabrowski, D. [Fisher Consultants (Canada); Barker, R.F. [ed.

    1996-05-15

    Technical information on commercial gas cooking appliances was presented. This second volume provided an appliance-by-appliance comprehensive assessment of the energy performance of commercial food service equipment. Energy assessments were made for the following categories of cooking equipment: fryers, griddles, broilers, ranges, Chinese ranges, ovens, steamers, steam kettles, and braising pans. Recommendations were made for improving the energy efficiency and overall performance of gas appliances to support of the Canadian gas utilities marketing and energy conservation initiatives. 71 refs., 37 tabs., 58 figs.

  15. The role of short messaging service in supporting the delivery of healthcare: An umbrella systematic review.

    Science.gov (United States)

    Househ, Mowafa

    2016-06-01

    Short messaging service (SMS) messages may present a convenient and cost-effective method to support healthcare interventions. This work assesses the effects of short messaging service on various healthcare interventions found in systematic reviews. The search strategy was based on two key concepts: short messaging service and healthcare delivery. The initial search was conducted in December 2012 and was updated in June 2013. Of the 550 identified references, 13 systematic reviews met the inclusion criteria, of which 8 were published in peer-reviewed journals and 5 were retrieved from the Cochrane library. Data analysis shows that low to moderate research evidence exists on the benefits of short messaging service interventions for appointment reminders, promoting health in developing countries and preventive healthcare. In many interventions, however, there were a few studies that were of high quality, and most of the studies were rated from low to moderate quality or had no rating at all. Healthcare organizations, policy makers, or clinicians using short messaging service messages to support healthcare interventions should (1) implement interventions that have been found to work in healthcare settings, (2) continue evaluating short messaging service interventions that have not been adequately assessed, and (3) improve collaboration between various healthcare entities to develop studies targeted at specific populations to evaluate the long-term impact of short messaging service on healthcare outcomes. PMID:25038203

  16. 76 FR 28767 - Desert Southwest Customer Service Region-Rate Order No. WAPA-152

    Science.gov (United States)

    2011-05-18

    ... Integration Transmission Service (NITS). SUMMARY: This action is to temporarily extend the existing NITS... Southwest Region Network Integration Transmission Service and WALC Ancillary Services Formula Rates. Order Confirming and Approving a Temporary Extension of the Network Integration Transmission Service and...

  17. DSRS guidelines. Reference document for the IAEA Design Safety Review Services

    International Nuclear Information System (INIS)

    The publication covers the general topic of design safety review of a nuclear power plant. It is intended to make Member States aware of the possibility of a service through which they can have a better appreciation of the overall design of a facility or of a plant already in operation. It includes a generic and procedural part followed by a technical part corresponding to different systems of a nuclear power plant. It is intended to be used mainly in preparation and execution of a design review service by the IAEA and to provide information to potential recipients of the service regarding the effort involved and the topics that can be covered. it is expected to be useful if Member States decide to conduct such reviews themselves either through regulatory authorities or as part of self assessment activities by plant management

  18. Effects of Lean Six Sigma application in healthcare services: a literature review.

    Science.gov (United States)

    Ahmed, Selim; Manaf, Noor H A; Islam, Rafikul

    2013-01-01

    The healthcare organization is the place where defects and mistakes cannot be tolerated. A simple mistake can cost a human life so defects or mistakes must be eliminated in healthcare service processes. A Lean Six Sigma (LSS) approach is the best option in a healthcare environment for dealing with a critical patient. The LSS methodology optimizes the average reduction of a desired process. The expected results can be reductions in several aspects of healthcare such as patient waiting time in emergency departments, lost charges for billing in patient financial services, delinquent medical records, diagnostic result turnaround times, accounts receivable days, patients' length of stay, or medication errors. This paper mainly discusses the effects of the LSS approach in different hospitals around the world according to the literature review. This review also discusses the relationship between LSS as well as their impacts on healthcare services based on literature review. PMID:24413212

  19. Service oriented architecture for clinical decision support: a systematic review and future directions.

    Science.gov (United States)

    Loya, Salvador Rodriguez; Kawamoto, Kensaku; Chatwin, Chris; Huser, Vojtech

    2014-12-01

    The use of a service-oriented architecture (SOA) has been identified as a promising approach for improving health care by facilitating reliable clinical decision support (CDS). A review of the literature through October 2013 identified 44 articles on this topic. The review suggests that SOA related technologies such as Business Process Model and Notation (BPMN) and Service Component Architecture (SCA) have not been generally adopted to impact health IT systems' performance for better care solutions. Additionally, technologies such as Enterprise Service Bus (ESB) and architectural approaches like Service Choreography have not been generally exploited among researchers and developers. Based on the experience of other industries and our observation of the evolution of SOA, we found that the greater use of these approaches have the potential to significantly impact SOA implementations for CDS. PMID:25325996

  20. Customer value of purchasable supplementary services

    OpenAIRE

    Wittmer, Andreas; Rowley, Edward

    2012-01-01

    There is a general trend in the airline industry to find ways to generate ancillary revenue by offering additional or unbundled services. Especially low cost carriers are known to unbundle their services, however, in contrast only some network carriers started to unbundle their services and gain ancillary revenues, others do not due to a possible negative impact on customer perception and their brand image. The goal of this study is to determine viability and customer value of purchasable ...

  1. Participation in Practice A Review of Service User Involvement in Mental Health Nursing

    OpenAIRE

    Lloyd, Marjorie

    2010-01-01

    Aim: To explore the current literature on service user participation in mental health nursing care and the effectiveness of participation practices. Background: Service user involvement in mental health nursing is a requirement of current practice including research and education. A review of the literature was undertaken as part of a research study on involvement practices in mental health nursing. Method: Original research documents were explored that related to participation in men...

  2. Systematic review of pre-hospital outcomes for evidence-based evaluation of ambulance service care

    OpenAIRE

    Phung, Viet-Hai; Coster, Joanne; Wilson, Richard; Turner, Janette; Booth, Andrew; Siriwardena, A Niroshan

    2013-01-01

    Background: Ambulance service performance measurement has previously focused on response times and survival (particularly from out-of-hospital cardiac arrest). The PhOEBE (Pre-hospital Outcomes for Evidence Based Evaluation) project is a 5-year research programme which aims to develop new ways of measuring the performance, quality and impact of ambulance service care. As part of this programme we conducted a systematic review of the international literature on quality measures and outcomes re...

  3. Cost Modelling Techniques for Availability Type Service Support Contracts: a Literature Review and Empirical Study

    OpenAIRE

    Datta, Partha Priya

    2009-01-01

    The research in this paper is focused on enhancing existing knowledge in cost estimation models at the bidding stage of service support contracts. The difficulty of this task lies in the long lasting contracts, which in some cases may reach even 40 years. The paper first reports the existing knowledge through detailed review of literature. The paper studies different service support contracts and reports the cost modelling techniques used in availability type contracts in the cont...

  4. Automated dose dispensing service for primary healthcare patients: a systematic review

    OpenAIRE

    SinnemÀki, Juha; Sihvo, Sinikka; IsojÀrvi, Jaana; Blom, Marja; Airaksinen, Marja; MÀntylÀ, Antti

    2013-01-01

    Background An automated dose dispensing (ADD) service has been implemented in primary healthcare in some European countries. In this service, regularly used medicines are machine-packed into unit-dose bags for each time of administration. The aim of this study is to review the evidence for ADD’s influence on the appropriateness of medication use, medication safety, and costs in primary healthcare. Methods A literature search was performed in April 2012 in the most relevant databases (n = 10),...

  5. Mental health service users' experiences of mental health care: an integrative literature review.

    Science.gov (United States)

    Newman, D; O'Reilly, P; Lee, S H; Kennedy, C

    2015-04-01

    A number of studies have highlighted issues around the relationship between service users and providers. The recovery model is predominant in mental health as is the recognition of the importance of person-centred practice. The authors completed an in-depth search of the literature to answer the question: What are service users' experiences of the mental health service? Three key themes emerged: acknowledging a mental health problem and seeking help; building relationships through participation in care; and working towards continuity of care. The review adds to the current body of knowledge by providing greater detail into the importance of relationships between service users and providers and how these may impact on the delivery of care in the mental health service. The overarching theme that emerged was the importance of the relationship between the service user and provider as a basis for interaction and support. This review has specific implications for mental health nursing. Despite the recognition made in policy documents for change, issues with stigma, poor attitudes and communication persist. There is a need for a fundamental shift in the provider-service user relationship to facilitate true service-user engagement in their care. The aim of this integrative literature review was to identify mental health service users' experiences of services. The rationale for this review was based on the growing emphasis and requirements for health services to deliver care and support, which recognizes the preferences of individuals. Contemporary models of mental health care strive to promote inclusion and empowerment. This review seeks to add to our current understanding of how service users experience care and support in order to determine to what extent the principles of contemporary models of mental health care are embedded in practice. A robust search of Web of Science, the Cochrane Database, Science Direct, EBSCO host (Academic Search Complete, MEDLINE, CINAHL Plus

  6. A systematic review of different models of home and community care services for older persons

    Directory of Open Access Journals (Sweden)

    Brodaty Henry

    2011-05-01

    Full Text Available Abstract Background Costs and consumer preference have led to a shift from the long-term institutional care of aged older people to home and community based care. The aim of this review is to evaluate the outcomes of case managed, integrated or consumer directed home and community care services for older persons, including those with dementia. Methods A systematic review was conducted of non-medical home and community care services for frail older persons. MEDLINE, PsycINFO, CINAHL, AgeLine, Scopus and PubMed were searched from 1994 to May 2009. Two researchers independently reviewed search results. Results Thirty five papers were included in this review. Evidence from randomized controlled trials showed that case management improves function and appropriate use of medications, increases use of community services and reduces nursing home admission. Evidence, mostly from non-randomized trials, showed that integrated care increases service use; randomized trials reported that integrated care does not improve clinical outcomes. The lowest quality evidence was for consumer directed care which appears to increase satisfaction with care and community service use but has little effect on clinical outcomes. Studies were heterogeneous in methodology and results were not consistent. Conclusions The outcomes of each model of care differ and correspond to the model's focus. Combining key elements of all three models may maximize outcomes.

  7. A systematic review of different models of home and community care services for older persons

    OpenAIRE

    Brodaty Henry; Yap Melvyn; Low Lee-Fay

    2011-01-01

    Abstract Background Costs and consumer preference have led to a shift from the long-term institutional care of aged older people to home and community based care. The aim of this review is to evaluate the outcomes of case managed, integrated or consumer directed home and community care services for older persons, including those with dementia. Methods A systematic review was conducted of non-medical home and community care services for frail older persons. MEDLINE, PsycINFO, CINAHL, AgeLine, ...

  8. Migrants' utilization of somatic healthcare services in Europe - a systematic review

    DEFF Research Database (Denmark)

    Nørredam, Marie Louise; Nielsen, Signe Smith; Krasnik, Allan

    2010-01-01

    both higher, equal and lower levels of utilization for migrants compared to non-migrants, whereas hospitalization rates were higher than or equal to non-migrants. Conclusion: Our review illustrates lack of appropriate epidemiological data and diversity in the categorization of migrants between studies......Background: Utilization of services is an important aspect of migrants' access to healthcare. The aim was to review the European literature on utilization of somatic healthcare services related to screening, general practitioner, specialist, emergency room and hospital by adult first...

  9. Peer-Delivered Recovery Support Services for Addictions in the United States: A Systematic Review.

    Science.gov (United States)

    Bassuk, Ellen L; Hanson, Justine; Greene, R Neil; Richard, Molly; Laudet, Alexandre

    2016-04-01

    This systematic review identifies, appraises, and summarizes the evidence on the effectiveness of peer-delivered recovery support services for people in recovery from alcohol and drug addiction. Nine studies met criteria for inclusion in the review. They were assessed for quality and outcomes including substance use and recovery-related factors. Despite significant methodological limitations found in the included studies, the body of evidence suggests salutary effects on participants. Current limitations and recommendations for future research are discussed. PMID:26882891

  10. Pharmacy-based needle exchange in New Zealand: a review of services

    Directory of Open Access Journals (Sweden)

    Greenhill Nicola

    2005-07-01

    Full Text Available Background New Zealand has been offering needle exchange services since 1987. Over 170 community pharmacies are involved in the provision of this service. However, no recent detailed review of New Zealand's pharmacy-based needle exchange has been published. This study aimed to explore service provision, identify problems faced by pharmacists, and look for improvements to services. Methods The study used a cross-sectional survey of all needle exchange pharmacies. Postal questionnaires were used with postal and telephone follow-up. Results A response rate of 88% was obtained overall. Pharmacists had been providing the service for a mean of 6 years. Pharmacies had given out an average of 130 injecting units, in a mean of 62 transactions to a mean of 17 clients in the 4 weeks prior to completing the questionnaire. The majority had not incurred problems such as violence or intoxicated clients in the last 12 months, although almost one third had experienced shoplifting which they associated with service provision. Training and improving return rates were identified as potential areas for further development. Conclusion New Zealand needle exchange pharmacies are providing services to a number of clients. The majority of service providers had been involved for a number of years, indicating the problems incurred had not caused them to withdraw their services – findings which echo those from the UK. Further training and support, including an exploration of improving return rates may be needed in the future.

  11. 42 CFR 416.171 - Determination of payment rates for ASC services.

    Science.gov (United States)

    2010-10-01

    ... commonly performed in physicians' offices or for any covered ancillary radiology service, the national... section but are paid an amount derived from the payment rate for the equivalent item or service set under...-priced: (1) Covered ancillary services specified in § 416.164(b), with the exception of...

  12. Ancillary procedure for early diagnosis of brain damage in children

    International Nuclear Information System (INIS)

    CT scan of the head was performed on 14 patients with cerebral palsy, 16 with central coordination disorders, and 16 controls, and findings showing cerebral atrophy and enlargement of the cerebral ventricle were obtained in cases both of cerebral palsy and of central coordination disorders. To objectify these findings, 10 items were selected and evaluated according to 4 grades (0 - 3) and were compared. As a result, it was concluded that CT scan is an excellent ancillary procedure for early diagnosis of brain damages. (Tsunoda, M.)

  13. 77 FR 34942 - Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services...

    Science.gov (United States)

    2012-06-12

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services; Annual State Application Under Part B of the Individuals With Disabilities Education Act SUMMARY: In...

  14. 77 FR 27746 - Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services...

    Science.gov (United States)

    2012-05-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services; Annual...@ed.gov or mailed to U.S. Department of Education, 400 Maryland Avenue SW., LBJ, Washington, DC...

  15. 77 FR 2090 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Servicing...

    Science.gov (United States)

    2012-01-13

    ...The Department of Labor (DOL) is submitting the Occupational Safety and Health Administration sponsored information collection request (ICR) titled, ``Servicing Multi-Piece and Single Piece Rim Wheels Standard,'' to the Office of Management and Budget (OMB) for review and approval for continued use in accordance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501 et...

  16. 76 FR 46808 - General Services Administration Acquisition Regulation; Submission for OMB Review; Sealed Bidding

    Science.gov (United States)

    2011-08-03

    ... ways to enhance the quality, utility, and clarity of the information to be collected. DATES: Submit... per Respondent: 1. Hours per Response: .5. Total Burden Hours: 5. Obtaining Copies of Proposals... ADMINISTRATION General Services Administration Acquisition Regulation; Submission for OMB Review; Sealed...

  17. 77 FR 28390 - General Services Administration Acquisition Regulation; Submission for OMB Review; GSA Form 527...

    Science.gov (United States)

    2012-05-14

    ... Financial Information. A notice was published in the Federal Register at 77 FR 5020, on February 1, 2012. No... ADMINISTRATION General Services Administration Acquisition Regulation; Submission for OMB Review; GSA Form 527, Contractor's Qualifications and Financial Information AGENCY: Office of the Chief Finance Officer,...

  18. Pre-Service Teachers' Perceptions of the Benefits of Peer Review

    Science.gov (United States)

    Buchanan, Michael T.; Stern, Julian

    2012-01-01

    The paper draws initially on theoretical literature describing schools and universities as, necessarily, dialogic learning communities, which is then applied to an investigation into the use of peer review in teacher education in an Australian university. The empirical research described was completed with pre-service teachers of religious…

  19. Enhancing the Resilience of Young Single Mothers of Color: A Review of Programs and Services

    Science.gov (United States)

    Romo, Laura F.; Segura, Denise A.

    2010-01-01

    Within the last decade, births to unmarried women in the United States have risen dramatically, presenting challenges for young women to complete high school and attend college. This article presents a review of programs and services designed to support single mothers in completing high school and accessing postsecondary education. We highlight…

  20. 77 FR 55843 - Office of Facilities Management and Program Services; Submission for OMB Review; Background...

    Science.gov (United States)

    2012-09-11

    ... Federal Protective Service 176 Form or the SF85P. Please Note: The original request to review and approve... leased controlled facilities. A notice was published in the Federal Register at 77 FR 31017, on May 24... contractors, form GSA 176T, presented in the Federal Register publication of February 17, 2009, 74 FR...

  1. Evidence for Substance Abuse Services and Policy Research: A Systematic Review of National Databases

    Science.gov (United States)

    Coffey, Rosanna M.; Levit, Katharine R.; Kassed, Cheryl A.; McLellan, A. Thomas; Chalk, Mady; Brady, Thomas M.; Vandivort-Warren, Rita

    2009-01-01

    We reviewed 39 national government- and nongovernment-sponsored data sets related to substance addiction policy. These data sets describe patients with substance use disorders (SUDs), treatment providers and the services they offer, and/or expenditures on treatment. Findings indicate the availability of reliable data on the prevalence of SUD and…

  2. 75 FR 13131 - General Services Administration Acquisition Regulation; Submission for OMB Review; GSA Advantage...

    Science.gov (United States)

    2010-03-18

    ... ADMINISTRATION General Services Administration Acquisition Regulation; Submission for OMB Review; GSA Advantage... collection requirement regarding GSA Advantage! and Electronic Commerce-FACNET. A request for public comments was published in the Federal Register at 74 FR 4596, January 26, 2009. No comments were...

  3. A review of space robotics technologies for on-orbit servicing

    Science.gov (United States)

    Flores-Abad, Angel; Ma, Ou; Pham, Khanh; Ulrich, Steve

    2014-07-01

    Space robotics is considered one of the most promising approaches for on-orbit servicing (OOS) missions such as docking, berthing, refueling, repairing, upgrading, transporting, rescuing, and orbital debris removal. Many enabling techniques have been developed in the past two decades and several technology demonstration missions have been completed. A number of manned on-orbit servicing missions were successfully accomplished but unmanned, fully autonomous, servicing missions have not been done yet. Furthermore, all previous unmanned technology demonstration missions were designed to service cooperative targets only. Robotic servicing of a non-cooperative satellite is still an open research area facing many technical challenges. One of the greatest challenges is to ensure the servicing spacecraft safely and reliably docks with the target spacecraft or capture the target to stabilize it for subsequent servicing. This is especially important if the target has an unknown motion and kinematics/dynamics properties. Obviously, further research and development of the enabling technologies are needed. To motivate and facilitate such research and development, this paper provides a literature review of the recently developed technologies related to the kinematics, dynamics, control and verification of space robotic systems for manned and unmanned on-orbit servicing missions.

  4. Exogam with Vamos, Tiara and other ancillary detectors

    Energy Technology Data Exchange (ETDEWEB)

    Lewitowicz, M.; Olivier, L.; Savajols, H.; Catford, W.; Raine, B.; Oliveira, F. de; Perru, O.; Podolyak, Z.; Redon, N.; Bouchez, E.; Simenel, C.; Stanoiu, M.; Lemmon, R.; Rubio, B.; Obertelli, A.; Cederwall, B.; Chapman, R.; Korten, W.; Rubio Barroso, B

    2003-07-01

    The aim of this workshop was to discuss the status of experiments at GANIL facility using Exogam with Vamos, Tiara and other ancillary detectors. This document gathers most of the slides that were presented at the workshop, it concerns 8 presentations: 1) the status of Spiral and Spiral-II, 2) the status of Tiara (Tiara array is used for the study of nuclear transfer reactions with radioactive beams in inverse kinematics), 3) data acquisition for the ancillary detectors, 4) the identification of gamma-ray in nuclei around Sm{sup 130}: probing the maximally deformed light rare earth region, 5) the Coulomb excitation of radioactive krypton beams (Kr{sup 76}, Kr{sup 74}), 6) the influence of weakly bound neutrons on fusion around the Coulomb barrier, 7) single particle transfer on doubly-magic Ni{sup 56}, and 8) the study of N=16 for neutron rich nuclei with Ne{sup 26}(d,p)Ne{sup 27} transfer reaction.

  5. Enhancing the capability of controlling quantum systems via ancillary systems

    Institute of Scientific and Technical Information of China (English)

    Zhang Ming; Gao Da-Yuan; Dai Hong-Yi; Xie Hong-Wei; Hu De-Wen

    2007-01-01

    This paper explores the potential of controlling quantum systems by introducing ancillary systems and then performing unitary operation on the resulting composite systems. It generalizes the concept of pure state controllability for quantum systems and establishes the link between the operator controllability of the composite system and the generalized pure state controllability of its subsystem. It is constructively demonstrated that if a composite quantum system can be transferred between any pair of orthonormal pure vectors, then its subsystem is generalized pure-state controllable. Furthermore, the unitary operation and the coherent control can be concretely given to transfer the system from an initial state to the target state. Therefore, these properties may be potentially applied in quantum information,such as manipulating multiple quantum bits and creating entangled pure states. A concrete example has been given to illustrate that a maximally entangled pure state of a quantum system can be generated by introducing an ancillary system and performing open-loop coherent control on the resulting composite system.

  6. Accounting for ecosystem services in life cycle assessment, Part I: a critical review.

    Science.gov (United States)

    Zhang, Yi; Singh, Shweta; Bakshi, Bhavik R

    2010-04-01

    If life cycle oriented methods are to encourage sustainable development, they must account for the role of ecosystem goods and services, since these form the basis of planetary activities and human well-being. This article reviews methods that are relevant to accounting for the role of nature and that could be integrated into life cycle oriented approaches. These include methods developed by ecologists for quantifying ecosystem services, by ecological economists for monetary valuation, and life cycle methods such as conventional life cycle assessment, thermodynamic methods for resource accounting such as exergy and emergy analysis, variations of the ecological footprint approach, and human appropriation of net primary productivity. Each approach has its strengths: economic methods are able to quantify the value of cultural services; LCA considers emissions and assesses their impact; emergy accounts for supporting services in terms of cumulative exergy; and ecological footprint is intuitively appealing and considers biocapacity. However, no method is able to consider all the ecosystem services, often due to the desire to aggregate all resources in terms of a single unit. This review shows that comprehensive accounting for ecosystem services in LCA requires greater integration among existing methods, hierarchical schemes for interpreting results via multiple levels of aggregation, and greater understanding of the role of ecosystems in supporting human activities. These present many research opportunities that must be addressed to meet the challenges of sustainability. PMID:20178382

  7. A Decade of Implementing Water Services Reform in Zambia: Review of Outcomes, Challenges and Opportunities

    Directory of Open Access Journals (Sweden)

    Horman Chitonge

    2011-10-01

    Full Text Available Zambia has been implementing water sector reforms for the past two decades. These reforms initiated major changes in the organisation and management of water supply services starting from the 1990s culminating in the full-scale commercialisation of water services in major cities and towns. This paper reviews the outcomes of implementing these reforms, focusing on the results of the commercialisation of water services in the last 10 years. Data presented in this paper show that there have been positive developments, but many serious challenges as well. Evidence from the review of the past 10 years suggests that much progress has been made in areas related to management and operation performance, while little success has been recorded in core areas such as expanding the network, service coverage, hours of service, and reducing the affordability burden, especially among lower-income households. The key challenge for the water services sector is to find a workable infrastructural development funding formula that will make it possible to sustain and build on the foundation laid over the past decade.

  8. Minority ethnic groups in dementia care: a review of service needs, service provision and models of good practice.

    Science.gov (United States)

    Daker-White, G; Beattie, A M; Gilliard, J; Means, R

    2002-05-01

    Sixty-seven English language articles were obtained for the review, the majority of which (44, 65.7%) had US origins. Broadly, the main issues covered in the literature were the under-utilization of services by minority ethnic groups; the prevalence of dementia in different ethnic groups; the experience of care giving in different racial groups and language as a factor in cognitive assessment. Although it has been argued that the instruments used to assess cognitive function are culturally biased, the available published evidence would seem to suggest that the fundamental issue is language ability, rather than minority group membership per se. Studies into the care giving experience amongst different ethnic or racial groups suffer from theoretical and methodological weaknesses. Studies of help-seeking among various ethnic groups in the US have found that many do not prioritize dementia as a health problem in the face of more pressing concerns. There was little consensus amongst the articles about whether services should be provided specifically for different ethnic groups, reflecting a lack of evidence concerning the efficacy of different models of service provision. PMID:12028878

  9. National Ignition Facility sub-system design requirements ancillary systems SSDR 1.5.6

    Energy Technology Data Exchange (ETDEWEB)

    Spann, J.; Reed, R.; VanArsdall, P.; Bliss, E.

    1996-09-01

    This System Design Requirement document establishes the performance, design, development, and test requirements for the Ancillary Systems, which is part of the NIF Integrated Computer Control System (ICCS).

  10. An international review of the patterns and determinants of health service utilisation by adult cancer survivors

    Directory of Open Access Journals (Sweden)

    Treanor Charlene

    2012-09-01

    Full Text Available Abstract Background There is a need to review factors related to health service utilisation by the increasing number of cancer survivors in order to inform care planning and the organisation and delivery of services. Methods Studies were identified via systematic searches of Medline, PsycINFO, CINAHL, Social Science Citation Index and the SEER-MEDICARE library. Methodological quality was assessed using STROBE; and the Andersen Behavioural Model was used as a framework to structure, organise and analyse the results of the review. Results Younger, white cancer survivors were most likely to receive follow-up screening, preventive care, visit their physician, utilise professional mental health services and least likely to be hospitalised. Utilisation rates of other health professionals such as physiotherapists were low. Only studies of health service use conducted in the USA investigated the role of type of health insurance and ethnicity. There appeared to be disparate service use among US samples in terms of ethnicity and socio-demographic status, regardless of type of health insurance provision s- this may be explained by underlying differences in health-seeking behaviours. Overall, use of follow-up care appeared to be lower than expected and barriers existed for particular groups of cancer survivors. Conclusions Studies focussed on the use of a specific type of service rather than adopting a whole-system approach and future health services research should address this shortcoming. Overall, there is a need to improve access to care for all cancer survivors. Studies were predominantly US-based focussing mainly on breast or colorectal cancer. Thus, the generalisability of findings to other health-care systems and cancer sites is unclear. The Andersen Behavioural Model provided an appropriate framework for studying and understanding health service use among cancer survivors. The active involvement of physicians and use of personalised care plans are

  11. Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review.

    Science.gov (United States)

    Cocker, Fiona; Joss, Nerida

    2016-01-01

    Compassion fatigue (CF) is stress resulting from exposure to a traumatized individual. CF has been described as the convergence of secondary traumatic stress (STS) and cumulative burnout (BO), a state of physical and mental exhaustion caused by a depleted ability to cope with one's everyday environment. Professionals regularly exposed to the traumatic experiences of the people they service, such as healthcare, emergency and community service workers, are particularly susceptible to developing CF. This can impact standards of patient care, relationships with colleagues, or lead to more serious mental health conditions such as posttraumatic stress disorder (PTSD), anxiety or depression. A systematic review of the effectiveness of interventions to reduce CF in healthcare, emergency and community service workers was conducted. Thirteen relevant studies were identified, the majority of which were conducted on nurses (n = 10). Three included studies focused on community service workers (social workers, disability sector workers), while no studies targeting emergency service workers were identified. Seven studies reported a significant difference post-intervention in BO (n = 4) or STS (n = 3). This review revealed that evidence of the effectiveness of CF interventions in at-risk health and social care professions is relatively recent. Therefore, we recommend more research to determine how best to protect vulnerable workers at work to prevent not only CF, but also the health and economic consequences related to the ensuing, and more disabling, physical and mental health outcomes. PMID:27338436

  12. Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Fiona Cocker

    2016-06-01

    Full Text Available Compassion fatigue (CF is stress resulting from exposure to a traumatized individual. CF has been described as the convergence of secondary traumatic stress (STS and cumulative burnout (BO, a state of physical and mental exhaustion caused by a depleted ability to cope with one’s everyday environment. Professionals regularly exposed to the traumatic experiences of the people they service, such as healthcare, emergency and community service workers, are particularly susceptible to developing CF. This can impact standards of patient care, relationships with colleagues, or lead to more serious mental health conditions such as posttraumatic stress disorder (PTSD, anxiety or depression. A systematic review of the effectiveness of interventions to reduce CF in healthcare, emergency and community service workers was conducted. Thirteen relevant studies were identified, the majority of which were conducted on nurses (n = 10. Three included studies focused on community service workers (social workers, disability sector workers, while no studies targeting emergency service workers were identified. Seven studies reported a significant difference post-intervention in BO (n = 4 or STS (n = 3. This review revealed that evidence of the effectiveness of CF interventions in at-risk health and social care professions is relatively recent. Therefore, we recommend more research to determine how best to protect vulnerable workers at work to prevent not only CF, but also the health and economic consequences related to the ensuing, and more disabling, physical and mental health outcomes.

  13. Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review

    Science.gov (United States)

    Cocker, Fiona; Joss, Nerida

    2016-01-01

    Compassion fatigue (CF) is stress resulting from exposure to a traumatized individual. CF has been described as the convergence of secondary traumatic stress (STS) and cumulative burnout (BO), a state of physical and mental exhaustion caused by a depleted ability to cope with one’s everyday environment. Professionals regularly exposed to the traumatic experiences of the people they service, such as healthcare, emergency and community service workers, are particularly susceptible to developing CF. This can impact standards of patient care, relationships with colleagues, or lead to more serious mental health conditions such as posttraumatic stress disorder (PTSD), anxiety or depression. A systematic review of the effectiveness of interventions to reduce CF in healthcare, emergency and community service workers was conducted. Thirteen relevant studies were identified, the majority of which were conducted on nurses (n = 10). Three included studies focused on community service workers (social workers, disability sector workers), while no studies targeting emergency service workers were identified. Seven studies reported a significant difference post-intervention in BO (n = 4) or STS (n = 3). This review revealed that evidence of the effectiveness of CF interventions in at-risk health and social care professions is relatively recent. Therefore, we recommend more research to determine how best to protect vulnerable workers at work to prevent not only CF, but also the health and economic consequences related to the ensuing, and more disabling, physical and mental health outcomes. PMID:27338436

  14. Promoting a quality of service culture in health care: review of a Scottish initiative.

    Science.gov (United States)

    Curry, A C; Keogh, W; Hogg, G M

    1997-05-01

    This paper is a review of a quality of service initiative which was carried out as a PICKUP Quality Project within the Scottish Health Service. This Quality Initiative took place between 1989 and 1990: before the emergence of The Patient's Charter. The aim of the review was to provide answers to a number of important questions which examined the perceptions of staff who took part in the Quality of Service initiative, identified parts of the process which were in need of substantial revision, and reported on the reactions of participants to the overall process. The methodology employed involved questionnaires and interview techniques. A number of problems were identified and, after examination, these were taken to indicate learning pointers for the future. It was evident that good quality of service training can be delivered, but only if it is clearly and appropriately tailored to the audience. It is also of fundamental importance to be familiar with the environment in which the organization is operating. In this instance, as is often the case for health care, there were considerable financial limitations in force at the time. These limitations heightened the general business sensitivity and showed that carrying through quality of service improvements involved the demonstration of commitment and the provision of resources. PMID:10168962

  15. Effectiveness of service linkages in primary mental health care: a narrative review part 1

    Directory of Open Access Journals (Sweden)

    Parker Sharon

    2011-04-01

    Full Text Available Abstract Background With the move to community care and increased involvement of generalist health care providers in mental health, the need for health service partnerships has been emphasised in mental health policy. Within existing health system structures the active strategies that facilitate effective partnership linkages are not clear. The objective of this study was to examine the evidence from peer reviewed literature regarding the effectiveness of service linkages in primary mental health care. Methods A narrative and thematic review of English language papers published between 1998 and 2009. Studies of analytic, descriptive and qualitative designs from Australia, New Zealand, UK, Europe, USA and Canada were included. Data were extracted to examine what service linkages have been used in studies of collaboration in primary mental health care. Findings from the randomised trials were tabulated to show the proportion that demonstrated clinical, service delivery and economic benefits. Results A review of 119 studies found ten linkage types. Most studies used a combination of linkage types and so the 42 RCTs were grouped into four broad linkage categories for meaningful descriptive analysis of outcomes. Studies that used multiple linkage strategies from the suite of "direct collaborative activities" plus "agreed guidelines" plus "communication systems" showed positive clinical (81%, service (78% and economic (75% outcomes. Most evidence of effectiveness came from studies of depression. Long term benefits were attributed to medication concordance and the use of case managers with a professional background who received expert supervision. There were fewer randomised trials related to collaborative care of people with psychosis and there were almost none related to collaboration with the wider human service sectors. Because of the variability of study types we did not exclude on quality or attempt to weight findings according to power or effect

  16. Mental Health Services for Children and Adolescents with Learning Disabilities: A Review of Research on Experiences of Service Users and Providers

    Science.gov (United States)

    Jacobs, Myrthe; Downie, Helen; Kidd, Gill; Fitzsimmons, Lorna; Gibbs, Susie; Melville, Craig

    2016-01-01

    Background: Children and young people with learning disabilities experience high rates of mental health problems. Methods: The present study reviewed the literature on mental health services for children with learning disabilities, to identify known models of service provision and what has been experienced as effective or challenging in providing…

  17. A review of governance of maternity services at South Tipperary general hospital

    LENUS (Irish Health Repository)

    Flory, David

    2015-09-01

    This review of the governance of maternity services at South Tipperary General Hospital has focussed on the systems and processes for assurance of service quality, risk management and patient safety primarily inside the hospital but also in the Hospital Group structure within which it operates. The effectiveness of the governance arrangements is largely determined by the quality of the leadership and management – both clinical and general – which designs, implements, and oversees those systems and processes and is ultimately responsible and accountable.\\r\

  18. Music therapy services in pediatric oncology: a national clinical practice review.

    Science.gov (United States)

    Tucquet, Belinda; Leung, Maggie

    2014-01-01

    This article presents the results of a national clinical practice review conducted in Australia of music therapy services in pediatric oncology hospitals. Literature specifically related to music therapy and symptom management in pediatric oncology is reviewed. The results from a national benchmarking survey distributed to all music therapists working with children with cancer in Australian pediatric hospitals are discussed. Patient and family feedback provided from a quality improvement activity conducted at a major pediatric tertiary hospital is summarized, and considerations for future growth as a profession and further research is proposed. PMID:25027188

  19. 17 CFR 240.3b-15 - Definition of ancillary portfolio management securities activities.

    Science.gov (United States)

    2010-04-01

    ... portfolio management securities activities. 240.3b-15 Section 240.3b-15 Commodity and Securities Exchanges... ancillary portfolio management securities activities. (a) The term ancillary portfolio management securities... of incidental trading activities for portfolio management purposes; and (3) Are limited to...

  20. Performance management of the public healthcare services in Ireland: a review.

    Science.gov (United States)

    Mesabbah, Mohammed; Arisha, Amr

    2016-03-14

    Purpose - Performance Management (PM) processes have become a potent part of strategic and service quality decisions in healthcare organisations. In 2005, the management of public healthcare in Ireland was amalgamated into a single integrated management body, named the Health Service Executive (HSE). Since then, the HSE has come up with a range of strategies for healthcare developments and reforms, and has developed a PM system as part of its strategic planning. The purpose of this paper is to review the application of PM in the Irish Healthcare system, with a particular focus on Irish Hospitals and Emergency Services. Design/methodology/approach - An extensive review of relevant HSE's publications from 2005 to 2013 is conducted. Studies of the relevant literature related to the application of PM and of international best practices in healthcare performance systems are also presented. Findings - PM and performance measurement systems used by the HSE include many performance reports designed to monitor performance trends and strategic goals. Issues in the current PM system include inconsistency of measures and performance reporting, unclear strategy alignment, and deficiencies in reporting (e.g. feedback and corrective actions). Furthermore, PM processes have not been linked adequately into Irish public hospitals' management systems. Research limitations/implications - The HSE delivers several services such as mental health, social inclusion, etc. This study focuses on the HSE's PM framework, with a particular interest in acute hospitals and emergency services. Originality/value - This is the first comprehensive review of Irish healthcare PM since the introduction of the HSE. A critical analysis of the HSE reports identifies the shortcomings in its current PM system. PMID:26959899

  1. Alternate Service Delivery Models in Cancer Genetic Counseling: A Mini-Review

    OpenAIRE

    Buchanan, Adam Hudson; Rahm, Alanna Kulchak; Williams, Janet L.

    2016-01-01

    Demand for cancer genetic counseling has grown rapidly in recent years as germline genomic information has become increasingly incorporated into cancer care, and the field has entered the public consciousness through high-profile celebrity publications. Increased demand and existing variability in the availability of trained cancer genetics clinicians place a priority on developing and evaluating alternate service delivery models for genetic counseling. This mini-review summarizes the state o...

  2. A Review of Computer-based Alcohol Problem Services Designed for the General Public

    OpenAIRE

    Vernon, Michael L

    2009-01-01

    This review summarizes the literature on computer-based drinking assessment and intervention programs evaluated using members of the general public. The primary aims were to summarize the demand, usage, and effectiveness of these services. A systematic search of the literature identified seven on-line drinking assessments and eight computerized interventions that were evaluated using members of the general public. Internet assessment users tend to be in their early thirties, are more often ma...

  3. Estimation of the parameter of satisfaction with services in tourism: content analysis of online customer reviews

    OpenAIRE

    Kapilevich Leonid; Karvounis Yulia; Zagulova Diana

    2016-01-01

    To increase the competitiveness the hotels have to satisfy their guests’ requirements, anticipate their wishes and offer new services; this is quite problematic for the hotel business. The paper considers the opportunities of employing online guest reviews to reveal the hotel ratings and attributes, significant for guests. The implementation of this research method is specified by the quality of information obtained via the internet; it is published on a voluntary basis, statements are initia...

  4. How to implement biodiversity-based agriculture to enhance ecosystem services: a review

    OpenAIRE

    Duru, Michel; Therond, Olivier; Martin, Guillaume; Martin-Clouaire, Roger; Magne, Marie-Angélina; Justes, Eric; Journet, Etienne-Pascal; Aubertot, Jean-Noel; Savary, Serge; Bergez, Jacques-Eric; Sarthou, Jean-Pierre

    2015-01-01

    Intensive agriculture has led to several drawbacks such as biodiversity loss, climate change, erosion, and pollution of air and water. A potential solution is to implement management practices that increase the level of provision of ecosystem services such as soil fertility and biological regulation. There is a lot of literature on the principles of agroecology. However, there is a gap of knowledge between agroecological principles and practical applications. Therefore, we review here agroeco...

  5. Division of tongue tie: review of practice through a tertiary paediatric otorhinolaryngology service.

    LENUS (Irish Health Repository)

    Glynn, R W

    2012-10-01

    Recent NICE guidance declared that evidence regarding surgical division of tongue tie was adequate to support the use of the procedure, provided that normal arrangements are in place for consent, audit and clinical governance. This work aimed to carry out a retrospective review of those patients who have previously undergone tongue tie division through a tertiary paediatric otorhinolaryngology service. We further aimed to identify the referral patterns, indications for, and outcomes following, division.

  6. Salivary diagnostics using a portable point-of-service platform: A Review

    OpenAIRE

    Khanna, Prarthana; Walt, David R.

    2015-01-01

    Clinical diagnostics can be improved by faster and more accessible disease detection. Our laboratory has developed a point of service (POS) device capable of rapid, sensitive, automated and multiplexed biomarker detection using human saliva instead of other biofluids. In this article, we review the technology that led to the development of this POS device. This POS technology can advance clinical diagnostics by saving time due to faster diagnosis, saving money due to a shorter hospital stay a...

  7. How to manage online review sites successfully : A service management perspective

    OpenAIRE

    Wennergren, Malin; Dahlin, Emma; Enebrand, Martina

    2015-01-01

    Background: Due to new technologies, electronic word-of-mouth (eWOM) is becoming increasingly important, and has proven to have a significant impact in the decision-making process within the tourist industry. There is a large assortment of research focusing on why consumers voice their opinion online and engage in eWOM. However, there is little research to be found concerning how hotels currently manage online review sites from a service management perspective. Purpose: The purpose of this t...

  8. Organizational learning and knowledge in public service organizations: a systematic review of the literature

    OpenAIRE

    Rashman, L.yndsay; Withers, Erin; Hartley, Jean

    2009-01-01

    This paper is a systematic review of the literature on organizational learning and knowledge with relevance to public service organizations. Organizational learning and knowledge are important to public sector organizations, which share complex external challenges with private organizations, but have different drivers and goals for knowledge. The evidence shows that the concepts of organizational learning and knowledge are under-researched in relation to the public sector and, importantly, th...

  9. Do Interventions that Promote Awareness of Rights Increase Use of Maternity Care Services? A Systematic Review

    OpenAIRE

    George, Asha S.; Branchini, Casey; Portela, Anayda

    2015-01-01

    Twenty years after the rights of women to go through pregnancy and childbirth safely were recognized by governments, we assessed the effects of interventions that promote awareness of these rights to increase use of maternity care services. Using inclusion and exclusion criteria defined in a peer-reviewed protocol, we searched published and grey literature from one database of studies on maternal health, two search engines, an internet search and contact with experts. From the 707 unique docu...

  10. Digital Society : A Review of E-Service and Mobile Technology in Earthquakes Relief Operations

    Directory of Open Access Journals (Sweden)

    Kazeem Oluwakemi OSENI

    2016-05-01

    Full Text Available Developing countries lacking technology infrastructures experience most disasters such as tsunami, hurricane Katrina, earthquakes. Even though, many lives are saved in developed countries through the use of high-level or sophisticated technology, only the technology that is easy to use, inexpensive, durable and field-tested should be introduced and used during the relief operation. The effect of climate change and rapid population growth are probably exposed people inhabiting areas to substantial environmental risks. The authors highlight and identify current practices, particularities, and challenges in earthquakes relief operations with the aims of reviewing the roles E-Service and Mobile Technology tools in real-life situations and practices could do to help in disaster operations. This study focuses on victims of earthquakes worldwide. The study will review and provide insights into the roles of E-Service and Mobile Technologies in earthquakes relief operations and how the internally displaced person could benefit from these services. The limitations of these services will be discussed and how the technology could be used to further predict natural disaster such as earthquakes is also considered.

  11. A Review on influencing criteria for selecting supplier of information technology services in the hospital.

    Science.gov (United States)

    Ajami, Sima; Rajabzadeh, Ahmad; Ketabi, Saeedeh

    2014-01-01

    Organizations try to outsource their activities as much as possible in order to prevent the problems and use organizational capabilities in Information Technology (IT) field. The purpose of this paper was first, to express the effective criteria for selecting suppliers of IT services, second, to explain the advantages and disadvantages of outsourcing IT in hospitals. This study was narrative review, which search was conducted with the help of libraries, books, conference proceedings, and databases of Science Direct, PubMed, Proquest, Springer, and SID (Scientific Information Database). In our searches, we employed the following keywords and their combinations: Outsourcing, information technology, hospital, decision making, and criteria. The preliminary search resulted in 120 articles, which were published between 2000 and 2013 during July 2013. After a careful analysis of the content of each paper, a total of 46 papers were selected based on their relevancy. The criteria and sub-criteria influencing outsourcing decisions in Iranian hospitals were identified in six major categories including administrative issues, issues related to the service/product, technology factors, environmental factors, risks, and economic factors associated with 15 sub-criteria containing business integration, dependence on suppliers, human resources, focus on core competencies, facilities and physical capital, innovation, quality, speed of service delivery, flexibility, market capabilities, geographical location, security, management control, cost, and financial capability. Identify the advantages and disadvantages of outsourcing and effective criteria in IT services supplier selection causes the managers be able to take the most appropriate decision to select supplier of IT services. This is a general review on influencing criteria for electing of supplier of information technology services in hospitals. PMID:25540781

  12. ESRS guidelines for software safety reviews. Reference document for the organization and conduct of Engineering Safety Review Services (ESRS) on software important to safety in nuclear power plants

    International Nuclear Information System (INIS)

    The IAEA provides safety review services to assist Member States in the application of safety standards and, in particular, to evaluate and facilitate improvements in nuclear power plant safety performance. Complementary to the Operational Safety Review Team (OSART) and the International Regulatory Review Team (IRRT) services are the Engineering Safety Review Services (ESRS), which include reviews of siting, external events and structural safety, design safety, fire safety, ageing management and software safety. Software is of increasing importance to safety in nuclear power plants as the use of computer based equipment and systems, controlled by software, is increasing in new and older plants. Computer based devices are used in both safety related applications (such as process control and monitoring) and safety critical applications (such as reactor protection). Their dependability can only be ensured if a systematic, fully documented and reviewable engineering process is used. The ESRS on software safety are designed to assist a nuclear power plant or a regulatory body of a Member State in the review of documentation relating to the development, application and safety assessment of software embedded in computer based systems important to safety in nuclear power plants. The software safety reviews can be tailored to the specific needs of the requesting organization. Examples of such reviews are: project planning reviews, reviews of specific issues and reviews prior final acceptance. This report gives information on the possible scope of ESRS software safety reviews and guidance on the organization and conduct of the reviews. It is aimed at Member States considering these reviews and IAEA staff and external experts performing the reviews. The ESRS software safety reviews evaluate the degree to which software documents show that the development process and the final product conform to international standards, guidelines and current practices. Recommendations are

  13. Analysis of energy and utility service demands

    Energy Technology Data Exchange (ETDEWEB)

    1978-10-01

    The collection, analysis, and review of existing data on a community's service requirements are documented. The research focused on the analysis of energy-using activities including both micro activities such as space heating, cooking, lighting, and transportation; and macro activities such as providing shelter, health care, education, etc. The technical report describes the analytical framework developed for community description; describes an indexing system by which a catalog of services can be accessed; illustrates the application of the data to an existing community; and provides ancillary information on data availability. A catalog of data is presented which includes several sets of indices which facilitate access of data using various keys. Abstracts of 48 data sources are analyzed. Each abstract includes a description and evaluation of the data, a sampling of that data, an assessment as to how that data may be applied to other analyses, and a reference where the user can secure additional data. (MCW)

  14. Institutional Elderly Care Services and Moroccan and Turkish Migrants in Belgium: A Literature Review.

    Science.gov (United States)

    Ahaddour, Chaïma; van den Branden, Stef; Broeckaert, Bert

    2016-10-01

    In several European countries, including Belgium, the rapid ageing of the migrant population has emerged only recently on the political agenda. The aim of this literature review is threefold. Firstly, it provides a review of the available studies on the accessibility and use of institutional care services by Moroccan and Turkish migrants in the Flemish part of Belgium including Flanders and Brussels. Secondly, it identifies their specific needs regarding elderly care services. Finally, it provides an overview of the way in which Belgian policy has dealt with the issue of migration and elderly care. Literature published between 1965 and 2014 and relevant to the Belgian context has been included. This search yielded 21 references, of which 8 empirical studies, 5 policy literature, 3 theoretical studies, 3 news articles and 2 popularized reports. Mainstream elderly care remains relatively inaccessible for these migrants due to the language and a series of cultural and religious barriers, a low level of education, financial constraints, a lack of knowledge of health care systems, and the so-called return and care dilemmas. Their religious and cultural needs are currently not met by elderly care services. The inclusive and neutral Belgian policy seems to pay insufficient attention to these issues. PMID:26141810

  15. Assessing the Relationship Between Human Well-being and Ecosystem Services: A Review of Frameworks

    Directory of Open Access Journals (Sweden)

    Matthew Agarwala

    2014-01-01

    Full Text Available Focusing on the most impoverished populations, we critically review and synthesise key themes from dominant frameworks for assessing the relationship between well-being and ecosystem services in developing countries. This requires a differentiated approach to conceptualising well-being that appropriately reflects the perspectives of the poorest-those most directly dependent on ecosystem services, and their vulnerability to external and policy-driven environmental change. The frameworks analysed draw upon environmental sciences, economics, psychology, sociology, and anthropology, and were selected on the basis of their demonstrated or potential ability to illustrate the relationship between environmental change and human well-being, as well as their prevalence in real world applications. Thus, the synthesis offered here is informed by the various theoretical, methodological, and hermeneutical contributions from each field to the notion of well-being. The review highlights several key dimensions that should be considered by those interested in understanding and assessing the impact of environmental change on the well-being of the world′s poorest people: the importance of interdisciplinary consideration of well-being, the need for frameworks that integrate subjective and objective aspects of well-being, and the central importance of context and relational aspects of well-being. The review is of particular interest to those engaged in the post-2015 development agenda.

  16. Building effective service linkages in primary mental health care: a narrative review part 2

    Directory of Open Access Journals (Sweden)

    Parker Sharon

    2011-03-01

    Full Text Available Abstract Background Primary care services have not generally been effective in meeting mental health care needs. There is evidence that collaboration between primary care and specialist mental health services can improve clinical and organisational outcomes. It is not clear however what factors enable or hinder effective collaboration. The objective of this study was to examine the factors that enable effective collaboration between specialist mental health services and primary mental health care. Methods A narrative and thematic review of English language papers published between 1998 and 2009. An expert reference group helped formulate strategies for policy makers. Studies of descriptive and qualitative design from Australia, New Zealand, UK, Europe, USA and Canada were included. Data were extracted on factors reported as enablers or barriers to development of service linkages. These were tabulated by theme at clinical and organisational levels and the inter-relationship between themes was explored. Results A thematic analysis of 30 papers found the most frequently cited group of factors was "partnership formation", specifically role clarity between health care workers. Other factor groups supporting clinical partnership formation were staff support, clinician attributes, clinic physical features and evaluation and feedback. At the organisational level a supportive institutional environment of leadership and change management was important. The expert reference group then proposed strategies for collaboration that would be seen as important, acceptable and feasible. Because of the variability of study types we did not exclude on quality and findings are weighted by the number of studies. Variability in local service contexts limits the generalisation of findings. Conclusion The findings provide a framework for health planners to develop effective service linkages in primary mental health care. Our expert reference group proposed five areas of

  17. A research study on Hong Kong's building services engineering profession: a review of the building services engineering profession in the United Kingdom

    OpenAIRE

    Underwood, Chris; Giddings, Bob

    2009-01-01

    A review of the building services engineering profession in the United Kingdom is considered in this document. It provides supporting information for a comprehensive study into the profession in Hong Kong which is being conducted by Hong Kong Polytechnic University on behalf of the Hong Kong Institution of Engineers. The overall aim of the work is to investigate mechanisms for raising the profile of building services engineers in Hong Kong.

  18. THE INFORMATION TECHNOLOGY AND COMMUNICATION USED BY LOGISTICS SERVICE PROVIDERS: LITERATURE REVIEW

    Directory of Open Access Journals (Sweden)

    Carolina Luisa dos Santos Vieira

    2012-10-01

    Full Text Available With the growth in the supply of logistics services, and the increase of competition, the use of information and communication technologies (ICT is now considered by logistics service providers (LSP, a source of competitive advantage. Through a literature review, this paper seeks to identify which technologies have been used by the PSL. Analyzing 47 articles on the subject, published in international journal that has the largest number of works on PSL, applications of technologies by PSL were analyzed according to a taxonomy suggested based on literature - software, hardware and networks. Among the results highlight the technologies cited by categories and greater scientific interest, such as EDI, RFID, TTS, WMS and Internet.

  19. The protective service of mangrove ecosystems: A review of valuation methods.

    Science.gov (United States)

    Barbier, Edward B

    2016-08-30

    Concern over the loss of mangrove ecosystems often focuses on their role in protecting coastal communities from storms that damage property and cause deaths and injury. With climate change, mangrove loss may also result in less protection against coastal storms as well as sea-level rise, saline intrusion and erosion. Past valuations of the storm protection benefit of mangroves have relied on the second-best replacement cost method, such as estimating this protective value with the cost of building human-made storm barriers. More reliable methods instead model the production of the protection service of mangroves and estimate its value in terms of reducing the expected damages or deaths avoided by coastal communities. This paper reviews recent methods of valuing the storm protection service of mangroves and their role in protecting coastal areas and communities of tropical developing countries. PMID:26851868

  20. The effectiveness of M-health technologies for improving health and health services: a systematic review protocol

    OpenAIRE

    Patel Vikram; Galli Leandro; Felix Lambert; Phillips Gemma; Free Caroline; Edwards Philip

    2010-01-01

    Abstract Background The application of mobile computing and communication technology is rapidly expanding in the fields of health care and public health. This systematic review will summarise the evidence for the effectiveness of mobile technology interventions for improving health and health service outcomes (M-health) around the world. Findings To be included in the review interventions must aim to improve or promote health or health service use and quality, employing any mobile computing a...

  1. Review of shell-and-tube heat exchanger fouling and corrosion in geothermal power plant service

    Energy Technology Data Exchange (ETDEWEB)

    Ellis, P.F. II

    1983-12-01

    Heat exchangers for hot geofluid/working substance vaporizers for binary power plants are considered. A brief description of the physical test apparatus and the geofluid chemistry for each of the several heat exchanger tests is presented. The fouling data developed from these tests are summarized, in most cases presenting a mathematical expression for the increase in fouling factor with time. The materials performance data developed from these same tests are explored. The performance of shell-and-tube heat exchangers used as condensers and ancillary coolers in the power plant heat rejection system is considered.

  2. Service-Oriented Architecture in Industrial Automation Systems - The case of IEC 61499: A Review

    OpenAIRE

    Thramboulidis, Kleanthis

    2015-01-01

    In the paper by W. Dai et al. (IEEE Trans. On Industrial Informatics, vol. 11, no. 3, pp. 771-781, June 2015), a formal model is described for the application of SOA in the distributed automation domain in order to achieve flexible automation systems. A service-based execution environment architecture based on the IEC 61499 Function Block model is proposed and a case study is used to demonstrate dynamic reconfiguration. In this letter, a review of the literature related to the use of SOA in I...

  3. Mortality from flash floods: a review of national weather service reports, 1969-81.

    OpenAIRE

    French, J.; Ing, R.; Von Allmen, S; Wood, R.

    1983-01-01

    Of all weather-related disasters that occur in the United States, floods are the main cause of death, and most flood-related deaths are attributed to flash floods. Whenever a weather-related disaster involves 30 or more deaths or more than $100 million in property damage, the National Weather Service (NWS) forms a survey team to investigate the disaster and write a report of findings. All NWS survey reports on flash floods issued during 1969-81 were reviewed to determine the mortality resulti...

  4. Electric vehicle fleet management in smart grids: A review of services, optimization and control aspects

    DEFF Research Database (Denmark)

    Hu, Junjie; Morais, Hugo; Sousa, Tiago;

    2016-01-01

    level, the extra loads created by the increasing number of electric vehicles may have adverse impacts on grid. These factors bring new challenges to the power system operators. To coordinate the interests and solve the conflicts, electric vehicle fleet operators are proposed both by academics...... and industries. This paper presents a review and classification of methods for smart charging (including power to vehicle and vehicle-to-grid) of electric vehicles for fleet operators. The study firstly presents service relationships between fleet operators and other four actors in smart grids; then, modeling...

  5. 78 FR 26664 - Submission for Review: CyberCorps®: Scholarship For Service (SFS) Registration Web Site

    Science.gov (United States)

    2013-05-07

    ... MANAGEMENT Submission for Review: CyberCorps : Scholarship For Service (SFS) Registration Web Site AGENCY: U... the Federal Cyber Service Training and Education Initiative as described in the President's National... of the scholarship or one year, whichever is longer. Approval of the Web page is necessary...

  6. Internet of Things: A Review of Surveys Based on Context Aware Intelligent Services.

    Science.gov (United States)

    Gil, David; Ferrández, Antonio; Mora-Mora, Higinio; Peral, Jesús

    2016-01-01

    The Internet of Things (IoT) has made it possible for devices around the world to acquire information and store it, in order to be able to use it at a later stage. However, this potential opportunity is often not exploited because of the excessively big interval between the data collection and the capability to process and analyse it. In this paper, we review the current IoT technologies, approaches and models in order to discover what challenges need to be met to make more sense of data. The main goal of this paper is to review the surveys related to IoT in order to provide well integrated and context aware intelligent services for IoT. Moreover, we present a state-of-the-art of IoT from the context aware perspective that allows the integration of IoT and social networks in the emerging Social Internet of Things (SIoT) term. PMID:27409623

  7. The IAEA Integrated Regulatory Review Service Mission to Sweden in February 2012

    International Nuclear Information System (INIS)

    The Swedish Government decided on January 22, 2009 to mandate the Swedish Radiation Safety Authority, SSM, to apply for an international review of the Authority and its areas of supervision, an 'IRRS' (Integrated Regulatory Review Service) carried out by the International Atomic Energy Agency (IAEA). On February 25, 2009, SSM made a formal request to the IAEA for an IRRS in Sweden. The time period for the IRRS mission was later agreed to be 6-17 February, 2012. This report summarises the project's progress immediately prior to the IRRS mission in February 2012. The report contains the findings from the self assessment performed by SSM staff. It also contains a plan to implement measures to remedy deficiencies that have been identified and to improve the radiation safety work of the Authority

  8. The impact of NHS based primary care complementary therapy services on health outcomes and NHS costs: a review of service audits and evaluations

    Directory of Open Access Journals (Sweden)

    Wye Lesley

    2009-03-01

    Full Text Available Abstract Background The aim of this study was to review evaluations and audits of primary care complementary therapy services to determine the impact of these services on improving health outcomes and reducing NHS costs. Our intention is to help service users, service providers, clinicians and NHS commissioners make informed decisions about the potential of NHS based complementary therapy services. Methods We searched for published and unpublished studies of NHS based primary care complementary therapy services located in England and Wales from November 2003 to April 2008. We identified the type of information included in each document and extracted comparable data on health outcomes and NHS costs (e.g. prescriptions and GP consultations. Results Twenty-one documents for 14 services met our inclusion criteria. Overall, the quality of the studies was poor, so few conclusions can be made. One controlled and eleven uncontrolled studies using SF36 or MYMOP indicated that primary care complementary therapy services had moderate to strong impact on health status scores. Data on the impact of primary care complementary therapy services on NHS costs were scarcer and inconclusive. One controlled study of a medical osteopathy service found that service users did not decrease their use of NHS resources. Conclusion To improve the quality of evaluations, we urge those evaluating complementary therapy services to use standardised health outcome tools, calculate confidence intervals and collect NHS cost data from GP medical records. Further discussion is needed on ways to standardise the collection and reporting of NHS cost data in primary care complementary therapy services evaluations.

  9. Service user and caregiver involvement in mental health system strengthening in low- and middle-income countries: systematic review

    OpenAIRE

    Semrau, Maya; Lempp, Heidi; Keynejad, Roxanne; Evans-Lacko, Sara; Mugisha, James; RAJA, SHOBA; Lamichhane, Jagannath; Alem, Atalay; THORNICROFT, GRAHAM; Hanlon, Charlotte

    2016-01-01

    Background The involvement of mental health service users and their caregivers in health system policy and planning, service monitoring and research can contribute to mental health system strengthening, but as yet there have been very few efforts to do so in low- and middle-income countries (LMICs). Methods This systematic review examined the evidence and experience of service user and caregiver involvement in mental health system strengthening, as well as models of best practice for evaluati...

  10. A systematic review of the unit costs of allied health and community services used by older people in Australia

    OpenAIRE

    Farag Inez; Sherrington Cathie; Ferreira Manuela; Howard Kirsten

    2013-01-01

    Abstract Background An economic evaluation of interventions for older people requires accurate assessment of costing and consideration of both acute and long-term services. Accurate information on the unit cost of allied health and community services is not readily available in Australia however. This systematic review therefore aims to synthesise information available in the literature on the unit costs of allied health and community services that may be utilised by an older person living in...

  11. A systematic review of the unit costs of allied health and community services used by older people in Australia

    OpenAIRE

    Farag, Inez; Sherrington, Cathie; Ferreira, Manuela; Howard, Kirsten

    2013-01-01

    Background An economic evaluation of interventions for older people requires accurate assessment of costing and consideration of both acute and long-term services. Accurate information on the unit cost of allied health and community services is not readily available in Australia however. This systematic review therefore aims to synthesise information available in the literature on the unit costs of allied health and community services that may be utilised by an older person living in Australi...

  12. A Review of Key Factors Affecting Consumers' Adoption and Usage of Self-Service Technologies in the Tourism Sector

    OpenAIRE

    Lawlor, Jennifer; Kelly, Petranka; Mulvey, Michael

    2011-01-01

    During the past ten years self-service technologies (SSTs) have attracted research attention especially in the banking, retail and airline sectors. The infusion of technology in the service encounter has been identified as being advantageous to both the service provider and the consumer, provided that SSTs gain adoption among consumers. In light of the importance of consumer participation in SSTs, this paper reviews the state of the SST adoption literature in an attempt to identify the most i...

  13. A systematic review of the unit costs of allied health and community services used by older people in Australia

    Directory of Open Access Journals (Sweden)

    Farag Inez

    2013-02-01

    Full Text Available Abstract Background An economic evaluation of interventions for older people requires accurate assessment of costing and consideration of both acute and long-term services. Accurate information on the unit cost of allied health and community services is not readily available in Australia however. This systematic review therefore aims to synthesise information available in the literature on the unit costs of allied health and community services that may be utilised by an older person living in Australia. Method A comprehensive search of Medline, Embase, CINAHL, Google Scholar and Google was undertaken. Specialised economic databases were also reviewed. In addition Australian Government Department websites were inspected. The search identified the cost of specified allied health services including: physiotherapy, occupational therapy, dietetics, podiatry, counselling and home nursing. The range of community services included: personal care, meals on wheels, transport costs and domestic services. Where the information was not available, direct contact with service providers was made. Results The number of eligible studies included in the qualitative synthesis was fourty-nine. Calculated hourly rates for Australian allied health services were adjusted to be in equivalent currency and were as follows as follows: physiotherapy $157.75, occupational therapy $150.77, dietetics $163.11, psychological services $165.77, community nursing $105.76 and podiatry $129.72. Conclusions Utilisation of the Medicare Benefits Scheduled fee as a broad indicator of the costs of services, may lead to underestimation of the real costs of services and therefore to inaccuracies in economic evaluation.

  14. A systematic review of economic analyses of telehealth services using real time video communication

    Directory of Open Access Journals (Sweden)

    Wade Victoria A

    2010-08-01

    Full Text Available Abstract Background Telehealth is the delivery of health care at a distance, using information and communication technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase access in health care delivery. This systematic review assesses the economic value of one type of telehealth delivery - synchronous or real time video communication - rather than examining a heterogeneous range of delivery modes as has been the case with previous reviews in this area. Methods A systematic search was undertaken for economic analyses of the clinical use of telehealth, ending in June 2009. Studies with patient outcome data and a non-telehealth comparator were included. Cost analyses, non-comparative studies and those where patient satisfaction was the only health outcome were excluded. Results 36 articles met the inclusion criteria. 22(61% of the studies found telehealth to be less costly than the non-telehealth alternative, 11(31% found greater costs and 3 (9% gave the same or mixed results. 23 of the studies took the perspective of the health services, 12 were societal, and one was from the patient perspective. In three studies of telehealth to rural areas, the health services paid more for telehealth, but due to savings in patient travel, the societal perspective demonstrated cost savings. In regard to health outcomes, 12 (33% of studies found improved health outcomes, 21 (58% found outcomes were not significantly different, 2(6% found that telehealth was less effective, and 1 (3% found outcomes differed according to patient group. The organisational model of care was more important in determining the value of the service than the clinical discipline, the type of technology, or the date of the study. Conclusion Delivery of health services by real time video communication was cost-effective for home care and access to on-call hospital specialists, showed mixed results for rural service delivery, and was

  15. Proposal for a change of contractor to operate the hostels, apartments and ancillary premises

    CERN Document Server

    2001-01-01

    The purpose of this document is to inform the Finance Committee of the final outcome of the negotiations with the firm to which the contract was adjudicated for the operation of the hostels, apartments and ancillary premises run by the CERN Housing Service and to request approval for the contract placed with the second lowest bidder. In September 2000, the Finance Committee agreed to the negotiation of a contract with VIENNA INTERNATIONAL HOTEL MANAGEMENT (AT) - SEREG (CH) (cf. CERN/FC/4311). For the reasons explained in this document, the Finance Committee is now invited to approve a contract with the consortium ISS MULTISERVICE (CH) - ISS GEBAEUDESERVICE (DE), the second lowest bidder, for an initial period of five years, from 1 January 2001, for a total amount of 7 206 000 Swiss francs, not subject to revision until 31 December 2001. The contract includes an option for two one-year extensions beyond the initial five-year period. The consortium has indicated the following distribution by country of the cont...

  16. Trace Metal and Ancillary Data in Puget Sound, 1980 - 1986 (NODC Accession 9100153)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — In first of three data reports on the trace metal and ancillary data in Puget Sound and its watershed (Paulson et al., 1991a), all water column, sediment, and...

  17. EX1202L3 Dive02 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1202L3: Gulf of Mexico...

  18. Ocean Surface Topography Mission (OSTM) /Jason-2: Ancillary Files (NODC Accession 0044982)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This accession contains the data descriptions for the OSTM/Jason-2 Ancillary data files, which is served through the NOAA/NESDIS Comprehensive Large Array-data...

  19. EX1504L4 Dive05 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  20. EX1504L4 Dive02 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  1. EX1504L2 Dive03 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  2. TECHNOLOGY NEEDS AND STATUS ON CLOSURE OF DOE RADIOACTIVE WASTE TANK ANCILLARY SYSTEMS

    Energy Technology Data Exchange (ETDEWEB)

    Burns, H; Sharon Marra, S; Christine Langton, C

    2009-01-21

    This paper summarizes the current state of art of sampling, characterizing, retrieving, transferring and treating the incidental waste and stabilizing the void space in tank ancillary systems and the needs involved with closure of these systems. The overall effort for closing tank and ancillary systems is very large and is in the initial stages of being addressed in a systematic manner. It was recognized in doing this effort, that gaps in both technology and material application for characterization and removal of residual waste and closure of ancillary systems would be identified. Great efficiencies are to be gained by defining the technology need areas early in the closure process and providing recommendations for technical programs to improve the closure strategies. Therefore, this paper will not only summarize the state of closure of ancillary systems but also provide recommendations to address the technology gaps identified in this assessment.

  3. Utilization of Ancillary Data Sets for SMAP Algorithm Development and Product Generation

    Science.gov (United States)

    ONeill, P.; Podest, E.; Njoku, E.

    2011-01-01

    Algorithms being developed for the Soil Moisture Active Passive (SMAP) mission require a variety of both static and ancillary data. The selection of the most appropriate source for each ancillary data parameter is driven by a number of considerations, including accuracy, latency, availability, and consistency across all SMAP products and with SMOS (Soil Moisture Ocean Salinity). It is anticipated that initial selection of all ancillary datasets, which are needed for ongoing algorithm development activities on the SMAP algorithm testbed at JPL, will be completed within the year. These datasets will be updated as new or improved sources become available, and all selections and changes will be documented for the benefit of the user community. Wise choices in ancillary data will help to enable SMAP to provide new global measurements of soil moisture and freeze/thaw state at the targeted accuracy necessary to tackle hydrologically-relevant societal issues.

  4. EX1504L2 Dive07 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  5. EX1504L2 Dive14 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  6. EX1504L4 Dive08 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  7. EX1504L2 Dive13 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  8. EX1504L2 Dive16 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  9. EX1504L3 Dive05 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L3: CAPSTONE Leg III:...

  10. EX1504L2 Dive01 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  11. EX1504L2 Dive12 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  12. EX1504L4 Dive10 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  13. EX1504L4 Dive13 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  14. EX1504L4 Dive09 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  15. EX1504L4 Dive11 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  16. EX1504L3 Dive07 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L3: CAPSTONE Leg III:...

  17. EX1504L3 Dive06 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L3: CAPSTONE Leg III:...

  18. EX1504L2 Dive10 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  19. EX1504L4 Dive06 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  20. EX1504L2 Dive15 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  1. EX1504L2 Dive09 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  2. EX1504L2 Dive06 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  3. EX1504L3 Dive02 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L3: CAPSTONE Leg III:...

  4. EX1504L3 Dive03 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L3: CAPSTONE Leg III:...

  5. EX1504L4 Dive03 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  6. EX1504L3 Dive04 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L3: CAPSTONE Leg III:...

  7. EX1504L4 Dive04 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  8. EX1504L4 Dive12 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  9. EX1504L2 Dive08 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  10. EX1504L4 Dive07 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L4: Campaign to...

  11. EX1504L2 Dive02 Ancillary Data Collection including reports, kmls, spreadsheets, images and data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Standard suite of ancillary data files generated through a scripting process following an ROV dive on NOAA Ship Okeanos Explorer during EX1504L2: Campaign to...

  12. Manned maneuvering unit mission definition study. Volume 3: MMU ancillary support equipment and attachment concepts

    Science.gov (United States)

    1975-01-01

    An analysis of Manned Maneuvering Units (MMU) ancillary support equipment and attachment concepts is presented. The major objectives of the study are defined as: (1) identifying MMU applications which would supplement space shuttle safety and effectiveness, (2) to define general MMU performance and control requirements to satisfy candidate shuttle applications, (3) to develop concepts for attaching MMUs to various worksites and equipment, and (4) to identify requirements and develop concepts for MMU ancillary equipment.

  13. Hybrid MCDA Methods to Integrate Multiple Ecosystem Services in Forest Management Planning: A Critical Review

    Science.gov (United States)

    Uhde, Britta; Andreas Hahn, W.; Griess, Verena C.; Knoke, Thomas

    2015-08-01

    Multi-criteria decision analysis (MCDA) is a decision aid frequently used in the field of forest management planning. It includes the evaluation of multiple criteria such as the production of timber and non-timber forest products and tangible as well as intangible values of ecosystem services (ES). Hence, it is beneficial compared to those methods that take a purely financial perspective. Accordingly, MCDA methods are increasingly popular in the wide field of sustainability assessment. Hybrid approaches allow aggregating MCDA and, potentially, other decision-making techniques to make use of their individual benefits and leading to a more holistic view of the actual consequences that come with certain decisions. This review is providing a comprehensive overview of hybrid approaches that are used in forest management planning. Today, the scientific world is facing increasing challenges regarding the evaluation of ES and the trade-offs between them, for example between provisioning and regulating services. As the preferences of multiple stakeholders are essential to improve the decision process in multi-purpose forestry, participatory and hybrid approaches turn out to be of particular importance. Accordingly, hybrid methods show great potential for becoming most relevant in future decision making. Based on the review presented here, the development of models for the use in planning processes should focus on participatory modeling and the consideration of uncertainty regarding available information.

  14. A systematic review of pharmacists performing obstructive sleep apnea screening services.

    Science.gov (United States)

    Cawley, Michael J; Warning, William J

    2016-08-01

    Background Obstructive sleep apnea (OSA) is a chronic sleep disorder associated with a varying degree of upper airway collapse during sleep. Left untreated, OSA can lead to the development of cardiovascular disease including risk of stroke and increased mortality. Pharmacists are the most accessible and underutilized healthcare resource in the community and can have a significant role in screening patients for OSA. The result may include an expedited referral to the patient's general practitioners or sleep disorder specialists for further diagnostic assessment and therapeutic intervention. Aim of the review The primary aim of this review was to identify the current published evidence of pharmacists providing OSA screening services in a community pharmacy setting. Methods A literature search was conducted to identify evidence of pharmacists providing OSA screening services. The literature search including five databases [PubMed, (1946-January 2015), Cumulative Index of Nursing and Allied Health Literature, International Pharmaceutical Abstracts (1970 to January 2015), Cochrane Database of Systematic Reviews and Google Scholar] with search terms of ("pharmacist or pharmacy") AND ("obstructive sleep apnea") AND ("sleep disorders") AND ("continuous positive airway pressure-CPAP") were used. Articles were limited to English and reported in humans. Results A total of seven publications (four Australia, two Switzerland and one France) were selected and evaluated. Pharmacists utilized validated screening tools in 6/7 (86 %) of clinical studies to assist in the identification of patients with sleep disorders in community pharmacies. A total of 1701 pharmacies encompassing 9177 patients were screened in the clinical studies. Pharmacists were able to identify between 21.4 and 67 % of patients that were at risk for developing OSA or required a referral to a general practitioner or sleep disorder specialist for further diagnostic testing. Conclusion Studies assessing the role

  15. Workshop on environmental assessment. [Regulation of applications of nuclear energy and related ancillary systems

    Energy Technology Data Exchange (ETDEWEB)

    Watson, E.C. (comp.)

    1982-07-01

    Objectives of the workshop were: to review and evaluate the state-of-the-art of environmental impact assessments as applied to the regulation of applications of nuclear energy and related ancillary systems; to identify areas where existing technology allows establishing acceptable methods or standard practices that will meet the requirements of the NRC regulations, standards and guides for both normal operations and off-standard conditions including accident considerations; to illuminate topics where existing models or analytical methods are deficient because of unverified assumptions, a paucity of empirical data, conflicting results reported in the literature or a need for observation of operation systems; to compile, analyze and synthesize a prioritized set of research needs to advance the state-of-the-art to the level which will meet all of the requirements of the Commission's regulations, standards and guides; and to develop bases for maintaining the core of regulatory guidance at the optimum level balancing technical capabilities with practical considerations of cost and value to the regulatory process. The discussion held in small group sessions on aquatic, atmospheric, and terrestrial pathways are presented. The following research needs were identified as common to all three groups: validation of models; characterization of source terms; development of screening techniques; basis for de minimis levels of contamination; and updating of objectives for environmental monitoring programs.

  16. Preliminary Results of Ancillary Safety Analyses Supporting TREAT LEU Conversion Activities

    Energy Technology Data Exchange (ETDEWEB)

    Brunett, A. J. [Argonne National Lab. (ANL), Argonne, IL (United States); Fei, T. [Argonne National Lab. (ANL), Argonne, IL (United States); Strons, P. S. [Argonne National Lab. (ANL), Argonne, IL (United States); Papadias, D. D. [Argonne National Lab. (ANL), Argonne, IL (United States); Hoffman, E. A. [Argonne National Lab. (ANL), Argonne, IL (United States); Kontogeorgakos, D. C. [Argonne National Lab. (ANL), Argonne, IL (United States); Connaway, H. M. [Argonne National Lab. (ANL), Argonne, IL (United States); Wright, A. E. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2015-10-01

    The Transient Reactor Test Facility (TREAT), located at Idaho National Laboratory (INL), is a test facility designed to evaluate the performance of reactor fuels and materials under transient accident conditions. The facility, an air-cooled, graphite-moderated reactor designed to utilize fuel containing high-enriched uranium (HEU), has been in non-operational standby status since 1994. Currently, in support of the missions of the Department of Energy (DOE) National Nuclear Security Administration (NNSA) Material Management and Minimization (M3) Reactor Conversion Program, a new core design is being developed for TREAT that will utilize low-enriched uranium (LEU). The primary objective of this conversion effort is to design an LEU core that is capable of meeting the performance characteristics of the existing HEU core. Minimal, if any, changes are anticipated for the supporting systems (e.g. reactor trip system, filtration/cooling system, etc.); therefore, the LEU core must also be able to function with the existing supporting systems, and must also satisfy acceptable safety limits. In support of the LEU conversion effort, a range of ancillary safety analyses are required to evaluate the LEU core operation relative to that of the existing facility. These analyses cover neutronics, shielding, and thermal hydraulic topics that have been identified as having the potential to have reduced safety margins due to conversion to LEU fuel, or are required to support the required safety analyses documentation. The majority of these ancillary tasks have been identified in [1] and [2]. The purpose of this report is to document the ancillary safety analyses that have been performed at Argonne National Laboratory during the early stages of the LEU design effort, and to describe ongoing and anticipated analyses. For all analyses presented in this report, methodologies are utilized that are consistent with, or improved from, those used in analyses for the HEU Final Safety Analysis

  17. Ancillary benefits of climate policy in a small open economy: The case of Sweden

    International Nuclear Information System (INIS)

    It is increasingly recognised that GHG reduction policies can have important ancillary benefits in the form of positive local and regional environmental impacts. The purpose of this paper is to estimate the domestic ancillary pollution benefits of climate policy in Sweden, and investigate how these are affected by different climate policy designs. The latter differ primarily in terms of how the country chooses to meet a specific target and where the necessary emission reductions take place. The analysis relies on simulations within the energy system optimisation model TIMES-Sweden, and focuses on four non-GHG pollutants: Nitrogen Oxides (NOX), Non Methane Volatile Organic Compounds (NMVOC), inhalable particles (PM2.5), and Sulphur dioxide (SO2). The simulations permit detailed assessments of the respective technology and fuel choices that underlie any net changes in the estimated ancillary effects. The results indicate that the ancillary benefits constitute a far from insignificant share of total system costs, and this share appears to be highest in the scenarios that entail the largest emission reductions domestically. This result reflects the fact that carbon dioxide emission reductions abroad also implies a lost opportunity of achieving substantial domestic welfare gain from the reductions of regional and local environmental pollutants. - Highlights: → We estimate the domestic ancillary pollution benefits of climate policy in Sweden. → These constitute a sizeable share of total system costs. → The ancillary benefits are highest in the policy scenarios that entail the largest emission reductions domestically.

  18. Alternate service delivery models in cancer genetic counseling: a mini-review

    Directory of Open Access Journals (Sweden)

    Adam Hudson Buchanan

    2016-05-01

    Full Text Available Demand for cancer genetic counseling has grown rapidly in recent years as germline genomic information has become increasingly incorporated into cancer care and the field has entered the public consciousness through high-profile celebrity publications. Increased demand and existing variability in the availability of trained cancer genetics clinicians place a priority on developing and evaluating alternate service delivery models for genetic counseling. This mini-review summarizes the state of science regarding service delivery models such as telephone counseling, telegenetics and group counseling. Research on comparative effectiveness of these models in traditional individual, in-person genetic counseling has been promising for improving access to care in a manner acceptable to patients. Yet, it has not fully evaluated the short- and long-term patient- and system-level outcomes that will help answer the question of whether these models achieve the same beneficial psychosocial and behavioral outcomes as traditional cancer genetic counseling. We propose a research agenda focused on comparative effectiveness of available service delivery models and how to match models to patients and practice settings. Only through this rigorous research can clinicians and systems find the optimal balance of clinical quality, ready and secure access to care, and financial sustainability. Such research will be integral to achieving the promise of genomic medicine in oncology.

  19. Alternate Service Delivery Models in Cancer Genetic Counseling: A Mini-Review.

    Science.gov (United States)

    Buchanan, Adam Hudson; Rahm, Alanna Kulchak; Williams, Janet L

    2016-01-01

    Demand for cancer genetic counseling has grown rapidly in recent years as germline genomic information has become increasingly incorporated into cancer care, and the field has entered the public consciousness through high-profile celebrity publications. Increased demand and existing variability in the availability of trained cancer genetics clinicians place a priority on developing and evaluating alternate service delivery models for genetic counseling. This mini-review summarizes the state of science regarding service delivery models, such as telephone counseling, telegenetics, and group counseling. Research on comparative effectiveness of these models in traditional individual, in-person genetic counseling has been promising for improving access to care in a manner acceptable to patients. Yet, it has not fully evaluated the short- and long-term patient- and system-level outcomes that will help answer the question of whether these models achieve the same beneficial psychosocial and behavioral outcomes as traditional cancer genetic counseling. We propose a research agenda focused on comparative effectiveness of available service delivery models and how to match models to patients and practice settings. Only through this rigorous research can clinicians and systems find the optimal balance of clinical quality, ready and secure access to care, and financial sustainability. Such research will be integral to achieving the promise of genomic medicine in oncology. PMID:27242960

  20. Traditional and innovative promotional strategies of tobacco cessation services: a review of the literature.

    Science.gov (United States)

    Momin, Behnoosh; Neri, Antonio; McCausland, Kristen; Duke, Jennifer; Hansen, Heather; Kahende, Jennifer; Zhang, Lei; Stewart, Sherri L

    2014-08-01

    An estimated 43.5 million American adults currently smoke cigarettes. Well-designed tobacco education campaigns with adequate reach increase cessation and reduce tobacco use. Smokers report great interest in quitting but few use effective treatments including quitlines (QLs). This review examined traditional (TV, radio, print ads) versus innovative tobacco cessation (internet, social media) promotions for QL services. Between November 2011 and January 2012, searches were conducted on EBSCO, PubMed, Wilson, OCLC, CQ Press, Google Scholar, Gale, LexisNexis, and JSTOR. Existing literature shows that the amount of radio and print advertising, and promotion of free cessation medications increases QL call volume. Television advertising volume seems to be the best predictor of QL service awareness. Much of the literature on Internet advertising compares the characteristics of participants recruited for studies through various channels. The majority of the papers indicated that Internet-recruited participants were younger; this was the only demographic characteristic with high agreement across studies. Traditional media was only studied within mass media campaigns with TV ads having a consistent impact on increasing calls to QLs, therefore, it is hard to distinguish the impact of traditional media as an independent QL promotion intervention. With innovative media, while many QL services have a presence on social media sites, there is no literature on evaluating the effectiveness of these channels for quitline promotion. PMID:24515948

  1. Alternate Service Delivery Models in Cancer Genetic Counseling: A Mini-Review

    Science.gov (United States)

    Buchanan, Adam Hudson; Rahm, Alanna Kulchak; Williams, Janet L.

    2016-01-01

    Demand for cancer genetic counseling has grown rapidly in recent years as germline genomic information has become increasingly incorporated into cancer care, and the field has entered the public consciousness through high-profile celebrity publications. Increased demand and existing variability in the availability of trained cancer genetics clinicians place a priority on developing and evaluating alternate service delivery models for genetic counseling. This mini-review summarizes the state of science regarding service delivery models, such as telephone counseling, telegenetics, and group counseling. Research on comparative effectiveness of these models in traditional individual, in-person genetic counseling has been promising for improving access to care in a manner acceptable to patients. Yet, it has not fully evaluated the short- and long-term patient- and system-level outcomes that will help answer the question of whether these models achieve the same beneficial psychosocial and behavioral outcomes as traditional cancer genetic counseling. We propose a research agenda focused on comparative effectiveness of available service delivery models and how to match models to patients and practice settings. Only through this rigorous research can clinicians and systems find the optimal balance of clinical quality, ready and secure access to care, and financial sustainability. Such research will be integral to achieving the promise of genomic medicine in oncology.

  2. Estimation of the parameter of satisfaction with services in tourism: content analysis of online customer reviews

    Directory of Open Access Journals (Sweden)

    Kapilevich Leonid

    2016-01-01

    Full Text Available To increase the competitiveness the hotels have to satisfy their guests’ requirements, anticipate their wishes and offer new services; this is quite problematic for the hotel business. The paper considers the opportunities of employing online guest reviews to reveal the hotel ratings and attributes, significant for guests. The implementation of this research method is specified by the quality of information obtained via the internet; it is published on a voluntary basis, statements are initiated by users; moreover, consumers estimate the services and offers, having certain emotional importance for them; it allows segmenting the factors according to the level of their emotional significance. This segmentation is of utmost importance since the principal aim of the researches devoted to the assessment of the level of consumers’ satisfaction is to reveal the indicators of company activities from the position of customers’ priorities and emotional evaluations. The content analysis discovers the indicators, significant for the beach hotels customers. 90 hotels were grouped according to 16 categories. The results display that the guests responses can be used for investigating the importance of hotel attributes and determining the peculiarities of various hotel customers groups. The obtained results can be used for service package improvement and for hotel description in advertisement and reservation systems.

  3. Still too far to walk: Literature review of the determinants of delivery service use

    Directory of Open Access Journals (Sweden)

    Campbell Oona MR

    2009-08-01

    Full Text Available Abstract Background Skilled attendance at childbirth is crucial for decreasing maternal and neonatal mortality, yet many women in low- and middle-income countries deliver outside of health facilities, without skilled help. The main conceptual framework in this field implicitly looks at home births with complications. We expand this to include "preventive" facility delivery for uncomplicated childbirth, and review the kinds of determinants studied in the literature, their hypothesized mechanisms of action and the typical findings, as well as methodological difficulties encountered. Methods We searched PubMed and Ovid databases for reviews and ascertained relevant articles from these and other sources. Twenty determinants identified were grouped under four themes: (1 sociocultural factors, (2 perceived benefit/need of skilled attendance, (3 economic accessibility and (4 physical accessibility. Results There is ample evidence that higher maternal age, education and household wealth and lower parity increase use, as does urban residence. Facility use in the previous delivery and antenatal care use are also highly predictive of health facility use for the index delivery, though this may be due to confounding by service availability and other factors. Obstetric complications also increase use but are rarely studied. Quality of care is judged to be essential in qualitative studies but is not easily measured in surveys, or without linking facility records with women. Distance to health facilities decreases use, but is also difficult to determine. Challenges in comparing results between studies include differences in methods, context-specificity and the substantial overlap between complex variables. Conclusion Studies of the determinants of skilled attendance concentrate on sociocultural and economic accessibility variables and neglect variables of perceived benefit/need and physical accessibility. To draw valid conclusions, it is important to consider

  4. Overview of IAEA safety standards and insights from regulatory review services

    International Nuclear Information System (INIS)

    This presentation will discuss the transparency and openness which are covered by the topics of this workshop. Safety and protection issues have been taken into consideration on an international level. The IAEA affirmed the importance of safety in its statute more than 40 years ago and has been working ever since towards international harmonization of safety and radiation protection principles. All nuclear technologies are recommended to meet minimum standards of nuclear safety set at the international level by the IAEA. Up to now, transparency and openness which become more and more important for the regulatory bodies to improve their regulatory effectiveness and efficiency are not clearly defined in a systematic way in the IAEA safety standards, but, there are still several documents which give some requirements and suggestions to address this important issues. First part of my presentation will present the overviews of transparency and openness described in the IAEA safety standards, including legal-binding and non-legal-binding instruments. From top to low level of standards hierarchy, like new Fundamentals, Basic Safety Standards (BSS), General requirements for the regulatory authorities (GS-R-1), INSAG documents, as well as the Technical Document which deals with the communication practices. It should he noted that GS-R-1 is the basis for IRRS. Its revision already started and we are going to incorporate clear statements regarding Transparency and Openness followed the statements by new Fundamentals. Transparency and openness issues is considered to be more important part of the Policy Issue in new Integrated Regulatory Review Services (IRRS) being carried out in the member states. The regulatory policy issues review provides a greater understanding of the regulatory issues that may have international policy implications and will assist in addressing specific technical issues relevant to the regulation of nuclear safety and radiation protection. The

  5. Patients’ online access to their electronic health records and linked online services: a systematic interpretative review

    Science.gov (United States)

    de Lusignan, Simon; Mold, Freda; Sheikh, Aziz; Majeed, Azeem; Wyatt, Jeremy C; Quinn, Tom; Cavill, Mary; Gronlund, Toto Anne; Franco, Christina; Chauhan, Umesh; Blakey, Hannah; Kataria, Neha; Barker, Fiona; Ellis, Beverley; Koczan, Phil; Arvanitis, Theodoros N; McCarthy, Mary; Jones, Simon; Rafi, Imran

    2014-01-01

    Objectives To investigate the effect of providing patients online access to their electronic health record (EHR) and linked transactional services on the provision, quality and safety of healthcare. The objectives are also to identify and understand: barriers and facilitators for providing online access to their records and services for primary care workers; and their association with organisational/IT system issues. Setting Primary care. Participants A total of 143 studies were included. 17 were experimental in design and subject to risk of bias assessment, which is reported in a separate paper. Detailed inclusion and exclusion criteria have also been published elsewhere in the protocol. Primary and secondary outcome measures Our primary outcome measure was change in quality or safety as a result of implementation or utilisation of online records/transactional services. Results No studies reported changes in health outcomes; though eight detected medication errors and seven reported improved uptake of preventative care. Professional concerns over privacy were reported in 14 studies. 18 studies reported concern over potential increased workload; with some showing an increase workload in email or online messaging; telephone contact remaining unchanged, and face-to face contact staying the same or falling. Owing to heterogeneity in reporting overall workload change was hard to predict. 10 studies reported how online access offered convenience, primarily for more advantaged patients, who were largely highly satisfied with the process when clinician responses were prompt. Conclusions Patient online access and services offer increased convenience and satisfaction. However, professionals were concerned about impact on workload and risk to privacy. Studies correcting medication errors may improve patient safety. There may need to be a redesign of the business process to engage health professionals in online access and of the EHR to make it friendlier and provide equity of

  6. Nontrauma helicopter emergency medical services transport: annotated review of selected outcomes-related literature.

    Science.gov (United States)

    Thomas, Stephen H; Cheema, Farah; Cumming, Melissa; Wedel, Suzanne K; Thomson, David

    2002-01-01

    While helicopter emergency medical services (HEMS) has its roots in military transport of wounded soldiers, rotor-wing transport is also used for a wide variety of nontrauma indications. Despite this common use of HEMS for noninjured patients, a Medline search found little systematic review of the literature pertinent to HEMS use for nontrauma. With HEMS utilization subject to appropriately increased scrutiny, those seeking to research HEMS utility in noninjured patients could benefit from existence of a collection of the topical literature. This paper aims to provide such a review, in the form of an annotated bibliography of Index Medicus journal studies assessing potential medical risks and benefits of HEMS transport for noninjured patients. The paper's goal is to provide a useful resource for those interested in pursuing more focused review of various sectors of the nontrauma HEMS literature. As such, the main objective of the article summaries is to provide a brief outline of study design and results; there is also limited editorial comment included after each summary. PMID:11962576

  7. Effective in-service training design and delivery: evidence from an integrative literature review

    Science.gov (United States)

    2013-01-01

    Background In-service training represents a significant financial investment for supporting continued competence of the health care workforce. An integrative review of the education and training literature was conducted to identify effective training approaches for health worker continuing professional education (CPE) and what evidence exists of outcomes derived from CPE. Methods A literature review was conducted from multiple databases including PubMed, the Cochrane Library and Cumulative Index to Nursing and Allied Health Literature (CINAHL) between May and June 2011. The initial review of titles and abstracts produced 244 results. Articles selected for analysis after two quality reviews consisted of systematic reviews, randomized controlled trials (RCTs) and programme evaluations published in peer-reviewed journals from 2000 to 2011 in the English language. The articles analysed included 37 systematic reviews and 32 RCTs. The research questions focused on the evidence supporting educational techniques, frequency, setting and media used to deliver instruction for continuing health professional education. Results The evidence suggests the use of multiple techniques that allow for interaction and enable learners to process and apply information. Case-based learning, clinical simulations, practice and feedback are identified as effective educational techniques. Didactic techniques that involve passive instruction, such as reading or lecture, have been found to have little or no impact on learning outcomes. Repetitive interventions, rather than single interventions, were shown to be superior for learning outcomes. Settings similar to the workplace improved skill acquisition and performance. Computer-based learning can be equally or more effective than live instruction and more cost efficient if effective techniques are used. Effective techniques can lead to improvements in knowledge and skill outcomes and clinical practice behaviours, but there is less evidence

  8. Reviews.

    Science.gov (United States)

    Adoption & Fostering, 1994

    1994-01-01

    Reviews 17 publications covering a variety of topics including abused disabled children; child placement; helping attachment disordered children; open adoption; family empowerment; teenage fostering; the Children Act of 1989 (Great Britain); family law; social services and child care law; and challenging racism in the early years. (TJQ)

  9. Auricular tachycardia: therapeutic and pathophysiologic news concepts: literature review and casuistic Service presentation

    International Nuclear Information System (INIS)

    The auricular tachycardia are the supraventricular tachycardias whose origin mechanism and maintenance is located at level exclusively auricular. It show diagnostic and therapeutics difficulties.The inadequate handling can cause commitment of the ventricular function and to commit the predict vital.The pharmacological treatment, is more used is few effective.The ablation for catheter with radiofrequency is a new weapon transcendent therapy for the resolution of a significant group of these patients. A review of the concept of auricular tachycardias, it upgrades its classification and the mechanisms pathophysiologic.It describes the techniques of ablation for catheter in these arrhythmias and their results are revised in the literature. In the end it presents the casuistry of the Service in the treatment of the auricular tachycardias focal s,incision ales and atrial flutter by means of ablation for catheter with radiofrequency

  10. Systematic review of telemedicine services for patients affected by chronic obstructive pulmonary disease (COPD).

    Science.gov (United States)

    Bartoli, Laura; Zanaboni, Paolo; Masella, Cristina; Ursini, Niccoló

    2009-11-01

    The aim of the present study was to conduct a systematic literature review focused on telemedicine services for patients affected by chronic obstructive pulmonary disease (COPD). In particular, it addresses (1) which telemedicine applications and related organizational models have been adopted for patients affected by COPD and (2) the impact of these applications. A computerized literature search was performed utilizing MEDLINE and Cochrane Library databases, selecting articles published between 1996 and 2008 using the following combination of keywords: [COPD] AND [telemedicine OR telehealth OR ehealth OR telecare] and after exclusions, 40 articles were considered. The adoption of telemedicine inevitably resulted in the reconfiguration of the existing practices and sociomaterial relationships. These organizational changes must be understood and addressed. PMID:19919194

  11. A Critical Review of Public-Public Partnerships in Water Services

    Directory of Open Access Journals (Sweden)

    Gemma Boag

    2010-02-01

    Full Text Available There is a profusion of literature on the commercialisation of water services around the world, but relatively little of this research speaks of alternatives to privatisation. The literature that does exist tends to be scattered in its regional and thematic orientation and inconsistent in its analytical frameworks. The writing on public-public partnerships (PUPs is arguably the best known and most rigorous of this literature, but even this is relatively thin, with a tendency to uncritically celebrate PUP initiatives and to gloss over ambiguous conceptual frameworks. This paper provides a critical review of the PUPs literature, in part to reveal some of these problematic trends, but ultimately in an effort to advance our understanding and practice of public alternatives in the water sector (and beyond. Specifically, it analyses the different partnership arrangements available, discusses the advantages and critiques of the PUP model in both theoretical and practical terms, and considers the recent emergence of Water Operator Partnerships (WOPs.

  12. Integrated Regulatory Review Service (IRRS) Guidelines for the Preparation and Conduct of IRRS Missions

    International Nuclear Information System (INIS)

    The IAEA Integrated Regulatory Review Service (IRRS) was established to strengthen and enhance the effectiveness of national regulatory infrastructure for nuclear safety, radiation safety, radioactive waste and transport safety, and the security of radioactive sources, while recognizing the ultimate responsibility of each Member State to ensure safety in these areas. The IRRS process sets out to accomplish this expressed purpose through consideration of both technical and policy issues of a regulatory nature against IAEA safety standards and, where appropriate, good practice elsewhere. The regulatory review process directly draws upon the wide-ranging international experience and expertise of IRRS review team members. Peer exchange on technical and policy issues gives insight into the efficiency and effectiveness of the legal and governmental framework and regulatory infrastructure for safety. Through this process, opportunities for improvement are explored and potential improvement strategies identified which may be shared with other States. IRRS missions provide an opportunity for sharing regulatory experiences, harmonizing regulatory approaches among States, and creating mutual learning opportunities among regulators. IRRS discussions focus on issues arising from the State's self-assessment and the evaluation of technical areas and policy issues. The IAEA Fundamental Safety Principles (IAEA Safety Standards Series No. SF-1) provide the basis for IAEA safety standards and IAEA safety related programmes. In support of effective regulation, the IAEA has established safety standards in the area of the Governmental, Legal and Regulatory Framework for Safety (IAEA Safety Standards Series No. GSR Part 1). These safety standards form a core component of an IRRS review. Other requirements and guidance, such as The Management System for Facilities and Activities (IAEA Safety Standards Series No. GS-R-3) and Radiation Protection and Safety of Radiation Sources

  13. Financial incentives for return of service in underserved areas: a systematic review

    Directory of Open Access Journals (Sweden)

    Bärnighausen Till

    2009-05-01

    Full Text Available Abstract Background In many geographic regions, both in developing and in developed countries, the number of health workers is insufficient to achieve population health goals. Financial incentives for return of service are intended to alleviate health worker shortages: A (future health worker enters into a contract to work for a number of years in an underserved area in exchange for a financial pay-off. Methods We carried out systematic literature searches of PubMed, the Excerpta Medica database, the Cumulative Index to Nursing and Allied Health Literature, and the National Health Services Economic Evaluation Database for studies evaluating outcomes of financial-incentive programs published up to February 2009. To identify articles for review, we combined three search themes (health workers or students, underserved areas, and financial incentives. In the initial search, we identified 10,495 unique articles, 10,302 of which were excluded based on their titles or abstracts. We conducted full-text reviews of the remaining 193 articles and of 26 additional articles identified in reference lists or by colleagues. Forty-three articles were included in the final review. We extracted from these articles information on the financial-incentive programs (name, location, period of operation, objectives, target groups, definition of underserved area, financial incentives and obligation and information on the individual studies (authors, publication dates, types of study outcomes, study design, sample criteria and sample size, data sources, outcome measures and study findings, conclusions, and methodological limitations. We reviewed program results (descriptions of recruitment, retention, and participant satisfaction, program effects (effectiveness in influencing health workers to provide care, to remain, and to be satisfied with work and personal life in underserved areas, and program impacts (effectiveness in influencing health systems and health outcomes

  14. Monetary implications of Surgical Site Infections Health Services: an Integrative Review

    Directory of Open Access Journals (Sweden)

    Suellen Rodrigues de Oliveira Maier

    2015-11-01

    Full Text Available Background and Objective: In order to meet the costs related to the Surgical Site Infection (SSI and that they were linked, this research guided the scientific literature was developed with the following objective: to perform an integrative review of literature related to expenses and costs of surgical site infections, or surgical wound, to health systems. Methods: We selected 11 scientific articles available in electronic databases of the Medical Literature Analysis and Retrieval System Online (MEDLINE, and Latin American Literature on Health Sciences (LILACS, through the portal of the Virtual Health Library (VHL. It is also one of the research methods used in Evidence Based Practice (EBP. Results: It was observed that SAIs are costly to health services, publications in very differ and used methods not specifically describe how the results of the costs were obtained. Conclusion: Thus, other studies adopt an effective and standardized assessment for the collection and calculation of costs are needed to ensure greater reliability of the information obtained. KEYWORDS: Surgical wound infection.Costs and Cost Analysis. Health service.

  15. Influence of service temperature on tribological characteristics of self-lubricant coatings: A review

    Institute of Scientific and Technical Information of China (English)

    Jun-Feng YANG; Yan JIANG; Jens HARDELL; Braham PRAKASH; Qian-Feng FANG

    2013-01-01

    Self-lubricating coatings have been widely used to reduce friction in moving machine assemblies. However, the tribological performance of these coatings is strongly dependent on the service temperature. In this paper, an extensive review pertaining to the influence of operating service temperature on tribological performance of self-lubricating coatings has been carried out. Based on the effective lubricating temperature range, the self-lubricating coatings developed in the past have been divided into three groups: low temperature lubricant coating (from -200℃ to room temperature), moderate temperature lubricant coating (from room temperature to 500℃) and high temperature lubricant coating (〉 500℃). Ideas concerning possible ways to extend the operating temperature range of self-lubricating coatings have been presented as follows: hybridized tribological coating, adaptive tribological coatings, and diffusion rate limited solid lubricant coating, in addition, a new self-lubricating coating formulation for potential application at a wide operating temperature range has been proposed.

  16. Do Interventions that Promote Awareness of Rights Increase Use of Maternity Care Services? A Systematic Review.

    Science.gov (United States)

    George, Asha S; Branchini, Casey; Portela, Anayda

    2015-01-01

    Twenty years after the rights of women to go through pregnancy and childbirth safely were recognized by governments, we assessed the effects of interventions that promote awareness of these rights to increase use of maternity care services. Using inclusion and exclusion criteria defined in a peer-reviewed protocol, we searched published and grey literature from one database of studies on maternal health, two search engines, an internet search and contact with experts. From the 707 unique documents found, 219 made reference to rights, with 22 detailing interventions promoting awareness of rights for maternal and newborn health. Only four of these evaluated effects on health outcomes. While all four interventions promoted awareness of rights, they did so in different ways. Interventions included highly-scripted dissemination meetings with educational materials and other visual aids, participatory approaches that combined raising awareness of rights with improving accountability of services, and broader multi-stakeholder efforts to improve maternal health. Study quality ranged from weak to strong. Measured health outcomes included increased antenatal care and facility birth. Improvements in human rights outcomes such as availability, acceptability, accessibility, quality of care, as well as the capacity of rights holders and duty bearers were also reported to varying extents. Very little information on costs and almost no information on harms or risks were described. Despite searching multiple sources of information, while some studies did report on activities to raise awareness of rights, few detailed how they did so and very few measured effects on health outcomes. Promoting awareness of rights is one element of increasing demand for and use of quality maternity care services for women during pregnancy, birth and after birth. To date efforts have not been well documented in the literature and the program theories, processes and costs, let alone health effects have

  17. A review of the diverse genetic disorders in the Lebanese population: highlighting the urgency for community genetic services

    OpenAIRE

    Nakouzi, Ghunwa; Kreidieh, Khalil; Yazbek, Soha

    2014-01-01

    The review lists the genetic diseases reported in Lebanese individuals, surveys genetic programs and services, and highlights the absence of basic genetic health services at the individual and community level. The incidence of individual diseases is not determined, yet the variety of genetic diseases reported is tremendous, most of which follow autosomal recessive inheritance reflecting the social norms in the population, including high rates of consanguinity, which favor the increase in inci...

  18. Standards of Helicopter Emergency Medical Service (HEMS for Patient Transport in Urban Areas: Review article

    Directory of Open Access Journals (Sweden)

    M Bahrami

    2008-06-01

    Full Text Available Background: Aeromedical transport provides immediate advanced medical treatment for certain critically ill and injured patients, bringing about rapid treatment and decreasing the time of hospitalization. With the great expense of helicopter emergency medical services (HEMS, research and review of experience is conducted to determine areas in which the enforcement of standards will enable the effective and optimal use of HEMS.Methods: We examined peer-reviewed published articles in French, English and Persian journals and medical texts to determine the best use of, and standards for, HEMS.Results: We found that HEMS effectively improves health care in three categories of services: the rapid transportation of medical personnel/equipment to an accident and of patients to the hospital (primary response; meeting road ambulances at an intermediate point coming from a hospital or accident to transport patients to a hospital (secondary response; the planned urgent inter-hospital transfers of critically ill patients for specialized care (tertiary response. HEMS standards have been set for: the flight equipment and crew, the types of emergencies to which HEMS should respond, the optimal length of time for each part of the mission (call out time, response time, on-scene time, transport time, and total rescue time and the affect on patient survival. Some other standards include: algorithms for patient screening, flight heights for different diseases and injuries, rooftop and parking garage helipad at hospital, approach of flight paths and the facility at the touchdown area. HEMS standard medical equipment includes those needed for telemedicine and basic and advanced life support. Standard drugs on board the HEMS vehicle depends on the type of the missions selected for HEMS. The area of medical crew members, as well as their fundamental and the continuing training, also has standards that must be met. The standard scoring system for severity of injury, and

  19. Clinical impact of a pharmacist-led inpatient anticoagulation service: a review of the literature

    Directory of Open Access Journals (Sweden)

    Lee T

    2016-05-01

    Full Text Available Tiffany Lee, Erin Davis, Jason Kielly School of Pharmacy, Memorial University, St John's, NL, Canada Background: Anticoagulant therapies provide management options for potentially life-threatening thromboembolic conditions. They also carry significant safety risks, requiring careful consideration of medication dose, close monitoring, and follow-up. Inpatients are particularly at risk, considering the widespread use of anticoagulants in hospitals. This has prompted the introduction of safety goals for anticoagulants in Canada and the USA, which recommend increased pharmacist involvement to reduce patient harm. The goal of this review is to evaluate the efficacy and safety of pharmacist-led inpatient anticoagulation services compared to usual or physician-managed care. Methods: This narrative review includes articles identified through a literature search of PubMed, Embase, and International Pharmaceutical Abstracts databases, as well as hand searches of the references of relevant articles. Full publications of pharmacist-managed inpatient anticoagulation services were eligible if they were published in English and assessed clinical outcomes. Results: Twenty-six studies were included and further divided into two categories: 1 autonomous pharmacist-managed anticoagulation programs (PMAPs and 2 pharmacist recommendation. Pharmacist management of heparin and warfarin appears to result in improvements in some surrogate outcomes (international normalized ratio [INR] stability and time in INR goal range, while results for others are mixed (time to therapeutic INR, length of stay, and activated partial thromboplastin time [aPTT] measures. There is also some indication that PMAPs may be associated with reduced patient mortality. When direct thrombin inhibitors are managed by pharmacists, there seems to be a shorter time to therapeutic aPTT and a greater percentage of time in the therapeutic range, as well as a decrease in the frequency of medication

  20. A Systematic Literature Review: Workplace Violence Against Emergency Medical Services Personnel

    Science.gov (United States)

    Pourshaikhian, Majid; Abolghasem Gorji, Hassan; Aryankhesal, Aidin; Khorasani-Zavareh, Davood; Barati, Ahmad

    2016-01-01

    Context In spite of the high prevalence and consequences of much workplace violence against emergency medical services personnel, this phenomenon has been given insufficient attention. A systematic review can aid the development of guidelines to reduce violence. Objectives The research question addressed by this paper is, “What are the characteristics and findings of studies on workplace violence against emergency medical services personnel”? Data Sources A systematic literature review was conducted using online databases (PubMed, Scopus, Google Scholar, and Magiran) with the help of experienced librarians. Study Selection Inclusion criteria comprised studies in the English or Persian language and researcher’s access to the full text. There was no limit to the entry of the study design. Exclusion criteria included lack of access to the full text of the article, studies published in unreliable journals or conferences, and studies in which the results were shared with other medical or relief groups and there was no possibility of breaking down the results. Data Extraction A “Data extraction form” was designed by the researchers based on the goals of the study that included the title and author(s), study method (type, place of study, sample size, sampling method, and data collection/analysis tool), printing location, information related to the frequency of types of violence, characteristics of victims /perpetrators, and related factors. Results The papers reviewed utilized a variety of locations and environments, methods, and instrument samplings. The majority of the studies were performed using the quantitative method. No intervention study was found. Most studies focused on the prevalence of violence, and their results indicated that exposure to violence was high. The results are presented in six major themes. Conclusions Workplace violence and injuries incurred from it are extensive throughout the world. The important causes of violence include the

  1. A Systematic Literature Review: Workplace Violence Against Emergency Medical Services Personnel

    Directory of Open Access Journals (Sweden)

    Pourshaikhian

    2016-01-01

    Full Text Available Context In spite of the high prevalence and consequences of much workplace violence against emergency medical services personnel, this phenomenon has been given insufficient attention. A systematic review can aid the development of guidelines to reduce violence. Objectives The research question addressed by this paper is, “What are the characteristics and findings of studies on workplace violence against emergency medical services personnel”? Data Sources A systematic literature review was conducted using online databases (PubMed, Scopus, Google Scholar, and Magiran with the help of experienced librarians. Study Selection Inclusion criteria comprised studies in the English or Persian language and researcher’s access to the full text. There was no limit to the entry of the study design. Exclusion criteria included lack of access to the full text of the article, studies published in unreliable journals or conferences, and studies in which the results were shared with other medical or relief groups and there was no possibility of breaking down the results. Data Extraction A “Data extraction form” was designed by the researchers based on the goals of the study that included the title and author(s, study method (type, place of study, sample size, sampling method, and data collection/analysis tool, printing location, information related to the frequency of types of violence, characteristics of victims /perpetrators, and related factors. Results The papers reviewed utilized a variety of locations and environments, methods, and instrument samplings. The majority of the studies were performed using the quantitative method. No intervention study was found. Most studies focused on the prevalence of violence, and their results indicated that exposure to violence was high. The results are presented in six major themes. Conclusions Workplace violence and injuries incurred from it are extensive throughout the world. The important causes of violence

  2. A Systematic Review of the Effect of Early Interventions for Psychosis on the Usage of Inpatient Services

    OpenAIRE

    Randall, Jason R; Vokey, Sherri; Loewen, Hal; Martens, Patricia J.; Brownell, Marni; Katz, Alan; Nickel, Nathan C; Burland, Elaine; Chateau, Dan

    2015-01-01

    Objectives: To review and synthesize the currently available research on whether early intervention for psychosis programs reduce the use of inpatient services. Methods: A systematic review was conducted using keywords searches on PubMed, Embase (Ovid), PsycINFO (ProQuest), Scopus, CINAHL (EBSCO), Social Work Abstracts (EBSCO), Social Science Citations Index (Web of Science), Sociological Abstracts (ProQuest), and Child Development & Adolescent Studies (EBSCO). To be included, studies had to ...

  3. Integration of antenatal care services with health programmes in low– and middle–income countries: systematic review

    Science.gov (United States)

    de Jongh, Thyra E; Gurol–Urganci, Ipek; Allen, Elizabeth; Zhu, Nina Jiayue; Atun, Rifat

    2016-01-01

    Background Antenatal care (ANC) presents a potentially valuable platform for integrated delivery of additional health services for pregnant women–services that are vital to reduce the persistently high rates of maternal and neonatal mortality in low– and middle–income countries (LMICs). However, there is limited evidence on the impact of integrating health services with ANC to guide policy. This review assesses the impact of integration of postnatal and other health services with ANC on health services uptake and utilisation, health outcomes and user experience of care in LMICs. Methods Cochrane Library, MEDLINE, Embase, CINAHL Plus, POPLINE and Global Health were searched for studies that compared integrated models for delivery of postnatal and other health services with ANC to non–integrated models. Risk of bias of included studies was assessed using the Cochrane Effective Practice and Organisation of Care (EPOC) criteria and the Newcastle–Ottawa Scale, depending on the study design. Due to high heterogeneity no meta–analysis could be conducted. Results are presented narratively. Findings 12 studies were included in the review. Limited evidence, with moderate– to high–risk of bias, suggests that integrated service delivery results in improved uptake of essential health services for women, earlier initiation of treatment, and better health outcomes. Women also reported improved satisfaction with integrated services. Conclusions The reported evidence is largely based on non–randomised studies with poor generalizability, and therefore offers very limited policy guidance. More rigorously conducted and geographically diverse studies are needed to better ascertain and quantify the health and economic benefits of integrating health services with ANC.

  4. Alberta's transmission development policy : review and recommendations

    International Nuclear Information System (INIS)

    Alberta's Department of Energy (ADOE) released a policy paper in November 2003 regarding power transmission development for the province. The transmission development policy (TDP) is intended to promote economic growth in Alberta while ensuring consumers with reliable, reasonably priced electricity. This presentation reviewed the main features of the policy and then focused on the allocation of costs to generation customers. The author argued that the proposed changes would result in a sub-optimal development of generation and higher total electricity bills for consumers. He argued that the policy will spare generation customers of any obligation to pay wire-related costs other than local interconnection costs. This would weaken a long-standing ADOE policy which requires generators to pay costs that depend on their location on the transmission system. With the new proposal, generators would not be responsible for ancillary service costs even when they provide direct benefits, and they would pay for system losses on a zonal basis. The author recommended that location charges should be large enough to influence the siting decisions of generators. He also recommended that generators should pay their fare share of transmission use-of-system charges, including ancillary services that provide benefits to generators in the form of a stable, reliable transmission system. 2 tabs., 2 figs

  5. 45 CFR 1355.31 - Elements of the child and family services review system.

    Science.gov (United States)

    2010-10-01

    ... OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD AND FAMILY SERVICES... 45 Public Welfare 4 2010-10-01 2010-10-01 false Elements of the child and family services...

  6. Benthic macrofauna and ancillary data for San Francisco Bay, California, March to November 1987

    Science.gov (United States)

    Schemel, Laurence E.; Ota, Allan Y.; Harmon, J.G.; Shay, J.M.; Adorado, R.N.

    1988-01-01

    Benthic macrofauna and ancillary data were collected during 1987 as part of the U.S. Geological Survey Regional Effects Monitoring Program in San Francisco Bay, California. Data were collected during five cruises at 2-month intervals from March through November. Benthic macrofauna for identification of species and sediment for size analysis were sampled at eight stations. Ancillary data, which consisted of salinity, temperature, dissolved-oxygen concentrations, and suspended sediment, were collected at 12 stations. Salinity and temperature were measured at three stations that coincided with continuous water quality monitors. Abundances and geographical distributions of a newly introduced species of clam were measured. (USGS)

  7. A Review on Learning Styles and Critically Thinking Disposition of Pre-Service Science Teachers in Terms of Miscellaneous Variables

    Science.gov (United States)

    Yenice, Nilgun

    2012-01-01

    The present study was carried out in order to review learning styles and critical thinking disposition of pre-service science teachers in terms of sex, grade and age, and to address the relationship between their learning styles and critical thinking disposition. It used Kolb's Inventory of Learning Styles and California Scale of Critical Thinking…

  8. Implementation factors and their effect on e-Health service adoption in rural communities : a systematic literature review

    NARCIS (Netherlands)

    Hage, M.L.; Roo, J.P.; van Offenbeek, M.A.G.; Boonstra, A.

    2013-01-01

    Background: An ageing population is seen as a threat to the quality of life and health in rural communities, and it is often assumed that e-Health services can address this issue. As successful e-Health implementation in organizations has proven difficult, this systematic literature review considers

  9. Factors that promote and hinder joint and integrated working between health and social care services: a review of research literature.

    Science.gov (United States)

    Cameron, Ailsa; Lart, Rachel; Bostock, Lisa; Coomber, Caroline

    2014-05-01

    This article reports the results of a review of the research evidence related to joint working in the field of adult health and social care services in the UK. It explores whether recent reforms to joint working have met the objectives set by policy-makers. The review followed an established methodology: electronic databases were searched using predetermined terms, abstracts were screened against inclusion criteria, studies that met the criteria were read in full and assessed for inclusion and data were extracted systematically. The findings of the review suggest that there is some indication that recent developments, in particular the drive to greater integration of services, may have positive benefits for organisations as well as for users and carers of services. However, the evidence consistently reports a lack of understanding about the aims and objectives of integration, suggesting that more work needs to be done if the full potential of the renewed policy agenda on integration is to be realised. Additionally, while the review acknowledges that greater emphasis has been placed on evaluating the outcome of joint working, studies largely report small-scale evaluations of local initiatives and few are comparative in design and therefore differences between 'usual care' and integrated care are not assessed. This makes it difficult to draw firm conclusions about the effectiveness of UK-based integrated health and social care services. PMID:23750908

  10. 75 FR 2144 - Public Buildings Service; Submission for OMB Review; Art-in-Architecture Program National Artist...

    Science.gov (United States)

    2010-01-14

    ... comments was published in the Federal Register at 74 FR 31278, on June 30, 2009. No comments were received... works of art that are an integral part of the building's architecture and adjacent landscape was... ADMINISTRATION Public Buildings Service; Submission for OMB Review; Art-in- Architecture Program National...

  11. Engine Tune-Up Service. Unit 1: Battery and Cranking System. Review Exercise Book. Automotive Mechanics Curriculum.

    Science.gov (United States)

    Goodson-Roberts, Ludy; And Others

    This book of pretests and review exercises is designed to accompany the Engine Tune-Up Service Student Guide for Unit 1, Battery and Cranking System. Focus of the exercises and pretests is testing the battery and cranking system. Pretests and performance checklists are provided for each of the four performance objectives contained in the unit.…

  12. Partition of some key regulating services in terrestrial ecosystems: Meta-analysis and review.

    Science.gov (United States)

    Viglizzo, E F; Jobbágy, E G; Ricard, M F; Paruelo, J M

    2016-08-15

    Our knowledge about the functional foundations of ecosystem service (ES) provision is still limited and more research is needed to elucidate key functional mechanisms. Using a simplified eco-hydrological scheme, in this work we analyzed how land-use decisions modify the partition of some essential regulatory ES by altering basic relationships between biomass stocks and water flows. A comprehensive meta-analysis and review was conducted based on global, regional and local data from peer-reviewed publications. We analyzed five datasets comprising 1348 studies and 3948 records on precipitation (PPT), aboveground biomass (AGB), AGB change, evapotranspiration (ET), water yield (WY), WY change, runoff (R) and infiltration (I). The conceptual framework was focused on ES that are associated with the ecological functions (e.g., intermediate ES) of ET, WY, R and I. ES included soil protection, carbon sequestration, local climate regulation, water-flow regulation and water recharge. To address the problem of data normality, the analysis included both parametric and non-parametric regression analysis. Results demonstrate that PPT is a first-order biophysical factor that controls ES release at the broader scales. At decreasing scales, ES are partitioned as result of PPT interactions with other biophysical and anthropogenic factors. At intermediate scales, land-use change interacts with PPT modifying ES partition as it the case of afforestation in dry regions, where ET and climate regulation may be enhanced at the expense of R and water-flow regulation. At smaller scales, site-specific conditions such as topography interact with PPT and AGB displaying different ES partition formats. The probable implications of future land-use and climate change on some key ES production and partition are discussed. PMID:27096628

  13. Service user involvement in pre-registration mental health nurse education classroom settings: a review of the literature.

    Science.gov (United States)

    Terry, J

    2012-11-01

    Service user involvement in pre-registration nurse education is now a requirement, yet little is known about how students engage with users in the classroom, how such initiatives are being evaluated, how service users are prepared themselves to teach students, or the potential influence on clinical practice. The aim of this literature review was to bring together published articles on service user involvement in classroom settings in pre-registration mental health nurse education programmes, including their evaluations. A comprehensive review of the literature was carried out via computer search engines and the Internet, as well as a hand search of pertinent journals and references. This produced eight papers that fitted the inclusion criteria, comprising four empirical studies and four review articles, which were then reviewed using a seven-item checklist. The articles revealed a range of teaching and learning strategies had been employed, ranging from exposure to users' personal stories, to students being required to demonstrate awareness of user perspectives in case study presentations, with others involving eLearning and assessment skills initiatives. This review concludes that further longitudinal research is needed to establish the influence of user involvement in the classroom over time. PMID:22296494

  14. A Systematic Review of the Effects of Continuing Education Programs on Providing Clinical Community Pharmacy Services.

    Science.gov (United States)

    Obreli-Neto, Paulo Roque; Marques Dos Reis, Tiago; Guidoni, Camilo Molino; Girotto, Edmarlon; Guerra, Marisabelle Lima; de Oliveira Baldoni, André; Leira Pereira, Leonardo Régis

    2016-06-25

    Objective. To summarize the effects of media methods used in continuing education (CE) programs on providing clinical community pharmacy services and the methods used to evaluate the effectiveness of these programs. Methods. A systematic review was performed using Medline, SciELO, and Scopus databases. The timeline of the search was 1990 to 2013. Searches were conducted in English, Portuguese, and Spanish. Results. Nineteen articles of 3990 were included. Fourteen studies used only one media method, and the live method (n=11) was the most frequent (alone or in combination). Only two studies found that the CE program was ineffective or partially effective; these studies used only the live method. Most studies used nonrobust, nonvalidated, and nonstandardized methods to measure effectiveness. The majority of studies focused on the effect of the CE program on modifying the knowledge and skills of the pharmacists. One study assessed the CE program's benefits to patients or clients. Conclusion. No evidence was obtained regarding which media methods are the most effective. Robust and validated methods, as well as assessment standardization, are required to clearly determine whether a particular media method is effective. PMID:27402991

  15. Impact of Market Behavior, Fleet Composition, and Ancillary Services on Revenue Sufficiency

    Energy Technology Data Exchange (ETDEWEB)

    Frew, Bethany

    2016-04-26

    This presentation provides an overview of new and ongoing NREL research that aims to improve our understanding of reliability and revenue sufficiency challenges through modeling tools within a markets framework.

  16. Attribution mechanisms for ancillary service costs induced by variability in power delivery

    DEFF Research Database (Denmark)

    Bona, Francesca; Gast, Nicolas; Le Boudec, Jean-Yves;

    2016-01-01

    The increased penetration of renewable energy sources in existing power systems has led to necessary developments in electricity market mechanisms. Most importantly, renewable energy generation is increasingly made accountable for deviations between scheduled and actual energy generation. However...

  17. A review of factors associated with the utilization of healthcare services and strategies for improving postpartum care in Africa

    Directory of Open Access Journals (Sweden)

    Yugbare Belemsaga Danielle

    2015-12-01

    Full Text Available Reducing maternal mortality continues to be a major challenge for African countries. We conducted a literature review to identify the factors associated with the utilization of maternal and child healthcare services during the postpartum period and the strategies for strengthening postpartum healthcare in Africa. We carried out an electronic search in several databases of texts published between 1995 and 2012 related to maternal and child health. Seventy-five publications fitted the eligibility criteria. Our analysis shows that to a large extent the socio-economic context was dominant among the factors associated with the quality and utilization of postpartum services. The best interventions were those on immediate postpartum maternal care combining several intervention packages such as community mobilization and provision of services, community outreach services and health training. The integration within health facilities of mother and child clinics was shown to contribute significantly to improving the frequency of mothers’ postpartum visits.

  18. Experiences of teaching-service integration in the process of professional development in health: an integrative review

    Directory of Open Access Journals (Sweden)

    Laura Cavalcanti de Farias Brehmer

    2014-03-01

    Full Text Available The present study addresses the theme of teaching-service interaction in the process of professional development in health. The objective was to characterize, in scientific studies indexed on databases, the advancements and challenges of teaching-service integration in the process of professional development in health. An integrative literature review was performed by searching articles published between 2005 and 2013 in journals indexed in databases of the Virtual Health Library. The final sample was comprised of 18 publications. The teaching-service integration experiences promote advancements in improving the connection between universities and health institutions, reorganizing teaching and health care and regarding permanent education. Nevertheless, several challenges must be overcome, particularly in sharing goals and in improving relationships based on dialogue. Descriptors: Teaching Care Integration Services; Staff Development; Education, Higher.

  19. Integration of Chiropractic Services in Military and Veteran Health Care Facilities: A Systematic Review of the Literature.

    Science.gov (United States)

    Green, Bart N; Johnson, Claire D; Daniels, Clinton J; Napuli, Jason G; Gliedt, Jordan A; Paris, David J

    2016-04-01

    This literature review examined studies that described practice, utilization, and policy of chiropractic services within military and veteran health care environments. A systematic search of Medline, CINAHL, and Index to Chiropractic Literature was performed from inception through April 2015. Thirty articles met inclusion criteria. Studies reporting utilization and policy show that chiropractic services are successfully implemented in various military and veteran health care settings and that integration varies by facility. Doctors of chiropractic that are integrated within military and veteran health care facilities manage common neurological, musculoskeletal, and other conditions; severe injuries obtained in combat; complex cases; and cases that include psychosocial factors. Chiropractors collaboratively manage patients with other providers and focus on reducing morbidity for veterans and rehabilitating military service members to full duty status. Patient satisfaction with chiropractic services is high. Preliminary findings show that chiropractic management of common conditions shows significant improvement. PMID:26677851

  20. Photovoltaic conference on system services

    International Nuclear Information System (INIS)

    The French-German office for Renewable energies (OFAEnR) organised a photovoltaic conference on system services and photovoltaic facilities. In the framework of this French-German exchange of experience, about 100 participants have analysed and discussed the regulatory, technical and economical context of system services, their evolution and implementation in the framework of an accelerated development of photovoltaic conversion in both countries. This document brings together the available presentations (slides) made during this event: 1 - Technical Introduction to system services: principles, actors and perspectives (Karsten Burges); 2 - Legal guidelines of EEG (Renewable energy Sources Act) and the System Stability Ordinance as well as future measures for PV grid integration (Karin Freier); 3 - evolution of ancillary services regulation; opening the possibility for new market players to participate in maintaining the system stability (Jeremy Vincent, Marie Montigny); 4 - Paradigm shift for ancillary services: PV as a new stakeholder (Bernd Engel); 5 - Challenges of RES integration (Wilhelm Konstanciak 6 - System services supplied by PV inverters, solutions for frequency and active/reactive power control at the injection point (Georges Makdessi); 7 - Grid disturbance abatement and voltage stability control by monitoring local scale PV production (Adrien Acres); 8 - Flexibly Adaptable Power Plant Controller - The Answer to Various Grid Requirements (Torsten Schlaaff); 9 - ENR-pool project: What kind of business model for ancillary services by PV power plants? (Christophe Defaix)

  1. Regulatory issues associated with closure of the Hanford AX Tank Farm ancillary equipment

    International Nuclear Information System (INIS)

    Liquid mixed, high-level radioactive waste has been stored in underground single-shell tanks at the US Department of Energy's (DOE's) Hanford Site. After retrieval of the waste from the single-shell tanks, the DOE will proceed with closure of the tank farm. The 241-AX Tank Farm includes four one-million gallon single-shell tanks in addition to sluice lines, transfer lines, ventilation headers, risers, pits, cribs, catch tanks, buildings, well and associated buried piping. This equipment is classified as ancillary equipment. This document addresses the requirements for regulatory close of the ancillary equipment in the Hanford Site 241-AX Tank Farm. The options identified for physical closure of the ancillary equipment include disposal in place, disposal in place after treatment, excavation and disposal on site in an empty single-shell tank, and excavation and disposal outside the AX Tank Farm. The document addresses the background of the Hanford Site and ancillary equipment in the AX Tank Farm, regulations for decontamination and decommissioning of radioactively contaminated equipment, requirements for the cleanup and disposal of radioactive wastes, cleanup and disposal requirements governing hazardous and mixed waste, and regulatory requirements and issues associated with each of the four physical closure options. This investigation was conducted by the Sandia National Laboratories, Albuquerque, New Mexico, during Fiscal Year 1998 for the Hanford Tanks Initiative Project

  2. Regulatory issues associated with closure of the Hanford AX Tank Farm ancillary equipment

    Energy Technology Data Exchange (ETDEWEB)

    Becker, D.L.

    1998-09-02

    Liquid mixed, high-level radioactive waste has been stored in underground single-shell tanks at the US Department of Energy`s (DOE`s) Hanford Site. After retrieval of the waste from the single-shell tanks, the DOE will proceed with closure of the tank farm. The 241-AX Tank Farm includes four one-million gallon single-shell tanks in addition to sluice lines, transfer lines, ventilation headers, risers, pits, cribs, catch tanks, buildings, well and associated buried piping. This equipment is classified as ancillary equipment. This document addresses the requirements for regulatory close of the ancillary equipment in the Hanford Site 241-AX Tank Farm. The options identified for physical closure of the ancillary equipment include disposal in place, disposal in place after treatment, excavation and disposal on site in an empty single-shell tank, and excavation and disposal outside the AX Tank Farm. The document addresses the background of the Hanford Site and ancillary equipment in the AX Tank Farm, regulations for decontamination and decommissioning of radioactively contaminated equipment, requirements for the cleanup and disposal of radioactive wastes, cleanup and disposal requirements governing hazardous and mixed waste, and regulatory requirements and issues associated with each of the four physical closure options. This investigation was conducted by the Sandia National Laboratories, Albuquerque, New Mexico, during Fiscal Year 1998 for the Hanford Tanks Initiative Project.

  3. Improving the Quality of Ability Estimates through Multidimensional Scoring and Incorporation of Ancillary Variables

    Science.gov (United States)

    de la Torre, Jimmy

    2009-01-01

    For one reason or another, various sources of information, namely, ancillary variables and correlational structure of the latent abilities, which are usually available in most testing situations, are ignored in ability estimation. A general model that incorporates these sources of information is proposed in this article. The model has a general…

  4. Ancillary Frequency Control of Direct Drive Full-Scale Converter Based Wind Power Plants

    DEFF Research Database (Denmark)

    Hu, Weihao; Su, Chi; Fang, Jiakun; Chen, Zhe; Hu, Yanting

    2013-01-01

    This paper presents a simulation model of a wind power plant based on a MW-level variable speed wind turbine with a full-scale back-to-back power converter developed in the simulation tool of DIgSILENT Power Factory. Three different kinds of ancillary frequency control strategies, namely inertia...

  5. A review of the diverse genetic disorders in the Lebanese population: highlighting the urgency for community genetic services.

    Science.gov (United States)

    Nakouzi, Ghunwa; Kreidieh, Khalil; Yazbek, Soha

    2015-01-01

    The review lists the genetic diseases reported in Lebanese individuals, surveys genetic programs and services, and highlights the absence of basic genetic health services at the individual and community level. The incidence of individual diseases is not determined, yet the variety of genetic diseases reported is tremendous, most of which follow autosomal recessive inheritance reflecting the social norms in the population, including high rates of consanguinity, which favor the increase in incidence of these diseases. Genetic services including all activities for the diagnosis, care, and prevention of genetic diseases at community level are extremely inadequate. Services are limited to some clinical and laboratory diagnostic services with no genetic counseling. These services are localized within the capital thus preventing their accessibility to high-risk communities. Screening programs, which are at the core of public health prevention services, are minimal and not nationally mandated. The absence of adequate genetic services is attributed to many factors undermining the importance of genetic diseases and their burden on society, the most important of which is genetic illiteracy at all levels of the population, including high-risk families, the general public, and most importantly health care providers and public health officials. Thus, a country like Lebanon, where genetic diseases are expected to be highly prevalent, is in utmost need for community genetics services. Strategies need to be developed to familiarize public health officials and medical professionals with medical genetics leading to a public health infrastructure that delivers community genetics services for the prevention and care of genetic disorders at community level. PMID:25261319

  6. A Review of Key Factors Affecting the Adoption of Self-Service Technologies in Tourism.

    OpenAIRE

    Kelly, Petranka; Lawlor, Jennifer; Mulvey, Michael

    2010-01-01

    During the past ten years self-service technologies (SSTs) have attracted research attention especially in the banking, retail and airline sectors. The infusion of technology in the service encounter has been identified as being advantageous to both the service provider and the consumer. Service provider companies may reduce costs, increase consumer satisfaction and tap into new markets which have been made accessible via the Internet. From a consumer’s point of view, SSTs can save money and ...

  7. 服务管理综述%Review of Web Service Management

    Institute of Scientific and Technical Information of China (English)

    窦郁宏; 陈松乔

    2003-01-01

    With the evolution of network and communication technology,Web service management has been a hot topic for the last couple of years. Firstly this paper introduces the background and development of two concepts: Webservice and Web service management. Based on the overview of service management,such as architectures,frames,models,functions ,etc ,we integrate the universal architecture of web service management. In addition,this paper introduces the corresponding protocol or standard on its every layer.

  8. Review and Evaluate the Citizens' Satisfaction with the Quality of E-Service in Raja Passenger Trains Company

    Directory of Open Access Journals (Sweden)

    H. R. MirAli

    2013-11-01

    Full Text Available In this research, by using E-Quall formula, citizens' satisfaction with the quality of e-service in Raja Passenger Trains Company will be examined. In this study, the main question is issued, whether the citizens who have used of the e-service Raja Passenger Trains Company, are satisfied of this service or not? And it offers assumptions basis on the usability of e-services, Quality information website, interaction of Web services of Raja Passenger Trains Co is satisfactory or not? It has tried to identify and prioritize the factors affecting upon citizens' satisfaction. This study was conducted in two general stages of the tool. In the first stage, by reviewing the documents and records of Raja Company, and in the second stage by distributing the questioner among users and consumers, it specified the important and priority of affecting factors upon citizens' satisfaction of the quality of e-service Raja Passenger Train Company through paired T-test analysis and comparison of averages. The results showed that 69% of users of usability and 85% of users of data quality and 92% of users of interact with website e-service of Raja Passenger Trains Co. were satisfied. Therefore, some proposals were presented to improve the assumptions indicators.

  9. Marketing Industrial Project-Related Services: A Literature Review and Theoretical Synthesis

    DEFF Research Database (Denmark)

    Skaates, Maria Anne; Cova, Bernard

    2002-01-01

    this issue, project marketing and concepts key to the project marketing literature are briefly defined in Section 1 of this paper. Therefore, project-related services are delineated, and key service marketing contributions are presented in Section 2. Subsequently, in Section 3, the contributions...... that specifically deal with project-related services are listed as the result of a study of the English-, French-, German, Italian-, and 'Nordic'-language academic literature. They are then assessed in relation to services versus project marketing theory. The analysis shows that the project marketing concepts...... introduced in Section 1 better capture key aspects of marketing project-related services than do the service marekting concepts of Section 2. However, the analysis also suggests that practitioners should adapt a pluralist approach in their marketing of project-related services. Building on this, the final...

  10. Improving Reliability of Service Operation Using FMEA Review and New Opportunity for Investigations

    Science.gov (United States)

    Sutrisno, Agung; Gunawan, Indra

    2016-01-01

    Despite its growing contribution to the global economy, investigation on the application status of service FMEA study to support realization of reliable service operation is very limited in literature. Motivated by such situation, the paper presented an initial survey on the status and research gaps in developing and applying FMEA in service sectors. Systematic preliminary survey using specific criteria are undertaken. Our study indicated that development and application of service FMEA are partially addressing the characteristics of service operations and it is still applied into the good deed and profit oriented operations. Opportunities for further investigation pertaining to advancement of its decision supporting tool for service risk appraisal, its modification to cope with sustainability related requirements and application of service FMEA in not for profit oriented operations are presented as new avenues for further investigation

  11. A review of official data obtained from dog control records generated by the dog control service of county cork, Ireland during 2007

    OpenAIRE

    O’Sullivan Edmond N; Hanlon Alison J

    2012-01-01

    Abstract Background There are no peer reviewed data on dog control records from an official agency in Ireland. In order to address this, a total of 2,669 official dog control service records generated during 2007 by Cork County Council dog control service were reviewed. Results Over 70 percent of records related to unwanted dogs and dogs not under their owners control. Stray dogs were collected by the service regularly throughout the year but with notable increase in voluntary surrenders by o...

  12. Cost-benefit analysis of drug treatment services: review of the literature*

    Science.gov (United States)

    Cartwright, William S.

    2000-03-01

    BACKGROUND: How valuable is public investment in treatment for drug abuse and dependency in the real world of everyday practice? Does drug abuse treatment provide benefits and how are they valued? What are the costs of obtaining outcomes and benefits? Cost-benefit analysis attempts to answer these questions in a standard analytic framework. AIMS: This paper reviews cost-benefit analyses with scientific merit so that analysts will have a current picture of the state of the research. It will also give public decision-makers information with regards to the available evidence for policy purposes. METHOD: Bibliographic searches were performed. Studies were obtained through the assistance of the Parklawn Health Library system, a component of the US Public Health Service. Selected studies were from the scientific literature with the exception of eight studies published as governmental reports. RESULTS: Cost-benefit studies have fallen into the following categories: (i) planning models for delivery systems in states and cities; (ii) short-term follow-up studies of individuals, (iii) single individual programs and (iv) state system's monitoring of outcomes. In 18 cost-benefit studies, a persistent finding is that benefits exceed costs, even when not all benefits are accounted for in the analysis. Much variation is found in the implementation of cost-benefit methods, and this is detailed across discussions of effectiveness, benefits and costs. Studies have emphasized the cost savings to society from the reduction in external costs created by the behavioral consequences of addiction and drug use. DISCUSSION: Economic analysis of drug treatment requires sophisticated conceptualization and measurement. Cost-benefit analysis of drug treatment has been a significant analytical exercise since the early 1970s when the public drug treatment system was founded in the United States. CONCLUSION: Drug abuse treatment services may be considered as contributing positive economic returns

  13. Transition between process models (BPMN and service models (WS-BPEL and other standards: A systematic review

    Directory of Open Access Journals (Sweden)

    Marko Jurišić

    2011-12-01

    Full Text Available BPMN and BPEL have become de facto standards for modeling of business processes and imple-mentation of business processes via Web services. There is a quintessential problem of discrep-ancy between these two approaches as they are applied in different phases of lifecycle and theirfundamental concepts are different — BPMN is a graph based language while BPEL is basicallya block-based programming language. This paper shows basic concepts and gives an overviewof research and ideas which emerged during last two years, presents state of the art and possiblefuture research directions. Systematic literature review was performed and critical review wasgiven regarding the potential of the given solutions.

  14. Building effective service linkages in primary mental health care: a narrative review part 2

    OpenAIRE

    Parker Sharon; Holdsworth Louise; Perkins David; Fuller Jeffrey D; Kelly Brian; Roberts Russell; Martinez Lee; Fragar Lyn

    2011-01-01

    Abstract Background Primary care services have not generally been effective in meeting mental health care needs. There is evidence that collaboration between primary care and specialist mental health services can improve clinical and organisational outcomes. It is not clear however what factors enable or hinder effective collaboration. The objective of this study was to examine the factors that enable effective collaboration between specialist mental health services and primary mental health ...

  15. Mesenteric vascular occlusion: Comparison of ancillary CT findings between arterial and venous occlusions and independent CT findings suggesting life-threatening events

    International Nuclear Information System (INIS)

    To compare the ancillary CT findings between superior mesenteric artery thromboembolism (SMAT) and superior mesenteric vein thrombosis (SMVT), and to determine the independent CT findings of life-threatening mesenteric occlusion. Our study was approved by the institution review board. We included 43 patients (21 SMAT and 22 SMVT between 1999 and 2008) of their median age of 60.0 years, and retrospectively analyzed their CT scans. Medical records were reviewed for demographics, management, surgical pathology diagnosis, and outcome. We compared CT findings between SMAT and SMVT groups. Multivariate analysis was conducted to determine the independent CT findings of life-threatening mesenteric occlusion. Of 43 patients, 24 had life-threatening mesenteric occlusion. Death related to mesenteric occlusion was 32.6%. A thick bowel wall (p < 0.001), mesenteric edema (p < 0.001), and ascites (p = 0.009) were more frequently associated with SMVT, whereas diminished bowel enhancement (p = 0.003) and paralytic ileus (p = 0.039) were more frequent in SMAT. Diminished bowel enhancement (OR = 20; p = 0.007) and paralytic ileus (OR = 16; p = 0.033) were independent findings suggesting life-threatening mesenteric occlusion. The ancillary CT findings occur with different frequencies in SMAT and SMVT. However, the independent findings indicating life-threatening mesenteric occlusion are diminished bowel wall enhancement and paralytic ileus.

  16. 75 FR 51168 - Members of Senior Executive Service Performance Review Boards

    Science.gov (United States)

    2010-08-18

    .... Milholland, Chief Technology Officer Katherine M. Miller, Associate CIO, Applications Development (MITS) Debra L. Nelson, Director, Management Services (MITS) Nina E. Olson, National Taxpayer Adovcate Orland...

  17. 77 FR 50545 - Members of Senior Executive Service Performance Review Boards

    Science.gov (United States)

    2012-08-21

    ... Officer/Chief Information Officer (IT) Katherine M. Miller, Associate CIO, Applications Development (IT) Debra L. Nelson, Director, Management Services (IT) Nina E. Olson, National Taxpayer Advocate...

  18. Achieving research impact through co-creation in community-based health services: literature review and case study

    OpenAIRE

    Greenhalgh, PM; Jackson, C.; Shaw, S; Janaiman, T

    2016-01-01

    Context Co-creation – collaborative knowledge generation by academics working alongside other stakeholders – reflects a ‘Mode 2’ relationship (knowledge production rather than knowledge translation) between universities and society. Co-creation is widely believed to increase research impact. Methods We undertook a narrative review of different models of co-creation relevant to community-based health services. We contrasted their diverse disciplinary roots and highlighted their commo...

  19. The Effectiveness of Service Delivery Initiatives at Improving Patients’ Waiting Times in Clinical Radiology Departments: A Systematic Review

    OpenAIRE

    Olisemeke, B.; Chen, Y F; Hemming, K.; Girling, A

    2014-01-01

    We reviewed the literature for the impact of service delivery initiatives (SDIs) on patients’ waiting times within radiology departments. We searched MEDLINE, EMBASE, CINAHL, INSPEC and The Cochrane Library for relevant articles published between 1995 and February, 2013. The Cochrane EPOC risk of bias tool was used to assess the risk of bias on studies that met specified design criteria. Fifty-seven studies met the inclusion criteria. The types of SDI implemented included extended scope pract...

  20. Literature review of the passenger airline business models: Full service carrier, low-cost carrier and charter airlines

    OpenAIRE

    Carmona Benitez, R.B.; Lodewijks, G.

    2008-01-01

    The deregulation and liberalization of the air transportation industry have developed three main passenger business models: full service carriers, low-cost carriers, and charter airlines. Deregulation removed regulated fares and routes increasing competition and yields. Airlines business models main objectives are to minimize operation costs and fares, and to maximize profits based on cost leadership, differentiation and focus strategy. This paper presents a literature review about airline bu...

  1. The Components of Early Intervention Services for Families Living in Poverty: A Review of the Literature

    Science.gov (United States)

    Corr, Catherine; Santos, Rosa Milagros; Fowler, Susan A.

    2016-01-01

    The Individuals With Disabilities Education Act mandates that very young children with disabilities be served through Part C services. Families of young children with disabilities who are also living in poverty are often the primary recipients of these services. To better understand the experiences of families, particularly those living in…

  2. Lao PDR - Civil Service Pay and Compensation Review : Attracting and Motivating Civil Servants

    OpenAIRE

    World Bank

    2010-01-01

    Lao PDR is at a point on its development trajectory where strategic attention to administrative performance is crucial. An efficient and high-performing civil service, with the compensation and human resource management systems to attract and motivate qualified personnel, will be essential to Lao PDR's development efforts. The ministerial-level Public Administration and Civil Service Autho...

  3. 77 FR 50138 - Submission for OMB Review; Comment Request: Collection of Customer Service, Demographic, and...

    Science.gov (United States)

    2012-08-20

    ... three customer service and twelve demographic questions (age, sex, race, ethnicity, education, household... Customer Service, Demographic, and Smoking/Tobacco Use Information From the National Cancer Institute's... in the Federal Register on May 24, 2012 (77 FR 31028) and allowed 60-days for public comment....

  4. 75 FR 21716 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance...

    Science.gov (United States)

    2010-04-26

    ...; Airline Service Quality Performance--Part 234 AGENCY: Research and Innovative Technology Administration... INFORMATION CONTACT: Bernie Stankus, Office of Airline Information, RTS-42, Room E36-303, RITA, BTS, 1200 New... and returned. SUPPLEMENTARY INFORMATION: OMB Approval No. 2138-0041. Title: Airline Service...

  5. Solitary Tracheobronchial Papilloma: Cytomorphology and ancillary studies with histologic correlation

    Directory of Open Access Journals (Sweden)

    Tee U Lang

    2011-01-01

    Full Text Available Solitary tracheobronchial papilloma (STBP is a rare benign tumor that primarily involves the tracheobronchial tree. Human papilloma virus (HPV infection is associated with dysplasia and a high risk of carcinoma in these lesions. The cytomorphology of STBP is not well established in the literature. Our aim is to characterize the cytomorphologic features of STBP, with histologic correlation in a series of 6 patients - 4 males and 2 females - with a mean age of 67 years (range, 53-88 years. There were 5 biopsy-proven squamous papillomas and 1 glandular papilloma. On surgical biopsy, squamous papillomas exhibited cytological atypia (4 graded mild and 1 graded moderate with focal severe dysplasia, surface erosion, and inflammation. Cytology specimens available for review included a combination of 4 fine-needle aspirations (FNAs, 2 bronchoalveolar lavages and 2 (of 3 bronchial brushings. Cytologic findings associated with squamous papillomas included atypical squamous cells and rare squamous cell resembling koilocyte in 1 bronchial brushing. Sheets of squamous cells were identified in another specimen. Several cases had a prominent background of acute inflammation, and candida was present in 1 specimen. HPV in-situ hybridization was positive in 1 case and negative in 2 cases. A p16 immunocytochemical stain performed on 1 cell block was negative. In conclusion, although STBP is a rare neoplasm, these cases may be encountered in respiratory cytology samples. FNA of papillomas yields fewer lesional cells compared to exfoliative samples. These lesions may be mistaken in cytology specimens for squamous cell carcinoma, squamous-lined cavitary lesions, an infectious (fungal process, reactive squamous metaplasia, or oral contamination.

  6. Report of the IPERS (International Peer Review Service) pre-review mission for the Cernavoda nuclear power plant probabilistic safety evaluation (CPSE - PHASE B) in Romania 31 October to 3 November 1994

    International Nuclear Information System (INIS)

    This report presents the results of the IAEA international peer review services pre-review mission which reviewed the status of the present version of the Cernavoda probabilistic safety evaluation, a Level 1 internal events Probabilistic Safety Assessment for the Cernavoda, Unit 1, nuclear power plant. 2 refs

  7. Report of the IPERS (International Peer Review Service) review mission for the Cernavoda nuclear power plant probabilistic safety evaluation (CPSE -PHASE B) in Romania 3 to 14 July 1995

    International Nuclear Information System (INIS)

    This report presents the results of the IAEA International Peer Review Services review of the internal events Level 1 probabilistic safety assessment (PSA) for the Cernavoda, Unit 1 NPP. The review was based on the PSA documentation available and on intensive communications with the analysis team and representatives from the utility and the plant operator. 7 refs, figs, tabs

  8. Constitutional limits on federal legislation practically compelling medical employment: Wong v Commonwealth; Selim v Professional Services Review Committee.

    Science.gov (United States)

    Faunce, Thomas

    2009-10-01

    A recent decision by the High Court of Australia (Wong v Commonwealth; Selim v Professional Services Review Committee (2009) 236 CLR 573) (the PSR case) has not only clarified the scope of the Australian constitutional prohibition on "any form of civil conscription" in relation to federal legislation concerning medical or dental services (s 51xxiiiA), but has highlighted its importance as a great constitutional guarantee ensuring the mixed State-federal and public-private nature of medical service delivery in Australia. Previous decisions of the High Court have clarified that the prohibition does not prevent federal laws regulating the manner in which medical services are provided. The PSR case determined that the anti-overservicing provisions directed at bulk-billing general practitioners under Pt VAA of the Health Insurance Act 1973 (Cth) did not offend the prohibition. Importantly, the High Court also indicated that the s 51(xxiiiA) civil conscription guarantee should be construed widely and that it would invalidate federal laws requiring providers of medical and dental services (either expressly or by practical compulsion) to work for the federal government or any specified State, agency or private industrial employer. This decision is likely to restrict the capacity of any future federal government to restructure the Australian health care system, eg by implementing recommendations from the National Health and Hospitals Reform Commission for either federal government or private corporate control of presently State-run public hospitals. PMID:19998589

  9. Calorie menu labeling on quick-service restaurant menus: an updated systematic review of the literature

    OpenAIRE

    Swartz Jonas J; Braxton Danielle; Viera Anthony J

    2011-01-01

    Abstract Nutrition labels are one strategy being used to combat the increasing prevalence of overweight and obesity in the United States. The Patient Protection and Affordable Care Act of 2010 mandates that calorie labels be added to menu boards of chain restaurants with 20 or more locations. This systematic review includes seven studies published since the last review on the topic in 2008. Authors searched for peer-reviewed studies using PUBMED and Google Scholar. Included studies used an ex...

  10. Data analysis and review of radiology services at Glasgow 2014 Commonwealth Games

    International Nuclear Information System (INIS)

    Medical services at the Glasgow 2014 Commonwealth Games (CWG) were provided though a purpose-built medical polyclinic, which had a fully equipped radiology department along with other services, set up within the main Games Village. Data analysis of radiology services offered at CWG has not been published before. Imaging services within the polyclinic, Athletes Village, Glasgow 2014 CWG. The aim of the paper is to analyse data on radiological investigations and assess the demand and distribution of workload on imaging services at CWG 2014. Data on radiology investigations at the CWG 2014 was retrieved from the Carestream picture archiving and communication system (PACS) and Pharmasys (CWG official centralised electronic database system) and analysed. Six hundred ninety-seven diagnostic and interventional procedures were performed. Of these 37.9 % were magnetic resonance imaging (MRI) scans, 22 % were diagnostic ultrasound (US) examinations, 33.1 % were radiographs, 4.3 % were computed tomography (CT) scans and 2.7 % were imaging-guided interventional procedures. 88 % of imaging was performed on athletes and the remainder were performed on team officials and workforce. Demand on radiology services gradually picked up through the pre-competition period and peaked half way through the CWG. Radiology played a vital role in the successful provision of medical services at the Glasgow 2014 CWG. High demand on imaging services can be expected at major international sporting events and therefore pre-event planning is vital. Having back-up facilities in case of technical failure should be given due importance when planning radiology services at future CWG events. (orig.)

  11. Data analysis and review of radiology services at Glasgow 2014 Commonwealth Games

    Energy Technology Data Exchange (ETDEWEB)

    Bethapudi, Sarath [County Durham Darlington Foundation NHS Trust, Durham (United Kingdom); Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); Ritchie, David [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); Greater Glasgow and Clyde Hospitals NHS Trust, Western Infirmary, Glasgow (United Kingdom); Bongale, Santosh [Glasgow 2014 Commonwealth Games, Immediate Care Department, Glasgow (United Kingdom); NHS Greater Glasgow and Clyde, Royal Alexandra Hospital, Paisley (United Kingdom); Gordon, Jonny [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); NHS Greater Glasgow and Clyde, Glasgow (United Kingdom); MacLean, John [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); National Stadium Sports Medicine Centre, Glasgow (United Kingdom); Mendl, Liz [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom)

    2015-10-15

    Medical services at the Glasgow 2014 Commonwealth Games (CWG) were provided though a purpose-built medical polyclinic, which had a fully equipped radiology department along with other services, set up within the main Games Village. Data analysis of radiology services offered at CWG has not been published before. Imaging services within the polyclinic, Athletes Village, Glasgow 2014 CWG. The aim of the paper is to analyse data on radiological investigations and assess the demand and distribution of workload on imaging services at CWG 2014. Data on radiology investigations at the CWG 2014 was retrieved from the Carestream picture archiving and communication system (PACS) and Pharmasys (CWG official centralised electronic database system) and analysed. Six hundred ninety-seven diagnostic and interventional procedures were performed. Of these 37.9 % were magnetic resonance imaging (MRI) scans, 22 % were diagnostic ultrasound (US) examinations, 33.1 % were radiographs, 4.3 % were computed tomography (CT) scans and 2.7 % were imaging-guided interventional procedures. 88 % of imaging was performed on athletes and the remainder were performed on team officials and workforce. Demand on radiology services gradually picked up through the pre-competition period and peaked half way through the CWG. Radiology played a vital role in the successful provision of medical services at the Glasgow 2014 CWG. High demand on imaging services can be expected at major international sporting events and therefore pre-event planning is vital. Having back-up facilities in case of technical failure should be given due importance when planning radiology services at future CWG events. (orig.)

  12. 77 FR 9731 - Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting

    Science.gov (United States)

    2012-02-17

    ... Health and Social Reintegration; and Regenerative Medicine. March 6-8--Rehabilitation Engineering and... Reintegration; and Sensory Systems/Communication. ] The purpose of the Board is to review...

  13. A review of factors influencing the utilization of eye care services

    OpenAIRE

    M. D. Ntsoane; O. A. Oduntan

    2010-01-01

    Visual impairment (low vision and blindness) is a major health concern all over the world. Three main reasons for the high prevalence of visual impairment are non-availability, non-accessibility andnon-affordability of eye care services. However, there are several factors that may act as barriers to the use of available, accessible and affordable eye care services. These include the lack of knowledge of the services, lack of knowledge of the possible impact of an eye disease and lack of knowl...

  14. Improved Sea Surface Salinity Retrievals using Ancillary data for Aquarius Ocean Roughness Correction

    Science.gov (United States)

    Jones, L.; Hejazin, Y.; Rabollii, M.

    2012-12-01

    The Aquarius/SAC-D sea surface salinity (SSS) measurement mission was launched into polar orbit during the summer of 2011. The prime sensor is a combined L-band radiometer/scatterometer developed jointly by NASA Goddard Space Flight Center and the Jet Propulsion Laboratory, which derives SSS from ocean surface brightness temperature (Tb) measurements. This paper deals with a method of improving AQ SSS by making a making an ocean roughness brightness temperature correction (ΔTbr). The ΔTbr is derived using several ancillary data sources of surface wind measurements, namely; NOAA numerical weather model - Global Data Assimilation System (GDAS), WindSat ocean vector wind, and the CONAE Microwave Radiometer (MWR). The basis of the correction is the excess (warming) brightness temperature that is produced when the ocean is roughened by the surface wind. We model the increase in L-band Tb as a function of wind speed and direction relative to the antenna azimuth look direction. Our radiative transfer model by El-Nimri [2010] has been tuned to actual AQ ocean surface Tb's with corresponding surface wind vector. Using this ocean emissivity model and the ancillary wind vector, we derive the roughness correction, ΔTbr, which is applied to the AQ measured ocean surface Tb before retrieving SSS. Finally the effect of ΔTbr is evaluated by computing the difference between the HYCOM ocean salinity model and the AQ retrievals. These differences are cross correlated with the ancillary surface wind vector to assess the effectiveness of the roughness correction. Finally, we compare our ΔTbr with the AQ scatterometer derived ΔTbr. We compare the similarities and differenced versus the ancillary surface wind speed. S. El-Nimri et al., 2010, "An improved C-band ocean surface emissivity model at hurricane force wind speeds over a wide range of earth incidence angles," IEEE Geosci. Rem. Sens. Letters, vol. 7, NO. 4, October.

  15. Nuclear structure at high spin using multidetector gamma array and ancillary detectors

    Indian Academy of Sciences (India)

    S Muralithar

    2014-04-01

    A multidetector gamma array (GDA), for studying nuclear structure was built with ancillary devices namely gamma multiplicity filter and charged particle detector array. This facility was designed for in-beam gamma spectroscopy measurements in fusion evaporation reactions at Inter-University Accelerator Centre, New Delhi. Description of the facility and in-beam performance with two experimental studies done are presented. This array was used in a number of nuclear spectroscopic and reaction investigations.

  16. 76 FR 59682 - Desert Southwest Customer Service Region-Western Area Lower Colorado Balancing Authority-Rate...

    Science.gov (United States)

    2011-09-27

    ... of Order Concerning Network Integration Transmission Service and Ancillary Services Formula Rates...) Parker-Davis Project (P-DP) Network Integration Transmission Service (NITS), the AC Intertie Project... Customer Service Region Network Integration Transmission Service Rate Schedules PD-NTS3 and INT-NTS3 for...

  17. The Role of Logistics Service Providers in Supply Chain Performance Management: A comprehensive Literature Review

    OpenAIRE

    Zaryab Sheikh; Shafaq Rana

    2014-01-01

    Logistics activities cover the entire supply chain so they become important in improving supply chain’s overall performance. The target of logistics process is to merge and organize all activities involved in acquiring, converting and distributing goods from raw materials to finished goods to the customers in order to achieve customer service objectives in an efficient cost effective manner. The logistics services providers can also enhance the supply chain activity through the introduction a...

  18. Spatial ability, urban wayfinding and location-based services:a review and first results

    OpenAIRE

    Li, C.

    2004-01-01

    Location-Based Services (LBS) are a new industry at the core of which are GISand spatial databases. With increasing mobility of individuals, the anticipatedavailability of broadband communications for mobile devices and growingvolumes of location specific information available in databases there willinevitably be an increase in demand for services providing location relatedinformation to people on the move. New Information and CommunicationTechnologies (NICTs) are providing enhanced possibili...

  19. A REVIEW OF THE BUSINESS CASE FOR CORPORATE SOCIAL RESPONSIBILITY IN THE UK FINANCIAL SERVICES SECTOR

    OpenAIRE

    Almona, Chinyere Peace

    2005-01-01

    In a period of increased shareholder activism, customers dissatisfaction, institutional investor disquiet, and distrust arising from a number of highly visible scandals in the financial services sector, CSR has remained a means for relating effectively with stakeholders and managing the public perceptions. The aim of this study is to establish the business case for CSR in the financial services sector in the UK with particular reference to the banking sector. The research seeks to identify th...

  20. Patients' online access to their electronic health records and linked online services: a systematic interpretative review

    OpenAIRE

    de Lusignan, S.; Mold, F.; Sheikh, A; Majeed, A; Wyatt, J C; Quinn, T.; Cavill, M.; Gronlund, T. A.; Franco, C.; Chauhan, U.; Blakey, H.; N. Kataria; Barker, F; Ellis, B; Koczan, P

    2014-01-01

    Objectives To investigate the effect of providing patients online access to their electronic health record (EHR) and linked transactional services on the provision, quality and safety of healthcare. The objectives are also to identify and understand: barriers and facilitators for providing online access to their records and services for primary care workers; and their association with organisational/IT system issues. Setting Primary care. Participants A total of 143 studies were included. 17 ...

  1. 77 FR 66793 - Senior Executive Service: Membership of Performance Review Board

    Science.gov (United States)

    2012-11-07

    ... 2013 SES Performance Review Boards. The Agency will use this roster to select SES board members, and an outside member for the convening SES Performance Review Board each year. The standing roster is as follows..., Gary Nunez-Mattocks, Aracely; Outside SES Member Acton, John; Outside SES Member FOR...

  2. Model projections and policy reviews for energy saving in China's service sector

    International Nuclear Information System (INIS)

    Energy efficiency of buildings in the service sector is becoming increasingly important in China due to the structural shift of the economy from industry to services. This paper employs a bottom-up cohort model to simulate current energy saving policies and to make projections for future energy use and CO2 emissions for the period 2000–2030 in the Chinese service sector. The analysis shows that energy demand in the service sector will approximately triple in 2030, far beyond the target of quadrupling GDP while only doubling energy use. However, it is feasible to achieve the target of emission reduction by 40% in 2020 even under the poor state of compliance rate of building standard. This paper also highlights four crucial aspects of designing optimal energy saving policies for China's service sector based on the model results. - Highlights: • Government energy saving target cannot realize with current policies in services. • Energy savings policies for new buildings are crucial than building retrofitting. • Cooling energy use increases significantly to reach equal weight as heating. • CO2 tax can contribute to change in fuel mix, and thus emission reductions. • Low compliance rate limits further energy saving, hence green fund is required

  3. Ancillary therapies to enhance success of non-invasive modes of respiratory support - Approaches to delivery room use of surfactant and caffeine?

    Science.gov (United States)

    Kribs, Angela; Hummler, Helmut

    2016-06-01

    During recent decades, non-invasive respiratory support has become popular for treating neonates with respiratory failure. Several prospective randomized controlled trials have been performed to compare use of continuous positive airway pressure (CPAP) as primary respiratory support in preterm infants with respiratory distress syndrome (RDS) to endotracheal intubation, mechanical ventilation and surfactant therapy. Systematic reviews of these studies suggest that routine CPAP at delivery is efficacious in decreasing bronchopulmonary dysplasia (BPD), death, or both. This led to the recommendation to consider CPAP to avoid endotracheal intubation. As surfactant therapy is known to reduce BPD and death, several ways to combine CPAP with surfactant have been described. With the increasing use of CPAP immediately after birth, the early use of caffeine to stimulate respiration has become a point of discussion. This review focuses on different modes of surfactant application during CPAP and on the early use of caffeine as ancillary therapies to enhance CPAP success. PMID:26936187

  4. A method for studying the development pattern of urban commercial service facilities based on customer reviews from social media

    Science.gov (United States)

    Wang, Y. D.; Jiang, B. T.; Ye, X. Y.

    2016-06-01

    Urbanization is one of the most important human social activities in the 21st century (Chaolin et al., 2012). With an increasing number of people visiting cities, the provision of adequate urban service facilities, including public and commercial service facilities, in locations where people live has become an important guarantee of the success of urbanization. Exploring the commercial service facilities in a specific area of a city can help us understand the progress and trends of urban renewal in the area, provide a quantitative basis for evaluating the rationality of planning implementation, and facilitate an analysis of the effects of different factors on the regional development of a city (Schor et al. 2003). In this paper, we proposed a data processing and analysis method for studying the distribution and development pattern of urban commercial facilities based on customer reviews. In addition, based on road network constraints, we explored the patterns contained in customer reviews data, including patterns for the spatial distribution and spatial-temporal evolution of facilities as well as the number of facilities and degree of satisfaction.

  5. Review structural analyses of Olkiluoto3 EPR plant turbine and cooling water pump buildings for serviceability limit states

    International Nuclear Information System (INIS)

    This paper describes the review structural analysis for the Turbine Building of Olkiluoto 3 NPP (UMA) under finished condition when building is covered with insulated cladding and inside temperatures are maintained by HVAC system. The main aim of the review structural analysis is to ensure the sufficient strength and deformation characteristics of the turbine building structures. The second part of this paper describes the verification structural analysis for the Cooling Water Pump Building of Olkiluoto 3 NPP (UQA). The current verification analysis assesses the validity of the Cooling Water Pump building design for serviceability limit states concentrating on crack width calculations. The introduction of construction time shrinkage joints in the turbine building deletes to the large extent the uneven shrinkage contraction in the concrete substructure. It also enables the uniform temperature expansion of the turbine building structures. The required rebar areas in the cooling water pump building were determined for long term serviceability limit states and for allowable crack widths of 0.13 mm as well as for short term serviceability limit states and for allowable crack widths of 0.26 mm. From the obtained results it can be concluded that more than 95% from the all shell elements in the model of the cooling water pump building fulfill crack width requirements in both long term and short term load conditions with the system reinforcement of two layers of 20 mm rebars with 100 mm pitch in both directions. (author)

  6. The effectiveness of M-health technologies for improving health and health services: a systematic review protocol

    Directory of Open Access Journals (Sweden)

    Patel Vikram

    2010-10-01

    Full Text Available Abstract Background The application of mobile computing and communication technology is rapidly expanding in the fields of health care and public health. This systematic review will summarise the evidence for the effectiveness of mobile technology interventions for improving health and health service outcomes (M-health around the world. Findings To be included in the review interventions must aim to improve or promote health or health service use and quality, employing any mobile computing and communication technology. This includes: (1 interventions designed to improve diagnosis, investigation, treatment, monitoring and management of disease; (2 interventions to deliver treatment or disease management programmes to patients, health promotion interventions, and interventions designed to improve treatment compliance; and (3 interventions to improve health care processes e.g. appointment attendance, result notification, vaccination reminders. A comprehensive, electronic search strategy will be used to identify controlled studies, published since 1990, and indexed in MEDLINE, EMBASE, PsycINFO, Global Health, Web of Science, the Cochrane Library, or the UK NHS Health Technology Assessment database. The search strategy will include terms (and synonyms for the following mobile electronic devices (MEDs and a range of compatible media: mobile phone; personal digital assistant (PDA; handheld computer (e.g. tablet PC; PDA phone (e.g. BlackBerry, Palm Pilot; Smartphone; enterprise digital assistant; portable media player (i.e. MP3 or MP4 player; handheld video game console. No terms for health or health service outcomes will be included, to ensure that all applications of mobile technology in public health and health services are identified. Bibliographies of primary studies and review articles meeting the inclusion criteria will be searched manually to identify further eligible studies. Data on objective and self-reported outcomes and study quality will

  7. Transperineal bulboprostatic anastomotic repair of pelvic fracture urethral distraction defect and role of ancillary maneuver: A retrospective study in 172 patients

    Directory of Open Access Journals (Sweden)

    Singh Santosh

    2010-01-01

    Full Text Available Objective: We present our experience with transperineal bulboprostatic anastomosis procedure and compare the results with age of patients, length of urethral stricture, effect of previous treatment and need for ancillary procedures. Materials and Methods: We retrospectively reviewed the outcome of 172 patients who underwent perineal urethroplasty procedure for traumatic stricture in our institute. Simple perineal anastomosis was done in 92 patients. Perineal anastomosis and corporal separation were done in 52 patients. Perineal anastomosis with inferior pubectomy was done in 25 patients. Perineal anastomosis with rerouting was done in three patients. Age, prior treatment, length of stricture, and ancillary techniques required during reconstruction were compiled. The clinical outcome was considered as failure when any postoperative instrumentation was needed. Results: Out of 172 cases that underwent transperineal urethroplasty procedure, 157 (91.28% were successful. Simple perineal urethroplasty procedure showed a success rate of 93.4%, perineal anastomosis with separation of corporal bodies had a success rate of 90.4%, perineal anastomosis with inferior pubectomy had a success rate of 88% and perineal anastomosis with rerouting of urethra around the corpora had a success rate of 66.7%. Conclusion: The success rate of delayed progressive perineal urethroplasty procedure for post-traumatic stricture urethra is excellent and majority of the failures occurs in prepubescent boys and in those undergoing secondary repair.

  8. CO{sub 2} mitigation costs and ancillary benefits in the Nordic countries, the UK and Ireland: A survey

    Energy Technology Data Exchange (ETDEWEB)

    Kverndokk, Snorre; Rosendahl, Knut Einar

    2000-07-01

    This paper provides a survey of top-down modelling studies on mitigation costs and ancillary benefits in the Nordic countries, the UK and Ireland. Special emphasis is put on results concerning revenue recycling, double dividend, distributional effects and ancillary benefits. According to the papers surveyed, modest emissions restrictions as those given by the Kyoto Protocol, can be met without substantial costs for the countries studied. (Author)

  9. Ancillary Benefits for Caregivers of Children with Asthma Participating in an Environmental Intervention Study to Alleviate Asthma Symptoms

    OpenAIRE

    Clougherty, Jane E; Kubzansky, Laura D; Spengler, John D.; Levy, Jonathan I.

    2009-01-01

    Providing care for children with asthma can be demanding and time-intensive with far-reaching effects on caregivers’ lives. Studies have documented childhood asthma symptom reductions and improved asthma-related quality of life (AQOL) with indoor allergen-reducing environmental interventions. Few such studies, however, have considered ancillary benefits to caregivers or other family members. Ancillary benefits could be derived from child health improvements and reduced caregiving burden or fr...

  10. Participatory approaches involving community and healthcare providers in family planning/contraceptive information and service provision: a scoping review.

    Science.gov (United States)

    Steyn, Petrus S; Cordero, Joanna Paula; Gichangi, Peter; Smit, Jennifer A; Nkole, Theresa; Kiarie, James; Temmerman, Marleen

    2016-01-01

    As efforts to address unmet need for family planning and contraception (FP/C) accelerate, voluntary use, informed choice and quality must remain at the fore. Active involvement of affected populations has been recognized as one of the key principles in ensuring human rights in the provision of FP/C and in improving quality of care. However, community participation continues to be inadequately addressed in large-scale FP/C programmes. Community and healthcare providers' unequal relationship can be a barrier to successful participation. This scoping review identifies participatory approaches involving both community and healthcare providers for FP/C services and analyzes relevant evidence. The detailed analysis of 25 articles provided information on 28 specific programmes and identified three types of approaches for community and healthcare provider participation in FP/C programmes. The three approaches were: (i) establishment of new groups either health committees to link the health service providers and users or implementation teams to conduct specific activities to improve or extend available health services, (ii) identification of and collaboration with existing community structures to optimise use of health services and (iii) operationalization of tools to facilitate community and healthcare provider collaboration for quality improvement. Integration of community and healthcare provider participation in FP/C provision were conducted through FP/C-only programmes, FP/C-focused programmes and/or as part of a health service package. The rationales behind the interventions varied and may be multiple. Examples include researcher-, NGO- or health service-initiated programmes with clear objectives of improving FP/C service provision or increasing demand for services; facilitating the involvement of community members or service users and, in some cases, may combine socio-economic development and increasing self-reliance or control over sexual and reproductive health

  11. 32 CFR Appendix B to Part 47 - The DoD Civilian/Military Service Review Board and the Advisory Panel

    Science.gov (United States)

    2010-07-01

    ... SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN ACTIVE DUTY SERVICE FOR CIVILIAN OR CONTRACTUAL GROUPS... executive session at the call of the president, and shall limit its reviews to the following: a....

  12. Managing Guest as an Asset: a Conceptual Review in the Context of Accommodation Services

    Directory of Open Access Journals (Sweden)

    Dwi Suhartanto

    2015-10-01

    Full Text Available This article discusses the concept of a customer as an asset of business in the accommodation industry. The purpose of this article is to examine the value of guests as a firm asset and to propose a model for managing guests as an asset in the context of accommodation services. A guest is considered an asset due to its role in providing revenue to the accommodation firm. Because of this role, the accommodation guest needs to be managed appropriately. This article argues that guest service evaluation (i.e. service quality, perceived value, and guest satisfaction and service loyalty are important factors in the development of guest lifetime value. The proposed model of managing guests as an asset consists of marketing instruments, service evaluation, guest loyalty, and financial outcomes provides a comprehensive guide on how accommodation firms can manage the lifetime value of their guests. Finally, as there are limited studies examining this issue, future research should test the proposed model.

  13. Service Modularity

    DEFF Research Database (Denmark)

    Avlonitis, Viktor; Hsuan, Juliana

    The purpose of this research is to investigate the studies on service modularity with a goal of informing service science and advancing contemporary service systems research. Modularity, a general systems property, can add theoretical underpinnings to the conceptual development of service science...... in general and service systems in particular. Our research is guided by the following question: how can modularity theory inform service system design? We present a review of the modularity literature and associated concepts. We then introduce the contemporary service science and service system...

  14. Community Health Workers' Provision of Family Planning Services in Low- and Middle-Income Countries: A Systematic Review of Effectiveness.

    Science.gov (United States)

    Scott, Valerie K; Gottschalk, Lindsey B; Wright, Kelsey Q; Twose, Claire; Bohren, Meghan A; Schmitt, Megan E; Ortayli, Nuriye

    2015-09-01

    This systematic review evaluates the strength of the evidence that community health workers' (CHW) provision of family planning (FP) services in low- and middle-income countries is effective. In a search of eight databases, articles were screened by study design and outcome measure and ranked by strength of evidence. Only randomized trials, longitudinal studies with a comparison group, and pre-test/post-test studies met inclusion criteria. A total of 56 studies were included. Of those studies with relevant data, approximately 93 percent indicated that CHW FP programs effectively increased the use of modern contraception, while 83 percent reported an improvement in knowledge and attitudes concerning contraceptives. Based on these findings, strong evidence exists for promoting CHW programs to improve access to FP services. We recommend a set of best practice guidelines that researchers and program managers can use to report on CHW FP programs to facilitate the translation of research to practice across a wide range of settings. PMID:26347089

  15. Population prevalence of personality disorder and associations with physical health comorbidities and health care service utilization: A review.

    Science.gov (United States)

    Quirk, Shae E; Berk, Michael; Chanen, Andrew M; Koivumaa-Honkanen, Heli; Brennan-Olsen, Sharon L; Pasco, Julie A; Williams, Lana J

    2016-04-01

    Personality disorder (PD), outcomes of diverse comorbid physical health conditions, and the associated burden on health service resources have seldom been studied at a population level. Consequently, there is limited evidence that might inform a public health approach to managing PD and associated mental and physical disability. A review was conducted of population-based studies examining the prevalence of PD and associations between physical comorbidities and service utilization. The prevalence of any PDs were common (4.4% -21.5%) among populations spanning England, Wales, Scotland, Western Europe, Norway, Australia, and the United States. Preliminary evidence supports associations between PDs from Clusters A and B and physical comorbidities, namely cardiovascular diseases and arthritis. PD appears to increase health care utilization, particularly in primary care. In order to facilitate rational population health planning, further population studies are required. (PsycINFO Database Record PMID:26461047

  16. A systematic review of economic analyses of telehealth services using real time video communication

    OpenAIRE

    Wade, Victoria A; Karnon, Jonathan; Elshaug, Adam G.; Hiller, Janet E

    2010-01-01

    Background Telehealth is the delivery of health care at a distance, using information and communication technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase access in health care delivery. This systematic review assesses the economic value of one type of telehealth delivery - synchronous or real time video communication - rather than examining a heterogeneous range of delivery modes as has been the case with previous reviews in thi...

  17. Support and Services for Parents:A Review of the Literature in Engaging and Supporting Parents

    OpenAIRE

    MacQueen, Sarah; Hutton, Linda; Curran, Joe; Whyte, Bill

    2007-01-01

    This literature review aims to draw together existing knowledge on assessingand evaluating parenting interventions. In conducting the literature review, theresearch team was interested in re-examining the historical policy context to locate the rationale for the introduction of Parenting Orders and the apparent under use of the provisions; to re-examine the evidence of risk and protective factors and the inter-related issues of antisocial behaviour and child care; alongside effective approach...

  18. Managing Guest as an Asset: a Conceptual Review in the Context of Accommodation Services

    OpenAIRE

    Dwi Suhartanto

    2015-01-01

    This article discusses the concept of a customer as an asset of business in the accommodation industry. The purpose of this article is to examine the value of guests as a firm asset and to propose a model for managing guests as an asset in the context of accommodation services. A guest is considered an asset due to its role in providing revenue to the accommodation firm. Because of this role, the accommodation guest needs to be managed appropriately. This article argues that guest service eva...

  19. A Systematic Review of the Effect of Early Interventions for Psychosis on the Usage of Inpatient Services

    Science.gov (United States)

    Randall, Jason R.; Vokey, Sherri; Loewen, Hal; Martens, Patricia J.; Brownell, Marni; Katz, Alan; Nickel, Nathan C.; Burland, Elaine; Chateau, Dan

    2015-01-01

    Objectives: To review and synthesize the currently available research on whether early intervention for psychosis programs reduce the use of inpatient services. Methods: A systematic review was conducted using keywords searches on PubMed, Embase (Ovid), PsycINFO (ProQuest), Scopus, CINAHL (EBSCO), Social Work Abstracts (EBSCO), Social Science Citations Index (Web of Science), Sociological Abstracts (ProQuest), and Child Development & Adolescent Studies (EBSCO). To be included, studies had to be peer-reviewed publications in English, examining early intervention programs using a variant of assertive community treatment, with a control/comparison group, and reporting inpatient service use outcomes. The primary outcome extracted number hospitalized and total N. Secondary outcome extracted means and standard deviations. Data were pooled using random effects models. Primary outcome was the occurrence of any hospitalization during treatment. A secondary outcome was the average bed-days used during treatment period. Results: Fifteen projects were identified and included in the study. Results of meta-analysis supported the occurrence of a positive effect for intervention for both outcome measures (any hospitalization OR: 0.33; 95% CI 0.18–0.63, bed-days usage SMD: −0.38, 95% CI −0.53 to −0.24). There was significant heterogeneity of effect across the studies. This heterogeneity is due to a handful of studies with unusually positive responses. Conclusion: These results suggest that early intervention programs are superior to standard of care, with respect to reducing inpatient service usage. Wider use of these programs may prevent the occurrence of admission for patients experiencing the onset of psychotic symptoms. PMID:25745034

  20. To Capture Production or Wellbeing? A Review Article on Towards Measuring the Volume Output of Education and Health Services: A Handbook

    OpenAIRE

    Aled ab Iorwerth

    2012-01-01

    This review article evaluates the report Towards Measuring the Volume Output of Education and Health Services: A Handbook produced by the OECD. Traditionally, input costs have been used to estimate the value of education and health services. The Handbook provides detailed analysis and recommendations regarding appropriate methodologies and data to improve volume output measures for these services. The author welcomes the efforts of the OECD in this area. However, it is argued that output meas...

  1. Distribution Grid Services and Flexibility Provision by Electric Vehicles: a Review of Options

    DEFF Research Database (Denmark)

    Knezovic, Katarina; Marinelli, Mattia; Codani, Paul;

    2015-01-01

    . However, an alternative solution, enabled by the expected roll-out of smart meters and high penetration of flexible loads, would be the increased use of flexibility services. Flexible loads, with EVs at their forefront, can modulate their consumption or even inject power back to the grid depending on...

  2. 78 FR 51275 - Members of Senior Executive Service Performance Review Boards

    Science.gov (United States)

    2013-08-20

    ... Care Act--Program Management Office (IT) David W. Stender, Associate CIO, Cybersecurity (IT) Peter J... Business/Self-Employed (SB/SE) David M. Fisher, Chief Risk Officer and Senior Advisor to the Commissioner... Information Officer (IT) Debra L. Nelson, Director, Management Services (IT) Nina E. Olson, National...

  3. 77 FR 56824 - Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services...

    Science.gov (United States)

    2012-09-14

    ... academic institutions, to students seeking a career in rehabilitative services. Students who receive... academic institutions (i.e., grantees) that administer a RSA Long-Term Training program to track the employment status and location of former scholars supported under their grants in order to ensure...

  4. 75 FR 41920 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance...

    Science.gov (United States)

    2010-07-19

    ... on the following collection of information was published on April 16, 2010 (75 FR 21716). DATES...; Airline Service Quality Performance--Part 234 AGENCY: Research & Innovative Technology Administration..., Office of Airline Information, RTS-42, Room E36-303, RITA, BTS, 1200 New Jersey Avenue, SE.,...

  5. 77 FR 33808 - Agency Information Collection; Activity Under OMB Review: Airline Service Quality Performance...

    Science.gov (United States)

    2012-06-07

    ... on the following collection of information was published on March 27, 2012 (77 FR 18306). There were...: Airline Service Quality Performance--Part 234 AGENCY: Research & Innovative Technology Administration... CONTACT: Cecelia Robinson, Office of Airline Information, RTS-42, Room E34-410, RITA, BTS, 1200 New...

  6. 77 FR 18306 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance

    Science.gov (United States)

    2012-03-27

    ... (see 76 FR 41726). The proposed rule would require carriers to report, (1) the number of mishandled...; Airline Service Quality Performance AGENCY: Research & Innovative Technology Administration (RITA), Bureau... Robinson, Office of Airline Information, RTS-42, Room E34, RITA, BTS, 1200 New Jersey Avenue...

  7. K-12 School Food Service Staff Training Interventions: A Review of the Literature

    Science.gov (United States)

    Stephens, Lacy; Shanks, Carmen Byker

    2015-01-01

    Background: School food service professionals are vital to implementing national nutrition standards in school meal programs. Appropriate and effective training for these professionals may be one key to producing healthful meals that students are excited to eat and also meet United States Department of Agriculture (USDA) nutrient guidelines. A…

  8. 49 CFR 360.1 - Fees for records search, review, copying, certification, and related services.

    Science.gov (United States)

    2010-10-01

    ... the following basis, pursuant to the Freedom of Information Act regulations at 49 CFR Part 7: (a) Certificate of the Director, Office of Data Analysis and Information Systems, as to the authenticity of documents, $9.00; (b) Service involved in checking records to be certified to determine...

  9. The cost implications of participatory research. Experience of a health services review in a rural region in South Africa

    Science.gov (United States)

    Doherty; Price

    1998-03-01

    OBJECTIVES: The study objectives were to estimate the total costs incurred by a comprehensive review of primary health care services in a rural region in South Africa, and to determine which of these costs were incurred because of the participatory research techniques employed by the review. DESIGN: The costing study estimated the direct and indirect costs of each component of the review in order to determine total costs. Costs that were linked to participatory research activities were aggregated separately. SETTING: The review that was costed was conducted in an area that included the former 'homeland' KaNgwane and the adjacent areas of 'white' South Africa, in part of what is now known as Mpumalanga Province. SUBJECTS: Not relevant. OUTCOME MEASURES: Direct, indirect, total, research and participation costs were used as outcome measures. RESULTS: Expenditure generated by participatory research techniques was estimated to be almost 14% of the total (direct and indirect) costs. CONCLUSIONS: Despite these costs, participatory research techniques are invaluable in terms of the many benefits they have for a research project. However, because of these costs, it is important that the financing of participatory research should be carefully planned. Projects must budget for the direct costs of participatory techniques, participating organisations and individuals must be committed to bearing the indirect costs of participation, and, increasingly, funders must consider funding these indirect costs. This is important in the South African situation, where public health research relies increasingly on the participation of relevant stakeholders. PMID:9608312

  10. Science Enabling Roles and Services of SPDF

    Science.gov (United States)

    McGuire, Robert E.; Bilitza, Dieter; Candey, Robert M.; Chimiak, Reine A.; Cooper, John F.; Garcia, Leonard N.; Harris, Bernard T.; Johnson, Rita C.; King, Joseph H.; Kovalick, Tamara J.; Lal, Nand; Leckner, Howard A.; Liu, Michael H.; Papitashvili, Natalia E.; Roberts, D. Aaron

    2011-01-01

    The current Heliophysics Science Data Management Policy defines the roles of the Space Physics Data Facility (SPDF) project as a heliophysics active Final Archive, a focus for critical data infrastructure services and a center of excellence for data and ancillary information services. This presentation will highlight some of our current activities and our understanding of why and how our services are useful to researchers, as well as SPDF's programmatic emphasis in the coming year. We will discuss how. in cooperation with the Heliophysics Virtual discipline Observatories (VxOs), we are working closely with the RBSP and MMS mission teams to support their decisions to use CDF as a primary format for their public data products, to leverage the ongoing data flows and capabilities of CDAWeb (directly and through external clients such as Autoplot) to serve their data in a multi-mission context and to use SSCWeb to assist community science planning and analysis. Among other current activities, we will also discuss and demonstrate our continuing effort to make the Virtual Space Physics Observatory (VSPO) service comprehensive in all significant and NASA relevant heliophysics data. The OMNI and OMNI High Resolution datasets remain current and heavily cited in publications. We are expanding our FTP file services to include online archived non-CDF data from all active missions, which is a re-hosting of this function from NSSDC's FTP site. We have extended the definitions of time in CDF to unambiguously and consistently handle leap seconds. We are improving SSCWeb for much faster per1ormance, more capabilities and a web services inter1ace to Query functionality. We will also review how CDAWeb data can be easily accessed within IDL and new features in CDAWeb.

  11. Impact of service provision platforms on maternal and newborn health in conflict areas and their acceptability in Pakistan: a systematic review.

    Science.gov (United States)

    Lassi, Zohra S; Aftab, Wafa; Ariff, Shabina; Kumar, Rohail; Hussain, Imtiaz; Musavi, Nabiha B; Memon, Zahid; Soofi, Sajid B; Bhutta, Zulfiqar A

    2015-01-01

    Various models and strategies have been implemented over the years in different parts of the world to improve maternal and newborn health (MNH) in conflict affected areas. These strategies are based on specific needs and acceptability of local communities. This paper has undertaken a systematic review of global and local (Pakistan) information from conflict areas on platforms of health service provision in the last 10 years and information on acceptability from local stakeholders on effective models of service delivery; and drafted key recommendations for improving coverage of health services in conflict affected areas. The literature search revealed ten studies that described MNH service delivery platforms. The results from the systematic review showed that with utilisation of community outreach services, the greatest impacts were observed in skilled birth attendance and antenatal consultation rates. Facility level services, on the other hand, showed that labour room services for an internally displaced population (IDP) improved antenatal care coverage, contraceptive prevalence rate and maternal mortality. Consultative meetings and discussions conducted in Quetta and Peshawar (capitals of conflict affected provinces) with relevant stakeholders revealed that no systematic models of MNH service delivery, especially tailored for conflict areas, are available. During conflict, even previously available services and infrastructure suffered due to various barriers specific to times of conflict and unrest. A number of barriers that hinder MNH services were discussed. Suggestions for improving MNH services in conflict areas were also laid down by participants. The review identified some important steps that can be undertaken to mitigate the effects of conflict on MNH services, which include: improve provision and access to infrastructure and equipment; development and training of healthcare providers; and advocacy at different levels for free access to healthcare

  12. Uranium Production Safety Assessment Team. UPSAT. An international peer review service for uranium production facilities

    International Nuclear Information System (INIS)

    The IAEA Uranium Production Safety Assessment Team (UPSAT) programme is designed to assist Member States to improve the safe operation of uranium production facilities. This programme facilitates the exchange of knowledge and experience between team members and industry personnel. An UPSAT mission is an international expert review, conducted outside of any regulatory framework. The programme is implemented in the spirit of voluntary co-operation to contribute to the enhancement of operational safety and practices where it is most effective, at the facility itself. An UPSAT review supplements other facility and regulatory efforts which may have the same objective

  13. User charges for health services in developing countries: a review of the economic literature.

    Science.gov (United States)

    McPake, B

    1993-06-01

    Literature suggests that in theory, the efficiency of user charges for health services is related to the level of externality, the price elasticity of demand, the proportion of total costs which are private access costs, and the level of the government budget constraint. Theoretical models predict that price elasticity of demand for health services is likely to be higher for lower income groups and that user charges are therefore unlikely to promote equity, or reduce the discrepancies between the utilisation rates of the rich and poor, 'ceteris paribus'. Empirical evidence tends to confirm the latter prediction but to suggest that user charges in many countries provide the scope for welfare gains for the majority. Unfortunately, this scope is seldom exploited in practice. It is argued that many countries have little choice but to try to exploit the potential for majority gains, but that more emphasis should be placed on ensuring quality improvements than on superficial financial measures of success. PMID:8511628

  14. A Critical Review of Public-Public Partnerships in Water Services

    OpenAIRE

    Gemma Boag; McDonald, David A.

    2010-01-01

    There is a profusion of literature on the commercialisation of water services around the world, but relatively little of this research speaks of alternatives to privatisation. The literature that does exist tends to be scattered in its regional and thematic orientation and inconsistent in its analytical frameworks. The writing on public-public partnerships (PUPs) is arguably the best known and most rigorous of this literature, but even this is relatively thin, with a tendency to uncritically ...

  15. Data mining and quality in service industry: review and some applications

    OpenAIRE

    Oliveira, Teresa; Oliveira, Amílcar

    2010-01-01

    In Service Industry the main goal of Data Mining is to improve the Quality of the interface and the interaction between the organization system and the respective costumers and needs. Now-a-days with the technological advances, a new challenge on exploring data and extrapolating patterns has emerged. Data mining, as an exploratory data analysis tool used in large and complex data sets, allow discovering new snippets of knowledge and patterns in these vast amounts of data, and this is very oft...

  16. Cloud Computing and Big Data: A Review of Current Service Models and Hardware Perspectives

    OpenAIRE

    Richard Branch; Heather Tjeerdsma; Cody Wilson; Richard Hurley; Sabine McConnell

    2014-01-01

    Big Data applications are pervading more and more aspects of our life, encompassing commercial and scientific uses at increasing rates as we move towards exascale analytics. Examples of Big Data applications include storing and accessing user data in commercial clouds, mining of social data, and analysis of large-scale simulations and experiments such as the Large Hadron Collider. An increasing number of such data—intensive applications and services are relying on cloud...

  17. Labor Intermediation Services: A Review for Latin America and Caribbean Countries

    OpenAIRE

    Jacqueline Mazza

    2002-01-01

    Labor intermediation services are used to improve the connection between job seeker and job. They aim not only to get job seekers more quickly into new jobs but also to make a better quality match, getting the more appropriate worker into the right job. Done well, labor intermediation helps reduce short-term unemployment, reduce job rotation, reduce the cost of new hires, improve productivity and firm growth, and importantly, reduce job discrimination. For many years, labor intermediation ser...

  18. Implications of New Technology and Services in the Software Industry : A Review of the literature

    OpenAIRE

    Khosravi, Sara

    2012-01-01

    The development of the internet to a more interactive and communicative instance as well as new developments in the software industry and new services that are available to companies and users warrants an investigation of this emerging field of business. In order to shed light on this topic a systematic search of the current literature has been conducted using some specific areas of the software industry as search words (Cloud computing, open source, on line advertising, mobile software and s...

  19. Customs Brokerage Services and Trade Facilitation: A Review of Regulatory Coherence

    OpenAIRE

    Llanto, Gilberto M.; Navarro, Adoracion M.; Detros, Keith C.; Ortiz, Ma. Kristina P.

    2013-01-01

    The study looks at the rarely studied customs brokerage activity in the Philippines and its role in facilitating trade given the ongoing push to modernize customs administration. It analyzes how the customs brokerage profession is being regulated and synthesizes insights on opposing views on the importance of customs brokers in trade facilitation. The results of the study clearly point toward a declining relevance of the customs brokers` services in an environment where customs administration...

  20. A mathematical approach and review of the modeling of taxi services

    OpenAIRE

    Estrada Romeu, Miguel Ángel; Salanova Grau, Josep Maria

    2012-01-01

    This paper presents a mathematical model for the estimation of the key performance indicators of the taxi markets in urban areas. These key parameters are basically the demand and supply for taxi services, the waiting time of users and the cost of the different involved actors. The identified actors are the drivers, the taxi users and the city, represented by the other drivers and the inhabitants. Optimum values for the taxi supply are obtained from the mathematical formulations depending on ...

  1. Use of systematic review to inform the infection risk for biomedical engineers and technicians servicing biomedical devices

    International Nuclear Information System (INIS)

    Full text: Many microorganisms responsible for hospital acquired infections are able to stay viable on surfaces with no visible sign of contamination, in dry conditions and on non-porous surfaces. The infection risk to biomedical staff when servicing biomedical devices is not documented. An indirect approach has been used to examine the different aspects that will affect the risk of infection including a systematic review of microbial contamination and transmission relating to biomedical devices. A systematic review found 58% of biomedical devices have microbial contamination with 13% having at least one pathogenic organism. These microbes can persist for some months. Occupational-infections of biomedical service staff are low compared to other healthcare workers. A biomedical device with contaminated surface or dust was identified as the source of patient outbreaks in 13 papers. The cleaning agent most tested for removal of micro-organisms from devices was alcohol swabs, but sterile water swabs were also effective. However, manufacturers mainly recommend (74%) cleaning devices with water and detergent. Biomedical engineers and technicians have a small risk of being exposed to dangerous micro-organisms on most biomedical devices, but without skin breakage, this exposure is unlikely to cause ill-health. It is recommended that biomedical staff follow good infection control practices, wipe devices with detergent, sterile water or alcohol swabs as recommended by the manufacturer before working on them, and keep alcohol hand rubs accessible at all benches. (author)

  2. Belarus Public Expenditure Review : Enhancing Public Services in Times of Austerity

    OpenAIRE

    World Bank

    2013-01-01

    This report is the second volume of the programmatic Public Expenditure Review (PER) in Belarus. In 2010 the Ministry of Finance requested that the Bank provide sequenced and targeted advice on the fiscal reform options across priority areas of the budget. Responding to this request, a programmatic PER was agreed upon. The first volume was delivered in November 2011 and focused on providin...

  3. A Review and Comparison of Quality of Service Routing in Wireless Ad Hoc Networks

    Directory of Open Access Journals (Sweden)

    Sunita Prasad

    2011-02-01

    Full Text Available Quality of Service (QoS guarantees must be supported in a network that intends to carry real time andmultimedia traffic. IETF RFC 2386 defines QoS as a set of service requirements to be met by the networkwhile transporting a packet stream from source to the destination. The dynamic network topology andwireless bandwidth sharing makes QoS provisioning far more challenging in wireless networks ascompared to the wired counterparts. The support for the QoS services is underpinned by QoS routing. AQoS routing protocol selects network routes with sufficient resources for the satisfaction of the requestedQoS parameters. The goal of QoS routing is to satisfy the QoS requirements for each admittedconnection, while achieving global efficiency in resource utilization. The problem of QoS routing withmultiple additive constraints is known to be NP-hard. This requires the QoS dynamics to be fullyunderstood before it can be implemented in wireless ad hoc networks. The paper discusses the issuesinvolved in QoS routing and presents an overview and comparison of some existing QoS routingprotocols. The article concludes with some open issues for further investigation.

  4. Integrating TM and Ancillary Geographical Data with Classification Trees for Land Cover Classification of Marsh Area

    Institute of Scientific and Technical Information of China (English)

    NA Xiaodong; ZHANG Shuqing; ZHANG Huaiqing; LI Xiaofeng; YU Huan; LIU Chunyue

    2009-01-01

    The main objective of this research is to determine the capacity of land cover classification combining spectral and textural features of Landsat TM imagery with ancillary geographical data in wetlands of the Sanjiang Plain, Heilongjiang Province, China. Semi-variograms and Z-test value were calculated to assess the separability of grey-level co-occurrence texture measures to maximize the difference between land cover types. The degree of spatial autocorrelation showed that window sizes of 3×3 pixels and 11×11 pixels were most appropriate for Landsat TM image texture calculations. The texture analysis showed that co-occurrence entropy, dissimilarity, and variance texture measures, derived from the Landsat TM spectrum bands and vegetation indices provided the most significant statistical differentiation between land cover types. Subsequently, a Classification and Regression Tree (CART) algorithm was applied to three different combinations of predictors: 1) TM imagery alone (TM-only); 2) TM imagery plus image texture (TM+TXT model); and 3) all predictors including TM imagery, image texture and additional ancillary GIS information (TM+TXT+GIS model). Compared with traditional Maximum Likelihood Classification (MLC) supervised classification, three classification trees predictive models reduced the overall error rate significantly. Image texture measures and ancillary geographical variables depressed the speckle noise effectively and reduced classification error rate of marsh obviously. For classification trees model making use of all available predictors, omission error rate was 12.90% and commission error rate was 10.99% for marsh. The developed method is portable, relatively easy to implement and should be applicable in other settings and over larger extents.

  5. Inhaled hyaluronic acid as ancillary treatment in children with bacterial acute rhinopharyngitis.

    Science.gov (United States)

    Varricchio, A; Capasso, M; Avvisati, F; Varricchio, A M; De Lucia, A; Brunese, F P; Ciprandi, G

    2014-01-01

    Acute rhinopharyngitis (ARP) is the most common upper respiratory infection in children and represents a social problem for both the pharmaco-economic impact and a burden for the family. Topical antibiotic therapy is usually effective in bacterial ARP, but ancillary treatment might improve its efficacy. Hyaluronic acid (HA) is a promising molecule that has been recently proposed in upper respiratory disorders. Therefore, the purpose of this study was to evaluate the effects of ancillary HA treatment in children with bacterial ARP. Globally, 51 children (27 males, mean age 5.9 ± 2.1 years) with bacterial ARP were enrolled in the study. At baseline, children were randomly assigned to the treatment with: 125 mg of thiamphenicol diluted in 4 mL of saline isotonic solution twice daily (group A) or with 125 mg of thiamphenicol plus 4 ml of sodium hyaluronate 0.2% plus xylitol 5% (Aluneb, Sakura Italia) twice daily (group B) administered by the nasal device Rinowash (Airliquide Medical System, Italy) and connected to an aerosol nebulizer with pneumatic compressor (1.5 bar per 5 L/min) Nebula (Airliquide Medical System, Italy), for 10 days. sVAS, nasopharyngeal spotting, neutrophils and bacteria were assessed at baseline and after the treatment. Both treatments induced significant reduction of symptom perception, spotting, neutrophil and bacteria count. However, thiamphenicol plus HA was able to significantly induce a greater effect on sVAS (p=0.006), neutrophil count (p=0.01), and bacteria count (p=0.0003) than thiamphenicol alone. In conclusion, this study provides the first evidence that intranasal HA, as ancillary treatment, may be able to improve topical antibiotic efficacy in children with bacterial ARP. PMID:25316142

  6. Gender-Related Barriers and Delays in Accessing Tuberculosis Diagnostic and Treatment Services: A Systematic Review of Qualitative Studies

    Directory of Open Access Journals (Sweden)

    Lakshmi Krishnan

    2014-01-01

    Full Text Available Background. Tuberculosis (TB remains a significant global public health problem with known gender-related (male versus female disparities. We reviewed the qualitative evidence (written/spoken narrative for gender-related differences limiting TB service access from symptom onset to treatment initiation. Methods. Following a systematic process, we searched 12 electronic databases, included qualitative studies that assessed gender differences in accessing TB diagnostic and treatment services, abstracted data, and assessed study validity. Using a modified “inductive coding” system, we synthesized emergent themes within defined barriers and delays limiting access at the individual and provider/system levels and examined gender-related differences. Results. Among 13,448 studies, 28 studies were included. All were conducted in developing countries and assessed individual-level barriers; 11 (39% assessed provider/system-level barriers, 18 (64% surveyed persons with suspected or diagnosed TB, and 7 (25% exclusively surveyed randomly sampled community members or health care workers. Each barrier affected both genders but had gender-variable nature and impact reflecting sociodemographic themes. Women experienced financial and physical dependence, lower general literacy, and household stigma, whereas men faced work-related financial and physical barriers and community-based stigma. Conclusions. In developing countries, barriers limiting access to TB care have context-specific gender-related differences that can inform integrated interventions to optimize TB services.

  7. Teams and working conditions in mobile pre-hospital care services: an integrative review

    Directory of Open Access Journals (Sweden)

    Daiane Dal Pai

    2015-12-01

    Full Text Available Study to identify, analyze and summarize the findings available in the literature on the composition of teams and working conditions in Mobile  Pre-Hospital Care Services  (PHC.  Integrative review to search the Base  de Dados  de  Enfermagem [Nursing Database] (BDEnf, the Cumulative  Index  to  Nursing  and  Allied  Health  Literature (CINAHL,  the Latin American and Caribbean Health Sciences Literature (LILACS, PubMed,  SCOPUS,  Web  of  Science and the portal of journals from the Scientific  Electronic  Library Online  (SciELO. Eighteen articles met the inclusion criteria and were selected. The composition of the teams for PHC services is diversified on the international stage, with the increase in responsibilities assumed by paramedics and the benefits of the specialized nurse's and doctor's presence in the teams being portrayed, which are scarce in some countries.  Working conditions reveal risky places of work, intense psychological demands, work overload, dissatisfaction and inadequate resources in most services.

  8. Training and deployment of lay refugee/internally displaced persons to provide basic health services in camps: a systematic review

    Directory of Open Access Journals (Sweden)

    John E. Ehiri

    2014-10-01

    Full Text Available Background: Training of lay refugees/internally displaced persons (IDPs and deploying them to provide basic health services to other women, children, and families in camps is perceived to be associated with public health benefits. However, there is limited evidence to support this hypothesis. Objectives: To assess the effects of interventions to train and deploy lay refugees and/or IDPs for the provision of basic health service to other women, children, and families in camps. Methods: PubMed, Science and Social Science Citation Indices, PsycINFO, EMBASE, POPLINE, CINAHL, and reference lists of relevant articles were searched (from inception to June 30, 2014 with the aim of identifying studies that reported the effects of interventions that trained and deployed lay refugees and/or IDPs for the provision of basic health service to other women, children, and families in camps. Two investigators independently reviewed all titles and abstracts to identify potentially relevant articles. Discrepancies were resolved by repeated review, discussion, and consensus. Study quality assessment was undertaken using standard protocols. Results: Ten studies (five cross-sectional, four pre-post, and one post-test only conducted in Africa (Guinea and Tanzania, Central America (Belize, and Asia (Myanmar were included. The studies demonstrated some positive impact on population health associated with training and deployment of trained lay refugees/IDPs as health workers in camps. Reported effects included increased service coverage, increased knowledge about disease symptoms and prevention, increased adoption of improved treatment seeking and protective behaviors, increased uptake of services, and improved access to reproductive health information. One study, which assessed the effect of peer refugee health education on sexual and reproductive health, did not demonstrate a marked reduction in unintended pregnancies among refugee/IDP women. Conclusion: Although

  9. Ancillary Benefits and Net Costs of Climate Policies; FINAL Project Report

    International Nuclear Information System (INIS)

    A number of actions to slow atmospheric accumulation of greenhouse gases (GHGs) from fossil fuel use also could reduce conventional air pollutants in the U.S. The benefits that result would be ''ancillary'' to greenhouse gas abatement. Moreover, the benefits would tend to accrue locally and in the near term, while benefits from reduced climate change mostly accrue globally and over a time frame of several decades or longer. A failure to adequately consider ancillary benefits could lead to an incorrect assessment of the ''net costs'' of mitigation policies--that is, the direct cost of climate policy less ancillary benefits that result from those policies--and an incorrect identification of ''no regrets'' levels of GHG mitigation. It also could lead to the choice of a policy that was unnecessarily expensive because of its failure to exploit fully potential ancillary benefits. The focus of this project was on reductions in carbon dioxide that would be achieved in the electricity sector. A detailed model of the electricity sector was extended and used to simulate a variety of policies aimed at reducing GHGs. The output from this model was evaluated using an integrated assessment model to account for atmospheric transport model for secondary particulates stemming from nitrogen oxides (NOx) and sulfur dioxide (SO2) emissions. The resulting changes in atmospheric concentrations of particulates were fed into a health epidemiology model to estimate changes in health status, and these changes were valued in monetary terms using recent studies from environmental and health economics. The project resulted in two types of products. Infrastructure products include the extension of RFF's Haiku electricity market model to be able to accommodate a wide variety of environmental and economic policies. Infrastructure also includes revision to the Tracking and Analysis Framework (TAF), an integrated assessment model of the environmental effects of conventional pollutants. Both models

  10. Influence of Wind Plant Ancillary Voltage Control on System Small Signal Stability

    DEFF Research Database (Denmark)

    Su, Chi; Chen, Zhe

    2012-01-01

    As a common tendency, large-scale wind farms are increasingly connected to the transmission system of modern power grids. This introduces some new challenges to the connected power systems, and the transmission system operators (TSOs) have to put some new requirements as part of the grid codes on...... the integration of wind farms. One common requirement to wind farms is the function of system voltage control which can be implemented in the grid-side convertor controller of a variable speed wind turbine. This ancillary voltage control provided by wind farms could have some influence on the system...

  11. Ancillary Frequency Control of Direct Drive Full-Scale Converter Based Wind Power Plants

    OpenAIRE

    Hu, Weihao; Su, Chi; Fang, Jiakun; Chen, Zhe; Hu, Yanting

    2013-01-01

    This paper presents a simulation model of a wind power plant based on a MW-level variable speed wind turbine with a full-scale back-to-back power converter developed in the simulation tool of DIgSILENT Power Factory. Three different kinds of ancillary frequency control strategies, namely inertia emulation, primary frequency control and secondary frequency control, are proposed in order to improve the frequency stability of power systems. The modified IEEE 39-bus test system with a large-scale...

  12. Molecular Structure Laboratory. Fourier Transform Nuclear Magnetic Resonance (FTNMR) Spectrometer and Ancillary Instrumentation at SUNY Geneseo

    Energy Technology Data Exchange (ETDEWEB)

    Geiger, David K [State Univ. of New York (SUNY), Geneseo, NY (United States)

    2015-12-31

    An Agilent 400-MR nuclear magnetic resonance (NMR) spectrometer and ancillary equipment were purchased, which are being used for molecular structure elucidation.  The instrumentation is housed in a pre-existing facility designed specifically for its use. This instrument package is being used to expand the research and educational efforts of the faculty and students at SUNY-Geneseo and is made available to neighboring educational institutions and business concerns.  Funds were also used for training of College personnel, maintenance of the instrumentation, and installation of the equipment.

  13. Utilisation of helicopter emergency medical services in the early medical response to major incidents: a systematic literature review

    Science.gov (United States)

    Johnsen, Anne Siri; Fattah, Sabina; Sollid, Stephen J M; Rehn, Marius

    2016-01-01

    Objective This systematic review identifies, describes and appraises the literature describing the utilisation of helicopter emergency medical services (HEMS) in the early medical response to major incidents. Setting Early prehospital phase of a major incident. Design Systematic literature review performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, the Web of Science, PsycINFO, Scopus, Cinahl, Bibsys Ask, Norart, Svemed and UpToDate were searched using phrases that combined HEMS and ‘major incidents’ to identify when and how HEMS was utilised. The identified studies were subjected to data extraction and appraisal. Results The database search identified 4948 articles. Based on the title and abstract, the full text of 96 articles was obtained; of these, 37 articles were included in the review, and an additional five were identified by searching the reference lists of the 37 articles. HEMS was used to transport medical and rescue personnel to the incident and to transport patients to the hospital, especially when the infrastructure was damaged. Insufficient air traffic control, weather conditions, inadequate landing sites and failing communication were described as challenging in some incidents. Conclusions HEMS was used mainly for patient treatment and to transport patients, personnel and equipment in the early medical management of major incidents, but the optimal utilisation of this specialised resource remains unclear. This review identified operational areas with improvement potential. A lack of systematic indexing, heterogeneous data reporting and weak methodological design, complicated the identification and comparison of incidents, and more systematic reporting is needed. Trial registration number CRD42013004473. PMID:26861938

  14. The impact of a supplementary medication review and counselling service within the oncology outpatient setting

    OpenAIRE

    Read, H.; Ladds, S; Rhodes, B.; Brown, D.; Portlock, J.

    2007-01-01

    The impact on the care of breast cancer patients, of a pharmacy technician-led medication review and counselling clinic, provided in an outpatient setting, was investigated using a controlled randomised study. Compared to the controls, clinic patients showed a significantly improved level of understanding of their chemotherapy support medication (95% CI for difference in mean knowledge rating scores=2.165–2.826, P

  15. A systematic review of economic analyses of telehealth services using real time video communication

    OpenAIRE

    Wade Victoria A; Karnon Jonathan; Elshaug Adam G; Hiller Janet E

    2010-01-01

    Abstract Background Telehealth is the delivery of health care at a distance, using information and communication technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase access in health care delivery. This systematic review assesses the economic value of one type of telehealth delivery - synchronous or real time video communication - rather than examining a heterogeneous range of delivery modes as has been the case with previous revie...

  16. The use of marketing concepts in library services: a literature review

    OpenAIRE

    Γαρουφάλλου, Εμμανουήλ; Σιάτρη, Ράνια; Ζαφειρίου, Γεωργία; Μπαλαπανίδου, Αικατερίνη; Garoufallou, Emmanouel; Siatri, Rania; Zafeiriou, Georgia; Balapanidou, Ekaterini

    2013-01-01

    Marketing supports the reaching of organizational goals by focusing on the identification and satisfaction of customer needs, thus it can also contribute considerably in achieving the objectives of non-profit organizations such as libraries. The purpose of this paper is to provide an overview of the literature on the incorporation of marketing notions and the implementation of marketing techniques in library management. It reviews definitions, present different opposing views, marketing issue...

  17. A retrospective review of telehealth services for children referred to a paediatric nephrologist

    OpenAIRE

    Trnka, Peter; White, Megan M.; Renton, William D.; McTaggart, Steven J.; Burke, John R.; Smith, Anthony C.

    2015-01-01

    Background Telemedicine has emerged as an alternative mode of health care delivery over the last decade. To date, there is very limited published information in the field of telehealth and paediatric nephrology. The aim of this study was to review our experience with paediatric telenephrology in Queensland, Australia. Methods A retrospective audit of paediatric nephrology telehealth consultations to determine the nature of the telehealth activity, reasons for referral to telehealth, and to co...

  18. The Safety Assessment Advisory Programme (SAAP). Design and Safety Assessment Review Service (DSARS)

    International Nuclear Information System (INIS)

    • The DSARS provides a comprehensive set of reviews to assist and advise Member States in achieving and maintaining a high level of safety of nuclear power plants; • Its new Safety Assessment Advisory Programme will assist NPP newcomer countries in building the capacity and competency needed for successful independent risk-informed decision-making; Delivery mechanisms for DSARS tailored modules: TC Projects; Extra Budgetary Programmes; Safety Networks/Forums (GNSSN, ANSN, RCF, GSAN etc.)

  19. THE EFFICIENCY OF PUBLIC SERVICE OBLIGATION FOR FOOD SUBSIDY IN INDONESIA: REVIEW OF COST STRUCTURE ANALYSIS

    OpenAIRE

    IRWAN TRINUGROHO; ASRI LAKSMI RIANI

    2011-01-01

    The paper reviews the efficiency of food subsidy in Indonesia based on cost structure analysis. Using the comparison between cost of good of government and cost of good of National Logistics Board appointed to manage and channel the subsidy. The level of efficiency has decreased in the recent years because of increase in costs of exploitation, management cost and interest expense. It is suggested that government has to determine the cut-off point as a feasibility assessment of cost of subsidy.

  20. THE EFFICIENCY OF PUBLIC SERVICE OBLIGATION FOR FOOD SUBSIDY IN INDONESIA: REVIEW OF COST STRUCTURE ANALYSIS

    OpenAIRE

    ASRI LAKSMI RIANI; SUTOMO; IRWAN TRINUGROHO

    2011-01-01

    The paper reviews the efficiency of food subsidy in Indonesia based on cost structure analysis. Using the comparison between cost of good of government and cost of good of National Logistics Board appointed to manage and channel the subsidy. The level of efficiency has decreased in the recent years because of increase in costs of exploitation, management cost and interest expense. It is suggested that government has to determine the cut-off point as a feasibility assessment of cost of subsidy

  1. Successfully integrating aged care services: A review of the evidence and tools emerging from a long-term care program

    Directory of Open Access Journals (Sweden)

    Michael J. Stewart

    2013-02-01

    Full Text Available Background: Providing efficient and effective aged care services is one of the greatest public policy concerns currently facing governments. Increasing the integration of care services has the potential to provide many benefits including increased access, promoting greater efficiency, and improving care outcomes. There is little research, however, investigating how integrated aged care can be successfully achieved. The PRISMA (Program of Research to Integrate Services for the Maintenance of Autonomy project, from Quebec, Canada, is one of the most systematic and sustained bodies of research investigating the translation and outcomes of an integrated care policy into practice.  The PRISMA research program has run since 1988, yet there has been no independent systematic review of this work to draw out the lessons learnt. Methods: Narrative review of all literature emanating from the PRISMA project between 1988 and 2012. Researchers accessed an online list of all published papers from the program website. The reference lists of papers were hand searched to identify additional literature. Finally, Medline, Pubmed, EMBASE and Google Scholar indexing databases were searched using key terms and author names. Results were extracted into specially designed spread sheets for analysis. Results: 45 journal articles and two books authored or co-authored by the PRISMA team were identified. Research was primarily concerned with: the design, development and validation of screening and assessment tools; and results generated from their application. Both quasi-experimental and cross sectional analytic designs were used extensively. Contextually appropriate expert opinion was obtained using variations on the Delphi Method. Literature analysis revealed the structures, processes and outcomes which underpinned the implementation. PRISMA provides evidence that integrating care for older persons is beneficial to individuals through reducing incidence of functional

  2. Calorie menu labeling on quick-service restaurant menus: an updated systematic review of the literature

    Science.gov (United States)

    2011-01-01

    Nutrition labels are one strategy being used to combat the increasing prevalence of overweight and obesity in the United States. The Patient Protection and Affordable Care Act of 2010 mandates that calorie labels be added to menu boards of chain restaurants with 20 or more locations. This systematic review includes seven studies published since the last review on the topic in 2008. Authors searched for peer-reviewed studies using PUBMED and Google Scholar. Included studies used an experimental or quasi-experimental design comparing a calorie-labeled menu with a no-calorie menu and were conducted in laboratories, college cafeterias, and fast food restaurants. Two of the included studies were judged to be of good quality, and five of were judged to be of fair quality. Observational studies conducted in cities after implementation of calorie labeling were imprecise in their measure of the isolated effects of calorie labels. Experimental studies conducted in laboratory settings were difficult to generalize to real world behavior. Only two of the seven studies reported a statistically significant reduction in calories purchased among consumers using calorie-labeled menus. The current evidence suggests that calorie labeling does not have the intended effect of decreasing calorie purchasing or consumption. PMID:22152038

  3. Calorie menu labeling on quick-service restaurant menus: an updated systematic review of the literature

    Directory of Open Access Journals (Sweden)

    Swartz Jonas J

    2011-12-01

    Full Text Available Abstract Nutrition labels are one strategy being used to combat the increasing prevalence of overweight and obesity in the United States. The Patient Protection and Affordable Care Act of 2010 mandates that calorie labels be added to menu boards of chain restaurants with 20 or more locations. This systematic review includes seven studies published since the last review on the topic in 2008. Authors searched for peer-reviewed studies using PUBMED and Google Scholar. Included studies used an experimental or quasi-experimental design comparing a calorie-labeled menu with a no-calorie menu and were conducted in laboratories, college cafeterias, and fast food restaurants. Two of the included studies were judged to be of good quality, and five of were judged to be of fair quality. Observational studies conducted in cities after implementation of calorie labeling were imprecise in their measure of the isolated effects of calorie labels. Experimental studies conducted in laboratory settings were difficult to generalize to real world behavior. Only two of the seven studies reported a statistically significant reduction in calories purchased among consumers using calorie-labeled menus. The current evidence suggests that calorie labeling does not have the intended effect of decreasing calorie purchasing or consumption.

  4. Calorie menu labeling on quick-service restaurant menus: an updated systematic review of the literature.

    Science.gov (United States)

    Swartz, Jonas J; Braxton, Danielle; Viera, Anthony J

    2011-01-01

    Nutrition labels are one strategy being used to combat the increasing prevalence of overweight and obesity in the United States. The Patient Protection and Affordable Care Act of 2010 mandates that calorie labels be added to menu boards of chain restaurants with 20 or more locations. This systematic review includes seven studies published since the last review on the topic in 2008. Authors searched for peer-reviewed studies using PUBMED and Google Scholar. Included studies used an experimental or quasi-experimental design comparing a calorie-labeled menu with a no-calorie menu and were conducted in laboratories, college cafeterias, and fast food restaurants. Two of the included studies were judged to be of good quality, and five of were judged to be of fair quality. Observational studies conducted in cities after implementation of calorie labeling were imprecise in their measure of the isolated effects of calorie labels. Experimental studies conducted in laboratory settings were difficult to generalize to real world behavior. Only two of the seven studies reported a statistically significant reduction in calories purchased among consumers using calorie-labeled menus. The current evidence suggests that calorie labeling does not have the intended effect of decreasing calorie purchasing or consumption. PMID:22152038

  5. Socio economic and health services related to Maternal mortality: a review

    Directory of Open Access Journals (Sweden)

    Cordero-Rizo Marcia Zulema

    2011-06-01

    Full Text Available Background: approximately 15.000 women die each year in Latin America and theCaribbean for pregnancy-related causes. The resulting rate of maternal mortality forthe region is 130 maternal deaths per 100,000 live births, higher than that observed indeveloped countries.Objective: to identify socio-economic factors and the provision of health services andtheir impact on maternal mortality.Methods: we performed a literature search in electronic databases using key wordsrelating to the subject, to detect socioeconomic factors and the provision of health services. Articles were searched from January 1998 through December 2010. Weidentified 16 factors (or themes which were observed to establish relationships withmaternal mortality.Results: subjects or socioeconomic factors associated with maternal mortalityidentified were education, maternal parity, age, region, marital status, housingconditions, health services, prenatal care and safety of health services.Conclusion: low socioeconomic status and therefore poverty are determinants ofmaternal death. The lack of availability and restrictions on access to prenatal carealso has significant influence.RESUMEN:Introducción: aproximadamente 15.000 mujeres mueren cada año en América Latinay el Caribe por causas relacionadas con el embarazo. La tasa derivada de la mortalidadmaterna para la región, es de 130 muertes maternas por 100.000 nacidos vivos, ciframás elevada que la observada en los países desarrollados.Objetivo: identificar factores socio económicos y la prestación de los servicios de saludy su impacto en la mortalidad materna.Metodología: se realizó una búsqueda de la literatura en bases de datos electrónicasmediante palabras clave con relación al tema, para detectar los factores socioeconómicosy la prestación de los servicios de salud. Se buscaron artículos desde enero de 1998hasta diciembre del 2010. Se identificaron 16 factores (o temas los cuales se observaronpara establecer relaci

  6. A REVIEW OF INTERNAL MARKETING & INFORMATION TECHNOLOGY SERVICE MANAGEMENT IN CARGILL SINGAPORE

    OpenAIRE

    Subramaniam, Rajasegaran

    2007-01-01

    In today���¢��������s business world, organizations have slowly realized that in order to stay competitive, relationship building with their customer and maintaining customer loyalty are crucial. With the shift towards being customer focused and customer-centric, organizations reckon the need to establish a service orientation as an organizational imperative focusing on achieving effective internal exchanges between the organization and its employee groups as a requirement for suc...

  7. Community hospitals – the place of local service provision in a modernising NHS: an integrative thematic literature review

    Directory of Open Access Journals (Sweden)

    Heaney David

    2006-12-01

    Full Text Available Abstract Background Recent developments within the United Kingdom's (UK health care system have re-awakened interest in community hospitals (CHs and their role in the provision of health care. This integrative literature review sought to identify and assess the current evidence base for CHs. Methods A range of electronic reference databases were searched from January 1984 to either December 2004 or February 2005: Medline, Embase, Web of Knowledge, BNI, CINAHL, HMIC, ASSIA, PsychInfo, SIGLE, Dissertation Abstracts, Cochrane Library, Kings Fund website, using both keywords and text words. Thematic analysis identified recurrent themes across the literature; narrative analyses were written for each theme, identifying unifying concepts and discrepant issues. Results The search strategy identified over 16,000 international references. We included papers of any study design focussing on hospitals in which care was led principally by general practitioners or nurses. Papers from developing countries were excluded. A review of titles revealed 641 potentially relevant references; abstract appraisal identified 161 references for review. During data extraction, a further 48 papers were excluded, leaving 113 papers in the final review. The most common methodological approaches were cross-sectional/descriptive studies, commentaries and expert opinion. There were few experimental studies, systematic reviews, economic studies or studies that reported on longer-term outcomes. The key themes identified were origin and location of CHs; their place in the continuum of care; services provided; effectiveness, efficiency and equity of CHs; and views of patients and staff. In general, there was a lack of robust evidence for the role of CHs, which is partly due to the ad hoc nature of their development and lack of clear strategic vision for their future. Evidence for the effectiveness and efficiency of the services provided was limited. Most people admitted to CHs

  8. Review of Malaria Epidemics in Ethiopia using Enhanced Climate Services (ENACTS)

    Science.gov (United States)

    Muhammad, A.

    2015-12-01

    Malaria is a disease directly linked to temperature and rainfall. In Ethiopia, the influence of climate variables on malaria transmission and the subsequent role of ENSO in the rise of malaria incidence are becoming more recognized. Numerous publications attest to the extreme sensitivity of malaria to climate in Ethiopia. The majority of large-scale epidemics in the past were associated with climatic factors such as temperature and rainfall. However, there is limited information on climate variability and ENSO at the district level to aid in public health decision-making. Since 2008, the National Meteorogy Agency (NMA) and the International Research Institute for Climate and Society (IRI) have been collaborating on improving climate services in Ethiopia. This collaboration spurred the implementation of the Enhancing National Climate Services (ENACTS) initiative and the creation of the IRI Data Library (DL) NMA Ethiopia Maproom. ENACTS provides reliable and readily accessible climate data at high resolutions and the Maproom uses ENACTS to build a collection of maps and other figures that monitor climate and societal conditions at present and in the recent past (1981-2010). A recent analysis exploring the relationship of rainfall and temperature ENACTS products to malaria epidemics in proceeding rainy seasons within 12 woredas found above normal temperature anomalies to be more readily associated with epidemics when compared to above normal rainfall anomalies, regardless of the ENSO phase (Figure 1-2).

  9. The existing therapeutic interventions for orgasmic disorders: recommendations for culturally competent services, narrative review

    Directory of Open Access Journals (Sweden)

    Zahra Salmani

    2015-07-01

    Full Text Available Background: In recent years, a growing number of interventions for treatment of female orgasmic problems (FODs have emerged. Whereas orgasm is a extra biologically and learnable experience, there is a need for practitioners that to be able to select which therapy is the most appropriate to their context. Objective: In this critical literature review, we aimed to assess areas of controversy in the existing therapeutic interventions in FOD with taking into accounted the Iranian cultural models. Materials and Methods: For the present study, we conducted an extensive search of electronic databases using a comprehensive search strategy from 1970 till 2014. This strategy was using Google Scholar search, “pearl-growing” techniques and by hand-searching key guidelines, to identify distinct interventions to women's orgasmic problem therapy. We utilized various key combinations of words such as:" orgasm" OR "orgasmic "," female orgasmic dysfunction" OR Female anorgasmia OR Female Orgasmic Disorder ", orgasmic dysfunction AND treatment, “orgasm AND intervention”. Selection criteria in order to be included in this review, studies were required to: 1 employ clinical-based interventions, 2 focus on FOD. Results: The majority of interventions (90% related to non-pharmacological and other were about pharmacological interventions. Self-direct masturbation is suggested as the most privilege treatment in FOD. Reviewing all therapies indicates couple therapy, sexual skill training and sex therapy seem to be more appropriate to be applied in Iranian clinical settings. Conclusion: Since many therapeutic interventions are introduced to inform sexually-related practices, it is important to select an intervention that will be culturally appropriate and sensitive to norms and values. Professionals working in the fields of health and sexuality need to be sensitive and apply culturally appropriate therapies for Iranian population. We further suggest community well

  10. The Permanent Service for Mean Sea Level: A review of recent updates

    Science.gov (United States)

    Matthews, A. P.; Bradshaw, E.; Gordon, K. M.; Holgate, S. J.; Jevrejeva, S.; Rickards, L. J.; Tamisiea, M. E.; Woodworth, P. L.

    2012-04-01

    The Permanent Service for Mean Sea Level (PSMSL) is the internationally recognised global sea level databank for long term sea level change information from tide gauges. Established in 1933, the PSMSL continues to be responsible for the collection, publication, analysis and interpretation of sea level data. The PSMSL is in the process of joining the recently formed ICSU World Data System (WDS), the successor to the Federation of Astronomical and Geophysical Data Analysis Services, of which the PSMSL was a member for many years. Membership of the WDS requires the PSMSL to meet criteria covering policies, organisational framework, management of data, metadata, services and technical infrastructure. The PSMSL continues to have close links with the Intergovernmental Oceanographic Commission's Global Sea Level Observing System (GLOSS). Currently the PSMSL databank of monthly and annual mean sea level data holds around 61,500 station years from over 2100 stations and in the region of 200 authorities worldwide. Data undergo careful quality control, including ensuring year to year continuity, before addition to the databank. Where possible, data is reduced to a common datum for time series analysis. Here, we present an analysis of the present state of the PSMSL and GLOSS data holdings, describing some of the recent improvements in the catalogue and highlighting some of the geographic regions where data coverage remains poor. We also describe recent efforts to improve interoperability with providers of other data of interest to the sea level community. The PSMSL have worked to link our stations with those of the Système d'Observation du Niveau des Eaux Littorales (SONEL), the University of Hawaii Sea Level Center (UHSLC) and the Vlaams Instituut voor de Zee (VLIZ). This will enable users of the PSMSL website to discover high frequency sea level and GPS records at or near PSMSL stations. Finally, we introduce some products planned to be added to the PSMSL website in the

  11. MR imaging diagnosis of posterior cruciate ligament injury: importance of ancillary findings

    International Nuclear Information System (INIS)

    To evaluate the importance of two ancillary findings of anterior tibial plateau bruise/fracture and popliteus muscle strain on MR diagnosis of posterior cruicate ligament injury. We retrospectively evaluated 48 patients with confirmed posterior cruciate ligament tear. We studied the incidence of anterior tibial plateau injury and popliteus muscle strain, and the specificity of popliteus muscle strain with or without bony injury. A complete tear of the posterior cruciate ligament was noted in 37 cases, a partial tear in 11. Anterior tibial plateau lesion was found in 21 of 48 cases (44%); This total was made up of 17/37 PCL complete tears (46%) and 4/11 partial tears (36%). The difference in the incidence of complete and partial tears is not statistically significant. Popliteus muscle injury was found in 20 of 48 cases (42%), the total consisted of 19/37 PCL complete tears (51%) and 1/11 partial tears (10%). The incidence of 42% is relatively high, approximating that of bony injury. The difference in the incidence of complete and partial tears is statistically significant (p < 0.006). Specificity for posterior cruciate ligament tear is 69%(20/29), and when concomitant with anterior tibial plateau injury is 94%(16/17). As in the case of anterior cruciate ligament injury, these documented ancillary findings of anterior tibial plateau and popliteus muscle injuries are very helpful when MR diagnosis of posterior cruciate ligament injury itself and differentiation of partial and complete rupture are doubtful

  12. MR imaging diagnosis of posterior cruciate ligament injury: importance of ancillary findings

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Kang Ik; Lee, Jong Hwa; Kim, Young Sun; Lee, Jung Hwoi; Ki, Tae Sung [Ulsan Univ. Hospital, Seoul (Korea, Republic of); Park, Jong Oag [Daejun Sungsim Hospital, Daejun (Korea, Republic of)

    1997-04-01

    To evaluate the importance of two ancillary findings of anterior tibial plateau bruise/fracture and popliteus muscle strain on MR diagnosis of posterior cruicate ligament injury. We retrospectively evaluated 48 patients with confirmed posterior cruciate ligament tear. We studied the incidence of anterior tibial plateau injury and popliteus muscle strain, and the specificity of popliteus muscle strain with or without bony injury. A complete tear of the posterior cruciate ligament was noted in 37 cases, a partial tear in 11. Anterior tibial plateau lesion was found in 21 of 48 cases (44%); This total was made up of 17/37 PCL complete tears (46%) and 4/11 partial tears (36%). The difference in the incidence of complete and partial tears is not statistically significant. Popliteus muscle injury was found in 20 of 48 cases (42%), the total consisted of 19/37 PCL complete tears (51%) and 1/11 partial tears (10%). The incidence of 42% is relatively high, approximating that of bony injury. The difference in the incidence of complete and partial tears is statistically significant (p < 0.006). Specificity for posterior cruciate ligament tear is 69%(20/29), and when concomitant with anterior tibial plateau injury is 94%(16/17). As in the case of anterior cruciate ligament injury, these documented ancillary findings of anterior tibial plateau and popliteus muscle injuries are very helpful when MR diagnosis of posterior cruciate ligament injury itself and differentiation of partial and complete rupture are doubtful.

  13. Immunohistochemistry and other ancillary techniques in the diagnosis of gestational trophoblastic diseases.

    Science.gov (United States)

    Buza, Natalia; Hui, Pei

    2014-05-01

    Gestational trophoblastic disease (GTD) encompasses entities ranging from ubiquitous hydatidiform moles to rare neoplastic gestational trophoblastic tumors. In practice, the histological diagnosis of GTD continues to have significant diagnostic inaccuracy with marked inter- and intra-observer variability, even among expert pathologists. Studies in correlation with genotypic evidence have confirmed a lack of accuracy in diagnosis of hydatidiform moles using histology alone. Applications of new immunohistochemical markers and molecular techniques have significantly enhanced the diagnostic precision of various GTDs in recent years. p57 Immunohistochemistry is a highly useful marker in confirming complete hydatidiform mole. PCR-based DNA genotyping has emerged as a powerful diagnostic measure to precisely classify both complete and partial hydatidiform moles. With acquisition of molecular diagnostic capabilities at most medical centers, these ancillary techniques have been increasingly integrated into the routine diagnostic workup of GTD. We propose an algorithmic approach combining histology and these ancillary tests to provide the best diagnostic practice possible. Under this algorithm, all cases with histological suspicion for complete mole are subject to p57 immunohistochemical confirmation, and all cases with histological suspicion for partial mole undergo DNA genotyping workup. Beyond hydatidiform mole, recognition of gestational trophoblastic tumors requires a high index of suspicion and application of immunohistochemical markers of trophoblast is helpful to accurately diagnose these rare tumors. PMID:24907943

  14. Access to Emissions Distributions and Related Ancillary Data through the ECCAD database

    Science.gov (United States)

    Darras, Sabine; Enriquez, Edgar; Granier, Claire; Liousse, Catherine; Boulanger, Damien; Fontaine, Alain

    2016-04-01

    The ECCAD database (Emissions of atmospheric Compounds and Compilation of Ancillary Data) provides a user-friendly access to global and regional surface emissions for a large set of chemical compounds and ancillary data (land use, active fires, burned areas, population,etc). The emissions inventories are time series gridded data at spatial resolution from 1x1 to 0.1x0.1 degrees. ECCAD is the emissions database of the GEIA (Global Emissions InitiAtive) project and a sub-project of the French Atmospheric Data Center AERIS (http://www.aeris-data.fr). ECCAD has currently more than 2200 users originating from more than 80 countries. The project benefits from this large international community of users to expand the number of emission datasets made available. ECCAD provides detailed metadata for each of the datasets and various tools for data visualization, for computing global and regional totals and for interactive spatial and temporal analysis. The data can be downloaded as interoperable NetCDF CF-compliant files, i.e. the data are compatible with many other client interfaces. The presentation will provide information on the datasets available within ECCAD, as well as examples of the analysis work that can be done online through the website: http://eccad.aeris-data.fr.

  15. Music therapy for service users with dementia: a critical review of the literature.

    Science.gov (United States)

    Blackburn, R; Bradshaw, T

    2014-12-01

    Dementia is an organic mental health problem that has been estimated to affect over 23 million people worldwide. With increasing life expectancy in most countries, it has been estimated that the prevalence of dementia will continue to significantly increase in the next two decades. Dementia leads to cognitive impairments most notably short-term memory loss and impairments in functioning and quality of life (QOL). National policy in the UK advocates the importance of early diagnosis, treatment and social inclusion in maintaining a good QOL. First-line treatment options often involve drug therapies aimed at slowing down the progression of the illness and antipsychotic medication to address challenging behaviours. To date, research into non-pharmacological interventions has been limited. In this manuscript, we review the literature that has reported evaluations of the effects of music therapy, a non-pharmacological intervention. The results of six studies reviewed suggest that music therapy may have potential benefits in reducing anxiety, depression and agitated behaviour displayed by elderly people with dementia as well as improving cognitive functioning and QOL. Furthermore, music therapy is a safe and low-cost intervention that could potentially be offered by mental health nurses and other carers working in residential settings. PMID:25303405

  16. Wackenhut Services, Incorporated: Report from the DOE Voluntary Protection Program onsite review, August 10-14, 1998

    International Nuclear Information System (INIS)

    This report summarizes the Department of Energy Voluntary Protection Program (DOE-VPP) Review Team's findings from the five-day onsite evaluation of Wackenhut Services, Inc. (WSI) at Savannah River Site (SRS), conducted August 10-14, 1998. The site was evaluated against the program requirements contained in US Department of Energy Voluntary Protection Program, Part 1: Program Elements to determine its success in implementing the five DOE-VPP tenets. The Team determined that WSI has met in varying degrees, all the tenets of the DOE-VPP. In every case, WSI programs and procedures exceed the level or degree necessary for compliance with existing standards, DOE Orders, and guidelines. In addition, WSI has systematically integrated their occupational safety and health (OSH) program into management and work practices at all levels. WSI's efforts toward implementing the five major DOE-VPP tenets are summarized

  17. Wackenhut Services, Incorporated: Report from the DOE Voluntary Protection Program onsite review, August 10--14, 1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-05-01

    This report summarizes the Department of Energy Voluntary Protection Program (DOE-VPP) Review Team`s findings from the five-day onsite evaluation of Wackenhut Services, Inc. (WSI) at Savannah River Site (SRS), conducted August 10-14, 1998. The site was evaluated against the program requirements contained in US Department of Energy Voluntary Protection Program, Part 1: Program Elements to determine its success in implementing the five DOE-VPP tenets. The Team determined that WSI has met in varying degrees, all the tenets of the DOE-VPP. In every case, WSI programs and procedures exceed the level or degree necessary for compliance with existing standards, DOE Orders, and guidelines. In addition, WSI has systematically integrated their occupational safety and health (OSH) program into management and work practices at all levels. WSI`s efforts toward implementing the five major DOE-VPP tenets are summarized.

  18. A critical review of studies of the association between demands for hospital services and air pollution.

    Science.gov (United States)

    Lipfert, F W

    1993-07-01

    Studies of the associations between air pollution and hospital admissions and emergency room use are reviewed, including studies of air pollution episodes, time-series analyses, and cross-sectional analyses. These studies encompass a variety of methods of analysis and levels of air quality. Findings from all three types of studies were generally consistent in that almost all of the studies reviewed found statistically significant associations between hospital use and air pollution; this unanimity may have resulted in part from publication bias. These associations were characterized by elasticities of the order of 0.20; i.e., a 100% change in air pollution was associated with a change in hospital use of about 20%, for specific diagnoses. Respiratory diagnoses were emphasized by most studies; cardiac diagnoses were included in five of them. The air pollutants most often associated with changes in hospital use were particulate matter, sulfur oxides, and oxidants. Apart from the major air pollution episodes, there was no obvious link between air pollution level and the significance or magnitudes of the associations. Long-term indicators of hospitalization appeared to also be influenced by medical care supply factors, including the numbers of beds and physicians per capita. These nonpathological causal factors could also have influenced the findings of the time-series studies by introducing extraneous factors in the patterns of admissions. Although consistent associations have been shown between hospital use and air pollution, further research is required to distinguish among potentially responsible pollutants and to deduce specific dose-response relationships of general utility. PMID:8243395

  19. Unbundling generation and transmission services for competitive electricity markets

    International Nuclear Information System (INIS)

    Ancillary services are those functions performed by the equipment and people that generate, control, and transmit electricity in support of the basic services of generating capacity, energy supply, and power delivery. The Federal Energy Regulatory Commission (FERC) defined such services as those 'necessary to support the transmission of electric power from seller to purchaser given the obligations of control areas and transmitting utilities within those control areas to maintain reliable operations of the interconnected transmission system.' The nationwide cost of ancillary services is about $12 billion a year, roughly 10% of the cost of the energy commodity. More important than the cost, however, is the necessity of these services for bulk-power reliability and for the support of commercial transactions. FERC's landmark Order 888 included a pro forma tariff with provision for six key ancillary services. The Interconnected Operations Services Working Group identified another six services that it felt were essential to the operation of bulk-power systems. Several groups throughput the United States have created or are forming independent system operators, which will be responsible for reliability and commerce. To date, the electricity industry (including traditional vertically integrated utilities, distribution utilities, power markets and brokers, customers, and state and federal regulators) has paid insufficient attention to these services. Although the industry had made substantial progress in identifying and defining the key services, much remains to be doe to specify methods to measure the production, delivery, and consumption of these services; to identify the costs and cost-allocation factors for these services; and to develop market and operating rules for their provision and pricing. Developing metrics, determining costs, and setting pricing rules are important because most of these ancillary services are produced by the same pieces of equipment that

  20. Preventing and controlling foodborne disease in commercial and institutional food service settings: a systematic review of published intervention studies.

    Science.gov (United States)

    Viator, Catherine; Blitstein, Jonathan; Brophy, Jenna E; Fraser, Angela

    2015-02-01

    This study reviews the current literature on behavioral and environmental food safety interventions conducted in commercial and institutional food service settings. A systematic search of the published literature yielded 268 candidate articles, from which a set of 23 articles reporting intervention outcomes was retained for evaluation. A categorization of measured outcomes is reported; studies addressed multiple outcomes ranging from knowledge, attitudes, and behavior of personal hygiene and food safety to management practices and disease rates and outbreaks. This study also investigates the quality of reported research methods used to evaluate the effectiveness of the interventions, using a nine-point quality index adapted by the authors. The observed scores suggest that there are opportunities to improve the design and reporting of research in the field of foodborne disease prevention as it applies to food safety interventions that target the food service industry. The aim is to aid researchers in this area to design higher quality studies and to produce clearer and more useful reports of their research. In turn, this can help to create a more complete evidence base that can be used to continually improve interventions in this domain. PMID:25710165