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Sample records for bill stafford stripoffsets

  1. Best Manufacturing Practices. Report of Survey Conducted at Stafford County Public Schools, Stafford County, VA

    National Research Council Canada - National Science Library

    1994-01-01

    During the week of August 8, 1994, a Best Manufacturing Practices (BMP) survey was conducted at the Stafford County Public Schools located in Stafford County, Virginia, considered one of the fastest growing counties in the state...

  2. Partners in Community Service: Making a Community Connection Is Part of "The Stafford Way" at Vermont's Stafford Technical Center

    Science.gov (United States)

    Lucci, William, Jr.

    2005-01-01

    The Stafford Technical Center (STC) in Rutland, Vermont, operates with a mission statement that proudly touts its desire to "create a learning environment that promotes pride in work, a sense of self-worth and the ability to respect others by developing effective communication and life skills." Stafford acknowledges that these learning…

  3. 78 FR 52169 - Agency Information Collection Activities; Comment Request; Federal Direct Stafford/Ford Loan and...

    Science.gov (United States)

    2013-08-22

    ...; Comment Request; Federal Direct Stafford/Ford Loan and Federal Direct Subsidized/ Unsubsidized Stafford/Ford Loan Master Promissory Note AGENCY: Department of Education (ED), Federal Student Aid (FSA... Stafford/Ford Loan and Federal Direct Subsidized/Unsubsidized Stafford/Ford Loan Master Promissory Note...

  4. 34 CFR 682.301 - Eligibility of borrowers for interest benefits on Stafford and Consolidation loans.

    Science.gov (United States)

    2010-07-01

    ... Stafford and Consolidation loans. 682.301 Section 682.301 Education Regulations of the Offices of the... borrowers for interest benefits on Stafford and Consolidation loans. (a) General. (1) To qualify for benefits on a Stafford loan, a borrower must demonstrate financial need in accordance with Part F of the...

  5. Performing the Narrators in Jean Stafford's "The Hope Chest."

    Science.gov (United States)

    JoAnn Niehaus, Sister

    "The Hope Chest," a short story by Jean Stafford, offers a challenge to the oral interpreter of literature because it demands that the performer demonstrate its complex narrative levels. There are five distinct facets in the personality of the central character, Miss Bellamy: a lonely, fearful old lady; a shrewd, hospitable mistress of…

  6. Billing Trends

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. Billing Trends. Internet access: Bandwidth becoming analogous to electric power. Only maximum capacity (load) is fixed; Charges based on usage (units). Leased line bandwidth: Billing analogous to phone calls. But bandwidth is variable.

  7. 75 FR 29569 - Recovery Policy RP9526.1, Hazard Mitigation Funding Under Section 406 (Stafford Act)

    Science.gov (United States)

    2010-05-26

    ...] Recovery Policy RP9526.1, Hazard Mitigation Funding Under Section 406 (Stafford Act) AGENCY: Federal... the final Recovery Policy RP9526.1, Hazard Mitigation Funding Under Section 406 (Stafford Act), which... mitigation discretionary funding available under Section 406 of the Robert T. Stafford Disaster Relief and...

  8. Bill Maurer

    Directory of Open Access Journals (Sweden)

    Lauren Tooker

    2014-10-01

    Full Text Available Professor Bill Maurer is a renowned cultural anthropologist who conducts research on law, property, money and finance, focusing on the technological infrastructures and social relations of exchange and payment. Professor Maurer graduated from Stanford University in 1994 with a PhD in Anthropology. He moved to UC Irvine in 1996 as Assistant Professor, going on to become Chair of UC Irvine’s Department of Anthropology (2005-2011 and Associate Dean for Research and Graduate Studies in the Social Sciences (2011-2013. In July 2013 he assumed his current role as Dean of UC Irvine’s School of Social Sciences. Professor Maurer has published on topics ranging from offshore financial services to mobile phone-enabled money transfers, Islamic finance, alternative currencies, and the future of money. He is founding director of the Institute for Money, Technology and Financial Inclusion, funded by the Bill and Melinda Gates Foundation, and was the founding co-director of the Intel Science and Technology Center in Social Computing. He is the editor of six collections, as well as the author of Recharting the Caribbean: Land, Law and Citizenship in the British Virgin Islands (1997, Pious Property: Islamic Mortgages in the United States (2006, and Mutual Life, Limited: Islamic Banking, Alternative Currencies, Lateral Reason (2005. The latter received the Victor Turner Prize in 2005. Professor Maurer visited the University of Warwick in September 2014 under the auspices of Warwick’s Global Governance GRP.

  9. Astronaut Thomas Stafford during water egress training in Gulf of Mexico

    Science.gov (United States)

    1965-01-01

    Astronaut Thomas P. Stafford, Gemini 6 prime crew pilot, climbs out of a boilerplate model of a Gemini spacecraft during water egress training in the Gulf of Mexico. A NASA swimmer in the water nearby assists in the exercise.

  10. Stafford fault system: 120 million year fault movement history of northern Virginia

    Science.gov (United States)

    Powars, David S.; Catchings, Rufus D.; Horton, J. Wright; Schindler, J. Stephen; Pavich, Milan J.

    2015-01-01

    The Stafford fault system, located in the mid-Atlantic coastal plain of the eastern United States, provides the most complete record of fault movement during the past ~120 m.y. across the Virginia, Washington, District of Columbia (D.C.), and Maryland region, including displacement of Pleistocene terrace gravels. The Stafford fault system is close to and aligned with the Piedmont Spotsylvania and Long Branch fault zones. The dominant southwest-northeast trend of strong shaking from the 23 August 2011, moment magnitude Mw 5.8 Mineral, Virginia, earthquake is consistent with the connectivity of these faults, as seismic energy appears to have traveled along the documented and proposed extensions of the Stafford fault system into the Washington, D.C., area. Some other faults documented in the nearby coastal plain are clearly rooted in crystalline basement faults, especially along terrane boundaries. These coastal plain faults are commonly assumed to have undergone relatively uniform movement through time, with average slip rates from 0.3 to 1.5 m/m.y. However, there were higher rates during the Paleocene–early Eocene and the Pliocene (4.4–27.4 m/m.y), suggesting that slip occurred primarily during large earthquakes. Further investigation of the Stafford fault system is needed to understand potential earthquake hazards for the Virginia, Maryland, and Washington, D.C., area. The combined Stafford fault system and aligned Piedmont faults are ~180 km long, so if the combined fault system ruptured in a single event, it would result in a significantly larger magnitude earthquake than the Mineral earthquake. Many structures most strongly affected during the Mineral earthquake are along or near the Stafford fault system and its proposed northeastward extension.

  11. Errors in energy bills

    International Nuclear Information System (INIS)

    Kop, L.

    2001-01-01

    On request, the Dutch Association for Energy, Environment and Water (VEMW) checks the energy bills for her customers. It appeared that in the year 2000 many small, but also big errors were discovered in the bills of 42 businesses

  12. Would an Influenza Pandemic Qualify as a Major Disaster Under the Stafford Act?

    Science.gov (United States)

    2009-12-15

    Officials Say Swine Flu Vaccine is Coming, CQ HOMELAND SECURITY, July 9, 2009 (quoting DHS Secretary Janet Napolitano as observing that “the [Stafford...not ready for avian flu outbreak, KANSAS CITY STAR, Dec. 13, 2005, at 1; Sabin Russell, Statewide flu plan ready for public input, SAN FRANCISCO

  13. David Stafford-Clark (1916-1999): Seeing through a celebrity psychiatrist.

    Science.gov (United States)

    Miller, Gavin

    2017-04-26

    This article uses the mass-media career of the British psychiatrist David Stafford-Clark (1916-1999) as a case study in the exercise of cultural authority by celebrity medical professionals in post-war Britain. Stafford-Clark rose to prominence in the mass media, particularly through his presenting work on medical and related topics for BBC TV and Radio, and was in the vanguard of psychiatrists and physicians who eroded professional edicts on anonymity. At the height of his career, he traded upon his celebrity status, and consequent cultural authority, to deliver mass media sermons on a variety of social, cultural, and political topics. Stafford-Clark tried to preserve his sense of personal and intellectual integrity by clinging to a belief that his authority in the public sphere was ultimately to be vindicated by his literary, intellectual, and spiritual significance. But as his credibility dwindled, he came to distrust the cultural intermediaries, such as broadcasters and publishers, who had supported him.

  14. Ontario electricity bill review

    International Nuclear Information System (INIS)

    O'Neill, G.

    2003-01-01

    Findings of an independent review of charges to electricity bills and recommendations to assist in the development of a standard, province-wide residential electricity bill for Ontario are discussed. The review was requested by the province's Minister of Energy in an effort to dispel growing confusion about the variations in customer billing practices used by the province's 90+ local distribution companies. Key recommendations and findings were as follows: (1)Consumer bill formats issued by local distribution companies should be more consumer-friendly, adhere to minimum design standards, adapt uniform terminology and common line charges; (2) charges on customer bills should be grouped into four standard line items, with full details available to customers: the four line items should be a basic service charge, a charge for delivering electricity to the customer, a charge for the electricity itself, and a separate charge for retiring the outstanding debt of the former Ontario Hydro; (3) bills should take advantage of opportunities for promoting province-wide energy conservation, such as encouraging the long-term use of interval meters, presenting historical consumption data on residential bills on a period-to-period basis, and education and communications initiatives. Details of the recommendations, including the calculation of the fixed and variable components of usage charges, an explanation of the concept of electricity system loss adjustments, a method for phasing in the recommendations, and the anticipated benefits to consumers are provided

  15. Atomic Energy Authority Bill

    International Nuclear Information System (INIS)

    Gray, J.H.N.; Stoddart, D.L.; Sinclair, R.M.; Ezra, D.

    1985-01-01

    The House, in Committee, discussed the following matters in relation to the Atomic Energy Authority Bill; financing; trading; personnel conditions of employment; public relations; organization; research programmes; fuels; energy sources; information dissemination. (U.K.)

  16. Electricity Bill [Part 1

    International Nuclear Information System (INIS)

    Parkinson, C.; Hogg, N.; Salmond, A.

    1988-01-01

    The paper presents the first part of the Parliamentary debate on the second reading of the Electricity Bill, House of Commons, London 1988. The Bill sets out the government's proposals for the restructuring and privatisation of the electricity supply industry throughout Great Britain. Customers and suppliers, choice for the consumer, competition promotion, security of supply, nuclear power stations, and cost, are all discussed. (U.K.)

  17. Badali recommends simplified bills

    International Nuclear Information System (INIS)

    Anon

    2003-01-01

    A report on the variety of retail electricity bills across the province, authored by Salvatore Badali of Deloitte Consulting, was recently released by the Ontario Government. The report was commissioned by the Government to examine the underlying reasons for the significant format differences and the wide variation of fixed and variable charges among the approximately 95 local electricity distribution companies across the province. Regarding the appropriateness of the charges the report recommends common definitions for local distribution company (LDC) fixed and variable costs, and consideration of options for reducing LDC charges, mainly by consolidating the sector and sharing such services as customer billing, accounting and out sourcing operations. Seven recommendations deal with bill simplification. These include bills that are clear and easy to read and provide sufficient information for consumers to verify charges; promote energy conservation, e.g. by including historical information; allow comparisons between retail suppliers and distributors; accommodate revenue collection, marketing needs and other billing services. The report also recommends clearly defined and consistently used terminology for standardized line items, suggests ways to provide consumer information in a form useful for making energy conservation decisions, development of an LDC scorecard to enable stake holders to compare their own LDCs with LDCs around the province, creation of a conservation and bill calculation website, consideration of further use of shared services, and solutions to address the removal of line losses from invoices

  18. Badali recommends simplified bills

    Energy Technology Data Exchange (ETDEWEB)

    Anon

    2003-04-01

    A report on the variety of retail electricity bills across the province, authored by Salvatore Badali of Deloitte Consulting, was recently released by the Ontario Government. The report was commissioned by the Government to examine the underlying reasons for the significant format differences and the wide variation of fixed and variable charges among the approximately 95 local electricity distribution companies across the province. Regarding the appropriateness of the charges the report recommends common definitions for local distribution company (LDC) fixed and variable costs, and consideration of options for reducing LDC charges, mainly by consolidating the sector and sharing such services as customer billing, accounting and out sourcing operations. Seven recommendations deal with bill simplification. These include bills that are clear and easy to read and provide sufficient information for consumers to verify charges; promote energy conservation, e.g. by including historical information; allow comparisons between retail suppliers and distributors; accommodate revenue collection, marketing needs and other billing services. The report also recommends clearly defined and consistently used terminology for standardized line items, suggests ways to provide consumer information in a form useful for making energy conservation decisions, development of an LDC scorecard to enable stake holders to compare their own LDCs with LDCs around the province, creation of a conservation and bill calculation website, consideration of further use of shared services, and solutions to address the removal of line losses from invoices.

  19. Atomic Weapons Establishment Bill

    International Nuclear Information System (INIS)

    Clark, Alan; Dalyell, Tam; Haynes, Frank

    1990-01-01

    The Bill debated concerns the government's proposal for the future organisations of the atomic weapons establishment in the United Kingdom. The proposals arise from a full review carried out in 1989 and include points raised by the Select Committee on the Trident programme. Studies of productivity, pay and conditions, information systems and long term manufacturing strategy have been started to enable recommendations of the reorganisation of the establishments to be made. The details of the Bill were debated for just over two hours. The debate is reported verbatim. The main issues were over the principle of contractorisation, possible staff redundancies, conditions of employment, safety and security. The proposal that the Bill be read a second time was carried. (UK)

  20. Understanding Your Water Bill

    Science.gov (United States)

    An easy to way to understand individual water use is to look at your water bill—not just the amount due, but how much water you used. Pull out your water bill and follow our steps to learn more about it.

  1. Electricity Bill [second reading

    International Nuclear Information System (INIS)

    Hooper, G.; Williams, C.C.P.; Ezra, D.

    1989-01-01

    The Parliamentary Under-Secretary at the Department of Energy introduced the second reading of the Electricity Bill which provides for the restructuring and privatisation of the electricity supply industry throughout Great Britain. Three features at the heart of the Government's proposals are mentioned - first that the proposals will promote competition in electricity generation and supply of electricity so there will be a downward pressure on costs and prices, second is a new deal for customers and third is the security of electricity supply which will be ensured by the diversity of suppliers. The benefits of the scheme are outlined and then specific details of the Bill are considered. The debate which followed lasted six hours and is reported verbatim. The issues raised included environmental effects, efficiency, energy conservation, research and development and investment. (UK)

  2. Insurance billing and coding.

    Science.gov (United States)

    Napier, Rebecca H; Bruelheide, Lori S; Demann, Eric T K; Haug, Richard H

    2008-07-01

    The purpose of this article is to highlight the importance of understanding various numeric and alpha-numeric codes for accurately billing dental and medically related services to private pay or third-party insurance carriers. In the United States, common dental terminology (CDT) codes are most commonly used by dentists to submit claims, whereas current procedural terminology (CPT) and International Classification of Diseases, Ninth Revision, Clinical Modification (ICD.9.CM) codes are more commonly used by physicians to bill for their services. The CPT and ICD.9.CM coding systems complement each other in that CPT codes provide the procedure and service information and ICD.9.CM codes provide the reason or rationale for a particular procedure or service. These codes are more commonly used for "medical necessity" determinations, and general dentists and specialists who routinely perform care, including trauma-related care, biopsies, and dental treatment as a result of or in anticipation of a cancer-related treatment, are likely to use these codes. Claim submissions for care provided can be completed electronically or by means of paper forms.

  3. Patients Bill of Rights Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — Reducing Costs, Protecting Consumers - The Affordable Care Act on the One Year Anniversary of the Patients Bill of Rights For too long, too many hard working...

  4. Atomic Weapons Establishment Bill [Money

    International Nuclear Information System (INIS)

    Bennett, A.F.; Cryer, Bob; Carlisle, Kenneth; Dean, Paul.

    1990-01-01

    The debate concerns the authorisation of payment of the money required to reorganise the atomic weapons establishment in the United Kingdom provided for in the Atomic Weapons Establishment Bill in progress through Parliament. In the Bill the contractorisation of the establishment is recommended and some sort of Government owned company operated scheme set up. The debate lasted about half an hour and is reported verbatim. The issues raised concerned the actual sums likely to be incurred in the formation of a Company to carry out the designated activities of the Bill. These are connected with the research, development, production or maintenance of nuclear devices and the premises needed. The government spokesman suggested the sums required to support the Bill would not be large and the resolution was agreed to without a vote. (UK)

  5. Defense bill: Earmarking as usual

    Science.gov (United States)

    Earmarked funds in the $268 billion defense appropriations bill for fiscal year 1991 stirred congressional debate in late October. Senator Sam Nunn (D-Ga.), chairman of the Senate Armed Services Committee, charged that the defense bill contains questionable projects totaling tens of millions of dollars. AGU opposes legislative earmarking of money for particular institutions, maintaining that the practice prevents the best use of federal funding by circumventing competitive review. Nunn noted on the Senate floor that the appropriations bill provided specific funds for cited institutions—contravening a federal law promoting competition. “ If these programs have merit, they will succeed in a fair and competent review in competition,” Nunn said. “If no other institution in the country is able to compete, there should be no fear whatever of competition… But no one else in the world is allowed to compete to work on these projects.”

  6. Atomic Energy Authority Bill (Lords)

    Energy Technology Data Exchange (ETDEWEB)

    Eadie, A.; Goodlad, A.; Fisher, M.; Griffiths, P.; Coombs, S.

    1986-01-30

    The discussions of one of the standing committees of the House of Lords on the Atomic Energy Authority Bill are reported verbatim. Clauses 6, 9 and new clauses 3, 2 and 4 were discussed. The amendments to the clauses were put and debated. The safety requirements of the nuclear industry and the money necessary for these are discussed. At the end of the debate on each clause (and amendments if any), the decision of the House as to its agreement or otherwise is recorded. It was agreed that the Bill, as amended by the committee, should be reported to the (full) House of Lords. The debate lasted 1 3/4 hours.

  7. Educational Quality Bill of Rights

    Science.gov (United States)

    Center for Law and Education (NJ3), 2009

    2009-01-01

    This paper presents two forms of the Educational Quality Bill of Rights (EQBR). The first is a "one-page version", with a very brief single sentence identification of a key element of quality education in response to each of the key questions about the school (covering standards/learning goals, curriculum, instruction, etc.). The second is a "much…

  8. Bill Gates eyes healthcare market.

    Science.gov (United States)

    Dunbar, C

    1995-02-01

    The entrepreneurial spirit is still top in Bill Gates' mind as he look toward healthcare and other growth industries. Microsoft's CEO has not intention of going the way of other large technology companies that became obsolete before they could compete today.

  9. France's energy bill in 2007

    International Nuclear Information System (INIS)

    2008-01-01

    This article comments the slight decrease of the French energy bill in 2007 and its evolution since 1970, as well as the energy price fluctuations during 2007. While noticing the importance of the dollar fall, the authors discuss the evolution of oil product prices and its different indicators (crude oil annual average quotation, Brent annual average quotation, and imported oil annual average price), the evolution of natural gas prices, of coal prices, of electricity prices. The global decrease of energy imports is then discussed, including quantities of imported crude oil from various origins, refined products, gas from various origins as well, solid mineral fuels. The balance between exports and imports is commented as a whole, and with some particular countries, enabling an assessment of energy independence. The bill evolution for oil and for gas is briefly discussed, and the global value is assessed with respect to the French GDP or as an amount of work days for French inhabitants. Several graphs and tables are given, gathering several data which have been discussed: energy trade (imports, exports, and bill), comparison of bill with other economic aggregates, average prices of imported energy expressed in dollars and in euros, average price of imported crude oil, etc

  10. “Inscrutable Intelligence”: The Case against Plastic Surgery in the Works of Jean Stafford and Sylvia Plath

    Directory of Open Access Journals (Sweden)

    Mercè Cuenca

    2009-06-01

    Full Text Available Jean Stafford’s short story “The Interior Castle” (1946 and Sylvia Plath’s “Face Lift” and “The Plaster”, written in the early 1960s but published posthumously in Crossing the Water (1971, dwell on a theme which is rarely tackled in Postwar American literature: plastic surgery. Using a markedly mnemonic tone, both authors trace in detail the passive submission of female bodies to male (reconstruction. While the history of women in early Cold War America is usually associated with the patriarchal mystifying of housewifery, the myth of ideal, domestic femininity was also intimately related to bodily beauty. The demand for physical “perfection” which resulted from constructing women as, primarily, objects of male desire was mirrored in popular magazines, such as Ladies’ Home Journal, which endorsed women’s seeking medical aid to model themselves into “ideal” sexual mates (Meyerowitz in Meyerowitz ed., 244. Women’s submission to the notion that they should use any means necessary to become aesthetic objects to be appraised by men was thus represented as desirable. In this paper, I shall trace how both Stafford and Plath adopted a confessional style of writing in the abovementioned pieces in order to denounce the cultural construction of women as passive bodies to be moulded at will, instead of as active, thinking subjects. I shall argue that by reproducing the recollections and thoughts of the women being stitched, sewn and bandaged in their pieces, both authors articulated an alternative protofeminist aesthetics based on the beauty of what Stafford described as “inscrutable intelligence”.

  11. Bill Gates vil redde Folkeskolen

    DEFF Research Database (Denmark)

    Fejerskov, Adam Moe

    2014-01-01

    Det amerikanske uddannelsessystem bliver for tiden udsat for hård kritik, ledt an af Microsoft stifteren Bill Gates. Gates har indtil videre brugt 3 mia. kroner på at skabe opbakning til tiltag som præstationslønning af lærere og strømlining af pensum på tværs af alle skoler i landet...

  12. 25 CFR 175.30 - Billing.

    Science.gov (United States)

    2010-04-01

    ... provided in the customer's special contract. (c) Service fee billing. The utility shall render service fee... 25 Indians 1 2010-04-01 2010-04-01 false Billing. 175.30 Section 175.30 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN ELECTRIC POWER UTILITIES Billing, Payments, and...

  13. 48 CFR 942.704 - Billing rates.

    Science.gov (United States)

    2010-10-01

    ... ADMINISTRATION AND AUDIT SERVICES Indirect Cost Rates 942.704 Billing rates. (b) When the contracting officer or auditor responsible for establishing billing rates, in accordance with 48 CFR 42.704, has not established... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Billing rates. 942.704...

  14. Sharing China's Bank Restructuring Bill

    Institute of Scientific and Technical Information of China (English)

    Guonan Ma

    2006-01-01

    This paper addresses the questions related to the cost of China's bank restructuring and how it has been financed. We first propose a framework for recognizing losses. Then, we examine the recent major moves by the Chinese Government to repair the country's bank balance sheets. Finally, we explore the implications of the Chinese Government's methods of funding bank restructuring. We find that the Chinese Government has been decisive in confronting the costly task of bank restructuring. So far, Chinese taxpayers have paid most of the bill for bank restructuring.

  15. Clinical laboratory billing: superfluous requirements without justification?

    Science.gov (United States)

    Stadler, Stephen

    2004-01-01

    Congress occasionally passes new laws that affect how clinical laboratories handle test orders from physicians and, subsequently, process the billing for tests. Once a bill is signed into law, it is forwarded to administrative agencies, which draft regulations and administrative procedures, under which the intentions of Congress are carried out. In the case of laboratory test ordering and billing, the Centers for Medicare and Medicaid Services (CMS) has the greatest influence over how these regulations and procedures are defined. Unfortunately, in many cases, billing rules have been promulgated in ways that create the need for hospitals and commercial laboratories to expend huge sums of money to bill within the confines of the administrative rules; cause clinical laboratories to suffer from omissions and mistakes of other parties who are part of the patient care process but are not accountable for the billing information they provide to laboratories; and, frankly, in some respects, simply defy common sense.

  16. The Voluntary Euthanasia (Legalization) Bill (1936) revisited.

    Science.gov (United States)

    Helme, T

    1991-01-01

    In view of the continuing debate on euthanasia, the restrictions and safeguards which were introduced into the Voluntary Euthanasia (Legislation) Bill 1936 are discussed. Proposals for a new Terminal Care and Euthanasia Bill are suggested, based on some of the principles of the Mental Health Act 1983. PMID:2033626

  17. The Voluntary Euthanasia (Legalization) Bill (1936) revisited.

    OpenAIRE

    Helme, T

    1991-01-01

    In view of the continuing debate on euthanasia, the restrictions and safeguards which were introduced into the Voluntary Euthanasia (Legislation) Bill 1936 are discussed. Proposals for a new Terminal Care and Euthanasia Bill are suggested, based on some of the principles of the Mental Health Act 1983.

  18. 46 CFR 296.40 - Billing procedures.

    Science.gov (United States)

    2010-10-01

    ... OPERATORS MARITIME SECURITY PROGRAM (MSP) Billing and Payment Procedures § 296.40 Billing procedures. Submission of voucher. For contractors operating under more than one MSP Operating Agreement, the contractor may submit a single monthly voucher applicable to all its MSP Operating Agreements. Each voucher...

  19. 48 CFR 42.704 - Billing rates.

    Science.gov (United States)

    2010-10-01

    ... officer (or cognizant Federal agency official) or auditor responsible under 42.705 for establishing the... contracting officer (or cognizant Federal agency official) or auditor shall establish billing rates on the... officer (or cognizant Federal agency official) or auditor should ensure that the billing rates are as...

  20. National Program for Inspection of Non-Federal Dams. Shenipsit Dam (CT 00482), Thames River Basin, Stafford, Connecticut. Phase I Inspection Report.

    Science.gov (United States)

    1980-09-01

    calculatec by the Soil Loss Formula (0.1 ton/ac/yr. y±cld). The dosianed heiGht of the structures vill provide st rage for a 50 year sediment...As shown in the above listing the design meet, the c:rr,1 ,ia established in all instances. L B-13 rage -,- n We have discussed with the S. C.S...WALTHAM,* MASS rMdlRie INSPECTION OF Stafford, CT CANIN ENGINEERS INC. WALLINGFORD, CON.NF. DAS CE# 27 785 KC EWNGINEER NO-FD AS DATE Set𔃺 PAGE C-4 S S U

  1. Billing for outpatient transplant pharmacy services.

    Science.gov (United States)

    Maldonado, Angela Q; Seiger, Todd C; Urann, Christina L; McCleary, Jo Ann; Goroski, Angela L; Ojogho, Okechukwu N

    2012-01-15

    The economic impact of out-patient pharmacy services in a transplant program was evaluated. Full-time kidney transplant pharmacy services were implemented at Providence Sacred Heart Medical Center (PSHMC) in the fall of 2008, with two pharmacists combining hours to provide one full-time-equivalent position. At PSHMC, posttransplantation patients are seen three times per week. The number of patient visits with pharmacists for 2010 was compared with the total number of patient visits. The face-to-face time spent with the patient was translated to a level of billing that was associated with a set reimbursement schedule. For each patient encounter in which a pharmacist was involved, the incremental difference between the nursing and pharmacy levels of billing was examined, as were the levels most often billed by pharmacists. The difference in billing levels between pharmacists and nurses for the same patient encounter was also evaluated. Overall, pharmacist visits accounted for 208 (22%) of the 994 out-patient kidney transplant visits in 2010, with pharmacists billing at a higher level of acuity compared with nursing for the same patient encounter 48% of the time. This translated to an approximate increase of $100 per patient visit. For the one-year study period, pharmacists utilizing facility- fee billing increased out-patient reimbursement by approximately $10,000. By utilizing outpatient facility-fee billing for pharmacy services, the transplant program at PSHMC increased reimbursement in the outpatient setting.

  2. Energy bill of France in 2002

    International Nuclear Information System (INIS)

    2003-01-01

    The energy situation in France is presented. Data and charts illustrate the prices evolution at the import for the petroleum and the other energies, the exchanged energies volume and the bill for each energy sector. (A.L.B.)

  3. Utility Bill Insert for Wastewater Services

    Science.gov (United States)

    Intended for use by wastewater and water supply utilities, one side of the utility bill insert has information for customers that discharge to sanitary sewer systems; the other side is for customers with septic systems.

  4. How to Bill Your Computer Services.

    Science.gov (United States)

    Dooskin, Herbert P.

    1981-01-01

    A computer facility billing procedure should be designed so that the full costs of a computer center operation are equitably charged to the users. Design criteria, costing methods, and management's role are discussed. (Author/MLF)

  5. Reading and Calculating Billing Through Mobile Devices

    Directory of Open Access Journals (Sweden)

    Pilar Alexandra Moreno

    2013-06-01

    Full Text Available This article broadly describes the analysis, design and development of the system utilitarian, called “Reading and billing calculation site through mobile devices.” The application is oriented Public Services Companies, first water services, to perform part of the billing process “in place” through phones or any mobile devices compatible with Android. Will enable you to take readings of service consumption, recording new gauging, online update and control the information for users and turnover. This technology is considered as such one site billing method as through Internet is connected with the database of the company, sending and receiving date information, which makes the calculation of the billing for the reading period, bringing benefits to the client and the service generating company.

  6. 7 CFR 91.42 - Billing.

    Science.gov (United States)

    2010-01-01

    ... of the month. The applicant will be billed by the National Finance Center (NFC) using the Foundation... voluntary laboratory services and other services were rendered at a particular Science and Technology...

  7. Cut Electric Bills by Controlling Demand

    Science.gov (United States)

    Grumman, David L.

    1974-01-01

    Electric bills can be reduced by lowering electric consumption and by controlling demand -- the amount of electricity used at a certain point in time. Gives tips to help reduce electric demand at peak power periods. (Author/DN)

  8. The consumer pays the energy bill

    International Nuclear Information System (INIS)

    Meulmeester, P.; Haffner, R.C.G.

    2005-01-01

    The liberalization of the energy market for small-scale consumers in the Netherlands coincides with a period in which consumers have to pay high energy bills. However, the cause of this is not the liberalization, but the high oil prices and raised taxes. In this article an overview is given of the total energy bill n the Netherlands, its components and the first effects of the liberalization process [nl

  9. Who'll pay the electricity bill?

    International Nuclear Information System (INIS)

    Roche, P.

    1989-01-01

    Nuclear power will be protected from the vagaries of the free market by requiring the 12 privatised distribution companies to take around 15-20% of their power from non-fossil (i.e. nuclear) sources. The Electricity Bill also requires producers of fossil-fuelled electricity to charge a compulsory levy which will be used to finance the non-fossil quota. The extra cost of generating electricity by nuclear means compared with the alternatives will be recouped via the 'levy' after the new PWRs have come into operation. Producers of power which is neither nuclear nor fossil will not be required to make this levy, so renewable energies may gain a small competitive advantage. The financial implications of privatisation have not been fully clarified, especially regarding nuclear power with its associated expenses of radioactive waste disposal and decommissioning. Energy efficiency may be encouraged by the Bill, but competition may not result from the Bill. (author)

  10. Utopian dream: a new farm bill.

    Science.gov (United States)

    Nestle, Marion

    2012-01-01

    In the fall of 2011, I taught a graduate food studies course at New York University devoted to the farm bill, a massive and massively opaque piece of legislation passed most recently in 2008 and up for renewal in 2012. The farm bill supports farmers, of course, but also specifies how the United States deals with such matters as conservation, forestry, energy policy, organic food production, international food aid, and domestic food assistance. My students came from programs in nutrition, food studies, public health, public policy, and law, all united in the belief that a smaller scale, more regionalized, and more sustainable food system would be healthier for people and the planet.

  11. Resources available for nuclear power plant emergencies under the Price-Anderson Act and the Robert T. Stafford Disaster Relief and Emergency Assistance Act

    International Nuclear Information System (INIS)

    1992-07-01

    Through a series of TABLETOP exercises and other events that involved participation by State and Federal organizations, the need was identified for further explanation of financial and other related resources available to individuals and State and local governments in a major emergency at a nuclear power plant. A group with representatives from the Nuclear Regulatory commission, the Federal Emergency Management Agency, and the American Nuclear Insurers/Mutual Atomic Energy Liability Underwriters was established to work toward this end. This report is the result of that effort. This document is not meant to modify, undermine, or replace any other planning document (e.g., the Federal Radiological Emergency Response Plan or the Federal Response Plan). Its purpose is to clarify issues that have surfaced regarding resources available under the Price-Anderson and Stafford Acts

  12. 41 CFR 101-26.607 - Billings.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Billings. 101-26.607 Section 101-26.607 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 26-PROCUREMENT SOURCES AND PROGRAM 26.6...

  13. THE UGANDA COPYRIGHT AND NEIGHBOURING RIGHTS BILL ...

    African Journals Online (AJOL)

    The paper discusses the concept and philosophy of copyright. It also discusses copyright infringement with special reference to ICT. Furthermore, the paper examines international provisions related to copyright and reviews the Copyright Law Model. The paper also identifies gaps in the Uganda Copyright Bill, 2002 and ...

  14. Typical electric bills, January 1, 1981

    International Nuclear Information System (INIS)

    1981-01-01

    The Typical Electric Bills report is prepared by the Electric Power Division; Office of Coal, Nuclear, Electric and Alternate Fuels; Energy Information Administration; Department of Energy. The publication is geared to a variety of applications by electric utilities, industry, consumes, educational institutions, and government in recognition of the growing importance of energy planning in contemporary society. 19 figs., 18 tabs

  15. 2004 energy bill of the France

    International Nuclear Information System (INIS)

    2005-01-01

    This document analyzes the energy bill in France (28,35 milliards of euros), which increased of 24,1 % in 2004. This increase is due to the net imports and especially the fossil fuels. Statistical data and the presentation of Patrick Devedjian, delegated ministry for the Industry, illustrate this economic analysis. (A.L.B.)

  16. Maximizing collections from patient services billing.

    Science.gov (United States)

    Orenstein, Gil C; Kaye, Alan David; Fox, Charles J; Urman, Richard D

    2014-01-01

    The field of medical billing and collections continues to evolve along with current developments in U.S. healthcare reform. Although there has been a significant shift of payment responsibility from third-party payers to patients, many practices are not equipped to handle this change. As patients' financial obligations increase, the physician's ability to collect from patients will become increasingly important. Inability to collect bills receivable can adversely affect the revenue cycle of the practice. Solutions include improvement of the point-of-service collection processes, properly trained office staff, written financial policies, and the use of technology to facilitate online payments. Patients should fully understand their financial responsibilities and options available to them for payment of services rendered.

  17. Ilmumised ja mediteerimised / Bill Viola ; interv. Harry Liivrand

    Index Scriptorium Estoniae

    Viola, Bill

    1998-01-01

    Bill Viola videoretrospektiiv Stedelijk Museumis, Rijksmuseumis, New Metropolises jm. Amsterdamis 29. novembrini. H. Liivrand Bill Violast ja tema loomingust. B. Viola oma videokunstist praegu ja 25 aastat tagasi, mil tema alustas, mõjutustest loomingule.

  18. Principles of the Energy Conservation Bill

    International Nuclear Information System (INIS)

    Zeman, J.

    1995-01-01

    The paper describes 21 principles of the draft Energy Conservation Bill. The principles lay down fundamental responsibilities of the government, the municipalities, business entities, citizens and power plants in the field of economical energy management. Included are principles to minimize energy consumption and to stimulate a reasonable energy management, the role of the energy distribution network, responsibilities of the central load dispatching center, and power plant output regulation schemes. (J.B.)

  19. Atomic Energy Authority Bill (Lords) - second reading

    International Nuclear Information System (INIS)

    1986-01-01

    In the debate in the House of Commons on the second reading of the Atomic Energy Bill, the objective of which is to put the finances of the Authority on to a trading fund basis, the discussion included the following: proposed changes in method of financing the Authority; safety; underlying research; customer relations; accountability; personnel; public relations; radioactive waste management; energy research; parliamentary scrutiny; energy policy; nuclear power; fast reactors; fusion research; government policy. (U.K.)

  20. Refusal to pay electricity bill is illegal

    International Nuclear Information System (INIS)

    Hermann, H.P.

    1979-01-01

    Pursuant to a judgement passed by the Lower Court of Hamburg, the author discusses probable legal arguments justifying the refusal to pay one's electricity bill, the so-called electricity bill boycott. Following an analysis of the power supply contract and of the content and the limits of the fundamental right of freedom of conscience, as well as of the concept of free enterprise and of the legal effect of licenses under the nuclear law, his point of view stated in the article is to agree with the decision of the court saying that the operation of a nuclear power plant licensed under the nuclear law does not mean an infringement of the right of freedom of conscience. It can further not be accepted to let people refuse to pay their electricity bill by referring to the right of freedom of speech, by alleging conduct against public policy on the part of the public utilities, or by referring to the right of opposition. (HSCH) [de

  1. Performance improvement planning : developing effective billing and collection practices

    OpenAIRE

    anonymous

    2008-01-01

    Effective billing and collection systems are a critical component for ensuring the viability of a service provider. Improving billing and collection activities has an immediate impact on the revenue streams of a service provider that can, in turn, help the service provider in improving services. However, while effective billing and collection practices depend on many internal factors (including customer databases, the extent of metered and unmetered service provision, tariff and billing struc...

  2. 9 CFR 590.130 - Basis of billing plants.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Basis of billing plants. 590.130... of Service § 590.130 Basis of billing plants. Overtime and/or holiday services shall be billed to the official plant on the basis of each 15 minutes of overtime and/or holiday service performed by each...

  3. 14 CFR 1215.115 - Payment and billing.

    Science.gov (United States)

    2010-01-01

    ... is applicable toward TDRSS operational services. (b) The procedure for billing and payment of... billings as the actual service time is tabulated. Amounts due to the user will be credited to the next... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Payment and billing. 1215.115 Section 1215...

  4. 46 CFR 9.16 - Billing for services.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Billing for services. 9.16 Section 9.16 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC EXTRA COMPENSATION FOR OVERTIME SERVICES § 9.16 Billing for services. Overtime services shall be billed to the steamship companies...

  5. 42 CFR 408.82 - Conditions for group billing.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Conditions for group billing. 408.82 Section 408.82 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE... for group billing. CMS agrees to a group billing arrangement only if the following conditions are met...

  6. Billing and accounts receivable: fundamentals for improvement.

    Science.gov (United States)

    Bizon, M M

    1993-07-01

    If a healthcare facility's accounts receivable operation is experiencing problems, the patient accounts manager should survey all areas of his or her responsibility to determine the best method of resolving the difficulties. One effective technique to reduce billing problems is to take a proactive--not reactive--approach. If mistakes can be corrected before they get out of control, and if the patient accounts manager can ensure that claims will not be denied, a healthcare facility's accounts receivable should remain in good condition.

  7. Transmission policy in Alberta and Bill 50

    International Nuclear Information System (INIS)

    Church, J.; Rosehart, W.; MacCormack, J.

    2009-01-01

    Plans developed by the Alberta Electric System Operator (AESO) have determined that Alberta's electrical transmission system needs to be expanded. However, there are complex issues that must be considered in order to assess the nature and extent of the needed expansion. Various new amendments to the system were proposed in the Alberta government's Bill 50, including the construction of new transmission lines; the installation of a double circuit 500 kV alternating current line between Edmonton and the Gibbons-Redwater region; the construction of a new 240 kV substation in southeast Calgary; and the installation of 2 single circuit 500 kV alternating current lines between Edmonton and Fort McMurray. This study provided a review of the institutional framework instituted by the government's transmission policy and compared the costs and benefits of 2 large capacity high voltage DC (HVDC) transmission lines proposed for the Edmonton-Calgary corridor relative to the various other transmission system amendment suggestions. An evaluation of Alberta's proposed regulatory process under Bill 50 was also conducted. Results of the study indicated that the addition of the HVDC lines is an inefficient response to concerns over adequate supply and reliability. 72 refs., 18 tabs.

  8. Bill Barbour : mõned ideed kasvavatele firmadele / Bill Barbour ; interv. Taivo Paju

    Index Scriptorium Estoniae

    Barbour, Bill

    2005-01-01

    Suurbritannia üks kogenumaid ärikonsultante firmade ärikasvumudelist, mis aitab ettevõttel järgmisesse etappi üle minna. Mida peaks ettevõtja enne äri alustamist läbi mõtlema ning millised eesmärgid ja ülesanded enda jaoks paika panema. Lisad: Bill Barbour; Universaalne kriisimudel

  9. The development of application for billing of services

    OpenAIRE

    Šinko, Žiga

    2013-01-01

    Diploma is a description of a programming solution for preparing billing invoices of Mikrocop services. Developed system can easily manage billing invoices specifications for all customers and set schedules for generating invoices. These settings are than used by the service module generating invoices on schedule. Generated invoices can be seen and managed with help of Windows Reporting Services technology. First chapter describes services billing in general. Second chapter shortly de...

  10. The Maternity Benefit (Amendment Bill, 2016: A Critical Analysis

    Directory of Open Access Journals (Sweden)

    Suman Singh

    2016-11-01

    Full Text Available On 11 August 2016, amending the Maternity Benefit Act, 1961, the new bill, The Maternity Benefit (Amendment Bill, 2016 was introduced and passed in the Rajya Sabha (or Council of States, the upper house of the Parliament of India. Central aim of this article is to critically review the amendments to the bill regarding geographies of maternity leave and its associated facilities.

  11. Industry wins, loses in House bill

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    This paper reports that the House of Representatives has approved a plan to limit U.S. gas prorationing by the states but rejected a move to require petroleum refiners and importers to place 1% of their oil or products volumes into the Strategic Petroleum Reserve. The oil industry lobbied heavily against the SPR provision, which went down 263-135. The House then passed its omnibus energy bill 381-37. It is designed to facilitate all types of energy production while promoting conservation. The legislation also imposes bans on offshore leasing but gives independent producers limited relief from the alternative minimum tax (AMT) and does not include a mandate for use of ethanol in gasoline

  12. Radioactive material (road transport) bill. [Third reading

    International Nuclear Information System (INIS)

    Fishburn, D.; Walley, J.; Currie, E.

    1991-01-01

    This is a private members Bill which will enable new rules to be set out that will govern the way in the which nearly 500,000 shipments of radioactive and nuclear material go by road in the United Kingdom every year. It would give the Department of Transport, which would become the enforcing authority, the powers of entry and inspection and allows penalties to be exacted from those breaking the rules. The present regulations for transport by road are those set out in 1947 and these need to be updated to comply with International Atomic Energy Authority Standards. The debate which lasted over one and a half hours is reported verbatim. The main points raised were about which emergency services if any should be notified on the transport of nuclear materials, with particular reference to Derbyshire. Nuclear power in general was also discussed. (UK)

  13. Draft Surrogacy (Regulation Bill 2016: Rhetoric or Surrogate-centric?

    Directory of Open Access Journals (Sweden)

    Rituparna Bhattacharyya

    2016-11-01

    Full Text Available Chaired by honourable Prime Minister, Mr. Narendra Damodar Modi, the Union Cabinet on 24 August 2016 introduced and approved the draft bill on Assisted Reproductive Technologies (ART in India, known popularly as the Surrogacy (Regulation Bill, 2016. The bill aims at regulating the ever-proliferating unregulated surrogacy industry interalia banning commercial surrogacy services for single parents, homosexuals, cohabiting partners in addition to foreigners and overseas citizens of India. The key aim of this commentary is to make a nuanced examination of the draft bill aimed at gaining a deeper understanding of the practice of surrogacy and address gaps (if any that require interventions.

  14. The Effects of Bill 4330/2004 on Union Relations

    Directory of Open Access Journals (Sweden)

    Felipe Prata Mendes

    2016-10-01

    Full Text Available This work aims to analyze in which way the bill 4330/2004 affects the union representativeness of outsourced workers. In order to accomplish the settled purpose, it is necessary firstly to frame the outsourcing phenomena in the context of the evolution of capitalism. In relation to the main problem of the work, it’s necessary to investigate if the bill 4330/2004 implies an offense to the union representativeness of outsourced workers. The conclusions obtained show that bill 4330/2004 compounds the representativeness trouble, since this bill proposes the agglutination of workers pertained to very different realities, what stunts the collective protection of interests.

  15. 47 CFR 76.981 - Negative option billing.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Negative option billing. 76.981 Section 76.981 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.981 Negative option billing. (a) A cable operator...

  16. 41 CFR 109-40.5003 - Commercial bills of lading.

    Science.gov (United States)

    2010-07-01

    ... shipments for the account of DOE shall include the following statement on all commercial bills of lading: This shipment is for the account of the U.S. Government which will assume the freight charges and is... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Commercial bills of...

  17. 42 CFR 71.11 - Bills of health.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Bills of health. 71.11 Section 71.11 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES QUARANTINE, INSPECTION, LICENSING FOREIGN QUARANTINE Measures at Foreign Ports § 71.11 Bills of health. A carrier at any foreign port clearing or...

  18. an assessment of billing electricity consumers via analogue meters

    African Journals Online (AJOL)

    DR. AMINU

    an online system and window driven and can be used for the purpose of e- billing (Advalorem, 2009). ... Source: Billing Operation Unit, Customer Services Department KED Plc, (2002). Kilowatt hour is equal to the amount of energy ..... but reaction of the respondent confirmed the conclusion of poor consumers' response to ...

  19. 42 CFR 408.84 - Billing and payment procedures.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Billing and payment procedures. 408.84 Section 408.84 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Billing and payment procedures. (a) Initial premium notice. (1) CMS or its agent always sends the initial...

  20. 42 CFR 424.540 - Deactivation of Medicare billing privileges.

    Science.gov (United States)

    2010-10-01

    ... change in practice location, a change of any managing employee, and a change in billing services. A... 42 Public Health 3 2010-10-01 2010-10-01 false Deactivation of Medicare billing privileges. 424.540 Section 424.540 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND...

  1. Human-Centered Design Bill of Rights for Educators.

    Science.gov (United States)

    Sugar, William A.

    This paper presents a potential solution to encourage technology adoption and integration within schools by proposing a human-centered technology "bill of rights" for educators. The intention of this bill of rights it to influence educators' beliefs towards technology and to enable educators to confront with confidence the seemingly…

  2. 19 CFR 142.14 - Delinquent payment of Customs bills.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Delinquent payment of Customs bills. 142.14 Section 142.14 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY... of Customs bills. The following procedure shall be followed if an importer is substantially or...

  3. 19 CFR 142.26 - Delinquent payment of Customs bills.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Delinquent payment of Customs bills. 142.26 Section 142.26 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY... Delinquent payment of Customs bills. The following procedures shall be followed if an importer is...

  4. An electricity billing model | Adetona | Journal of Applied Science ...

    African Journals Online (AJOL)

    Linear regression analysis has been employed to develop a model for predicting accurately the electricity billing for commercial consumers in Ogun State (Nigeria) at faster rate. The electricity billing model was implement-ed, executed and tested using embedded MATLAB function blocks. The correlations between the ...

  5. 47 CFR 64.2401 - Truth-in-Billing Requirements.

    Science.gov (United States)

    2010-10-01

    ... 64.2401 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES... provider. (3) The telephone bill must clearly and conspicuously identify any change in service provider... content so that customers can accurately assess that the services for which they are billed correspond to...

  6. An Investigation of Telecom Mobile Data Billing Plans

    Directory of Open Access Journals (Sweden)

    Yi-Bing Lin

    2016-08-01

    Full Text Available In the recent years, mobile operators have provided many billing alternatives such as limited and unlimited billing plans, and shared and non-shared data plans for the users with different needs. A non-shared data plan is designed for a single user with a limited monthly data allowance. On the other hand, the monthly data allowance of a shared data plan is shared by a group of users with multiple devices. The mobile operators often conduct the primary price study to compare their billing plans, which shows the relationship between the prices of the billing plans against the fixed amounts of data usage. Although the primary price study can easily and quickly draw the conclusions, it only provides rough billing plan suggestions. In reality, the amounts of data usage are not fixed, and therefore should be measured from commercial mobile networks to reflect the user behaviors on data usage. This paper proposes an analytical approach by using the measured data of Chunghwa Telecom Co., Ltd. (CHT, the largest telecommunications company in Taiwan, to derive the expected payments of various billing plans. The results of the analytical model are more accurate than those of the primary price study, and therefore provide better suggestions for billing plan selection. Other mobile operators can easily use our model to analyze the billing alternatives with their measured data.

  7. Acid rain: What the final bill looks like

    International Nuclear Information System (INIS)

    Burkhardt, D.A.

    1990-01-01

    This article examines the possible financial impacts of the 1990 amendments to the Clean Air Act. Topics include an overview of the bill, impact on utility companies, and implications for utility investors. The author feels the bill has important implications for investors who own utility stocks, particularly the stocks of coal-burning utilities in the Midwest and Appalachia

  8. High spectral resolution image of Barnacle Bill

    Science.gov (United States)

    1997-01-01

    The rover Sojourner's first target for measurement by the Alpha-Proton-Xray Spectrometer (APXS) was the rock named Barnacle Bill, located close to the ramp down which the rover made its egress from the lander. The full spectral capability of the Imager for Mars Pathfinder (IMP), consisting of 13 wavelength filters, was used to characterize the rock's surface. The measured area is relatively dark, and is shown in blue. Nearby on the rock surface, soil material is trapped in pits (shown in red).Mars Pathfinder is the second in NASA's Discovery program of low-cost spacecraft with highly focused science goals. The Jet Propulsion Laboratory, Pasadena, CA, developed and manages the Mars Pathfinder mission for NASA's Office of Space Science, Washington, D.C. The Imager for Mars Pathfinder (IMP) was developed by the University of Arizona Lunar and Planetary Laboratory under contract to JPL. Peter Smith is the Principal Investigator. JPL is an operating division of the California Institute of Technology (Caltech).

  9. 16 CFR 308.7 - Billing and collection for pay-per-call services.

    Science.gov (United States)

    2010-01-01

    ... responsibility for receiving and responding to billing error complaints or inquiries. (2) Billing error means any... or other toll free telephone number. (v) The failure to reflect properly on a billing statement a... billing error complaint or inquiry. (6) Telephone-billed purchase means any purchase that is completed...

  10. Grantee Spotlight: Bill Nelson, M.D., Ph.D.

    Science.gov (United States)

    Dr. William (Bill) Nelson is playing an integral role in advancing our understanding of cancer health disparities and helping to foster the interests of young students from underrepresented backgrounds in cancer/cancer health disparities research.

  11. 48 CFR 801.670-1 - Issuing bills of lading.

    Science.gov (United States)

    2010-10-01

    ... with only micro-purchase authority may not issue bills of lading or otherwise procure transportation... for goods only shall comply with the Education, Experience, and Training requirements, if any, in Part...

  12. Marketer consolidated billing : realizing the value of customer relationships

    Energy Technology Data Exchange (ETDEWEB)

    Schiratti, A. [Sunoco, Toronto, ON (Canada)

    2001-07-01

    This presentation focused on timely issues regarding marketer consolidated billing (MCB). MCB allows energy marketers to directly bill customers for both gas and electric commodities and distribution services. MCB is mandated by the Ontario Energy Board (OEB) in the electricity sector through the Retail Settlements Task Force and is proposed by the OEB in the Gas Distributor Access Rule. The main topics discussed in this paper were the new relationship under MCB, benefits for customers and challenges for marketers. The major obstacles for a successful MCB model were also proposed. The new MCB approach strengthens the relationship between the marketer and the customer. The MCB will allow both electricity and natural gas customers to choose marketers who bill for both delivery and gas on one bill.

  13. an assessment of billing electricity consumers via analogue meters

    African Journals Online (AJOL)

    DR. AMINU

    ABSTRACT. This paper assesses the perception of billing consumers via analogue meter in Kano Electricity ... the successor companies of Power Holding Company ... Nassarawa computer center was established in 1991. .... The value 7.2 is.

  14. Plümtoonia Bill - nagu orkester / Tiit Tuumalu

    Index Scriptorium Estoniae

    Tuumalu, Tiit, 1971-

    2008-01-01

    19.-23. nov. toimuvast animafilmide festivalist "Animated Dreams". Pikemalt USA tuntuimast sõltumatust animaatorist Bill Plymtonist, kes näitab festivalil oma täispikka joonisfilmi "Idioodid ja inglid" ("Idiots and Angels")

  15. 47 CFR 76.985 - Subscriber bill itemization.

    Science.gov (United States)

    2010-10-01

    ...) The amount of the total bill assessed as a franchise fee and the identity of the franchising authority... fees and costs itemized pursuant to this section. (c) Local franchising authorities may adopt...

  16. Bill project on a new organisation of the electricity market

    International Nuclear Information System (INIS)

    2010-01-01

    A first text discusses the motivations of this bill project: to guarantee French supply security, to contribute to France economical competitiveness, to protect the environment, to give everybody access to energy, and to comply with the European energy market. It also comments the bill project content, the objectives aimed at through the different bill articles. These articles settle a regulated access to electricity and a regulatory frame for pricing, define provider responsibilities, deal with installation dismantling expenses. This presentation is followed by the bill text and by the report of an impact study of the implementation of a regulated access to electricity, of a capacity obligation, and of the evolution of regulated selling prices

  17. Preparation of the House Bill 3624 report : final report.

    Science.gov (United States)

    2010-03-01

    Senate Bill 1080 (2008 Special Session) tightened documentation and identity verification requirements for the issuance, replacement and renewal of Oregon driver licenses, driver permits and identification cards. The law was signed by the Governor on...

  18. Marketer consolidated billing : realizing the value of customer relationships

    International Nuclear Information System (INIS)

    Schiratti, A.

    2001-01-01

    This presentation focused on timely issues regarding marketer consolidated billing (MCB). MCB allows energy marketers to directly bill customers for both gas and electric commodities and distribution services. MCB is mandated by the Ontario Energy Board (OEB) in the electricity sector through the Retail Settlements Task Force and is proposed by the OEB in the Gas Distributor Access Rule. The main topics discussed in this paper were the new relationship under MCB, benefits for customers and challenges for marketers. The major obstacles for a successful MCB model were also proposed. The new MCB approach strengthens the relationship between the marketer and the customer. The MCB will allow both electricity and natural gas customers to choose marketers who bill for both delivery and gas on one bill

  19. Soul / Randy Becker, Bill Evans, Evelin Samuel ; interv. Sven Sapelson

    Index Scriptorium Estoniae

    Becker, Randy

    2007-01-01

    The Soulbop Bandi rajajad Randy Becker ja Bill Evans ning meie Evelin Samuel gospeli ja rhytmblues'i juurtega soulist. Lk. 72-73 Inessa Josingu ja Ande Kaalepi souliteemaline fotolavastusega ruumikujundus

  20. an assessment of billing electricity consumers via analogue meters

    African Journals Online (AJOL)

    DR. AMINU

    Keywords: Electricity Distribution, Consumers, Analogue Meter, Billing, Nigeria. INTRODUCTION. Electricity ... the energy usage of a typical electricity consumer in one month is several ..... improve on distribution network. In addition it should.

  1. Hackers ring up big phone bills for hospitals.

    Science.gov (United States)

    Gardner, E

    1992-11-02

    A big telephone bill--possibly in six figures--can be a painful way for a hospital to find out its phone system isn't secure. When unusually large long-distance bills start to show up, chances are a professional telephone hacker has broken in. According to experts, one in 15 businesses has been victimized by long-distance toll fraud, and loss estimates range from $900 million to $4 billion a year.

  2. Dynamic Salience with Intermittent Billing: Evidence from Smart Electricity Meters

    OpenAIRE

    Ben Gilbert; Joshua S. Graff Zivin

    2013-01-01

    Digital tracking and the proliferation of automated payments have made intermittent billing more commonplace, and the frequency at which consumers receive price, quantity, or total expenditure signals may distort their choices. This category of goods has expanded from household utilities, toll road access and software downloads to standard consumption goods paid by credit card or other "bill-me-later"-type systems. Yet we know surprisingly little about how these payment patterns affect decisi...

  3. THE NIGERIA DATA PROTECTION BILL: APPRAISAL, ISSUES, AND CHALLENGES

    Directory of Open Access Journals (Sweden)

    Abubakar Sanni Aliyu

    2016-02-01

    Full Text Available Nigeria has absolutely no privacy and personal information laws. This lacuna is even more material in an internet world where information published on the web is open to a global audience. It is in this regard that the Data Protection Bill was sponsored by Hon. Yakubu Dogara, member of the Federal House of Representatives, representing Bogoro/Dass/Tafawa Balewa Bauchi State, Nigeria. This paper has two key aims, firstly to find out the major issues address by the proposed Data Protection Bill 2010, secondly, to determine the significance and the challenges of the Bill to Nigeria environment. The study utilized secondary source of data from the Data Protection Bill, 2010 and other documentary sources for analysis. The study finds out that the Bill protect parties in regard to publication of market survey details and information, ensure that unauthorised processing of personal information is reduce, and use of personal data and information without the prior consent of the data is subjected to scrutiny. The paper recommends that the Federal Government of Nigeria and the policy makers should hasten the process of passing the Bill into law in order to strengthen the activities of ecommerce in Nigeria through the following benefits: Improved customer relations; Improved ability to market lawfully; Improved data quality; Improved data security among others.

  4. Comparison groups on bills: Automated, personalized energy information

    Energy Technology Data Exchange (ETDEWEB)

    Iyer, Maithili; Kempton, Willett; Payne, Christopher

    2006-07-01

    A program called ``Innovative Billing?? has been developed to provide individualized energy information for a mass audience?the entireresidential customer base of an electric or gas utility. Customers receive a graph on the bill that compares that customer?s consumption with othersimilar customers for the same month. The program aims to stimulate customers to make ef?ciency improvements. To group as many as severalmillion customers into small ``comparison groups??, an automated method must be developed drawing solely from the data available to the utility.This paper develops and applies methods to compare the quality of resulting comparison groups.A data base of 114,000 customers from a utility billing system was used to evaluate Innovative Billing comparison groups, comparing fouralternative criteria: house characteristics (?oor area, housing type, and heating fuel); street; meter read route; billing cycle. Also, customers wereinterviewed to see what forms of comparison graphs made most sense and led to fewest errors of interpretation. We ?nd that good qualitycomparison groups result from using street name, meter book, or multiple house characteristics. Other criteria we tested, such as entire cycle, entiremeter book, or single house characteristics such as ?oor area, resulted in poor quality comparison groups. This analysis provides a basis forchoosing comparison groups based on extensive user testing and statistical analysis. The result is a practical set of guidelines that can be used toimplement realistic, inexpensive innovative billing for the entire customer base of an electric or gas utility.

  5. Senate Republican leadership releases revised ACA repeal and replace bill

    Directory of Open Access Journals (Sweden)

    Moore NS

    2017-07-01

    Full Text Available No abstract available. Article truncated after first 150 words. Today, the Senate Republican leadership released a revised version of a bill to repeal and replace the Affordable Care Act (ACA. The new bill draft includes an amendment sponsored by Sen. Cruz (R-TX that permits insurers to offer health insurance plans on the ACA exchanges that do not cover the ACA’s 10 essential health benefits (EHB as long as they offer at least one other plan that provides full coverage of EHB’s. The bill also includes more funding for opioid addiction and for state initiatives to reduce insurance premiums and additionally, some flexibility for state Medicaid funding in the event of a public health crisis. The bill must still receive a cost estimate from the Congressional Budget Office (CBO, which will include the impact of the bill on insurance coverage levels, expected out Monday. The ATS remains deeply concerned about the bill because under the Cruz proposal, insurance coverage costs …

  6. Public submissions on the Uganda national biotechnology and biosafety bill, 2012 reveal consensus for Uganda legislators to pass the bill

    Directory of Open Access Journals (Sweden)

    Clet Wandui Masiga

    2015-10-01

    Full Text Available The Cartagena Protocol on Biosafety to the Convention on Biological Diversity is an internationally binding instrument addressing issues of biosafety. Biosafety refers to the need to protect human health and the environment from the possible adverse effects of the products of modern biotechnology. Accordingly all countries to the convention are required to put in place regulatory mechanisms to enhance the safety of biotechnology in the context of the Convention’s overall goal of reducing all potential threats to biological diversity, while taking into account the risks to human health. Therefore each country party to the convention has its own procedures to enact laws to guide the safe use of biotechnology. In Uganda the process involves the drafting of the bill by the first parliamentary counsel, approval by cabinet, first reading at the parliament, committal to the responsible parliamentary sessional committee, tabling of the bill for public hearing, consultations, and final approval. In Uganda, the Committee on Science and Technology is responsible for the Biosafety Bill. In March 2013, the Committee tabled the bill for public hearing and submissions from public institutions. There were comments supporting the passage of the Bill and comments in objection.The reasons for objection are mainly due to precaution, speculation, lack of knowledge about biotechnology and biosafety, and alleged influence from biosafety entrepreneurs. This article reviews these public views, revealing controversy and possible consensus to pass the bill.

  7. 41 CFR 102-118.45 - How does a transportation service provider (TSP) bill my agency for transportation and...

    Science.gov (United States)

    2010-07-01

    ... (b) Billing method (1)(i) Government issued agency charge card, (1) Bill from charge card company (may be electronic). (ii) Centrally billed travel account citation. (2)(i) Purchase order, (2) Bill from TSP (may be electronic). (ii) Bill of lading, (iii) Government Bill of Lading, (iv) Government...

  8. Bill (declared urgency) asserting the national commitment for the environment

    International Nuclear Information System (INIS)

    2009-01-01

    The bill asserting the French national commitment for the environment (also named 'Grenelle 2') is considered as the juridical tool-box of the French environmental policy. It confirms, strengthens, and concretizes the objectives defined by the Grenelle 1 law. The main dispositions of the bill concern the following domains: settlement and urbanism with the improvement of the energy efficiency, energy conservation and life-cycle of buildings; transports with the development of sustainable transportation systems; energy with the creation of regional climate, air and energy schemes with the aim of developing renewable energies (with some restrictions concerning wind power) and reducing CO 2 emissions; biodiversity with the creation of ecological pathways between protected areas for the migration of flora and fauna species; environment and waste management with the reinforcement of measures for the abatement of environmental pollutant effects. Among the numerous dispositions involving more than 20 codes (urbanism, environment, buildings etc..) one concerns the progressive implementation of a 'carbon price' index taking into account the greenhouse gas emission costs during the whole life cycle of a product, another one concerns the monitoring of indoor air quality in public buildings. This document is made of three parts. Part 1 is the exposition of the intentions of each article of the bill, part 2 is the bill itself and part 3 is the impact study of the bill in terms of economical, social and environmental impact. (J.S.)

  9. Variable billing for services: new fiscal direction for nursing.

    Science.gov (United States)

    Higgerson, N J; Van Slyck, A

    1982-06-01

    The advantages of variable billing for nursing care that: It identifies revenue nursing cost centers. It facilitates systematic control of revenue and expenses, improving budget planning and management. It generates a tremendous amount of data that can be used in administrative planning and decision making. It is more equitable than past billing practices for the patient, the third-party payer, and the hospital, making it a public relations asset. The disadvantages of variable billing are that: Charges at one hospital are not easily compared with those at another. The mix of patients at varying classification levels has a significant effect on revenue, thus increasing the possibility of lower revenue. More accountability and in some cases more work is required of nursing administrators. In this article, the practical application of variable billing in acute care settings has been discussed. It is hoped that the information provided here will stimulate nursing administrators to assess the feasibility of implementing varible billing for nursing services as a fiscal practice in their own institutions.

  10. Pediatric Hospitalist Comanagement Survey of Clinical and Billing Practices.

    Science.gov (United States)

    O'Connor, Katherine M; Zipes, David G; Schaffzin, Joshua K; Rosenberg, Rebecca

    2017-10-01

    Surgical comanagement is an increasingly common practice in pediatric hospital medicine. Information about the structure and financing of such care is limited. The aim of the researchers for this study was to investigate pediatric hospitalist surgical comanagement models and to assess pediatric hospitalist familiarity with and patterns of billing for surgical patients. We conducted a cross-sectional cohort web-based survey of pediatric hospitalists using the American Academy of Pediatrics' Section on Hospital Medicine listserv. In our study ( N = 133), we found wide variation in our cohort in surgical patient practice management, including program structure, individual billing practices, and knowledge regarding billing practices. Even for pediatric hospitalists with comanagement service agreements between surgeons and pediatric hospitalists, there was no increased awareness or knowledge about reimbursement or billing for surgical patients. This global lack of knowledge in our small but diverse sample suggests that billing resources and training for pediatric hospitalists practicing comanagement of surgical patients are needed. Copyright © 2017 by the American Academy of Pediatrics.

  11. An integrated billing application to streamline clinician workflow.

    Science.gov (United States)

    Vawdrey, David K; Walsh, Colin; Stetson, Peter D

    2014-01-01

    Between 2008 and 2010, our academic medical center transitioned to electronic provider documentation using a commercial electronic health record system. For attending physicians, one of the most frustrating aspects of this experience was the system's failure to support their existing electronic billing workflow. Because of poor system integration, it was difficult to verify the supporting documentation for each bill and impractical to track whether billable notes had corresponding charges. We developed and deployed in 2011 an integrated billing application called "iCharge" that streamlines clinicians' documentation and billing workflow, and simultaneously populates the inpatient problem list using billing diagnosis codes. Each month, over 550 physicians use iCharge to submit approximately 23,000 professional service charges for over 4,200 patients. On average, about 2.5 new problems are added to each patient's problem list. This paper describes the challenges and benefits of workflow integration across disparate applications and presents an example of innovative software development within a commercial EHR framework.

  12. Hospital billing for blood processing and transfusion for inpatient stays.

    Science.gov (United States)

    McCue, Michael J; Nayar, Preethy

    2009-07-01

    Medicare, an important payer for hospitals, reimburses hospitals for inpatient stays using Diagnosis Related Groups (DRGs). Many private insurers also use the DRG methodology to reimburse hospitals for their services. Therefore, those blood service organizations that bill Medicare directly require an understanding of the DRG system of payment to enable them to bill Medicare correctly, and in order to be certain they are adequately reimbursed. Blood centers that do not bill Medicare directly need to understand how hospitals are reimbursed for blood and blood components as this affects a hospital's ability to pay service fees related to these products. This review presents a detailed explanation of how hospitals are reimbursed by the Centers for Medicare and Medicaid Services (CMS) for Medicare inpatient services, including blood services.

  13. Current issues in billing and coding in interventional pain medicine.

    Science.gov (United States)

    Manchikanti, L

    2000-10-01

    Interventional pain management is a dynamic field with changes occurring on a daily basis, not only with technology but also with regulations that have a substantial financial impact on practices. Regulations are imposed not only by the federal government and other regulatory agencies, and also by a multitude of other payors, state governments and medical boards. Documentation of medical necessity with coding that correlates with multiple components of the patient's medical record, operative report, and billing statement is extremely important. Numerous changes which have occurred in the practice of interventional pain management in the new millennium continue to impact the financial viability of interventional pain practices along with patient access to these services. Thus, while complying with regulations of billing, coding and proper, effective, and ethical practice of pain management, it is also essential for physicians to understand financial aspects and the impact of various practice patterns. This article provides guidelines which are meant to provide practical considerations for billing and coding of interventional techniques in the management of chronic pain based on the current state of the art and science of interventional pain management. Hence, these guidelines do not constitute inflexible treatment, coding, billing or documentation recommendations. It is expected that a provider will establish a plan of care on a case-by-case basis taking into account an individual patient's medical condition, personal needs, and preferences, along with physician's experience and in a similar manner, billing and coding practices will be developed. Based on an individual patient's needs, treatment, billing and coding, different from what is outlined here is not only warranted but essential.

  14. Nr 150 - Private bill introducing a progressive energy tariff

    International Nuclear Information System (INIS)

    Brottes, Francois; Le Roux, Bruno

    2012-01-01

    This document presents a private bill which, by introducing a progressive energy tariff, aims at speeding up energy transition (by inciting households to reduce their consumption, notably by insulating their housing), and at addressing the ineluctable issue of energy price increase. This private bill notably applies a bonus-malus concept by defining an energy consumption threshold which is to be determined by means of several parameters related to climate, housing occupancy, heating mode. This raises several issues concerning for example housing insulation of rented housing. All these aspects lead to a rather complex process to define and implement such a progressive pricing approach

  15. Teaching Billing and Coding to Medical Students: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Jiaxin Tran

    2013-08-01

    Full Text Available Complex billing practices cost the US healthcare system billions of dollars annually. Coding for outpatient office visits [known as Evaluation & Management (E&M services] is commonly particularly fraught with errors. The best way to insure proper billing and coding by practicing physicians is to teach this as part of the medical school curriculum. Here, in a pilot study, we show that medical students can learn well the basic principles from lectures. This approach is easy to implement into a medical school curriculum.

  16. A bill for the renaissance of nuclear power in Italy

    International Nuclear Information System (INIS)

    Anon.

    2009-01-01

    Today Italy is the only G8 member to have no nuclear power plants in operation. In 1987 as a consequence of a referendum Italy decided to shut down its nuclear power plants and to forbid the construction of new ones. Italy relies on oil and gas imports for 80% of its energy needs. The Italian parliament has recently passed a bill for a renaissance of nuclear power. The bill gives 6 months to the government to set the rules and conditions for the come-back of nuclear energy. (A.C.)

  17. Jamaica National Net-Billing Pilot Program Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Doris, Elizabeth [National Renewable Energy Lab. (NREL), Golden, CO (United States); Stout, Sherry [National Renewable Energy Lab. (NREL), Golden, CO (United States); Peterson, Kimberly [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2015-12-18

    This technical report discusses the effectiveness of the Jamaica Public Service Company Limited Net-Billing Pilot Program. The National Renewable Energy Laboratory (NREL) collected and analyzed data from a wide range of stakeholders, conducted in-country research, and compared program elements to common interconnection practices to form programmatic recommendations for the Jamaica context. NREL finds that the net-billing pilot program has successfully contributed to the support of the emerging solar market in Jamaica with the interconnection of 80 systems under the program for a total of 1.38 megawatts (MW) at the time of original analysis.

  18. Bill concerning the national commitment for the environment (final text)

    International Nuclear Information System (INIS)

    2010-01-01

    The French house of commons has adopted this bill which allows to adapt the French legislation to the new requirements defined by the program law relative to the implementation of the French road-mad in favor of ecology and sustainable development ('Grenelle de l'environnement'). The bill covers 6 main domains: settlement and urbanism, transports, energy, biodiversity, environment and waste management, and governance and information. Its aim is to encourage the development of renewable energy sources, to reduce the greenhouse gas emissions, and to protect the environment thanks to new legal and technical means at the disposal of actors with practical experience, in particular the local authorities. (J.S.)

  19. Boundary-Layer Control: In Memory of Bill Reynolds

    Science.gov (United States)

    Kim, John

    2004-11-01

    Professor Bill Reynolds (1933-2004) inspired many students and colleagues with his never-ending curiosity and thought-provoking ideas. Bill's relentless energy, together with his hallmark can-do character and do-it-yourself attitude, led to many seminal contributions to mechanical engineering in general, and fluid mechanics in particular. He has left a lasting impact on many of us, especially for those who had the privilege of working closely with him. Some of my current work on boundary-layer control, the use of neural networks in particular, were inspired by many discussions with Bill. He was among the first to see the potential of control-theoretic approaches for flow control, which has become the main thrust of my current research. Without his continued encouragement, I would not have been deeply involved in this line of research; and perhaps, we would not have seen the current flurry of research activities in applying modern control theories to flow control. In memory of Bill Reynolds, who himself has contributed much to flow control, an analysis of boundary-layer control from a linear system perspective will be presented.

  20. 78 FR 76719 - Bill of Rights Day, 2013

    Science.gov (United States)

    2013-12-18

    ... questions of citizenship and human rights, driving progress in the American mind. We learned that our Nation... anniversary of the Bill of Rights, let us reach for a day when we all may enjoy the basic truths of liberty... of Rights Day, 2013 By the President of the United States of America A Proclamation When America's...

  1. Search efforts for ivory-billed woodpecker in South Carolina

    Science.gov (United States)

    Matthew Moskwik; Theresa Thom; Laurel M. Barnhill; Craig Watson; Jennifer Koches; John Kilgo; Bill Hulslander; Colette Degarady; Gary. Peters

    2013-01-01

    Following the reported rediscovery of Campephilus principalis (Ivory-billed Woodpecker) in Arkansas, we initiated searches in South Carolina in February 2006, with additional searches in the winter and spring of 2006–2007 and 2007–2008, concentrating in the Congaree, Santee, and Pee Dee river basins. We accrued a cumulative total of 8893 survey hours...

  2. 47 CFR 36.380 - Other billing and collecting expense.

    Science.gov (United States)

    2010-10-01

    ..., REVENUES, EXPENSES, TAXES AND RESERVES FOR TELECOMMUNICATIONS COMPANIES 1 Operating Expenses and Taxes... statistical work, controlling record work and the preparation of revenue reports. (b) Local exchange carriers... balance of Account 6620-Services to the Other billing and collecting expense classification based on the...

  3. 78 FR 39763 - Recovery Plan Addendum; Thick-Billed Parrot

    Science.gov (United States)

    2013-07-02

    ... particular species. Species' History Historically the thick-billed parrot's range extended from Mexico into... and the Secretary of the Interior. This species is currently found in Mexico but has not been detected... included southern Arizona and possibly southwestern New Mexico. The recovery plan addendum includes...

  4. Size & Flow: Adult Education Issues in the Senate Immigration Bill

    Science.gov (United States)

    Murphy, Garrett; Spangenberg, Gail

    2014-01-01

    In this essay Garrett Murphy and Gail Spangenberg report on the need for understanding better than in the past, the number of undocumented immigrants likely to need adult education services under provisions of Senate Immigration Bill S.744. The essay looks at why the issues of "size and flow" are important for planners, providers, and…

  5. La Fondation Bill et Melinda Gates | IDRC - International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    La Fondation Bill et Melinda Gates. http://www.gatesfoundation.org/ · What we do · Funding · Resources · About IDRC. Knowledge. Innovation. Solutions. Careers · Contact Us · Site map. Sign up now for IDRC news and views sent directly to your inbox each month. Subscribe · Copyright · Open access policy · Privacy policy ...

  6. The Interpretation of Dreams: Ladson-Billings, Freud, and Derrida

    Science.gov (United States)

    Greenwalt, Kyle

    2010-01-01

    This study provides a critical and close reading of "The Dreamkeepers" (1994), by Gloria Ladson-Billings. The paper focuses primarily on the gendered nature of "being a teacher" and "being a student" as revealed in the dreamkeeper text, while maintaining its engagement with race and culture as it is manifested in the United States context. It…

  7. Agent-Based Framework for Building Efficient Postpaid Billing ...

    African Journals Online (AJOL)

    The postpaid and prepaid billing systems currently in operation in Telecommunications have some problems that show a win-loss situation. In postpaid the problem is mostly due to fraudulent activities by some employees that costs a telecommunications company a loss of between 5% and 15% of its total revenue as shown ...

  8. Bill Gates : Miljardärist nohik / Martin Hanson

    Index Scriptorium Estoniae

    Hanson, Martin, 1984-

    2008-01-01

    Bill Gates loobub Microsofti juhi kohast ning jätkab vaid nõustajana. Vt. samas: Elulugu; Tasub teada; Miljardär, kes hoiab oma eraelu kiivalt saladuses. Kommenteerivad Microsoft Eesti esinduse juht Rain Laane ja IBM Eesti juht Valdo Randpere

  9. An Overview Of The Nigerian National Health Bill | Saka | Savannah ...

    African Journals Online (AJOL)

    The National Health Bill was developed in 2004 as an instrument for correcting ... in the 1999 constitution of Federal Republic of Nigeria as it relates to the health sector. ... Its provisions have effects on all three levels of care and subsystems ...

  10. New Commodity Services System increases gas bill for clients

    International Nuclear Information System (INIS)

    Koevoet, H.

    2003-01-01

    The Dutch company Gasunie Trade and Supply will replace the Commodity Services System (CDS, abbreviated in Dutch) January 1, 2004. This will result in a higher gas bill for almost all their clients that are expected to use more than 1 million m 3 natural gas per year. An overview is given of the principles of the old and the new pricing system [nl

  11. A Timely Idea: Third Party Billing for Related Services.

    Science.gov (United States)

    Spaller, Kathy Dye; Thomas, Stephen B.

    1994-01-01

    Federal allocations for special education programs are below 10% whereas the federal contribution to state medicaid programs ranges from 50-80%. Third-party billing provides a more equitable distribution of the costs among federal, state, and local governments, in addition to including private-sector contributions. (MLF)

  12. Accounting, Charging and Billing for Dynamic Service Composition Chains

    Science.gov (United States)

    Rumph, F. J.; Kruithof, G. H.; Huitema, G. B.

    Services delivered to an end user can be composed of numerous subservices and form chains of composed services. These service composition chains traditionally consist of a static set of business entities. However, in order to increase business agility, dynamic service composition chains can be used by leveraging techniques of service publishing and discovery, and consist of more short-lived relations between the various business entities. This chapter focuses on issues concerning accounting, charging and billing of such dynamic service composition chains. In this type of service delivery, several traditional settlement models are not applicable since existing architectures lack support of automated negotiation of settlement parameters. Examples of such parameters are what the service consumer will be charged for and how much, how and when the consumer will be billed. In this chapter, the requirements that have to be fulfilled with respect to accounting, charging and billing in dynamic service composition chains are explored. Based on these requirements, a framework architecture for accounting charging and billing is described.

  13. Empty Promise: Black American Veterans and the New GI Bill

    Science.gov (United States)

    Ottley, Alford H.

    2014-01-01

    The 2008 GI Bill offers college funds for veterans. Yet Black male vets are not taking advantage of these benefits. This chapter examines personal and societal problems that hinder access to higher education for Black vets, and suggests some ways adult educators can advocate for these young men.

  14. Commentary Proposed Termination of Pregnancy Bill in Malawi ...

    African Journals Online (AJOL)

    Induced abortion has been a universal phenomenon in the history of humanity. The first recorded evidence was found in an Egyptian papyrus from 1550 BC. The debate on the proposed Termination of Pregnancy Bill is mired in misconception. Many, including the Christian doctors' group, make the assumption that the ...

  15. 49 CFR 373.101 - Motor carrier bills of lading.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 5 2010-10-01 2010-10-01 false Motor carrier bills of lading. 373.101 Section 373.101 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION FEDERAL MOTOR CARRIER SAFETY REGULATIONS RECEIPTS AND...

  16. 31 CFR 206.3 - Billing policy and procedures.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Billing policy and procedures. 206.3 Section 206.3 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE MANAGEMENT OF FEDERAL AGENCY RECEIPTS...

  17. House passes energy bill with one-step plant licensing

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    The US House of Representatives which has traditionally been wary of measures that would allow nuclear power to expand, came down strongly on the side of nuclear when it approved a much-amended omnibus energy bill on May 27 by a vote of 381 to 37. The key for the nuclear industry is the presence in the bill (H.R. 776) of language on one-step power plant licensing that was taken directly from the Senate energy bill (S. 2166) that passed in February. This means that when the House and Senate work out a compromise version of the legislation, one-step licensing is almost certain to be carried through--and become law once the final bill is signed by President George Bush, which is expected later this year. The House's endorsement of nuclear power--both as it exists now, and as it could be with the introduction of new plant designs and an end to the long hiatus in plant orders by utilities--went beyond one-step licensing. Debate on the House floor prior to Memorial Day totally transformed the nuclear-related part of the energy bill. H.R. 776 was reported to the floor by the Rules Committee with language by the Interior and Insular Affairs Committee that would have created a nominal one-step system, with a full evidentiary hearing prior to plant construction but also allowing an intervenor who later presents new information on the plant to get another full evidentiary hearing after construction but before operation. This would effectively duplicate the two-step process that existed for all plants now in service, and which utilities no longer want to endure

  18. Timing of Clinical Billing Reimbursement for a Local Health Department.

    Science.gov (United States)

    McCullough, J Mac

    2016-01-01

    A major responsibility of a local health department (LHD) is to assure public health service availability throughout its jurisdiction. Many LHDs face expanded service needs and declining budgets, making billing for services an increasingly important strategy for sustaining public health service provision. Yet, little practice-based data exist to guide practitioners on what to expect financially, especially regarding timing of reimbursement receipt. This study provides results from one LHD on the lag from service delivery to reimbursement receipt. Reimbursement records for all transactions at Maricopa County Department of Public Health immunization clinics from January 2013 through June 2014 were compiled and analyzed to determine the duration between service and reimbursement. Outcomes included daily and cumulative revenues received. Time to reimbursement for Medicaid and private payers was also compared. Reimbursement for immunization services was received a median of 68 days after service. Payments were sometimes taken back by payers through credit transactions that occurred a median of 333 days from service. No differences in time to reimbursement between Medicaid and private payers were found. Billing represents an important financial opportunity for LHDs to continue to sustainably assure population health. Yet, the lag from service provision to reimbursement may complicate budgeting, especially in initial years of new billing activities. Special consideration may be necessary to establish flexibility in the budget-setting processes for services with clinical billing revenues, because funds for services delivered in one budget period may not be received in the same period. LHDs may also benefit from exploring strategies used by other delivery organizations to streamline billing processes.

  19. The taxation of the petroleum products in the appropriation bill for 2001 and the correcting appropriation bill for 2000

    International Nuclear Information System (INIS)

    2000-01-01

    This document provides information on the petroleum products taxation in the framework of the appropriation bills. The following aspects are presented : the utilization of fuels more respectful of the environment, the taxation lightening measures, measures in favor of the transportation sector, the juridical references and elements for the economic situation. (A.L.B.)

  20. Fatigue Level Estimation of Bill Based on Acoustic Signal Feature by Supervised SOM

    Science.gov (United States)

    Teranishi, Masaru; Omatu, Sigeru; Kosaka, Toshihisa

    Fatigued bills have harmful influence on daily operation of Automated Teller Machine(ATM). To make the fatigued bills classification more efficient, development of an automatic fatigued bill classification method is desired. We propose a new method to estimate bending rigidity of bill from acoustic signal feature of banking machines. The estimated bending rigidities are used as continuous fatigue level for classification of fatigued bill. By using the supervised Self-Organizing Map(supervised SOM), we estimate the bending rigidity from only the acoustic energy pattern effectively. The experimental result with real bill samples shows the effectiveness of the proposed method.

  1. Ways of implementation of fatf recommendations on combating criminal incomes at bills market

    Directory of Open Access Journals (Sweden)

    Анатолій Іванович Гулей

    2015-05-01

    Full Text Available In this article the measures directed on counteraction to laundering of criminal incomes are considered about the financial transaction with using bills of exchange and promissory notes. A study and analysis of the development process of bills of exchange and promissory notes in different countries of the world, the nature of bills as payment document, securities, commercial and bank credit, and process of immobilization of bills. Also, the problems of the legal framework relating to bill circulation in Ukraine are investigated and some recommendations for reduce the risks of bill circulation are given

  2. Algorithmic acquisition of diagnostic patterns in district heating billing system

    International Nuclear Information System (INIS)

    Kiluk, Sebastian

    2012-01-01

    An application of algorithmic exploration of billing data is examined for fault detection, diagnosis (FDD) based on evaluation of present state and detection of unexpected changes in energy efficiency of buildings. Large data sets from district heating (DH) billing systems are used for construction of feature space, diagnostic rules and classification of the buildings according to their energy efficiency properties. The algorithmic approach automates discovering knowledge about common, thus accepted changes in buildings’ properties, in equipment and in habitants’ behavior reflecting progress in technology and life style. In this article implementation of Data Mining and Knowledge Discovery (DMKD) method in supervision system with exemplary results based on real data is presented. Crucial steps of data processing influencing diagnostic results are described in details.

  3. Endine FBI agent õpetab eestlasi allilma imbuma / Bill Moschella ; interv. Rasmus Kagge

    Index Scriptorium Estoniae

    Moschella, Bill

    2004-01-01

    Ameerika Föderaalse Juurdlusbüroo (FBI) endine eriagent Bill Moschella hakkab treenima siinseid kriminaalpolitseinikke, õpetab, kuidas paremini tööd organiseerida ja kurjategijate paljastamiseks varioperatsioone korraldada. Lisa: Bill Moschella

  4. Improving the Emergency Department's Processes of Coding and Billing at Brooke Army Medical Center

    National Research Council Canada - National Science Library

    Lehning, Peter

    2003-01-01

    .... Beginning in October 2002, outpatient itemized billing was mandated for use in the AMEDD. This system shifted the process of billing for outpatient services from an allinclusive rate to one based on the actual care provided...

  5. Organizational Contexts and Texts: The Redesign of the Midwest Bell Telephone Bill.

    Science.gov (United States)

    Keller-Cohen, Deborah

    1987-01-01

    Offers a retrospective view of organizational factors affecting the redesign of the Midwest Bell Telephone Bill. Shows how financial considerations, organizational time frame, and employee training and experience influenced the bill's development process. (MM)

  6. Defense Authorization and Appropriations Bills: FY1970-FY2017

    Science.gov (United States)

    2017-01-18

    textbooks on legislative procedure. Tracking DOD authorization or appropriation bills can be confusing and time-consuming. This has been particularly...by the President through the White House Office of Management and Budget) to the defense authorizing and appropriations committees. Then, for...maintain operations . 3 This might be considered a “line of credit” against the enactment of the relevant appropriations for the new fiscal year

  7. An Enterprise Model for Real-Time Inter-domain Billing of Services

    OpenAIRE

    Le, V.M.; van Beijnum, Bernhard J.F.; Nieuwenhuis, Lambertus Johannes Maria; Huitema, G.B.

    2008-01-01

    The technological developments in networking solutions, information and communication services create the basis for the provisioning of complex, realtime services. This paper addresses the charging and billing of such advanced services. Advanced services will be composed of services provided by various 3rd party providers residing in different domains. Hence, charging and billing of advanced services requires a billing system capable of composing charging and billing information from provider...

  8. 40 CFR 81.88 - Billings Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Regions § 81.88 Billings Intrastate Air Quality Control Region. The Metropolitan Billings Intrastate Air Quality Control Region (Montana) has been renamed the Billings Intrastate Air Quality Control... to by Montana authorities as follows: Sec. 481.168Great Falls Intrastate Air Quality Control Region...

  9. 49 CFR Appendix A to Part 1035 - Uniform Straight Bill of Lading

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Uniform Straight Bill of Lading A Appendix A to Part 1035 Transportation Other Regulations Relating to Transportation (Continued) SURFACE... Appendix A to Part 1035—Uniform Straight Bill of Lading Uniform Straight Bill of Lading Original—Not...

  10. 9 CFR 381.39 - Basis of billing for overtime and holiday services.

    Science.gov (United States)

    2010-01-01

    ... holiday services. 381.39 Section 381.39 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE... Inspection; Overtime and Holiday Service; Billing Establishments § 381.39 Basis of billing for overtime and holiday services. (a) Each recipient of overtime or holiday inspection service, or both, shall be billed...

  11. 47 CFR 64.1201 - Restrictions on billing name and address disclosure.

    Science.gov (United States)

    2010-10-01

    ... interstate telecommunications services. (3) The term authorized billing agent means a third party hired by a telecommunications service provider to perform billing and collection services for the telecommunications service... billing name and address information to any party other than a telecommunications service provider or an...

  12. Impact of Rate Design Alternatives on Residential Solar Customer Bills. Increased Fixed Charges, Minimum Bills and Demand-based Rates

    Energy Technology Data Exchange (ETDEWEB)

    Bird, Lori [National Renewable Energy Lab. (NREL), Golden, CO (United States); Davidson, Carolyn [National Renewable Energy Lab. (NREL), Golden, CO (United States); McLaren, Joyce [National Renewable Energy Lab. (NREL), Golden, CO (United States); Miller, John [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2015-09-01

    With rapid growth in energy efficiency and distributed generation, electric utilities are anticipating stagnant or decreasing electricity sales, particularly in the residential sector. Utilities are increasingly considering alternative rates structures that are designed to recover fixed costs from residential solar photovoltaic (PV) customers with low net electricity consumption. Proposed structures have included fixed charge increases, minimum bills, and increasingly, demand rates - for net metered customers and all customers. This study examines the electricity bill implications of various residential rate alternatives for multiple locations within the United States. For the locations analyzed, the results suggest that residential PV customers offset, on average, between 60% and 99% of their annual load. However, roughly 65% of a typical customer's electricity demand is non-coincidental with PV generation, so the typical PV customer is generally highly reliant on the grid for pooling services.

  13. Audit and account billing process in a private general hospital: a case study

    Directory of Open Access Journals (Sweden)

    Raquel Silva Bicalho Zunta

    2017-12-01

    Full Text Available Our study aimed to map, describe and, validate the audit, account billing and billing reports processes in a large, private general hospital.  An exploratory, descriptive, case report study. We conducted non-participatory observation moments in Internal Audit Sectors and  Billing Reports from the hospital, aiming to map the processes which were the study objects. The data obtained was validated by internal and external audit specialists in hospital bills. The described and illustrated processes in three flow-charts favor professionals to rationalize their activities and the time spent in hospital billing, avoiding or minimizing the occurrence of flaws and, generating more effective financial results. The mapping, the description and the audit validation process and billing and, the billing reports propitiated more visibility and legitimacy to actions developed by auditor nurses.

  14. Severe bill deformity of an American Kestrel wintering in California

    Science.gov (United States)

    Iko, William M.; Dusek, Robert J.

    2011-01-01

    During a recent survey for West Nile virus in wild birds around the Sonny Bono Salton Sea National Wildlife Refuge, Imperial County, California (Dusek et al. 2010), we captured a female American Kestrel (Falco sparverius) with a severe bill deformity (Figure 1). The kestrel was captured on 9 March 2006, at 08:45, approximately 0.25 km south of the intersection of Wiest and Lindsey roads (33°  08' 42' N, 115° 26' 59' W) and 6 km east-northeast of Calipatria. It was caught on a bal-chatri trap baited with a domestic mouse (Berger and Mueller 1959), as were all the 208 kestrels captured during this study. The bird was initially perched on a high transmission line running along Wiest Road and was caught within 10 minutes of our setting the trap. In examining the bird, we observed that the maxilla beyond the cere was missing. The upper bill structure from the palatine process, which included part of the maxilla, the entire premaxilla, and the external rhamphotheca (the hardened keratin layer cover­ ing the premaxilla) was missing rostral to the bird's cere and nares (Threlfall 1968, Lucas and Stettenheim 1972, Proctor and Lynch 1993). The epidermal layer of the cere appeared to have fused over the remaining area between the nares where the upper bill normally would have been. The deformation did not appear to be recent or related to our trapping, as there were no obvious abrasions or open wounds in the region surrounding the nares and oropharynx or signs of recent trauma surrounding the oropharynx area. Both nares were clearly defined, and the tongue protruded from the open oropharynx area. After completing the physical examination, measurements, and obtaining a blood sample for testing for West Nile virus, we released the kestrel at the location of capture. After its release, we monitored the kestrel's behavior for approximately 30 minutes but did not observe any additional hunting.

  15. THE BILL OF EXCHANGE AS A MEANS OF PAYMENT AND SECURITY

    Directory of Open Access Journals (Sweden)

    Vojo Belovski

    2016-07-01

    Full Text Available The bill of exchange is a kind of paper in order that its holder shall entitle the debtor named in the document to pay a certain amount of payments. The bill of exchange represents a means of payment and an instrument of providing the payment. It is an unconditional order given by the drawer to the drawee to pay a certain amount to the payee listed on the bill of exchange. The bill of exchange is generally a paper on the orders but it can be issued as value paper to a name. It is such promissory notes where the issuer becomes a clause not by order. The bill of exchange though it appears as a means of payment and an instrument for securing the payment it also appears as a means of international payment, because the bill of exchange can become a modern instrument of crediting and payment. With the development of the credit market and the bill of exchange becomes a means for the drawer and the drawee. This means that instead of the bill of exchange to be paid after the expiry of a certain deadline for submission of the bill of exchange the holder may sell or discount, or to pay before the deadline for submission. With this the bill of exchange becomes a toll for discount. Based on this we can conclude that the bill of exchange has the following roles: -bill of exchange serves as a means of credit; -bill of exchange serves as means of payment; -bill of exchange serves as a means for discount by.

  16. Financial Viability of Emergency Department Observation Unit Billing Models.

    Science.gov (United States)

    Baugh, Christopher W; Suri, Pawan; Caspers, Christopher G; Granovsky, Michael A; Neal, Keith; Ross, Michael A

    2018-05-16

    Outpatients receive observation services to determine the need for inpatient admission. These services are usually provided without the use of condition-specific protocols and in an unstructured manner, scattered throughout a hospital in areas typically designated for inpatient care. Emergency department observation units (EDOUs) use protocolized care to offer an efficient alternative with shorter lengths of stay, lower costs and higher patient satisfaction. EDOU growth is limited by existing policy barriers that prevent a "two-service" model of separate professional billing for both emergency and observation services. The majority of EDOUs use the "one-service" model, where a single composite professional fee is billed for both emergency and observation services. The financial implications of these models are not well understood. We created a Monte Carlo simulation by building a model that reflects current clinical practice in the United States and uses inputs gathered from the most recently available peer-reviewed literature, national survey and payer data. Using this simulation, we modeled annual staffing costs and payments for professional services under two common models of care in an EDOU. We also modeled cash flows over a continuous range of daily EDOU patient encounters to illustrate the dynamic relationship between costs and revenue over various staffing levels. We estimate the mean (±SD) annual net cash flow to be a net loss of $315,382 ±$89,635 in the one-service model and a net profit of $37,569 ±$359,583 in the two-service model. The two-service model is financially sustainable at daily billable encounters above 20 while in the one-service model, costs exceed revenue regardless of encounter count. Physician cost per hour and daily patient encounters had the most significant impact on model estimates. In the one-service model, EDOU staffing costs exceed payments at all levels of patient encounters, making a hospital subsidy necessary to create a

  17. Billing third party payers for pharmaceutical care services.

    Science.gov (United States)

    Poirier, S; Buffington, D E; Memoli, G A

    1999-01-01

    To describe the steps pharmacists must complete when seeking compensation from third party payers for pharmaceutical care services. Government publications; professional publications, including manuals and newsletters; authors' personal experience. Pharmacists in increasing numbers are meeting with success in getting reimbursed by third party payers for patient care activities. However, many pharmacists remain reluctant to seek compensation because they do not understand the steps involved. Preparatory steps include obtaining a provider/supplier number, procuring appropriate claim forms, developing data collection and documentation systems, establishing professional fees, creating a marketing plan, and developing an accounting system. To bill for specific patient care services, pharmacists need to collect the patient's insurance information, obtain a statement of medical necessity from the patient's physician, complete the appropriate claim form accurately, and submit the claim with supporting documentation to the insurer. Although many claims from pharmacists are rejected initially, pharmacists who work with third party payers to understand the reasons for denial of payment often receive compensation when claims are resubmitted. Pharmacists who follow these guidelines for billing third party payers for pharmaceutical care services should notice an increase in the number of paid claims.

  18. Ontario pharmacists' crisis over Bill 16: A missed opportunity?

    Science.gov (United States)

    Rosenthal, Meagen; Austin, Zubin; Tsuyuki, Ross T

    2012-01-01

    In 2010, the Ontario government brought forward Bill 16, which, among other things, removed pharmacists' professional allowances. While many would disagree with this unilateral action by the Ontario government, it also could have served as a crisis for change towards patient-centred care. We sought to examine the response of the pharmacy profession in Ontario to this crisis as it relates to the vision outlined in the Blueprint for Pharmacy. We systematically examined publicly available responses to Schedule 5 of Ontario's Bill 16 during the period from April to June 16, 2010. A rapid textual analysis of the data using tag or word clouds and a qualitative content analysis were performed on all of the data collected. The rapid textual analysis revealed that the most frequently used terms were "pharmacist," "pharmacy" and "professional allowances"; the least used were "layoffs," "service cuts" and "patient care." Content analysis revealed 4 themes: the desire to maintain the status quo of practice, a focus on the business of pharmacy, pharmacy stakeholders' perceptions of government's attitude towards the profession and changes to patient services. It is notable that patient care was almost completely absent from the discussion, a reflection that our profession has not embraced patient-centred care. This also represents a missed opportunity - a crisis that could have been used to move the profession towards the Blueprint's vision. We thought that the Blueprint had already achieved this consensus, but the Ontario experience has shown that this may not be the case.

  19. Water Label to Improve Water Billing in Spanish Households

    Directory of Open Access Journals (Sweden)

    Ana Castillo-Martinez

    2014-05-01

    Full Text Available A significant decrease in water consumption has been achieved in recent years thanks to different campaigns run by different institutions in Spain. However, most citizens do not have a very clear idea about whether or not they are efficiently using water. To solve this situation, this paper aims is to develop two water labels in order to improve the current water billing. These water labels evaluate the total water consumption and the domestic hot water consumption. To make the tags, several research studies were tackled for establishing consumer trends and behavior patterns. Furthermore, a survey and data collection were conducted to obtain updated values to validate information obtained from previous studies. The result are two water labels that establish six different levels to graphically show the efficiency, and they also include a comparison with the average consumption by customers of the same province. To ensure that the benefits of this evaluation are available to citizens, its inclusion on the water bill is proposed.

  20. The Complexity Of Billing And Paying For Physician Care.

    Science.gov (United States)

    Gottlieb, Joshua D; Shapiro, Adam Hale; Dunn, Abe

    2018-04-01

    The administrative costs of providing health insurance in the US are very high, but their determinants are poorly understood. We advance the nascent literature in this field by developing new measures of billing complexity for physician care across insurers and over time, and by estimating them using a large sample of detailed insurance "remittance data" for the period 2013-15. We found dramatic variation across different types of insurance. Fee-for-service Medicaid is the most challenging type of insurer to bill, with a claim denial rate that is 17.8 percentage points higher than that for fee-for-service Medicare. The denial rate for Medicaid managed care was 6 percentage points higher than that for fee-for-service Medicare, while the rate for private insurance appeared similar to that of Medicare Advantage. Based on conservative assumptions, we estimated that the health care sector deals with $11 billion in challenged revenue annually, but this number could be as high as $54 billion. These costs have significant implications for analyses of health insurance reforms.

  1. Missed surgical intensive care unit billing: potential financial impact of 24/7 faculty presence.

    Science.gov (United States)

    Hendershot, Kimberly M; Bollins, John P; Armen, Scott B; Thomas, Yalaunda M; Steinberg, Steven M; Cook, Charles H

    2009-07-01

    To efficiently capture evaluation and management (E&M) and procedural billing in our surgical intensive care unit (SICU), we have developed an electronic billing system that links to the electronic medical record (EMR). In this system, only notes electronically signed and coded by an attending generate billing charges. We hypothesized that capture of missed billing during nighttime and weekends might be sufficient to subsidize 24/7 in-house attending coverage. A retrospective chart EMR review was performed of the EMRs for all SICU patients during a 2-month period. Note type, date, time, attending signature, and coding were analyzed. Notes without attending signature, diagnosis, or current procedural terminology (CPT) code were considered incomplete and identified as "missed billing." Four hundred and forty-three patients had 465 admissions generating 2,896 notes. Overall, 76% of notes were signed and coded by an attending and billed. Incomplete (not billed) notes represented an overall missed billing opportunity of $159,138 for the 2-month time period (approximately $954,000 annually). Unbilled E&M encounters during weekdays totaled $54,758, whereas unbilled E&M and procedures from weeknights and weekends totaled $88,408 ($44,566 and $43,842, respectively). Missed billing after-hours thus represents approximately $530K annually, extrapolating to approximately $220K in collections from our payer mix. Surprisingly, missed E&M and procedural billing during weekdays totaled $70,730 (approximately $425K billing, approximately $170K collections annually), and typically represented patients seen, but transferred from the SICU before attending documentation was completed. Capture of nighttime and weekend ICU collections alone may be insufficient to add faculty or incentivize in-house coverage, but could certainly complement other in-house derived revenues to such ends. In addition, missed daytime billing in busy modern ICUs can be substantial, and use of an EMR to identify

  2. Heat loss may explain bill size differences between birds occupying different habitats.

    Directory of Open Access Journals (Sweden)

    Russell Greenberg

    Full Text Available Research on variation in bill morphology has focused on the role of diet. Bills have other functions, however, including a role in heat and water balance. The role of the bill in heat loss may be particularly important in birds where water is limiting. Song sparrows localized in coastal dunes and salt marsh edge (Melospiza melodia atlantica are similar in size to, but have bills with a 17% greater surface area than, those that live in mesic habitats (M. m. melodia, a pattern shared with other coastal sparrows. We tested the hypotheses that sparrows can use their bills to dissipate "dry" heat, and that heat loss from the bill is higher in M. m. atlantica than M. m. melodia, which would indicate a role of heat loss and water conservation in selection for bill size.Bill, tarsus, and body surface temperatures were measured using thermal imaging of sparrows exposed to temperatures from 15-37°C and combined with surface area and physical modeling to estimate the contribution of each body part to total heat loss. Song sparrow bills averaged 5-10°C hotter than ambient. The bill of M. m atlantica dissipated up to 33% more heat and 38% greater proportion of total heat than that of M. m. melodia. This could potentially reduce water loss requirements by approximately 7.7%.This >30% higher heat loss in the bill of M. m. atlantica is independent of evaporative water loss and thus could play an important role in the water balance of sparrows occupying the hot and exposed dune/salt marsh environments during the summer. Heat loss capacity and water conservation could play an important role in the selection for bill size differences between bird populations and should be considered along with trophic adaptations when studying variation in bill size.

  3. 41 CFR 102-118.65 - Can my agency receive electronic billing for payment of transportation services?

    Science.gov (United States)

    2010-07-01

    ... electronic billing for payment of transportation services? 102-118.65 Section 102-118.65 Public Contracts and... Transportation Services § 102-118.65 Can my agency receive electronic billing for payment of transportation... to use electronic billing for the procurement and billing of transportation services. ...

  4. 34 CFR 674.48 - Use of contractors to perform billing and collection or other program activities.

    Science.gov (United States)

    2010-07-01

    ... all funds collected by its employees and contractors. (c) If an institution uses a billing service to carry out billing procedures under § 674.43, the institution shall ensure that the service— (1) Provides... paragraph (f) of this section. (e) If an institution uses a billing service to carry out § 674.43 (billing...

  5. A Critique of the Unemployment Insurance Amendment Bill, 2015

    Directory of Open Access Journals (Sweden)

    Marius Olivier

    2015-12-01

    Full Text Available The contribution critically reflects on the proposed amendments to the Unemployment Insurance Act Act 63 of 2001 (the UIA / the Act, introduced via the provisions of the Unemployment Insurance Amendment Bill of 2015 (B25-2015. Several shortcomings and deficiencies are addressed and improvements introduced by the proposed amending legislation, including the extension of coverage to a wider range of beneficiaries, the extension of the period of benefits (to a maximum of 365 days, the increase of the rate of maternity benefits of a (female contributor's earnings, the adjustment of the accrual rate of a contributor's duration of benefits from 1 day for every 6 days of employment to 1 day for every 5 days of employment, and some attempt to provide for employment retention and the re-entry of unemployed contributors into the labour market. And yet, despite these important contributions to the development of unemployment insurance in South Africa, several matters appearing from the Bill point towards inconsistent, inadequate and inappropriate treatment of core elements of the unemployment insurance system. Recommendations have been made to address these matters, which among others relate to: •\tThe insufficient alignment of the UIA with ILO, UN and SADC standards in key areas of concern; •\tUnclear or absent provisions in relation to the coverage and/or application of the UIA in relation to public servants, migrant workers, and the self- and informally employed; •\tInadequate provision for employment promotion, the prevention, combating and reduction of unemployment, and reintegration into employment; •\tInappropriate provisions relating to benefit rates and periods, among others concerning the Minister's power to set/amend the Income Replacement Rate and to vary the benefit period by regulation; •\tInconsistent and discriminatory provisions requiring a 13-week qualifying period for accessing maternity benefits; •\tInappropriate provisions

  6. Survey of billing and coding for counterstrain tender points.

    Science.gov (United States)

    Snider, Karen T; Johnson, Jane C

    2012-06-01

    The names of certain counterstrain tender points are incongruent with their physical locations because of an assumption that these points are reflective of dysfunction in neighboring body areas. Because the body area that is physically examined does not always match the body region in which somatic dysfunction is diagnosed for these tender points, it is not always clear which evaluation and management service codes should be used for billing physician services. To assess the attitudes of osteopathic physicians toward the billing and coding of incongruent counterstrain tender points. Physician members of the American Academy of Osteopathy who use counterstrain in clinical practice were surveyed regarding the body area that they would physically examine when assessing for incongruent tender points and, if tender points were present, the body regions to which they would assign somatic dysfunction for billing and coding purposes. Physician responses were categorized as indicating a structural approach (ie, reflective of anatomic location) or a functional approach (ie, reflective of dysfunction in neighboring body areas) to tender point examination and treatment. Associations between sex, specialty, and years in practice with the approach chosen were also examined. Of 175 physicians who responded to the survey, 156 met the study criteria. Respondents were primarily board-certified in neuromusculoskeletal medicine/osteopathic manipulative medicine (98 [63%]), special proficiency in osteopathic manipulative medicine (30 [19%]), or family practice/family practice and osteopathic manipulative treatment (94 [60%]). Ninety percent of physicians predominantly chose responses indicating a structural approach to the physical examination of tender points and 21% predominantly chose responses indicating a functional approach to somatic dysfunction diagnosis. There were inconsistencies among individual respondents regarding the type of approach chosen for a single tender point. For

  7. Decoding incident-to and provider-based billing: ensuring payment and avoiding liability.

    Science.gov (United States)

    Hofstra, Patricia S; Hart, Elinor L

    2012-01-01

    In this increasingly complex world of Medicare reimbursement, physicians must constantly review their billing practices to ensure compliance with all Medicare requirements. "Incident-to" billing and provider-based billing are two areas that present unique challenges for providers, especially those practicing in hospital-owned practices such as hospital outpatient departments. Both incident-to and provider-based billing limit providers' abilities to bill for and receive reimbursement in those practice settings. The Office of Inspector General's 2012 Work Plan Report identified both incident-to billing and place-of-service errors as two of the many areas for investigation and compliance efforts in 2012. This article focuses on identifying the unique point-of-service challenges presented by physicians practicing in hospital outpatient departments or hospital-owned clinics.

  8. Value-Based Billing in a 3G IP Services Environment

    OpenAIRE

    Ryan, Conor; Donnelly, William; de Leastar, Eamonn; Cloney, James

    2002-01-01

    The proliferation of IP-based services has resulted in a paradigm shift away from traditional flat-rat, single service billing to content and usage based billing for composed service sets. The Information Societies Technology (IST) FORM project has prototyped an accounting and billing solution for IP-based telecommunications services. A key element of the solution is the IPDR Network Data Management - Usage specification. This paper presents the FORM development of a federated accounting and ...

  9. Towards an inter-domain billing system to support dynamic service provisioning

    OpenAIRE

    Le, V.M.

    2009-01-01

    Today, billing is a big challenge for service providers. With a growing number of rich services such as music, mobile TV, Video-on-Demand and eHealth delivered to the mass market, service providers are missing business opportunities because current billing solutions are not fully capable. In particular, the delivery of on-the-fly composite services, composed of many service components provided by different service providers causes many complexities. This book proposes a billing system that de...

  10. The formation method of the feature space for the identification of fatigued bills

    Science.gov (United States)

    Kang, Dongshik; Oshiro, Ayumu; Ozawa, Kenji; Mitsui, Ikugo

    2014-10-01

    Fatigued bills make a trouble such as the paper jam in a bill handling machine. In the discrimination of fatigued bills using an acoustic signal, the variation of an observed bill sound is considered to be one of causes in misclassification. Therefore a technique has demanded in order to make the classification of fatigued bills more efficient. In this paper, we proposed the algorithm that extracted feature quantity of bill sound from acoustic signal using the frequency difference, and carried out discrimination experiment of fatigued bill money by Support Vector Machine(SVM). The feature quantity of frequency difference can represent the frequency components of an acoustic signal is varied by the fatigued degree of bill money. The generalization performance of SVM does not depend on the size of dimensions of the feature space, even in a high dimensional feature space such as bill-acoustic signals. Furthermore, SVM can induce an optimal classifier which considers the combination of features by the virtue of polynomial kernel functions.

  11. Measuring public understanding on Tenaga Nasional Berhad (TNB) electricity bills using ordered probit model

    Science.gov (United States)

    Zainudin, WNRA; Ramli, NA

    2017-09-01

    In 2016, Tenaga Nasional Berhad (TNB) had introduced an upgrade in its Billing and Customer Relationship Management (BCRM) as part of its long-term initiative to provide its customers with greater access to billing information. This includes information on real and suggested power consumption by the customers and further details in their billing charges. This information is useful to help TNB customers to gain better understanding on their electricity usage patterns and items involved in their billing charges. Up to date, there are not many studies done to measure public understanding on current electricity bills and whether this understanding could contribute towards positive impacts. The purpose of this paper is to measure public understanding on current TNB electricity bills and whether their satisfaction towards energy-related services, electricity utility services, and their awareness on the amount of electricity consumed by various appliances and equipment in their home could improve this understanding on the electricity bills. Both qualitative and quantitative research methods are used to achieve these objectives. A total of 160 respondents from local universities in Malaysia participated in a survey used to collect relevant information. Using Ordered Probit model, this paper finds respondents that are highly satisfied with the electricity utility services tend to understand their electricity bills better. The electric utility services include management of electricity bills and the information obtained from utility or non-utility supplier to help consumers manage their energy usage or bills. Based on the results, this paper concludes that the probability to understand the components in the monthly electricity bill increases as respondents are more satisfied with their electric utility services and are more capable to value the energy-related services.

  12. A Critical Discussion of "The Ethical Presuppositions behind the Library Bill of Rights."

    Science.gov (United States)

    Doyle, Tony

    2002-01-01

    Discussion of the Library Bill of Rights focuses on paternalism and the dangers of Internet filtering, in response to a previous article that advocated revision of the Bill of Rights. Topics include ethical presuppositions; censorship; philosophical foundations; access; social contract theory; and utilitarianism. (LRW)

  13. A Barking Dog That Never Bites? The British Sign Language (Scotland) Bill

    Science.gov (United States)

    De Meulder, Maartje

    2015-01-01

    This article describes and analyses the pathway to the British Sign Language (Scotland) Bill and the strategies used to reach it. Data collection has been done by means of interviews with key players, analysis of official documents, and participant observation. The article discusses the bill in relation to the Gaelic Language (Scotland) Act 2005…

  14. Portable XRF and principal component analysis for bill characterization in forensic science

    International Nuclear Information System (INIS)

    Appoloni, C.R.; Melquiades, F.L.

    2014-01-01

    Several modern techniques have been applied to prevent counterfeiting of money bills. The objective of this study was to demonstrate the potential of Portable X-ray Fluorescence (PXRF) technique and the multivariate analysis method of Principal Component Analysis (PCA) for classification of bills in order to use it in forensic science. Bills of Dollar, Euro and Real (Brazilian currency) were measured directly at different colored regions, without any previous preparation. Spectra interpretation allowed the identification of Ca, Ti, Fe, Cu, Sr, Y, Zr and Pb. PCA analysis separated the bills in three groups and subgroups among Brazilian currency. In conclusion, the samples were classified according to its origin identifying the elements responsible for differentiation and basic pigment composition. PXRF allied to multivariate discriminate methods is a promising technique for rapid and no destructive identification of false bills in forensic science. - Highlights: • The paper is about a direct method for bills discrimination by EDXRF and principal component analysis. • The bills are analyzed directly, without sample preparation and non destructively. • The results demonstrates that the methodology is feasible and could be applied in forensic science for identification of origin and false banknotes. • The novelty is that portable EDXRF is very fast and efficient for bills characterization

  15. Liberty through limits: The bill of rights as limited government provisions

    Directory of Open Access Journals (Sweden)

    Patrick M. Garry

    2013-04-01

    Full Text Available Under the modern view, individual autonomy has become the primary if not exclusive focus of the Bill of Rights. But the Bill of Rights came about not because of a desire to preserve individual autonomy, nor to insulate the individual from the democratic community. The impetus for the Bill of Rights arose from the same set of concerns that motivated the original Constitution. These concerns involved creating the appropriate structures so as to keep the new central government in check. The Bill of Rights sought to further ensure that the federal government would have limited power and operate in a limited role. Not only does this limited government model coincide with the original intent underlying the Bill of Rights, but it also provides for a more objective and manageable application. Under an individual autonomy view of the Bill of Rights, courts must define the ingredients necessary for such autonomy. However, this endeavor is fraught with ambiguity, and courts must constantly pit the individual against democratic society. But under the limited government model, the judicial role is more objective. Instead of trying to define an ambiguous individual autonomy, courts simply need to focus on whether a particular right is needed so as to maintain limited government. In addition, the limited government model does not put the Bill of Rights in conflict with democratic society. Instead, it just uses the Bill of Rights to maintain a check on government, just as the original Constitution seeks to do.

  16. Health providers' compliance with pregnant women's Bill of Rights in labor and delivery in Iran

    Directory of Open Access Journals (Sweden)

    Vajihesadat Mirlohi

    2015-01-01

    Conclusions: The results showed that the health providers' compliance with the pregnant women's Bill of Rights was not acceptable in the labor room. Therefore, necessary actions are needed to remove the barriers against pregnant women's compliance of Bill of Rights and to facilitate the compliance with it in hospitals.

  17. 78 FR 46425 - Sale and Issue of Marketable Book-Entry Treasury Bills, Notes, and Bonds

    Science.gov (United States)

    2013-07-31

    ... a simple-interest money market yield computed on an actual/360 basis, subject to an appropriate... 13-week Treasury bill auction High Rate (stop out rate) converted into a simple actual/360 interest...-week Treasury bill auction High Rate that has been translated into a simple-interest money market yield...

  18. First Red-billed Quelea breeding record in the winter rainfall region ...

    African Journals Online (AJOL)

    This note documents the first breeding of Red-billed Quelea in the winter rainfall region of South Africa. A colony of 350–600 nests was found, with evidence of recent breeding. Red-billed Quelea numbers were low in this region, but if numbers increase in the future in the Western Cape, winter crops could be under threat.

  19. 19 CFR 24.34 - Vouchers; vendors' bills of sale; invoices.

    Science.gov (United States)

    2010-04-01

    ... that the above bill is correct and just and that payment has not been received. Vouchers, vendors... employee, in which case the voucher may be in the name of the officer or employee who made the payment. (c... 19 Customs Duties 1 2010-04-01 2010-04-01 false Vouchers; vendors' bills of sale; invoices. 24.34...

  20. 42 CFR 1001.1701 - Billing for services of assistant at surgery during cataract operations.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Billing for services of assistant at surgery during..., DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES PROGRAM INTEGRITY-MEDICARE AND STATE HEALTH CARE PROGRAMS Permissive Exclusions § 1001.1701 Billing for services of assistant at surgery during cataract...

  1. Towards an inter-domain billing system to support dynamic service provisioning

    NARCIS (Netherlands)

    Le, V.M.

    2009-01-01

    Today, billing is a big challenge for service providers. With a growing number of rich services such as music, mobile TV, Video-on-Demand and eHealth delivered to the mass market, service providers are missing business opportunities because current billing solutions are not fully capable. In

  2. 78 FR 52824 - Proposed Information Collection (Bowel and Bladder Care Billing Form) Activity: Comment Request

    Science.gov (United States)

    2013-08-26

    ... and Bladder Care Billing Form) Activity: Comment Request AGENCY: Veterans Health Administration.... This notice solicits comments on the information needed to evaluate the Bowel and Bladder Care Billing Form used by caregivers of eligible Veterans to document time spent providing services related...

  3. 42 CFR 405.515 - Reimbursement for clinical laboratory services billed by physicians.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Reimbursement for clinical laboratory services... Criteria for Determining Reasonable Charges § 405.515 Reimbursement for clinical laboratory services billed... limitation on reimbursement for markups on clinical laboratory services billed by physicians. If a physician...

  4. 76 FR 59265 - Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing...

    Science.gov (United States)

    2011-09-26

    ... [CMS-1351-CN] RIN 0938-AQ29 Medicare Program; Prospective Payment System and Consolidated Billing for... rule entitled ``Medicare Program; Prospective Payment System and Consolidated Billing for Skilled... Payment System (PPS) final rule (76 FR 48486, 48540) inadvertently included several technical errors in...

  5. 78 FR 70580 - Apria Healthcare LLC, Billing Department, Overland Park, Kansas; Notice of Negative Determination...

    Science.gov (United States)

    2013-11-26

    ... responsibilities, and the assertion that the worker's separation was due to outsourcing to ``Emdeon and India... Reconsideration By application dated September 19, 2013, a former worker of Apria Healthcare LLC, Billing...), applicable to workers and former workers of Apria Healthcare LLC, Billing Department, Overland Park, Kansas...

  6. 19 CFR 24.3a - CBP bills; interest assessment; delinquency; notice to principal and surety.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false CBP bills; interest assessment; delinquency; notice to principal and surety. 24.3a Section 24.3a Customs Duties U.S. CUSTOMS AND BORDER PROTECTION....3a CBP bills; interest assessment; delinquency; notice to principal and surety. (a) Due date of CBP...

  7. Thoughts on the Roots and Evolution of the Bill of Rights.

    Science.gov (United States)

    Robinson, Donald; And Others

    1991-01-01

    Considers how the Bill of Rights originated and has evolved. Reviews the political views of Alexander Hamilton and James Madison and the nature of their support for the Bill of Rights. Explains nineteenth-century classical liberalism and its revolutionary view that political power inhered in the individual rather than in property ownership. (CH)

  8. Tobacco company campaign contributions and congressional support of the cigar bill

    Directory of Open Access Journals (Sweden)

    Robbins RA

    2016-11-01

    Full Text Available Although it is widely held that campaign contributions influence support for legislation, the impact of contributions is unclear. Despite lack of a tobacco growing or manufacturing constituency, many members of Congress (MOC in the Southwest support the pro-tobacco Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2015 (HR 662/S 441, aka the "Cigar Bill". The association between campaign contributions from tobacco companies (2006-16 with cosponsor for the Cigar Bill were examined. There was a highly significant correlation with 92% of Southwest MOC who cosponsored the Cigar Bill having received campaign contributions. In contrast, 31% of those who did not cosponsoring the bill had received tobacco company campaign contributions (p<0.001 by Fisher's Exact Test. These data demonstrates a highly significant correlation between campaign contributions and legislative support for the "Cigar Bill".

  9. Portable XRF and principal component analysis for bill characterization in forensic science.

    Science.gov (United States)

    Appoloni, C R; Melquiades, F L

    2014-02-01

    Several modern techniques have been applied to prevent counterfeiting of money bills. The objective of this study was to demonstrate the potential of Portable X-ray Fluorescence (PXRF) technique and the multivariate analysis method of Principal Component Analysis (PCA) for classification of bills in order to use it in forensic science. Bills of Dollar, Euro and Real (Brazilian currency) were measured directly at different colored regions, without any previous preparation. Spectra interpretation allowed the identification of Ca, Ti, Fe, Cu, Sr, Y, Zr and Pb. PCA analysis separated the bills in three groups and subgroups among Brazilian currency. In conclusion, the samples were classified according to its origin identifying the elements responsible for differentiation and basic pigment composition. PXRF allied to multivariate discriminate methods is a promising technique for rapid and no destructive identification of false bills in forensic science. Copyright © 2013 Elsevier Ltd. All rights reserved.

  10. The Irish Theme in the Writings of Bill Naughton

    Directory of Open Access Journals (Sweden)

    David Pierce

    2005-03-01

    Full Text Available The student interested in cultural assimilation, hybridity, and naturalization, in masculinity, authorship, and identity, in what happened to the Irish in Britain in the twentieth century, will turn at some point to the Mayo-born, Lancashire writer Bill Naughton (1910-1992, author of a classic children’s story collection The Goalkeeper’s Revenge and Other Stories (1961, ofAlfie (1965, the film which helped define 1960s London, and of a series of autobiographies largely centering on his Irish childhood and upbringing in Bolton. It has been the historic role of Irish writers from Richard Brinsley Sheridan to Oscar Wilde, from Elizabeth Bowen to William Trevor, to give the English back to themselves in a gallery of portraits. Naughton is part of this tradition, but, unlike these other writers, his subject is the English working class, which he writes about from within, with both sympathy and knowledge. It can be readily conceded that his work is not at the forefront of modern English or Irish writing, but it does deserve to be better known and appreciated. Here in this discursive essay, with an eye on his Irish background, I move back and forth across his writing to reflect on his contribution not so to much the cultural greening of Britain as to the mass observation of the English and of the Irish in Britain.

  11. Determination of metals in water from Billings dam, Sao Paulo

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Talita; Sarkis, Jorge E.S.; Ulrich, Joao C.; Yamaguishi, Renata Bazante, E-mail: taoliveira@ipen.br, E-mail: jesarkis@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil); Menezes, Luciana Carvalho Bezerra de; Castro, Paula Maria Genova de; Monteiro Junior, Adalberto Jose; Maruyama, Lidia Sumile, E-mail: lcbm@usp.br [Instituto de Pesca, (IP/SAA-SP), Sao Paulo, SP (Brazil). Secretaria da Agricultura e Abastecimento do Estado de Sao Paulo

    2013-07-01

    The Billings reservoir, located in Sao Paulo, Brazil, is used for several purposes such as: water supply, electric generation, fishing and leisure. Although considered an area of environmental protection, in recent years the dam has suffered diverse environmental aggressions including the release of toxic metals. This study presents a recent evaluation of metal contents along the Dam. Samples were collected every three months during the period of winter 2009 to summer 2010. Samples were collected in thirteen points along of the dam, as follows: Rio dos Porcos (Point 1), Summit Control (Point 2), Ilha do Bigua (Point 3), Casa Caida (Point 4), Barragem (Point 5), Foz de Taquacetuba (Point 6), Braco Borore (Point 7), Foz de Borore (Point 8), Alvarenga (Point 9), Pedreira (Point 10), Borore's Margin (Point 11), Capivari I's Margin (Point 12) and Capivari II's Margin (Point 13). The determination of Al, Cd, Cr, Cu, Fe, Mg, Mn, Ni, Pb and Zn was performed by using high resolution inductively coupled plasma mass spectrometer (HR-ICPMS). The methodology has been validated using certified reference material Riverine Water Reference Material for Trace Metals provided by National Research Council Canada (NRCC). The sampling points located in the Pedreira, Borore's Margin, Alvarenga, Barragem Taquacetuba, Casa Caida e Ilha do Bigua presented the highest concentrations. The level for Fe, Cu and Ni were higher than the ones reported in the literature and above the limit set by CONAMA 2914/201. (author)

  12. Determination of metals in water from Billings dam, Sao Paulo

    International Nuclear Information System (INIS)

    Oliveira, Talita; Sarkis, Jorge E.S.; Ulrich, Joao C.; Yamaguishi, Renata Bazante; Menezes, Luciana Carvalho Bezerra de; Castro, Paula Maria Genova de; Monteiro Junior, Adalberto Jose; Maruyama, Lidia Sumile

    2013-01-01

    The Billings reservoir, located in Sao Paulo, Brazil, is used for several purposes such as: water supply, electric generation, fishing and leisure. Although considered an area of environmental protection, in recent years the dam has suffered diverse environmental aggressions including the release of toxic metals. This study presents a recent evaluation of metal contents along the Dam. Samples were collected every three months during the period of winter 2009 to summer 2010. Samples were collected in thirteen points along of the dam, as follows: Rio dos Porcos (Point 1), Summit Control (Point 2), Ilha do Bigua (Point 3), Casa Caida (Point 4), Barragem (Point 5), Foz de Taquacetuba (Point 6), Braco Borore (Point 7), Foz de Borore (Point 8), Alvarenga (Point 9), Pedreira (Point 10), Borore's Margin (Point 11), Capivari I's Margin (Point 12) and Capivari II's Margin (Point 13). The determination of Al, Cd, Cr, Cu, Fe, Mg, Mn, Ni, Pb and Zn was performed by using high resolution inductively coupled plasma mass spectrometer (HR-ICPMS). The methodology has been validated using certified reference material Riverine Water Reference Material for Trace Metals provided by National Research Council Canada (NRCC). The sampling points located in the Pedreira, Borore's Margin, Alvarenga, Barragem Taquacetuba, Casa Caida e Ilha do Bigua presented the highest concentrations. The level for Fe, Cu and Ni were higher than the ones reported in the literature and above the limit set by CONAMA 2914/201. (author)

  13. Situation Analysis Report. Stafford County, 2013

    OpenAIRE

    2015-01-01

    Contains demographic data on age, teen birth rate, household income, changes in farm acreage. Some results of an issue-based community survey are presented, including teen community involvement, life skills training for youth, youth violence, parenting, nutrition, science and technology, and the environment.

  14. Acute pain management efficiency improves with point-of-care handheld electronic billing system.

    Science.gov (United States)

    Fahy, Brenda G

    2009-02-01

    Technology advances continue to impact patient care and physician workflow. To enable more efficient performance of billing activities, a point-of-care (POC) handheld computer technology replaced a paper-based system on an acute pain management service. Using a handheld personal digital assistant (PDA) and software from MDeverywhere (MDe, MDeverywhere, Long Island, NY), we performed a 1-yr prospective observational study of an anesthesiology acute pain management service billings and collections. Seventeen anesthesiologists providing billable acute pain services were trained and entered their charges on a PDA. Twelve months of data, just before electronic implementation (pre-elec), were compared to a 12-m period after implementation (post-elec). The total charges were 4883 for 890 patients pre-elec and 5368 for 1128 patients post-elec. With adoption of handheld billing, the charge lag days decreased from 29.3 to 7.0 (P billing using PDAs to replace a paper-based billing system improved the collection rate and decreased the number of charge lag days with a positive return on investment. The handheld PDA billing system provided POC support for physicians during their daily clinical (e.g., patient locations, rounding lists) and billing activities, improving workflow.

  15. The billing process at a teaching hospital specialized in cardiology and pulmonology

    Directory of Open Access Journals (Sweden)

    Gabriela Favaro Faria Guerrer

    2014-09-01

    Full Text Available The objective of this exploratory study was to describe and map out the billing process in a public tertiary-level university hospital specialized in cardiology and pulmonology. In the period between May and June of 2012, we identified and documented the steps in the process validated by the professionals involved in the hospital bill audit service. We found that during billing pre-analysis, auditors make corrections to justify the billing of procedures and to avoid unwarranted billing and loss of revenue. Mapping out the process allowed us to propose strategies to minimize the time for presenting bills to payment sources. By bringing visibility to this process, which is fundamental for the economic-financial balance of the studied hospital, we bring such knowledge to the public domain. Thus, it is accessible to other health organizations that wish to increment their revenue and reduce divergences between patient charts and the patient’s hospital bill. doi: 10.5216/ree.v16i3.23487.

  16. Evidence Suggesting that Ivory-billed Woodpeckers (Campephilus principalis Exist in Florida

    Directory of Open Access Journals (Sweden)

    Daniel J. Mennill

    2006-12-01

    Full Text Available The Ivory-billed Woodpecker (Campephilus principalis disappeared from the forests of southeastern North America in the early 20th Century and for more than 50 years has been widely considered extinct. On 21 May 2005, we detected a bird that we identified as an Ivory-billed Woodpecker in the mature swamp forest along the Choctawhatchee River in the panhandle of Florida. During a subsequent year of research, members of our small search team observed birds that we identified as Ivory-billed Woodpeckers on 14 occasions. We heard sounds that matched descriptions of Ivory-billed Woodpecker acoustic signals on 41 occasions. We recorded 99 putative double knocks and 210 putative kent calls. We located cavities in the size range reported for Ivory-billed Woodpeckers and larger than those of Pileated Woodpeckers (Dryocopus pileatus that have been reported in the literature or that we measured in Alabama. We documented unique foraging signs consistent with the feeding behavior of Ivory-billed Woodpeckers. Our evidence suggests that Ivory-billed Woodpeckers may be present in the forests along the Choctawhatchee River and warrants an expanded search of this bottomland forest habitat.

  17. Can social policy influence socioeconomic disparities? Korean War GI Bill eligibility and markers of depression.

    Science.gov (United States)

    Vable, Anusha M; Canning, David; Glymour, M Maria; Kawachi, Ichiro; Jimenez, Marcia P; Subramanian, Subu V

    2016-02-01

    The Korean War GI Bill provided socioeconomic benefits to veterans; however, its association with health is unclear; we hypothesize GI Bill eligibility is associated with fewer depressive symptoms and smaller disparities. Data from 246 Korean War GI Bill eligible veterans and 240 nonveterans from the Health and Retirement Study were matched on birth year, southern birth, race, height, and childhood health using coarsened exact matching. Number of depressive symptoms in 2010 (average age = 78 years) was assessed using a modified, validated Center for Epidemiologic Studies-Depression Scale, dichotomized to reflect elevated depressive symptoms. Regression analyses were stratified into low (at least one parent markers. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. The bill project on energy transition: what will happen to renewable energies

    International Nuclear Information System (INIS)

    Darson, Alice

    2015-01-01

    The author comments and discusses the content of the French bill project on energy transition, and the controversies on this bill project within the French Parliament. She addresses the objectives of the bill project (share of renewable energies, case of overseas territories), the issue of building construction and renovation, the issue of transports (fleet size, electric vehicles, use of renewable energy), the development of renewable energies (notably for overseas territories, issue of mandatory purchase, issue of connection), the simplification and clarification of procedures, and the possibility for citizen, enterprises, territories and State to act together

  19. Report on the bill project on a new electricity market organisation in France (n. 2451)

    International Nuclear Information System (INIS)

    2010-01-01

    This document reports the works of the Economic Affairs Commission of the French National Assembly on a bill project dealing with a new organisation of the electricity market. It reports the hearings of the Energy regulation commission Chairman and of the EDF Chairman, the general discussion of the Commission, and the discussion on the different bill articles. These articles are dealing with the access of electricity providers to the electricity produced by EDF, capacities required for electricity providers, power reservation contracts, and other regulatory aspects. A table compares the present situation, the content of the bill project, and the Commission's propositions

  20. Energy bill of the municipal utilities at Heerlen: part of the customers' information system

    Energy Technology Data Exchange (ETDEWEB)

    Poell, W A.G.

    1980-11-01

    A new invoice form now being sent to customers of the combined municipal utilities in Heerlen, Netherlands, provides customers with information that will encourage them to conserve energy. Changes in the invoice involve the utilities' internal operating procedure as well as the annual energy bill and the monthly installment invoice. To make the customer energy-conscious and aware of the effect of conservation measures, the bill states for purposes of comparison the annual consumption of the preceding period. The gas-consumption-related figures appearing on the bill have been modified to account for the calorific value and the ambient temperature in the corresponding period.

  1. 42 CFR 414.50 - Physician or other supplier billing for diagnostic tests performed or interpreted by a physician...

    Science.gov (United States)

    2010-10-01

    ... HEALTH SERVICES Physicians and Other Practitioners § 414.50 Physician or other supplier billing for... services through such billing physician or other supplier. The “substantially all” requirement will be satisfied if, at the time the billing physician or other supplier submits a claim for a service furnished by...

  2. 47 CFR 64.1510 - Billing and collection of pay-per-call and similar service charges.

    Science.gov (United States)

    2010-10-01

    ... Pay-Per-Call and Other Information Services § 64.1510 Billing and collection of pay-per-call and... pay-per-call services and offering billing and collection services to such provider shall: (1) Ensure... 47 Telecommunication 3 2010-10-01 2010-10-01 false Billing and collection of pay-per-call and...

  3. 78 FR 69878 - AT&T Corporation, a Subsidiary of AT&T Inc., Business Billing Customer Care, Pittsburgh...

    Science.gov (United States)

    2013-11-21

    ... Subsidiary of AT&T Inc., Business Billing Customer Care, Pittsburgh, Pennsylvania; Notice of Affirmative... workers and former workers of AT&T Corporation, a subsidiary of AT&T Inc., Business Billing Customer Care... supplied by Business Billing Customer Care to other locations within the United States. With respect to...

  4. 26 CFR 301.6312-1 - Treasury certificates of indebtedness, Treasury notes, and Treasury bills acceptable in payment...

    Science.gov (United States)

    2010-04-01

    ... certificates, notes, or bills, according to the express terms of their issue, are made acceptable in payment of... at the value specified in the terms under which such certificates, notes, or bills were issued. All... or stamps, as specified in the terms under which such certificate, note, or bill was issued, shall...

  5. Pricing and Billing of Technical Assistance Sold to Foreign Military Sales Customers

    National Research Council Canada - National Science Library

    1990-01-01

    .... The audit also included a follow-up review of recommendations applicable to the issuance of specific guidance for pricing and billing CIP costs, depot maintenance costs, and missile target and range costs...

  6. Multiple Reversals of Bill Length over 1.7 Million Years in a Hawaiian Bird Lineage.

    Science.gov (United States)

    Freed, Leonard A; Medeiros, Matthew C I; Cann, Rebecca L

    2016-03-01

    Evolutionary change has been documented over geological time, but reversals in morphology, from an ancestral state to a derived state and back again, tend to be rare. Multiple reversals along the same lineage are even rarer. We use the chronology of the Hawaiian Islands and an avian example, the Hawaiian honeycreeper 'amakihi (Hemignathus spp.) lineage, which originated on the oldest main island of Kaua'i 1.7 million years ago, to examine the process of sequential reversals in bill length. We document three single and two multiple reversals of bill length on six main islands from oldest to youngest, consistent with the phylogeny of the lineage. Longer bills occur on islands with endemic species, including phylogenetically relevant outgroups, that may compete with or dominate the 'amakihi. On islands without those species, the 'amakihi had shorter bills of similar length. Both types of reversals in morphology in this lineage integrate microevolutionary processes with macroevolution in the adaptive radiation of Hawaiian honeycreepers.

  7. The Status of Billing and Reimbursement in Pediatric Obesity Treatment Programs

    Science.gov (United States)

    Gray, Jane Simpson; Filigno, Stephanie Spear; Santos, Melissa; Ward, Wendy L.; Davis, Ann M.

    2014-01-01

    Pediatric psychologists provide behavioral health services to children and adolescents diagnosed with medical conditions. Billing and reimbursement have been problematic throughout the history of pediatric psychology, and pediatric obesity is no exception. The challenges and practices of pediatric psychologists working with obesity are not well understood. Health and behavior codes were developed as one potential solution to aid in the reimbursement of pediatric psychologists who treat the behavioral health needs of children with medical conditions. This commentary discusses the current state of billing and reimbursement in pediatric obesity treatment programs and presents themes that have emerged from discussions with colleagues. These themes include variability in billing practices from program to program, challenges with specific billing codes, variability in reimbursement from state to state and insurance plan to insurance plan, and a general lack of practitioner awareness of code issues or reimbursement rates. Implications and future directions are discussed in terms of research, training, and clinical service. PMID:23224661

  8. 49 CFR 1035.1 - Requirement for certain forms of bills of lading.

    Science.gov (United States)

    2010-10-01

    ... Requirement for certain forms of bills of lading. (a) All common carriers, except express companies, engaged in the transportation of property other than livestock and wild animals, by rail or by water subject...

  9. Breeding ecology of the pink-billed lark, Spizocorys conirostris , in ...

    African Journals Online (AJOL)

    Breeding ecology of the pink-billed lark, Spizocorys conirostris , in an agricultural landscape in South Africa. ... Open Access DOWNLOAD FULL TEXT ... The results are compared with data in Birdlife South Africa's Nest Record Card Scheme.

  10. Effects of the 2013 Psychiatric Current Procedural Terminology Codes Revision on Psychotherapy in Psychiatric Billing.

    Science.gov (United States)

    Mark, Tami L; Olesiuk, William J; Sherman, Laura J; Ali, Mir M; Mutter, Ryan; Teich, Judith L

    2017-11-01

    The purpose of this study was to determine whether the changes to the psychiatric Current Procedural Terminology (CPT) codes implemented in 2013 were associated with changes in types of services for which psychiatrists billed. Analyses were conducted using paid private insurance claims from a large commercial database. The participant cohort comprised psychiatrists with at least one psychiatry visit reported in the database in each calendar year studied: 2012 (N of visits=778,445), 2013 (N=748,317), and 2014 (N=754,760). The percentage of visits in which psychiatrists billed for psychotherapy declined from 51.4% in 2012 to 42.1% in 2014. The decline held after the analyses adjusted for patient characteristics, plan type, and region. The update to CPT codes resulted in a decrease in visits for which psychiatrists billed for psychotherapy. Further research should explore whether the change in billing corresponds to changes in service delivery.

  11. Billings for Centrex Autovon Terminations in the Department of the Army

    National Research Council Canada - National Science Library

    1990-01-01

    The objective of the audit was to determine whether the Bell Operating Companies have properly billed DoD telecommunications users for CENTREX AUTOVON termination service and for special assemblies...

  12. An Enterprise Model for Real-Time Inter-domain Billing of Services

    NARCIS (Netherlands)

    Le, V.M.; van Beijnum, Bernhard J.F.; Nieuwenhuis, Lambertus Johannes Maria; Huitema, G.B.

    2008-01-01

    The technological developments in networking solutions, information and communication services create the basis for the provisioning of complex, realtime services. This paper addresses the charging and billing of such advanced services. Advanced services will be composed of services provided by

  13. The status of billing and reimbursement in pediatric obesity treatment programs.

    Science.gov (United States)

    Gray, Jane Simpson; Spear Filigno, Stephanie; Santos, Melissa; Ward, Wendy L; Davis, Ann M

    2013-07-01

    Pediatric psychologists provide behavioral health services to children and adolescents diagnosed with medical conditions. Billing and reimbursement have been problematic throughout the history of pediatric psychology, and pediatric obesity is no exception. The challenges and practices of pediatric psychologists working with obesity are not well understood. Health and behavior codes were developed as one potential solution to aid in the reimbursement of pediatric psychologists who treat the behavioral health needs of children with medical conditions. This commentary discusses the current state of billing and reimbursement in pediatric obesity treatment programs and presents themes that have emerged from discussions with colleagues. These themes include variability in billing practices from program to program, challenges with specific billing codes, variability in reimbursement from state to state and insurance plan to insurance plan, and a general lack of practitioner awareness of code issues or reimbursement rates. Implications and future directions are discussed in terms of research, training, and clinical service.

  14. Analysis of operating model of electronic invoice colombian Colombian electronic billing analysis of the operational model

    Directory of Open Access Journals (Sweden)

    Sérgio Roberto da Silva

    2016-06-01

    Full Text Available Colombia has been one of the first countries to introduce electronic billing process on a voluntary basis, from a traditional to a digital version. In this context, the article analyzes the electronic billing process implemented in Colombia and the advantages. Methodological research is applied, qualitative, descriptive and documentary; where the regulatory framework and the conceptualization of the model is identified; the process of adoption of electronic billing is analyzed, and finally the advantages and disadvantages of its implementation is analyzed. The findings indicate that the model applied in Colombia to issue an electronic billing in sending and receiving process, is not complex, but it requires a small adequate infrastructure and trained personnel to reach all sectors, especially the micro and business which is the largest business network in the country.

  15. Homophobia as a barrier to comprehensive media coverage of the Ugandan anti-homosexual bill.

    Science.gov (United States)

    Strand, Cecilia

    2012-01-01

    The Ugandan Anti-Homosexuality Bill of October 2009 caused an international outcry and sparked intense debate in the local media. This article explores to what degree a discriminatory social environment manifests itself in the Ugandan print media and discusses the potential implications for media's coverage of contentious policy options such as the Anti-Homosexuality Bill. A content analysis of 115 items from two daily newspapers (the government-owned New Vision and the privately owned the Daily Monitor, between October and December 2009) indicates the existence of two separate house styles; this is in spite of the fact that both newspapers reproduce the surrounding society's homophobia, albeit with different frequency. Unlike the New Vision, the Daily Monitor includes coverage on homophobia and discrimination, as well as provides space for criticism of the Bill. By acknowledging discrimination and its negative impact, the newspaper de-legitimizes homophobia and problematizes the proposed Anti-homosexuality Bill for their readers.

  16. Persons with disability bill 2002 and its implications to the provision ...

    African Journals Online (AJOL)

    Persons with disability bill 2002 and its implications to the provision of library and ... services to the visually handicapped persons in Kenyan learning institutions. ... to achieve their full potential and protect them from undue discrimination.

  17. Mehhiklane troonil: kas Bill Gatesi ajastu sai tõesti otsa? / Heiki Suurkask

    Index Scriptorium Estoniae

    Suurkask, Heiki, 1972-

    2010-01-01

    Ajakirja Forbes koostatud maailma rikkaimate inimeste edetabelist, mille tipus on Mehhiko telekomi monopoli suuromanik Carlos Slim Helú, seniselt liidripositsioonilt on teisele kohale langenud Microsofti rajaja Bill Gates

  18. THE ECOLOGY AND BEHAVIOR OF THE LONG BILLED CURLEW (NUMENIUS AMERICANUS) IN SOUTHEASTERN WASHINGTON

    Energy Technology Data Exchange (ETDEWEB)

    Julia N. Fitzner

    1978-06-01

    The primary objective of this study was to examine in depth the nesting ecology and behavior of the Long-billed Curlew on a breeding area relatively free of disruptive human activity. Two surruners of field work were devoted to that end; a post-breeding season survey in 1976 of the major National Wildlife Refuges in Washington, Southern Idaho, Utah, Nevada California, and Oregon enlarged the scope by including unpublished records of Long-billed Curlews in these areas.

  19. Rising Billing for Intermediate Intensive Care among Hospitalized Medicare Beneficiaries between 1996 and 2010.

    Science.gov (United States)

    Sjoding, Michael W; Valley, Thomas S; Prescott, Hallie C; Wunsch, Hannah; Iwashyna, Theodore J; Cooke, Colin R

    2016-01-15

    Intermediate care (i.e., step-down or progressive care) is an alternative to the intensive care unit (ICU) for patients with moderate severity of illness. The adoption and current use of intermediate care is unknown. To characterize trends in intermediate care use among U.S. hospitals. We examined 135 million acute care hospitalizations among elderly individuals (≥65 yr) enrolled in fee-for-service Medicare (U.S. federal health insurance program) from 1996 to 2010. We identified patients receiving intermediate care as those with intensive care or coronary care room and board charges labeled intermediate ICU. In 1996, a total of 960 of the 3,425 hospitals providing critical care billed for intermediate care (28%), and this increased to 1,643 of 2,783 hospitals (59%) in 2010 (P billed for intermediate care, but billing steadily increased to 22.8% by 2010 (P billed for ICU care and ward-only care declined. Patients billed for intermediate care had more acute organ failures diagnoses codes compared with general ward patients (22.4% vs. 15.8%). When compared with patients billed for ICU care, those billed for intermediate care had fewer organ failures (22.4% vs. 43.4%), less mechanical ventilation (0.9% vs. 16.7%), lower mean Medicare spending ($8,514 vs. $18,150), and lower 30-day mortality (5.6% vs. 16.5%) (P billing increased markedly between 1996 and 2010. These findings highlight the need to better define the value, specific practices, and effective use of intermediate care for patients and hospitals.

  20. Aplikasi Billing Client/Server Dengan Mengunakan Microsoft Visual Basic 6.0

    OpenAIRE

    Sinukaban, Eva Solida

    2010-01-01

    Kajian ini bertujuan untuk membangun Billing Server yang gratis dalam jaringan Local dengan media transmisi berupa kabel UTP atau Wifi, Jaringan LAN yang dibangun ini merupakan jaringan client server yang memiliki server dengan sistem operasi yang dipakai adalah windows XP Service Pack 2. Tujuan pembuatan Aplikasi Billing Server ini adalah untuk dapat melakukan sharing data dan komunikasi antar komputer sehingga komputer-komputer tersebut dapat dimanfaatkan seoptimal mungkin baik dari sisi Se...

  1. Impact of Alternative Rate Structures on Distributed Solar Customer Electricity Bills

    Energy Technology Data Exchange (ETDEWEB)

    McLaren, Joyce A [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2018-03-02

    Electric utilities are increasingly proposing changes to residential rate structures, in order to address concerns about their inability to recover fixed system costs from customers with grid connected distributed generation. The most common proposals have been to increase fixed charges, set minimum bills or instigate residential demand charges. This presentation provides results of an analysis to explore how these rate design alternatives impact electricity bills for PV and non-PV customers.

  2. Bill Gates køber sig til positive historier om udviklingsbistanden

    DEFF Research Database (Denmark)

    Fejerskov, Adam Moe

    2014-01-01

    Flere store og velansete medier får penge af Bill Gates' fond for at at bringe positive historier om udviklingsbistanden. Men det medfører en risiko for at journalistikken bliver ukritisk og overfladisk......Flere store og velansete medier får penge af Bill Gates' fond for at at bringe positive historier om udviklingsbistanden. Men det medfører en risiko for at journalistikken bliver ukritisk og overfladisk...

  3. The Partnership Bill 2003: unnecessary tinkering or much-needed reform?

    OpenAIRE

    Berry, E

    2005-01-01

    Purpose - To examine the nature and merits of the proposed changes to partnership law contained in the draft Partnership Bill published in the Law Commission's Partnership Law Report (2003). Design/methodology/approach - Sets out how the proposed Bill differs from the current law of partnership (contained in the Partnership Act 1890 and the Limited Partnerships Act 1907), looking at the definition of 'partnership', the introduction of separate legal personality, the provisions governing partn...

  4. A Survey of Texas HIV, Sexually Transmitted Disease, Tuberculosis, and Viral Hepatitis Providers' Billing and Reimbursement Capabilities.

    Science.gov (United States)

    Flynn, Matthew B; Atwood, Robin; Greenberg, Jennifer B; Ray, Tara; Harris, Karol Kaye

    2015-11-01

    The Affordable Care Act presents financial challenges and opportunities for publicly funded service providers. We assessed billing practices and anticipated barriers to third-party billing among organizations in Texas that provide publicly funded HIV, sexually transmitted diseases, tuberculosis, and viral hepatitis services. One third to one half of the organizations did not bill for medical services. The most common barrier to third-party billing was lack of staff knowledge about billing and coding. Future research must evaluate options for organizations and communities to maintain access to infectious disease services for vulnerable populations.

  5. A Survey of Texas HIV, Sexually Transmitted Disease, Tuberculosis, and Viral Hepatitis Providers’ Billing and Reimbursement Capabilities

    Science.gov (United States)

    Atwood, Robin; Greenberg, Jennifer B.; Ray, Tara; Harris, Karol Kaye

    2015-01-01

    The Affordable Care Act presents financial challenges and opportunities for publicly funded service providers. We assessed billing practices and anticipated barriers to third-party billing among organizations in Texas that provide publicly funded HIV, sexually transmitted diseases, tuberculosis, and viral hepatitis services. One third to one half of the organizations did not bill for medical services. The most common barrier to third-party billing was lack of staff knowledge about billing and coding. Future research must evaluate options for organizations and communities to maintain access to infectious disease services for vulnerable populations. PMID:26447911

  6. Planning and Implementing Immunization Billing Programs at State and Local Health Departments: Barriers and Possible Solutions.

    Science.gov (United States)

    Corriero, Rosemary; Redmon, Ginger

    Before participating in a project funded by the Centers for Disease Control and Prevention, most state and local health departments (LHDs) were not seeking reimbursement or being fully reimbursed by insurance plans for the cost of immunization services (including vaccine costs and administration fees) they provided to insured patients. Centers for Disease Control and Prevention's Billables Project was designed to enable state and LHDs to bill public and private insurance plans for immunization services provided to insured patients. Identify and describe key barriers state and LHDs may encounter while planning and implementing a billing program, as well as possible solutions for overcoming those barriers. This study used reports from Billables Project participants to explore barriers they encountered when planning and implementing a billing program and steps taken to address those barriers. Thirty-eight state immunization programs. Based on project participants' reports, barriers were noted in 7 categories: (1) funding and costs, (2) staff, (3) health department characteristics, (4) third-party payers and insurance plans, (5) software, (6) patient insurance status, and (7) other barriers. Possible solutions for overcoming those barriers included hiring or seeking external help, creating billing guides and training modules, streamlining workflows, and modifying existing software systems. Overcoming barriers during planning and implementation of a billing program can be challenging for state and LHDs, but the experiences and suggestions of past Billables Project participants can help guide future billing program efforts.

  7. The devil we know: the implications of bill C-38 for assisted human reproduction in Canada.

    Science.gov (United States)

    Cattapan, Alana; Cohen, Sara R

    2013-07-01

    In June 2012, the Canadian House of Commons passed the so-called omnibus budget bill, making several important changes to the governance of assisted reproduction in Canada. The bill (Bill C-38) was widely criticized for its unwieldy size and rapid passage through Parliament, preventing adequate parliamentary debate and public scrutiny. Given the substantive nature of the amendments to the Assisted Human Reproduction Act made by Bill C-38, and the lack of relevant discussion about these changes both before and following its passage, this commentary is intended to identify how Bill C-38 may alter the governance of reproductive technologies in Canada. In this commentary, we address some of the more significant changes made by Bill C-38 to the regulation of reproductive medicine in Canada. We identify the benefits and challenges of closing Assisted Human Reproduction Canada, noting that doing so eliminates a much-needed forum for stakeholder consultation in this field. Further, we explore the implications of moving the regulation of donor semen from the Food and Drugs Act to the Assisted Human Reproduction Act; these include increased liability for physicians, and opportunities to expand the existing regulations to account for the needs of lesbian, gay, bisexual, trans, and queer Canadians using donor gametes and recent advances in reproductive technologies. Overall, we argue that although the implementation of a policy framework in this field remains highly dependent on yet-to-be written regulations, the changes to the Assisted Human Reproduction Act enabled by Bill C-38 may significantly alter how Canadians interact with reproductive technologies.

  8. Identifying western yellow-billed cuckoo breeding habitat with a dual modelling approach

    Science.gov (United States)

    Johnson, Matthew J.; Hatten, James R.; Holmes, Jennifer A.; Shafroth, Patrick B.

    2017-01-01

    The western population of the yellow-billed cuckoo (Coccyzus americanus) was recently listed as threatened under the federal Endangered Species Act. Yellow-billed cuckoo conservation efforts require the identification of features and area requirements associated with high quality, riparian forest habitat at spatial scales that range from nest microhabitat to landscape, as well as lower-suitability areas that can be enhanced or restored. Spatially explicit models inform conservation efforts by increasing ecological understanding of a target species, especially at landscape scales. Previous yellow-billed cuckoo modelling efforts derived plant-community maps from aerial photography, an expensive and oftentimes inconsistent approach. Satellite models can remotely map vegetation features (e.g., vegetation density, heterogeneity in vegetation density or structure) across large areas with near perfect repeatability, but they usually cannot identify plant communities. We used aerial photos and satellite imagery, and a hierarchical spatial scale approach, to identify yellow-billed cuckoo breeding habitat along the Lower Colorado River and its tributaries. Aerial-photo and satellite models identified several key features associated with yellow-billed cuckoo breeding locations: (1) a 4.5 ha core area of dense cottonwood-willow vegetation, (2) a large native, heterogeneously dense forest (72 ha) around the core area, and (3) moderately rough topography. The odds of yellow-billed cuckoo occurrence decreased rapidly as the amount of tamarisk cover increased or when cottonwood-willow vegetation was limited. We achieved model accuracies of 75–80% in the project area the following year after updating the imagery and location data. The two model types had very similar probability maps, largely predicting the same areas as high quality habitat. While each model provided unique information, a dual-modelling approach provided a more complete picture of yellow-billed cuckoo habitat

  9. PS2-56: Building the Virtual Data Warehouse Using Data from a Healthcare Billing System

    Science.gov (United States)

    Krajenta, Rick; Lamerato, Lois; Wells, Karen

    2012-01-01

    Background Healthcare utilization data, specifically diagnoses and procedures, can be processed through different administrative systems. Billing data are generated by the care provider while claims data are generated by the payer. These two sources can represent the data content differently and incorporating the data from these systems into the VDW has presented a unique set of challenges. We present options for reconciling these two data sources to create a VDW that includes all patients including those outside of the HMO member realm. Methods Henry Ford Health System (HFHS) captures patients, care providers, procedures, diagnoses and medical supply information through a proprietary system. Outpatient billing information is entered by clinic staff using an optical scanning device and clinic-specific forms. Other additional procedures and/or supplies are entered into the system using a transaction capture application. Ancillary services such as imaging and pathology are imported into the billing system from their proprietary information systems. The main function of this system is to generate bills for services performed. The data elements are standardized to contain required justification for reimbursement from all payer types. Standard codes sets, ICD9, HCPCS and CPT4, are required. The data can also be used to evaluate workload and staffing levels, project future needs and characterize trends in service demands. HFHS uses this data source to build VDW files. Results Major differences between claims and billing data exist. Claims data are based on health plan contract with bundled procedures, coverage exclusions and deductibles affecting content. Billing data are based solely on services provided. The potential for overwhelming amounts of data in billing sources is possible due to the level of detail; however, this same level of detail is a rich source for specific care components that would not otherwise be present in claims records. Conclusion Billing data are

  10. Education in medical billing benefits both neurology trainees and academic departments.

    Science.gov (United States)

    Waugh, Jeff L

    2014-11-11

    The objective of residency training is to produce physicians who can function independently within their chosen subspecialty and practice environment. Skills in the business of medicine, such as clinical billing, are widely applicable in academic and private practices but are not commonly addressed during formal medical education. Residency and fellowship training include limited exposure to medical billing, but our academic department's performance of these skills was inadequate: in 56% of trainee-generated outpatient notes, documentation was insufficient to sustain the chosen billing level. We developed a curriculum to improve the accuracy of documentation and coding and introduced practice changes to address our largest sources of error. In parallel, we developed tools that increased the speed and efficiency of documentation. Over 15 months, we progressively eliminated note devaluation, increased the mean level billed by trainees to nearly match that of attending physicians, and increased outpatient revenue by $34,313/trainee/year. Our experience suggests that inclusion of billing education topics into the formal medical curriculum benefits both academic medical centers and trainees. © 2014 American Academy of Neurology.

  11. A Lifetime of Geodesy and Geophysics: In Rememberence of Bill Kaula

    Science.gov (United States)

    Smith, David E.

    2000-01-01

    In the early 1960's the secrets that knowledge of the Earth's gravity field would eventually reveal about the processes that govern our planet were yet to be appreciated. It was the beginning of a new science known as space geodesy, which arose at a time when most efforts were devoted to understanding how to extract precise measurements of Earth structure and motions from an orbiting spacecraft. Bill Kaula was central to that beginning and showed the way for many who were to follow, both in time and in the development of approaches most likely to yield results. Bill laid out the theory, analyzed the data, and argued strenuously for a spacecraft mission devoted to measuring gravity to make it all come true in the way he knew it really could. That mission, GRACE, was a long time coming and Bill would not see its final staging, but his influence in making it happen was everywhere. With time, the concepts for measuring the static gravity field of the Earth and terrestrial planets became well advanced, although not universally agreed upon, and certainly not by Bill, who was always eager to argue and challenge traditional methods and thinking. The extension of space geodetic techniques to the planets and the development of new techniques to measure time variations in gravity have recently brought geodesy even closer to the geophysical processes that Bill sought to understand. This presentation will contain a little geodesy, a little history, and a little reminiscing about the leader in our field.

  12. Scope of physician procedures independently billed by mid-level providers in the office setting.

    Science.gov (United States)

    Coldiron, Brett; Ratnarathorn, Mondhipa

    2014-11-01

    Mid-level providers (nurse practitioners and physician assistants) were originally envisioned to provide primary care services in underserved areas. This study details the current scope of independent procedural billing to Medicare of difficult, invasive, and surgical procedures by medical mid-level providers. To understand the scope of independent billing to Medicare for procedures performed by mid-level providers in an outpatient office setting for a calendar year. Analyses of the 2012 Medicare Physician/Supplier Procedure Summary Master File, which reflects fee-for-service claims that were paid by Medicare, for Current Procedural Terminology procedures independently billed by mid-level providers. Outpatient office setting among health care providers. The scope of independent billing to Medicare for procedures performed by mid-level providers. In 2012, nurse practitioners and physician assistants billed independently for more than 4 million procedures at our cutoff of 5000 paid claims per procedure. Most (54.8%) of these procedures were performed in the specialty area of dermatology. The findings of this study are relevant to safety and quality of care. Recently, the shortage of primary care clinicians has prompted discussion of widening the scope of practice for mid-level providers. It would be prudent to temper widening the scope of practice of mid-level providers by recognizing that mid-level providers are not solely limited to primary care, and may involve procedures for which they may not have formal training.

  13. Ending commercial surrogacy in India: significance of the Surrogacy (Regulation) Bill, 2016.

    Science.gov (United States)

    Timms, Olinda

    2018-01-01

    The introduction of the Surrogacy (Regulation) Bill, 2016 into Parliament, in August 2016, was a much-awaited response to citizen voices and human rights groups calling for action in the unregulated area of commercial surrogacy arrangements. Both houses of Parliament have reviewed the Bill, and its fate was to be decided in the Winter Session of Parliament, 2017. It is still unclear whether the Bill will come up for decision in the Budget Session that will reconvene on March 5, 2018. The market for infertility treatments has attracted to India global clients seeking access to surrogates and procedures at lower costs. The Bill seeks to protect the rights of women and children at risk of exploitation and commodification as third parties in infertility treatments that use assisted reproductive technologies. Can commercial surrogacy be allowed in a country where injustice, inequalities, and poorly implemented laws place vulnerable women and children at risk? The proposed Bill could shut the door on commercial surrogacy arrangements in India and bring regulation into this sector of medical services.

  14. Chart Smart: A Need for Documentation and Billing Education Among Emergency Medicine Residents?

    Directory of Open Access Journals (Sweden)

    Brian Dawson, MD

    2010-05-01

    Full Text Available Objective: The healthcare chart is becoming ever more complex, serving clinicians, patients, third party payers, regulators, and even medicolegal parties. The purpose of this study was to identify our emergency medicine (EM resident and attending physicians’ current knowledge and attitudes about billing and documentation practices. We hypothesized that resident and attending physicians would identify billing and documentation as an area in which residents need further education.Methods: We gave a 15-question Likert survey to resident and attending physicians regarding charting practices, knowledge of billing and documentation, and opinions regarding need for further education.Results: We achieved a 100% response rate, with 47% (16/34 of resident physicians disagreeing or strongly disagreeing that they have adequate training in billing and documentation, while 91% (31/34 of residents and 95% (21/22 of attending physicians identified this skill as important to a resident’s future practice. Eighty-two percent (28/34 of resident physicians and 100% of attending physicians recommended further education for residents.Conclusion: Residents in this academic EM department identified a need for further education in billing and documentation practices. [West J Emerg Med. 2010;11(2: 116-119.

  15. HEALTH INFO Information from the CHISBoard and Personnel Division: ABOUT BILLS FROM HOPITAL DE LA TOUR

    CERN Multimedia

    1999-01-01

    The tariff agreement signed by CERN (and other international organisations) with Hôpital de La Tour specifies that all bills paid within 30 days of the date of the invoice will enjoy a discount, to be deducted by the payer. The bills are labelled with a message to this effect.Physicians' fees, personal expenses as well as services from outside providers (e.g. ambulance companies or external laboratories) are however not part of the discount agreement. Bills for hospitalisation (i.e. with a stay in hospital longer than 28h) are normally directly paid by AUSTRIA, acting as a third-party payer.In May this year, Hôpital de La Tour introduced a new (Y2K compliant) accounting and invoicing system. This implementation did not go as smoothly as planned and delayed the issuing of bills by two months. During the summer period, a special team of temporary staff was put in place to catch up on the delay. As a result of this, some bills were produced that contained errors and the sticky label mentionin...

  16. Bill redness is positively associated with reproduction and survival in male and female zebra finches.

    Directory of Open Access Journals (Sweden)

    Mirre J P Simons

    Full Text Available Sexual traits can serve as honest indicators of phenotypic quality when they are costly. Brightly coloured yellow to red traits, which are pigmented by carotenoids, are relatively common in birds, and feature in sexual selection. Carotenoids have been linked to immune and antioxidant function, and the trade-off between ornamentation and these physiological functions provides a potential mechanism rendering carotenoid based signals costly. Mutual ornamentation is also common in birds and can be maintained by mutual mate choice for this ornament or by a correlated response in one sex to selection on the other sex. When selection pressures differ between the sexes this can cause intralocus sexual conflict. Sexually antagonistic selection pressures have been demonstrated for few sexual traits, and for carotenoid-dependent traits there is a single example: bill redness was found to be positively associated with survival and reproductive output in male zebra finches, but negatively so in females. We retested these associations in our captive zebra finch population without two possible limitations of this earlier study. Contrary to the earlier findings, we found no evidence for sexually antagonistic selection. In both sexes, individuals with redder bills showed higher survival. This association disappeared among the females with the reddest bills. Furthermore, females with redder bills achieved higher reproductive output. We conclude that bill redness of male and female zebra finches honestly signals phenotypic quality, and discuss the possible causes of the differences between our results and earlier findings.

  17. Wild mallards have more "goose-like" bills than their ancestors: a case of anthropogenic influence?

    Directory of Open Access Journals (Sweden)

    Pär Söderquist

    Full Text Available Wild populations of the world's most common dabbling duck, the mallard (Anas platyrhynchos, run the risk of genetic introgression by farmed conspecifics released for hunting purposes. We tested whether bill morphology of free-living birds has changed since large-scale releases of farmed mallards started. Three groups of mallards from Sweden, Norway and Finland were compared: historical wild (before large-scale releases started, present-day wild, and present-day farmed. Higher density of bill lamellae was observed in historical wild mallards (only males. Farmed mallards had wider bills than present-day and historical wild ones. Present-day wild and farmed mallards also had higher and shorter bills than historical wild mallards. Present-day mallards thus tend to have more "goose-like" bills (wider, higher, and shorter than their ancestors. Our study suggests that surviving released mallards affect morphological traits in wild population by introgression. We discuss how such anthropogenic impact may lead to a maladapted and genetically compromised wild mallard population. Our study system has bearing on other taxa where large-scale releases of conspecifics with 'alien genes' may cause a cryptic invasive process that nevertheless has fitness consequences for individual birds.

  18. Long-billed curlews on the Yakima Training Center: Information for base realignment

    Energy Technology Data Exchange (ETDEWEB)

    Hand, K.D.; Cadwell, L.L.; Eberhardt, L.E.

    1994-02-01

    This report summarizes and discusses the results obtained during 1992 from the study of long-billed curlews on the Yakima Training Center (YTC), which Pacific Northwest Laboratory conducted for the US Department of the Army. This study was initiated to provide basic ecological information on YTC long-billed curlews (Numenius americanus). The long-billed curlew is a relatively common spring and summer resident on the YTC. However, other than casual observations, very little is known about the distribution, density, reproductive success, and habitat requirements for this species on the YTC. Until recently the long-billed curlew was a US Fish and Wildlife Service candidate for listing as threatened or endangered; however, on November 21, 1991 it was down-listed to Class IIIc. The Washington Department of Wildlife lists the long-billed curlew as a ``species of special concern.`` Specific objectives of this study were to (1) locate nesting areas, (2) locate brood-rearing areas, (3) evaluate habitat requirements, (4) determine diet, (5) evaluate response to troop activities, (6) evaluate the impact of livestock grazing, (7) estimate the population size, and (8) estimate recruitment rates. Six curlews (four females and two males) were captured and fitted with radio transmitters. These birds were relocated to obtain nesting, habitat use, and feeding information. Road surveys conducted over most of the YTC provided information on the bird`s general distribution, habitat requirements, and nesting and brood-rearing areas.

  19. Utilization of genetic tests: analysis of gene-specific billing in Medicare claims data.

    Science.gov (United States)

    Lynch, Julie A; Berse, Brygida; Dotson, W David; Khoury, Muin J; Coomer, Nicole; Kautter, John

    2017-08-01

    We examined the utilization of precision medicine tests among Medicare beneficiaries through analysis of gene-specific tier 1 and 2 billing codes developed by the American Medical Association in 2012. We conducted a retrospective cross-sectional study. The primary source of data was 2013 Medicare 100% fee-for-service claims. We identified claims billed for each laboratory test, the number of patients tested, expenditures, and the diagnostic codes indicated for testing. We analyzed variations in testing by patient demographics and region of the country. Pharmacogenetic tests were billed most frequently, accounting for 48% of the expenditures for new codes. The most common indications for testing were breast cancer, long-term use of medications, and disorders of lipid metabolism. There was underutilization of guideline-recommended tumor mutation tests (e.g., epidermal growth factor receptor) and substantial overutilization of a test discouraged by guidelines (methylenetetrahydrofolate reductase). Methodology-based tier 2 codes represented 15% of all claims billed with the new codes. The highest rate of testing per beneficiary was in Mississippi and the lowest rate was in Alaska. Gene-specific billing codes significantly improved our ability to conduct population-level research of precision medicine. Analysis of these data in conjunction with clinical records should be conducted to validate findings.Genet Med advance online publication 26 January 2017.

  20. Fatigue level estimation of monetary bills based on frequency band acoustic signals with feature selection by supervised SOM

    Science.gov (United States)

    Teranishi, Masaru; Omatu, Sigeru; Kosaka, Toshihisa

    Fatigued monetary bills adversely affect the daily operation of automated teller machines (ATMs). In order to make the classification of fatigued bills more efficient, the development of an automatic fatigued monetary bill classification method is desirable. We propose a new method by which to estimate the fatigue level of monetary bills from the feature-selected frequency band acoustic energy pattern of banking machines. By using a supervised self-organizing map (SOM), we effectively estimate the fatigue level using only the feature-selected frequency band acoustic energy pattern. Furthermore, the feature-selected frequency band acoustic energy pattern improves the estimation accuracy of the fatigue level of monetary bills by adding frequency domain information to the acoustic energy pattern. The experimental results with real monetary bill samples reveal the effectiveness of the proposed method.

  1. Utility bill comprehension in the commercial and industrialsector: results of field research

    Energy Technology Data Exchange (ETDEWEB)

    Payne, Christopher T.

    2000-06-02

    This paper presents the results of interviews conducted with 44 business people in 10 states to examine the use of the utility bill as an information mechanism for providing businesses with the relationship between energy consumption and cost. Our results indicate that there are significant barriers to the use of the utility bill as an information tool for energy consumers. Furthermore, we found significant variations among respondents in the information desired from the bill, and differences in decision-making criteria for investments aimed at reducing energy consumption and for those aimed at other forms of waste minimization. These results call into question the applicability of standard market theories in the purchase of energy by most businesses.

  2. Highlights of Bill C-14, the proposed new Nuclear Control Act

    International Nuclear Information System (INIS)

    Anon.

    1978-01-01

    If the bill is passed, the name of the regulatory body will be changed from the Atomic Energy Control Board to the Nuclear Control Board. It is intended to make the board more independent and removed from any involvement in the promotional and commercial aspects of the nuclear industry. The board will no longer answer to the same minister as AECL. Licensing applications will generally be published, except proprietary information. Public hearings will be a compulsory part of licensing major facilities. Various provisions of the bill are explained section by section. ''Prescribed substances'' under the act will definitely include all radionuclides and deuterium. A fund for decontamination will be endowed by licensees. The board will be able to make regulations for obsolete or abandoned sites, or for waste disposal sites. The part of the bill which deals with the responsibility of the Minister of Energy, Mines and Resources for A.E.C.L. generally remains unchanged from the previous act

  3. Implementasi Iso 8583 Untuk Billing Online Mahasiswa Universitas Diponegoro Melalui Channel SMS Banking Bank Rakyat Indonesia Berbasis Aix

    OpenAIRE

    Ridwan, Mohammad; Riyanto, Djalal Er; Sarwoko, Eko Adi

    2013-01-01

    Universitas Diponegoro (UNDIP) merupakan salah satu perguruan tinggi negeri di Indonesia, yang bekerja sama dengan Bank Rakyat Indonesia (BRI) untuk menangani Billing Online mahasiswa. Sejauh ini BRI telah menyediakan dua channel transaksi untuk menangani Billing Online UNDIP, yaitu Teller dan ATM. Pengembangan channel transaksi lain dapat meningkatkan layanan transaksi Billing Online Mahasiswa UNDIP. Pada tugas akhir ini, dilakukan pengembangan channel SMS Banking dengan implementasi ISO 858...

  4. Billing for pharmacists' cognitive services in physicians' offices: multiple methods of reimbursement.

    Science.gov (United States)

    Scott, Mollie Ashe; Hitch, William J; Wilson, Courtenay Gilmore; Lugo, Amy M

    2012-01-01

    To evaluate the charges and reimbursement for pharmacist services using multiple methods of billing and determine the number of patients that must be managed by a pharmacist to cover the cost of salary and fringe benefits. Large teaching ambulatory clinic in North Carolina. Annual charges and reimbursement, patient no-show rate, clinic capacity, number of patients seen monthly and annually, and number of patients that must be seen to pay for a pharmacist's salary and benefits. A total of 6,930 patient encounters were documented during the study period. Four different clinics were managed by the pharmacists, including anticoagulation, pharmacotherapy, osteoporosis, and wellness clinics. "Incident to" level 1 billing was used for the anticoagulation and pharmacotherapy clinics, whereas level 4 codes were used for the osteoporosis clinic. The wellness clinic utilized a negotiated fee-for-service model. Mean annual charges were $65,022, and the mean reimbursement rate was 47%. The mean charge and collection per encounter were $41 and $19, respectively. Eleven encounters per day were necessary to generate enough charges to pay for the cost of the pharmacist. Considering actual reimbursement rates, the number of patient encounters necessary increased to 24 per day. "What if" sensitivity analysis indicated that billing at the level of service provided instead of level 1 decreased the number of patients needed to be seen daily. Billing a level 4 visit necessitated that five patients would need to be seen daily to generate adequate charges. Taking into account the 47% reimbursement rate, 10 level 4 encounters per day were necessary to generate appropriate reimbursement to pay for the pharmacist. Unique opportunities for pharmacists to provide direct patient care in the ambulatory setting continue to develop. Use of a combination of billing methods resulted in sustainable reimbursement. The ability to bill at the level of service provided instead of a level 1 visit would

  5. The Assisted Decision-Making (Capacity) Bill 2013: content, commentary, controversy.

    Science.gov (United States)

    Kelly, B D

    2015-03-01

    Ireland's Assisted Decision-Making (Capacity) Bill (2013) aims to reform the law relating to persons who require assistance exercising their decision-making capacity. When finalised, the Bill will replace Ireland's outdated Ward of Court system which has an all-or-nothing approach to capacity; does not adequately define capacity; is poorly responsive to change; makes unwieldy provision for appointing decision-makers; and has insufficient provision for review. To explore the content and implications of the Assisted Decision-Making (Capacity) Bill. Review of the content of the Assisted Decision-Making (Capacity) Bill and related literature. The new Bill includes a presumption of capacity and defines lack of capacity. All interventions must minimise restriction of rights and freedom, and have due regard for "dignity, bodily integrity, privacy and autonomy". The Bill proposes legal frameworks for "assisted decision-making" (where an individual voluntarily appoints someone to assist with specific decisions relating to personal welfare or property and affairs, by, among other measures, assisting the individual to communicate his or her "will and preferences"); "co-decision-making" (where the Circuit Court declares the individual's capacity is reduced but he or she can make specific decisions with a co-decision-maker to share authority); "decision-making representatives" (substitute decision-making); "enduring power of attorney"; and "informal decision-making on personal welfare matters" (without apparent oversight). These measures, if implemented, will shift Ireland's capacity laws away from an approach based on "best interests" to one based on "will and preferences", and increase compliance with the United Nations' Convention on the Rights of Persons with Disabilities.

  6. Concordance of chart and billing data with direct observation in dental practice.

    Science.gov (United States)

    Demko, Catherine A; Victoroff, Kristin Zakariasen; Wotman, Stephen

    2008-10-01

    The commonly used methods of chart review, billing data summaries and practitioner self-reporting have not been examined for their ability to validly and reliably represent time use and service delivery in routine dental practice. A more thorough investigation of these data sources would provide insight into the appropriateness of each approach for measuring various clinical behaviors. The aim of this study was to assess the validity of commonly used methods such as dental chart review, billing data, or practitioner self-report compared with a 'gold standard' of information derived from direct observation of routine dental visits. A team of trained dental hygienists directly observed 3751 patient visits in 120 dental practices and recorded the behaviors and procedures performed by dentists and hygienists during patient contact time. Following each visit, charts and billing records were reviewed for the performed and billed procedures. Dental providers characterized their frequency of preventive service delivery through self-administered surveys. We standardized the observation and abstraction methods to obtain optimal measures from each of the multiple data sources. Multi-rater kappa coefficients were computed to monitor standardization, while sensitivity, specificity, and kappa coefficients were calculated to compare the various data sources with direct observation. Chart audits were more sensitive than billing data for all observed procedures and demonstrated higher agreement with directly observed data. Chart and billing records were not sensitive for several prevention-related tasks (oral cancer screening and oral hygiene instruction). Provider self-reports of preventive behaviors were always over-estimated compared with direct observation. Inter-method reliability kappa coefficients for 13 procedures ranged from 0.197 to 0.952. These concordance findings suggest that strengths and weaknesses of data collection sources should be considered when investigating

  7. Killing the bill online? Pathways to young people's protest engagement via social media.

    Science.gov (United States)

    Macafee, Timothy; De Simone, J J

    2012-11-01

    In spring 2011, thousands of Wisconsin residents protested a controversial bill spearheaded by Governor Scott Walker. Protest engagement via social media was popular, especially among young people. The current study examines the relationship between young people's informational and expressive uses of four social media-Facebook, YouTube, Twitter, and Blogs-and their offline protest engagement. Survey results reveal that although college students used these social media to obtain information about the budget repair bill protests, only expressive uses related to offline protest engagement. We move research forward by examining the implications of multiple uses of political social media surrounding a compelling case study.

  8. Heat exchange from the toucan bill reveals a controllable vascular thermal radiator.

    Science.gov (United States)

    Tattersall, Glenn J; Andrade, Denis V; Abe, Augusto S

    2009-07-24

    The toco toucan (Ramphastos toco), the largest member of the toucan family, possesses the largest beak relative to body size of all birds. This exaggerated feature has received various interpretations, from serving as a sexual ornament to being a refined adaptation for feeding. However, it is also a significant surface area for heat exchange. Here we show the remarkable capacity of the toco toucan to regulate heat distribution by modifying blood flow, using the bill as a transient thermal radiator. Our results indicate that the toucan's bill is, relative to its size, one of the largest thermal windows in the animal kingdom, rivaling elephants' ears in its ability to radiate body heat.

  9. Bill related to the struggle against proliferation of mass destruction weapons and their vectors

    International Nuclear Information System (INIS)

    2010-01-01

    This bill indicates the modifications brought to different French laws and codes (penal code, defence code, custom code) and defines provisions and penalties within the frame of struggle against the proliferation of weapons of mass destruction (nuclear weapons, biological weapons and toxin-based weapons, chemical weapons), and against the proliferation of their vectors. These modifications, provisions and penalties also concern double-use products. The bill also defines the modifications brought to the French penal procedure code. It finally addresses offenses related to these proliferations which can be considered as an act of terrorism

  10. 41 CFR 102-118.320 - What information must be on transportation bills that have completed my agency's prepayment audit?

    Science.gov (United States)

    2010-07-01

    ... amount billed; (6) The amount paid; (7) The payment voucher number; (8) Complete tender or tariff...) FEDERAL MANAGEMENT REGULATION TRANSPORTATION 118-TRANSPORTATION PAYMENT AND AUDIT Prepayment Audits of...

  11. 41 CFR 102-118.305 - Must my agency notify the TSP of any adjustment to the TSP's bill?

    Science.gov (United States)

    2010-07-01

    ... number, amount billed, amount paid, payment voucher number, complete tender or tariff authority... REGULATION TRANSPORTATION 118-TRANSPORTATION PAYMENT AND AUDIT Prepayment Audits of Transportation Services...

  12. 76 FR 52625 - Empowering Consumers To Prevent and Detect Billing for Unauthorized Charges (“Cramming...

    Science.gov (United States)

    2011-08-23

    ... that restrict accurate commercial speech.'' See, e.g., New York State Restaurant Association v. New... requiring restaurants to post calorie content information on their menus and menu boards) (citing Zauderer v... bills. The proposed rules are designed to advance the government's interest by providing consumers with...

  13. Teaching Undergraduate Money and Banking: T-Bill Auctions and Stock Market Models

    Science.gov (United States)

    Saros, Daniel E.

    2009-01-01

    The author offers innovative approaches to 3 topics that are typically only briefly mentioned (if at all) in money and banking courses. The first topic is a Treasury bill auction experiment in which students have an opportunity to participate directly. The results from a class of 14 money and banking students are used to explain how an instructor…

  14. Gender Differences in the Media Interviews of Bill and Hillary Clinton

    Science.gov (United States)

    Suleiman, Camelia; O'Connell, Daniel

    2008-01-01

    Does gender make a difference in the way politicians speak and are spoken to in public? This paper examines perspective in three television interviews and two radio interviews with Bill Clinton in June 2004 and in three television interviews and two radio interviews with Hillary Clinton in June 2003 with the same interviewers. Our perspectival…

  15. Max Bill´s "Die Gute Form" versus Asger Jorn´s "Dynamic Form"

    DEFF Research Database (Denmark)

    Baumeister, Ruth

    2016-01-01

    Departing from their dispute about the reconstruction of the Bauhaus in West Germany after WW2, this article discusses Asger Jorn´s and Max Bill´s different notions of form. Implicitly, this also brings to the forth their different attitude regarding the positions of art and life in the postwar p...

  16. Short Note A perceived local extinction of Red-billed Oxpeckers in ...

    African Journals Online (AJOL)

    Short Note A perceived local extinction of Red-billed Oxpeckers in the Yabelo region, southern Ethiopia. Richard J Mellanby, Celia Broadhurst, Mengistu Wondafrash, Mihiret Ewnetu, Sandy Watt, Rob Critchlow, Aman Dadesa, Tom Deas, Chere Enawgaw, Berihun Gebremedhin, Ellie Graham, Sarah MacLean, Ben Ross ...

  17. Divining the Impact on Education of an Australian Bill of Rights with and American Rod.

    Science.gov (United States)

    Birch, I. K. F.

    1986-01-01

    Explores the common law-bill of rights debate in Australia and the probable impacts of extending constitutional and statutory rights to the educational system. Closely examined are compulsory education, the courts' role, children's rights, and the law and education interface, with reference to equality and quality issues in the United States.…

  18. The Environmental Ethic of Bill Mason: A Model for Environmental Education

    Science.gov (United States)

    Heintzman, Paul

    2007-01-01

    Almost 20 years after Bill Mason's death, the writings and films of this legendary Canadian canoeist, filmmaker, and artist remain popular: "Few people of any nation have been so influential in creating a sense of responsibility for the environment" (Buck, 2005, p. 12). Supported by statements in Mason's writings and films, this paper…

  19. Bill project on energy transition for a green growth - Nr 2188. Impact study

    International Nuclear Information System (INIS)

    Valls, Manuel; Royal, Segolene

    2014-01-01

    This document first proposes a statement by the Minister on Ecology on the motivations of the French bill project on energy transition which notably addresses the development of new energies, expresses a strong political commitment on energy, addresses the big issue of energy saving (with objectives of job creation and price reduction in the building sector), promotes a development of renewable energies based on local resources, aims at the emergence of citizen participation in energy choices and issues. The content of the bill project is then commented. The main addressed issues are: to define common objectives for a successful energy transition, an energy independence and for the struggle against climate change, a better renovation of buildings to save energy, to reduce prices and to create jobs, to develop clean transports to improve air quality and to protect health, to struggle against energy wastes and to promote circular economy, to promote renewable energies, to strengthen nuclear safety and citizen information, to simplify and clarify procedures, to enable citizens, local communities and the State to act together. The document then proposes the text of the bill project. A second part is a report of an impact study of these different issues and objectives addressed in the bill project

  20. 20 CFR 10.801 - How are medical bills to be submitted?

    Science.gov (United States)

    2010-04-01

    ... employees, except for treatment and supplies provided by nursing homes, shall be supported by medical... separate bill shall be submitted when the employee is discharged from treatment or monthly, if treatment for the work-related condition is necessary for more than 30 days. (1)(i) Hospitals shall submit...

  1. At CES Paul Allen beaming about Hawks, wishing Bill Gates well

    CERN Multimedia

    2008-01-01

    when word came out that he and Bill Gates were supporting a spectacular new telescope with $30 million in donations. E-mail was apparently a little spotty on the yacht, but he responded last night to a few questions about the LSST project:

  2. Mitochondria-targeted molecules determine the redness of the zebra finch bill.

    Science.gov (United States)

    Cantarero, Alejandro; Alonso-Alvarez, Carlos

    2017-10-01

    The evolution and production mechanisms of red carotenoid-based ornaments in animals are poorly understood. Recently, it has been suggested that enzymes transforming yellow carotenoids to red pigments (ketolases) in animal cells may be positioned in the inner mitochondrial membrane (IMM) intimately linked to the electron transport chain. These enzymes may mostly synthesize coenzyme Q 10 (coQ 10 ), a key redox-cycler antioxidant molecularly similar to yellow carotenoids. It has been hypothesized that this shared pathway favours the evolution of red traits as sexually selected individual quality indices by revealing a well-adjusted oxidative metabolism. We administered mitochondria-targeted molecules to male zebra finches ( Taeniopygia guttata ) measuring their bill redness, a trait produced by transforming yellow carotenoids. One molecule included coQ 10 (mitoquinone mesylate, MitoQ) and the other one (decyl-triphenylphosphonium; dTPP) has the same structure without the coQ 10 aromatic ring. At the highest dose, the bill colour of MitoQ and dTPP birds strongly differed: MitoQ birds' bills were redder and dTPP birds showed paler bills even compared to birds injected with saline only. These results suggest that ketolases are indeed placed at the IMM and that coQ 10 antioxidant properties may improve their efficiency. The implications for evolutionary theories of sexual signalling are discussed. © 2017 The Author(s).

  3. Christian Librarians and the Ethics of the Library Bill of Rights

    Directory of Open Access Journals (Sweden)

    Scott Kaihoi

    2015-02-01

    Full Text Available This study is the follow up to a pilot study entitled “Christian Librarians and the Library Bill of Rights: a survey of opinions and professional practice” published in the Spring 2014 issue of The Christian Librarian.  Using an online survey, it sought to discover how librarians working in a variety of contexts who self-identified as Christians responded to the ALA’s ethical standards as embodied in the Library Bill of Rights.  The results showed general support for the Library Bill of Rights and its ethics, though a majority of respondents had at least some way in which they adhered to the Library Bill of Rights less than fully, and a significant minority (around 40% had areas in which they differed with its ethics, usually in the form of feeling that certain types of content (e.g., pornography, harmful materials, etc. could or should be limited.  The responses in this survey would seem to support the notion that many Christian librarians do sometimes perceive a need to place the value of defending what they perceive to be true and right above the call to remain professionally impartial about certain kinds of content.

  4. The Protection of Information Bill and Access to Information in South ...

    African Journals Online (AJOL)

    The study concludes by arguing that the 2010 Information Protection Bill has received massive coverage due to the fact that it has a negative impact on the work of the journalists and the information society, in general. Conclusions and recommendations for further research are offered. Keywords: Protection of Information, ...

  5. Automating payroll, billing, and medical records. Using technology to do more with less.

    Science.gov (United States)

    Vetter, E

    1995-08-01

    As home care agencies grow, so does the need to streamline the paperwork involved in running an agency. One agency found a way to reduce its payroll, billing, and medical records paperwork by implementing an automated, image-based data collection system that saves time, money, and paper.

  6. Predation threats to the Red-billed Tropicbird breeding colony of Saba: focus on cats

    NARCIS (Netherlands)

    Debrot, A.O.; Ruijter, M.; Endarwin, W.; Hooft, van P.; Wulf, K.

    2014-01-01

    Feral domestic cats (Felis catus) are recognized as one of the most devastating alien predator species in the world and are a major threat to nesting colonies of the Red-billed Tropicbird (Phaethon aethereus), on Saba island, Dutch Caribbean. Cats and rats are both known to impact nesting seabirds

  7. 78 FR 70584 - ATOS IT Solutions & Services, Inc., Billing and Collections Department, Including Workers Whose...

    Science.gov (United States)

    2013-11-26

    ...) Wages are Reported Through Siemens IT Solutions and Services, Mason, Ohio; Amended Certification... Solutions & Services, Inc., Billing and Collections Department, Mason, Ohio. The workers are engaged in... workers separated from employment at the Mason, Ohio location of ATOS IT Solutions & Services, Inc...

  8. 77 FR 46213 - Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing...

    Science.gov (United States)

    2012-08-02

    ... for FY 2012 was 68.693, as shown in Table 13. We calculate the labor-related relative importance from... basket. We calculate the labor-related relative importance for FY 2013 in four steps. First, we compute... Productivity Adjustment D. Federal Rate Update Factor VI. Consolidated Billing VII. Application of the SNF PPS...

  9. The Development of a More Equitable Method of Billing for Online Services.

    Science.gov (United States)

    Kenton, David

    1984-01-01

    The National Library of Medicine has discarded connect hour-only billing for a more equitable system, which distributes user costs by type and intensity of work performed and data delivered. User data (cost comparisons, interpolated input/output count per connect hours, connect hours per year) were analyzed and further improvements are planned.…

  10. Risk bearing and use of fee-for-service billing among accountable care organizations.

    Science.gov (United States)

    Muhlestein, David B; Croshaw, Andrew A; Merrill, Thomas P

    2013-07-01

    To determine the willingness of accountable care organizations (ACOs) to bear financial risk for the healthcare they provide. Structured interviews conducted between January and June 2012 with 57 ACOs led by hospitals and physician groups located throughout the United States. Findings are based on the 38 ACOs that were actively providing care under an ACO payment arrangement at the time of the interview. Among these ACOs, 71% cover a portion of their ACO population with contracts that put the ACOs at some financial risk, while 45% have risk-based contracts for their entire ACO population. Payments based on fee-for-service (FFS) billing still dominate, as 92% of ACOs use FFS-based billing for at least a portion of their ACO population and 71% are fully reimbursed using FFS-based billing. Under the auspices of an ACO, providers are accepting some financial risk for their accountable care patient population. There is still strong reliance on FFS-based billing methods as providers experiment with different payment models.

  11. 78 FR 7387 - Continuation of 2008 Farm Bill-Dairy Forward Pricing Program

    Science.gov (United States)

    2013-02-01

    ...] Continuation of 2008 Farm Bill--Dairy Forward Pricing Program AGENCY: Agricultural Marketing Service, USDA... the Dairy Forward Pricing Program contained in the Food, Conservation and Energy Act of 2008 (the 2008... associations of producers may enter into forward price contracts under the Dairy Forward Pricing Program...

  12. Missouri Public School Administrators' Perceived Effectiveness of Senate Bill No. 75

    Science.gov (United States)

    Steele, Joby B.

    2016-01-01

    In this quantitative study, the perceptions of safety and preparedness of Missouri's high school administrators after participating in active shooter training as mandated by Missouri's Senate Bill No. 75 were analyzed. As school shootings continue, states have passed legislation to prepare schools to provide safety for students and faculty members…

  13. 31 CFR Appendix II to Part 13 - Form of Bill for Reimbursement

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Form of Bill for Reimbursement II Appendix II to Part 13 Money and Finance: Treasury Office of the Secretary of the Treasury PROCEDURES FOR... title) of ______ (Country) to participate in the work of ______ (International Organization) or...

  14. Biomechanical features of the bill and and jaw apparatus of cuckoos ...

    African Journals Online (AJOL)

    ... processing at base of the bill. The morphofunctional analyses give results different from what is known for the Galliformes and allow the construction of the hypothesis of two trophic adaptive pathways. One followed by the Cuculidae would have led to the consumption of a large range of arthropods, including toxic species; ...

  15. Should providers be allowed to extra bill for uncovered services? Debate, resolution, and sequel in Japan.

    Science.gov (United States)

    Ikegami, Naoki

    2006-12-01

    Japan has managed to provide universal coverage at relatively low cost by containing prices and restricting the conditions for which services can be billed in the compulsory social health insurance (SHI) program. However, decline in Japan's economic growth ushered in new actors backed by the prime minister who proposed that the providers should be allowed to extra bill for services not covered by the SHI. In 2004 they took the strategy of drawing the attention of the public to areas where the rigidity of the current prohibition appeared to be unfair and ridiculous. They were opposed by the Ministry of Health, Labor, and Welfare and the Japan Medical Association, who strongly objected on the grounds of safety and equity. The compromise reached by the two ministers in charge led to a clarification of the services that are to be covered and of the process for extending coverage to new procedures and drugs. The prohibition on extra billing has remained essentially unchanged, but the momentum for deregulation has been lost. In 2005 an alternate proposal was made to contain SHI expenditures by introducing a global cap on health expenditures and increasing out-of-pocket payment. Although this proposal was not fully adopted, the gradual decline in SHI benefit levels could lead to a renewed move to allow extra billing.

  16. The Report on Part-Time Faculty Compensation and Salary Survey, House Bill 384

    Science.gov (United States)

    New Mexico Higher Education Department, 2007

    2007-01-01

    In the 2007 Legislative Session, House Bill 384 (HB 384) directed the New Mexico Higher Education Department to produce an Annual Accountability Report in collaboration with each public postsecondary educational institution in the state of New Mexico. The report contains information pertaining to: (1) faculty compensation and benefits practices;…

  17. Preliminary investigations of the winter ecology of Long-billed Curlews in coastal Texas

    Science.gov (United States)

    Woodin, Marc C.; Skoruppa, Mary Kay; Edwardson, Jeremy W.; Austin, Jane E.

    2012-01-01

    Since the early 1900s, the distribution of the Long-billed Curlew (Numenius americanus) has contracted dramatically in the eastern one-half of its historic range. The species has been designated as a "Bird of Conservation Concern" and focal species by the U.S. Fish and Wildlife Service, a species of concern by several states, and a "Highly Imperiled" species in the U.S. Shorebird Conservation Plan. The uncertain outlook for this species has contributed to a plethora of research on Long-billed Curlews, most of which have focused on breeding and nesting ecology of the species. Gaps remain in information about factors affecting population dynamics on the winter grounds and the linkages between Long-billed Curlew populations on the breeding range, migration routes, and winter range. To begin filling those gaps, a pilot study was done to evaluate (1) curlew use of nocturnal roost sites, (2) use of public outreach to locate curlews and contribute to preliminary assessment of foraging habitat use, (3) six different methods to capture curlews, and (4) movements by curlews on wintering areas. The study area includes the lower Texas coast, which harbors the eastern-most dense populations of Long-billed Curlews in North America.

  18. 77 FR 30972 - Empowering Consumers to Prevent and Detect Billing for Unauthorized Charges (“Cramming...

    Science.gov (United States)

    2012-05-24

    .... 98-170; FCC 12-42] Empowering Consumers to Prevent and Detect Billing for Unauthorized Charges... (Commission or FCC) proposes additional rules to help consumers prevent and detect the placement of... ``cramming.'' Several commenters in this proceeding support additional measures to prevent cramming...

  19. A Descriptive Study of Students with Disabilities at Montana State University Billings

    Science.gov (United States)

    Dell, Thomas Francis

    2013-01-01

    The purpose of this study was to describe and analyze how the characteristics of age, major and type of disabilities for students who received services through Disability Support Services at Montana State University-Billings have changed from 1999 to 2011. Furthermore, this analysis contrasted local trends for types of disabilities with national…

  20. Bill C-5, an act to amend the radiation emitting devices act

    International Nuclear Information System (INIS)

    1984-01-01

    This Act, entitled Bill C-5, allows for a series of amendments to the Radiation Emitting Devices Act. The amendments relate to regulations concerned with the sale, lease or import, labelling, advertising, packaging, safety standards and inspection of radiation emitting devices

  1. An interview with Bill and Melinda Gates. Interviewed by Claire Pomeroy.

    Science.gov (United States)

    Gates, Bill; Gates, Melinda

    2013-10-01

    Bill and Melinda Gates have led a profound transformation in the way we view the world's most pressing health concerns, looking for effective ways to improve the lives of millions of people. Claire Pomeroy, president of the Albert and Mary Lasker Foundation, spoke with them about their current concerns and plans to advance their agenda.

  2. The Library Bill of Rights in the 1960s: One Profession, One Ethic.

    Science.gov (United States)

    Samek, Toni

    1996-01-01

    Discusses two vying interpretations of the Library Bill of Rights (intellectual freedom seen as pure neutrality or as social responsibility) and highlights conflicts that these views created within the American Library Association (ALA) from 1967 to 1973. Outlines early history of the Social Responsibilities Round Table of Libraries and the…

  3. PBF: A New Privacy-Aware Billing Framework for Online Electric Vehicles with Bidirectional Auditability

    Directory of Open Access Journals (Sweden)

    Rasheed Hussain

    2017-01-01

    Full Text Available Recently an online electric vehicle (OLEV concept has been introduced, where vehicles are propelled by the wirelessly transmitted electrical power from the infrastructure installed under the road while moving. The absence of secure-and-fair billing is one of the main hurdles to widely adopt this promising technology. This paper introduces a new secure and privacy-aware fair billing framework for OLEV on the move through the charging plates installed under the road. We first propose two extreme lightweight mutual authentication mechanisms, a direct authentication and a hash chain-based authentication between vehicles and the charging plates that can be used for different vehicular speeds on the road. Second, we propose a secure and privacy-aware wireless power transfer on move for the vehicles with bidirectional auditability guarantee by leveraging game theoretic approach. Each charging plate transfers a fixed amount of energy to the vehicle and bills the vehicle in a privacy-aware way accordingly. Our protocol guarantees secure, privacy-aware, and fair billing mechanism for the OLEVs while receiving electric power from the infrastructure installed under the road. Moreover, our proposed framework can play a vital role in eliminating the security and privacy challenges in the deployment of power transfer technology to the OLEVs.

  4. Design and implementation of a smart card based billing system for ...

    African Journals Online (AJOL)

    A smart card based billing system for petroleum dispenser is just one of the many ways in which smart cards can be employed to make commerce efficient. It incorporates the use of smart card as its legal tender and a smart card reader embedded into the filling station dispenser design. The smart card reader processes the ...

  5. Nr 17 - Private bill aiming at preparing transition towards a energy efficient system

    International Nuclear Information System (INIS)

    Bartolone, Claude

    2012-01-01

    This private bill indicates which new articles and which modifications are introduced in the French energy code to implement progressive energy tariffs and favour energy savings by households. These new articles define how a bonus-malus on household energy consumptions is determined. They also define accompanying measures

  6. Health bill and MDGS 4, 5, & 6 | Daru | Tropical Journal of Obstetrics ...

    African Journals Online (AJOL)

    Tropical Journal of Obstetrics and Gynaecology. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 30, No 2 (2013) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Health bill and MDGS 4, 5, & 6. PH Daru ...

  7. France's energy bill in 2008; La facture energetique de la France en 2008

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-06-15

    This article comments the important increase of France's energy bill in relationship with oil prices and dollar value fluctuations during 2008. It discusses the explosion in oil prices before the financial crisis and their subsequent evolution, and the evolutions of other energies' prices (natural gas, coal, electricity). Tables and graphs are given on various indicators: average monthly oil price expressed in euros and in dollars, gas spot price, annual average quotations for different crude oil prices, annual average imported oil price, and annual average imported and exported energy prices. It comments the global decrease of energy imports, their evolutions since 2006 with respect to the supplying country. It analyses the energy bill's evolution for oil and gas, discusses its importance with respect to France's GDP, and assesses it in terms of worked days for each inhabitant. Tables contain data indicating, for 2007 and 2008, the levels of imports, exports, and of the resulting bill for the different products (mineral fuels, crude oil, refined oil products, gas), and also give a comparison between the energy bill and other economic aggregates.

  8. 2004 energy bill of the France; Facture energetique de la France en 2004

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    This document analyzes the energy bill in France (28,35 milliards of euros), which increased of 24,1 % in 2004. This increase is due to the net imports and especially the fossil fuels. Statistical data and the presentation of Patrick Devedjian, delegated ministry for the Industry, illustrate this economic analysis. (A.L.B.)

  9. SU-A-210-01: Why Should We Learn Radiation Oncology Billing?

    International Nuclear Information System (INIS)

    Wu, H.

    2015-01-01

    The purpose of this student annual meeting is to address topics that are becoming more relevant to medical physicists, but are not frequently addressed, especially for students and trainees just entering the field. The talk is divided into two parts: medical billing and regulations. Hsinshun Wu – Why should we learn radiation oncology billing? Many medical physicists do not like to be involved with medical billing or coding during their career. They believe billing is not their responsibility and sometimes they even refuse to participate in the billing process if given the chance. This presentation will talk about a physicist’s long career and share his own experience that knowing medical billing is not only important and necessary for every young medical physicist, but that good billing knowledge could provide a valuable contribution to his/her medical physics development. Learning Objectives: The audience will learn the basic definition of Current Procedural Terminology (CPT) codes performed in a Radiation Oncology Department. Understand the differences between hospital coding and physician-based or freestanding coding. Apply proper CPT coding for each Radiation Oncology procedure. Each procedure with its specific CPT code will be discussed in detail. The talk will focus on the process of care and use of actual workflow to understand each CPT code. Example coding of a typical Radiation Oncology procedure. Special procedure coding such as brachytherapy, proton therapy, radiosurgery, and SBRT. Maryann Abogunde – Medical physics opportunities at the Nuclear Regulatory Commission (NRC) The NRC’s responsibilities include the regulation of medical uses of byproduct (radioactive) materials and oversight of medical use end-users (licensees) through a combination of regulatory requirements, licensing, safety oversight including inspection and enforcement, operational experience evaluation, and regulatory support activities. This presentation will explore the

  10. SU-A-210-01: Why Should We Learn Radiation Oncology Billing?

    Energy Technology Data Exchange (ETDEWEB)

    Wu, H. [Willis-Knighton Medical Center (United States)

    2015-06-15

    The purpose of this student annual meeting is to address topics that are becoming more relevant to medical physicists, but are not frequently addressed, especially for students and trainees just entering the field. The talk is divided into two parts: medical billing and regulations. Hsinshun Wu – Why should we learn radiation oncology billing? Many medical physicists do not like to be involved with medical billing or coding during their career. They believe billing is not their responsibility and sometimes they even refuse to participate in the billing process if given the chance. This presentation will talk about a physicist’s long career and share his own experience that knowing medical billing is not only important and necessary for every young medical physicist, but that good billing knowledge could provide a valuable contribution to his/her medical physics development. Learning Objectives: The audience will learn the basic definition of Current Procedural Terminology (CPT) codes performed in a Radiation Oncology Department. Understand the differences between hospital coding and physician-based or freestanding coding. Apply proper CPT coding for each Radiation Oncology procedure. Each procedure with its specific CPT code will be discussed in detail. The talk will focus on the process of care and use of actual workflow to understand each CPT code. Example coding of a typical Radiation Oncology procedure. Special procedure coding such as brachytherapy, proton therapy, radiosurgery, and SBRT. Maryann Abogunde – Medical physics opportunities at the Nuclear Regulatory Commission (NRC) The NRC’s responsibilities include the regulation of medical uses of byproduct (radioactive) materials and oversight of medical use end-users (licensees) through a combination of regulatory requirements, licensing, safety oversight including inspection and enforcement, operational experience evaluation, and regulatory support activities. This presentation will explore the

  11. What Drives Bird Vision? Bill Control and Predator Detection Overshadow Flight

    Directory of Open Access Journals (Sweden)

    Graham R. Martin

    2017-11-01

    Full Text Available Although flight is regarded as a key behavior of birds this review argues that the perceptual demands for its control are met within constraints set by the perceptual demands of two other key tasks: the control of bill (or feet position, and the detection of food items/predators. Control of bill position, or of the feet when used in foraging, and timing of their arrival at a target, are based upon information derived from the optic flow-field in the binocular region that encompasses the bill. Flow-fields use information extracted from close to the bird using vision of relatively low spatial resolution. The detection of food items and predators is based upon information detected at a greater distance and depends upon regions in the retina with relatively high spatial resolution. The tasks of detecting predators and of placing the bill (or feet accurately, make contradictory demands upon vision and these have resulted in trade-offs in the form of visual fields and in the topography of retinal regions in which spatial resolution is enhanced, indicated by foveas, areas, and high ganglion cell densities. The informational function of binocular vision in birds does not lie in binocularity per se (i.e., two eyes receiving slightly different information simultaneously about the same objects but in the contralateral projection of the visual field of each eye. This ensures that each eye receives information from a symmetrically expanding optic flow-field centered close to the direction of the bill, and from this the crucial information of direction of travel and time-to-contact can be extracted, almost instantaneously. Interspecific comparisons of visual fields between closely related species have shown that small differences in foraging techniques can give rise to different perceptual challenges and these have resulted in differences in visual fields even within the same genus. This suggests that vision is subject to continuing and relatively rapid

  12. A critical analysis of the End of Life Choice Bill 2013.

    Science.gov (United States)

    Richmond, David E

    2014-07-04

    This paper aims to alert medical practitioners to the legal and ethical problems that passage of the End of Life Choice Bill (which seeks to legalise euthanasia and physician-assisted suicide) would have for them in New Zealand. Although sponsor MP Maryan Street withdrew the Bill on political grounds in October 2013, she has pledged to reintroduce the Bill after the next Parliamentary elections and remains committed to its objectives. A clause by clause analysis of the Bill was undertaken from a clinical perspective, following the sequence of requesting, validating, providing and reporting episodes of euthanasia or physician-assisted suicide rather than following the administrative sequence in which the Bill has been drawn up for Parliamentary debate. Where possible, the experience of other jurisdictions where these end of life options are legal has been drawn upon to enable inferences to be drawn as to the likely effects of the legislation. The analysis supporting this paper reveals that the legislation would: make it possible for virtually any person over the age of 18 to request and receive euthanasia provided they took care in the way they phrased the request, expose medical practitioners who attempted to deter applicants too vigorously to the possibility of legal action on the grounds of attempting to frustrate the applicant's wishes, compromise the ability of practitioners to opt out on conscience grounds, allow the easy circumvention of reporting requirements for each event, provide minimal protection against some people suffering euthanasia without consent or request, and exempt medical practitioners providing euthanasia services from prosecution for any action in the provision of such services, even if they were negligent. The branch of medical practice that specialises in killing people would be the least regulated of all. If passed into legislation, the End of Life Choice Bill will create the most momentous changes to clinical practice and the regulation

  13. TEORÍA DE BILL MUNDY EN EL MECANIZADO DE COBRE CON BROCAS Y MACHOS ESPECIALES BILL MUNDY THEORY. SPECIAL DRILLS AND TAPS TOOLS IN COPPER MACHINING

    Directory of Open Access Journals (Sweden)

    Alejandro Colque C

    2008-06-01

    Full Text Available El mecanizado del cobre, debido a su fluidez, produce una viruta plástica y continua que afecta la calidad superficial de las piezas mecanizadas. El método desarrollado por el ingeniero norteamericano Bill Mundy permite obtener el mejor ángulo de corte para mecanizar un material. El taladrado y el roscado con machos son dos procesos de mecanizado que tienen aspectos en común. Diseños de nuevas herramientas, nuevos materiales y técnicas de mecanizado, mejorías en la lubricación, diferentes velocidades de corte y avances, son variables que se deben estudiar para obtener una menor potencia, mayor duración de la herramienta y buen acabado superficial. En este trabajo probetas de cobre fueron ensayadas a tracción y se determinó experimentalmente el ángulo efectivo de corte, de acuerdo con la teoría de Bill Mundy. Posteriormente se fabricaron nuevas probetas que fueron perforadas con brocas tipo H, N y W, con refrigeración externa, refrigeración interna y en seco. Se usaron machos de máquina de dos y tres hélices. En cada perforación se midió la velocidad de rotación, avance, fuerza de corte, momento torsor y potencia necesaria. Se verificó que en el taladrado de cobre un ángulo mayor de la hélice favorece el desmenuzado de la viruta y disminuye el momento torsor. Brocas con refrigeración interna pueden ser utilizadas con mayores velocidades y muestran una mejor calidad superficial del perforado. Las brocas y machos con un ángulo de ataque próximo al ángulo calculado experimentalmente por la teoría de Bill Mundy muestran un buen comportamiento en el mecanizado y menor consumo de potencia.Copper drilling produces plastic and continuous chip. Bill Mundy a North American engineer developed a method who allows determines experimentally the best cutting angle material machining. Drilling and threading processes has several aspects in common. New tools design, new materials, new techniques, new lubrication and cooling improvement

  14. Coding and Billing in Surgical Education: A Systems-Based Practice Education Program.

    Science.gov (United States)

    Ghaderi, Kimeya F; Schmidt, Scott T; Drolet, Brian C

    Despite increased emphasis on systems-based practice through the Accreditation Council for Graduate Medical Education core competencies, few studies have examined what surgical residents know about coding and billing. We sought to create and measure the effectiveness of a multifaceted approach to improving resident knowledge and performance of documenting and coding outpatient encounters. We identified knowledge gaps and barriers to documentation and coding in the outpatient setting. We implemented a series of educational and workflow interventions with a group of 12 residents in a surgical clinic at a tertiary care center. To measure the effect of this program, we compared billing codes for 1 year before intervention (FY2012) to prospectively collected data from the postintervention period (FY2013). All related documentation and coding were verified by study-blinded auditors. Interventions took place at the outpatient surgical clinic at Rhode Island Hospital, a tertiary-care center. A cohort of 12 plastic surgery residents ranging from postgraduate year 2 through postgraduate year 6 participated in the interventional sequence. A total of 1285 patient encounters in the preintervention group were compared with 1170 encounters in the postintervention group. Using evaluation and management codes (E&M) as a measure of documentation and coding, we demonstrated a significant and durable increase in billing with supporting clinical documentation after the intervention. For established patient visits, the monthly average E&M code level increased from 2.14 to 3.05 (p coding and billing of outpatient clinic encounters. Using externally audited coding data, we demonstrate significantly increased rates of higher complexity E&M coding in a stable patient population based on improved documentation and billing awareness by the residents. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  15. A breeding site record of Long-billed Vulture Gyps indicus (Aves: Accipitriformes: Accipitridae from Bejjur Reserve Forest, Telangana, India

    Directory of Open Access Journals (Sweden)

    Swetha Stotrabhashyam

    2015-01-01

    Full Text Available The Long-billed Vulture Gyps indicus is, Critically Endangered with few known breeding sites in peninsular India.  We present a previously undocumented Long-billed Vulture breeding site in Bejjur Reserve Forest, Adilabad District, northern Telangana.

  16. 9 CFR 73.6 - Placarding means of conveyance and marking billing of shipments of treated scabby cattle or...

    Science.gov (United States)

    2010-01-01

    ... marking billing of shipments of treated scabby cattle or cattle exposed to scabies. 73.6 Section 73.6... INTERSTATE TRANSPORTATION OF ANIMALS (INCLUDING POULTRY) AND ANIMAL PRODUCTS SCABIES IN CATTLE § 73.6 Placarding means of conveyance and marking billing of shipments of treated scabby cattle or cattle exposed to...

  17. A concise evaluation and management curriculum for physicians in training improved billing at an outpatient academic rheumatology clinic.

    Science.gov (United States)

    Hirsh, Joel M; Collier, David H; Boyle, Dennis J; Gardner, Edward M

    2010-04-01

    To study whether providing house staff with a brief lecture and handout about proper documentation could improve billing at an academic rheumatology clinic. The authors created an educational sheet about documentation and billing after a review of the common documentation omissions responsible for down coding (Appendix, Supplemental Digital Content 1, available at: http://links.lww.com/RHU/A8). Beginning in November of 2006, the house staff were provided with this sheet and a brief lecture regarding how outpatient evaluation and management levels of service are coded. The results of clinic billing from January 1, 2006 to October 31, 2006 and November 1, 2006 to August 31, 2007 were obtained from the physician billing office. The authors compared the average level of service, by appointment type, in the prepost comparison periods using the student t test. There was a significant improvement in the level of service billed for new visits (P < 0.001), consults (P < 0.001), and return visits (P < 0.001) after November 1, 2006. The percentage of patients evaluated for the first time who were billed as consults improved from 15% to 78% (P < 0.001 by chi2). These changes resulted in $34,342 of additional billing during the postintervention period. A simple strategy for educating the house staff about proper documentation of the history, physical examination, and clinical decision making resulted in a significant improvement in an academic rheumatology division's outpatient billing.

  18. 76 FR 11079 - Sale and Issue of Marketable Book-Entry Treasury Bills, Notes, and Bonds; Minimum Interest Rate

    Science.gov (United States)

    2011-03-01

    ... Treasury Bills, Notes, and Bonds; Minimum Interest Rate AGENCY: Bureau of the Public Debt, Fiscal Service... rules to establish a minimum interest rate of \\1/8\\ of one percent for all new Treasury note and bond... Treasury Bills, Notes, and Bonds \\1\\ (``UOC'' or ``Auction Rules'') to establish a minimum interest rate of...

  19. 41 CFR 102-118.80 - Who is responsible for keeping my agency's electronic commerce transportation billing records?

    Science.gov (United States)

    2010-07-01

    ... keeping my agency's electronic commerce transportation billing records? 102-118.80 Section 102-118.80... Transportation and Transportation Services § 102-118.80 Who is responsible for keeping my agency's electronic commerce transportation billing records? Your agency's internal financial regulations will identify...

  20. 75 FR 43557 - TA-W-73,682, Hartford Financial Services Group, Incorporated, Medical Bill Processing and...

    Science.gov (United States)

    2010-07-26

    ... Leased Workers From Beeline: Aurora, IL; TA-W-73,682A, Hartford Financial Services Group, Incorporated..., applicable to workers of Hartford Financial Services Group, Incorporated, Medical Bill Processing and Production Center Support, Aurora, Illinois and Hartford Financial Services Group, Incorporated, Medical Bill...

  1. Bill Gates, If You're so Rich, How Come You're Not Smart? Point of View Essay

    Science.gov (United States)

    Bracey, Gerald

    2005-01-01

    Bill Gates and the governors were quite vague about what makes the schools obsolete or what to do about it. What is it, exactly, that schools are not teaching that they need to? Bill Gates also claimed that American kids were at the top in fourth grade, but at the bottom by 12th. The author congratulates Gates for focusing some attention on…

  2. 15 CFR 30.7 - Annotating the bill of lading, air waybill, or other commercial loading documents with proof of...

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Annotating the bill of lading, air... CENSUS, DEPARTMENT OF COMMERCE FOREIGN TRADE REGULATIONS General Requirements § 30.7 Annotating the bill... responsible for annotating the proper proof of filing citation or exemption legend on the first page of the...

  3. Evolution of sexual dimorphism in bill size and shape of hermit hummingbirds (Phaethornithinae): a role for ecological causation.

    Science.gov (United States)

    Temeles, Ethan J; Miller, Jill S; Rifkin, Joanna L

    2010-04-12

    Unambiguous examples of ecological causation of sexual dimorphism are rare, and the best evidence involves sexual differences in trophic morphology. We show that moderate female-biased sexual dimorphism in bill curvature is the ancestral condition in hermit hummingbirds (Phaethornithinae), and that it is greatly amplified in species such as Glaucis hirsutus and Phaethornis guy, where bills of females are 60 per cent more curved than bills of males. In contrast, bill curvature dimorphism is lost or reduced in a lineage of short-billed hermit species and in specialist Eutoxeres sicklebill hermits. In the hermits, males tend to be larger than females in the majority of species, although size dimorphism is typically small. Consistent with earlier studies of hummingbird feeding performance, both raw regressions of traits and phylogenetic independent contrasts supported the prediction that dimorphism in bill curvature of hermits is associated with longer bills. Some evidence indicates that differences between sexes of hermit hummingbirds are associated with differences in the use of food plants. We suggest that some hermit hummingbirds provide model organisms for studies of ecological causation of sexual dimorphism because their sexual dimorphism in bill curvature provides a diagnostic clue for the food plants that need to be monitored for studies of sexual differences in resource use.

  4. [Reviewing the shared strategy health bill: further measures to meet the structural challenges of the health system].

    Science.gov (United States)

    Lombrail, Pierre

    2014-01-01

    This article reviews the draft health bill entitled "Federate health professionals around a shared strategy", currently submitted for consultation in the context of the national health strategy in France. This bill comprises innovative measures for prevention and health care in France. In particular, it is designed to develop, strengthen and structure the prevention sector, especially in children and young people. It is also designed to organize health care trajectories and acquire the necessary tools to promote their development. However, the bill sometimes presents limited ambitions in terms of objectives and means. In particular, the project comprises almost none of the necessary actions on the social determinants of health. Overall, the orientations of this bill represent a first major step towards a health policy in France beyond the field of health care. However, we must remain vigilant concerning application of these orientations in the process of elaboration of the bill and its related regulations, and implementation of the national health strategy.

  5. Status assessment and conservation plan for the yellow-billed loon (Gavia adamsii)

    Science.gov (United States)

    Earnst, Susan L.

    2004-01-01

    Because of its restricted range, small population size, specific habitat requirements, and perceived threats to its breeding habitat, the Yellow-billed Loon (Gavia adamsii) is a species of conservation concern to the U.S. Fish and Wildlife Service and the subject of a petition for listing under the Endangered Species Act. This Status Assessment synthesizes current information on population size, trends, and potential threats to Yellow-billed Loons, and the Conservation Plan identifies research and monitoring activities that would contribute to the conservation of this species. The preparation of this report was requested and funded by the U.S. Fish and Wildlife Service, Nongame Bird Office, Region 7.The Status Assessment and Conservation Plan for the Yellow-billed Loon can be summarized as follows:? Northern Alaska breeding grounds support an average of 3,369 individuals, including change), but interpretation of surveys is complicated by changes in observers and high annual variation, and the 95% confidence interval is large (-3.6% to +1.8% annual change). The low reproductive potential of Yellow-billed Loons suggests that recovery from a substantial decline would not occur rapidly. There are no systematic surveys of Canadian and Russian breeding populations (Section 6-F).? The expansion of the oil industry into prime Yellow-billed Loon breeding habitat is a recent occurrence and we lack the necessary information to accurately predict its effect on the population. Most of northern Alaska?s Yellow-billed Loons (91%) occur on the National Petroleum Reserve?Alaska, virtually all of which is open or proposed to be opened to development and where there is no permanent or legal protection of Yellow-billed Loon habitat (Section 7-A).? Other potential factors affecting the population are also addressed, such as contaminants, subsistence hunting, by catch in subsistence and commercial fisheries on the breeding and wintering grounds, and health of the marine ecosystem off

  6. Electricity Bill

    International Nuclear Information System (INIS)

    Blair, A.; Beith, A.J.; Hardy, P.

    1989-01-01

    The first part of the debate, which lasted a total of about 7 hours, a verbatim report of the first five of which are included here, was about energy conservation. Several new clauses and amendments were discussed. One would place a duty on the new Director of the Energy Supply industry to promote the efficiency and conservation of energy, another would appoint a Deputy Director with responsibility for energy conservation, and the third would require targets of energy efficiency and pollution reduction to be achieved. This allowed discussion on energy saving by domestic thermal insulation, improved efficiency of heating and refrigeration units and on renewable energy sources especially world energy. The second part of the debate was about access to information regarding health and safety resulting from any activities of the electricity supply industry. The remainder of the debate concerned regional representation and the economics of the electricity supply industry. (UK)

  7. One year of migration data for a western yellow-billed cuckoo

    Science.gov (United States)

    Sechrist, Juddson D.; Paxton, Eben H.; Ahlers, Darrell D.; Doster, Robert H.; Ryan, Vicky M.

    2012-01-01

    In 2009, we studied the migration of the Western Yellow-billed Cuckoo by capturing 13 breeding birds on the middle Rio Grande, New Mexico, and attaching a 1.5-g Mk 14-S British Antarctic Survey geolocator to each bird. In 2010, we recaptured one of the cuckoos, enabling us to download its geolocation data. The cuckoo had flown approximately 9500 km during its southward migration, traveling through Central America to winter in portions of Bolivia, Brazil, Paraguay, and Argentina. The spring migration route differed somewhat from the fall route, with the cuckoo bypassing Central America to migrate through the Caribbean. Additionally, it moved between New Mexico and Mexico at the end of summer in 2009 and again in 2010 before being recaptured at its breeding site. Our results, albeit from one individual, hint at a dynamic migration strategy and have broad implications for the ecology and conservation of the Western Yellow-billed Cuckoo, a species of conservation concern.

  8. Rancang Bangun Perangkat Lunak Billing dan Implementasi Voice Over Internet Protocol

    Directory of Open Access Journals (Sweden)

    Honni Honni

    2013-12-01

    Full Text Available The rapidly evolving communication system enables applications for telephone communication to be carried over the data network known as VoIP (voice over internet protocol. SIP (session initiation protocol as the signaling protocol is text-based VoIP which can be implemented easily in comparison with other signalingprotocols. The purpose of this paper is designing and implementing VoIP billing up to the company to provide additional facilities for enterprise customers. The methods start with data collection, analysis, design, development, and implementation. The result achieved is a system of VoIP with SIP and Asterisk software which has functions of PBX to provide additional facilities such as VoIP which is a plus for the company and customers. After implemented, the VoIP system and billing features are found work well.

  9. Report of the Parliamentary Standing Committee on the Surrogacy (Regulation) Bill, 2016: A commentary.

    Science.gov (United States)

    Timms, Olinda

    2018-01-01

    Soon after the Surrogacy (Regulation) Bill, 2016 was approved by the Cabinet for introduction into Parliament in 2016, it was submitted for review to a Parliamentary Standing Committee on Health and Family Welfare. The report of this committee, The 102nd Report on the Surrogacy (Regulation) Bill, 2016 was laid on the table of the Lok Sabha and presented to the Rajya Sabha on August 10, 2017. It contains hearings with stakeholders and witnesses and a review of relevant documents and related legislation. The comments of the Parliamentary Standing Committee are wide ranging and pertinent, seeking to fill the gaps and explain and rationalise the statute and includes responses from the Department of Health Research. This commentary seeks to analyse the recommendations of the Committee, exploring some of the ethical, legal, and social implications of surrogacy arrangements in our country, where diverse viewpoints and strong sentiments can encounter difficult ground realities.

  10. War and Marriage: Assortative Mating and the World War II GI Bill.

    Science.gov (United States)

    Larsen, Matthew F; McCarthy, T J; Moulton, Jeremy G; Page, Marianne E; Patel, Ankur J

    2015-10-01

    World War II and its subsequent GI Bill have been widely credited with playing a transformative role in American society, but there have been few quantitative analyses of these historical events' broad social effects. We exploit between-cohort variation in the probability of military service to investigate how WWII and the GI Bill altered the structure of marriage, and find that it had important spillover effects beyond its direct effect on men's educational attainment. Our results suggest that the additional education received by returning veterans caused them to "sort" into wives with significantly higher levels of education. This suggests an important mechanism by which socioeconomic status may be passed on to the next generation.

  11. 2012 ARPA-E Energy Innovation Summit: Fireside Chat with Steven Chu and Bill Gates

    Energy Technology Data Exchange (ETDEWEB)

    Chu, Steven; Gates, Bill; Podesta, John

    2012-02-28

    The third annual ARPA-E Energy Innovation Summit was held in Washington D.C. in February, 2012. The event brought together key players from across the energy ecosystem - researchers, entrepreneurs, investors, corporate executives, and government officials - to share ideas for developing and deploying the next generation of energy technologies. This video captures a session called Fireside Chat that featured Steven Chu, the Secretary of Energy, and Bill Gates, Chairman of Microsoft Corporation. The session is moderated by John Podesta, Chair of the Center for American Progress. Energy Secretary Steven Chu and Microsoft Founder and Chairman Bill Gates exchanged ideas about how small businesses and innovators can overcome the challenges that face many startups.

  12. Saving billions of dollars--and physicians' time--by streamlining billing practices.

    Science.gov (United States)

    Blanchfield, Bonnie B; Heffernan, James L; Osgood, Bradford; Sheehan, Rosemary R; Meyer, Gregg S

    2010-06-01

    The U.S. system of billing third parties for health care services is complex, expensive, and inefficient. Physicians end up using nearly 12 percent of their net patient service revenue to cover the costs of excessive administrative complexity. A single transparent set of payment rules for multiple payers, a single claim form, and standard rules of submission, among other innovations, would reduce the burden on the billing offices of physician organizations. On a national scale, our hypothetical modeling of these changes would translate into $7 billion of savings annually for physician and clinical services. Four hours of professional time per physician and five hours of practice support staff time could be saved each week.

  13. In Sickness and in Debt: Do Mounting Medical Bills Predict Payday Loan Debt?

    Science.gov (United States)

    Bickham, Trey; Lim, Younghee

    2015-01-01

    Cash-strapped families sometimes turn to small, short-term loans with exorbitant fees—payday loans—to cope with mounting medical bills. Given that about three-fourths of payday loan customers are repeat borrowers, consumer advocates and policymakers have increasingly raised voices of concern about the use of payday loans to finance various household expenses, including, among other things, medical bills. The present study hypothesized that increases in medical debt are associated with increases in payday loan debt among a sample of Chapter 7 bankruptcy filers. The results of a multivariate tobit regression analysis showed that medical debt was associated with increased payday loan debt, controlling for various types of debt and other socioeconomic variables. This article concludes with implications of the results for social work policy- and direct-practice.

  14. User Acceptance Model on E-Billing Adoption: A Study of Tax Payment by Government Agencies

    Directory of Open Access Journals (Sweden)

    Maulana Yusup

    2015-11-01

    Full Text Available The development of information technology is to create the paradigm shift in public services by government agencies, particularly in the payment of taxes. The purpose of this study is to determine the user's perception of e-billing in paying taxes. The study population were employees of the 17 companies in the textile and garment industry in Bandung, West Java and the sample was taken by simple random sampling with as many as 269 people involved from 17 industries in textile and garment units. Analysis of data was using Structural Equation Modelling (SEM. The results showed that there was a significant effect of perceived ease of use, subjective norm, perceived usefulness, facilitating condition of the attitude, toward the attitude and the intention to use. Thus, it is evidence that e-billing based services may be one way to improve service of government agencies to facilitate the payment of taxes.

  15. The impact of a standardized consultation form for facial trauma on billing and evaluation and management levels.

    Science.gov (United States)

    Levesque, Andre Y; Tauber, David M; Lee, Johnson C; Rodriguez-Feliz, Jose R; Chao, Jerome D

    2014-02-01

    Facial trauma is among the most frequent consultations encountered by plastic surgeons. Unfortunately, the reimbursement from these consultations can be low, and qualified plastic surgeons may exclude facial trauma from their practice. An audit of our records found insufficient documentation to justify higher evaluation and management (EM) levels of service resulting in lower reimbursement. Utilizing a standardized consultation form can improve documentation resulting in higher billing and EM levels. A facial trauma consultation form was developed in conjunction with the billing department. Three plastic surgery residents completed 30 consultations without the aid of the consult form followed by 30 consultations with the aid of the form. The EM levels and billing data for each consultation were obtained from the billing department for analysis. The 2 groups were compared using χ2 analysis and t tests to determine statistical significance. Using our standardized consultation form, the mean EM level increased from 2.97 to 3.60 (P = 0.002). In addition, the mean billed amount increased from $391 to $501 per consult (P = 0.051) representing a 28% increase in billing. In our institution, the development and implementation of a facial trauma consultation form has resulted in more complete documentation and a subsequent increase in EM level and billed services.

  16. Occupancy of yellow-billed and Pacific loons: evidence for interspecific competition and habitat mediated co-occurrence

    Science.gov (United States)

    Haynes, Trevor B.; Schmutz, Joel A.; Lindberg, Mark S.; Wright, Kenneth G.; Uher-Koch, Brian D.; Rosenberger, Amanda E.

    2014-01-01

    Interspecific competition is an important process structuring ecological communities, however, it is difficult to observe in nature. We used an occupancy modelling approach to evaluate evidence of competition between yellow-billed (Gavia adamsii) and Pacific (G. pacifica) loons for nesting lakes on the Arctic Coastal Plain of Alaska. With multiple years of data and survey platforms, we estimated dynamic occupancy states (e.g. rates of colonization or extinction from individual lakes) and controlled for detection differences among aircraft platforms and ground survey crews. Results indicated that yellow-billed loons were strong competitors and negatively influenced the occupancy of Pacific loons by excluding them from potential breeding lakes. Pacific loon occupancy was conditional on the presence of yellow-billed loons, with Pacific loons having almost a tenfold decrease in occupancy probability when yellow-billed loons were present and a threefold decrease in colonization probability when yellow-billed loons were present in the current or previous year. Yellow-billed and Pacific loons co-occurred less than expected by chance except on very large lakes or lakes with convoluted shorelines; variables which may decrease the cost of maintaining a territory in the presence of the other species. These results imply the existence of interspecific competition between yellow-billed and Pacific loons for nesting lakes; however, habitat characteristics which facilitate visual and spatial separation of territories can reduce competitive interactions and promote species co-occurrence.

  17. Turning whine into wine: the fiscal impact of comprehensive documentation and billing for nonoperative pediatric surgical services.

    Science.gov (United States)

    Gollin, Gerald; Moores, Donald

    2006-06-01

    Some pediatric surgeons rarely document nonoperative services, believing that the reimbursement provided for such care is negligible. We evaluated the impact of comprehensive documentation and billing for nonoperative, pediatric surgical care. All bills submitted for inpatient, nonoperative care for 1 year were reviewed. Total receipts for documented admissions, consultations, critical care, and daily care were determined. The Evaluation and Management code billed for each service was recorded, and the total and average payments attributable to each Evaluation and Management code were calculated. Fifty-six percent of services were covered by Medicaid and 26% by a commercial insurer. There were 607 billed admission history and physical exams for which reimbursement totaled 43,493 dollars. Critical care services were provided to 49 patients and yielded 8964 dollars in payments. Six hundred thirty-nine inpatient consultations were performed with a reimbursement of 42,830 dollars. Daily care services were billed 1044 times and produced 71,579 dollars in payments. Overall reimbursement for documented, nonoperative services was 166,866 dollars. This represented 16.2% of total, noncontracted income for the practice. Despite a payer mix heavily weighted toward Medicaid, comprehensive documentation and billing for nonoperative services increased total, noncontracted reimbursement by almost 20% over what it would have been had only operative services been billed. The yield from properly documented, nonoperative care can be substantial.

  18. Bill project modified by the Senate on a new organisation of the electricity market

    International Nuclear Information System (INIS)

    2010-01-01

    This report contains the modifications introduced by the French Senate in a bill project voted by the National Assembly which addresses a new organization of the electricity market. Several aspects are treated in this text: the freedom of choice of the electricity provider, the sale and the conditions of sale of electricity by EDF to other electricity providers, the maximum volume a provider can buy and its evaluation, the electricity price determination, the provider obligations, and so on

  19. Surveillance Camera Players / Bill Brown ; interv. Tilman Baumgärtel

    Index Scriptorium Estoniae

    Brown, Bill

    2006-01-01

    New Yorgis tegutsevast rühmitusest SCP (Turvakaamera Esinejad), mille rajas Bill Brown (sünd. 1959), temaga 2001. a. jaanuaris tehtud meiliintervjuu. SCP etendab näidendeid turvakaamerate ees, Internetis jagab informatsiooni oma tegevuse kohta. Tekstis: "...kuna SCP keskendub turvakaameratele, kasutades nende loogikat selle tehnoloogia enda vastu, siis võib öelda, et nad töötavad kommunikatsioonivõrkudega"

  20. Sensitivity of Billing Claims for Cardiovascular Disease Events among Kidney Transplant Recipients

    Science.gov (United States)

    Lentine, Krista L.; Schnitzler, Mark A.; Abbott, Kevin C.; Bramesfeld, Kosha; Buchanan, Paula M.; Brennan, Daniel C.

    2009-01-01

    Background and objectives: Billing claims are increasingly examined beyond administrative functions as outcomes measures in observational research. Few studies have described the performance of billing claims as surrogate measures of clinical events among kidney transplant recipients. Design, setting, participants, & measurements: We investigated the sensitivity of Medicare billing claims for clinically verified cardiovascular diagnoses (five categories) and procedures (four categories) in a novel database linking Medicare claims to electronic medical records of one transplant program. Cardiovascular events identified in medical records for 571 Medicare-insured transplant recipients in 1991 through 2002 served as reference measures. Results: Within a claims-ascertainment period spanning ±30 d of clinically recorded dates, aggregate sensitivity of single claims was higher for case definitions incorporating Medicare Parts A and B for diagnoses and procedures (90.9%) compared with either Part A (82.3%) or Part B (84.6%) alone. Perfect capture of the four procedures was possible within ±30 d or with short claims window expansion, but sensitivity for the diagnoses trended lower with all study algorithms (91.2% with window up to ±90 d). Requirement for additional confirmatory diagnosis claims did not appreciably reduce sensitivity. Sensitivity patterns were similar in the early compared with late periods of the study. Conclusions: Combined use of Medicare Parts A and B billing claims composes a sensitive measure of cardiovascular events after kidney transplant. Further research is needed to define algorithms that maximize specificity as well as sensitivity of claims from Medicare and other insurers as research measures in this population. PMID:19541817

  1. Inovasi Pelayanan Pembayaran Pajak secara Elektronik (E-billing) di Kantor Pelayanan Pajak Pratama Pekanbaru Tampan

    OpenAIRE

    Agustia, Indri; Sadad, Abdul

    2017-01-01

    Ease, speed, and accuracy in providing a service into service demands in the tax sector, as a concrete step to improve the service quality of the Tax Office Pratama Pekanbaru Charming to make an innovation service tax payment electronically or called e-Billing. However, based on field observations, researchers look at the implementation of this innovation is still a lot of taxpayers who do not understand its use because of the inability to use information technology.The purpose of this resear...

  2. The Consumer Protection Bill, 2015: (Lack of) Rights of the Consumer to Terminate Sale Contract

    OpenAIRE

    Pathak, Akhileshwar

    2015-01-01

    Consumer protection law rests on the foundations of contract law and the law of sale of goods. A consumer law has to conceptually express this foundation and the modifications it is bringing about in these laws. Without this, the law would become unclear, conflicting and confusing. The Consumer Protection Bill, 2015 is not secured in its foundation and needs revision. The paper reviews the rights of the consumer to terminate the contract and makes suggestions for revision. The suggestions, wi...

  3. Knowledge and Attitude of Saudi Health Professions’ Students Regarding Patient’s Bill of Rights

    Directory of Open Access Journals (Sweden)

    Salwa B. El-Sobkey

    2014-08-01

    Full Text Available Background Patient’s rights are worldwide considerations. Saudi Patient’s Bill of Rights (PBR which was established in 2006 contained 12 items. Lack of knowledge regarding the Saudi PBR limits its implementation in health facilities. This study aimed to investigate the knowledge of health professions’ students at College of Applied Medical Sciences (CAMS Riyadh Saudi Arabia regarding the existence and content of Saudi PBR as well as their attitude toward its ineffectiveness. Method A 3-parts survey was used to collect data from 239 volunteer students participated in the study. Data were analyzed by descriptive and analytical statistics using SPSS. Results Results showed that although the majority of students (96.7% believe in the ineffectiveness of patient’s rights, half (52.3% of them had perceptual knowledge regarding the existence of Saudi PBR and only 7.9% of them were knowledgeable about some items (1–4 items of the bill. Privacy and confidentiality of patient was the most common known patient’s rights. Students’ academic level was not correlated to neither their knowledge regarding the bill existence or its content nor to their attitude toward the bill. The majority of the students (93% reported that only one course within their curriculum was patient’s rights-course related. About one quarter (23.4% of the students reported that teaching staff used to mention patient’s rights in their teaching sessions. Conclusion The Saudi health professions students at CAMS have positive attitude toward the ineffectiveness of patient’s rights nevertheless they showed limited knowledge regarding the existence of Saudi PBR and its contents. CAMS curriculums do not support the subject of patient’s rights.

  4. IPH Submission to Department of the Environment, Heritage and Local Government Climate Change Response Bill 2010

    OpenAIRE

    Institute of Public Health in Ireland

    2011-01-01

    The main purpose of the Clmate Change Bill is to provide for the adoption of a national policy for reducing greenhouse gas (GHG) emissions; to support this through the making of mitigation and adaptation action plans; and to make provision for emission reduction targets to support the objective of transition to a low carbon, climate resilient and environmentally sustainable economy.The remit of the Institute of Public Health in Ireland (IPH) is to promote cooperation for public health between...

  5. MODELING BILL-OF-MATERIAL WITH TREE DATA STRUCTURE: CASE STUDY IN FURNITURE MANUFACTURER

    Directory of Open Access Journals (Sweden)

    Toni Prahasto

    2012-02-01

    Full Text Available This paper presents a modeling of Bill-of-Material with tree data structure. The BOM represents wooden furniture products. The management of BOM is incorporated into an MRP software which is specially built for a furniture manufacturer. The tree data structure is approached with an object oriented programming to provide the creation and modification of the data. The tree object is designed so that a downstream programmer can create an application with high productivity, using the BOM object of course. Legality of the development is ensured by adapting open source resources, i.e. MySQL database engine, PHP server script, and client-side Javascript. The BOM object is used extensively in the MRP software that is being developed. A couple of screenshots are presented to demonstrate the ease of creation and manipulation of Bill-of-Material. The proper approach of modeling BOM with tree structure allows the programmer to reach high productivity during the development of the aforementioned MRP customized software. Keyword : Modeling, Bill of Material, Tree Data Structure

  6. Understanding the new US climate change strategy - The Waxman-Markey bill at a glance

    International Nuclear Information System (INIS)

    Marchal, V.; Galharret, S.

    2009-01-01

    The climate change agenda is one of the two top priorities of Obama's administration, along with the reform of the health system. On June 26, 2009, the House of Representatives passed, by a margin of 219 to 212, the American Clean Energy and Security Act of 2009 (ACES), authored by Henry Waxman (from California) and Edward Markey (from Massachusetts). The bill is a comprehensive energy legislation that presents a cap and trade scheme regulating US Green House Gas (GHG) emissions, and a set of federal measures that aims at transforming the US traditional fossil fuel-based economy into a cleaner economy, based on renewable energy and low carbon alternatives. If passed by the Senate, the bill would intent to reduce US GHG emissions by 17% in 2020 and 80% in 2050 under 2005 levels, along with a 2 degrees / 450 ppm GHG concentration global objective. This brief provides an overview of the 1,428-page bill mechanisms and its implications at the national and international levels. It highlights the key uncertainties surrounding its institutional adoption and operational implementation. It also emphasizes its main differences with the European approach on cap and trade, the EU Emission Trading Scheme (EU ETS), as well as examines its international implications on carbon markets and negotiations. (authors)

  7. The Role of Non-Governmental Organization (NGO in Advocating the National Security Bill

    Directory of Open Access Journals (Sweden)

    Yusa Djuyandi

    2016-05-01

    Full Text Available The role run by a coalition of NGOs in advocating the National Security Bill aimed at encouraging the birth of national security policy to appropriate to the purpose of reform. However, until now the role of NGOs in advocating National Security Bill has not been able to encourage the authorities to reconstruct the draft of national security policy that is consistent with the objectives of security sector reform. This study is conducted to analyze the role of NGOs in the security sector reform in Indonesia, particularly through the advocacy of the National Security Bill. The method used in this study is a qualitative method. The result shows that NGOs, which are members of the KMSRK, have been running the multiple roles, such as: popularly involved in policy making, providing political education to the community, promoting or encouraging reform, and promoting the interests of the community. The study also suggests the existence of new findings of the role of NGOs, which is forming a coherent unity of interests.

  8. Privacy-Preserving Billing Scheme against Free-Riders for Wireless Charging Electric Vehicles

    Directory of Open Access Journals (Sweden)

    Xingwen Zhao

    2017-01-01

    Full Text Available Recently, scientists in South Korea developed on-line electric vehicle (OLEV, which is a kind of electric vehicle that can be charged wirelessly while it is moving on the road. The battery in the vehicle can absorb electric energy from the power transmitters buried under the road without any contact with them. Several billing schemes have been presented to offer privacy-preserving billing for OLEV owners. However, they did not consider the existence of free-riders. When some vehicles are being charged after showing the tokens, vehicles that are running ahead or behind can switch on their systems and drive closely for a free charging. We describe a billing scheme against free-riders by using several cryptographic tools. Each vehicle should authenticate with a compensation-prepaid token before it can drive on the wireless-charging-enabled road. The service provider can obtain compensation if it can prove that certain vehicle is a free-rider. Our scheme is privacy-preserving so the charging will not disclose the locations and routine routes of each vehicle. In fact, our scheme is a fast authentication scheme that anonymously authenticates each user on accessing a sequence of services. Thus, it can be applied to sequential data delivering services in future 5G systems.

  9. School-located influenza vaccination with third-party billing: outcomes, cost, and reimbursement.

    Science.gov (United States)

    Kempe, Allison; Daley, Matthew F; Pyrzanowski, Jennifer; Vogt, Tara; Fang, Hai; Rinehart, Deborah J; Morgan, Nicole; Riis, Mette; Rodgers, Sarah; McCormick, Emily; Hammer, Anne; Campagna, Elizabeth J; Kile, Deidre; Dickinson, Miriam; Hambidge, Simon J; Shlay, Judith C

    2014-01-01

    To assess rates of immunization; costs of conducting clinics; and reimbursements for a school-located influenza vaccination (SLIV) program that billed third-party payers. SLIV clinics were conducted in 19 elementary schools in the Denver Public School district (September 2010 to February 2011). School personnel obtained parental consent, and a community vaccinator conducted clinics and performed billing. Vaccines For Children vaccine was available for eligible students. Parents were not billed for any fees. Data were collected regarding implementation costs and vaccine cost was calculated using published private sector prices. Reimbursement amounts were compared to costs. Overall, 30% of students (2784 of 9295) received ≥1 influenza vaccine; 39% (1079 of 2784) needed 2 doses and 80% received both. Excluding vaccine costs, implementation costs were $24.69 per vaccination. The percentage of vaccine costs reimbursed was 62% overall (82% from State Child Health Insurance Program (SCHIP), 50% from private insurance). The percentage of implementation costs reimbursed was 19% overall (23% from private, 27% from Medicaid, 29% from SCHIP and 0% among uninsured). Overall, 25% of total costs (implementation plus vaccine) were reimbursed. A SLIV program resulted in vaccination of nearly one third of elementary students. Reimbursement rates were limited by 1) school restrictions on charging parents fees, 2) low payments for vaccine administration from public payers and 3) high rates of denials from private insurers. Some of these problems might be reduced by provisions in the Affordable Care Act. Copyright © 2014 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  10. Mutanttulnukad ja festivalid pimedas öös / Bill Plympton ; interv. Mikk Rand, tõlk. Elen Lotman

    Index Scriptorium Estoniae

    Plympton, Bill

    2002-01-01

    USA animaator, illustraator ja karikaturist Bill Plympton (1946), kelle animafilm "Mutanttulnukad" ("Mutant Aliens") osales Pimedate Ööde Filmifestivalil 2001. aasta detsembris. Vestlus toimus samal festivalil. Lisatud filmograafia

  11. Explaining the increase in family financial pressures from medical bills between 2003 and 2007: do affordability thresholds change over time?

    Science.gov (United States)

    Cunningham, Peter J

    2011-06-01

    This study examines whether affordability thresholds for medical care as defined by families change over time. The results from two nationally representative surveys show that while financial stress from medical bills--defined as the percent with problems paying medical bills--increased between 2003 and 2007, greater out-of-pocket spending accounted for this increase only for higher-income persons with employer-sponsored insurance coverage. Increased spending did not account for an increase in medical bill problems among lower-income persons. Moreover, the increase in medical bill problems among low-income persons occurred at relatively low levels of out-of-pocket spending rather than at higher levels. The results suggest that "affordability thresholds" for medical care as defined by individuals and families are not stable over time, especially for lower-income persons, which has implications for setting affordability standards in health reform.

  12. Looking a Gift Horse in the Mouth: 2014 Farm Bill Insect and Disease Restoration Provision -- True Gift or False Hope?

    OpenAIRE

    Holmstead, Jamilee E.

    2015-01-01

    Congress passed a revised Farm Bill in 2014 that amended the Healthy Forest Restoration Act (HFRA) to, hopefully, increase the speed with which natural resource issues could be addressed. Federal land management has often been condemned for being time-consuming and burdensome, chiefly in situations that require rapid response, such as insect disease and fire. The amendment in the 2014 Farm Bill is meant to address this concern. The amendment would allow for the insect and disease restorati...

  13. The impact of rate design and net metering on the bill savings from distributed PV for residential customers in California

    International Nuclear Information System (INIS)

    Darghouth, Naim R.; Barbose, Galen; Wiser, Ryan

    2011-01-01

    Net metering has become a widespread mechanism in the U.S. for supporting customer adoption of distributed photovoltaics (PV), but has faced challenges as PV installations grow to a larger share of generation in a number of states. This paper examines the value of the bill savings that customers receive under net metering, and the associated role of retail rate design, based on a sample of approximately two hundred residential customers of California's two largest electric utilities. We find that the bill savings per kWh of PV electricity generated varies by more than a factor of four across the customers in the sample, which is largely attributable to the inclining block structure of the utilities' residential retail rates. We also compare the bill savings under net metering to that received under three potential alternative compensation mechanisms, based on California's Market Price Referent (MPR). We find that net metering provides significantly greater bill savings than a full MPR-based feed-in tariff, but only modestly greater savings than alternative mechanisms under which hourly or monthly net excess generation is compensated at the MPR rate. - Highlights: → We examine the value of bill savings under net metering to PV owners in California. → Bill savings per kWh of PV generation varies by a factor of four with net metering. The variation is attributable to rate design, the unique inclining block structure. → The median value of bill savings is reduced by 40-67% with MPR feed-in tariff. → The median value of bill savings is reduced by 6-12% with hourly netting.

  14. Evolution of bill size in relation to body size in toucans and hornbills (Aves: Piciformes and Bucerotiformes

    Directory of Open Access Journals (Sweden)

    Austin L. Hughes

    2014-06-01

    Full Text Available Evidence that the bill of the Toco Toucan, Ramphastos toco Statius Muller, 1776, has a specialized role in heat dissipation suggests a new function for the large and light-weight bill of the toucan family (Piciformes: Ramphastidae. A prediction of this hypothesis is that bill length in toucans will increase with body mass at a rate greater than the isometric expectation. This hypothesis was tested in a phylogenetic context with measurements of skeletal elements in adult males of 21 toucan species. In these species, 64.3% of variance in relative skeletal measurements was accounted for by the contrast between bill and body size. Maxilla length and depth increased with body mass at a greater than isometric rate relative to both body mass and other linear skeletal measures. By contrast, no such trend was seen in a parallel analysis of 24 hornbill species (Bucerotiformes, sometimes considered ecological equivalents of toucans. The unique relationship between bill size and body mass in toucans supports the hypothesis that the evolution of a heat dissipation function has been a persistent theme of bill evolution in toucans.

  15. Uma proposta de modelagem da lista de materiais Bill of materials' modeling: a proposal

    Directory of Open Access Journals (Sweden)

    Eduardo Vila Gonçalves Filho

    1996-08-01

    Full Text Available Este trabalho propõe uma nova forma de estruturação da lista de materiais, para empresas fabricantes de bens de capital, apesar dos conceitos gerais serem passíveis de utilização em outros tipos de companhias de manufatura. A lista de materiais, como elemento fomentador da integração, é modelada com base em necessidades-chave de diversos usuários, desde o orçamento até a expedição. O objetivo é facilitar as atividades de administração de materiais e gestão da produção. A metodologia desenvolvida consiste em estruturar uma lista de materiais paralela, delineada em função do organograma fabril da empresa e da seqüência de fabricação do produto no tempo. Esses conceitos foram aplicados na formação de grupos de dispositivos dedicados, utilizados na fabricação de hidrogeradores, na SADE VIGESA S/A., fábrica de Araraquara.This paper suggests a new idea to form a Bill of Materials (BOM, for heavy equipment manufacturing companies, with the general concepts applied in others kind of manufacturing companies. The bill of materials, as an essential element of integration, from marketing to delivery, aims to facilitate the activities of Production Planning and of the Control System. The methodology developed is based on a new approach to build parallel bill of materials, using concepts of pseudo levels and assemblies, mainly based on the industrial organizational structure of the company and on the sequence of product fabrication in time. The implementation of this system for dedicated fixtures resulted in expressive reduction of lead time, project hours, fabrication hours and costs.

  16. Analysis of Radiation Accident of Non-destructive Inspection and Rational Preparing Bills

    International Nuclear Information System (INIS)

    Bae, Junwoo; Yoo, Donghan; Kim, Hee Reyoung

    2013-01-01

    After 2006, according to enactment of Non-destructive Inspection Promotion Act, the number of non-destructive inspection companies and corresponding accident is increased sharply. In this research, it includes characteristic analysis of field of the non-destructive inspection. And from the result of analysis, the purpose of this research is discovering reason for 'Why there is higher accident ratio in non-destructive inspection field, relatively' and preparing effective bill for reducing radiation accidents. The number of worker for non-destructive inspect is increased steadily and non-destructive inspect worker take highest dose. Corresponding to these, it must be needed to prepare bills to protect non-destructive inspect workers. By analysis of accident case, there are many case of carelessness that tools are too heavy to carry it everywhere workers go. And there are some cases caused by deficiency of education that less understanding of radiation and poor operation by less understanding of structure of tools. Also, there is no data specialized to non-destructive inspect field. So, it has to take information from statistical data. Because of this, it is hard to analyze nondestructive inspect field accurately. So, it is required to; preparing rational bills to protect non-destructive inspect workers nondestructive inspect instrument lightening and easy manual which can understandable for low education background people accurate survey data from real worker. To accomplish these, we needs to do; analyze and comprehend the present law about non-destructive inspect worker understand non-destructive inspect instruments accurately and conduct research for developing material developing rational survey to measuring real condition for non-destructive inspect workers

  17. Political realities of statewide smoking legislation: the passage of California's Assembly Bill 13.

    Science.gov (United States)

    Macdonald, H R; Glantz, S A

    1997-01-01

    To prepare a history of the enactment of California Assembly Bill 13 (AB 13), a state law prohibiting smoking in most workplaces passed in 1994, and to discuss its initial impacts. Data were gathered from open ended interviews with representatives of voluntary health organisations, local government organisations, and principal legislators involved in the process, as well as observers around the state who could provide insight into the legislative process. Information was also obtained from legislative hearings and debates, public documents, letters and personal communications, internal memoranda, and news reports. The success of local tobacco control legislation in California led to a situation in which some health groups were willing to accept state preemption in order to attract the support of the state restaurant association for a bill. The decision to accept this preemption compromise was made by the state level offices of the voluntary health agencies without consulting the broader tobacco control community within California. In contrast, local tobacco control advocates did not accept this compromise, in part because of their belief that local legislation was a better device to educate the public, generate media coverage, and build community support for enforcement and implementation of clean indoor air and other tobacco control laws. Enactment of AB 13 was associated with a slowing of all local tobacco control legislation, including youth oriented laws. Because its supporters initially doubted that AB 13 would pass, there was never an effort to reconcile the policy differences between state oriented and locally oriented tobacco control policies. This lack of consensus, combined with the political realities inherent in passing any state legislation, led to a bill with ambiguous preemption language which replaced the "patchwork of local laws" with a "patchwork of local enforcement."

  18. Bill Lowrie In The Apennines U Reading - The Pelagic Record of Geomagnetic Reversals

    Science.gov (United States)

    Alvarez, Walter

    Twenty five years ago, Bill Lowrie and I, along with Mike Arthur, Al Fischer, Gio- vanni Napoleone, Isabella Premoli Silva and Bill Roggenthen, published a set of five papers in the Geological Society of America Bulletin (March 1977), reporting a re- markable new source of information on the geomagnetic polarity time scale. The re- versal sequence was already known back to the Late Cretaceous on the basis of marine magnetic anomalies, but only as a sequence of longer and shorter polarity intervals, a kind of fingerprint with almost no age calibration. At Gubbio, in the Umbrian Apen- nines of Italy, we discovered that the polarity intervals are also recorded in pelagic limestones, deposited quietly at moderate oceanic depths at rates of order 10 m/Myr. and these limestones are literally made of fossils, notably the planktic foraminifera which are the best age correlation tool for the last 100 Myr. The reversal sequence was now datable. You can make a discovery like this either by looking for it, as Al Fischer did U hoping ° that such a record would be present and waiting until magnetometers improved enough to make it possible to measure these very weakly magnetic rocks U or by stumbling ° on it as Bill and I did. We went to the Apennines hoping to measure paleomagnetically a tectonic rotation of the Italian crust. Digital spinner magnetometers had just become available and Bill found that he could measure the remanence of the Apennine pelagic limestones I had been studying in the field. Tectonic rotation of the Italian crust turned out to be very difficult to detect, because interbed slip was a major complication. But we accidentally sampled both normal and reversed beds in the Scaglia rossa limestone on our first trip, and back in the lab we recognized that we had a polarity record in front of us. The microfossils made it a datable record, which raised great excitement among our colleagues at Lamont, where sea-floor magnetic reversals were the key to tectonic

  19. Policies to Optimize Physician Billing Data in Academic Alternative Relationship Payment Plans: Practices and Perspectives

    Directory of Open Access Journals (Sweden)

    Ceara Tess Cunningham

    2017-04-01

    According to the majority of our respondents, financial disincentives (i.e. income at risk, financial clawbacks appear to be most effective as a mechanism to motivate physicians within an academic APP to submit their billings. However, key barriers to successful implementation and delivery of academic APPs include a lack of alignment between government stakeholders, academic leadership and APP physician members and differences in the organizational and accountability structures of APP plans between academic facilities. It is necessary in moving forward to achieve commonly defined standards and frameworks between the various APP models across provinces and academic institutions.

  20. New science, old convictions ? Texas Senate Bill 344: identifying further necessary reform in forensic science

    OpenAIRE

    Soni, Naina

    2015-01-01

    In June 2013, Texas Senate Bill 344 (SB 344) was signed into law after strong Innocence Project support. SB 344 has since transformed the Texan judicial landscape. Known as the ?Junk Science Writ?, SB 344 enables the court to grant habeas corpus relief based on scientific evidence that ?(1) was not available to be offered by a convicted person at the convicted person's trial; or (2) contradicts scientific evidence relied on by the state at trial?. Inmates, such as the ?San Antonio Four?, whos...

  1. Atomic Energy Authority Bill (amendment on exploitation of results of research)

    International Nuclear Information System (INIS)

    Gray, J.H.N.; Stoddart, D.L.; Lloyd, R.G.

    1986-01-01

    This amendment arises from legal doubts about the extent of the UKAEA's present powers to exploit the results of its research. The new clause, which amends the Atomic Energy Authority Bill, allows that the Authority has power to exploit commercially by selling, licensing the use of, or otherwise dealing with any intellectual property (patents, trademarks, copyright, registered designs etc) resulting from research carried out by it, or on its behalf, or which is available because of exchange of results or collaboration with others. The 12 minute debate is reported verbatim. The amendment was agreed to. (U.K.)

  2. Bill project introducing a progressive price fixing of energy - Nr 150

    International Nuclear Information System (INIS)

    Brottes, Francois; Le Roux, Bruno

    2012-01-01

    This bill project aims at speeding up energy transition by inciting households to reduce their consumption, and at accompanying the unavoidable increase of energy prices. It introduces a rather complex process to establish the energy tariff, and notably a bonus-malus principle. The objective is to incite households to better insulate their main housing. It also takes social tariffs into account, defines institutions and representative for energy regulation, proposes the implementation of a public service for housing energy performance, and addresses the issue of energy supply in winter to households in precarious situation

  3. A new contribution of the SFEN to the bill project on energy transition

    International Nuclear Information System (INIS)

    2014-01-01

    In a first part, this document presents the main opinions of the SFEN on energy transition for a green economic growth, based on six axis: priority to the decrease of carbonated energies, lifetime extension of nuclear power plants as the most competitive low carbon solution, a good and responsible management or recycling, packaging and storage techniques in the nuclear sector, efforts in nuclear research, the nuclear sector as a lever to finance energy transition. In a second part, the SFEN states its opinion on the various aspects and elements of the bill project on energy transition

  4. The fledging of common and thick-billed murres on Middleton Island, Alaska

    Science.gov (United States)

    Hatch, Scott A.

    1983-01-01

    Three species of alcids, Common and Thick-billed murres (Uria aalge and U. lomvia) and the Razorbill (Alca torda), have post-hatching developmental patterns intermediate to precocial and semi-precocial modes (Sealy 1973). The young leave their cliff nest sites at about one quarter of adult weight and complete their growth at sea. At departure, an event here loosely referred to as "fledging," neither primary nor secondary flight feathers are grown, but well-developed wing coverts enable limited, descending flight.

  5. Um estudo psicossocial dos significados e sentidos expressos nas músicas de MV Bill A psychosocial study of the meanings expressed in the songs of MV Bill

    Directory of Open Access Journals (Sweden)

    Jaison Hinkel

    2009-08-01

    Full Text Available Este artigo tem por propósito estudar os significados e sentidos expressos nas letras das músicas de MV Bill, um dos ícones do rap nacional, com o intuito de possibilitar a compreensão da sua tendência afetivo-volitiva. Com base na Psicologia Sócio-Histórica, a pesquisa se caracteriza como um estudo de caso e utiliza como método a análise de conteúdo de quatro músicas: "Soldado do Morro", "Só Deus pode me julgar", "EMIVI" e "Atitude Errada". Os significados e sentidos das canções estudadas denunciam as dimensões objetiva, ética e subjetiva da dialética exclusão/inclusão social, bem como a proposta de enfrentamento desta condição. Assim, podem-se considerar tais músicas como indicadores de uma práxis ético-política que propõe ações coletivas com o objetivo de superar a situação de padecimento humano e utiliza a arte como expressão afetiva de potência de vida e criação, em prol da cidadania.The purpose of this article is the analysis of meanings expressed in the song of MV Bill, one of the icons of the Brazilian rap, aiming at the comprehension of its affectionate-volitive tendency. The investigation is characterized as a case study and applies content analysis to four songs: "Soldado do Morro", "Só Deus pode me julgar", "EMIVI", and "Atitude Errada". The meanings and senses of the songs studied identify three dimensions of the dialectics social exclusion/enclosure (objective, ethical and subjective, as well as the clashing of this condition. It seems reasonable to consider such songs as indicators of an ethical-political practice that proposes collective actions with the objective of overcoming the situation of human suffering and utilizes art as affectionate expression of power of life and creation, in behalf of the citizenship.

  6. Wound center facility billing: A retrospective analysis of time, wound size, and acuity scoring for determining facility level of service.

    Science.gov (United States)

    Fife, Caroline E; Walker, David; Farrow, Wade; Otto, Gordon

    2007-01-01

    Outpatient wound center facility reimbursement for Medicare beneficiaries can be a challenge to determine and obtain. To compare methods of calculating facility service levels for outpatient wound centers and to demonstrate the advantages of an acuity-based billing system (one that incorporates components of facility work that is non-reimbursable by procedure codes and that represents an activity-based costing approach to medical billing), a retrospective study of 5,098 patient encounters contained in a wound care-specific electronic medical record database was conducted. Approximately 500 patient visits to the outpatient wound center of a Texas regional hospital between April 2003 and November 2004 were categorized by service level in documentation and facility management software. Visits previously billed using a time-based system were compared to the Centers for Medicare and Medicaid Services' proposed three-tiered wound size-based system. The time-based system also was compared to an acuity-based scoring system. The Pearson correlation coefficient between billed level of service by time and estimated level of service by acuity was 0.442 and the majority of follow-up visits were billed as Level 3 and above (on a time level of 1 to 5) , confirming that time is not a surrogate for actual work performed. Wound size also was found to be unrelated to service level (Pearson correlation = 0.017) and 97% of wound areas were billings than extremes; no other method produced this distribution. Hospital-based outpatient wound centers should develop, review, and refine acuity score-based models on which to determine billed level of service.

  7. Spanish utility turns customer bills into a strategic advantage with EDP

    Energy Technology Data Exchange (ETDEWEB)

    Stone, C. [StreamServe Inc., Burlington, MA (United States)

    2007-03-15

    Enterprise document presentments (EDPs) are now used at many utilities to enable the automated creation and presentment of documents in formats that suit the needs of their customers. Upgraded billing capabilities can reduce operational costs, as well as drive incremental revenue for utilities that offer a portfolio of services. EDP bills can also provide an adaptable vehicle for meeting regulatory information requirements, as well as for demonstrating the utility's community obligations. This paper discussed an EDP program used by the Spanish utility Hidroelectrica del Cantabrico. After consulting with various companies, the utility finally selected an EDP solution provided by StreamServe Utilities, which offered data source independence. SAP data was received in RDI format, which provided the ability to rapidly design and generate invoices, contracts, and other documents. The EDP system selected by the utility also allowed them to consolidate electricity and gas consumption into a single invoice. Invoices were classified by distinct criteria, and optical labels were inserted to provide greater flexibility for design changes. The EDP solution allowed the utility to improve its corporate image on each printed document and optimize its client relationships by establishing a new marketing channel through the invoice itself. It was concluded that the utility has also achieved significant cost savings on paper and postage, as promotional campaigns are now inserted into invoice envelopes. 1 fig.

  8. Limitation of Liability and Governing Law for Accidents Occurring before Issuance of Bill of Lading

    Directory of Open Access Journals (Sweden)

    Jung Sun Lee

    2018-03-01

    Full Text Available The purpose of this study is to verify the carrier's liability limitation through analyzing two cases. According to the court judgments in the two cases, if the accident occurs during the shipment without issuance of Bill of Lading (B/L, the reverse-side clause of B/L does not apply to the calculation of damage, and the law of the country most closely related to both parties is set as the governing law. The absence of a timely B/L often occurs in transport practice due to the complicated nature of transport practice. So, through analyzing the court judgments in the two cases, this study recommends that transport parties take precautions. First, in order to reduce and settle disputes arising from the absence of evidence of transportation contracts, it is necessary to issue a received B/L bearing in mind the risk of accidents occurring during the shipment process. Second, the use of a Sea Waybill (SWB which can be issued after the receipt of a cargo shipment, can be an alternative, except when a Letter of Credit (L/C requires a B/L. Finally, expanding the function of the Commercial Invoice (C/I to allow it to serve as evidence of the contract of carriage by inserting the contract of carriage phrase into the C/I when the B/L is not issued could be an alternative. Keywords: Limitation of Liability of Carrier, Governing Law, Bill of Lading

  9. Less wireless costs : optimizing firms aim to cut wireless service bills

    International Nuclear Information System (INIS)

    Mahony, J.

    2006-01-01

    The Calgary-based firm Alliance is offering optimized billing to oil companies, many of which spend more than $100,000 a month on wireless services for devices such as cellular telephones, pagers and Blackberries. In particular, Alliance is focusing on cutting the cost of wireless for corporate clients by analyzing client-usage patterns and choosing the most cost-efficient rate plans offered by the telecoms. Alliance suggests that do-it-yourself optimization is too complex for the average user, given the very large choice of rate plans. Using algorithms, Alliance software goes through all the wireless service contract options from the telecoms to choose the best plan for a company's needs. Optimizers claim their clients will see significant savings on wireless, in the order to 20 to 50 per cent. This article presented a brief case history of a successful optimization plan for Nabors Canada LP. Alliance allows its clients to view their billing information on their web-based server. Call records can be viewed by device or company division. 1 ref., 1 fig

  10. Australian radiation protection and nuclear safety (consequential amendments) Bill 1998. Explanatory memorandum

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-31

    The purpose of this Bill is to make consequential changes to the Australian Nuclear Science and Technology Organisation Act 1987 (the ANSTO Act) and to provide for transitional arrangements to cover the operation of controlled facilities and the handling of radiation sources while applications for licences to cover these facilities and activities are being made under the proposed Australian Radiation Protection and Nuclear Safety Act 1998 (the ARPANS Act) For this purpose, the Bill: (a) repeals Parts VI and VII A of the ANSTO Act under which, respectively, the Safety Review Committee and the Nuclear Safety Bureau are established, as the functions of the Committee and Bureau will be transferred to the CEO of the Australian Radiation Protection and Nuclear Safety Agency, established under the ARPANS Act; (b) makes transitional arrangements for the transfer of the assets and liabilities of the Nuclear Safety Bureau to the Commonwealth, and confers on the CEO of ARPANSA the powers of the Director of the Nuclear Safety Bureau in relation to the Australian Nuclear Science and Technology Organisation during the transitional period before the offenses provisions commence to operate under the ARPANS Act; (c) repeals the Environment Protection (Nuclear Codes) Act 1978. That Act provides for the development and endorsement of Codes of Practice which will be undertaken under the auspices of ARPANSA; (d) provides that Commonwealth entities have a transition period of 6 months after the ARPANS Act commences to apply for a licence to authorize specified activities under that Act

  11. Media framing and political advertising in the Patients' Bill of Rights debate.

    Science.gov (United States)

    Rabinowitz, Aaron

    2010-10-01

    The purpose of this article is to assess the influence of interest groups over news content. In particular, I explore the possibility that political advertising campaigns affect the tenor and framing of newspaper coverage in health policy debates. To do so, I compare newspaper coverage of the Patients' Bill of Rights debate in 1999 in five states that were subject to extensive advertising campaigns with coverage in five comparison states that were not directly exposed to the advocacy campaigns. I find significant differences in coverage depending on the presence or absence of paid advertising campaigns, and conclude that readers were exposed to different perspectives and arguments about managed care regulation if the newspapers they read were published in states targeted by political advertisements. Specifically, newspaper coverage was 17 percent less likely to be supportive of managed care reform in states subject to advertising campaigns designed to foment opposition to the Patients' Bill of Rights. Understanding the ability of organized interests and political actors to successfully promote their preferred issue frames in a dynamic political environment is particularly important in light of the proliferation of interest groups, the prevalence of multimillion-dollar political advertising campaigns, and the health care reform debate under President Barack Obama.

  12. An object-oriented model for complex bills of materials in process industries

    Directory of Open Access Journals (Sweden)

    Vegetti M.

    2002-01-01

    Full Text Available In recent years, many process industries have been forced to drastically increase their product variety and adopt mass customization production strategies. Many of them have found that traditional bill of material (BOM processing systems do not sufficiently support the maintenance of the very large amounts of data (concerned with product structure demanded by these new production policies. Due to the use of BOM technology within the framework of integrated information systems, there is a demand for both (i a new representation of BOMs, able to deal efficiently with product variants and to handle decomposition-based production strategies, and (ii its corresponding BOM information processing system. This paper describes a conceptual representation that integrates elements of semantic relationships with object-oriented concepts to develop a data model for a hybrid bill of materials. The proposed semantic relationships include composed-of, decomposed-into, variant-of, restriction-of, and their corresponding reverse relationships. The conceptual model has been implemented using object-oriented data-based management system (OODBMS technology that allows creation of persistent Java objects. Preliminary tests show a remarkable reduction in the number of relationships when compared with former approaches.

  13. Nuon integrates fragmented IT environment with Converge 'meter-to-bill' enterprise system

    Energy Technology Data Exchange (ETDEWEB)

    Johnston, J.; Richmond, P. [Siemens Metering, Inc (Netherlands)

    2002-10-01

    Integration of the IT services of three large utility companies that merged into one is described. Prior to the merger each company owned its own data acquisition and billing applications and followed its own information processing and business rules. The newly formed company had the unenviable task of integrating these disparate applications into one streamlined and efficient company-wide system. A complicating factor was the earlier deregulation of the Dutch energy market which already forced vertically structured utilities to split into separate functional companies, with the result that meter and other system and logistic information was widely dispersed across multiple systems and locations. To bring order out of this chaos and to create a single company-wide integrated system Nuon partnered with Siemens to evaluate the existing system and to design a new one that would improve the situation. The new system that emerged is a cohesive, robust IT environment with many benefits. Some of these are: consolidated metering data in one open architecture environment; a fully automated interface to the SAP billing system; fully flexible and automated data reporting and validation functionality; data distribution capability throughout the organization and to energy consumers via the Internet; and fully automated data exchange capability with other market players and the System Operator.

  14. Metal quantification in water and sediment samples of billings reservoir by SR-TXRF

    International Nuclear Information System (INIS)

    Sampaio, Sergio Arnaud; Moreira, Silvana; Vives, Ana Elisa Sirito de

    2007-01-01

    Billings is the largest reservoir water of the metropolitan Sao Paulo area, with approximately 100km 2 of water. Its basin hydrographic occupies more than 500km 2 in six cities. It concentrates the largest industrial park of South America and only its margins are busy for almost a million inhabitants. The quality of its waters is, therefore, constant of concern of the whole society. In this work the Synchrotron Radiation Total Reflection X Ray Fluorescence (SR-TXRF) is applied for the identification and quantification of metals in waters and sediments of the Billings dam. A comparison of the levels of metals found with the maximum permissive limits established by the Brazilian legislation was made. The purpose of social context is to contribute for the preservation of the local springs and the rational use of its waters. For the field work they were chosen 19 collection points, included the margins and the central portion of the dam, in agreement with similar approaches the those adopted by the Company of Technology of Environmental Sanitation of Sao Paulo State (CETESB).The water and sediment samples, as well as the certified and standard samples, were analyzed at Brazilian Synchrotron Light Laboratory (LNLS), Campinas, SP, Brazil. Results indicate that the water and the sediments of the reservoir have concentrations above the legal limits. (author)

  15. Evaluation of capture techniques for long-billed curlews wintering in Texas

    Science.gov (United States)

    Woodin, Marc C.; Skoruppa, Mary K.; Edwardson, Jeremy W.; Austin, Jane E.

    2012-01-01

    Texas coast harbors the largest, eastern-most populations of Long-billed Curlews (Numenius americanus) in North America; however, very little is known about their migration and wintering ecology. Curlews are readily captured on their breeding grounds, but experience with capturing the species during the non-breeding season is extremely limited. We assessed the efficacy of 6 capture techniques for Long-billed Curlews in winter: 1) modified noose ropes, 2) remotely controlled bow net, 3) Coda Netgun, 4) Super Talon net gun, 5) Hawkseye whoosh net, and 6) cast net. The Coda Netgun had the highest rate of captures per unit of effort (CPUE = 0.31; 4 curlew captures/13 d of trapping effort), followed by bow net (CPUE = 0.17; 1 capture/6 d of effort), whoosh net (CPUE = 0.14; 1 capturel7 d of effort), and noose ropes (CPUE = 0.07; 1 capturel15 d of effort). No curlews were captured using the Super Talon net gun or a cast net (3 d and 1 d of effort, respectively). Multiple capture techniques should be readily available for maximum flexibility in matching capture methods with neophobic curlews that often unpredictably change referred feeding locations among extremely different habitat types.

  16. Spanish utility turns customer bills into a strategic advantage with EDP

    International Nuclear Information System (INIS)

    Stone, C.

    2007-01-01

    Enterprise document presentments (EDPs) are now used at many utilities to enable the automated creation and presentment of documents in formats that suit the needs of their customers. Upgraded billing capabilities can reduce operational costs, as well as drive incremental revenue for utilities that offer a portfolio of services. EDP bills can also provide an adaptable vehicle for meeting regulatory information requirements, as well as for demonstrating the utility's community obligations. This paper discussed an EDP program used by the Spanish utility Hidroelectrica del Cantabrico. After consulting with various companies, the utility finally selected an EDP solution provided by StreamServe Utilities, which offered data source independence. SAP data was received in RDI format, which provided the ability to rapidly design and generate invoices, contracts, and other documents. The EDP system selected by the utility also allowed them to consolidate electricity and gas consumption into a single invoice. Invoices were classified by distinct criteria, and optical labels were inserted to provide greater flexibility for design changes. The EDP solution allowed the utility to improve its corporate image on each printed document and optimize its client relationships by establishing a new marketing channel through the invoice itself. It was concluded that the utility has also achieved significant cost savings on paper and postage, as promotional campaigns are now inserted into invoice envelopes. 1 fig

  17. Australian radiation protection and nuclear safety (consequential amendments) Bill 1998. Explanatory memorandum

    International Nuclear Information System (INIS)

    1998-01-01

    The purpose of this Bill is to make consequential changes to the Australian Nuclear Science and Technology Organisation Act 1987 (the ANSTO Act) and to provide for transitional arrangements to cover the operation of controlled facilities and the handling of radiation sources while applications for licences to cover these facilities and activities are being made under the proposed Australian Radiation Protection and Nuclear Safety Act 1998 (the ARPANS Act) For this purpose, the Bill: (a) repeals Parts VI and VII A of the ANSTO Act under which, respectively, the Safety Review Committee and the Nuclear Safety Bureau are established, as the functions of the Committee and Bureau will be transferred to the CEO of the Australian Radiation Protection and Nuclear Safety Agency, established under the ARPANS Act; (b) makes transitional arrangements for the transfer of the assets and liabilities of the Nuclear Safety Bureau to the Commonwealth, and confers on the CEO of ARPANSA the powers of the Director of the Nuclear Safety Bureau in relation to the Australian Nuclear Science and Technology Organisation during the transitional period before the offenses provisions commence to operate under the ARPANS Act; (c) repeals the Environment Protection (Nuclear Codes) Act 1978. That Act provides for the development and endorsement of Codes of Practice which will be undertaken under the auspices of ARPANSA; (d) provides that Commonwealth entities have a transition period of 6 months after the ARPANS Act commences to apply for a licence to authorize specified activities under that Act

  18. Metal quantification in water and sediment samples of billings reservoir by SR-TXRF

    Energy Technology Data Exchange (ETDEWEB)

    Sampaio, Sergio Arnaud; Moreira, Silvana [Universidade Estadual de Campinas (UNICAMP), Campinas, SP (Brazil). Faculdade de Engenharia Civil, Arquitetura e Urbanismo]. E-mails: silvana@fec.unicamp.br; sergioarnaud@hotmail.com; Vives, Ana Elisa Sirito de [Universidade Metodista de Piracicaba (UNIMEP), Santa Barbara D' Oeste, SP (Brazil). Faculdade de Engenharia Civil, Arquitetura e Urbanismo]. E-mail: aesvives@unimep.br

    2007-07-01

    Billings is the largest reservoir water of the metropolitan Sao Paulo area, with approximately 100km{sup 2} of water. Its basin hydrographic occupies more than 500km{sup 2} in six cities. It concentrates the largest industrial park of South America and only its margins are busy for almost a million inhabitants. The quality of its waters is, therefore, constant of concern of the whole society. In this work the Synchrotron Radiation Total Reflection X Ray Fluorescence (SR-TXRF) is applied for the identification and quantification of metals in waters and sediments of the Billings dam. A comparison of the levels of metals found with the maximum permissive limits established by the Brazilian legislation was made. The purpose of social context is to contribute for the preservation of the local springs and the rational use of its waters. For the field work they were chosen 19 collection points, included the margins and the central portion of the dam, in agreement with similar approaches the those adopted by the Company of Technology of Environmental Sanitation of Sao Paulo State (CETESB).The water and sediment samples, as well as the certified and standard samples, were analyzed at Brazilian Synchrotron Light Laboratory (LNLS), Campinas, SP, Brazil. Results indicate that the water and the sediments of the reservoir have concentrations above the legal limits. (author)

  19. Climatic change and environmental implications in the Medicine Hat region using Billings, Montana as an analogue

    International Nuclear Information System (INIS)

    Proudfoot, W.A.

    1994-01-01

    There is concern that climatic change due to anthropogenic enhancement of the greenhouse effect may have considerable impacts on the natural and agricultural environments in Canada. The Palliser Triangle in the southern prairie region is an area in which the impacts of climatic change could be significant; it is an important agricultural zone and is already sensitive due to its semi-arid climate. The possible effects of a change in the climate of the Medicine Hat (Alberta) area in the Palliser Triangle is examined through the use of a regional analogue in a warmer, more southerly area. The selected analogue region is the area around Billings, Montana. Aspects of the natural environment, including potential vegetation distribution, frost-free period, and drought, as well as aspects of the agricultural environment, including agricultural practices and examination of wheat yields, are studied within each region. Comparisons are drawn between the two regions to evaluate whether significant differences exist in the environmental aspects examined. It is shown that although a change in Medicine Hat's climate to one more like that of Billings may not have drastic impacts on the environment, such a change may require adjustments in current practices or adaptations to altered environmental conditions. Reviews of several policy areas will be necessary to ensure appropriate adjustments in agricultural or resource management practices. Regional analogy is shown to be an essential preliminary tool for determining possible effects of climatic change. 138 refs., 42 figs., 22 tabs

  20. Administrative Costs Associated With Physician Billing and Insurance-Related Activities at an Academic Health Care System.

    Science.gov (United States)

    Tseng, Phillip; Kaplan, Robert S; Richman, Barak D; Shah, Mahek A; Schulman, Kevin A

    2018-02-20

    Administrative costs in the US health care system are an important component of total health care spending, and a substantial proportion of these costs are attributable to billing and insurance-related activities. To examine and estimate the administrative costs associated with physician billing activities in a large academic health care system with a certified electronic health record system. This study used time-driven activity-based costing. Interviews were conducted with 27 health system administrators and 34 physicians in 2016 and 2017 to construct a process map charting the path of an insurance claim through the revenue cycle management process. These data were used to calculate the cost for each major billing and insurance-related activity and were aggregated to estimate the health system's total cost of processing an insurance claim. Estimated time required to perform billing and insurance-related activities, based on interviews with management personnel and physicians. Estimated billing and insurance-related costs for 5 types of patient encounters: primary care visits, discharged emergency department visits, general medicine inpatient stays, ambulatory surgical procedures, and inpatient surgical procedures. Estimated processing time and total costs for billing and insurance-related activities were 13 minutes and $20.49 for a primary care visit, 32 minutes and $61.54 for a discharged emergency department visit, 73 minutes and $124.26 for a general inpatient stay, 75 minutes and $170.40 for an ambulatory surgical procedure, and 100 minutes and $215.10 for an inpatient surgical procedure. Of these totals, time and costs for activities carried out by physicians were estimated at a median of 3 minutes or $6.36 for a primary care visit, 3 minutes or $10.97 for an emergency department visit, 5 minutes or $13.29 for a general inpatient stay, 15 minutes or $51.20 for an ambulatory surgical procedure, and 15 minutes or $51.20 for an inpatient surgical procedure. Of

  1. The Association Between the Use of the Education Benefits from the G.I. Bill and Veterans' Health.

    Science.gov (United States)

    Rumery, Zachary R; Patel, Nilam; Richard, Patrick

    2018-05-01

    There is limited knowledge on the impact of education on veterans' health in the United States. This study specifically examines the relationship between the education benefits from the G.I. Bill and veterans' health. This study used data from the 2010 National Survey of Veterans. The subjects for this study were 5,052 veterans who were eligible to receive G.I. Bill benefits, representing a total of about 12.7 million non-institutionalized veterans in the United States in 2010. The dependent variables included self-reported health status and smoking behavior. The key independent variable was whether veterans used the education benefits from the G.I. Bill compared with those who were eligible but did not use them. Results from multivariate regression analyses showed that those who used the education benefits from the G.I. Bill were 4% less likely to report fair/poor health (p education benefits. Additional analyses showed that using the education benefits to attend college decreased the probability of being in fair/poor health by 4% (p benefits for non-college attainment such as business, technical, or vocational schools. More importantly, a larger association was found between the use of the education benefits from the G.I. Bill to obtain a college degree and fair/poor health (7%, p education also has important health benefits.

  2. HEALTH INFO Information from the CHIS Board and Personnel Division: ABOUT BILLS FROM HOPITAL DE LA TOUR

    CERN Multimedia

    Personnel Division + CHISB

    1999-01-01

    The tariff agreement signed by CERN (and other international organisations) with Hospital de La Tour specifies that all bills paid within 30 days of the date of the invoice will enjoy a discount, to be deducted by the payer. The bills are labelled with a message to this effect.Physicians' fees, personal expenses as well as services from outside providers (e.g. ambulance companies or external laboratories) are however not part of the discount agreement. Bills for hospitalisation (i.e. with a stay in hospital longer than 28h) are normally directly paid by AUSTRIA, acting as a third-party payer.In May this year, Hospital de La Tour introduced a new (Y2K compliant) accounting and invoicing system. This implementation did not go as smoothly as planned and delayed the issuing of bills by two months. During the summer period, a special team of temporary staff was put in place to catch up on the delay. As a result of this, some bills were produced that contained errors and the sticky label mentioning the discount agr...

  3. Diet of yellow-billed loons (Gavia adamsii) in Arctic lakes during the nesting season inferred from fatty acid analysis

    Science.gov (United States)

    Haynes, T B; Schmutz, Joel A.; Bromaghin, Jeffrey F.; Iverson, S J; Padula, V. M.; Rosenberger, A E

    2015-01-01

    Understanding the dietary habits of yellow-billed loons (Gavia adamsii) can give important insights into their ecology, however, studying the diet of loons is difficult when direct observation or specimen collection is impractical. We investigate the diet of yellow-billed loons nesting on the Arctic Coastal Plain of Alaska using quantitative fatty acid signature analysis. Tissue analysis from 26 yellow-billed loons and eleven prey groups (nine fish species and two invertebrate groups) from Arctic lakes suggests that yellow-billed loons are eating high proportions of Alaska blackfish (Dallia pectoralis), broad whitefish (Coregonus nasus) and three-spined stickleback (Gasterosteus aculeatus) during late spring and early summer. The prominence of blackfish in diets highlights the widespread availability of blackfish during the early stages of loon nesting, soon after spring thaw. The high proportions of broad whitefish and three-spined stickleback may reflect a residual signal from the coastal staging period prior to establishing nesting territories on lakes, when loons are more likely to encounter these species. Our analyses were sensitive to the choice of calibration coefficient based on data from three different species, indicating the need for development of loon-specific coefficients for future study and confirmation of our results. Regardless, fish that are coastally distributed and that successfully overwinter in lakes are likely key food items for yellow-billed loons early in the nesting season.

  4. Environmental liabilities in Billings reservoir and its impacts on hydropower generation Plant Henry Borden; Os passivos ambientais no reservatorio Billings e os seus impactos na geracao hidroenergetica da Usina Henry Borden

    Energy Technology Data Exchange (ETDEWEB)

    Almeida, Daniel Ladeira [Universidade Federal do ABC (UFABC), Santo Andre, SP (Brazil)

    2010-07-01

    The primary assertion is that this article argues that the recovery in production of hydropower in Henry Borden (UHB) is the reduction of environmental liabilities in the Billings reservoir. In this context, the aim of this paper is to provide a first consideration of the possibility of recovery of production Henry Borden hydropower plant of recovering the multiple uses of the reservoir. From this perspective, we interviewed representatives of CETESB (Sanitation Environmental Technology Company) and EMAE (Metropolitan Water and Energy Company SA) for consideration of actions that include environmental policies aimed at increasing the production of electricity in Henry Borden in order to obtain results that may contribute to the multiple uses of the Billings reservoir. Noting that the range of laws aimed at protecting the water sources was limited to disjointed public policy that has reduced the resilience of the Billings reservoir. (author)

  5. Variation in haematozoan parasitism at local and landscape levels in the red-billed quelea Quelea quelea

    DEFF Research Database (Denmark)

    Durrant, Kate L.; Reed, Jennifer L.; Jones, Peter J.

    2007-01-01

    The red-billed quelea Quelea quelea, one of the most abundant birds in the world, presents two fundamental conundrums that we investigate here with a novel approach using blood parasite assemblages at two spatial scales, landscape and individual. The quelea of southern Africa Q. q. lathamii...... parasite. At a finer scale, the colourful and variable breeding plumage of male red-billed quelea has not previously shown a correlation with predictors of quality, as it does in many other bird species. The male's breeding plumage is partially based on carotenoid colouration, the quality of which has been...... to indicate quality. Finally, we recovered the greatest number of haematozoan lineages from any phylogenetic survey of a single host species to date. Understanding the reasons for the extreme diversity of parasite lineages in this species may assist in explaining the success of the red-billed quelea...

  6. The Influence Of Tax Billing By Forced Letter Intensity Against Taxpayer Compliance In Tax Service Office €˜Pratama€™ Manado

    OpenAIRE

    Pangemanan, Sifrid; Kawulur, Cecilya Helmy

    2015-01-01

    Tax Billing by forced letter is the governments efforts to improve the welfare of the people and encourage people to be responsible and participate in economic development. This study aims to determine the influence of tax billing by forced letter intensity against taxpayer compliance in Tax Service Office €˜Pratama€™ Manado. The analysis method used in this research is associative research methods to describe the influence of tax billing by forced letter intensity against taxpayer compliance...

  7. Michigan Senate Bill 826: Replace Common Core with pre-2011 Massachusetts Standards

    Directory of Open Access Journals (Sweden)

    Sandra Stotsky

    2016-04-01

    Full Text Available Interested in academic standards and assessments proven to raise student achievement? You won’t get that from the Common Core Standards and their associated consortium tests, PARCC and SBAC. Despite the boisterous hype of higher, deeper, richer, more rigorous, and so on, there exists no valid evidence to support their claims of higher quality, achievement, or college readiness. There is a set of state standards and assessments, however, proven through actual experience to have raised academic achievement for students at all levels and in all curricular pathways: those used in Massachusetts from 2000 to 2011. So, why not use them? Such a proposal was recently proposed, and passed, by the Michigan Senate Education Policy Committee. Here, we provide links to Sandra Stotsky’s testimony before that committee, along with other relevant links. - See more at: http://nonpartisaneducation.org/Review/Resources/MichiganBill.htm

  8. Bill project for a new organisation of the electricity market (NOME): impact study

    International Nuclear Information System (INIS)

    2010-01-01

    This document reports a study of the impact of the implementation of regulated access to electricity, of a capacity obligation, and of the evolution of regulated selling prices. It outlines that the progressive opening to concurrence of electricity in European markets did not reach in France the expected objectives: to let consumers get the benefit of investment in nuclear energy, incentives for innovation and demand reduction, promotion of investments within the frame of the electricity European market, etc. The authors describe the electricity market new organisation which is defined in the bill project, and the expected impacts on the different actors, macro-economical impacts, impacts on public finance and employment, environmental impacts, social impacts, and legal impacts

  9. Electronics technician Bill Clark assembling a cannon plug with the help of Jim Lewis

    Science.gov (United States)

    1991-01-01

    There is always something needed for a NASA aircraft before a research flight can take place. This photo shows William J. Clark working on one of those 'somethings' while Jimmie C. Lewis watches ready to help. Working on a research project is a challenge, for there is no set pattern to follow. From the drawings to the final product there are many people who contribute to that final product -- the flight. The electronic technicians in the Instrumentation Laboratory at NASA Ames-Dryden Flight Research Facility are no exception. Bill Clark is busy creating a cannon plug to be used on the CV-990. He is soldering wires in the appropriate order so the plug will transmit electrical currents correctly when installed in the airplane. Jim stands by to give help and support on the project.

  10. Chaunocephalosis in a wild population of Asian open-billed storks in Thailand.

    Science.gov (United States)

    Poonswad, P; Chatikavanij, P; Thamavit, W

    1992-07-01

    The most common trematode collected from Asian open-billed storks (Anastomus oscitans) was Chaunocephalus ferox (80% prevalence). The trematode was paired in granulomas in the intestinal wall. Based on histological examination of these capsules, there was degeneration and necrosis of muscle cells in the tunica muscularis. Granulation tissue with hetrophil and lymphocyte infiltration appeared in the granulomas. Intestinal villi were shorter and wider in infected areas than in non-infected areas. Some intestinal glands were dilated. Storks with high intensity of C. ferox appeared ill. The death of storks infected with C. ferox may result from malnutrition due to the loss of absorptive function of the intestine and from the effect of granuloma formation which might interfere with the intestinal peristalsis.

  11. Once Upon a Time There Was a Private Bill Issuing Bank System. Mexico, 1897-1910

    Directory of Open Access Journals (Sweden)

    Mónica Gómez

    2011-04-01

    Full Text Available This paper seeks to establish whether the Mexican issuing banks of the late 19th and early 20th centuries constituted a stable system. The results show that there was a limit to the volume of bills that Banamex –the most important privileged bank– issued, which contributed to the system’s stability. In the same way, the system was able to survive the panic caused by the world crisis of 1907-1908 without losses for banking customers or fiscal costs. This was possible thanks to the financial aid offered by Banamex and the Banco Central Mexicano –a mutual benefit interbank society–, and to the timely government action.

  12. Designing families and solid citizens: the dialectic of modernity and the Matrimonial Causes Bill, 1959.

    Science.gov (United States)

    Walter, J

    2001-01-01

    Policy-makers in the 1940s and 50s were intent on designing families which would produce solid citizens to engage in nation building. Historians offamilism treat it as an expression of modernism: a unifying, oppressive discourse now to be countered by the destabilising project of postmodernism. But this is not the whole story, for it omits the dialectical essence of 'the modern', which promises both 'progress' through technical rationality and individual achievement/self fulfilment. The other side of the dialectic has been avoided by dismissing individualism as a process of interpellation closely tied to the interests of technocratic elites. Out of the discontinuities within modernism there emerged opportunities for agency, the chance for people to make their own lives. The public controversy over the Matrimonial Causes Bill, 1959-at the height of what we are encouraged to think of as the familist decade-is explored as one instance.

  13. Billing third party payers for vaccines: state and local health department perspectives.

    Science.gov (United States)

    Quintanilla, Carlos; Duncan, Lorraine; Luther, Lydia

    2009-01-01

    The cost of adequately immunizing a child has risen steadily with recommendations of new, more expensive vaccines. The Vaccines for Children (VFC) program, a federal entitlement, has continued to fund all recommended vaccines for eligible children. The one other federal vaccine-funding source, Section 317 of the Public Health Service Act, has not kept pace with rising vaccine costs. For local health departments to immunize children not eligible for VFC, but whose families are underinsured or otherwise unable to pay for vaccines, state immunization programs have often relied on Section 317 funds. Recognizing this funding challenge and having learned that children covered by health insurance were being immunized in public clinics with publicly supplied vaccines, the Oregon Immunization Program (OIP) launched a project to expand billing of health plans by local health departments for vaccines administered to covered persons. This has resulted in significant savings of Section 317 funds, allowing the Oregon program to provide more vaccines for high-need persons.

  14. J. M. W. Turner's painting "The unpaid bill, or the dentist reproving his son's prodigality".

    Science.gov (United States)

    Bishop, M; Gelbier, S; King, J

    2004-12-25

    In November 2002, the BDA News carried an item, illustrated with a colour reproduction, describing a painting of a Georgian dentist's rooms by Joseph Mallord William Turner (1775-1851), one of the most respected of English artists, which was shortly to come up for auction at Christies' Rooms in London. This work, first exhibited in 1808, was entitled "The unpaid bill, or the dentist reproving his son's prodigality", and had originally been commissioned by the connoisseur Richard Payne Knight (1750-1824). "The examiner", a contemporary London journal, identifies the 'cradle-piece' for the commission as being a Rembrandt which Payne Knight owned, and the journalist Robert Hunt said that Turner had more than come up to the task of showing that a modern could handle light as well as the old master, 'for a picture of colouring and effect, it is ... inestimable'.

  15. Keeping Order: Motor-Car Regulation and the Defeat of Victoria's 1905 Motor-Car Bill

    Directory of Open Access Journals (Sweden)

    Rick Clapton

    2004-10-01

    Full Text Available At the turn of the twentieth century some upper-class Victorians became motorists; consequently, for the first time ever, regulation and policing intersected with this class of society. By 1905 so many concerns had been raised about compromised public order and safety that the Victorian State Government attempted to implement a Motor Car Bill based on its English predecessor (1903. Wealthy motorists possessed power and influence, however, which contributed to the postponement of legislation until 1910. Additionally, parliamentarians were drawn from the same social class as motorists, and, in creating regulation, they were potentially regulating their peers, colleagues and friends. The private motor-car also brought with it new issues of civil liberty and responsibility. Finding a balance between the two continued to be a problem, as private transport gradually became affordable for middle- and working-class people, and both the number of regulations and the power of the motoring lobby increased.

  16. The gift in interaction: a study of 'picking-up the bill'.

    Science.gov (United States)

    Llewellyn, Nick

    2011-12-01

    This paper analyses the phenomenon of 'picking up the bill', thereby contributing to a resurgence of sociological interest in gift exchange. Drawing on ethnomethodology, it describes and locates a distinctive theoretical approach. Utilizing video recordings, the analysis considers the interactional constitution of gifts and how gift exchange is locally invoked via the norm of reciprocity. Recurrent practices are described, through which gifts are brought into being, with reciprocity invoked, by benefactor and beneficiary alike, to manage social problems of acceptance, rather than to sanction insufficient contributions. The study describes the social character of what are perhaps the preeminent gifts exchanged in modern societies; where one person pays for another's consumption. © London School of Economics and Political Science 2011.

  17. From Mesopotamia through Carroll Quigley to Bill Clinton: World Historical Systems, the Civilizationist, and the President

    Directory of Open Access Journals (Sweden)

    David Wilkinson

    1995-08-01

    Full Text Available The noted comparative civilizationist and world-historical systems analyst Carroll Quigley, whose theorizing rested on the whole historical span from Mesopotamia to the 1960's, was a teacher well-remembered by his student Bill Clinton.  Quigley, by an intensive process of reduction, or rather idealization, of masses of historical data, derived a procedure for the diagnosis and therapy of ailing civilizations/world-systems, especially the one which he inhabited.  The coherent, persistent and personal motifs of the policy discourse and variant initiatives of his student, the President, bear more than a passing resemblance to the hopeful, idealistic, voluntaristic, intellectual, scientific, economistic, demi-materialistic propensities of the civilizationist and teacher.

  18. Controlling Mast Cell Activation and Homeostasis: Work Influenced by Bill Paul That Continues Today

    Directory of Open Access Journals (Sweden)

    Heather L. Caslin

    2018-04-01

    Full Text Available Mast cells are tissue resident, innate immune cells with heterogenous phenotypes tuned by cytokines and other microenvironmental stimuli. Playing a protective role in parasitic, bacterial, and viral infections, mast cells are also known for their role in the pathogenesis of allergy, asthma, and autoimmune diseases. Here, we review factors controlling mast cell activation, with a focus on receptor signaling and potential therapies for allergic disease. Specifically, we will discuss our work with FcεRI and FγR signaling, IL-4, IL-10, and TGF-β1 treatment, and Stat5. We conclude with potential therapeutics for allergic disease. Much of these efforts have been influenced by the work of Bill Paul. With many mechanistic targets for mast cell activation and different classes of therapeutics being studied, there is reason to be hopeful for continued clinical progress in this area.

  19. Controlling Mast Cell Activation and Homeostasis: Work Influenced by Bill Paul That Continues Today.

    Science.gov (United States)

    Caslin, Heather L; Kiwanuka, Kasalina N; Haque, Tamara T; Taruselli, Marcela T; MacKnight, H Patrick; Paranjape, Anuya; Ryan, John J

    2018-01-01

    Mast cells are tissue resident, innate immune cells with heterogenous phenotypes tuned by cytokines and other microenvironmental stimuli. Playing a protective role in parasitic, bacterial, and viral infections, mast cells are also known for their role in the pathogenesis of allergy, asthma, and autoimmune diseases. Here, we review factors controlling mast cell activation, with a focus on receptor signaling and potential therapies for allergic disease. Specifically, we will discuss our work with FcεRI and FγR signaling, IL-4, IL-10, and TGF-β1 treatment, and Stat5. We conclude with potential therapeutics for allergic disease. Much of these efforts have been influenced by the work of Bill Paul. With many mechanistic targets for mast cell activation and different classes of therapeutics being studied, there is reason to be hopeful for continued clinical progress in this area.

  20. Economic feasibility of stationary electrochemical storages for electric bill management applications: The Italian scenario

    International Nuclear Information System (INIS)

    Telaretti, E.; Graditi, G.; Ippolito, M.G.; Zizzo, G.

    2016-01-01

    Battery energy storage systems (BESSs) are expected to become a fundamental element of the electricity infrastructure, thanks to their ability to decouple generation and demand over time. BESSs can also be used to store electricity during low-price hours, when the demand is low, and to meet the demand during peak hours, thus leading to savings for the consumer. This work focuses on the economic viability of BESS from the point of view of the electricity customer. The analysis refers to a lithium-ion (Li-ion), an advanced lead-acid, a zinc-based, a sodium-sulphur (NaS) and a flow battery. The total investment and replacement costs are estimated in order to calculate the cumulated cash flow, the net present value (NPV) and the internal rate of return (IRR) of the investment. A parametric analysis is further carried out under two different assumptions: a) varying the difference between high and low electricity prices, b) varying the peak demand charges. The analysis reveals that some electrochemical technologies are more suitable than others for electric bill management applications, and that a profit for the customer can be reached only with a significant difference between high and low electricity prices or when high peak demand charges are applied. - Highlights: •We examine the convenience of using BESS to reduce customer electricity bill. •We make a comparison among different types of batteries for end-user applications. •We evaluate the convenience of using storage in presence of demand charges. •A parametric analysis changing the BESS cost, electricity prices and demand charges has been carried out. •A case study is performed to show the advantages/disadvantages of this approach.

  1. Vaccine financing and billing in practices serving adult patients: A follow-up survey.

    Science.gov (United States)

    Lindley, Megan C; Hurley, Laura P; Beaty, Brenda L; Allison, Mandy A; Crane, Lori A; Brtnikova, Michaela; Snow, Megan; Bridges, Carolyn B; Kempe, Allison

    2018-02-14

    Financial concerns are often cited by physicians as a barrier to administering routinely recommended vaccines to adults. The purpose of this study was to assess perceived payments and profit from administering recommended adult vaccines and vaccine purchasing practices among general internal medicine (GIM) and family medicine (FM) practices in the United States. We conducted an interviewer-administered survey from January-June 2014 of practices stratified by specialty (FM or GIM), affiliation (standalone or ≥ 2 practice sites), and level of financial decision-making (independent or larger system level) in FM and GIM practices that responded to a previous survey on adult vaccine financing and provided contact information for follow-up. Practice personnel identified as knowledgeable about vaccine financing and billing responded to questions about payments relative to vaccine purchase price and payment for vaccine administration, perceived profit on vaccination, claim denial, and utilization of various purchasing strategies for private vaccine stocks. Survey items on payment and perceived profit were assessed for various public and private payer types. Descriptive statistics were calculated and responses compared by physician specialty, practice affiliation, and level of financial decision-making. Of 242 practices approached, 43% (n = 104) completed the survey. Reported payment levels and perceived profit varied by payer type. Only for preferred provider organizations did a plurality of respondents report profiting on adult vaccination services. Over half of respondents reported losing money vaccinating adult Medicaid beneficiaries. One-quarter to one-third of respondents reported not knowing about Medicare Part D payment levels for vaccine purchase and vaccine administration, respectively. Few respondents reported negotiating with manufacturers or insurance plans on vaccine purchase prices or payments for vaccination. Practices vaccinating adults may

  2. Living on the edge: demography of the slender-billed gull in the Western Mediterranean.

    Directory of Open Access Journals (Sweden)

    Ana Sanz-Aguilar

    Full Text Available Small and peripheral populations are typically vulnerable to local extinction processes but important for the metapopulation dynamics of species. The Slender-billed gull (Chroicocephalus genei is a long-lived species breeding in unstable ephemeral coastal habitats. Their Western Mediterranean populations are relatively small and represent the edge of their global geographical distribution. At a local scale, using long-term data (14 years on annual breeding success and capture-resights of marked individuals, we estimated and compared the vital rates and evaluated the connectivity of two Spanish populations (Ebro Delta and Doñana varying in their local environmental conditions. At a metapopulation scale, we analyzed 22 years of data on breeding numbers to predict their future prospects by means of population demographic models. Local survival and breeding success of gulls from the Ebro Delta was lower than those from Doñana, which is likely the result of higher permanent emigration and/or winter mortality in the former. Gulls from the Ebro Delta wintered mostly in Mediterranean areas whereas those from Doñana did so in Atlantic coasts, where food availability is higher. Whereas adult local survival was constant, juvenile local survival showed temporal parallel variations between colonies, probably related to natal dispersal to other breeding colonies. Our results suggested that dispersal was higher at the Ebro Delta and gulls emigrating from their natal colonies settled preferentially in close patches. We found large fluctuations in breeding numbers among local populations probably related to the fact that the Slender-billed gull is a species adapted to unstable and unpredictable habitats with high abilities to disperse between suitable patches depending on environmental stochastic conditions during breeding.

  3. Clean water billing monitoring system using flow liquid meter sensor and SMS gateway

    Science.gov (United States)

    Fahmi, F.; Hizriadi, A.; Khairani, F.; Andayani, U.; Siregar, B.

    2018-03-01

    Public clean water company (PDAM) as a public service is designed and organized to meet the needs of the community. Currently, the number of PDAM subscribers is very big and will continue to grow, but the service and facilities to customers are still done conventionally by visiting the customer’s home to record the last position of the meter. One of the problems of PDAM is the lack of disclosure of PDAM customers’ invoice because it is only done monthly. This, of course, makes PDAM customers difficult to remember the date of payment of water account. Therefore it is difficult to maintain the efficiency. The purpose of this research is to facilitate customers of PDAM water users to know the details of water usage and the time of payment of water bills easily. It also facilitates customers in knowing information related to the form of water discharge data used, payment rates, and time grace payments using SMS Gateway. In this study, Flow Liquid Meter Sensor was used for data retrieval of water flowing in the piping system. Sensors used to require the help of Hall Effect sensor that serves to measure the speed of water discharge and placed on the pipe that has the same diameter size with the sensor diameter. The sensor will take the data from the rate of water discharge it passes; this data is the number of turns of the mill on the sensor. The results of the tests show that the built system works well in helping customers know in detail the amount of water usage in a month and the bill to be paid

  4. 基于互联网票据理财谈商业银行票据资管%Commercial Bank's Bill Asset Management Based on Internet Bill Financing

    Institute of Scientific and Technical Information of China (English)

    艾瑶

    2015-01-01

    本文运用比较分析的方法对当前主要的互联网票据理财平台的运作模式归纳总结,并以阿里招财宝为例详细分析银行角色和风险,最后从票据电子化、发挥银行票源优势、组建银行系票据理财平台等方面提出建议,以期对商业银行的票据资产管理业务提供启发.%In this paper, we use the method of comparative analysis to summarize the operation mode of the main Internet bills financing platforms, and analyze the role and risk of the bank in detail by taking Ali trick treasure as an example. Finally, the paper puts forward suggestions on Commercial bank's bill asset management from the aspects of the electronic bills, the bank's ticket source and the formation of Bank bill financing platform.

  5. Are we disabling climate science in southern Africa? : A brief consideration of the draft South African Weather Service Amendment Bill

    CSIR Research Space (South Africa)

    Archer van Garderen, Emma RM

    2013-01-01

    Full Text Available , submissions from both individuals and organizations were made to Parliament’s Portfolio Committee on Water and Environmental Affairs, initiating a period of lively debate in mainstream and social media communities – resulting (in part) in the bill being...

  6. Breeding Biology of Critically Endangered Long-billed Vulture (Gyps indicus at a Unique Site in Telangana State, India

    Directory of Open Access Journals (Sweden)

    Ravikanth Manchiryala

    2016-04-01

    Full Text Available Out of nine species of vultures, the population of three Gyps species, White-backed Vulture (Gyps bengalensis, Slender-billed Vulture (Gyps tenuirostris and Long-billed Vulture (Gyps indicus has declined drastically by 99% over the past decade (Prakash, 1999. The Gyps vultures' population declined in India by 97% and by 92% in Pakistan (Virani, 2006, Prakash et al., 2012. Possibly the widespread usage of Diclofenac drug in the animal led to the rapid population decline for these Vultures (Green et al., 2004. The Long-billed Vulture G. indicus is a bald headed vulture with very broad wings and short tail feathers, having no sexual dimorphism. In Malabar hills region of India the breeding season of Long-billed Vultures was noted to be November to May where it breed mainly on cliffs (Edward, 1915. Presently, it is in the most critical category of endangerment, listed in Schedule-I of the Indian Wildlife Protection Act-1972 followed by IUCN, 2015 (http://www.iucnredlist.org/details/22729731/0. The Andhra Pradesh State Biodiversity Board, Hyderabad announced that vultures are already 'Extinct' in the state (Medicheti, 2013.

  7. 3 CFR 8464 - Proclamation 8464 of December 9, 2009. Human Rights Day, Bill of Rights Day, And Human Rights...

    Science.gov (United States)

    2010-01-01

    ... culture is unique, certain rights are universal: the freedom of people—including women and ethnic and... 3 The President 1 2010-01-01 2010-01-01 false Proclamation 8464 of December 9, 2009. Human Rights Day, Bill of Rights Day, And Human Rights Week, 2009 8464 Proclamation 8464 Presidential Documents...

  8. Bill Lang's contributions to acoustics at the International Business Machines Corp. (IBM) and to IBM in general

    Science.gov (United States)

    Nobile, Matthew A.; Chu, Richard C.

    2005-09-01

    Although Bill Lang's accomplishments and key roles in national and international standards and in the formation of INCE are widely recognized, sometimes it has to be remembered that for nearly 35 years he also had a ``day job'' at the IBM Corporation. His achievements at IBM were no less significant and enduring than those in external standards and professional societies. This paper will highlight some of the accomplishments and activities of Bill Lang as an IBM noise control engineer, the creator of the IBM Acoustics Lab in Poughkeepsie, the founder of the global Acoustics program at IBM, and his many other IBM leadership roles. Bill was also a long-serving IBM manager, with the full set of personnel issues to deal with, so his people-management skills were often called into play. Bill ended his long and fruitful IBM career at a high point. In 1988, he took an original idea of his to the top of IBM executive management, which led directly to the formation of the IBM Academy of Technology, today the preeminent body of IBM top technical leaders from around the world.

  9. Rights of the Accused: Criminal Amendments in the Bill of Rights. A Compilation of Lessons by Minnesota Teachers.

    Science.gov (United States)

    Bloom, Jennifer, Ed.

    The 36 lessons collected in this publication are designed to introduce students to the rights of the accused and provide a scholarly study of these rights, exploring historical development as well as current application. Lessons are provided for all grade levels. The topics covered include the Bill of Rights, criminal rights amendments, juvenile…

  10. 77 FR 36569 - Endangered and Threatened Wildlife and Plants; Thick-Billed Parrot Draft Recovery Plan Addendum

    Science.gov (United States)

    2012-06-19

    ...). In Mexico, this species occurs in the States of Chihuahua, Sonora, Durango, Jalisco, Colima, and... elevations of the Sierra Madre Occidental of Mexico, extending from northwestern Chihuahua and northeastern.... Thick-billed parrots migrate seasonally from their primary breeding (summering) grounds in Chihuahua to...

  11. 41 CFR 102-118.165 - What must my agency do if it finds an error on a TSP bill?

    Science.gov (United States)

    2010-07-01

    ..., payment voucher number, complete tender or tariff authority, the applicable rate authority and the... TRANSPORTATION 118-TRANSPORTATION PAYMENT AND AUDIT Ordering and Paying for Transportation and Transportation... writing within 7 days of receipt of the bill, as required by the Prompt Payment Act (31 U.S.C. 3901, et...

  12. A simple distributed mechanism for accounting system self-configuration in next-generation charging and billing

    NARCIS (Netherlands)

    Kuehne, Ralph; Huitema, George; Carle, Georg

    2011-01-01

    Modern communication systems are becoming increasingly dynamic and complex. In this article a novel mechanism for next generation charging and billing is presented that enables self-configurability for accounting systems consisting of heterogeneous components. The mechanism is required to be simple,

  13. Law bill relative to the fight against the proliferation of weapons of mass destruction and of their vectors

    International Nuclear Information System (INIS)

    2009-05-01

    The existing French legislation about the prevention and repression of proliferation actions is complex and includes some loopholes in some particular proliferation-related situations. Therefore, this bill aims at improving this situation by reinforcing the efficiency, the consistency and the dissuasive nature of the French legislation in this domain. (J.S.)

  14. Bill project related to the struggle against the proliferation of arms of massive destruction and their vectors

    International Nuclear Information System (INIS)

    2011-01-01

    This bill project addresses several issues: the struggle against proliferation of arms of massive destruction (nuclear weapons, nuclear materials, biological weapons, and chemical weapons), the struggle against proliferation of vectors of arms of massive destruction, double-use goods, the use of these weapons and vectors in acts of terrorism

  15. Crimes amendment (Zoe's law) Bill 2013 (No 2): paradoxical commercial impacts of the conservative agenda on fetal rights.

    Science.gov (United States)

    Bricknell, Roseanna; Faunce, Thomas

    2014-12-01

    In 2013, Liberal MP Chris Spence introduced a Private Member's Bill to the New South Wales Parliament, reinvigorating an earlier Bill introduced by Christian Democrat MP Fred Nile. If passed, the Bill would have bestowed legal personhood on fetuses of 20 weeks or more for the purpose of grievous bodily harm offences in the Crimes Act 1900 (NSW). The Bill had the potential to undermine freedom of choice for women in relation to abortions prior to the point of viability (capacity for fetal existence outside the womb) as well as other decisions concerning pregnancy and childbirth. One hypothesis is that legislative measures such as this that support the rights of the fetus are well intentioned initiatives by those for whom the fetus is an essentially independent entity or symbol of innocence and moral purity whose existence must be protected over and above the interests and independent decision-making capacity of the mother. This column explores this hypothesis in the context of the paradoxical negative commercial implications of such legislation on multiple areas involving fetal-maternal interaction including surrogacy.

  16. 78 FR 59228 - Sale and Issue of Marketable Book-Entry Treasury Bills, Notes, and Bonds; Corrections

    Science.gov (United States)

    2013-09-26

    ... and Issue of Marketable Book-Entry Treasury Bills, Notes, and Bonds; Corrections AGENCY: Fiscal... accommodate the public offering of floating rate notes. This document corrects the final regulations by.... Accordingly, 31 CFR part 356 is corrected by making the following correcting amendments: PART 356--SALE AND...

  17. What Makes a Good Teacher? The Bill & Melinda Gates Foundation Digs for Answers with Its Measures of Effective Teaching Project

    Science.gov (United States)

    Hirsh, Stephanie

    2011-01-01

    Vicki Phillips from the Bill & Melinda Gates Foundation talks with Learning Forward about the foundation's investment in effective teaching and the role of professional learning. Phillips said great teachers are the most important school-based ingredient for student success. So they are committed to ensuring teachers have the supports and tools…

  18. What Does C-51 Mean for Academic Freedom & Campus Free Speech? CAUT Analysis of Bill C-51

    Science.gov (United States)

    Canadian Association of University Teachers, 2015

    2015-01-01

    Bill C-51, the Canadian federal government's "Anti-Terrorism Act," has sparked serious concerns about the potential impact on the basic civil liberties of all Canadians. The proposed legislation would establish criminal offences that infringe upon the right to free expression. Security agencies would be granted unprecedented and…

  19. Report on the bill project related to the struggle against proliferation of weapons of mass destruction and their delivery systems

    International Nuclear Information System (INIS)

    2010-01-01

    In a first part presenting the various forms of proliferations, the author first gives a quantitative overview of illegal activities concerning nuclear materials, and then discusses the existence and activities of proliferation networks, explaining how international trade liberalization creates a favourable context for proliferations of any kind, and describing how a typical network is organised. He also discusses the example of Iraq and the case of the network created by the Pakistani scientist Abdul Q. Khan. The risk created by the hypothetical relationship between terrorism and nuclear weapon of mass destruction is also questioned. Then, after having recalled the existing international texts and the present national legislation, the author comments the contribution on the bill project and outlines aspects which are not dealt with by this bill project: radiological devices and cybernetic attacks. Then he reports the comments made by the commission on the bill project articles which define interdictions, sanctions and sentences, or procedures against people or organisations involved in the financing or the use of weapons of mass destruction (biological and chemical). A table gives a comparison between the bill project text and the commission's propositions

  20. Effects of implementing electronic medical records on primary care billings and payments: a before-after study.

    Science.gov (United States)

    Jaakkimainen, R Liisa; Shultz, Susan E; Tu, Karen

    2013-09-01

    Several barriers to the adoption of electronic medical records (EMRs) by family physicians have been discussed, including the costs of implementation, impact on work flow and loss of productivity. We examined billings and payments received before and after implementation of EMRs among primary care physicians in the province of Ontario. We also examined billings and payments before and after switching from a fee-for-service to a capitation payment model, because EMR implementation coincided with primary care reform in the province. We used information from the Electronic Medical Record Administrative Data Linked Database (EMRALD) to conduct a retrospective before-after study. The EMRALD database includes EMR data extracted from 183 community-based family physicians in Ontario. We included EMRALD physicians who were eligible to bill the Ontario Health Insurance Plan at least 18 months before and after the date they started using EMRs and had completed a full 18-month period before Mar. 31, 2011, when the study stopped. The main outcome measures were physicians' monthly billings and payments for office visits and total annual payments received from all government sources. Two index dates were examined: the date physicians started using EMRs and were in a stable payment model (n = 64) and the date physicians switched from a fee-for-service to a capitation payment model (n = 42). Monthly billings and payments for office visits did not decrease after the implementation of EMRs. The overall weighted mean annual payment from all government sources increased by 27.7% after the start of EMRs among EMRALD physicians; an increase was also observed among all other primary care physicians in Ontario, but it was not as great (14.4%). There was a decline in monthly billings and payments for office visits after physicians changed payment models, but an increase in their overall annual government payments. Implementation of EMRs by primary care physicians did not result in decreased

  1. Effects of implementing electronic medical records on primary care billings and payments: a before–after study

    Science.gov (United States)

    Shultz, Susan E.; Tu, Karen

    2013-01-01

    Background Several barriers to the adoption of electronic medical records (EMRs) by family physicians have been discussed, including the costs of implementation, impact on work flow and loss of productivity. We examined billings and payments received before and after implementation of EMRs among primary care physicians in the province of Ontario. We also examined billings and payments before and after switching from a fee-for-service to a capitation payment model, because EMR implementation coincided with primary care reform in the province. Methods We used information from the Electronic Medical Record Administrative Data Linked Database (EMRALD) to conduct a retrospective before–after study. The EMRALD database includes EMR data extracted from 183 community-based family physicians in Ontario. We included EMRALD physicians who were eligible to bill the Ontario Health Insurance Plan at least 18 months before and after the date they started using EMRs and had completed a full 18-month period before Mar. 31, 2011, when the study stopped. The main outcome measures were physicians’ monthly billings and payments for office visits and total annual payments received from all government sources. Two index dates were examined: the date physicians started using EMRs and were in a stable payment model (n = 64) and the date physicians switched from a fee-for-service to a capitation payment model (n = 42). Results Monthly billings and payments for office visits did not decrease after the implementation of EMRs. The overall weighted mean annual payment from all government sources increased by 27.7% after the start of EMRs among EMRALD physicians; an increase was also observed among all other primary care physicians in Ontario, but it was not as great (14.4%). There was a decline in monthly billings and payments for office visits after physicians changed payment models, but an increase in their overall annual government payments. Interpretation Implementation of EMRs by

  2. Historic and contemporary mercury exposure and potential risk to yellow-billed loons (Gavia adamsii) breeding in Alaska and Canada

    Science.gov (United States)

    Evers, David C.; Schmutz, Joel A.; Basu, Niladri; DeSorbo, Christopher R.; Fair, Jeff; Gray, Carrie E.; Paruk, James D.; Perkins, Marie; Regan, Kevin; Uher-Koch, Brian D.; Wright, Kenneth G.

    2014-01-01

    The Yellow-billed Loon (Gavia adamsii) is one of the rarest breeding birds in North America. Because of the small population size and patchy distribution, any stressor to its population is of concern. To determine risks posed by environmental mercury (Hg) loads, we captured 115 Yellow-billed Loons between 2002 and 2012 in the North American Arctic and sampled their blood and/or feather tissues and collected nine eggs. Museum samples from Yellow-billed Loons also were analyzed to examine potential changes in Hg exposure over time. An extensive database of published Hg concentrations and associated adverse effects in Common Loons (G. immer) is highly informative and representative for Yellow-billed Loons. Blood Hg concentrations reflect dietary uptake of methylmercury (MeHg) from breeding areas and are generally considered near background levels if less than 1.0 µg/g wet weight (ww). Feather (grown at wintering sites) and egg Hg concentrations can represent a mix of breeding and wintering dietary uptake of MeHg. Based on Common Loon studies, significant risk of reduced reproductive success generally occurs when adult Hg concentrations exceed 2.0 µg/g ww in blood, 20.0 µg/g fresh weight (fw) in flight feathers and 1.0 µg/g ww in eggs. Contemporary mercury concentrations for 176 total samples (across all study sites for 115 Yellow-billed Loons) ranged from 0.08 to 1.45 µg/g ww in blood, 3.0 to 24.9 µg/g fw in feathers and 0.21 to 1.23 µg/g ww in eggs. Mercury concentrations in blood, feather and egg tissues indicate that some individual Yellow-billed Loons in breeding populations across North America are at risk of lowered productivity resulting from Hg exposure. Most Yellow-billed Loons breeding in Alaska overwinter in marine waters of eastern Asia. Although blood Hg concentrations from most breeding loons in Alaska are within background levels, some individuals exhibit elevated feather and egg Hg concentrations, which likely indicate the uptake of Me

  3. SEI nuclear technology findings by the Stafford Synthesis Group

    International Nuclear Information System (INIS)

    Buden, D.

    1991-01-01

    Nuclear propulsion is key to reducing travel time to Mars, greatly reducing the mass in low Earth orbit, and enhancing schedule flexibility by increasing the Earth orbit departure launch window. Nuclear thermal rockets have twice to three times the performance of the best chemical rockets. This directly translates into reduced trip times and lower mass in low Earth orbit. Trip times of < 400 days in space are possible, a limitation if restricted to chemical propulsion. Psychological, physiological and radiological problems are significant issues for long mission times. The psychology of being cooped up so long in a minimum-sized capsule is cause for concern - much longer than considered healthy for nuclear submarine crews. The effects of long-term weightlessness are being debated. Short trip times eliminate the need for artificial gravity. The largest uncertainty is the effect of galactic radiation that will expose the crew to high levels of radiation for as much as 60 rem/yr

  4. DIGITAL FLOOD INSURANCE RATE MAP DATABASE, Stafford County , VIRGINIA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Digital Flood Insurance Rate Map (DFIRM) Database depicts flood risk information and supporting data used to develop the risk data. The primary risk...

  5. S. 2844: A Bill to provide for radon testing. Introduced in the Senate of the United States, One Hundredth Congress, Second Session, September 29, 1988

    International Nuclear Information System (INIS)

    Anon.

    1988-01-01

    Bill S. 2844 provides for radon testing and is cited as the Department of Housing and Urban Development Policy Act. The bill provides the Department of Housing and Urban Development (HUD) with a mandate to establish a departmental radon policy and program. The department will be required to use its programs to assist the Environmental Protection Agency (EPA) address radon contamination. The bill also requires HUD, in coordination with the EPA, to develop a radon assessment and mitigation program which utilizes EPA recommended guidelines and standards to ensure that occupants of housing covered under this act are not exposed to elevated levels of radon. The entire contents of the bill are presented in eight sections entitled: Short Title, findings, Purpose, Definitions, Program, Information, Cooperation with Environmental Protection Agency, and Authorization. The bill was referred to the Committee on Banking, Housing and Urban Affairs

  6. THE “NAKED FACE” OF SECULAR EXCLUSION: BILL 94 AND THE PRIVATIZATION OF BELIEF

    Directory of Open Access Journals (Sweden)

    Pascale Fournier

    2012-02-01

    Full Text Available This article will consider the case study of Québec’s Bill 94 (An Act to establish guidelines governing accommodation requests within the Administration and certain institutions, introduced in March 2010, one of many recent bans imposed on the wearing of the niqab in the West. Citing the importance of “the right to gender equality and the principle of religious neutrality of the State,” Bill 94 emphasizes the necessity of “un visage découvert” or “naked face” when giving or receiving a broad range of public services in Québec, including all government services, childcare centres, hospitals, and health and social service agencies. According to section 6 of the Act, “If an accommodation involves an adaptation of that practice and reasons of security, communication or identification warrant it, the accommodation must be denied.” While quasi-neutral, this bill clearly has a disproportionate impact on religious women who wear the niqab. In fact, as a direct result of the legislation, Muslim women will likely disappear from the public sphere and be restricted to the private home where they might effectively be dependent on male family members to navigate the “market place” on their behalf. Borrowing from Charles Taylor’s A Secular Age, this paper will consider the distributive consequences of the niqab ban, a critical juncture of “religion-state relations” in which belief is more and more relegated to the private sphere in Quebec. The article will use Bill 94 to explore this peculiar manifestation of “secularism” with the concurrent existence of “governance feminism”— how the privatization of belief goes hand in hand and is perversely reinforced by a colonial discourse on gender equality, leaving some already marginalized women out of the public gaze. Is this legislated demand for a “naked face” truly the logical outcome of a successful feminist movement (as some have asserted or isthis erasure of religious

  7. Tissue distribution of metals in white-fronted geese and spot-billed ducks from Korea.

    Science.gov (United States)

    Kim, Jungsoo; Oh, Jong-Min

    2013-07-01

    This study presents concentrations of Fe, Zn, Mn, Cu, Pb and Cd in livers, kidneys, muscles and bones of white-fronted geese Anser albifrons (geese) and spot-billed ducks Anas poecilorhyncha (ducks). Iron in livers, kidneys and muscles, Zn in muscles, Mn and Cd in every tissue, Cu in livers, muscles and bones and Pb in bones differed between species, and there were significant differences among tissues in both species. Essential elements such as Fe, Zn, Mn and Cu concentrations were within the background levels. Lead concentrations in livers of 7 of 14 geese and 7 of 19 ducks and in bones of 4 of 19 ducks exceeded background concentrations for waterfowl (5 μg/g dw for the liver, 10 μg/g dw for the bone). Almost all samples of both species had the background Cd concentrations in the liver (33 of 33 geese and ducks) and kidney (14 geese and 18 ducks). Tissue concentrations of Cd were greater in geese than ducks. In contrast, tissue concentrations of Pb in bones were greater in ducks than in geese. These different trends for Cd and Pb reflect a short and/or long term difference in exposure and degree of accumulation of these metals.

  8. Microbial pollution in wildlife: Linking agricultural manuring and bacterial antibiotic resistance in red-billed choughs.

    Science.gov (United States)

    Blanco, Guillermo; Lemus, Jesús A; Grande, Javier

    2009-05-01

    The spread of pathogens in the environment due to human activities (pathogen pollution) may be involved in the emergence of many diseases in humans, livestock and wildlife. When manure from medicated livestock and urban effluents is spread onto agricultural land, both residues of antibiotics and bacteria carrying antibiotic resistance may be introduced into the environment. The transmission of bacterial resistance from livestock and humans to wildlife remains poorly understood even while wild animals may act as reservoirs of resistance that may be amplified and spread in the environment. We determined bacterial resistance to antibiotics in wildlife using the red-billed chough Pyrrhocorax pyrrhocorax as a potential bioindicator of soil health, and evaluated the role of agricultural manuring with waste of different origins in the acquisition and characteristics of such resistance. Agricultural manure was found to harbor high levels of bacterial resistance to multiple antibiotics. Choughs from areas where manure landspreading is a common agricultural practice harbor a high bacterial resistance to multiple antibiotics, resembling the resistance profile found in the waste (pig slurry and sewage sludge) used in each area. The transfer of bacterial resistance to wildlife should be considered as an important risk for environmental health when agricultural manuring involves fecal material containing multiresistant enteric bacteria including pathogens from livestock operations and urban areas. The assessment of bacterial resistance in wild animals may be valuable for the monitoring of environmental health and for the management of emergent infectious diseases influenced by the impact of different human activities in the environment.

  9. Uncertain sightings and the extinction of the Ivory-billed Woodpecker.

    Science.gov (United States)

    Solow, Andrew; Smith, Woollcott; Burgman, Mark; Rout, Tracy; Wintle, Brendan; Roberts, David

    2012-02-01

    The extinction of a species can be inferred from a record of its sightings. Existing methods for doing so assume that all sightings in the record are valid. Often, however, there are sightings of uncertain validity. To date, uncertain sightings have been treated in an ad hoc way, either excluding them from the record or including them as if they were certain. We developed a Bayesian method that formally accounts for such uncertain sightings. The method assumes that valid and invalid sightings follow independent Poisson processes and use noninformative prior distributions for the rate of valid sightings and for a measure of the quality of uncertain sightings. We applied the method to a recently published record of sightings of the Ivory-billed Woodpecker (Campephilus principalis). This record covers the period 1897-2010 and contains 39 sightings classified as certain and 29 classified as uncertain. The Bayes factor in favor of extinction was 4.03, which constitutes substantial support for extinction. The posterior distribution of the time of extinction has 3 main modes in 1944, 1952, and 1988. The method can be applied to sighting records of other purportedly extinct species. ©2011 Society for Conservation Biology.

  10. Performance Analysis of Secure and Private Billing Protocols for Smart Metering

    Directory of Open Access Journals (Sweden)

    Tom Eccles

    2017-11-01

    Full Text Available Traditional utility metering is to be replaced by smart metering. Smart metering enables fine-grained utility consumption measurements. These fine-grained measurements raise privacy concerns due to the lifestyle information which can be inferred from the precise time at which utilities were consumed. This paper outlines and compares two privacy-respecting time of use billing protocols for smart metering and investigates their performance on a variety of hardware. These protocols protect the privacy of customers by never transmitting the fine-grained utility readings outside of the customer’s home network. One protocol favors complexity on the trusted smart meter hardware while the other uses homomorphic commitments to offload computation to a third device. Both protocols are designed to operate on top of existing cryptographic secure channel protocols in place on smart meters. Proof of concept software implementations of these protocols have been written and their suitability for real world application to low-performance smart meter hardware is discussed. These protocols may also have application to other privacy conscious aggregation systems, such as electronic voting.

  11. New science, old convictions - Texas Senate Bill 344: identifying further necessary reform in forensic science.

    Science.gov (United States)

    Soni, Naina

    2015-02-01

    In June 2013, Texas Senate Bill 344 (SB 344) was signed into law after strong Innocence Project support. SB 344 has since transformed the Texan judicial landscape. Known as the 'Junk Science Writ', SB 344 enables the court to grant habeas corpus relief based on scientific evidence that '(1) was not available to be offered by a convicted person at the convicted person's trial; or (2) contradicts scientific evidence relied on by the state at trial'. Inmates, such as the 'San Antonio Four', whose convictions were based upon what is now considered 'faulty' medical and forensic testimony, have been released under SB 344. Yet, science, as a field dependent on innovation, is inherently prone to debunking the scientific and forensic methods the law has relied upon to convict individuals. This commentary identifies policy behind SB 344, how SB 344 may influence the perception of science in the courtroom, and how 'junk science' is defined and/or limited. Furthermore, this commentary concludes that to achieve justice in the legal system through habeas relief based on 'junk science', it is necessary to revitalize and standardize forensic science.

  12. New science, old convictions − Texas Senate Bill 344: identifying further necessary reform in forensic science

    Science.gov (United States)

    Soni, Naina

    2015-01-01

    In June 2013, Texas Senate Bill 344 (SB 344) was signed into law after strong Innocence Project support. SB 344 has since transformed the Texan judicial landscape. Known as the ‘Junk Science Writ’, SB 344 enables the court to grant habeas corpus relief based on scientific evidence that ‘(1) was not available to be offered by a convicted person at the convicted person's trial; or (2) contradicts scientific evidence relied on by the state at trial’. Inmates, such as the ‘San Antonio Four’, whose convictions were based upon what is now considered ‘faulty’ medical and forensic testimony, have been released under SB 344. Yet, science, as a field dependent on innovation, is inherently prone to debunking the scientific and forensic methods the law has relied upon to convict individuals. This commentary identifies policy behind SB 344, how SB 344 may influence the perception of science in the courtroom, and how ‘junk science’ is defined and/or limited. Furthermore, this commentary concludes that to achieve justice in the legal system through habeas relief based on ‘junk science’, it is necessary to revitalize and standardize forensic science. PMID:27774192

  13. From Bill Shankly to the Huffington Post: How to Increase Critical Thinking in Experimental Psychology Course?

    Directory of Open Access Journals (Sweden)

    Emilie eLacot

    2016-04-01

    Full Text Available Although critical thinking and source checking are basic prerequisites to become a psychologist, or a scientist, it is usually difficult to have students interested in experimental methods courses. Most first year students are tempted not to attend these courses. Such behaviors are reinforced by arguments that everybody is different and people are not numbers. Consequently, students have difficulties to develop source and evidence checking skills, and may be more prone to believe in any supposed expert. This paper presents two ways to involve students during lectures and seminars. The first method consists in presenting, during the initial lecture of the year, a fake scientific concept which students will believe as true. This phenomenon is called the Bill Shankly syndrome and it only exists if someone believes that the information is given by a serious lecturer, presenting oneself as a world-class researcher. The second method consists in training students to become reviewers using evidence checking of a mainstream media article which promises scientifically proven ways to be happy. The use of these methods may stimulate students’ interest in research methods and its practical applications from week one.

  14. Computer aided process planning system based on workflow technology and integrated bill of material tree

    Institute of Scientific and Technical Information of China (English)

    LU Chun-guang; MENG Li-li

    2006-01-01

    It is extremely important for procedure of process design and management of process data for product life cycle in Computer Aided Process Planning (CAPP) system,but there are many shortcomings with traditional CAPP system in these respects.To solve these questions,application of workflow technology in CAPP system based on web-integrated Bill of Material (BOM) tree is discussed,and a concept of integrated BOM tree was brought forward.Taking integrated BOM as the thread,CAPP systematic technological process is analyzed.The function,system architecture,and implementation mechanism of CAPP system based on Browser/Server and Customer/Server model are expatiated.Based on it,the key technologies of workflow management device were analyzed.Eventually,the implementation mechanism of integrated BOM tree was analyzed from viewpoints of material information encoding,organization node design of integrated BOM tree,transformation from Engineering BOM (EBOM)to Process BOM (PBOM),and the programming implementation technology.

  15. California's greenhouse gas law, Assembly Bill 1493: Deficiencies, alternatives, and implications for regulatory climate policy

    International Nuclear Information System (INIS)

    Johnson, Kenneth C.

    2007-01-01

    California's Air Resources Board has finalized regulations implementing Assembly Bill (AB) 1493, which requires 'maximum feasible and cost-effective reduction of greenhouse gas emissions from motor vehicles'. By 2030, when California's light-duty vehicle stock has been substantially replaced by regulation-compliant vehicles, total emissions from regulated vehicles are projected to be reduced by 27% relative to 'business-as-usual', but are nevertheless expected to be 8.7% higher than 2004 emissions. If an 8.7% increase truly represents the 'maximum feasible and cost-effective' emissions reduction from transportation vehicles, then global climate stabilization clearly will not be attained within limits of 'feasibility' and 'cost-effectiveness', and climate sustainability will only be achievable through severely draconian measures. On the other hand, if significantly greater emissions reduction would be feasible and cost-effective, then the AB 1493 regulations fail to satisfy the legislative policy mandate and the task is to find a regulatory mechanism that will. The thesis of this paper is that the regulations do not satisfy the mandate for several reasons, the most important being the conflicting policy objectives of the 'cost-constrained' legislative mandate and the 'quantity-constrained', standard-based regulatory instrument. An alternative policy instrument that would better fit legislative policy and environmental objectives would be a feebate-type system (although not necessarily a conventional vehicle feebate)

  16. The Bill & Melinda Gates Foundation's grant-making programme for global health.

    Science.gov (United States)

    McCoy, David; Kembhavi, Gayatri; Patel, Jinesh; Luintel, Akish

    2009-05-09

    The Bill & Melinda Gates Foundation is a major contributor to global health; its influence on international health policy and the design of global health programmes and initiatives is profound. Although the foundation's contribution to global health generally receives acclaim, fairly little is known about its grant-making programme. We undertook an analysis of 1094 global health grants awarded between January, 1998, and December, 2007. We found that the total value of these grants was US$8.95 billion, of which $5.82 billion (65%) was shared by only 20 organisations. Nevertheless, a wide range of global health organisations, such as WHO, the GAVI Alliance, the World Bank, the Global Fund to Fight AIDS, Tuberculosis and Malaria, prominent universities, and non-governmental organisations received grants. $3.62 billion (40% of all funding) was given to supranational organisations. Of the remaining amount, 82% went to recipients based in the USA. Just over a third ($3.27 billion) of funding was allocated to research and development (mainly for vaccines and microbicides), or to basic science research. The findings of this report raise several questions about the foundation's global health grant-making programme, which needs further research and assessment.

  17. Assessment of metal concentrations in sediment samples from Billings Reservoir, Rio Grande tributary, Sao Paulo, Brazil

    International Nuclear Information System (INIS)

    Bostelmann, Eleine

    2006-01-01

    The present study chemically characterized sediment samples from the Billings reservoir, Rio Grande tributary, in the Metropolitan region of Sao Paulo, by determining metal concentration and other elements of interest. The chosen chemical parameters for this characterization were Aluminum, Arsenic, Barium, Cadmium, Copper, Chromium, Iron, Lead, Manganese, Mercury, Nickel, Selenium and Zinco. These parameters are also used in the water quality index, with the exception of Selenium. The concentrations were determined through different analytical techniques such as atomic absorption spectrometry (FAAS, GFAAS and CVAAS), optical emission spectrometry (ICP OES) and neutron activation analysis. These analytical methodologies were assessed for precision, accuracy and detection and/or quantification limits for the sediment elements in question. Advantages and disadvantages of each technique for each element and its concentration were also discussed. From these assessments the most adequate technique was selected for the routine analysis of sediment samples for each element concentration determination. This assessment verified also that digestion in a closed microwave system with nitric acid is efficient for the evaluation of extracted metals of environmental interest. The analytical techniques chosen were equally efficient for metals determination. In the case of Cd and Pb, the FAAS technique was selected due to better results than ICP OES, as it does not present matrix interference. The concentration values obtained for metals As, Cd, Cu, Cr, Hg, Ni, Pb and Zn in the sediment samples were compared to Canadian Council of Minister of the Environment (CCME) TEL and PEL values. (author)

  18. Assessment of metal concentrations in sediment samples from Billings reservoir, Rio Grande tributary, Sao Paulo, Brazil

    International Nuclear Information System (INIS)

    Bostelmann, Eleine

    2006-01-01

    The present study chemically characterized sediment samples from the Billings reservoir, Rio Grande tributary, in the Metropolitan region of Sao Paulo, by determining metal concentration and other elements of interest. The chosen chemical parameters for this characterization were Aluminum, Arsenic, Barium, Cadmium, Copper, Chromium, Iron, Lead, Manganese, Mercury, Nickel, Selenium and Zinc. These parameters are also used in the water quality index, with the exception of Selenium. The concentrations were determined through different analytical techniques such as atomic absorption spectrometry (FAAS, GFAAS and CVAAS), optical emission spectrometry (ICP OES) and neutron activation analysis. These analytical methodologies were assessed for precision, accuracy and detection and/or quantification limits for the sediment elements in question. Advantages and disadvantages of each technique for each element and its concentration were also discussed. From these assessment the most adequate technique was selected for the routine analysis of sediment samples for each element concentration determination. This assessment verified also that digestion in a closed microwave system with nitric acid is efficient for the evaluation of extracted metals of environmental interest. The analytical techniques chosen were equally efficient for metals determination. In the case of Cd and Pb, the FAAS technique was selected due to better results than ICP OES, as it does not present matrix interference. The concentration values obtained for metals As, Cd, Cu, Cr, Hg, Ni, Pb and Zn in the sediment samples were compared to Canadian Council of Minister of the Environment (CCME) TEL and PEL values. (author)

  19. Components of an Anticancer Diet: Dietary Recommendations, Restrictions and Supplements of the Bill Henderson Protocol

    Directory of Open Access Journals (Sweden)

    Laurie Heilman Bell

    2010-12-01

    Full Text Available The use of complementary and alternative medicines including dietary supplements, herbals and special diets to prevent or treat disease continues to be popular. The following paper provides a description of an alternative dietary approach to the self-management and treatment of cancer, the Bill Henderson Protocol (BHP. This diet encourages daily intake of raw foods, a combination of cottage cheese and flaxseed oil and a number of supplements. Some foods and food groups are restricted (e.g., gluten, meat, dairy. Early background theory that contributed to the protocol’s development is presented as is a summary of relevant evidence concerning the anti-cancer fighting properties of the individual components. Supplement intake is considered in relation to daily recommended intakes. Challenges and risks to protocol adherence are discussed. As with many complementary and alternative interventions, clear evidence of this dietary protocol’s safety and efficacy is lacking. Consumers of this protocol may require guidance on the ability of this protocol to meet their individual nutritional needs.

  20. Energy consumption behavior in the commercial sector: An ethnographic analysis of utility bill information and customer comprehension in the workplace

    Science.gov (United States)

    Payne, Christopher Todd

    The commercial and industrial sectors of the United States compose roughly one-third of total United States energy consumption. Many studies have suggested that significant cost-effective energy savings opportunities exist in this sector, but there is a gap between predictions of potential and actual investment in energy-efficient technologies. Very few studies have been conducted to examine the decision-making environment of the business sector. In particular, there is essentially no information about how small-business decision-makers make choices about energy consumption. My research is intended to begin the process of understanding this important arena of energy consumption behavior. Using semi-structured interview techniques, I interviewed forty-four businesses in ten states. The focus of the interviews was the business decision-maker's handling and use of the utility bill---the main (often sole) piece of information that links energy consumption to cost. Through the interviews, I collected information about how utility bills are understood and misunderstood, what components of the bill are seen as useful or confusing, and how energy consumption was seen in the context of larger business decision-making. In addition, I collected data on two forms of energy consumption feedback: historic consumption feedback, in which informants compared their current energy use to patterns of their own energy consumption over time; and group comparison consumption feedback, in which informants compared their energy consumption to the consumption of a group of similar energy consumers. Finally, I collected data on sources of information to which decision-makers turned when they wanted to seek more information about energy consumption alternatives. Overall, my findings suggest that the current utility bill format is often misunderstood. In many cases, particularly in the small-business and medium-size-business categories, the link between energy consumption and energy cost is

  1. Quantification of energy savings from Ireland's Home Energy Saving scheme. An ex post billing analysis

    Energy Technology Data Exchange (ETDEWEB)

    Scheer, J.; Clancy, M.; Ni Hogain, S. [Sustainable Energy Authority of Ireland, Wilton Park House, Wilton Terrace, Dublin 2 (Ireland)

    2013-02-15

    This paper quantifies the energy savings realised by a sample of participants in the Sustainable Energy Authority of Ireland's Home Energy Saving (HES) residential retrofit scheme (currently branded as the Better Energy Homes scheme), through an ex post billing analysis. The billing data are used to evaluate: (1) the reduction in gas consumption of the sample between pre- (2008) and post- (2010) scheme participation when compared to the gas consumption of a control group, (2) an estimate of the shortfall when this result is compared to engineering-type ex ante savings estimates and (3) the degree to which these results may apply to the wider population. All dwellings in the study underwent energy efficiency improvements, including insulation upgrades (wall and/or roof), installation of high-efficiency boilers and/or improved heating controls, as part of the HES scheme. Metered gas use data for the 210 households were obtained from meter operators for a number of years preceding dwelling upgrades and for a post-intervention period of 1 year. Dwelling characteristics and some household behavioural data were obtained through a survey of the sample. The gas network operator provided anonymised data on gas usage for 640,000 customers collected over the same period as the HES sample. Dwelling type data provided with the population dataset enabled matching with the HES sample to increase the internal validity of the comparison between the control (matched population data) and the treatment (HES sample). Using a difference-in-difference methodology, the change in demand of the sample was compared with that of the matched population subset of gas-using customers in Ireland over the same time period. The mean reduction in gas demand as a result of energy efficiency upgrades for the HES sample is estimated as 21 % or 3,664{+-}603 kWh between 2008 and 2010. An ex ante estimate of average energy savings, based on engineering calculations (u value reductions and improved boiler

  2. On the presence of Long-billed Plovers Charadrius placidus in Rupa, Arunachal Pradesh in the summer months

    Directory of Open Access Journals (Sweden)

    M. Greeshma

    2011-06-01

    Full Text Available The Long-billed Plover Charadrius placidus is a medium sized wader with a black breast band and brown cheeks. According to Grewal et al. (2002 C. Placidus is a rare winter visitor to the northern rivers and the Gujarat coast of India.Charadrius placidus has been observed in Rupa, in West Kameng District of Arunachal Pradesh not only in winters but throughout the year for a period of two years. In June-July 2010 three separate individuals were observed inhabiting the shingle banks of the river in Rupa and feeding in their typical solitary and unobtrusive fashion. This could mean that there is a breeding population of the long-billed plover Charadrius placidus in and around Rupa in West Kameng district of Arunachal Pradesh.

  3. Programming bill project for a new French energy model. Opinion of the Economic, social and environmental Council

    International Nuclear Information System (INIS)

    Hezard, Laurence; Jouzel, Jean

    2014-01-01

    This report from the Economic, Social and Environmental Council discusses the content of the French bill project on energy transition for a green growth. It addresses the main issues and objectives of this bill project: to define common objectives for a successful energy transition, a stronger energy independence for France, and for the struggle against climate change, better renovation of buildings to save energy, decrease prices and create jobs, to develop clean transports to improve air quality and protect French people health, to struggle against wastes and to promote circular economy from product design product recycling, to promote renewable energies to diversify energy sources and to develop the resources of French territories, to strengthen nuclear safety and citizen information, to simplify and clarify procedures to be more efficient and competitive, and to give the possibility and power of acting together to citizen, territories and State. The statements of the different Council's groups are reported

  4. Managing water and riparian habitats on the Bill Williams River with scientific benefit for other desert river systems

    Science.gov (United States)

    John Hickey,; Woodrow Fields,; Andrew Hautzinger,; Steven Sesnie,; Shafroth, Patrick B.; Dick Gilbert,

    2016-01-01

    This report details modeling to: 1) codify flow-ecology relationships for riparian species of the Bill Williams River as operational guidance for water managers, 2) test the guidance under different climate scenarios, and 3) revise the operational guidance as needed to address the effects of climate change. Model applications detailed herein include the River Analysis System  (HEC-RAS) and the Ecosystem Functions Model  (HEC-EFM), which was used to generate more than three million estimates of local seedling recruitment areas. Areas were aggregated and compared to determine which scenarios generated the most seedling area per unit volume of water. Scenarios that maximized seedling area were grouped into a family of curves that serve as guidance for water managers. This work has direct connections to water management decision-making and builds upon and adds to the rich history of science-based management for the Bill Williams River, Arizona, USA. 

  5. The Avenging Females: A Comparative Analysis of Kill Bill Vol.1-2, Death Proof and Sympathy for Lady Vengeance

    Directory of Open Access Journals (Sweden)

    Basak Göksel Demiray

    2012-04-01

    Full Text Available This paper provides a comparative analysis of Quentin Tarantino’s Kill Bill Vol.1-2 (2003, 2004, Death Proof (2007 and Park Chan Wook’s Sympathy for Lady Vengeance (Chinjeolhan Geumjassi, 2005. The primary objectives of this study are: (1 to reveal the gender-biases inherent to the fundamental discursive structures of the foregoing films; (2 to compare and contrast the films through an analysis of the ‘gaze(s’ and possible ‘pleasures’,  which are inherent in their narratives, in relation to Laura Mulvey’s and Carol Clover’s approaches; and (3 to distinguish Kill Bill Vol.1-2 from the foregoing two and the ‘avenging female’ clichés of the other horror/violence movies in the context of the replaced positionings of its protagonist and antagonist inherent in its distinct narrative style.

  6. Ingested plastic in a diving seabird, the thick-billed murre (Uria lomvia), in the eastern Canadian Arctic.

    Science.gov (United States)

    Provencher, Jennifer F; Gaston, Anthony J; Mallory, Mark L; O'hara, Patrick D; Gilchrist, H Grant

    2010-09-01

    Plastic debris has become ubiquitous in the marine environment and seabirds may ingest debris which can have deleterious effects on their health. In the North Atlantic Ocean, surface feeding seabirds typically ingest high levels of plastic, while the diving auks which feed in the water column typically have much lower levels. We examined 186 thick-billed murres from five colonies in the eastern Canadian Arctic for ingested plastic debris. Approximately 11% of the birds had at least one piece of plastic debris in their gastrointestinal tracts, with debris dominated by user plastics. This is the first report of ingested plastics in an auk species in Canada's Arctic, and the highest incidence of plastic ingestion to date for thick-billed murres (Uria lomvia). Copyright 2010 Elsevier Ltd. All rights reserved.

  7. Occurrence of Ceratium furcoides (Levander) Langhans 1925 bloom at the Billings Reservoir, São Paulo State, Brazil.

    Science.gov (United States)

    Matsumura-Tundisi, T; Tundisi, J G; Luzia, A P; Degani, R M

    2010-10-01

    An unusual bloom of Ceratium furcoides is reported for a station of the Taquacetuba compartment of the Billings Reservoir. The appearance of this bloom is attributed to the mixing and turbulence of the water column that removed Ceratium cysts from the surface of the sediment and promoted conditions for the growth of this species in the region of mixing. Cold fronts approaching the Billings Reservoir are probably the cause of the mixing and bloom. Also turbulence induced by wind increased phosphorus concentration in the water column. Ceratium furcoides was the dominant species at station 1 where the nutrient concentrations of nitrogen and phosphorus were high. Ceratium spp. blooms may be a problem for water treatment and massive mortality can affect the dissolved oxygen of the water producing fish kill.

  8. Benthic macroinvertebrates as bioindicators of water quality in Billings Reservoir fishing sites (SP, Brazil

    Directory of Open Access Journals (Sweden)

    José Ricardo Baroldi Ciqueto Gargiulo

    Full Text Available Abastract: Aim The Billings Reservoir is the largest reservoir in the metropolitan region of São Paulo and has multiple uses, including artisanal fishing. Its surroundings present intense occupation, resulting in various environmental impacts. Although the water is degraded, affecting the composition and quality of the fish, this reservoir supports artisanal fishermen who survive through this activity. This study aimed to analyze the water quality in the main sites of artisanal fishing activity, with an emphasis on the benthic community as a bioindicator. Methods Three sampling sites were selected, in which water and zoobenthos samples were collected monthly from April 2012 to March 2013. Water analyses consisted of the determination of pH, temperature, conductivity, turbidity, total dissolved solids, dissolved oxygen, total nitrogen, total phosphorus, and trophic state as well as a principal components analysis. The zoobenthos analysis consisted of determining the relative abundance and total density of taxa, the Shannon-Weaver diversity index, taxa richness, uniformity, Simpson’s dominance index, and the benthic community index and conducting a canonical correspondence analysis. The non-parametric Kruskal-Wallis test followed by the Student-Newman-Keuls test were used to investigate the existence of significant differences in the abiotic and biotic variables among the sites. Results The studied sites showed a high degree of eutrophication, with nitrogen and phosphorus totals levels above the limits defined by current Brazilian legislation. Taquacetuba (P1 showed the best environmental conditions for the development of fishing activity, with the presence of sensitive organisms (Polymitarcyidae and higher levels of dissolved oxygen. Alvarenga (P2 had the worst water quality, with a predominance of tolerant organisms (Oligochaeta and lower levels of dissolved oxygen. Conclusion In conclusion, the benthic community in association with abiotic

  9. The European Cancer Patient’s Bill of Rights, update and implementation 2016

    Science.gov (United States)

    Højgaard, Liselotte; Löwenberg, Bob; Selby, Peter; Lawler, Mark; Banks, Ian; Law, Kate; Albreht, Tit; Armand, Jean-Pierre; Barbacid, Mariano; Barzach, Michèle; Bergh, Jonas; Cameron, David; Conte, Pierfranco; de Braud, Filippo; de Gramont, Aimery; De Lorenzo, Francesco; Diehl, Volker; Diler, Sarper; Erdem, Sema; Geissler, Jan; Gore-Booth, Jola; Henning, Geoffrey; Horgan, Denis; Jassem, Jacek; Johnson, Peter; Kaasa, Stein; Kapitein, Peter; Karjalainen, Sakari; Kelly, Joan; Kienesberger, Anita; La Vecchia, Carlo; Lacombe, Denis; Lindahl, Tomas; Luzzatto, Lucio; Malby, Rebecca; Mastris, Ken; Meunier, Françoise; Murphy, Martin; Naredi, Peter; Nurse, Paul; Oliver, Kathy; Pearce, Jonathan; Pelouchov, Jana; Piccart, Martine; Pinedo, Bob; Spurrier-Bernard, Gilly; Sullivan, Richard; Tabernero, Josep; Van de Velde, Cornelis; van Herk, Bert; Vedsted, Peter; Waldmann, Anita; Weller, David; Wilking, Nils; Wilson, Roger; Yared, Wendy; Zielinski, Christoph; zur Hausen, Harald; Le Chevalier, Thierry; Johnston, Patrick

    2016-01-01

    Abstract In this implementation phase of the European Cancer Patient’s Bill of Rights (BoR), we confirm the following three patient-centred principles that underpin this initiative:The right of every European citizen to receive the most accurate information and to be proactively involved in his/her care.The right of every European citizen to optimal and timely access to a diagnosis and to appropriate specialised care, underpinned by research and innovation.The right of every European citizen to receive care in health systems that ensure the best possible cancer prevention, the earliest possible diagnosis of their cancer, improved outcomes, patient rehabilitation, best quality of life and affordable health care. The key aspects of working towards implementing the BoR are:Agree our high-level goal. The vision of 70% long-term survival for patients with cancer in 2035, promoting cancer prevention and cancer control and the associated progress in ensuring good patient experience and quality of life.Establish the major mechanisms to underpin its delivery. (1) The systematic and rigorous sharing of best practice between and across European cancer healthcare systems and (2) the active promotion of Research and Innovation focused on improving outcomes; (3) Improving access to new and established cancer care by sharing best practice in the development, approval, procurement and reimbursement of cancer diagnostic tests and treatments.Work with other organisations to bring into being a Europe based centre that will (1) systematically identify, evaluate and validate and disseminate best practice in cancer management for the different countries and regions and (2) promote Research and Innovation and its translation to maximise its impact to improve outcomes. PMID:28848664

  10. Financial Contribution of Residents When Billing as "Junior Associates" in the "Surgical Firm".

    Science.gov (United States)

    Stoller, Jeremy; Pratt, Sarah; Stanek, Stephen; Zelenock, Gerald; Nazzal, Munier

    2016-01-01

    There is an increasing number of proposals to change the way Graduate Medical Education is funded. This study attempts to estimate the potential financial contribution of surgical residents using an alternative funding mechanism similar to that used by law firms, which would allow surgery departments to bill for resident activity as "junior associates." Following 24 residents over a period of 12 weeks, we were able to estimate the annual revenue that they generated from operating room procedures, independent consultations, patient management, and minor procedures using Medicare reimbursement rates. The appropriate first assistant modifier was used to calculate the operating room procedure fees, but full price was used to calculate the revenue for minor procedures, patient management, and consultations done independently. We adjusted for vacation time and academic activities. Including postgraduate year 1 residents, the estimated yearly revenue generated per resident in first assistant operative services was $33,305.67. For minor procedures, patient management, and independent consultations, the estimated yearly revenue per resident was $37,350.66. The total estimated financial contribution per resident per year was $70,656.33. Excluding postgraduate year 1 residents, as most states require completion of the intern year before full licensure, the estimated yearly revenue generated per resident in first assistant operative services was $38,914.56. For minor procedures, patient management, and independent consultations, the estimated yearly revenue per resident was $55,957.33. The total estimated financial contribution per resident per year was $94,871.89. Residents provide a significant service to hospitals. If resident activity was compensated at the level of supervised "junior associates" of a surgery department, more than 75% of the direct educational costs of training could be offset. Furthermore, we believe this value is underestimated. Given the foreseeable

  11. Accuracy of Administrative Billing Codes to Detect Urinary Tract Infection Hospitalizations

    Science.gov (United States)

    Hall, Matthew; Auger, Katherine A.; Hain, Paul D.; Jerardi, Karen E.; Myers, Angela L.; Rahman, Suraiya S.; Williams, Derek J.; Shah, Samir S.

    2011-01-01

    BACKGROUND: Hospital billing data are frequently used for quality measures and research, but the accuracy of the use of discharge codes to identify urinary tract infections (UTIs) is unknown. OBJECTIVE: To determine the accuracy of International Classification of Diseases, 9th revision (ICD-9) discharge codes to identify children hospitalized with UTIs. METHODS: This multicenter study conducted in 5 children's hospitals included children aged 3 days to 18 years who had been admitted to the hospital, undergone a urinalysis or urine culture, and discharged from the hospital. Data were obtained from the pediatric health information system database and medical record review. With the use of 2 gold-standard methods, the positive predictive value (PPV) was calculated for individual and combined UTI codes and for common UTI identification strategies. PPV was measured for all groupings for which the UTI code was the principal discharge diagnosis. RESULTS: There were 833 patients in the study. The PPV was 50.3% with the use of the gold standard of laboratory-confirmed UTIs but increased to 85% with provider confirmation. Restriction of the study cohort to patients with a principle diagnosis of UTI improved the PPV for laboratory-confirmed UTI (61.2%) and provider-confirmed UTI (93.2%), as well as the ability to benchmark performance. Other common identification strategies did not markedly affect the PPV. CONCLUSIONS: ICD-9 codes can be used to identify patients with UTIs but are most accurate when UTI is the principal discharge diagnosis. The identification strategies reported in this study can be used to improve the accuracy and applicability of benchmarking measures. PMID:21768320

  12. Patients’ bill of rights and effective factors of workplace violence against female nurses on duty at Ilam teaching hospitals

    OpenAIRE

    Ali-Ashraf Aivazi; Waleyeh Menati; Hamed Tavan; Sasan Navkhasi; Abuzar Mehrdadi

    2017-01-01

    Abstract: Background: Workplace violence against female nurses is an increasing problem. In addition, recognizing the rights of patients can reduce such violence against female nurses. Therefore, the aim of the current study was to investigate workplace violence against female nurses in respect of patients' bill of rights at two public hospitals in Ilam in 2012. Methods: In a descriptive cross-sectional research, workplace violence against female nurses was studied. Data were gathered employi...

  13. An evaluation of self-reported mobile phone use compared to billing records among a group of engineers and scientists.

    Science.gov (United States)

    Shum, Mona; Kelsh, Michael A; Sheppard, Asher R; Zhao, Ke

    2011-01-01

    Most epidemiologic studies of potential health impacts of mobile phones rely on self-reported information, which can lead to exposure misclassification. We compared self-reported questionnaire data among 60 participants, and phone billing records over a 3-year period (2002-2004). Phone usage information was compared by the calculation of the mean and median number of calls and duration of use, as well as correlation coefficients and associated P-values. Average call duration from self-reports was slightly lower than billing records (2.1 min vs. 2.8 min, P = 0.01). Participants reported a higher number of average daily calls than billing records (7.9 vs. 4.1, P = 0.002). Correlation coefficients for average minutes per day of mobile phone use and average number of calls per day were relatively high (R = 0.71 and 0.69, respectively, P correlations between self-reported mobile phone usage and billing records and substantial variability in recall are consistent with previous studies. However, the direction of over- and under-reporting was not consistent with previous research. We did not observe increased variability over longer periods of recall or a pattern of lower accuracy among older age groups compared with younger groups. Study limitations included a relatively small sample size, low participation rates, and potential limited generalizability. The variability within studies and non-uniformity across studies indicates that estimation of the frequency and duration of phone use by questionnaires should be supplemented with subscriber records whenever practical. © 2010 Wiley-Liss, Inc.

  14. ISSUES AND ALTERNATIVES IN THE 1995 FARM BILL DEBATE: IMPLICATIONS OF THE URUGUAY ROUND OF GATT NEGOTIATIONS

    OpenAIRE

    Batie, Sandra S.; Schweikhardt, David B.

    1994-01-01

    The recently completed round of negotiations under the General Agreement on Tariffs and Trade focused on domestic and international agricultural policies. If this agreement is approved by Congress, U.S. agricultural programs must comply with GATT provisions. The policy choices made during the 1995 farm bill debate about domestic programs, import policies, and export programs could all be affected by the approval of GATT.

  15. TEORIA DE BILL MUNDY Y EL ANGULO EFECTIVO DE ATAQUE DE HERRAMIENTAS DE CORTE EN ALEACIONES DE COBRE

    OpenAIRE

    Godoy R, Juan Miguel; Vergara D, Jorge; Oviedo O, Percy; Quispe Y, Martín; Gallardo M, Edward; Ramírez H, Leandro

    2007-01-01

    Magazines like American Machinist and Manufacturing Engineering, have explained the Bill Mundy theory about the effective rake angle of cutting tools. These articles show the effective rake angle of cutting tools for carbon steel, steel , alloys, cast iron, aluminium and stainless steel. In the present work the theory is applied to cutting tools used in brass and bronze. The effective rake angle for these materials was obtained with the tensile stress test. The rake angles in the cutting tool...

  16. Development of an integrated utilities billing management system for the Navy Public Works Center San Diego, California

    International Nuclear Information System (INIS)

    Monsabert, S. de; Lemmer, H.; Dinwiddie, D.; Harshberger, M.

    1995-01-01

    In the past, most buildings, structures, and ship visits were not metered, and flat estimates were calculated based on various estimating techniques. The decomposition process was further complicated by the fact that many of the meters monitor consumption values only and do not provide demand or time of use data. This method of billing provides no incentives to the PWC customers to implement energy conservation programs, including load shedding, Energy Monitoring and Control Systems (EMCS), building shell improvements, low flow toilets and shower heads, efficient lighting systems, or other energy savings alternatives. Similarly, the method had no means of adjustment for seasonal or climatic variations outside of the norm. As an alternative to flat estimates, the Customized Utility Billing Integrated Control (CUBIC) system and the Graphical Data Input System (GDIS) were developed to better manage the data to the major claimant area users based on utilities usage factors, building size, weather data, and hours of operation. GDIS is a graphical database that assists PWC engineers in the development and maintenance of single-line utility diagrams of the facilities and meters. It functions as a drawing associate system and is written in AutoLISP for AutoCAD version 12. GDIS interprets the drawings and provides the facility-to-meter and meter-to-meter hierarchy data that are used by the CUBIC to allocate the billings. This paper reviews the design, development and implementation aspects of CUBIC/GDIS and discusses the benefits of this improved utilities management system

  17. [The flexibilization of the Brazilian legislation on pesticides and the risks to human health: analysis of Bill of Law 3,200/2015].

    Science.gov (United States)

    Almeida, Mirella Dias; Cavendish, Thais Araújo; Bueno, Priscila Campos; Ervilha, Iara Campos; Gregório, Luisa De Sordi; Kanashiro, Natiela Beatriz de Oliveira; Rohlfs, Daniela Buosi; Carmo, Thenille Faria Machado do

    2017-07-27

    This article aims to contribute to a reflection on pesticides, based on the Brazilian legal framework, from the perspective of protecting human health and the environment. This initiative is due to successive attempts to flexibilize the regulation of pesticides in Brazil, through bills of law in progress in the Brazilian National Congress. An analysis of Bill of Law 3,200/2015 was carried out. This bill of law represents a major setback to the legislative achievements for the regulation of pesticides, in order to alert to the risks to human health from exposure to these products and aggravated by other similar proposals.

  18. Incremental analysis of the reengineering of an outpatient billing process: an empirical study in a public hospital.

    Science.gov (United States)

    Chu, Kuan-Yu; Huang, Chunmin

    2013-06-13

    A smartcard is an integrated circuit card that provides identification, authentication, data storage, and application processing. Among other functions, smartcards can serve as credit and ATM cards and can be used to pay various invoices using a 'reader'. This study looks at the unit cost and activity time of both a traditional cash billing service and a newly introduced smartcard billing service in an outpatient department in a hospital in Taipei, Taiwan. The activity time required in using the cash billing service was determined via a time and motion study. A cost analysis was used to compare the unit costs of the two services. A sensitivity analysis was also performed to determine the effect of smartcard use and number of cashier windows on incremental cost and waiting time. Overall, the smartcard system had a higher unit cost because of the additional service fees and business tax, but it reduced patient waiting time by at least 8 minutes. Thus, it is a convenient service for patients. In addition, if half of all outpatients used smartcards to pay their invoices, along with four cashier windows for cash payments, then the waiting time of cash service users could be reduced by approximately 3 minutes and the incremental cost would be close to breaking even (even though it has a higher overall unit cost that the traditional service). Traditional cash billing services are time consuming and require patients to carry large sums of money. Smartcard services enable patients to pay their bill immediately in the outpatient clinic and offer greater security and convenience. The idle time of nurses could also be reduced as they help to process smartcard payments. A reduction in idle time reduces hospital costs. However, the cost of the smartcard service is higher than the cash service and, as such, hospital administrators must weigh the costs and benefits of introducing a smartcard service. In addition to the obvious benefits of the smartcard service, there is also scope

  19. Thirty Years After Bill 101: A Contemporary Perspective on Attitudes Towards English and French in Montreal

    Directory of Open Access Journals (Sweden)

    Ruth Kircher

    2014-06-01

    Full Text Available Abstract This paper presents a 2007 study that was conducted amongst 147 young anglophone, francophone and allophone Montrealers in order to shed light on their attitudes towards English and French in terms of status and solidarity. The study made use of both a questionnaire and a matched-guise experiment. The findings indicate that while a certain amount of status was attributed to French, most likely as a result of language policy and planning measures such as Bill 101, significantly more status was attributed to English—most likely a result of the utilitarian value that the language holds as the global lingua franca. Regarding the solidarity dimension, it appears that while the respondents recognised the social desirability of having an affective attachment to the French language, at a more private level, they held more positive attitudes towards English. These can tentatively be explained in terms of the respondents’ social identity. Résumé L’article ci-dessous présente une recherche menée en 2007 parmi 147 étudiants montréalais (anglophones, francophones et allophones qui eut pour objectif d’examiner leurs attitudes envers l’anglais comparé au français en terme de statut et de solidarité. Un questionnaire et une étude des faux-couples furent utilisés comme méthodes de recherche. Les résultats indiquent qu’un certain statut est attribué au français, ce qui est probablement une conséquence des lois langagières comme la Loi 101. Néanmoins, un statut plus important est attribué à l’anglais, ce qui est probablement une conséquence de sa valeur utilitaire comme lingua franca globale. En ce qui concerne la dimension de la solidarité, bien que les jeunes montréalais semblent conscients de l’importance sociale de se sentir attachés à la langue française, lorsque l’on considère un aspect plus personnel, ils tendent à manifester des attitudes plus positives envers l’anglais. Ces attitudes plus positives

  20. Reform of the Buy-and-Bill System for Outpatient Chemotherapy Care Is Inevitable: Perspectives from an Economist, a Realpolitik, and an Oncologist

    OpenAIRE

    Polite, Blase; Conti, Rena M.; Ward, Jeffery C.

    2015-01-01

    Treating patients with cancer with infused or injected oncolytics is a core component of outpatient oncology practice. Currently, practices purchase drugs and then bill insurers, colloquially called “buy and bill.” Reimbursement for these drugs is the largest source of gross revenue for oncology practices, and as the prices of cancer drugs have grown over time, these purchases have had significant impact on the financial health of practices and pose a risk that jeopardizes the ability of many...

  1. Beyond Wage Bill Ceilings : The Impact of Government Fiscal and Human Resource Management Policies on the Health Workforce in Developing Countries, Background Country Study for Rwanda

    OpenAIRE

    World Bank

    2008-01-01

    One of the main explanations put forth on why access to health workers is so low in developing countries is that there are insufficient resources within the public sector to pay the wage bill - the salary and allowance payments - of an expanded health workforce. In turn, the lack of wage bill resources for the health sector is thought to be a direct result of restrictive macroeconomic poli...

  2. Produtos de pesca e contaminantes químicos na água da Represa Billings, São Paulo (Brasil Fishing yield and chemical contamination of the water of the Billings Reservoir, S. Paulo (Brazil

    Directory of Open Access Journals (Sweden)

    Aristides Almeida Rocha

    1985-10-01

    Full Text Available Através da análise dos surfactantes determinados pelo método colorimétrico com azul de metileno, e dos metais pesados determinados por espectrofotometria de absorção atômica, como o cádmio, chumbo, cobre, cromo, mercúrio e zinco, foi caracterizada a poluição na Represa Billings, SP (Brasil, enfatizando a qualidade sanitária da água e a contaminação dos peixes. Com base nos dados coligidos, é mostrado o perigo potencial que representa o consumo do pescado proveniente da Billings, se bem que a pesca comercial esteja hoje praticamente restrita às cabeceiras dos braços dos rios Capivari e Pequeno, na junção próxima a Ribeirão Pires e nos braços dos rios Curucutu e Taquacetuba. Os dados da CEAGESP - Companhia de Entreposto de Armazéns Gerais do Estado de São Paulo - indicam que, no ano de 1980, apenas 64 toneladas de peixe provieram de São Bernardo do Campo.Data on detergents and heavy metals such as cadmium, lead, copper, chromium, mercury and zinc are used in order to estimate pollution and sanitary quality of water as well as contamination of fish from Billings Reservoir, SP, Brazil. The results of this work are a warning with regard to the potential risk of human consumption of fish from that Reservoir, even though commercial fishing is now practically restricted to the riverheads of the affluents of the rivers Capivari and Pequeno near Ribeirão Pires and along the rivers Curucutu and Taquacetuba. Data from CEAGESP (Companhia de Entreposto de Armazéns Gerais do Estado de São Paulo show that in 1980 only 64 tons of fish came from S. Bernardo do Campo.

  3. BILL MUNDY THEORY, EFFECTIVE RAKE ANGLE CUTTING TOOLS IN COPPER ALLOYS TEORIA DE BILL MUNDY Y EL ANGULO EFECTIVO DE ATAQUE DE HERRAMIENTAS DE CORTE EN ALEACIONES DE COBRE

    Directory of Open Access Journals (Sweden)

    Juan Miguel Godoy R

    2007-08-01

    Full Text Available Magazines like American Machinist and Manufacturing Engineering, have explained the Bill Mundy theory about the effective rake angle of cutting tools. These articles show the effective rake angle of cutting tools for carbon steel, steel , alloys, cast iron, aluminium and stainless steel. In the present work the theory is applied to cutting tools used in brass and bronze. The effective rake angle for these materials was obtained with the tensile stress test. The rake angles in the cutting tools were made in a Universal Grinding Machine Heiler. Finally, the power consumption was measured in a CNC Lathe. Tools with commercial rake angles from bibliography were compared with tools with the experimental effective rake angle obtained from the Bill Mundy Theory. The results show that the power consumption is about 10% lower for tools with the experimental effective rake angle.Revistas como American Machinist y Manufacturing Engineering, han explicado la Teoría de Bill Mundy y el ángulo efectivo de ataque en herramientas de corte utilizadas en aceros al carbono, aceros aleados, hierro fundido, aluminio y acero inoxidable. En este trabajo, esta teoría es aplicada a herramientas de corte usadas para latón y bronce y sus resultados son comparados con los ángulos de ataque recomendados por los fabricantes de herramientas de corte. El ángulo de ataque efectivo se obtiene del ensayo de tracción del material a ser mecanizado. Los ángulos de las herramientas fueron hechos en una máquina universal de afilar Heiler. El consumo de potencia fue medido en un torno CNC. El consumo de potencia con herramientas de corte comerciales con ángulos de corte recomendados por la bibliografía existente, fue comparado con las herramientas afiladas con el ángulo de corte efectivo obtenido a través de la teoría de Bill Mundy. Los resultados indican que el consumo de potencia es un 10% menor para las herramientas afiladas con el ángulo efectivo recomendado por la

  4. Mapping the route to medication therapy management documentation and billing standardization and interoperabilility within the health care system: meeting proceedings.

    Science.gov (United States)

    Millonig, Marsha K

    2009-01-01

    To convene a diverse group of stakeholders to discuss medication therapy management (MTM) documentation and billing standardization and its interoperability within the health care system. More than 70 stakeholders from pharmacy, health information systems, insurers/payers, quality, and standard-setting organizations met on October 7-8, 2008, in Bethesda, MD. The American Pharmacists Association (APhA) organized the invitational conference to facilitate discussion on strategic directions for meeting current market need for MTM documentation and billing interoperability and future market needs for MTM integration into electronic health records (EHRs). APhA recently adopted policy that specifically addresses technology barriers and encourages the use and development of standardized systems for the documentation and billing of MTM services. Day 1 of the conference featured six foundational presentations on health information technology (HIT) trends, perspectives on MTM from the profession and the Centers for Medicare & Medicaid Services, health care quality and medication-related outcome measures, integrating MTM workflow in EHRs, and the current state of MTM operalization in practice. After hearing presentations on day 1 and having the opportunity to pose questions to each speaker, conference participants were divided into three breakout groups on day 2. Each group met three times for 60 minutes each and discussed five questions from the perspective of a patient, provider, or payer. Three facilitators met with each of the groups and led discussion from one perspective (i.e., patient, provider, payer). Participants then reconvened as a complete group to participate in a discussion on next steps. HIT is expected to assist in delivering safe, effective, efficient, coordinated care as health professionals strive to improve the quality of care and outcomes for individual patients. The pharmacy profession is actively contributing to quality patient care through MTM services

  5. The House of Commons of Canada, Bill C-249: An act to amend the nuclear liability act

    International Nuclear Information System (INIS)

    1996-01-01

    The purpose of this bill is to increase the maximum level of liability for which a private sector nuclear facility operator may be required to have insurance coverage from 75 million dollars to 500 million dollars. If the Governor in Council is of the opinion that liability could exceed the insured amount and a Commission created under Part II of the Act orders that further compensation should be made. At present, the Crown may make such payments but is not required to do so

  6. Re-establishing the pecking order: Niche models reliably predict suitable habitats for the reintroduction of red-billed oxpeckers.

    Science.gov (United States)

    Kalle, Riddhika; Combrink, Leigh; Ramesh, Tharmalingam; Downs, Colleen T

    2017-03-01

    Distributions of avian mutualists are affected by changes in biotic interactions and environmental conditions driven directly/indirectly by human actions. The range contraction of red-billed oxpeckers ( Buphagus erythrorhynchus ) in South Africa is partly a result of the widespread use of acaracides (i.e., mainly cattle dips), toxic to both ticks and oxpeckers. We predicted the habitat suitability of red-billed oxpeckers in South Africa using ensemble models to assist the ongoing reintroduction efforts and to identify new reintroduction sites for population recovery. The distribution of red-billed oxpeckers was influenced by moderate to high tree cover, woodland habitats, and starling density (a proxy for cavity-nesting birds) with regard to nest-site characteristics. Consumable resources (host and tick density), bioclimate, surface water body density, and proximity to protected areas were other influential predictors. Our models estimated 42,576.88-98,506.98 km 2 of highly suitable habitat (0.5-1) covering the majority of Limpopo, Mpumalanga, North West, a substantial portion of northern KwaZulu-Natal (KZN) and the Gauteng Province. Niche models reliably predicted suitable habitat in 40%-61% of the reintroduction sites where breeding is currently successful. Ensemble, boosted regression trees and generalized additive models predicted few suitable areas in the Eastern Cape and south of KZN that are part of the historic range. A few southern areas in the Northern Cape, outside the historic range, also had suitable sites predicted. Our models are a promising decision support tool for guiding reintroduction programs at macroscales. Apart from active reintroductions, conservation programs should encourage farmers and/or landowners to use oxpecker-compatible agrochemicals and set up adequate nest boxes to facilitate the population recovery of the red-billed oxpecker, particularly in human-modified landscapes. To ensure long-term conservation success, we suggest that

  7. Bill project authorizing the approval of the amendment to the Convention on the physical protection of nuclear materials

    International Nuclear Information System (INIS)

    Juppe, Alain; Fillon, Francois

    2011-01-01

    This document deals with the amendment to the Convention on the Physical Protection of Nuclear Materials which has been adopted in July 2005. This amendment notably extended the Convention's scope, objectives, relation with other international instruments and content (regarding cooperation, sanctions, and so on). After the text of this amendment, this document contains the bill project which reports an impact study (estimated economic, financial, environmental, and legal consequences of the amendment implementation), comments the penal and criminal cooperation defined in the Convention. A table indicates the impact of the amendment's articles on the French law

  8. Bill project authorizing the approval of the amendment to the convention on physical protection of nuclear material - Nr 11

    International Nuclear Information System (INIS)

    Ayrault, Jean-Marc; Fabius, Laurent

    2012-01-01

    This document contains the brief text of the bill project and the text of the amendment to the Convention on physical protection of nuclear material which has been adopted in Vienna in August 2005 to amend the Convention adopted in October 1979. This amendment introduces the following measures: extension of the scope of application of the Convention to nuclear materials used for peaceful purposes, definition of the objectives of the Convention, articulation of the Convention with other international instruments, definition of the main principles of physical protection, strengthened international cooperation, legal issues concerning extradition and legal cooperation

  9. Strengthening Medicare: Will increasing the bulk-billing rate and supply of general practitioners increase access to Medicare-funded general practitioner services and does rurality matter?

    Science.gov (United States)

    Day, Susan E; Alford, Katrina; Dunt, David; Peacock, Stuart; Gurrin, Lyle; Voaklander, Don

    2005-01-01

    Background Recent increases in the bulk-billing rate have been taken as an indication that the Federal government's Strengthening Medicare initiative, and particularly the bulk-billing incentives, are 'working'. Given the enduring geographic differences in the supply of general practitioners (GPs) it is timely to reconsider the impact that this increase in the provision of 'free care' will have on access to Medicare-funded GP services in rural and urban areas of Australia. Utilisation has been modelled as two different stochastic processes: the decision to consult and the frequency of consultation. Results In the decision to consult model the supply of FFS GPs is a more important predictor of utilisation than the bulk-billing rate. Paradoxically the modelling predicts that ceteris paribus increases in either GP supply or the bulk-billing rate appear to have perverse effects in some areas by decreasing utilisation. In the frequency of consultation model, GP density is not a predictor and increasing the bulk-billing rate will unambiguously increase the frequency of consultation across all areas. In both models, the positive impacts associated with changes in supply and cost are constrained outside the inner metropolitan area by reduced geographic accessibility to Medicare-funded GP services. The modelling also shows that people are more likely to consult a GP in areas of high socioeconomic disadvantage, although socioeconomic status is not a predictor of frequency of consultation. Conclusion Bulk-billing rates and the supply of FFS GPs are important features of the Australian health care system that are, potentially, amenable to policy manipulation. The implications of this research are that government policies designed to achieve similarity in these characteristics across geographic areas will not result in equity of access because they fail to address problems caused by geographic inaccessibility in rural and remote areas. Attempting to increase bulk-billing rates

  10. Promoting the Recognition and Protection of the Rights of All Migrants Using a Soft-Law International Migrants Bill of Rights

    Directory of Open Access Journals (Sweden)

    Ian M. Kysel

    2016-06-01

    Full Text Available The rights and movement of people crossing international borders remain inadequately governed and incompletely protected by a fragmented patchwork of institutions and norms. In recent years, debates regarding migration law and practice globally have been focused on subcategories of migrants, such as refugees, or on particular migration contexts, such as migration as a result of crisis or climate change. In response, a transnational initiative housed at the Georgetown University Law Center has drafted a soft-law bill of rights — the International Migrants Bill of Rights (IMBR — that seeks to elaborate the law protecting all migrants, regardless of the cause of their movement across an international border. The bill draws its content from human rights, refugee, and labor law, among other areas, and is drafted to be a comprehensive and declarative tool that articulates a core set of rights to protect migrants and to apply in the migration context.This article articulates how such a tool could be used to promote the recognition and protection of the rights of all migrants, in law and in practice. It argues that a soft-law bill of rights could be leveraged to fill significant gaps and promote an improved normative and institutional infrastructure that better protects all migrants worldwide. Section I provides a brief overview of the gap that a soft-law bill of rights can address. Section II provides a brief overview of the history and content of the bill of rights and IMBR Initiative. Section III describes, specifically, how making use of a soft-law bill of rights stands to improve the recognition and protection of fundamental rights that protect all migrants — and how soft law can help fill specific protection gaps.

  11. Distribution and concentration evaluation of trace and rare earth elements in sediment samples of the Billings and Guarapiranga reservoir systems

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Larissa S.; Fávaro, Déborah I.T., E-mail: defavaro@ipen.br [Instituto de Pesquisas Energéticas e Nucleares (LAN-CRPq/IPEN/CNEN-SP), São Paulo(Brazil). Lab. de Análise por Ativação Neutrônica; Ferreira, Francisco J. [Companhia Ambiental do Estado de São Paulo (ELAI/CETESB), Sao Paulo, SP (Brazil). Setor de Química Inorgânica

    2017-07-01

    Concentration and distribution of trace and rare earth elements in bottom sediment samples collected in the Billings System (including Rio Grande and Guarapiranga Reservoirs) were assessed by using Instrumental Neutron Activation (INAA). To evaluate the sources of anthropogenic contamination the enrichment factor (FE) and the geoacumulation index (IGeo) were calculated using NASC and Guarapiranga Park Soil as Reference Values. Results were compared to the concentration guideline values established by CCME (Canadian Council of Ministers of the Environment) environmental agency for As, Cr and Zn, and values in other published studies. Most points exceeded TEL values and, in some points, PEL values for these elements, indicating poor sediment quality in these reservoirs. In general terms, the elements As, Cr, Sb and Zn through EF and IGeo calculations present enrichment at all points analyzed, in both collection campaigns, except for the Rio Grande Reservoir points. The region where the reservoirs are located receive untreated sewage as well as pollution from urban occupation, industrial and mining activities, making it difficult to accurately identify the pollution sources. This study found higher concentrations of the elements analyzed in the Billings Reservoir, indicating a greater contamination level in relation to the other reservoirs. (author)

  12. DISCRIMINATING BETWEEN TARIFF BILL-BASED THEORIES OF THE STOCK MARKET CRASH OF 1929 USING EVENT STUDY DATA

    Directory of Open Access Journals (Sweden)

    Bernard C. Beaudreau

    2014-07-01

    Full Text Available Jude Wanniski (1978 argued that the Smoot-Hawley Tariff Bill was a key factor in the Stock Market Crash of October 1929 and the Great Depression. The specter of higher tariffs and lower foreign trade, he argued, depressed share prices, leading ultimately to the Stock Market Crash. Bernard Beaudreau (1996, 2005, on the other hand, made the reverse argument, namely that the specter of higher tariffs from November 1928 to October 1929 fueled the Stock Market Boom as investors anticipated higher revenues and profits from the anticipated increase in sales and revenues. The Stock Market Crash, he argued, came on the heels of the defeat of the Thomas Recommittal Plan which foretold of lower, not higher as Wanniski contended, tariffs on manufactures. Using Event Study data from January 14, 1929 to October 29, 1929, this paper attempts to discriminate between these two hypotheses. The results show that “good” tariff bill news as reported in the New York Times contributed to stock price appreciation, and vice-versa, supporting the latter theory.

  13. On the complaint of unconstitutionality of the Stuttgart Court decisions against non-payers and part payers of electricity bills

    International Nuclear Information System (INIS)

    Fischerhof, H.

    1980-01-01

    In a decision dated December 20, 1979, the Federal Constitutional Court refused to accept the complaint of unconstitutionality brought by the Technische Werke (Municipal Utilities) of the city of Stuttgart (TWS) against two decisions by the Stuttgart Municipal Court in favor of non-payers and part payers of electricity bills. The reasons given for the refusal to accept the complaint state that there was every indication of the Stuttgart judgements being faulty. On the basis of this finding, TWS can continue to demand payment in full of their electricity bills. The Federal Constitutional Court maintains that civil rights could not be applied to TWS as a corporation under private law, whose activities exclusively consisted in providing the public with means of existence and whose shares were held in full by an agency with rights of jurisdiction. In a footnote, the author argues that the refusal to grant protection of civil rights to TWS was in conflict with the equal rights principle. (HSCH) [de

  14. PENGAWASAN, EVALUASI, DAN PENILAIAN SISTEM PENGENDALIAN INTERNAL TERKAIT BILLING SYSTEM PADA RSUD UNGARAN BERDASARKAN KERANGKA KERJA COBIT 5 (MEA02

    Directory of Open Access Journals (Sweden)

    Marthania Firmadita

    2016-10-01

    Full Text Available RSUD Ungaran Kabupaten Semarang ini memiliki sejumlah layanan kesehatan yang melayani masyarakat umum, layanan kesehatan dinamakan dengan Billing System yang dibuat dengan tujuan mempercepat pelayanan kesehatan terhadap pelanggan. Melihat banyaknya kebutuhan setiap bagian yang terkait sehingga semakin besar pengelolaan data yang ada menyebabkan keterlambatan sistem dan kesalahan dalam pengelolaan data. Berbagai upaya dilakukan untuk memberikan layanan operasional terbaik dan meminimalisasi kesalahan. Salah satunya dilakukan penilaian kinerja pengelolaan layanan yang diberikan, penilaian kinerja ini merupakan pengendalian kontrol internal secara sistematik, untuk melihat tingkat kesesuaian dan keefektifan implementasi layanan. Dari hasil observasi, wawancara, dan kuesioner berdasarkan COBIT 5 dihasilkan level kapabilitas tata kelola proses pengawasan, evaluasi, dan penilaian pengendalian internal terkait billing system (MEA02 pada RSUD Ungaran saat ini adalah Level 2 dengan status Largely Achieved sebesar 71,56% setara 2,71 dimana Level 1 dan Level 0 tercapai Fully Achieved.Hal ini menunjukan sudah dilakukan komunikasi perencanaan kedepan dari hasil penilaian kinerja tetapi belum diimplementasikan. Dan untuk mencapai level kapabilitas, RSUD Ungaran dapat melakukan strategi perbaikan yang dilakukan secara bertahap dari proses atribut level 1 sampai 3. Kata Kunci: Analisis Tata Kelola TI, Sistem Informasi Kesehatan, COBIT 5, Analisis Tingkat Kapabilitas, Analisis Kesenjangan

  15. Conception, implementation and effect of the consumption-dependent billing of heating and hot-water costs

    International Nuclear Information System (INIS)

    Rieder, S.; Schwenkel, Ch.

    2008-01-01

    This comprehensive report for the Swiss Federal Office of Energy (SFOE) discusses the experience gained from the operation of the consumption-dependent billing of heating and hot-water costs (Verbrauchsabhaengigen Heiz- und Warmwasserkostenabrechnung, VHKA), a system introduced in Switzerland as one of the first energy-policy measures in the nineteen-eighties. The study examines the strategic possibilities of the VHKA within the framework of future efficiency strategies. Also, as an operative goal, the study takes a look at the acceptance of the VHKA and its effectiveness. In this way, an indication on how the instrument can be optimised can be obtained. The report consists of five chapters that look at the concept and implementation of the VHKA, its effect on the lessees of apartments and real estate owners and, finally, presents a cost-benefit analysis of the VHKA. The methods used in the study include the analysis of documents, personal and telephone interviews and the evaluation of billing data and other data collected.

  16. SELF-BILL, A NEW APPLICATION OF COMMERCIAL INVOICE AS A RESULT OF ECONOMIC AND TECHNOLOGICAL PROGRESS

    Directory of Open Access Journals (Sweden)

    Engin YARBAŞI

    2016-01-01

    Full Text Available The progress of the world economy in the last decades brought the deletion of the small and medium sized enterprises and the rise of the bigger ones in order to satisfy the consumers as much as possible. These businesses face another giant problem which is to hold enough capital, that means the merchant who has to buy big quantities of many types of goods would need an enourmous capital and the problem of the producer is having to sell his products to as many as possible retailers. The solution of these problems appear to be sending on consignement or collection on sale - so no- body would have capital insufficiency pressure. The next problem on behalf of the producer is to watch the sale of the goods for inventory control and also for cash inflow expectation. The last solution here becomes the Self-Billing in English or Autofacturation in French or Selbstfakturierung in German which means the buyer issues bill of the goods sold himself on behalf of the producer and send one copy to the producer. this application is not valid in turkey yet but we believe it will take its place among rules and legislations soon.

  17. Promoting employee acceptance of a consumer bill of rights in a complex medical care organization: a case study.

    Science.gov (United States)

    Mullen, P D; Leifer, B H

    1982-01-01

    To develop strong health education programs, health educators working in complex medical care organizations must often secure professional cooperation across disciplines, coordination of services, and orientation of policies, procedures, and personnel toward patient preferences and needs. Frequently, they undertake these tasks against the tide, within a problematic organizational structure. The present case study illustrates the difficulties posed by introducing change in medical care organizations in the context of an education program to acquaint employees of a large HMO with a consumer bill of rights mandated by the consumer Board of Trustees. The underlying assumption was that in a bureaucratic institution, an employee-centered and modest system reform strategy would be effective in bringing about client-centered outcomes-in this case, increased recognition of client rights. The case analysis and results of a post-intervention, cross-sectional survey suggest that in units where a threshold level of participation was reached, there were improvements in knowledge about the Bill and employee attitudes. The program was less successful with hospital nurses whose feelings about physicians were not taken into account fully, and with physicians whose relative lack of integration into the policy and managerial domains made them harder to reach.

  18. Distribution and concentration evaluation of trace and rare earth elements in sediment samples of the Billings and Guarapiranga reservoir systems

    International Nuclear Information System (INIS)

    Silva, Larissa S.; Fávaro, Déborah I.T.; Ferreira, Francisco J.

    2017-01-01

    Concentration and distribution of trace and rare earth elements in bottom sediment samples collected in the Billings System (including Rio Grande and Guarapiranga Reservoirs) were assessed by using Instrumental Neutron Activation (INAA). To evaluate the sources of anthropogenic contamination the enrichment factor (FE) and the geoacumulation index (IGeo) were calculated using NASC and Guarapiranga Park Soil as Reference Values. Results were compared to the concentration guideline values established by CCME (Canadian Council of Ministers of the Environment) environmental agency for As, Cr and Zn, and values in other published studies. Most points exceeded TEL values and, in some points, PEL values for these elements, indicating poor sediment quality in these reservoirs. In general terms, the elements As, Cr, Sb and Zn through EF and IGeo calculations present enrichment at all points analyzed, in both collection campaigns, except for the Rio Grande Reservoir points. The region where the reservoirs are located receive untreated sewage as well as pollution from urban occupation, industrial and mining activities, making it difficult to accurately identify the pollution sources. This study found higher concentrations of the elements analyzed in the Billings Reservoir, indicating a greater contamination level in relation to the other reservoirs. (author)

  19. Immunoreactive cortisone in droppings reflect stress levels, diet and growth rate of gull-billed tern chicks.

    Science.gov (United States)

    Albano, Noelia; Santiago-Quesada, Francisco; Masero, José A; Sánchez-Guzmán, Juan M; Möstl, Erich

    2015-03-01

    Blood levels of corticosterone have been traditionally analyzed to assess stress levels in birds; however, measuring steroid hormone metabolites in feces and droppings has gained much interest as a noninvasive technique successfully used for such purposed in vertebrates. Diet may affect these fecal metabolite levels (e.g., due to nutritional stress), however, this variable has not been taken into account in studies with chicks despite the great dietary flexibility of many avian species. In this study, we addressed for the first time this key issue and validated the technique in wild gull-billed tern chicks (Gelochelidon nilotica). Several enzyme immunoassays were used to determine the most appropriate test to measure the stress response. Subsequently, we performed an experiment in captivity to assess adrenocortical activity in gull-billed tern chicks fed with two diets: piscivorous vs. insectivorous. Finally, the relation between the chicks' growth rate and excreted immunoreactive glucocorticoid metabolites (EGMs) was also evaluated. We found the immunoreactive cortisone metabolites to be a good index of stress (as being an index of adrenocortical reactivity) in chicks of this species. Fish-fed chicks had higher levels of cortisone metabolites when comparing both concentration and total daily excreted metabolites. Within each treatment diet, cortisone metabolite levels and growth rates were negatively correlated. These findings suggest that the diet should be considered when using this technique for comparative purposes and highlight the trade-off between stress levels and chicks growth rates. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. [Sanitary control of alcohol advertisement in Brazil: a study of the law bills from 1988 to 2004].

    Science.gov (United States)

    Falcão, Isa Cristina Lopes; Rangel-S, Maria Ligia

    2010-11-01

    This study analyses law bills towards the sanitary control of alcohol advertisement in the mass media presented to the Brazilian Congress from 1988 to 2004. The sanitary control of this advertising is a controversial issue bringing about an ethical-political debate in which the health-protecting interests conflict with commercial ones even after scientific evidence has established increasing alcohol intake as a health and social issue worldwide. The content analysis of 67 of such law bills was carried out, and these proposals were shown to consist mostly of strategies to both cope with alcohol advertising by dissociating from the product those values that might interfere with the children and teenagers' building of their social identity and limit advertisement contents in the mass media given the higher vulnerability of the subjects in that age range. This study reveals complexes challenges for the control of alcohol advertisement that in turn lead to rethinking the action of the State apparatus in dealing with this major public health issue.

  1. Use of a nesting platform by Gull-billed Terns and Black Skimmers at the Salton Sea, California

    Science.gov (United States)

    Molina, Kathy C.; Ricca, Mark A.; Miles, A. Keith; Schoneman, Christian

    2009-01-01

    In 2006, we constructed an elevated nesting platform at the Salton Sea, California, and monitored its use by Gull-billed Terns and Black Skimmers over three subsequent breeding seasons. Black Skimmers were the first to colonize the platform with a total of five nests in 2006. In 2007 Gull-billed Terns colonized the platform with a total of 28 nests and the number of Black Skimmer nests increased to 20. Neither species nested on the platform in 2008. Low success for both species was probably influenced by at least two factors. First, when both species nested on the platform, nest densities were higher than is typical of their colonies on larger, earthen islands, and colony success may have been reduced by overcrowding. Second, lack of access to water may have reduced chicks' ability to thermoregulate effectively in the hot environment of the Salton Sea. Refinements to the size, design, and location of artificial nesting habitats are necessary to enhance productivity of colonial groundnesting birds at the Salton Sea successfully.

  2. Bill (declared urgency) asserting the national commitment for the environment; Projet de Loi (urgence declaree), portant engagement national pour l'environnement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-01-15

    The bill asserting the French national commitment for the environment (also named 'Grenelle 2') is considered as the juridical tool-box of the French environmental policy. It confirms, strengthens, and concretizes the objectives defined by the Grenelle 1 law. The main dispositions of the bill concern the following domains: settlement and urbanism with the improvement of the energy efficiency, energy conservation and life-cycle of buildings; transports with the development of sustainable transportation systems; energy with the creation of regional climate, air and energy schemes with the aim of developing renewable energies (with some restrictions concerning wind power) and reducing CO{sub 2} emissions; biodiversity with the creation of ecological pathways between protected areas for the migration of flora and fauna species; environment and waste management with the reinforcement of measures for the abatement of environmental pollutant effects. Among the numerous dispositions involving more than 20 codes (urbanism, environment, buildings etc..) one concerns the progressive implementation of a 'carbon price' index taking into account the greenhouse gas emission costs during the whole life cycle of a product, another one concerns the monitoring of indoor air quality in public buildings. This document is made of three parts. Part 1 is the exposition of the intentions of each article of the bill, part 2 is the bill itself and part 3 is the impact study of the bill in terms of economical, social and environmental impact. (J.S.)

  3. H.R. 4934: A Bill to provide for a viable domestic uranium industry. Introduced in the House of Representatives, One Hundredth Congress, Second Session, June 28, 1988

    International Nuclear Information System (INIS)

    Anon.

    1988-01-01

    The bill H.R. 4934 is aimed to provide a viable domestic uranium industry, to establish a program to fund reclamation and other remedial actions with respect to mill tailings at active uranium and thorium sites, and to establish a wholly-owned Government corporation to manage the Nation's uranium enrichment enterprise, operating as a continuing, commercial enterprise on a profitable and efficient basis. The contents of the bill are divided into four sections entitled: Introduction, Uranium Revitalization, Remedial Action Performed by the Owner or Licensee of Active Sites, and United States Enrichment Corporation. The section on the United States Enrichment Corporation further amends the previously amended Atomic Energy Act of 1954 to detail exactly how the corporation shall be established, funded, and managed. The bill was referred jointly to the Committee on Energy and Commerce, Interior and Insular Affairs, Science, Space and Technology, and Ways and Means

  4. Customer-economics of residential photovoltaic systems (Part 1): The impact of high renewable energy penetrations on electricity bill savings with net metering

    International Nuclear Information System (INIS)

    Darghouth, Naïm R.; Barbose, Galen; Wiser, Ryan H.

    2014-01-01

    Residential photovoltaic (PV) systems in the US are often compensated at the customer's underlying retail electricity rate through net metering. Given the uncertainty in future retail rates and the inherent links between rates and the customer–economics of behind-the-meter PV, there is growing interest in understanding how potential changes in rates may impact the value of bill savings from PV. In this article, we first use a production cost and capacity expansion model to project California hourly wholesale electricity market prices under two potential electricity market scenarios, including a reference and a 33% renewables scenario. Second, based on the wholesale electricity market prices generated by the model, we develop retail rates (i.e., flat, time-of-use, and real-time pricing) for each future scenario based on standard retail rate design principles. Finally, based on these retail rates, the bill savings from PV is estimated for 226 California residential customers under two types of net metering, for each scenario. We find that high renewable penetrations can drive substantial changes in residential retail rates and that these changes, together with variations in retail rate structures and PV compensation mechanisms, interact to place substantial uncertainty on the future value of bill savings from residential PV. - Highlights: • We investigate the impact of high renewables on customer economics of solar. • We model three types of residential retail electricity rates. • Based on the rates, we calculate the bill savings from photovoltaic (PV) generation. • High renewables penetration can lead to lower bill savings with time-varying rates. • There is substantial uncertainty in the future bill savings from residential PV

  5. Smart grids. On the path towards a low-carbon economy, keeping in mind the consumers electricity bill

    International Nuclear Information System (INIS)

    Bussieras, M.; Mallet, P.

    2010-01-01

    So many people from so many business fields are talking about smart grids: do the network operators still have something specific to tell us about that issue? It seems to us that their know-how has two major dimensions: - The ability to integrate components or subsystems over decades to build a global network system, ensuring an up-to-date service despite the high proportion of ageing components. - The overview, from micro to macro view, allowing them to determine the value of new components or new subsystems the manufacturers and the IT providers may propose. This know-how will be more useful as ever, at a time when the complexity of distribution systems will increase and when the consumer can see its electricity bill rising up in our developed countries. (authors)

  6. Childhood pneumonia as a global health priority and the strategic interest of the Bill & Melinda Gates Foundation.

    Science.gov (United States)

    Adegbola, Richard A

    2012-04-01

    Pneumonia kills more children than any other disease--more than HIV/AIDS, malaria, and measles combined. Introduction of vaccines against pneumococcus and Haemophilus influenzae type b (the most important causes of severe pneumonia in young children), increasing resistance to antibiotics, and changes in HIV prevalence will likely change patterns of pneumonia etiology in developing countries. Studies such as Pneumonia Etiology Research for Child Health (PERCH) that take advantage of new diagnostic technologies are needed to provide an updated and more precise description of the microbial causes of pneumonia and to inform decisions around treatment algorithms and vaccine development and introduction. In recognition of its importance for global health and especially its significance as an ongoing cause of gross inequity in risks, The Bill & Melinda Gates Foundation has made pneumonia an important part of its global health strategy and PERCH a centerpiece of its Pneumonia Program.

  7. Sequentially and alternatively developed heights for two representative bench marks: near Palmdale, California and along the Bill Williams River, Arizona

    Science.gov (United States)

    Gilmore, Thomas D.; Elliot, Michael R.

    1985-01-01

    This report consists chiefly of 41 tables that both describe and fully document the reconstructions of a series of alternately developed heights based on levelings leading into two representative bench marks in the southwestern United States. One of these marks, 3219, Vincent, California (fig. 1), lies within the area of the Pacific-North American plate boundary; the other, 22Q, Bill Williams River, Arizona (fig. 1), falls within what is believed to be a singularly stable section of southwestern Arizona. Because the levelings that produced these heights were characterized by especially disparate routes with respect to both terrain and climate, the resulting heights provide a test for the existence and magnitude of path-dependent error in geodetic leveling. These two marks were chosen both because of their relative stability with respect to adjacent marks and because their tectonic stability (or instability) can be inferred from the geologic record. Specifically, we can reasonably speculate that 3219 may have sustained measurably significant tectonic displacements during the 20th century, whereas 22Q probably has remained virtually invariant with respect to any fixed datum during the same period. Bench mark 3219 is a standard Geological Survey iron post stamped "3219" near the Southern Pacific Railroad station at Vincent (U.S. Geological Survey, 1898, p. 392); 22Q is a brass cap stamped "22Q (MWD)" set in a concrete post located in a gully immediately north of the Bill Williams River, Arizona (USC&GS Quad. 34114). 3219 was established by the Geological Survey no later than 1897 (Gannett and Baldwin, 1907, p. 365); 22Q was established by the Metropolitan Water District of southern California in advance of the 1931 control surveys along the projected route of the Colorado River Aqueduct.

  8. Patients' bill of rights and effective factors of workplace violence against female nurses on duty at Ilam teaching hospitals.

    Science.gov (United States)

    Aivazi, Ali-Ashraf; Menati, Waleyeh; Tavan, Hamed; Navkhasi, Sasan; Mehrdadi, Abuzar

    2017-01-01

    Workplace violence against female nurses is an increasing problem. In addition, recognition the rights of patients can reduce such violence against female nurses. Therefore, the aim of the current study was to investigate workplace violence against female nurses in respect with patients' bill of rights at two public hospitals of Ilam in 2012. In a descriptive cross-sectional research, workplace violence against female nurses was studied. Data were gathered employing a researcher made questionnaire filled out by 106 female nurses. The questionnaire was on workplace, physical and verbal violence of patients and their attendants, and also the patient's rights as respected by nursing staff. Permission of university ethics committee was obtained. Data analyses were done by T-test and ANOVA in SPSS software. Totally, 90.6 % and 15.1 % of the participants were subjected to verbal and physical assaults by patients, respectively during last year of the study. Further, 92.5% and 11.3% of nurses experienced verbal and physical assaults by the patients' attendants, respectively. Most of the nursing staff believed that reporting aggressive attacks to the concerned officials would not be useful. A negative significant correlation was found between the aggressions of patients with age as well as marital status of nurses, (P= 0.04). Furthermore, a significant association was seen between physical violence of patients and the nurses' recognition of the patients' bill of rights (P= 0.03). Due to high rate of violence against female nurses, some proper and effective actions such as employing a trained security force along with legal punitive charges against violators through responsible officials are highly suggested. © 2017 KUMS, All rights reserved.

  9. Patients’ bill of rights and effective factors of workplace violence against female nurses on duty at Ilam teaching hospitals

    Science.gov (United States)

    Aivazi, Ali Ashraf; Menati, Waleyeh; Tavan, Hamed; Navkhasi, Sasan; Mehrdadi, Abuzar

    2017-01-01

    Abstract: Background: Workplace violence against female nurses is an increasing problem. In addition, recognizing the rights of patients can reduce such violence against female nurses. Therefore, the aim of the current study was to investigate workplace violence against female nurses in respect of patients' bill of rights at two public hospitals in Ilam in 2012. Methods: In a descriptive cross-sectional research, workplace violence against female nurses was studied. Data were gathered employing a researcher made questionnaire filled out by 106 female nurses. The questionnaire was on workplace, physical and verbal violence of patients and their attendants, and also the patients' rights as respected by nursing staff. Permission of university ethics committee was obtained. Data analyses were done by T-test and ANOVA in SPSS software. Results: Totally, 90.6 % and 15.1 % of the participants were subjected to verbal and physical assaults by patients, respectively during last year of the study. Further, 92.5% and 11.3% of nurses experienced verbal and physical assaults by the patients' attendants, respectively. Most of the nursing staff believed that reporting aggressive attacks to the concerned officials would not be useful. A negative significant correlation was found between the aggressions of patients with age as well as marital status of nurses, (P= 0.04). Furthermore, a significant association was seen between physical violence of patients and the nurses’ recognition of the patients' bill of rights (P= 0.03). Conclusions: Due to high rate of violence against female nurses, some proper and effective actions such as employing a trained security force along with legal punitive charges against violators through responsible officials are highly suggested. PMID:28039684

  10. Patients’ bill of rights and effective factors of workplace violence against female nurses on duty at Ilam teaching hospitals

    Directory of Open Access Journals (Sweden)

    Ali-Ashraf Aivazi

    2017-01-01

    Full Text Available Background: Workplace violence against female nurses is an increasing problem. In addition, recognition the rights of patients can reduce such violence against female nurses. Therefore, the aim of the current study was to investigate workplace violence against female nurses in respect with patients' bill of rights at two public hospitals of Ilam in 2012. Methods: In a descriptive cross-sectional research, workplace violence against female nurses was studied. Data were gathered employing a researcher made questionnaire filled out by 106 female nurses. The questionnaire was on workplace, physical and verbal violence of patients and their attendants, and also the patient's rights as respected by nursing staff. Permission of university ethics committee was obtained. Data analyses were done by T-test and ANOVA in SPSS software. Results: Totally, 90.6 % and 15.1 % of the participants were subjected to verbal and physical assaults by patients, respectively during last year of the study. Further, 92.5% and 11.3% of nurses experienced verbal and physical assaults by the patients' attendants, respectively. Most of the nursing staff believed that reporting aggressive attacks to the concerned officials would not be useful. A negative significant correlation was found between the aggressions of patients with age as well as marital status of nurses, (P= 0.04. Furthermore, a significant association was seen between physical violence of patients and the nurses' recognition of the patients' bill of rights (P= 0.03. Conclusions: Due to high rate of violence against female nurses, some proper and effective actions such as employing a trained security force along with legal punitive charges against violators through responsible officials are highly suggested.

  11. Cost of placement and complications associated with osseointegrated bone-conducting hearing prostheses: a retrospective analysis of medicare billing data.

    Science.gov (United States)

    Pross, Seth E; Layton, Andrew; Tong, Kuo; Lustig, Lawrence R

    2014-03-01

    To report the cost of placement and complications related to osseointegrated bone-conducting hearing prostheses (OBHPs) in a Medicare population. We performed a retrospective analysis of nationwide Medicare claims data for operative and nonoperative complications associated with the placement of percutaneous OBHPs between the first quarter of 2007 and the second quarter of 2009 for which there were 6 subsequent quarters of follow-up. We used Medicare Standard Analytical Files (SAF), which contain a 5% random sample of Medicare fee-for-service beneficiaries, excluding those that also were enrolled in a managed-care organization. We identified 118 patients who had OBHPs placed in the requisite period. Their complication billing data were analyzed for the six-quarters after initial placement. Seventy patients (59%) had no billing codes for complications or repeat procedures after receiving the implant, whereas 48 patients (41%) had such codes. The total adjusted mean cost with repeat/revision operations or complications was $7,812 per patient compared with $6,733 for those without these issues, an increase of $1,079 or 16%. We estimate that complications associated with the implantation of percutaneous OBHPs led to $417,616 in additional costs in the entire Medicare fee-for-service population during the study period and that the total cost of placement of these devices together with the cost of their complications totaled $6,789,248. In conclusion, the Medicare SAF database suggests that complications associated with OBHP increased the overall cost of placement by 16%. Like all surgical procedures, these complications and their associated costs should be taken into account when considering treatment options for patients who experience hearing loss.

  12. Bill authorizing the approval of the cooperation agreement between the French Republic Government and the Indian Republic Government for the development of peaceful uses of nuclear energy

    International Nuclear Information System (INIS)

    2009-04-01

    After having recalled the context of this cooperation agreement (increasing energy needs of India, enabling the Indian economical growth not to contribute to global warming, agreement between India and the IAEA), this text comments the bill content, i.e. the cooperation field and modalities, and the various opportunities, obligations, constraints, commitments, and guarantees of this cooperation. These aspects are concerning the industrial relationship between France and India as well as the compliance with international agreements and controls. After a list of the different existing agreements between French and Indian nuclear institutions, the actual bill text is given

  13. Information report by the Commission of European Affairs making observations on the bill project nr 2188 related to energy transition for a green growth - Nr 2199

    International Nuclear Information System (INIS)

    Auroi, Danielle

    2014-01-01

    After a synthesis which addresses and discusses the climate context and challenge, the importance and complexity of the energy issue within this context, the European commitment on these issues (energy efficiency, energy saving, greenhouse gas emissions), and the content and objectives of the French bill project on energy transition, this report outlines the need of an as quick as possible implementation of energy transition to cope with the climate emergency, and that new international constraints are also advocating for a transition towards a new energy model. It shows that the French bill project fully forms part of the European approach, and proposes additional measures

  14. Information report on the behalf of the Delegation for overseas territories on the bill project nr 2188 related to energy transition for a green growth - Nr 2197

    International Nuclear Information System (INIS)

    Letchimy, Serge

    2014-01-01

    This report first outlines and discusses that energy transition is a necessity as well as an opportunity for overseas local communities for the emergence of a new model of economic development. The potential of these territories in terms of renewable energies is outlined, as well as the important issues for a successful energy transition. The second part comments the implications for the overseas territories of the bill project on energy transition for a green growth (general presentation of the bill project, advances for overseas territories, measures of interest, measures to be deepened)

  15. A bill for the renaissance of nuclear power in Italy;Projet de relance de l'electronucleaire en Italie

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2009-07-15

    Today Italy is the only G8 member to have no nuclear power plants in operation. In 1987 as a consequence of a referendum Italy decided to shut down its nuclear power plants and to forbid the construction of new ones. Italy relies on oil and gas imports for 80% of its energy needs. The Italian parliament has recently passed a bill for a renaissance of nuclear power. The bill gives 6 months to the government to set the rules and conditions for the come-back of nuclear energy. (A.C.)

  16. The Bill of Rights. Twelfth Grade--Principles of American Democracy Lesson. Schools of California Online Resources for Education (SCORE): Connecting California's Classrooms to the World.

    Science.gov (United States)

    Houghton, Robert

    When George Washington was sworn in as the first President of the United States on April 30, 1789, the U.S. Constitution had already been ratified, yet the future of the new country was at risk. Some people wanted a bill of rights added to the U.S. Constitution to guarantee individual liberties. Two groups opposed each other--the Federalists…

  17. Exploitation of the Phebus inquiry. Better qualifying fuel poverty situations: coldness, heating restrictions, payment difficulties of energy bills, constrained limited mobility

    International Nuclear Information System (INIS)

    Ambrosio, Giulia; Belaid, Fateh; Bair, Sabrine; Teissier, Olivier

    2015-01-01

    The object of the research consists in estimating situations of fuel poverty from the statistical analysis of Phebus database 2012. The analysis of thermal characteristics of housing crossed with the uses by cutting down of heating, restriction of mobility and difficulties of payment of energy bills will allow us to anticipate better the phenomenon and to bring adapted answers

  18. H.R. 754: A Bill to make improvements in the Black Lung Benefits Act. Introduced in the House of Representatives, One Hundred Fourth Congress, First session

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-31

    This bill proposes changes in the Black Lung Benefits Act with the intent of improving the existing legislation. Changes are proposed in sections of the act referring to: benefit overpayment; evidence; survivor benefits; responsible operator; attorney fees; administration; refilling; construction; and effective dates.

  19. 76 FR 18062 - U.S. Securities; Sale and Issue of Marketable Book-Entry Treasury Bills, Notes, and Bonds; Book...

    Science.gov (United States)

    2011-04-01

    ...; Sale and Issue of Marketable Book-Entry Treasury Bills, Notes, and Bonds; Book-Entry Treasury Bonds... longer be opened and transfers of securities from other book-entry systems will no longer be [email protected] . SUPPLEMENTARY INFORMATION: Legacy Treasury Direct [supreg] is a book- entry, non...

  20. Reform of the Buy-and-Bill System for Outpatient Chemotherapy Care Is Inevitable: Perspectives from an Economist, a Realpolitik, and an Oncologist.

    Science.gov (United States)

    Polite, Blase; Conti, Rena M; Ward, Jeffery C

    2015-01-01

    Treating patients with cancer with infused or injected oncolytics is a core component of outpatient oncology practice. Currently, practices purchase drugs and then bill insurers, colloquially called "buy and bill." Reimbursement for these drugs is the largest source of gross revenue for oncology practices, and as the prices of cancer drugs have grown over time, these purchases have had significant impact on the financial health of practices and pose a risk that jeopardizes the ability of many practices to operate and provide patient care. Medicare Part B spending on drugs is under political scrutiny because of federal spending pressures, and the margin between buy and bill, lowered to 6% by the Medicare Modernization Act and further decreased to 4.3% by sequestration, is a convenient and popular target of budgetary discussions and proposals, scored to save billions of dollars over 10-year budget windows for each percentage-point reduction. Alternatives to the buy-and-bill system have been proposed to include invoice pricing, least costly alternative reimbursement, bundling of drugs into episode-of-care payments, shifting Part B drugs to the Medicare Part D benefit, and revision of the failed Competitive Acquisition Program. This article brings the perspectives of policy makers, health care economists, and providers together to discuss this major challenge in oncology payment reform.

  1. Policy bill of program on the radioactive materials and wastes management. Press conference. Intervention of Francois Loos, Ministry delegate to the Industry

    International Nuclear Information System (INIS)

    2006-01-01

    This document provides the presentation of Francois Loos concerning the policy bill on the program of radioactive materials and wastes. Three axis of researches are decided: the separation and transmutation, the deep underground disposal and long dated storage and conditioning processes. The bill institutes a national radioactive materials and waste management plan and defines a programme and calendar for research and work leading to implementation of this plan, which will comprise three major points: with a view to looking to reduce the quantity of waste, spent nuclear fuels taken from the nuclear power plants will be reprocessed for recycling in the plants; waste which cannot be recycled will be packaged in a robust matrix and then temporarily stored on the surface; after interim storage, waste which cannot be finally disposed of in a surface facility, will be placed in a deep geological reversible repository. In order to monitor each step in this plan, the bill strengthens independent assessment of research and involves greater information of the public. With regard to financing, the bill clarifies the fact that economic development of the departments concerned by research into disposal options and the research itself will be financed by additional taxes on the operators of nuclear installations. (A.L.B.)

  2. DoD Needs to Improve the Billing System for Health Care Provided to Contractors at Medical Treatment Facilities in Southwest Asia

    Science.gov (United States)

    2012-06-27

    for 1 day ($2,518); however, the bill should have been for 8 days ($20,144);  a patient treated for inflammation of the gallbladder for 1 day...Application. Therefore, once we extracted those patients whose patient category was listed as contractor personnel and removed the duplicate line items

  3. Both natural selection and isolation by distance explain phenotypic divergence in bill size and body mass between South Australian little penguin colonies.

    Science.gov (United States)

    Colombelli-Négrel, Diane

    2016-11-01

    Morphological variation between populations of the same species can arise as a response to genetic variation, local environmental conditions, or a combination of both. In this study, I examined small-scale geographic variation in bill size and body mass in little penguins ( Eudyptula minor ) across five breeding colonies in South Australia separated by penguin colonies.

  4. Medicare program; appeals of CMS or CMS contractor determinations when a provider or supplier fails to meet the requirements for Medicare billing privileges. Final rule.

    Science.gov (United States)

    2008-06-27

    This final rule implements a number of regulatory provisions that are applicable to all providers and suppliers, including durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers. This final rule establishes appeals processes for all providers and suppliers whose enrollment, reenrollment or revalidation application for Medicare billing privileges is denied and whose Medicare billing privileges are revoked. It also establishes timeframes for deciding enrollment appeals by an Administrative Law Judge (ALJ) within the Department of Health and Human Services (DHHS) or the Departmental Appeals Board (DAB), or Board, within the DHHS; and processing timeframes for CMS' Medicare fee-for-service (FFS) contractors. In addition, this final rule allows Medicare FFS contractors to revoke Medicare billing privileges when a provider or supplier submits a claim or claims for services that could not have been furnished to a beneficiary. This final rule also specifies that a Medicare contractor may establish a Medicare enrollment bar for any provider or supplier whose billing privileges have been revoked. Lastly, the final rule requires that all providers and suppliers receive Medicare payments by electronic funds transfer (EFT) if the provider or supplier, is submitting an initial enrollment application to Medicare, changing their enrollment information, revalidating or re-enrolling in the Medicare program.

  5. H.R. 1526: A Bill to the Defense Nuclear Waste Cleanup Privatization Act. Introduced in the House of Representatives, One Hundred Fourth Congress, First session

    International Nuclear Information System (INIS)

    1995-01-01

    This report discusses a bill to authorize the Secretary of Energy to enter into privatization arrangements for activities carried out in connection with defense nuclear facilities, and for other purposes like: waste remediation and environmental restoration, including treatment, storage, and disposal; technical services; energy production; utility services; effluent treatment; general storage; fabrication and maintenance; and research and testing

  6. 'The biggest car crash in NHS history': the media portrayal of GP pay before and after the introduction of the Health and Social Care Bill 2011.

    Science.gov (United States)

    Balkham, Adam; Alderson, Sarah

    2017-01-01

    The introduction of the Health and Social Care Bill (2011) changed the role of GPs to include commissioning of health services. Aim This study aimed to identify any differences in the media portrayal of GPs before and after the introduction of the Bill. We retrospectively searched four British newspapers over the period 2009-2013 using the media database Nexis. In order to directly compare the findings of the study with the work of Tanner et al., articles relating to GP pay were analysed using thematic analysis. Themes were identified and each article was scored to determine whether it portrayed GPs positively or negatively. GPs were portrayed slightly less negatively after the introduction of the Bill. The theme of 'high salaries' persisted despite reference to 'pay freezes'. References to decreased trust in the patient-doctor relationship appeared after the introduction of the Bill. Negative portrayal of GP pay has continued and a lack of trust in GPs has started to be portrayed. This trend may exacerbate the low morale amongst the profession and difficulties in recruiting and retaining GPs.

  7. Approaches of Bill & Melinda Gates Foundation-Funded Intermediary Organizations to Structuring and Supporting Small High Schools in New York City. Executive Summary

    Science.gov (United States)

    Foley, Eileen

    2010-01-01

    In 2003, a few years after the Bill & Melinda Gates Foundation began implementing its small schools reform agenda, the Chancellor of the New York City Department of Education (DOE) announced a plan to replace large failing high schools in New York City with 200 small schools. In short order, the foundation and the Chancellor became partners with…

  8. Small High Schools at Work: A Case Study of Six Gates-Funded Schools in New York City. A Report to the Bill & Melinda Gates Foundation

    Science.gov (United States)

    Fancsali, Cheri; Jaffe-Walter, Reva; Mitchell-McKnight, Vernay; Nevarez, Nancy; Orellana, Eliana, Williams Rose, Lea

    2010-01-01

    The Academy for Educational Development (AED) conducted a case study of six public high schools in New York City as part of a multifaceted evaluation of a small schools initiative funded by the Bill & Melinda Gates Foundation. Through surveys, interviews, and focus groups, the authors gathered information and opinions from the schools'…

  9. 76 FR 40749 - Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department...

    Science.gov (United States)

    2011-07-11

    ... Billed to Third Parties for Prescription Drugs Furnished by VA to a Veteran for a Nonservice-Connected... methodology set forth in 38 CFR 17.102, which was only to be used until such time as charges for prescription... follows: Cost-based Inter-agency rates rates A. Hospital Care per inpatient day General Medicine: All...

  10. SU-A-210-00: AAPM Medical Physics Student Meeting: Medical Billing and Regulations: Everything You Always Wanted To Know, But Were Too Afraid To Ask

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2015-06-15

    The purpose of this student annual meeting is to address topics that are becoming more relevant to medical physicists, but are not frequently addressed, especially for students and trainees just entering the field. The talk is divided into two parts: medical billing and regulations. Hsinshun Wu – Why should we learn radiation oncology billing? Many medical physicists do not like to be involved with medical billing or coding during their career. They believe billing is not their responsibility and sometimes they even refuse to participate in the billing process if given the chance. This presentation will talk about a physicist’s long career and share his own experience that knowing medical billing is not only important and necessary for every young medical physicist, but that good billing knowledge could provide a valuable contribution to his/her medical physics development. Learning Objectives: The audience will learn the basic definition of Current Procedural Terminology (CPT) codes performed in a Radiation Oncology Department. Understand the differences between hospital coding and physician-based or freestanding coding. Apply proper CPT coding for each Radiation Oncology procedure. Each procedure with its specific CPT code will be discussed in detail. The talk will focus on the process of care and use of actual workflow to understand each CPT code. Example coding of a typical Radiation Oncology procedure. Special procedure coding such as brachytherapy, proton therapy, radiosurgery, and SBRT. Maryann Abogunde – Medical physics opportunities at the Nuclear Regulatory Commission (NRC) The NRC’s responsibilities include the regulation of medical uses of byproduct (radioactive) materials and oversight of medical use end-users (licensees) through a combination of regulatory requirements, licensing, safety oversight including inspection and enforcement, operational experience evaluation, and regulatory support activities. This presentation will explore the

  11. SU-A-210-00: AAPM Medical Physics Student Meeting: Medical Billing and Regulations: Everything You Always Wanted To Know, But Were Too Afraid To Ask

    International Nuclear Information System (INIS)

    2015-01-01

    The purpose of this student annual meeting is to address topics that are becoming more relevant to medical physicists, but are not frequently addressed, especially for students and trainees just entering the field. The talk is divided into two parts: medical billing and regulations. Hsinshun Wu – Why should we learn radiation oncology billing? Many medical physicists do not like to be involved with medical billing or coding during their career. They believe billing is not their responsibility and sometimes they even refuse to participate in the billing process if given the chance. This presentation will talk about a physicist’s long career and share his own experience that knowing medical billing is not only important and necessary for every young medical physicist, but that good billing knowledge could provide a valuable contribution to his/her medical physics development. Learning Objectives: The audience will learn the basic definition of Current Procedural Terminology (CPT) codes performed in a Radiation Oncology Department. Understand the differences between hospital coding and physician-based or freestanding coding. Apply proper CPT coding for each Radiation Oncology procedure. Each procedure with its specific CPT code will be discussed in detail. The talk will focus on the process of care and use of actual workflow to understand each CPT code. Example coding of a typical Radiation Oncology procedure. Special procedure coding such as brachytherapy, proton therapy, radiosurgery, and SBRT. Maryann Abogunde – Medical physics opportunities at the Nuclear Regulatory Commission (NRC) The NRC’s responsibilities include the regulation of medical uses of byproduct (radioactive) materials and oversight of medical use end-users (licensees) through a combination of regulatory requirements, licensing, safety oversight including inspection and enforcement, operational experience evaluation, and regulatory support activities. This presentation will explore the

  12. Uncertainties in the Value of Bill Savings from Behind-the-Meter, Residential Photovoltaic Systems: The Roles of Electricity Market Conditions, Retail Rate Design, and Net Metering

    Science.gov (United States)

    Darghouth, Naim Richard

    Net metering has become a widespread policy mechanism in the U.S. for supporting customer adoption of distributed photovoltaics (PV), allowing customers with PV systems to reduce their electric bills by offsetting their consumption with PV generation, independent of the timing of the generation relative to consumption. Although net metering is one of the principal drivers for the residential PV market in the U.S., the academic literature on this policy has been sparse and this dissertation contributes to this emerging body of literature. This dissertation explores the linkages between the availability of net metering, wholesale electricity market conditions, retail rates, and the residential bill savings from behind-the-meter PV systems. First, I examine the value of the bill savings that customers receive under net metering and alternatives to net metering, and the associated role of retail rate design, based on current rates and a sample of approximately two hundred residential customers of California's two largest electric utilities. I find that the bill savings per kWh of PV electricity generated varies greatly, largely attributable to the increasing block structure of the California utilities' residential retail rates. I also find that net metering provides significantly greater bill savings than alternative compensation mechanisms based on avoided costs. However, retail electricity rates may shift as wholesale electricity market conditions change. I then investigate a potential change in market conditions -- increased solar PV penetrations -- on wholesale prices in the short-term based on the merit-order effect. This demonstrates the potential price effects of changes in market conditions, but also points to a number of methodological shortcomings of this method, motivating my usage of a long-term capacity investment and economic dispatch model to examine wholesale price effects of various wholesale market scenarios in the subsequent analysis. By developing

  13. When is an "Extinct" Species Really Extinct? Gauging the Search Efforts for Hawaiian Forest Birds and the Ivory-Billed Woodpecker

    Directory of Open Access Journals (Sweden)

    J. Michael. Scott

    2008-12-01

    Full Text Available Rare species, particularly those in inaccessible habitat, can go years without being observed. If we are to allocate conservation resources appropriately to conserving such species, it is important to be able to distinguish "rare" from "extinct." Criteria for designating extinction, however, tend to be arbitrary or vaguely defined. This designation should not be made unless the search effort has been sufficient to yield a high degree of confidence that the species is in fact absent. We develop models to assess the probability of extinction and the search effort necessary to detect an individual in a small population. We apply these models to searches for nine potentially extinct Hawaiian forest birds and for the Ivory-billed Woodpecker (Campephilus principalis in intensively searched areas in Arkansas. The Hawaiian forest bird survey was extensive, providing excellent information on population sizes and habitat associations of species encountered during the survey. Nonetheless, we conclude that the survey effort was not sufficient to conclude extinction (p > 0.90 for populations of 10 or fewer individuals for those species that were not encountered during surveys. In contrast, our analysis for Ivory-billed Woodpeckers suggests that, unless there were actually two or fewer birds present, the search effort was sufficient to conclude (p > 0.95 that Ivory-billed woodpeckers were not present in the intensively searched area. If one assumes distributions other than uniform, there is a greater chance that Ivory-billed Woodpeckers may persist in the intensively searched areas. Conclusions regarding occupancy of suitable habitat throughout the rest of the former range will require similarly intensive survey efforts. The degree of confidence in the absence of the Ivory-billed Woodpecker depended in part on our assumptions about the distribution of birds in the search area. For species with limited detection distance and small populations, a massive search

  14. Assessment of metal concentrations in sediment samples from Billings Reservoir, Rio Grande tributary, Sao Paulo, Brazil; Avaliacao da concentracao de metais em amostras de sedimento do Reservatorio Billings, Braco Rio Grande, Sao Paulo, Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Bostelmann, Eleine

    2006-07-01

    The present study chemically characterized sediment samples from the Billings reservoir, Rio Grande tributary, in the Metropolitan region of Sao Paulo, by determining metal concentration and other elements of interest. The chosen chemical parameters for this characterization were Aluminum, Arsenic, Barium, Cadmium, Copper, Chromium, Iron, Lead, Manganese, Mercury, Nickel, Selenium and Zinco. These parameters are also used in the water quality index, with the exception of Selenium. The concentrations were determined through different analytical techniques such as atomic absorption spectrometry (FAAS, GFAAS and CVAAS), optical emission spectrometry (ICP OES) and neutron activation analysis. These analytical methodologies were assessed for precision, accuracy and detection and/or quantification limits for the sediment elements in question. Advantages and disadvantages of each technique for each element and its concentration were also discussed. From these assessments the most adequate technique was selected for the routine analysis of sediment samples for each element concentration determination. This assessment verified also that digestion in a closed microwave system with nitric acid is efficient for the evaluation of extracted metals of environmental interest. The analytical techniques chosen were equally efficient for metals determination. In the case of Cd and Pb, the FAAS technique was selected due to better results than ICP OES, as it does not present matrix interference. The concentration values obtained for metals As, Cd, Cu, Cr, Hg, Ni, Pb and Zn in the sediment samples were compared to Canadian Council of Minister of the Environment (CCME) TEL and PEL values. (author)

  15. Spatial and temporal heterogeneity of water quality in Rio das Pedras reservoir (Billings Complex, São Paulo State

    Directory of Open Access Journals (Sweden)

    Viviane Moschini-Carlos

    2009-12-01

    Full Text Available Este trabalho teve como objetivo avaliar em escalas espacial (vertical e horizontal e temporal as características limnológicas do Reservatório Rio das Pedras (Complexo Billings, São Bernardo do Campo, SP – Brasil. Nos meses de março e outubro de 2004 foram amostradas em perfil três estações no reservatório. As variáveis analisadas foram: temperatura, condutividade elétrica e pH, com sonda multiparâmetros; concentrações de amônio, nitrito, nitrato, fosfato, ortosilicato, fósforo total, clorofila-a e feofitina, por método espectrofotométrico; oxigênio dissolvido por método titulométrico; além das concentrações de sólidos totais e material em suspensão. Para análise estatística dos dados foi aplicada a ACP (Análise de Componentes Principais. A heterogeneidade temporal observada foi conseqüência das diferenças de temperatura, que geraram estratificação térmica, química e biológica, no mês de março. As diferenças espaciais verticais também resultaram da estratificação térmica. As maiores discrepâncias das características limnológicas, em relação ao padrão de distribuição espacial horizontal, foram obtidas na estação 1, e são diretamente relacionadas à influência das águas provenientes do reservatório Billings. De acordo com a CONAMA 357/05, para o mês de outubro de 2004 as águas do reservatório estão em conformidade com a Classe 3. Para o mês de março, na estação 3 os valores estão abaixo do estabelecido, conferindo não conformidade para a Classe 3.

  16. Public, official, and industry submissions on a Bill to increase the alcohol minimum purchasing age: A critical analysis.

    Science.gov (United States)

    Kypri, Kypros; Wolfenden, Luke; Hutchesson, Melinda; Langley, John; Voas, Robert

    2014-07-01

    In 2005 a Bill was introduced to the New Zealand parliament to increase the alcohol minimum purchasing age (MPA) from 18 to 20 years and submissions were invited from interested parties. We sought to characterise and critique the arguments tendered for and against the proposal. We used template analysis to study written submissions on the Bill from 178 people and organisations in New Zealand. Independent raters coded submissions according to the source, whether for or opposed, and the arguments employed. The most common sources of submissions were members of the public (28%), the alcohol industry (20%), and NGOs (20%). Overall, 40% opposed increasing the MPA, 40% were in favour, 4% supported a split MPA (18 years for on-premise, 20 years for off-premise), 7% were equivocal, and 8% offered no comment. The most common proponents of increasing the MPA were NGOs (36%) and members of the public (30%) and their arguments concerned the expected positive effects on public health (36%) and public disorder/property damage (16%), while 24% argued that other strategies should be used as well. The most common sources of opposition to increasing the MPA were the alcohol industry (50%) and the public (20%). It was commonly claimed that the proposed law change would be ineffective in reducing harm (22%), that other strategies should be used instead (16%), that it would infringe adult rights (15%), and that licensed premises are safe environments for young people (14%). There were noteworthy examples of NGOs and government agencies opposing the law change. The alcohol industry maximised its impact via multiple submissions appealing to individual rights while neglecting to report or accurately characterise the scientific evidence. Several health and welfare agencies presented confused logic and/or were selective in their use of scientific evidence. In contrast to the fragmented and inconsistent response from government and NGOs, the alcohol industry was organised and united, with

  17. Conhecimento, aceitabilidade e uso do método billings de planejamento familiar natural El conocimiento, la aceptación y el uso del método Billings de planificación familiar natural Knowledge, acceptability and use of the Billings natural family planning method

    Directory of Open Access Journals (Sweden)

    Nelson Shozo Uchimura

    2011-09-01

    Full Text Available Estudo observacional, quantitativo analítico que objetivou verificar o conhecimento, a aceitabilidade e o uso do planejamento familiar natural (PFN pelos pacientes em um hospital universitário no período de julho a novembro de 2008. Os dados foram coletados utilizando questionário estruturado e analisados através dos Programas Excel e Statistica 8.0. Das 113 mulheres entrevistadas, 70 (62% aceitavam o método e 1 (0,9% fazia o uso rotineiro. A aceitação foi maior entre as que desejavam engravidar no futuro quando comparadas aquelas que não desejavam engravidar. A aceitabilidade foi estatisticamente significativa (p=0,0147 entre as 28 (80% não usuárias de métodos contraceptivos comparadas a 42 (53,8% com algum método contraceptivo. Fatores como idade, escolaridade, número de filhos vivos e religião não apresentaram associação estatística com a aceitabilidade do PFN. A aceitabilidade do método de ovulação Billings é adequada, porém com pouco uso na prática por falta de informação pelos profissionais da saúde da verdadeira eficácia e aplicabilidade.Estudio observacional, cuantitativo y analítico para verificar el conocimiento, la aceptación y el uso de la planificación familiar natural (PFN en un hospital universitario en el periodo de julio a noviembre de 2008. Los datos fueron recolectados a través de cuestionario estructurado y analizados mediante los programas Excel e Statistica 8.0. De las 113 mujeres entrevistadas, 70 (62,0% aceptaron el método y 1 (0,9% tenían uso rutinario. Aceptación fue mayor entre las que deseaban futuros embarazos en comparación con aquellos que no desean quedar embarazadas. Aceptabilidad fue estadísticamente significativa (p=0,0147 entre 28 (80,0% no usuarias de anticonceptivos en comparación con 42 (53,8% con el método anticonceptivo. Factores como edad, escolaridad, número de hijos vivos y religión no se asoció estadísticamente con la aceptación de PFN. Aceptabilidad del m

  18. Senate Bill (PLS No. 200, de 2015, analysis versus the Principle of the Prohibition of Social Regression

    Directory of Open Access Journals (Sweden)

    Glaucia Ribeiro Lima

    2016-12-01

    Full Text Available The Senate Bill (PLS number 200, of 2015, proposes the edition of a law for the conduction of clinical trials involving human subjects. This study aimed to perform a critical analysis of the PLS 200/2015, based on the Principle of the Prohibition of Social Regression. Thus, a descriptive, documentary and normative research was conducted, with survey of the ethical and sanitary standards related to clinical research and findings related to the PL 200/2015. The PLS 200/2015 and the information regarding was also consulted on the website of the Senate. The regulation of the matter by law demonstrated not to be a problem in the research. The main conflicts were related to the creation of Independent Ethics Committee (IEC, that does not link the ethic review to an State Agency; the use of placebo, in which flexibility is contrary to all efforts to ensure that participants have the best treatment options; and post-study access, which restriction is contrary to the existing regulations that determine the free and unlimited access. The analysis of the main settings specified in the PLS 200/2015 did not identify social or scientific improvements. The Principle of the Prohibition of Social Regression can be used, thus, to ensure the constitutional provisions already undertake and accomplished, mainly the right to health, human dignity and the inviolability of the right to live.

  19. ANALYSIS ON BILLING SYSTEM IMPLEMENTATION QUALITY IN ENDEAVOR TO INCREASE CUSTOMER SATISFACTION IN IMPORT ACTIVITY: STUDY OF SURABAYA CONTAINER TERMINAL

    Directory of Open Access Journals (Sweden)

    Dzulkirom M.

    2017-10-01

    Full Text Available This study aims to determine and explain the simultaneous and partial effects of service quality components consisting of reliability, responsiveness, assurance to customer satisfaction in PT. Terminal Petikemas Surabaya, аnd to know аnd explаin which between the three service quаlity vаriаbles thаt hаve а dominаnt effect on customer sаtisfаction. The type of reseаrch used is explаnаtory reseаrch with populаtion or census method with quаntitаtive аpproаch. Sаmples taken were 35 Billing Service users registered in PT. Terminal Petikemas Surabaya. Dаtа collection method used is questionnаire. The result of multiple lineаr regression аnаlysis shows thаt the three independent vаriаbles reliability, responsiveness, аssurаnce hаve significаnt influence on the dependent vаriаble thаt is customer sаtisfаction.

  20. Sustainability, Risk Society and Genetically Modified Foods: Definitions Disputes and the Bill Nº 4.148/08

    Directory of Open Access Journals (Sweden)

    Maria Claudia da Silva Antunes de Souza

    2016-10-01

    Full Text Available The paper has for object the analysis of the Bill n. 4.148/08, which significantly changes the way the labeling of GM foods, replacing the currently existing symbol by a phrase inserted between other label data. It is the goal of the reserach to show that this proposal, beyond a mere legislative amendment least, is embedded in a much larger context and is living proof of the hypothesis of Professor Ulrich Beck that socially recognized risks would be subject and object of definitions disputes much less depend on scientific knowledge of what actually the political game that involves power, money, information and media space. In addition, it follows the assertion  in response to the problem of the research  that, in the light of the sustainability paradigm, the PL 4.148/08 represents an environmental setback and itself a threat to the construction of this new ethical imperative. In the methodology we used the inductive method in the investigation phase; in the data processing phase the Cartesian method and in the research report was employed the inductive base. They were also triggered the techniques of reference, category, operational concepts, bibliographic research and book report.