WorldWideScience

Sample records for care purposes radiologische

  1. Triage and first care of casualties after radiological incidents; Triage en eerste opvang van slachtoffers na radiologische incidenten

    Energy Technology Data Exchange (ETDEWEB)

    De Groot, R.; Van Zoelen, G.A.; Van Riel, A.J.H.P.; Leenders, M.E.C.

    2010-11-15

    The RIVM has prepared an overview of the necessary measures for the first care of casualties of incidents with radiological material, starting at the location of the incident until the hospital. Different groups of casualties are discerned, for which specific measures are necessary to minimise health risk. Subsequently flowcharts are set up for the evaluation, selection and first care of these casualties with concomitant measures. The flowcharts indicate which persons should be directly transported to the hospital and which persons can be sent home after monitoring and, if necessary, removal of radioactive material, for example contaminated clothing (decontamination). Furthermore, there is attention for the persons that are not exposed, but are worried. In time of an incident the flowcharts can be adapted and refined according to the specific nature of the incident. The report is written on request of the 'Medical Planning and Preparedness Office (GHOR)', by order of the Ministry of Health, Welfare and Sport. The report describes the consequences of incidents with a 'dirty bomb' and a hidden radioactive source. A 'dirty bomb' is a conventional explosive that will spread radioactive material after detonation. People in the direct surroundings of the explosion can be perilously injured. They can also become contaminated by scattered shards and radioactive material. During an incident with a hidden (intact) radioactive source, the radioactive material will not spread, because it is located at a specific site. The report also presents a flowchart for these incidents. The report supplies information to explain the flowcharts. The appendices give background information on radioactivity and ionising radiation and the health risks after exposure. Also references are provided to relevant national and international guidelines and handbooks. [Dutch] Het RIVM heeft in kaart gebracht welke maatregelen nodig zijn om slachtoffers op te vangen van

  2. Structured diagnostic imaging in patients with multiple trauma; Strukturierte radiologische Diagnostik beim Polytrauma

    Energy Technology Data Exchange (ETDEWEB)

    Linsenmaier, U.; Rieger, J.; Rock, C.; Pfeifer, K.J.; Reiser, M. [Institut fuer Klinische Radiologie, Klinikum der Universitaet Muenchen, Innenstadt (Germany); Kanz, K.G. [Chirurgische Klinik, Klinikum der Universitaet Muenchen, Innenstadt (Germany)

    2002-07-01

    Purpose. Development of a concept for structured diagnostic imaging in patients with multiple trauma.Material and methods. Evaluation of data from a prospective trial with over 2400 documented patients with multiple trauma. All diagnostic and therapeutic steps, primary and secondary death and the 90 days lethality were documented.Structured diagnostic imaging of multiple injured patients requires the integration of an experienced radiologist in an interdisciplinary trauma team consisting of anesthesia, radiology and trauma surgery. Radiology itself deserves standardized concepts for equipment, personnel and logistics to perform diagnostic imaging for a 24-h-coverage with constant quality.Results. This paper describes criteria for initiation of a shock room or emergency room treatment, strategies for documentation and interdisciplinary algorithms for the early clinical care coordinating diagnostic imaging and therapeutic procedures following standardized guidelines. Diagnostic imaging consists of basic diagnosis, radiological ABC-rule, radiological follow-up and structured organ diagnosis using CT. Radiological trauma scoring allows improved quality control of diagnosis and therapy of multiple injured patients.Conclusion. Structured diagnostic imaging of multiple injured patients leads to a standardization of diagnosis and therapy and ensures constant process quality. (orig.) [German] Fragestellung. Entwicklung eines strukturierten Konzeptes zur radiologischen Diagnostik polytraumatisierter Patienten.Methodik. Die Datenevaluation erfolgte auf Basis einer prospektiven interdisziplinaere Polytraumastudie mit ueber 2400 Patienten. Alle diagnostischen und therapeutischen Schritte werden jeweils unter Angabe von Zeitpunkt und auftretenden Komplikationen erfasst, ein primaeres oder sekundaeres Versterben und die 90-Tage-Letalitaet werden dokumentiert.Die strukturierte radiologische Diagnostik von Mehrfachverletzen verlangt die Integration eines erfahrenen Radiologen in

  3. Radiologic diagnostics of dementia; Radiologische Demenzdiagnostik

    Energy Technology Data Exchange (ETDEWEB)

    Essig, M. [Radiologie, Deutsches Krebsforschungszentrum Heidelberg (Germany); Radiologie, Deutsches Krebsforschungszentrum Heidelberg, Im Neuenheimer Feld 280, 69120, Heidelberg (Germany); Schoenberg, S.O. [Institut fuer klinische Radiologie, Ludwig-Maximilians-Universitaet Muenchen (Germany)

    2003-07-01

    Dementia is one of the most common diseases in the elderly population and is getting more and more important with the ageing of the population. A radiologic structural examination with CT or MRI is meanwhile a standard procedure in the diagnostic work up of patients with dementia syndrome. Radiology enables an early diagnosis and a differential diagnosis between different causes of dementia. Because structural changes occur only late in the disease process, a more detailed structural analysis using volumetric techniques or the use of functional imaging techniques is mandatory. These days, structural imaging uses MRI which enables to detect early atrophic changes at the medial temporal lobe with focus on the amygdala hippocampal complex. These changes are also present in the normal ageing process. In patients with Alzheimer's disease, however, they are more rapid and more pronounced. The use of functional imaging methods such as perfusion MRI, diffusion MRI or fMRI allow new insights into the pathophysiologic changes of dementia. The article gives an overview of the current status of structural imaging and an outlook into the potential of functional imaging methods. Detailed results of structural and functional imaging are presented in other articles of this issue. (orig.) [German] Demenzielle Syndrome gehoeren zu den haeufigsten Erkrankungen im hoeheren Lebensalter und werden mit einer Zunahme der Ueberalterung in der Bevoelkerung volkswirtschaftlich immer bedeutender. Die radiologische Untersuchung mittels struktureller CT oder MRT gehoert mittlerweile zur Standardabklaerung jeder demenziellen Symptomatik. Sie dient der Frueherkennung und der Differenzialdiagnostik der verschiedenen Ursachen einer Demenz. Dies gilt insbesondere in Hinblick auf zu erwartende und bereits vorhandene Therapiemoeglichkeiten. Da jedoch strukturelle Veraenderungen erst relativ spaet im Fortschreiten der Erkrankung visualisiert werden koennen, sind detaillierte strukturelle

  4. Liver: radiological methods supplementary; Radiologische Diagnostik der Leber

    Energy Technology Data Exchange (ETDEWEB)

    Delorme, S. [Deutsches Krebsforschungszentrum, Heidelberg (Germany). Abt. Onkologische Diagnostik und Therapie

    2000-10-01

    Highly specific methods are required for the diagnostic workup of focal hepatic lesions, since benign circumscribed liver changes are very common. Although cross-sectional imaging techniques have a high diagnostic accuracy, radionuclide imaging techniques such as colloid, red blood cell, or hepatobiliary scan are commonly performed when a benign lesion is assumed since these permit a definite diagnosis with high specificity. The diagnosis of a primary or secondary malignant liver tumor, however, usually relies on radiological imaging techniques along, supported by needle biopsy. Whether positron emission tomography as a primary or supplementary diagnostic tool will have a role in the routine staging of malignant tumors remains to be determined. (orig.) [German] Die Abklaerung umschriebener Leberveraenderungen erfordert den Einsatz von Methoden hoher Spezifitaet, da die Praevalenz benigner, fokaler Laesionen sehr hoch ist. Hierfuer sind radiologische Schnittbildtechniken grundsaetzlich gut geeignet. Wenn aufgrund der sonographischen, computertomographischen oder magnetresonanztomographischen Befunde eine gutartige Laesion anzunehmen ist, werden jedoch haeufig ergaenzend die Kolloiderythrozyten- oder hepatobiliaere Szintigraphie - ggf. in Kombination - eingesetzt, da hiermit rasch eine abschliessende Diagnose mit hoher Spezifitaet gestellt werden kann. Bei malignen primaeren oder sekundaeren Lebertumoren hingegen werden nuklearmedizinische Zusatzuntersuchungen seltener angefordert, da der radiologische Befund, ggf. gestuetzt durch eine Ultraschall- oder CT-gezielte Biopsie, eine Diagnose in den meisten Faellen erlaubt. Inwieweit sich der primaere oder ergaenzende Einsatz der Positronenemissionstomographie im Vergleich zu radiologischen Schnittbildtechniken beim Staging boesartiger Tumoren bewaehrt, ist noch nicht abschliessend geklaert. (orig.)

  5. Diagnostic radiology on multiple injured patients: interdisciplinary management; Radiologische Diagnostik beim Polytrauma: interdisziplinaeres Management

    Energy Technology Data Exchange (ETDEWEB)

    Linsenmaier, U.; Pfeifer, K.J. [Inst. fuer Radiologische Diagnostik, Klinikum der Univ. Muenchen (Germany); Kanz, K.G.; Mutschler, W. [Chirurgische Klinik Innenstadt, Klinikum der Univ. Muenchen, (Germany)

    2001-06-01

    The presence of a radiologist within the admitting area of an emergency department and his capability as a member of the trauma team have a major impact on the role of diagnostic radiology in trauma care. The knowledge of clinical decision criteria, algorithms, and standards of patient care are essential for the acceptance within a trauma team. We present an interdisciplinary management concept of diagnostic radiology for trauma patients, which comprises basic diagnosis, organ diagnosis, radiological ABC, and algorithms of early clinical care. It is the result of a prospective study comprising over 2000 documented multiple injured patients. The radiologist on a trauma team should support trauma surgery and anesthesia in diagnostic and clinical work-up. The radiological ABC provides a structured approach for diagnostic imaging in all steps of the early clinical care of the multiple injured patient. Radiological ABC requires a reevaluation in cases of equivocal findings or difficulties in the clinical course. Direct communication of radiological findings with the trauma team enables quick clinical decisions. In addition, the radiologist can priority-oriented influence the therapy by using interventional procedures. The clinical radiologist is an active member of the interdisciplinary trauma team, not only providing diagnostic imaging but also participating in clinical decisions. (orig.) [German] Die Anwesenheit des Radiologen im Schockraum und dessen Teamfaehigkeit bestimmen den Status der diagnostischen Radiologie in der Traumaversorgung. Voraussetzung zur Mitarbeit im interdisziplinaeren Traumateam ist die detaillierte Kenntnis der wesentlichen Entscheidungskriterien, Algorithmen und Behandlungsablaeufe. Das hier vorgestellte interdisziplinaere Managementkonzept der radiologischen Diagnostik beim Polytrauma mit Basisdiagnostik, Organdiagnostik, radiologischer ABC-Regel und Algorithmen zur fruehklinischen Behandlung beruht auf einer prospektiven Polytraumastudie mit

  6. Radiological evaluation of esophageal motility and gastroesophageal reflux disease; Funktionsstoerungen des Oesophagus. Radiologische Diagnostik

    Energy Technology Data Exchange (ETDEWEB)

    Schima, W. [Abt. Roentgen fuer Konservative Faecher, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria); Pokieser, P. [Abt. Roentgen fuer Chirurgische Faecher, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria); Schober, E. [Abt. Roentgen fuer Konservative Faecher, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria)

    1995-10-01

    Radiological evaluation of esophageal motility and the lower esophageal sphincter has gained increased attention in recent years. Videofluoroscopic investigation of esophageal motor function is superior to static film radiography, as repeated analysis of the videotaped recordings is possible. With emphasis on radiological techniques, normal esophagel physiology and motility and a variety of esophageal motor disorders are discussed in this review paper. Radiological evaluation of gastroesophageal reflux and reflux esophagitis is described. Clinical and radiological findings in esophageal motility disorders and gastroesophageal reflux disease and the radiological efficacy compared to that of manometry and pH-metry are discussed. (orig.) [Deutsch] Die radiologische Untersuchung des Oesophagus kann nicht nur strukturelle Veraenderungen, sondern auch funktionelle Stoerungen mit einer hohen Treffsicherheit nachweisen. Die Videokinematographie ist hierbei der konventionellen Roentgenuntersuchung aufgrund der Moeglichkeit der wiederholten Analyse ueberlegen. Ziel der vorliegenden Uebersicht ist es, prinzipiell das radiologische Erscheinungsbild der normalen Funktion sowie diagnostische Kriterien fuer verschiedene Motilitaetsstoerungen zu demonstrieren. Weiterhin werden auch die verschiedenen Moeglichkeiten der radiologischen Refluxpruefung zur Untersuchung der Funktion des gastrooesophagealen Sphinkters verglichen und deren Wert diskutiert. Die Pruefung der Funktion von Oesophagus und gastrooesophagealem Sphinkter als ein integraler Bestandteil der Roentgenuntersuchung der Speiseroehre verbessert deren Treffsicherheit, wodurch die radiologische Untersuchung die primaere diagnostische Methode bei Patienten mit Schluckstoerungen darstellt. (orig.)

  7. The stepchild of intestinal diagnostics. Evaluation of radiological methods to diagnose leiomyomas of the small bowel; Das Stiefkind der Darmdiagnostik. Wertigkeit radiologischer Diagnosemoeglichkeiten von Leiomyomen im Duenndarm

    Energy Technology Data Exchange (ETDEWEB)

    Keberle, M.; Wittenberg, G.; Jenett, M.; Hahn, D. [Wuerzburg Univ. (Germany). Inst. fuer Roentgendiagnostik; Mueller, J.G. [Wuerzburg Univ. (Germany). Pathologisches Inst.

    1998-11-01

    Purpose: Various radiological methods to diagnose small bowel neoplasmas and problems of differential diagnosis specially considerating leiomyomas are discussed. Patients and methods: Two patients with leiomyoma of the ileum underwent enteroclysis, computed tomography of the abdomen, intra-arterial DSA and colour Doppler sonography. Another patient with leiomyosarcoma just underwent CT of the abdomen with CT-guided biopsy. Results: Due to the homogenous density and the smooth surface of the tumors in computed tomography and respectively enteroclysis and the presentation of the tumor vascularisation in the angiography and Colour Doppler sonography in both patients a leiomyoma of the small bowel was diagnosed. Postoperatively this diagnosis was histologically confirmed. The CT-findings of the patient with leiomyosarcoma were not suspicious of a malignant tumor. Conclusion: Radiologically it is not possible to determine the dignity of smooth muscle cell tumors safely. That is the reason why the diagnosis has to be achieved operatively. But the histopathological diagnosis based on the mitotic rate may be difficult. Therefore the after care has to be carried out thoroughly. (orig.) [Deutsch] Ziel: Es werden Diagnosemoeglichkeiten von Duenndarmtumoren und differentialdiagnostische Problemstellungen unter besonderer Beruecksichtigung des Leiomyoms diskutiert. Patienten und Methode: Bei zwei Patienten mit einem Leiomyom des Ileums wurde jeweils ein Enteroklysma nach Sellink, eine CT des Abdomens, eine intraarterielle DSA mit selektiver Darstellung der Art.mesenterica superior und eine farbkodierte Duplexsonographie (FKDS) durchgefuehrt. Bei einem Patienten mit Leiomyosarkom wurde lediglich eine CT des Abdomens mit CT-gesteuerter Biopsie durchgefuehrt. Ergebnisse: Aufgrund der homogenen Dichtewerte und der glatten Begrenzung der Tumoren in der CT bzw. dem Enteroklysma, ergaenzt durch die farbdopplersonographische und angiographische Darstellung der Tumorgefaesse, wurde bei

  8. Milestones in Implementation of an Integrated Management System in the Health Sector. Case Study Radiologische Netzwerk Rheinland

    Directory of Open Access Journals (Sweden)

    Claus Nagel-Picioruş

    2016-05-01

    Full Text Available Healthcare organizations in Germany exploit the benefits of the ISO 9000 family of international standards as it became compulsory to implement a quality management system in accordance with ISO 9001 requirements. Until the innovative ISO 9001:2015 proposal it was no direct connection to the other management systems like risk management, knowledge management or environmental management. So far, only few bodies ensured interconnections between different systems of management or associated the quality management system with the strategic planning process. However, healthcare encapsulates supplementary requirements which affect a number of different systems. Additionally, the financial crisis has encouraged the trend to operate integrated reporting beyond financial aspects. This paper aims at presenting the experience on the development of integrated management and reporting system integrated in an organization belonging to the health sector. The work clarifies the steps towards merging distinctly regulated management systems (quality, health or environmental management with strategic planning and controlling, via a Balanced Dashboard (Balanced Scorecard - BSC as well as integrated reporting according to the model International Integrated Reporting Initiative (IIRI in a German medical company - Radiologische Netzwerk Rheinland - RNR AG. Using the case study method, the paper's purpose is to highlight approaches and results of the company that could support practitioners from medical area and bezound. The literature review clarified theoretical concepts while the case study allowed converging comprehensive information and knowledge accumulated by RNR AG, thus helping to bridge the gap between literature on total integrated management reporting and reporting system in healthcare.

  9. Radiological diagnostics of pediatric lungs; Radiologische Diagnostik der kindlichen Lunge

    Energy Technology Data Exchange (ETDEWEB)

    Beer, M.; Ammann, B. [Universitaetsklinikum Ulm, Klinik fuer Diagnostische und Interventionelle Radiologie, Ulm (Germany)

    2015-07-15

    Pediatric lung diseases are a common clinical problem. Besides the clinical examination and laboratory tests, imaging studies are the mainstay in the diagnostics of pediatric lung diseases. Thorough consideration of radiation protection based on optimized equipment also includes the protection of relatives and medical staff. The high impact of radiation protection in children necessitates a different choice of imaging modalities compared to adults. Ultrasound and magnetic resonance imaging (MRI) as adjunct or complementary imaging methods are of greater value than computed tomography (CT). The suspicion of pneumonia is the most common reason for chest imaging examinations in children. An anteroposterior or posteroanterior view chest X-ray is sufficient in most cases and sometimes in combination with ultrasound. The latter can also be used alone for follow-up examinations if the clinical presentation does not change. Additionally, ultrasound is applied to examine unclear structures seen on chest X-rays, such as the thymus or pulmonary sequestration in adjunct with color-coded duplex sonography. A chest X-ray is also the method of choice to examine the various forms of respiratory distress syndrome, such as wet lung disease or surfactant deficiency syndrome in newborns. Fluoroscopy is used in older children with suspected ingestion and/or aspiration of foreign bodies and CT is mostly used for staging and follow-up of thoracic and pulmonary structures in pediatric oncology. Recent technical advances, e.g. iterative reconstruction, have dramatically reduced the CT dosage. Apart from some indications (e.g. tumors and sequestration) MRI is rarely used in children; however, its potential for functional analyses (e.g. perfusion and ventilation) may increase the application in the near future. (orig.) [German] Kindliche Lungenerkrankungen stellen ein haeufiges klinisches Problem dar. Neben der klinischen Untersuchung und Laborparametern ist die radiologische Bildgebung eine

  10. Radiological information systems: improvements in service, economy, and quality control?; Radiologische Informationssysteme: Verbesserung von Leistungserfassung, Wirtschaftlichkeit und Qualitaetssicherung?

    Energy Technology Data Exchange (ETDEWEB)

    Gross-Fengels, W. [Abt. fuer Klinische Radiologie, AK Harburg (Germany); Weber, M. [Abt. fuer Klinische Radiologie, AK Harburg (Germany)

    1997-03-01

    By means of complete service control and standardized accounting processes, radiological information systems clearly contribute to improved results. They provide the prerequisites for the establishment of expanded networks and allow comprisons with comparable institutions. The quality of patient care can be improved since, for example, the production time from referral to finished result becomes shorter. Direct access to patient and findings data from several positions is possible. Preliminary results can be viewed immediately. The patient`s history is accessible to authorized users at all times. The exact reproducibility and assignment of services leads to more clarity. By means of the information available form RIS, rapid adaptive processes can be undertaken. The system assists the to fulfill the requirements of health regulations. The above-mentioned relationships demonstrate that the EDP systems are well accepted by physicians, medical assistants, and administrators and represent an indispensable aid for solving problems. (orig.) [Deutsch] Radiologische Informationssysteme fuehren ueber komplette Leistungserfassungen und standardisierte Abrechnungsverfahren eindeutig zu einer Ergebnisverbesserung. Sie stellen die Voraussetzungen fuer den Aufbau erweiterter Netzstrukturen dar und erlauben Quervergleiche mit aehnlichen Institutionen. Die Qualitaet der Patientenversorgung laesst sich verbessern, da z.B. die `Produktionszeit` von der Anforderung bis hin zur Befundausgabe kuerzer wird. Der Zugriff zu Patienten- und Befunddaten ist unmittelbar von mehreren Stellen aus moeglich. Vorbefunde sind sofort einsehbar. Die Patientenhistorie ist jederzeit fuer autorisierte Anwender verfuegbar. Die exakte Reproduzierbarkeit und Zuordnung der Leistungen fuehrt zu einer hohen Transparenz. Durch die Informationen, die ueber das RIS zu erhalten sind, koennen rasche Anpassungsprozesse vorgenommen werden. Die Anlagen unterstuetzen den Anwender, den Anforderungen der GSG nachzukommen

  11. Adverse effects of immunotherapy. Clinical aspects, radiological and nuclear medicine results; Unerwuenschte Wirkungen der Immuntherapie. Klinik, radiologische und nuklearmedizinische Befunde

    Energy Technology Data Exchange (ETDEWEB)

    Widmann, G.; Plaickner, J.; Jaschke, W. [Medizinische Universitaet Innsbruck, Universitaetsklinik fuer Radiologie, Innsbruck (Austria); Nguyen, V.A. [Medizinische Universitaet Innsbruck, Universitaetsklinik fuer Dermatologie, Venerologie und Allergologie, Innsbruck (Austria)

    2017-10-15

    The increasing use of immunotherapy in oncology increases the need for radiologic evaluation of frequent and severe immune-related adverse events. Determination of the incidence and manifestation of radiologic and nuclear medicine findings of immune-related adverse events. Literature review of clinical and imaging findings of immune-related adverse events induced by the immune checkpoint inhibitors ipilimumab, nivolumab and pembrolizumab. Findings are illustrated with pictorial examples and contrasted to other relevant differential diagnoses. The most frequent imaging manifestations are colitis, hepatitis, pancreatitis, hypophysitis, pneumonitis, arthritis and sarcoid-like lymphadenopathy. Severe to life-threatening complications may result from colitis, pneumonitis and hypophysitis. A clear differentiation from other autoimmune diseases and discrimination of immune-related and infectious pulmonary findings can be very difficult and need close multidisciplinary collaboration. Knowledge of clinical and imaging findings of adverse events induced by immunotherapy is essential for timely and adequate therapeutic decisions. In addition to staging and follow-up imaging, identification and monitoring of immune-related adverse events adds to the radiologic responsibility in oncologic care. (orig.) [German] Mit zunehmendem Einsatz von Immuntherapien in der Onkologie steigt die Bedeutung der radiologischen Beurteilung haeufiger und schwerwiegender immunbedingter Nebenwirkungen. Inzidenz und Manifestation radiologischer und nuklearmedizinischer Befunde der immunbedingten Nebenwirkungen. Literaturuebersicht zu Klinik und bildgebenden Befunden immunbedingter Nebenwirkungen der Immuncheckpointinhibitoren Ipilimumab, Nivolumab und Pembrolizumab. Veranschaulichung mit Bildbeispielen und Gegenuebergestellung mit anderen relevanten Differenzialdiagnosen. Die haeufigsten bildgebenden Manifestationen sind Kolitis, Hepatitis, Pankreatitis, Hypophysitis, Pneumonitis, Arthritis und die

  12. Medical Education and Health Care Delivery: A Call to Better Align Goals and Purposes.

    Science.gov (United States)

    Sklar, David P; Hemmer, Paul A; Durning, Steven J

    2018-03-01

    The transformation of the U.S. health care system is under way, driven by the needs of an aging population, rising health care spending, and the availability of health information. However, the speed and effectiveness of the transformation of health care delivery will depend, in large part, upon engagement of the health professions community and changes in clinicians' practice behaviors. Current efforts to influence practice behaviors emphasize changes in the health payment system with incentives to move from fee-for-service to alternative payment models.The authors describe the potential of medical education to augment payment incentives to make changes in clinical practice and the importance of aligning the purpose and goals of medical education with those of the health care delivery system. The authors discuss how curricular and assessment changes and faculty development can align medical education with the transformative trends in the health care delivery system. They also explain how the theory of situated cognition offers a shared conceptual framework that could help address the misalignment of education and clinical care. They provide examples of how quality improvement, health care innovation, population care management, and payment alignment could create bridges for joining health care delivery and medical education to meet the health care reform goals of a high-performing health care delivery system while controlling health care spending. Finally, the authors illustrate how current payment incentives such as bundled payments, value-based purchasing, and population-based payments can work synergistically with medical education to provide high-value care.

  13. Analysing the Costs of Integrated Care: A Case on Model Selection for Chronic Care Purposes

    Directory of Open Access Journals (Sweden)

    Marc Carreras

    2016-08-01

    Full Text Available Background: The objective of this study is to investigate whether the algorithm proposed by Manning and Mullahy, a consolidated health economics procedure, can also be used to estimate individual costs for different groups of healthcare services in the context of integrated care. Methods: A cross-sectional study focused on the population of the Baix Empordà (Catalonia-Spain for the year 2012 (N = 92,498 individuals. A set of individual cost models as a function of sex, age and morbidity burden were adjusted and individual healthcare costs were calculated using a retrospective full-costing system. The individual morbidity burden was inferred using the Clinical Risk Groups (CRG patient classification system. Results: Depending on the characteristics of the data, and according to the algorithm criteria, the choice of model was a linear model on the log of costs or a generalized linear model with a log link. We checked for goodness of fit, accuracy, linear structure and heteroscedasticity for the models obtained. Conclusion: The proposed algorithm identified a set of suitable cost models for the distinct groups of services integrated care entails. The individual morbidity burden was found to be indispensable when allocating appropriate resources to targeted individuals.

  14. Radiological imaging of osteoarthritis of the knee; Radiologische Bildgebung der Kniegelenkarthrose

    Energy Technology Data Exchange (ETDEWEB)

    Wick, M.C.; Jaschke, W.; Klauser, A.S. [Medizinische Universitaet Innsbruck, Department Radiologie, Innsbruck (Austria)

    2012-11-15

    , die zu typischer Knorpeldegradierung und verminderter Gelenkbeweglichkeit fuehrt. Bei 70- bis 74-Jaehrigen liegt die Praevalenz einer Kniegelenkarthrose bei ueber 90%. Die demographische Altersentwicklung der westlichen Industrielaender prognostiziert einen deutlichen Anstieg der Arthroseinzidenz fuer die naechsten Jahrzehnte. Nach wie vor stellt die konventionelle projektionsradiographische Roentgenbildanalyse die einfachste und guenstigste radiologische Modalitaet bei der Beurteilung und Verlaufskontrolle der Kniegelenkarthrose dar. Das Roentgenbild birgt zunehmend in zahlreichen klinischen und wissenschaftlichen Situationen signifikante Limitierungen, welche durch moderne bildgebende Methoden wie der Magnetresonanztomographie (MRT) und Sonographie ueberwunden werden koennen. Intravitale Knorpelbeurteilungen anhand spezieller bildgebender MRT-Methoden werden zunehmend in der Diagnostik und Verlaufskontrolle der Arthrose eingesetzt und koennten bei breiter klinischer Anwendung zukuenftig zu einem Paradigmenwechsel bei der Behandlung arthrotischer Knorpelschaeden fuehren. In diesem Uebersichtsartikel sollen die wichtigsten radiologischen diagnostischen Merkmale der Kniegelenkarthrose und deren radiologisch Beurteilung dargestellt werden. Die demographische Altersentwicklung der westlichen Industrielaender prognostiziert einen deutlichen Anstieg der Arthroseinzidenz fuer die naechsten Jahrzehnte. Die systematische radiologische Beurteilung der Kniegelenkarthrose umfasst die Bestimmung der Gelenkkapselstrukturen, Synovia, Knorpeldicke, des Knorpelvolumens, eventueller Knorpeldefekte, des makromodularen Netzwerks des hyalinen Gelenkknorpels, eines Knochenmarkoedems, der Menisken und der artikulaeren Gelenkbaender. Moderne bildgebende Methoden wie die MRT und Sonographie sind in der Lage, die Schwaechen der Projektionsradiographie zu eliminieren und das Kniegelenk mit seinen knoechernen, knorpeligen, ligamentoesen und weichteildichten Strukturen detailliert abzubilden

  15. Radiological assessment of loss of disc height during acute and chronic degenerative lumbar disc alterations; Radiologische Beurteilung der segmentalen Hoehenabnahme bei akuten und chronisch degenerativen lumbalen Bandscheibenveraenderungen

    Energy Technology Data Exchange (ETDEWEB)

    Zoellner, J.; Sancaktaroglu, T.; Nafe, B.; Eysel, P. [Orthopaedische Universitaetsklinik Mainz (Germany); Loew, R. [Radiologische Universitaetsklinik Mainz (Germany)

    2001-03-01

    Aim of the study: A loss of disc height with increasing segmental mobility is an important reason for low back pain. The measurement of hyaluronic acid content of the nucleus pulposus prolaps shows a difference between acute (group 1) and chronic (group 2) disc degeneration. The purpose of the present investigation was to determine the decreasing of disc height between these two groups and the no-symptomatic segments of these patients. Methods: 20 human lateral preoperative X-ray measurements according to Frobin et al. were taken; group 1 with 7 patients (mean age 41 years) and group 2 with 13 patients (mean age 44 years). Results: There was a significant tendency (p=0.091) to a reduction of disc height in group 2 between symptomatic and asymptomatic discs. Conclusion: The used method is not suitable to answer the present question conclusively. (orig.) [German] Ziel: Die segmentale Hoehenabnahme der Bandscheibe mit nachfolgender Instabilitaet im Rahmen von degenerativen lumbalen Bandscheibenerkrankungen hat eine wesentliche klinische Bedeutung. In einer vorgeschalteten Untersuchung konnte ueber die Bestimmung des Hyaluronsaeuregehaltes von Nucleus pulposus-Material der Grad der Bandscheibendegeneration beurteilt werden. Die Frage ist, ob hier ein praeoperativ radiologisch nachweisbarer Hoehenunterschied zwischen den akuten (Gruppe 1) und den chronischen (Gruppe 2) Bandscheibenvorfaellen im Vergleich zu den klinisch nicht betroffenen Bandscheibensegmenten der Patienten besteht? Methode: Es wurden 20 konsekutive praeoperative seitliche Roentgenaufnahmen der Lendenwirbelsaeule nach der Methode von Frobin et al. vermessen. Diese bestanden aus einer ersten Gruppe (7 Patienten) mit einem durchschnittlichen Alter von 41 Jahren und einer zweiten Gruppe (13 Patienten) mit einem durchschnittlichen Alter von 44 Jahren. Ergebnisse: Die Ergebnisse der Untersuchung zeigten lediglich in der 2. Gruppe mit einer chronischen Bandscheibendegeneration eine Tendenz zur Abhaengigkeit (p

  16. 42 CFR 403.764 - Basis and purpose of religious nonmedical health care institutions providing home service.

    Science.gov (United States)

    2010-10-01

    ... care institutions providing home service. 403.764 Section 403.764 Public Health CENTERS FOR MEDICARE... Basis and purpose of religious nonmedical health care institutions providing home service. (a) Basis... and 1878 of the Act regarding Medicare payment for items and services provided in the home setting...

  17. Driven to distraction: The nature and apparent purpose of interruptions in critical care and implications for HIT.

    Science.gov (United States)

    Mamykina, Lena; Carter, Eileen J; Sheehan, Barbara; Stanley Hum, R; Twohig, Bridget C; Kaufman, David R

    2017-05-01

    To examine the apparent purpose of interruptions in a Pediatric Intensive Care Unit and opportunities to reduce their burden with informatics solutions. In this prospective observational study, researchers shadowed clinicians in the unit for one hour at a time, recording all interruptions participating clinicians experienced or initiated, their starting time, duration, and a short description that could help to infer their apparent purpose. All captured interruptions were classified inductively on their source and apparent purpose and on the optimal representational media for fulfilling their apparent purpose. The researchers observed thirty-four one-hour sessions with clinicians in the unit, including 21 nurses and 13 residents and house physicians. The physicians were interrupted on average 11.9 times per hour and interrupted others 8.8 times per hour. Nurses were interrupted 8.6 times per hour and interrupted others 5.1 times per hour. The apparent purpose of interruptions included Information Seeking and Sharing (n=259, 46.3%), Directives and Requests (n=70, 12%), Shared Decision-Making (n=49, 8.8%), Direct Patient Care (n=36, 6.4%), Social (n=71, 12.7%), Device Alarms (n=28, 5%), and Non-Clinical (n=10, 1.8%); 6.6% were not classified due to insufficient description. Of all captured interruptions, 29.5% were classified as being better served with informational displays or computer-mediated communication. Deeper understanding of the purpose of interruptions in critical care can help to distinguish between interruptions that require face-to-face conversation and those that can be eliminated with informatics solutions. The proposed taxonomy of interruptions and representational analysis can be used to further advance the science of interruptions in clinical care. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Adhesion of Pseudomonas aeruginosa to contact lenses after exposure to multi-purpose lens care solutions

    NARCIS (Netherlands)

    Bruinsma, GM; Van der Mei, HC; Busscher, HJ; de Vries, Jacob

    2001-01-01

    Elemental surface compositions of contact lenses were measured after exposure to different lens care solutions (LCS) using X-ray photoelectron spectroscopy and were related to adhesion and detachment of Pseudomonas aeruginosa. Etafilcon A and polymacon contact lenses, prior to and after exposure to

  19. Introducing video recording in primary care midwifery for research purposes: procedure, dataset, and use.

    NARCIS (Netherlands)

    Spelten, E.R.; Martin, L.; Gitsels, J.T.; Pereboom, M.T.R.; Hutton, E.K.; Dulmen, S. van

    2015-01-01

    Background: video recording studies have been found to be complex; however very few studies describe the actual introduction and enrolment of the study, the resulting dataset and its interpretation. In this paper we describe the introduction and the use of video recordings of health care provider

  20. Staff and patient perspectives on the purpose of psychotropic prescribing in prisons: care or control?

    Science.gov (United States)

    Hassan, Lamiece; Edge, Dawn; Senior, Jane; Shaw, Jenny

    2013-01-01

    The objective was to explore perspectives on reasons for psychotropic medication use in prisons. We recruited a purposive sample of healthcare staff and patients prescribed psychotropic medicines from four East of England prisons. Participants took part in qualitative, semistructured interviews, which were recorded, transcribed and analyzed thematically. While patients and healthcare staff viewed psychotropic medicines primarily as a treatment for reducing symptoms of mental illness, they were also used as a coping strategy and to reduce insomnia. Appropriate psychotropic prescribing was also thought to contribute towards the rehabilitation agenda and helped to maintain order in prisons. Staff voiced concerns regarding possible overreliance on psychotropic medicines. However, patients perceived insufficient access to alternative, nonpharmacological forms of treatment and support in prison. Psychotropic medicines are used for multiple purposes in prisons and are generally considered a useful resource. Nonetheless, further work may be needed to find the right balance between psychotropic medicines and alternative, nonpharmacological therapies. Copyright © 2013 Elsevier Inc. All rights reserved.

  1. Lumbar disc arthroplasty: indications, biomechanics, types, and radiological criteria; Lumbale Bandscheibenendoprothesen: Indikationen, Biomechanik, Typen und radiologische Kriterien

    Energy Technology Data Exchange (ETDEWEB)

    Baur-Melnyk, A; Reiser, M F [Klinikum Grosshadern der Ludwig-Maximilians-Universitaet, Orthopaedische Klinik und Poliklinik, Muenchen (Germany); Birkenmaier, C [Klinikum Grosshadern der Ludwig-Maximilians-Universitaet, Institut fuer Klinische Radiologie, Muenchen (Germany)

    2006-09-15

    Rueckenschmerzen und eine signifikante Verbesserung in den disability scores. Die radiologische Diagnostik ist wichtiger Bestandteil der praeoperativen Abklaerung. Es sollten Nativaufnahmen der LWS mit Funktionsaufnahmen zur Beurteilung der noch erhaltenen Segmentbeweglichkeit und eine CT zum Nachweis bzw. Ausschluss von Spondylarthrosen, eines Morbus Baastrup und anderer moeglicher Schmerzursachen angefertigt werden, ausserdem ein MRT zum Nachweis des Wasserverlustes der Bandscheibe, Ausschluss groesserer Prolabierungen oder zur Darstellung von Aktivierungszeichen. Die postoperative radiologische Diagnostik sollte Nativaufnahmen in 2 Ebenen und im spaeteren Verlauf Funktionsaufnahmen beinhalten. Eine ideal eingesetzte LBEP sollte im a.p. Bild mittig zentriert und in der Seitaufnahme dorsal nahe der Wirbelkoerperhinterkante abschliessen. Bei Fehllage drohen segmentale Hyperlordose und ungleiche Belastung mit der Gefahr der Einsinterung und der Migration. (orig.)

  2. Lumbar disc arthroplasty: indications, biomechanics, types, and radiological criteria; Lumbale Bandscheibenendoprothesen: Indikationen, Biomechanik, Typen und radiologische Kriterien

    Energy Technology Data Exchange (ETDEWEB)

    Baur-Melnyk, A.; Reiser, M.F. [Klinikum Grosshadern der Ludwig-Maximilians-Universitaet, Orthopaedische Klinik und Poliklinik, Muenchen (Germany); Birkenmaier, C. [Klinikum Grosshadern der Ludwig-Maximilians-Universitaet, Institut fuer Klinische Radiologie, Muenchen (Germany)

    2006-09-15

    Rueckenschmerzen und eine signifikante Verbesserung in den disability scores. Die radiologische Diagnostik ist wichtiger Bestandteil der praeoperativen Abklaerung. Es sollten Nativaufnahmen der LWS mit Funktionsaufnahmen zur Beurteilung der noch erhaltenen Segmentbeweglichkeit und eine CT zum Nachweis bzw. Ausschluss von Spondylarthrosen, eines Morbus Baastrup und anderer moeglicher Schmerzursachen angefertigt werden, ausserdem ein MRT zum Nachweis des Wasserverlustes der Bandscheibe, Ausschluss groesserer Prolabierungen oder zur Darstellung von Aktivierungszeichen. Die postoperative radiologische Diagnostik sollte Nativaufnahmen in 2 Ebenen und im spaeteren Verlauf Funktionsaufnahmen beinhalten. Eine ideal eingesetzte LBEP sollte im a.p. Bild mittig zentriert und in der Seitaufnahme dorsal nahe der Wirbelkoerperhinterkante abschliessen. Bei Fehllage drohen segmentale Hyperlordose und ungleiche Belastung mit der Gefahr der Einsinterung und der Migration. (orig.)

  3. A purposeful Yet Nonimposing Approach: How Japanese Home Care Nurses Establish Relationships With Older Clients and Their Families.

    Science.gov (United States)

    Iwasaki, Takako; Yamamoto-Mitani, Noriko; Sato, Kana; Yumoto, Yoshie; Noguchi-Watanabe, Maiko; Ogata, Yasuko

    2017-11-01

    Relationship development is crucial to nursing practice with families. However, little is known about the process of building relationships with multiple family members in home care settings and in various cultures. The objective of this study was to explore the experiences of home care nurses about how they established relationships with older clients and their families in Japan. Grounded theory was used to guide the research. Twenty-three expert home care nurses participated in semistructured interviews concerning their family nursing practice. The establishment of relationships with clients/family members was based on a purposeful yet nonimposing approach composed of four aspects: keeping a mindful distance from the family, not being a threat to family life, being a comfortable neighbor, and gaining trust as a competent nurse. Through a purposeful nonimposing approach, Japanese home care nurses promoted and nurtured nurse-family relationships and became involved in the life of the family. These findings provide a useful foundation to guide practice with families and grow knowledge about the process of establishing relationships with multiple family members in home settings.

  4. Fit for purpose? Introducing a rational priority setting approach into a community care setting.

    Science.gov (United States)

    Cornelissen, Evelyn; Mitton, Craig; Davidson, Alan; Reid, Colin; Hole, Rachelle; Visockas, Anne-Marie; Smith, Neale

    2016-06-20

    Purpose - Program budgeting and marginal analysis (PBMA) is a priority setting approach that assists decision makers with allocating resources. Previous PBMA work establishes its efficacy and indicates that contextual factors complicate priority setting, which can hamper PBMA effectiveness. The purpose of this paper is to gain qualitative insight into PBMA effectiveness. Design/methodology/approach - A Canadian case study of PBMA implementation. Data consist of decision-maker interviews pre (n=20), post year-1 (n=12) and post year-2 (n=9) of PBMA to examine perceptions of baseline priority setting practice vis-à-vis desired practice, and perceptions of PBMA usability and acceptability. Findings - Fit emerged as a key theme in determining PBMA effectiveness. Fit herein refers to being of suitable quality and form to meet the intended purposes and needs of the end-users, and includes desirability, acceptability, and usability dimensions. Results confirm decision-maker desire for rational approaches like PBMA. However, most participants indicated that the timing of the exercise and the form in which PBMA was applied were not well-suited for this case study. Participant acceptance of and buy-in to PBMA changed during the study: a leadership change, limited organizational commitment, and concerns with organizational capacity were key barriers to PBMA adoption and thereby effectiveness. Practical implications - These findings suggest that a potential way-forward includes adding a contextual readiness/capacity assessment stage to PBMA, recognizing organizational complexity, and considering incremental adoption of PBMA's approach. Originality/value - These insights help us to better understand and work with priority setting conditions to advance evidence-informed decision making.

  5. Radiological diagnostics in CUP syndrome; Radiologische Diagnostik des CUP-Syndroms

    Energy Technology Data Exchange (ETDEWEB)

    Kazmierczak, P.M.; Nikolaou, K.; Graser, A.; Reiser, M.F.; Cyran, C.C. [Klinikum der Ludwig-Maximilians-Universitaet, Campus Grosshadern, Institut fuer Klinische Radiologie, Muenchen (Germany); Rominger, A. [Klinikum der Ludwig-Maximilians-Universitaet, Campus Grosshadern, Klinik und Poliklinik fuer Nuklearmedizin, Muenchen (Germany)

    2014-02-15

    , diffusion), e.g. investigation of breast carcinoma or prostate carcinoma. Whole body staging stands at the beginning of the diagnostic algorithm in CUP syndrome to localize a potential primary tumor. Clinically, contrast-enhanced CT of the neck, thorax and abdomen is frequently applied; however, many studies have demonstrated augmented sensitivity of {sup 18}F-FDG PET-CT for the detection of primary tumors and metastatic tumor manifestations. (orig.) [German] Im therapeutischen Management des Cancer-of-unknown-primary(CUP)-Syndroms spielt die bildgebende Diagnostik eine zentrale Rolle zur Lokalisation des Primaertumors, zur Identifikation von Tumoren, fuer die ein dediziertes Behandlungsschema zur Verfuegung steht, sowie zur Charakterisierung klinisch-pathologischer Subentitaeten, die das weitere diagnostische und therapeutische Procedere bestimmen und eine Einschaetzung der Prognose erlauben. Zur Verfuegung stehende radiologische Modalitaeten umfassen die Projektionsradiographie, die Computertomographie (CT), die Magnetresonanztomographie (MRT) und die Sonographie sowie die Hybridverfahren Positronenemissionstomographie(PET)-CT und MR-PET. In der Ganzkoerperbildgebung hat die CT eine hohe Sensitivitaet fuer Tumoren, die haeufig als metastasierte Tumorerkrankung auftreten. Nach aktueller Literatur ist die CT bei Patienten mit Pankreaskarzinom in 86% der Faelle diagnostisch, bei Patienten mit Kolonkarzinom in 36% und bei Patienten mit Bronchialkarzinom in 74%. Des Weiteren zeigte eine Metaanalyse, dass bei Patienten mit Plattenepithelkarzinom und zervikalen Lymphknotenmetastasen die CT in 22% der Faelle den Primaertumor lokalisieren konnte, im Vergleich zu 36% Detektionsrate der MRT und 28-57% der PET-CT mit {sup 18}F-FDG (Fluordesoxyglukose). Der MRT kommt auf Grund des hohen Weichteilkontrasts und der Moeglichkeit zur funktionellen Bildgebung besondere Bedeutung bei der Lokalisation primaer okkulter Tumoren bei Organuntersuchungen zu, z. B. beim Mamma- oder dem

  6. Multi-purpose HealthCare Telemedicine Systems with mobile communication link support

    Directory of Open Access Journals (Sweden)

    Karayiannis D

    2003-03-01

    Full Text Available Abstract The provision of effective emergency telemedicine and home monitoring solutions are the major fields of interest discussed in this study. Ambulances, Rural Health Centers (RHC or other remote health location such as Ships navigating in wide seas are common examples of possible emergency sites, while critical care telemetry and telemedicine home follow-ups are important issues of telemonitoring. In order to support the above different growing application fields we created a combined real-time and store and forward facility that consists of a base unit and a telemedicine (mobile unit. This integrated system: can be used when handling emergency cases in ambulances, RHC or ships by using a mobile telemedicine unit at the emergency site and a base unit at the hospital-expert's site, enhances intensive health care provision by giving a mobile base unit to the ICU doctor while the telemedicine unit remains at the ICU patient site and enables home telemonitoring, by installing the telemedicine unit at the patient's home while the base unit remains at the physician's office or hospital. The system allows the transmission of vital biosignals (3–12 lead ECG, SPO2, NIBP, IBP, Temp and still images of the patient. The transmission is performed through GSM mobile telecommunication network, through satellite links (where GSM is not available or through Plain Old Telephony Systems (POTS where available. Using this device a specialist doctor can telematically "move" to the patient's site and instruct unspecialized personnel when handling an emergency or telemonitoring case. Due to the need of storing and archiving of all data interchanged during the telemedicine sessions, we have equipped the consultation site with a multimedia database able to store and manage the data collected by the system. The performance of the system has been technically tested over several telecommunication means; in addition the system has been clinically validated in three

  7. Pre- and postoperative radioligical evaluation of knee joint endoprothesis. Orthopedist's view; Die prae- und postoperative radiologische Evaluation der Kniegelenkendoprothese. Aus der Sicht des Orthopaeden

    Energy Technology Data Exchange (ETDEWEB)

    Mazoochian, F.; Fottner, A.; Hauptmann, S.M.; Schulze Pellengahr, C. von; Jansson, V. [Klinikum Grosshadern der Ludwig-Maximilians-Universitaet, Orthopaedische Klinik und Poliklinik, Muenchen (Germany); Glaser, C.; Triantafyllou, M.; Reiser, M.F. [Klinikum Grosshadern der Ludwig-Maximilians- Universitaet Muenchen (Germany). Institut fuer klinische Radiologie

    2006-09-15

    The implantation of a knee arthroplasty is still a demanding operation. There is still no ''golden standard'' available, although a lot of guidelines have been declared. Because of this fact this article should provide the radiologist with an overview of and some background knowledge for the radiological evaluation of knee arthroplasty. (orig.) [German] Die Implantation eines kuenstlichen Kniegelenks ist nach wie vor eine anspruchsvolle Operation. Einen ''Goldstandard'' gibt es bis heute nicht, obwohl vielfach Richtlinien der Knieendoprothetik aufgestellt werden. Deshalb soll dieser Artikel dem Radiologen einen Ueberblick und Hintergrundinformation ueber die radiologische Evaluation der Knieendoprothetik geben. (orig.)

  8. Radiological interventional procedures for the acute abdomen; Radiologisch-interventionelle Massnahmen beim akuten Abdomen

    Energy Technology Data Exchange (ETDEWEB)

    Trumm, C.; Hoffmann, R.T.; Reiser, M.F. [Klinikum der Ludwig-Maximilians-Universitaet Muenchen, Campus Grosshadern, Institut fuer Klinische Radiologie, Muenchen (Germany)

    2010-03-15

    In patients with acute thrombo-embolic occlusion of the superior mesenteric artery, catheter-assisted thrombolytic therapy represents a procedure of increasing importance in addition to surgery and intensive care treatment. The thrombolytic drugs utilized for this purpose are urokinase, streptokinase and recombinant tissue plasminogen activator (rtPA). Therapeutic embolization is predominantly used in the treatment of arterial bleeding from the gastro-intestinal tract, the liver, the intestines (due to an aneurysm or vascular malformation) and in bleeding from intestinal anastomoses. Polyvinyl alcohol particles, embospheres, gelfoam and microcoils can be utilized as embolic agents. Percutaneous transhepatic cholangiodrainage and stent implantation are applied in patients with biliary obstructions caused by inoperable tumors of the gall bladder or bile ducts, of the pancreatic head or duodenum and by metastases located in the liver parenchyma or hepatic hilum. Image-guided percutaneous drainage is a valuable option in the management of abscesses in the peritoneal cavity; less common indications are lymphoceles, biliomas, urinomas, hematomas, necrosis and pseudocysts. (orig.) [German] Die kathetergestuetzte thrombolytische Therapie stellt im Kontext einer chirurgischen und intensivmedizinischen Versorgung von Patienten mit thrombembolisch bedingter mesenterialer Ischaemie ein unterstuetzendes Behandlungsverfahren von zunehmender Bedeutung dar. Als thrombolytische Agenzien werden Urokinase, Streptokinase und der rekombinante Gewebeplasminogenaktivator (rtPA) verwendet. Die therapeutische Embolisation kommt neben der endoskopischen und chirurgischen Blutungsstillung bei arteriellen Blutungen im Gastrointestinaltrakt, aus der Leber, im Darm (als Folge eines Aneurysmas oder einer vaskulaeren Malformation) sowie bei blutenden intestinalen Anastomosen zum Einsatz. Zur Embolisation koennen Polyvinylalkoholpartikel, Embosphaeren, Gelfoam oder Mikrocoils verwendet werden. Die

  9. Text messaging among residents and faculty in a university general surgery residency program: prevalence, purpose, and patient care.

    Science.gov (United States)

    Shah, Dhruvil R; Galante, Joseph M; Bold, Richard J; Canter, Robert J; Martinez, Steve R

    2013-01-01

    There is little information about the use of text messaging (texting) devices among resident and faculty physicians for patient-related care (PRC). To determine the prevalence, frequency, purpose, and concerns regarding texting among resident and attending surgeons and to identify factors associated with PRC texting. E-mail survey. University medical center and its affiliated hospitals. Surgery resident and attending staff. Prevalence, frequency, purpose, and concerns regarding patient-related care text messaging. Overall, 73 (65%) surveyed physicians responded, including 45 resident (66%) and 28 attending surgeons (62%). All respondents owned a texting device. Majority of surgery residents (88%) and attendings (71%) texted residents, whereas only 59% of residents and 65% of attendings texted other faculty. Most resident to resident text occurred at a frequency of 3-5 times/d (43%) compared with most attending to resident texts, which occurred 1-2 times/d (33%). Most resident to attending (25%) and attending to attending (30%) texts occurred 1-2 times/d. Among those that texted, PRC was the most frequently reported purpose for resident to resident (46%), resident to attending (64%), attending to resident (82%), and attending to other attending staff (60%) texting. Texting was the most preferred method to communicate about routine PRC (47% of residents vs 44% of attendings). Age (OR: 0.86, 95% CI: 0.79-0.95; p = 0.003), but not sex, specialty/clinical rotation, academic rank, or postgraduate year (PGY) level predicted PRC texting. Most resident and attending staff surveyed utilize texting, mostly for PRC. Texting was preferred for communicating routine PRC information. Our data may facilitate the development of guidelines for the appropriate use of PRC texting. Copyright © 2013 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  10. Problems related to the use of animals for therapeutic and care purposes: the document of the National Committee for Bioethics

    Directory of Open Access Journals (Sweden)

    Pasqualino Santori

    2011-12-01

    Full Text Available The Italian Ministry of Health, in 2002, instructed the National Committee for Bioethics to carefully review and ultimately provide evidence for future legislative bills in various aspects. One such matter was that of the subject of "Pet Therapy", generically viewed as a "man-animal" relationship, with the purpose of proving beneficiary to both human health and welfare. The necessity of a bioethical approach was deemed important in establishing the concrete benefits for mankind (and the research required to demonstrate this whilst also considering any possible malaise inflicted on those animals participating. The final recommendations decided upon, took into consideration effectiveness, cost, suitable alternatives, discussion of the intervention with the patient.

  11. Correlation of Internet Use for Health Care Engagement Purposes and HIV Clinical Outcomes Among HIV-Positive Individuals Using Online Social Media.

    Science.gov (United States)

    Saberi, Parya; Johnson, Mallory O

    2015-01-01

    The authors aimed to describe cell phone and Internet use and assess the correlation of Internet use for health care engagement purposes and HIV clinical outcomes among HIV-positive individuals. The authors conducted a national survey using online social media to examine cell phone and Internet use, self-reported HIV viral load (detectable vs. undetectable), and antiretroviral adherence rating (excellent vs. less than excellent). Participants (N = 1,494) were asked about their Internet use for health care engagement purposes (including e-mailing health care providers, refilling medications online, and making medical appointments online). Approximately 95% of participants accessed the Internet nearly daily or daily in the past month (mean hours on Internet use per day = 5.2) and 55.5% used the Internet for health care engagement purposes. Those who used the Internet for any health care engagement purposes had a 1.52-fold odds of reporting an undetectable viral load (p = .009) and a 1.49-fold odds of reporting excellent adherence (p = .001). Although Internet access and use were similar across racial/ethnic, educational, and socioeconomic groups, disparities existed with the use of the Internet for health care engagement purposes among racial/ethnic minorities, those with low to moderate financial stability, lower education, and history of incarceration. The authors' data reveal that among HIV-positive users of online social media, use of the Internet for health care engagement purposes is associated with better self-reported virologic and adherence outcomes.

  12. Radiologic assessment of the outcome of Keller and Brandes arthroplasty for hallux rigidus; Hallux rigidus operiert nach Keller und Brandes: Radiologische Erfolgs- und Prognoseparameter

    Energy Technology Data Exchange (ETDEWEB)

    Breitenseher, M.J. [Abt. fuer Osteologie, Universitaetsklinik fueer Radiodiagnostik und Besondere Klinische Einrichtung Magnet Resonanz, Wien (Austria)]|[Ludwig-Boltzmann-Institut fuer Radiologische Tumordiagnostik, Wien (Austria); Toma, C.D. [Universitaetsklinik fuer Orthopaedie, Wien (Austria); Gottsauner-Wolf, F. [Universitaetsklinik fuer Orthopaedie, Wien (Austria); Imhof, H. [Abt. fuer Osteologie, Universitaetsklinik fueer Radiodiagnostik und Besondere Klinische Einrichtung Magnet Resonanz, Wien (Austria)]|[Ludwig-Boltzmann-Institut fuer Radiologische Tumordiagnostik, Wien (Austria)

    1996-06-01

    The aim of this study was to evaluate the pre- and postoperative radiographic findings of hallux rigidus treated with Keller and Brandes arthroplasty to determine the radiographic outcome and to identify a prognostic marker. 83 patients with a total of 121 cases of hallux rigidus operated using Keller and Brandes arthroplasty were followed up (mean 9.7 y). A comparison of the pre- and postoperative radiographs, the clinical and subjective findings was predicated on a five point scale: 1. Percentage of proximal phalanx resected (<33%, 33-50%, >50%), 2. joint space, 3. ratio of the length of the first and second metatarsals, 4. first intermetatarsal angle, and 5. hallux valgus angle. In the patient group which had 33-50% of the proximal phalanx excised (n=67. 55%) the highest patient satisfaction was observed (96%). If resection of the proximal phalanx exceeded 50% (n=13. 11%), non physiologic dorsiflexion of the toe occurred and patients were unsatisfied (62%). Excision of less than 33% of the hallux (n=41. 34%) was associated with a recurrent hallux rigidus. No other evaluated radiological parameter proved to be of significance. The most important radiological parameter in the evaluation of the outcome of Keller and Brandes arthroplasty as the percentage of the proximal phalanx which had ben excised. (orig.) [Deutsch] Ziel der Studie war es, auf prae- und postoperativen Roentgenbildern des Hallux rigidus radiologische Parameter zu ermitteln, die den Erfolg der Arthroplastik nach Keller und Brandes abschaetzen und von prognostischer Relevanz sind. 121 Hallux-rigidus-Operationen bei 83 Patienten wurden nachuntersucht (9,7 a). 5 Kriterien wurden an den prae- und postoperativen Roentgenbildern ausgewertet: 1. Anteil der Grosszehengrundgliedresektion in Prozent (<33%, 33-50%, >50%), 2. Gelenkspaltbreite, 3. Laengenverhaeltnis von erstem und zweitem Metartasalknochen, 4. erster Intermetatarsalwinkel und 5. Hallux-valgus-Winkel und mit den klinischen Ergebnissen

  13. Radiological imaging of the upper gastrointestinal tract. Pt. 1. The esophagus; Radiologische Bildgebung des oberen Gastrointestinaltrakts. T. 1. Oesophagus

    Energy Technology Data Exchange (ETDEWEB)

    Hansmann, J.; Grenacher, L. [Radiologische Universitaetsklinik, Abteilung Radiodiagnostik, Heidelberg (Germany)

    2006-12-15

    - und andere Pulsationsdivertikel sollten einer funktionellen Untersuchung zugefuehrt werden. Die Sooroesophagitis imponiert im Breischluck mit charakteristischen Ulzerationen. Oesophagogastrale Hernien werden mit Breischluck genauer dargestellt als endoskopisch. Ein gastrooesophagealer Reflux kann radiologisch diagnostiziert werden, diskrete Entzuendungen und Epitheldysplasien sind wesentlich besser mit endoskopischen Techniken zu untersuchen. Bei Oesophagustumoren ergaenzt die Radiologie die endoskopisch-endosonographischen Befunde. (orig.)

  14. Prueba de Aptitud para el Aprendizaje de Lenguas Extranjeras (PAPALE) Language Aptitude Test (LAT) (First and Second Versions). English for Special Purposes. Emergency Care Attendant.

    Science.gov (United States)

    Muro, Gertrude

    This book contains two versions of the Language Aptitude Test. It is part of a package of materials developed for use in an English for Special Purposes project, which offers classes in reading, grammar, and emergency care attendant training for limited English proficient students. Introductory material describes the parts of two versions and…

  15. An analysis of 20 years of radiation-related health care complaints in Texas for the purposes of quality improvement.

    Science.gov (United States)

    Thommen, P J; Emery, R J

    2006-05-01

    In an effort to reveal the possible underlying causes of radiation-related health care complaints in the State of Texas, complaint data were evaluated using historical Texas Department of Health-Bureau of Radiation Control (TDH-BRC) reports. A major aim of the study was to generate a summary of the most commonly reported complaints that might be generalized to health care providers using sources of radiation across Texas. A generalizable list of common complaints would be a valuable tool for education and prevention programs, serving to possibly reduce the overall incidence of radiation-related medical complaints. Descriptive text summary reports of complaints were obtained from the TDH-BRC for the 20-y period inclusive of 1981 to 2001. The information was systematically coded into a computerized database. During the 20-y period of study, 481 health care-related complaints were identified, with approximately 74% consisting of claims of an "uncredentialed technician" (39%), "overexposure" (21%), or "regulatory violation" (14%). The most common categories of complaints imply some patient understanding or knowledge of the credentialing requirements of workers, the applicable dose limits, or the regulatory requirements associated with medical procedures. Since it is unlikely that an average patient would be aware of such issues, the findings suggest the complaints are not actually indications of the inappropriate uses of radiation, but are rather based on the patient's broader perception of services rendered. Most of the complaints levied during the period of study were done so anonymously (58%) and were levied against a generic facility (61%) rather than a specific technician (5%), doctor (4%), or student (1%). Approximately 61% of the complaints resulted in the issuance of a notice of violation upon investigation by the TDH-BRC, but the available data did not permit definitive linkage between the initial complaint and the violation issued. Taken in aggregate, the

  16. Radiological evaluation of the skeleton: traumatology of the distal forearm, wrist, and hand; Radiologische Skelettdiagnostik: Traumatologie des distalen Unterarmes, der Handgelenke und der Hand

    Energy Technology Data Exchange (ETDEWEB)

    Neumann, K. [Universitaetsklinikum Essen (Germany). Zentralinstitut fuer Roentgendiagnostik; Langer, R. [Universitaetsklinikum Essen (Germany). Zentralinstitut fuer Roentgendiagnostik

    1996-07-01

    Plain X-ray films including some special radiographic views are still the basis of the radiological evaluation of injuries of the distal forearm, the wrist, and the hand. Especially, in the diagnosis of fractures of the distal radius the exact positioning of the arm and hand is essential. For the description of fractures of the distal forearm the AO classification of fractures should be used, which is comprehensive and universally applicable. Conventional tomography and computed tomography (CT) of the radio-ulnar joint and the wrist are used in patients with persisting complaints or equivocal findings on plain radiographs, and difficult anatomical situations. Suspected ligamentous injuries of the wrist including tears of the triangular fibrocartilage complex (TFCC) are evaluated by wrist arthrography or magnetic resonance imaging (MRI), the latter requiring a highly skilled imaging and interpretation technique. MRI is the method of choice for the detection of osteonecrosis. Ultrasound examinations are of minor importance in the work up of wrist and hand injuries. (orig.) [Deutsch] Fuer die radiologische Beurteilung von Verletzungen des distalen Unterarmes, des Handgelenkes und der Hand steht die konventionelle Roentgenuntersuchung einschliesslich einiger Spezialeinstellungen nach wie vor im Vordergrund. Bei der Beschreibung insbesondere der distalen Radiusfrakturen sollten die historische Benennung oder aeltere Einteilungen zugunsten der allgemeingueltigen und umfassenderen AO-Klassifikation verlassen werden. Die Computertomographie und Magnetresonanztomographie kommen in der Frakturdiagnostik bei unklaren anatomischen Verhaeltnissen oder konventionell nicht zufriedenstellend erklaerbaren Beschwerden zur Anwendung. Vermutete ligamentaere Verletzungen der Handwurzel lassen sich arthrographisch oder magnetresonanztomographisch abklaeren. (orig.)

  17. Patient Use of Email for Health Care Communication Purposes Across 14 European Countries: An Analysis of Users According to Demographic and Health-Related Factors

    Science.gov (United States)

    Lupiáñez-Villanueva, Francisco; Codagnone, Cristiano; Atherton, Helen

    2015-01-01

    Background The use of the Internet for health purposes is growing steadily, yet the use of asynchronous communication tools for health care purposes remains undeveloped. The introduction of email as a method of communication in health care has the potential to impact on both patients and health care professionals. Objective This study aims to describe the characteristics of people who have sent or received an email to or from their doctor, nurse, or health care organization, by country and in relation to demographics, health care resource use, and health status factors. Methods We conducted a secondary analysis of data (N=14,000) collected from the online Citizens and Information Communication Technology for Health survey, a project undertaken in 2011 by the Institute for Prospective Technology Studies of the European Commission’s Joint Research Centre. The survey was developed to understand and characterize European citizens’ use of information communication technologies for health. Descriptive and statistical analyses of association were used to interpret the data. Results Denmark reported the highest level of emails sent/received (507/1000, 50.70%). The lowest level reported was by participants in France (187/1000, 18.70%). Men used email communication for health care more than women, as did respondents in the 16-24 age group and those educated to tertiary level or still within the education system. As self-reported health state worsens, the proportion of people reporting having sent or received an email within the context of health care increases. Email use, poor health, multimorbidity, and number of visits to a physician are positively correlated. Conclusions The use of email communication within the context of European health care is extremely varied. The relationship between high email use, poor health, doctor visits, and multimorbidity is especially pertinent: provision of asynchronous communication for such groups is favored by policymakers. Low

  18. Patient use of email for health care communication purposes across 14 European countries: an analysis of users according to demographic and health-related factors.

    Science.gov (United States)

    Newhouse, Nikki; Lupiáñez-Villanueva, Francisco; Codagnone, Cristiano; Atherton, Helen

    2015-03-06

    The use of the Internet for health purposes is growing steadily, yet the use of asynchronous communication tools for health care purposes remains undeveloped. The introduction of email as a method of communication in health care has the potential to impact on both patients and health care professionals. This study aims to describe the characteristics of people who have sent or received an email to or from their doctor, nurse, or health care organization, by country and in relation to demographics, health care resource use, and health status factors. We conducted a secondary analysis of data (N=14,000) collected from the online Citizens and Information Communication Technology for Health survey, a project undertaken in 2011 by the Institute for Prospective Technology Studies of the European Commission's Joint Research Centre. The survey was developed to understand and characterize European citizens' use of information communication technologies for health. Descriptive and statistical analyses of association were used to interpret the data. Denmark reported the highest level of emails sent/received (507/1000, 50.70%). The lowest level reported was by participants in France (187/1000, 18.70%). Men used email communication for health care more than women, as did respondents in the 16-24 age group and those educated to tertiary level or still within the education system. As self-reported health state worsens, the proportion of people reporting having sent or received an email within the context of health care increases. Email use, poor health, multimorbidity, and number of visits to a physician are positively correlated. The use of email communication within the context of European health care is extremely varied. The relationship between high email use, poor health, doctor visits, and multimorbidity is especially pertinent: provision of asynchronous communication for such groups is favored by policymakers. Low reported email use by country may not necessarily reflect

  19. Dietary intake at child-care centers and away: are parents and care providers working as partners or at cross-purposes?

    Science.gov (United States)

    Briley, M E; Jastrow, S; Vickers, J; Roberts-Gray, C

    1999-08-01

    To examine how meals and snacks children consume before and after their time at a child-care facility complement the menu at the facility. Dietary intake of children at and away from the child-care center was compared with recommended standards for child nutrition. Registered dietitians observed foods consumed at the center during 3 consecutive days. Parents reported foods consumed away from the center during the same 3 days. Six nonprofit child-care centers with strong menus (i.e., menus that come close to meeting dietary recommendations) and 6 with menus supplying less than 50% of the Recommended Dietary Allowance were selected for study. Five families at each center were invited to participate. Complete data sets were obtained for 51 children aged 3 to 6 years. Descriptive and inferential statistics were calculated to compare the children's dietary intake during center time and family time and over a full day with recommended standards. Energy and nutrient profiles and food frequencies were included in the analysis. Children consumed plenty of foods at the center and away from the following groups: meat, poultry, fish, dry beans, eggs, nuts; milk, yogurt, cheese; and fruit, fruit juice. Most children failed to consume enough vegetables. Nearly all the children failed to consume enough bread, cereal, pasta, and rice, especially while at the center. The majority ate more than sparing amounts of fats, oils, and sweets, especially during family time. Average percentage of energy from fat was 33 +/- 4. Intakes of concern for the full day were energy, iron, sodium, and zinc. Child-care menus are an appropriate target for increasing iron and zinc by serving more cereal and whole grains. Families are an appropriate target for reducing young children's consumption of fats, oils, and sweets. Nutrition education and advocacy are needed to strengthen the partnership between parents and caregivers.

  20. [The analysis of language competence and students' needs in teaching English for medical purposes to students of medicine, dentistry and health care].

    Science.gov (United States)

    Marković, Vuk; Marosan, Zoran

    2011-01-01

    The paper deals with the analysis of the language competence of the students of Medicine, Dentistry and Health Care at the Medical School of Novi Sad University at the level of their basic language skills of general English and English for Medical Purposes. It also presents the analysis of students' needs of these skills within the field of teaching English for Medical Purposes. The aim of the study was to determine the level of students' language skills, knowledge of general and medical vocabulary and of academic writing in English and to determine which of the skills have the greatest priority in teaching English for Medical Purposes. The students were given a questionnaire and were asked to grade their language skills and knowledge of general and medical vocabulary and of academic writing on the scale from one to five. For the same skills, the students had to determine the level of priority in teaching English for Medical Purposes. The results were given for each of the groups of students evaluated, and the average grade was calculated for all the skills. The students' needs in terms of the priority of the evaluated skills were also presented in the same manner. Analysis Students' skills were analyzed according to the average grade acquired through the students' self-evaluation. The distinction was made between the general language skills and the knowledge of medical vocabulary and academic writing. The analysis of needs was conducted with the same distinction in mind. The study groups were analyzed separately and the general common conclusions for all the groups were made. For a successful program of English for Medical Purposes, it is necessary to conduct "the level of general language competence" test and to test the students' needs beforehand. The difference in the level of knowledge between different study groups points to a need of a student oriented teaching program. The analysis of needs shows the importance of all language skills which have to be

  1. Laws, Regulations, Guidelines and Standards for Animal Care and Use for Scientific Purposes in the Countries of Singapore, Thailand, Indonesia, Malaysia, and India.

    Science.gov (United States)

    Retnam, Leslie; Chatikavanij, Pradon; Kunjara, Pattamarat; Paramastri, Yasmina A; Goh, Yong Meng; Hussein, Fuzina Nor; Mutalib, Abdul Rahim; Poosala, Suresh

    2016-05-01

    The laws, regulations, guidelines, and standards on animal care and use for scientific purposes in the countries of Singapore, Thailand, Indonesia, and Malaysia, and India are described in this manuscript. For each of these five countries, a brief introduction is provided on the history of how the need for animal welfare in research, education, training, and testing came to being. This is followed by some background information leading to the current status of regulations and guidelines in each of the five countries. There is also a description of the responsibilities and functions of institutional animal welfare and ethics oversight bodies, enforcement agencies, penalties, and organizations supporting the industry. Finally, a conclusion with insights into the future of laboratory animal welfare and science in each of these five countries in Asia is provided. © The Author 2017. Published by Oxford University Press on behalf of the Institute for Laboratory Animal Research. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  2. [Impact of the positive appraisal of care on quality of life, purpose in life, and will to continue care among Japanese family caregivers of older adults: analysis by kinship type].

    Science.gov (United States)

    Yamamoto-Mitani, Noriko; Ishigaki, Kazuko; Kuniyoshi, Midori; Kawahara-Maekawa, Noriko; Hasegawa, Kiyomi; Hayashi, Kunihiko; Sugishita, Chieko

    2002-07-01

    The impact of positive appraisal of care (PAC) on the caregiver's quality of life (QL), sense of purpose in life (sense of ikigai) and will to continue care was examined. Data were collected from 322 Japanese family caregivers of older adults who were using visiting nursing services through 21 facilities in the Tokyo metropolitan area, and the prefectures of Shizuoka, Mie and Okinawa. The data were grouped by kinship type (husband or son, wife, daughter or daughter-in-law) and analyzed separately. From the multiple regression and logistic regression analyses, the following results were derived: 1) The PAC was not related to the physical QL regardless of the relationship type; 2) The relationship depended upon the relationship type: only the PAC was related to the mental QL among husband and son caregivers, both the PAC and the negative appraisal of care (NAC) were important among wives, only the NAC among daughters, and none of them among daughters-in-law; 3) Both the PAC and NAC were related to the sense of ikigai in all caregiver types except among husband and son caregivers, which showed no relationship between the NAC and sense of ikigai; 4) Both the PAC and NAC were related to will to continue care among son and husband caregivers, whereas only the PAC was among wives and daughters-in-law. Only the NAC was related among daughters. However, the difference across kinship type seems minimal for will to continue care. Understanding the PAC among family caregivers may be important in order to better assist them to improve their mental QL or sense of ikigai as well as to predict their continuation of caregiving at home. The impact of PAC varies depending on the kinship type, and it should be assessed separately with reference to this pariable to develop plans for appropriate assistance.

  3. Joint purpose?

    DEFF Research Database (Denmark)

    Pristed Nielsen, Helene

    2013-01-01

    Starting from Crenshaw´s point that antiracism often fails to interrogate patriarchy and that feminism often reproduces racist practices (1991: 1252), this paper asks: What are the theoretical reasons for believing that feminism and anti-racism can be regarded as fighting for the joint purpose...

  4. Dictionary of radiology. Radiologisches Woerterbuch

    Energy Technology Data Exchange (ETDEWEB)

    Freye, K; Lammers, W

    1982-01-01

    The dictionary of radiology is based on practical experience in diagnostic radiology. Following a brief clinical introduction, radiological methods including nuclear medicine and the increasingly important field of sonography are presented in alphabetic order, each term with a short definition. The most favourable order of application is determined by the diagnostic value, technical requirements and discomfort of the various methods. Preparative measures, the duration of the examinations, and problems of radiation hygiene are discussed. Illustrative drawings supplement the text. The fields of application given for the various methods are based on the latest state of knowledge. Other methods, e.g. endoscopy in all its variants and thermography, are mentioned whereever they are of diagnostic value. The book has a brief appendix in which the fundamental physical and technical context are explained, also in alphabetic order. Detailed cross-references establish a connection between diseases and diagnostic methods, thus facilitating access to the desired information.

  5. SemEHR: A general-purpose semantic search system to surface semantic data from clinical notes for tailored care, trial recruitment, and clinical research.

    Science.gov (United States)

    Wu, Honghan; Toti, Giulia; Morley, Katherine I; Ibrahim, Zina M; Folarin, Amos; Jackson, Richard; Kartoglu, Ismail; Agrawal, Asha; Stringer, Clive; Gale, Darren; Gorrell, Genevieve; Roberts, Angus; Broadbent, Matthew; Stewart, Robert; Dobson, Richard J B

    2018-05-01

    Unlocking the data contained within both structured and unstructured components of electronic health records (EHRs) has the potential to provide a step change in data available for secondary research use, generation of actionable medical insights, hospital management, and trial recruitment. To achieve this, we implemented SemEHR, an open source semantic search and analytics tool for EHRs. SemEHR implements a generic information extraction (IE) and retrieval infrastructure by identifying contextualized mentions of a wide range of biomedical concepts within EHRs. Natural language processing annotations are further assembled at the patient level and extended with EHR-specific knowledge to generate a timeline for each patient. The semantic data are serviced via ontology-based search and analytics interfaces. SemEHR has been deployed at a number of UK hospitals, including the Clinical Record Interactive Search, an anonymized replica of the EHR of the UK South London and Maudsley National Health Service Foundation Trust, one of Europe's largest providers of mental health services. In 2 Clinical Record Interactive Search-based studies, SemEHR achieved 93% (hepatitis C) and 99% (HIV) F-measure results in identifying true positive patients. At King's College Hospital in London, as part of the CogStack program (github.com/cogstack), SemEHR is being used to recruit patients into the UK Department of Health 100 000 Genomes Project (genomicsengland.co.uk). The validation study suggests that the tool can validate previously recruited cases and is very fast at searching phenotypes; time for recruitment criteria checking was reduced from days to minutes. Validated on open intensive care EHR data, Medical Information Mart for Intensive Care III, the vital signs extracted by SemEHR can achieve around 97% accuracy. Results from the multiple case studies demonstrate SemEHR's efficiency: weeks or months of work can be done within hours or minutes in some cases. SemEHR provides a more

  6. Videofluoroscopy of the pharynx and esophagus in patients with globus pharyngis. Comparison with static radiography; Die radiologische Abklaerung des Globus pharyngis. Vergleich der diagnostischen Wertigkeit von konventionellem Roentgen mit der Videokinematographie

    Energy Technology Data Exchange (ETDEWEB)

    Schober, E. [Abt. Roentgen fuer Konservative Faecher, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria); Schima, W. [Abt. Roentgen fuer Konservative Faecher, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria); Pokieser, P. [Abt. Roentgen fuer Chirurgische Faecher, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria)

    1995-10-01

    The symptom is associated with a multitude of pharyngoesophageal abnormalities. Our study compares the diagnostic yield of videofluoroscopy to that of static radiography in patients suffering from globus pharnygis. A total of 150 consecutive patients complaining of a lump in the throat, but without evidence of dysphagia, were studied in a standardized fashion with both methods. Videofluoroscopy combined with static radiography revealed morphological or functional abnormalities in 75% of our patients. The combination of the two methods yielded significantly more abnormalities in the pharynx and esophagus than videofluoroscopy or static radiography alone. Esophageal motor disorders, pharyngoesophageal sphincter dysfunction and pharyngeal residue of contrast material proved to be the most common abnormalities. In conclusion, videofluoroscopy combined with static radiography is mandatory in the radiological assessment of patients suffering from the globus sensation. (orig.) [Deutsch] Unsere Studie vergleicht die diagnostische Wertigkeit des konventionellen Roentgens mit jener der Videokineamtographie von Pharynx und Oesophagus bei der Abklaerung des Globusgefuehls. Wir haben 150 konsekutive Patienten mit Globusgefuehl, jedoch ohne Dysphagie mit beiden Methoden nach einem standardisierten Protokoll untersucht. Mittels der Kombination von konventionellem Roentgen mit der Videokinematographie fanden sich bei 75% der Patienten pathologische Veraenderungen. Durch die Kombination beider Methoden konnten signifikant mehr morphologische und funktionelle Stoerungen des Pharynx sowie Oesophagus aufgezeigt werden, als mit der alleinigen konventionellen Technik oder der alleinigen Videokinematographie. Die haeufigsten pathologischen Veraenderungen in unserem Kollektiv waren Oesophagusmotilitaetsstoerungen, eine Dyskinesie des pharyngooesophagealen Sphinkters sowie eine abnorme pharyngeale Kontrastmittelretention. Unsere Ergebnisse belegen eindeutig, dass die radiologische

  7. 45 CFR 99.24 - Evidentiary purpose.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Evidentiary purpose. 99.24 Section 99.24 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION PROCEDURE FOR HEARINGS FOR THE CHILD CARE AND DEVELOPMENT FUND Hearing Procedures § 99.24 Evidentiary purpose. The purpose of the...

  8. Is it acceptable to video-record palliative care consultations for research and training purposes? A qualitative interview study exploring the views of hospice patients, carers and clinical staff.

    Science.gov (United States)

    Pino, Marco; Parry, Ruth; Feathers, Luke; Faull, Christina

    2017-09-01

    Research using video recordings can advance understanding of healthcare communication and improve care, but making and using video recordings carries risks. To explore views of hospice patients, carers and clinical staff about whether videoing patient-doctor consultations is acceptable for research and training purposes. We used semi-structured group and individual interviews to gather hospice patients, carers and clinical staff views. We used Braun and Clark's thematic analysis. Interviews were conducted at one English hospice to inform the development of a larger video-based study. We invited patients with capacity to consent and whom the care team judged were neither acutely unwell nor severely distressed (11), carers of current or past patients (5), palliative medicine doctors (7), senior nurses (4) and communication skills educators (5). Participants viewed video-based research on communication as valuable because of its potential to improve communication, care and staff training. Video-based research raised concerns including its potential to affect the nature and content of the consultation and threats to confidentiality; however, these were not seen as sufficient grounds for rejecting video-based research. Video-based research was seen as acceptable and useful providing that measures are taken to reduce possible risks across the recruitment, recording and dissemination phases of the research process. Video-based research is an acceptable and worthwhile way of investigating communication in palliative medicine. Situated judgements should be made about when it is appropriate to involve individual patients and carers in video-based research on the basis of their level of vulnerability and ability to freely consent.

  9. Radiological and nuclear emergency preparedness and response. How well are we prepared?; Radiologischer und nuklearer Notfallschutz. Wie gut sind wir vorbereitet?

    Energy Technology Data Exchange (ETDEWEB)

    Geick, Gunther H.G. [Dataport, Altenholz (Germany); Herrmann, Andre R. [HERRMANN Consultant, Basel (Switzerland); Koch, Doris [Ministerium fuer Justiz, Gleichstellung und Integration, Kiel (Germany); Meisenberg, Oliver [Helmholtz Zentrum Muenchen Deutsches Forschungszentrum fuer Gesundheit und Umwelt GmbH, Neuherberg (Germany); Rauber, Dominique [Bundesamt fuer Bevoelkerungsschutz (BABS), Zuerich (CH). Eidgenoessisches Dept. fuer Verteidigung, Bevoelkerungsschutz und Sport (VBS); Stuerm, Rolf P. [SafPro AG, Basel (Switzerland); Weiss, Wolfgang [Bundesamt fuer Strahlenschutz, Salzgitter (Germany); Miska, Horst; Schoenhacker, Stefan

    2011-07-01

    The contributions to this topic are dealing, in a broad overview, with important aspects of Nuclear Emergency Preparedness and Response, like the influence of the new ICRP recommendations number 103 and number 109 on emergency preparedness and on planning for response, possible problems in installing and operating emergency care centres, experience from exercises as well as the training of response personnel in Austria and Germany. Finally, measures in emergency preparedness with regard to a dirty bomb attack are reported by means of an INEX-4-exercise in Switzerland. (orig.)

  10. Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and fiscal year 2013 rates; hospitals' resident caps for graduate medical education payment purposes; quality reporting requirements for specific providers and for ambulatory surgical centers. final rule.

    Science.gov (United States)

    2012-08-31

    We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems. Some of the changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act) and other legislation. These changes will be applicable to discharges occurring on or after October 1, 2012, unless otherwise specified in this final rule. We also are updating the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits. The updated rate-of-increase limits will be effective for cost reporting periods beginning on or after October 1, 2012. We are updating the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) and implementing certain statutory changes made by the Affordable Care Act. Generally, these changes will be applicable to discharges occurring on or after October 1, 2012, unless otherwise specified in this final rule. In addition, we are implementing changes relating to determining a hospital's full-time equivalent (FTE) resident cap for the purpose of graduate medical education (GME) and indirect medical education (IME) payments. We are establishing new requirements or revised requirements for quality reporting by specific providers (acute care hospitals, PPS-exempt cancer hospitals, LTCHs, and inpatient psychiatric facilities (IPFs)) that are participating in Medicare. We also are establishing new administrative, data completeness, and extraordinary circumstance waivers or extension requests requirements, as well as a reconsideration process, for quality reporting by ambulatory surgical centers

  11. Combining Purpose With Profits

    DEFF Research Database (Denmark)

    Julian Birkinshaw, Julian; Foss, Nicolai Juul; Lindenberg, Siegwart

    2014-01-01

    A sense of purpose that transcends making money can motivate employees. But to sustain both a sense of purpose and a solid level of profitability over time, companies need to pay attention to several fundamental organizing principles....

  12. Purpose and Professional Writers.

    Science.gov (United States)

    Blyler, Nancy Roundy

    1989-01-01

    Describes a protocol study of 10 professional writers which examined the meaning and influence of purpose on writers in the workplace. Explores the interactions of various purpose considerations derived from situation, reader, and text. Suggests that professional writers have a range of meanings in mind when they think about purpose. (MM)

  13. Reimbursement of radiologically guided vascular interventions within the DRG-System: What wil change?; Verguetung radiologischer Gefaessinterventionen im DRG-System: Was wird sich aendern?

    Energy Technology Data Exchange (ETDEWEB)

    Strotzer, M. [Krankenhaus Hohe Warte, Bayreuth (Germany). Abt. fuer Radiologie; Feuerbach, S. [Klinikum der Univ. Regensburg (Germany). Inst. fuer Diagnostische Radiologie; Voelk, M. [Bundeswehrkrankenhaus Ulm (Germany). Abt. Radiologie

    2004-09-01

    Purpose: To evaluate reimbursement within the DRG-system ('diagnosis-related groups') compared with traditional reimbursement for interventional therapy of hospitalized patients. Materials and Methods: Reimbursement calculation was prospectively analyzed in two respects for 30 consecutive patients who underwent percutaneous transluminal angioplasty (PTA) of the lower extremity arteries: (1) based on the DRG-system; (2) based on the traditional system. Additional evaluation was performed for five further, typical vascular procedures on the basis of real documentation and calculation data (stenting of the carotid artery, fibrinolytic therapy of basilar artery occlusion, stenting of renal artery stenosis, angioplasty of hemodialysis-shunt stenosis and aspiration thrombectomy of an infrapopliteal arterial occlusion). Results: In our hospital, the introduction of the DRG system would reduce reimbursement by approximately 1100 Euro per PTA patient. However, the other vascular radiological procedures can be expected to increase the payments by up to 4500 Euro. Conclusion: To minimize imminent reduction of reimbursement for patients with peripheral PTA, complete documentation and economical patient management is mandatory. Payment may increase significantly for patients with the other reported vascular interventional procedures. (orig.)

  14. Percutaneous arteriovenous shunting in patients with severe COPD. A new interventional radiological treatment; Perkutane arteriovenoese Shuntanlage bei Patienten mit schwerer COPD. Eine neue interventionelle radiologische Technik

    Energy Technology Data Exchange (ETDEWEB)

    Schlosser, Thomas; Forsting, M. [Universitaetsklinikum Essen (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie und Neuroradiologie; Burbelko, M. [Marburg Univ. (Germany). Klinik fuer Strahlendiagnostik; Ulrich, M. [Parkkrankenhaus Leipzig (Germany). Klinik fuer Innere Medizin/Angiologie/Kardiologie; Ludwig, F.; Reutiman, T. [ROX Medical, San Clemente, CA (United States); Antoch, G. [Universitaetsklinikum Duesseldorf (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Adamus, R. [Klinikum Nuernberg Nord (Germany). Inst. fuer Radiologie

    2013-03-15

    Purpose: The aim of this study was to evaluate the technical feasibility and safety of a new interventional radiological technique to create a shunt percutanously between the external iliac vein and artery in patients with severe COPD. Materials and Methods: 40 patients were included in this multicenter trial. In 38 patients the artery was punctured from the vein using a novel crossing needle. A special delivery system was used to implant a novel nitinol device (ACS, ROX Medical) between the artery and the vein to maintain a 4 mm calibrated and structured fistula between the two vessels. Results: Shunt implantation was successful in 38 patients. The perfused arteriovenous shunts could be well documented in DSA and the diameter was measured between 3 and 4 mm in all cases. Peri-interventional non-flow-limiting dissection of the iliac artery occurred in one patient. Post-interventional venous bleeding in two patients was treated successfully by local compression. In one patient a peripheral artery thrombembolism was successfully treated by thrombolysis. Conclusion: The new interventional radiological technique to create an arteriovenous shunt in the iliac vessels presented in this study has proven to be feasible and safe. (orig.)

  15. RadLex - German version: a radiological lexicon for indexing image and report information; RadLex - deutsche Version: Ein radiologisches Lexikon zur Indexierung von Bild- und Befunddaten

    Energy Technology Data Exchange (ETDEWEB)

    Marwede, D.; Lobsien, D.; Kahn, T. [Universitaetsklinikum Leipzig (Germany). Klinik und Poliklinik fuer Diagnostische und Interventionelle Radiologie; Daumke, P.; Marko, K.; Schulz, S. [Universitaetsklinikum Freiburg (Germany). Inst. fuer Medizinische Biometrie und Medizinische Informatik

    2009-01-15

    Purpose: Since 2003 the Radiological Society of North America (RSNA) has been developing a lexicon of standardized radiological terms (RadLex) intended to support the structured reporting of imaging observations and the indexing of teaching cases. The aim of this study was to translate the first version of the lexicon (1 - 2007) into German and to implement a language-independent online term browser. Materials and Methods: RadLex version 1 - 2007 contains 6303 terms in nine main categories. Two radiologists independently translated the lexicon using medical dictionaries. Terms translated differently were revised and translated by consensus. For the development of an online term browser, a text processing algorithm called morphosemantic indexing was used which splits up words into small semantic units and compares those units to language-specific subword thesauri. Results: In total 6240 of 6303 terms (99 %) were translated. Of those terms 3965 were German, 1893 were Latin, 359 were multilingual, and 23 were English terms that are also used in German and were therefore maintained. The online term browser supports a language-independent term search in RadLex (German/English) and other common medical terminology (e.g., ICD 10). The term browser displays term hierarchies and translations in different frames and the complexity of the result lists can be adapted by the user. Conclusion: RadLex version 1 - 2007 developed by the RSNA is now available in German and can be accessed online through a term browser with an efficient search function. This is an important precondition for the future comparison of national and international indexed radiological examination results and the interoperability between digital teaching resources. (orig.)

  16. The Special Purpose Vehicle

    DEFF Research Database (Denmark)

    Fomcenco, Alex

    2013-01-01

    The purpose of this article is to investigate whether the situation where two companies appear as originators or sponsors behind a Special Purpose Vehicle (SPV) can be described as a merger, although on micro scale. Are the underlying grounds behind the creation of an SPV much different than those...

  17. SGSreco. Radiological characterization of waste containers by segmented gamma-Scan measurements; SGSreco. Radiologische Charakterisierung von Abfallfaessern durch Segmentierte γ-Scan Messungen

    Energy Technology Data Exchange (ETDEWEB)

    Krings, Thomas Heinrich

    2014-04-01

    Starting from 2021, low and intermediate level radioactive waste produced in the Federal Republic of Germany will be finally disposed at a depth from 800 m to 1300 m in the Konrad Repository, close to the city Salzgitter. A prerequisite for the final disposal of radioactive waste packages is their conformance with national acceptance criteria. These acceptance criteria include among others radiological requirements for waste packages. To ensure a conformance of waste packages with these radiological requirements, experimental techniques are applied to characterize their radionuclide inventories. For this purpose, segmented γ-scanning is used worldwide as the standard non-destructive assay for the radiological characterization of waste drums. Segmented γ-scanning investigates predefined parts of a waste drum independently of each other using γ-spectrometry with a collimated detection system. Radionuclides are identified by their characteristic γ-lines in each recorded γ-spectrum, and two-dimensional count rate distributions are determined depending on the positions of the investigated predefined parts. The reconstruction of radionuclide specific activities by conventional methods requires a homogeneous matrix and radionuclide distribution within the whole drum. Thus, radionuclide specific activities are estimated using an analytical model based on the average count rate of a characteristic γ-line over all investigated parts of the waste drum. However, only 25% of all waste drums meet these requirements. It is therefore expected that the radionuclide specific activities for the majority of waste drums are miscalculated by several orders of magnitude. In this work, an analysis framework known as SGSreco is presented. SGSreco aims to ensure an accurate and a reliable reconstruction of radionuclide specific activities for homogeneous and spatially concentrated (point sources) radionuclide inventories. SGSreco uses an inverse approach. Within a first

  18. The purpose of adaptation.

    Science.gov (United States)

    Gardner, Andy

    2017-10-06

    A central feature of Darwin's theory of natural selection is that it explains the purpose of biological adaptation. Here, I: emphasize the scientific importance of understanding what adaptations are for, in terms of facilitating the derivation of empirically testable predictions; discuss the population genetical basis for Darwin's theory of the purpose of adaptation, with reference to Fisher's 'fundamental theorem of natural selection'; and show that a deeper understanding of the purpose of adaptation is achieved in the context of social evolution, with reference to inclusive fitness and superorganisms.

  19. Exploring eHealth Ethics and Multi-Morbidity: Protocol for an Interview and Focus Group Study of Patient and Health Care Provider Views and Experiences of Using Digital Media for Health Purposes.

    Science.gov (United States)

    Townsend, Anne; Adam, Paul; Li, Linda C; McDonald, Michael; Backman, Catherine L

    2013-10-17

    eHealth is a broad term referring to the application of information and communication technologies in the health sector, ranging from health records to medical consultations (telemedicine) and multiple forms of health education, support, and tools. By providing increased and anytime access to information, opportunities to exchange experiences with others, and self-management support, eHealth has been heralded as transformational. It has the potential to accelerate the shift from traditional "passive patient" to an informed, engaged, and empowered "patient as partner," equipped to take part in shared decision-making, and take personal responsibility for self-managing their illness. The objective of our study is to examine how people with chronic illness use eHealth in their daily lives, how it affects patient-provider relationships, and the ethical and practical ramifications for patients, providers, and service delivery. This two-phase qualitative study is ongoing. We will purposively sample 60-70 participants in British Columbia, Canada. To be eligible, patient participants have to have arthritis and at least one other chronic health condition; health care providers (HCPs) need a caseload of patients with multi-morbidity (>25%). To date we have recruited 36 participants (18 patients, 18 HCPs). The participants attended 7 focus groups (FGs), 4 with patients and 3 with rehabilitation professionals and physicians. We interviewed 4 HCPs who were unable to attend a FG. In phase 2, we will build on FG findings and conduct 20-24 interviews with equal numbers of patients and HCPs (rehabilitation professionals and physicians). As in the FGs conducted in phase I, the interviews will use a semistructured, but flexible, discussion guide. All discussions are being audiotaped and transcribed verbatim. Constant comparisons and a narrative approach guides the analyses. A relational ethics conceptual lens is being applied to the data to identify emergent ethical issues. This study

  20. MRT des Pankreas: Radiologisch-pathologische Korrelation

    NARCIS (Netherlands)

    Helmberger, T.; Holzknecht, N.; Gauger, J.; Beuers, U.; Reiser, M.

    1996-01-01

    The typical MRI features of the most common pancreatic diseases, such as pancreatitis and adenocarcinoma of the pancreas, have been established. However, even in these common pancreatic disorders, MRI correlation with the underlying pathology is limited for clinical reasons. We emphasize

  1. Radiotherapy. Radiological oncology. Strahlentherapie. Radiologische Onkologie

    Energy Technology Data Exchange (ETDEWEB)

    Scherer, E [ed.; Essen Univ. (Gesamthochschule) (Germany, F.R.). Radiologisches Zentrum

    1976-01-01

    This book attempts to give a survey of the present status of radiological tumour therapy with some emphasis on the clinical aspect of neoplasms. The physical and radiobiological fundamentals important for practical radiotherapy are discussed in great detail.

  2. Combining purpose with profits

    NARCIS (Netherlands)

    Birkinshaw, J.; Foss, N.J.; Lindenberg, S.M.

    2014-01-01

    Is it possible for a company to strive for a higher purpose while also delivering solid profits? Some have argued that pursuing goals other than making money means, by definition, spending on things that aren't profit-maximizing. Others have countered that by investing in worthwhile causes the

  3. JENDL special purpose file

    International Nuclear Information System (INIS)

    Nakagawa, Tsuneo

    1995-01-01

    In JENDL-3,2, the data on all the reactions having significant cross section over the neutron energy from 0.01 meV to 20 MeV are given for 340 nuclides. The object range of application extends widely, such as the neutron engineering, shield and others of fast reactors, thermal neutron reactors and nuclear fusion reactors. This is a general purpose data file. On the contrary to this, the file in which only the data required for a specific application field are collected is called special purpose file. The file for dosimetry is a typical special purpose file. The Nuclear Data Center, Japan Atomic Energy Research Institute, is making ten kinds of JENDL special purpose files. The files, of which the working groups of Sigma Committee are in charge, are listed. As to the format of the files, ENDF format is used similarly to JENDL-3,2. Dosimetry file, activation cross section file, (α, n) reaction data file, fusion file, actinoid file, high energy data file, photonuclear data file, PKA/KERMA file, gas production cross section file and decay data file are described on their contents, the course of development and their verification. Dosimetry file and gas production cross section file have been completed already. As for the others, the expected time of completion is shown. When these files are completed, they are opened to the public. (K.I.)

  4. Meaningful and Purposeful Practice

    Science.gov (United States)

    Clementi, Donna

    2014-01-01

    This article describes a graphic, designed by Clementi and Terrill, the authors of "Keys to Planning for Learning" (2013), visually representing the components that contribute to meaningful and purposeful practice in learning a world language, practice that leads to greater proficiency. The entire graphic is centered around the letter…

  5. Fit-for-Purpose

    DEFF Research Database (Denmark)

    Enemark, Stig

    2013-01-01

    ; completeness to cover the total jurisdiction; and credibility in terms of reliable data being trusted by the users. Accuracy can then be incrementally improved over time when relevant and justified by serving the needs of citizen, business and society in general. Such a fit-for-purpose approach is fundamental...... systems act within adopted land policies that define the legal regulatory pattern for dealing with land issues. Land administration systems - whether highly advanced or very basic – require a spatial framework to operate. This framework provides the fundamental information for dealing with land issues...... concepts may well be seen as the end target but not as the point of entry. When assessing the technology and investment choices the focus should be on building a fit-for-purpose framework that will meet the needs of society today and that can be incrementally improved over time....

  6. Purposeful engineering economics

    CERN Document Server

    Chadderton, Ronald A

    2015-01-01

    This textbook/course supplement stands as a unique and highly original complement to the traditional engineering economics curriculum. Its primarily narrative approach conveys the essence of an “Austrian" economic perspective on cash flow analysis and decision making in engineering, without extensive tables and graphs, and requires very little mathematics. The book’s objective is to add a new perspective to the usual study of cash flow analysis and solely econometric engineering decision making. The author draws on the methodology of the Austrian Economists—a school of economic thought that bases its study of economic phenomena on the interpretation and analysis of the purposeful actions of individuals. The book includes an array of illustrative case studies examined in detail by the author and emphasizes the importance of market processes and price signals to coordinate engineering plans. Purposeful Engineering Economics is an ideal resource for students, teaching faculty, and practicing professional ...

  7. Vitalism, purpose and superstition.

    Science.gov (United States)

    Lindeman, Marjaana; Saher, Marieke

    2007-02-01

    Developmental studies have shown that children assign purpose to objects more liberally than adults, and that they explain biological processes in terms of vitalistic causality. This study tested the hypothesis that similar misconceptions can be found among superstitious adults. The results from 116 superstitious and 123 sceptical individuals showed that more than sceptics, superstitious individuals attributed purpose to objects, and explained biological processes in terms of organ intentionality and energy transmission. In addition, they thought of energy as a vital force, attributing life and mental properties to it. These conceptual confusions were positively associated to all types of superstitions as well as belief in alternative medicine. The results support the argument that category mistakes and ontological confusions underlie superstitious and vitalistic thinking.

  8. The purpose of astronomy

    OpenAIRE

    Davoust, Emmanuel

    1995-01-01

    This is a presentation of the purpose of astronomy in the context of modern society. After exposing two misconceptions about astronomy, I detail its role in five domains, certified knowledge, incorporated abilities, innovations, collective goods, and popular science; with each domain is associated an institution, an incentive, and a method of evaluation. Finally, I point out the role of astronomy as a source of inspiration in other fields than science.

  9. Caring Science or Science of Caring.

    Science.gov (United States)

    Turkel, Marian C; Watson, Jean; Giovannoni, Joseph

    2018-01-01

    The concepts caring science and science of caring have different meanings; however, they are often used interchangeably. The purpose of this paper is to present an overview of the synthesis of the scholarly literature on the definitions of the science of caring and caring science and to affirm the authors' perspective relating to the language of caring science. Caring science advances the epistemology and ontology of caring. Ideas related to caring science inquiry are presented, and the authors acknowledge the future of caring science as unitary caring science.

  10. Multi purpose research reactor

    International Nuclear Information System (INIS)

    Raina, V.K.; Sasidharan, K.; Sengupta, Samiran; Singh, Tej

    2006-01-01

    At present Dhruva and Cirus reactors provide the majority of research reactor based facilities to cater to the various needs of a vast pool of researchers in the field of material sciences, physics, chemistry, bio sciences, research and development work for nuclear power plants and production of radio isotopes. With a view to further consolidate and expand the scope of research and development in nuclear and allied sciences, a new 20 MWt multi purpose research reactor is being designed. This paper describes some of the design features and safety aspects of this reactor

  11. Purpose of the workshop

    International Nuclear Information System (INIS)

    Brunner, H.

    1998-01-01

    The main purpose of the Workshop is to share the experience on emergency data management and to review various conceptual, technical, organisational and operational aspects and problems. The problems posed by hardware and software, the interplay of software developers and users/operators and the positive and negative experiences both from development and operation of data management systems are discussed. Emergency data management systems and their demonstrations are divided into four classes of possible applications: video games, training and simulation systems, 'history writing' = post-event analysis and documentation systems, real-time operational systems. (author)

  12. 10 CFR 455.80 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... ENERGY CONSERVATION GRANT PROGRAMS FOR SCHOOLS AND HOSPITALS AND BUILDINGS OWNED BY UNITS OF LOCAL GOVERNMENT AND PUBLIC CARE INSTITUTIONS State Administrative Expenses § 455.80 Purpose. This subpart describes what constitutes a State administrative expense that may receive financial assistance under this...

  13. 32 CFR 107.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Purpose. 107.1 Section 107.1 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN PERSONAL SERVICES.... 1091, “Contracts For Direct Health Care Providers,” and assigns responsibility for implementing the...

  14. The punishment's purpose

    Directory of Open Access Journals (Sweden)

    Gheorghe DIACONU

    2012-12-01

    Full Text Available The repressive reaction involves, as any human action, a certain finality. As the punishment's essence is the suffering, then, in the course of time it has been arisen the question regarding the goal for which the society utilizes the suffering and for what the society punishes. According to the classic penal doctrine that bases on the idea of retribution, the repressive reaction was limited to a simple revenge and it didn't existed any concern in order to influence the doer's future behaviour. In the positivist conception, the punishment's purpose was to shelter the society against the offender's new attacks. Going up to an extreme point with this idea, the positivists equated the punishment with the curative treatment at which the patients in the hospitals were submitted and which it was adequate to each category of offender. For the positivists, the penal sanction, it was meant to combat the organic or the psychological anomalies or the dysfunctions of the social environment that have influenced the offender and that determined him to commit antisocial deeds. In the modern vision, the punishment cannot have a goal on its own and that is to answer to bad with bad because it doesn't come from an abstract desire for revenge, but from a concrete necessity of hindering the repetition of the antisocial deeds and of defending the fundamental social values.

  15. Drilling for scientific purpose

    Energy Technology Data Exchange (ETDEWEB)

    Tanaka, Shoichi

    1987-09-01

    Drilling for scientific purpose is a process of conducting geophysical exploration at deep underground and drilling for collecting crust samples directly. This is because earth science has advanced to get a good understanding about the top of the crust and has shifted its main interest to the lower layer of the crust in land regions. The on-land drilling plan in Japan has just started, and the planned drilling spots are areas around the Minami River, Hidaka Mts., kinds of the Mesozoic and Cenozoic granite in outside zone, the extension of Japan Sea, Ogasawara Is., Minami-Tori Is., and active volcanos. The paper also outlines the present situation of on-land drilling in the world, focusing on the SG-3rd super-deep well SG-3 on the Kola Peninsula, USSR, Satori SG-1st well SG-1 in Azerbaidzhan S.S.R, V.S.S.R, Sweden's wells, Cyprus' wells, Bayearn well Plan in West Germany, and Salton Sea Scientific Drilling Program in the U.S. At its end, the paper explains the present situation and the future theme of the Japanese drilling technique and points out the necessity of developing equipment, and techniques. (14 figs, 5 tabs, 26 refs)

  16. Multi-purpose reactor

    International Nuclear Information System (INIS)

    1991-05-01

    The Multi-Purpose-Reactor (MPR), is a pool-type reactor with an open water surface and variable core arrangement. Its main feature is plant safety and reliability. Its power is 22MW t h, cooled by light water and moderated by beryllium. It has platetype fuel elements (MTR type, approx. 20%. enriched uranium) clad in aluminium. Its cobalt (Co 60 ) production capacity is 50000 Ci/yr, 200 Ci/gr. The distribution of the reactor core and associated control and safety systems is essentially based on the following design criteria: - upwards cooling flow, to waive the need for cooling flow inversion in case the reactor is cooled by natural convection if confronted with a loss of pumping power, and in order to establish a superior heat transfer potential (a higher coolant saturation temperature); - easy access to the reactor core from top of pool level with the reactor operating at full power, in order to facilitate actual implementation of experiments. Consequently, mechanisms associated to control and safety rods s,re located underneath the reactor tank; - free access of reactor personnel to top of pool level with the reactor operating at full power. This aids in the training of personnel and the actual carrying out of experiments, hence: - a vast water column was placed over the core to act as radiation shielding; - the core's external area is cooled by a downwards flow which leads to a decay tank beyond the pool (for N 16 to decay); - a small downwards flow was directed to stream downwards from above the reactor core in order to drag along any possibly active element; and - a stagnant hot layer system was placed at top of pool level so as to minimize the upwards coolant flow rising towards pool level

  17. Results of a quantitative survey to explore both perceptions of the purposes of follow-up and preferences for methods of follow-up delivery among service users, primary care practitioners and specialist clinicians after cancer treatment.

    Science.gov (United States)

    Frew, G; Smith, A; Zutshi, B; Young, N; Aggarwal, A; Jones, P; Kockelbergh, R; Richards, M; Maher, E J

    2010-12-01

    To ascertain perceptions of reasons for follow-up after cancer treatment among service users (patients and carers), primary care practitioners and specialist clinicians (doctors and specialist nurses) and to identify levels of preference for different models of follow-up and the effect of an individual's experience on preferred models. A national survey designed to meet the needs of each key respondent group was carried out after a structured literature review, an extensive consultation process and a pilot scheme. Respondents were asked to assess their degree of preference for 10 pre-selected indications for follow-up. Eight models of follow-up were also identified and respondents were asked to state their experience and preference for each type. The questionnaire was distributed nationally via the 34 cancer networks in England and was available both online and in hard copy (postal). The uptake for the electronic format was in the main by primary care practitioners and specialist clinicians. Service users preferred the paper (postal) format. The survey was also publicised through the primary care and patient partnership forums at a Cancer Network Development event. In total, 2928 responses were received, comprising service users (21% of the sample), primary care practitioners (32%) and specialist clinicians (47%). Eighty-six per cent of responses were received from the 10 strategic health authorities in England, with the remaining 14% from Scotland, Wales and The Isle of Man. The responses from Scotland, Wales and the Isle of Man generally occurred where they interfaced with English cancer networks or had been engaged through word of mouth by colleagues. Among all respondents the main aims of cancer follow-up were considered to be: (1) to monitor for early complications after treatment; (2) to detect recurrences early; (3) to detect late effects of treatment. The most commonly experienced method of follow-up among all respondent groups was outpatient review with a

  18. 7 CFR 246.1 - General purpose and scope.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false General purpose and scope. 246.1 Section 246.1... General § 246.1 General purpose and scope. This part announces regulations under which the Secretary of... health by reason of inadequate nutrition or health care, or both. The purpose of the Program is to...

  19. 7 CFR 226.1 - General purpose and scope.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false General purpose and scope. 226.1 Section 226.1 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM General § 226.1 General purpose and...

  20. Teaching English for Specific Purposes

    Directory of Open Access Journals (Sweden)

    Nijolė Netikšienė

    2011-04-01

    Full Text Available Teaching English for Specific Purposes and General English is analysed in the article. The scientific approach of a scientist M. Rosenberg is presented. The experience of teaching English for Specific Purposesat VGTU is alsopresented. The ideas and teaching methods from the classes of general English can be transferred to the classes of English for Specific Purposes.

  1. Supporting special-purpose health care models via Web interfaces

    NARCIS (Netherlands)

    Warren, James R.; Frankel, Heath K.; Noone, Joseph T.; van der Zwaag, B.J.

    The potential of the Web, via both the Internet and intranets, to facilitate development of clinical information systems has been evident for some time. Most Web-based clinical workstations interfaces, however, provide merely a loose collection of access channels. There are numerous examples of

  2. Communicative Purpose as Genre Determinant

    DEFF Research Database (Denmark)

    Askehave, Inger

    1999-01-01

    Through the years researchers and LSP teachers alike have used various parameters for classifying texts. This article sets out to discuss the notion of "communicative purpose" as a means for classifying text. It points to some of the difficulties associated with the functional approaches to genre...... classification in general and the notion of "communicative purpose" in particular.......Through the years researchers and LSP teachers alike have used various parameters for classifying texts. This article sets out to discuss the notion of "communicative purpose" as a means for classifying text. It points to some of the difficulties associated with the functional approaches to genre...

  3. Multi-Purpose Test Stand

    Data.gov (United States)

    Federal Laboratory Consortium — The Multi-Purpose Test Stand is used for a wide variety of tests. The Stand is designed to be rotated through a range of fixed yaw positions to allow engines to be...

  4. The Multiple-Patient Simulation Toolkit: Purpose, Process, and Pilot.

    Science.gov (United States)

    Beroz, Sabrina; Sullivan, Nancy; Kramasz, Vanessa; Morgan, Patricia

    Educating nursing students to safely care for multiple patients has become an important but challenging focus for nurse educators. New graduate nurses are expected to manage care for multiple patients in a complex and multifaceted health care system. With patient safety as a priority, multiple-patient assignments are necessary in order for nursing students to learn how to effectively prioritize and delegate care. The purpose of this project was the construction of an adaptable and flexible template for the development of multiple-patient simulations. Through utilization, the template moved to a toolkit adding an operational guide, sample-populated template, and bibliography.

  5. General Purpose (office) Network reorganisation

    CERN Multimedia

    IT Department

    2016-01-01

    On Saturday 27 August, the IT Department’s Communication Systems group will perform a major reorganisation of CERN’s General Purpose Network.   This reorganisation will cause network interruptions on Saturday 27 August (and possibly Sunday 28 August) and will be followed by a change to the IP addresses of connected systems that will come into effect on Monday 3 October. For further details and information about the actions you may need to take, please see: https://information-technology.web.cern.ch/news/general-purpose-office-network-reorganisation.

  6. Analytical purpose electron backscattering system

    International Nuclear Information System (INIS)

    Desdin, L.; Padron, I.; Laria, J.

    1996-01-01

    In this work an analytical purposes electron backscattering system improved at the Center of Applied Studies for Nuclear Development is described. This system can be applied for fast, exact and nondestructive testing of binary and AL/Cu, AL/Ni in alloys and for other applications

  7. Machine Translation for Academic Purposes

    Science.gov (United States)

    Lin, Grace Hui-chin; Chien, Paul Shih Chieh

    2009-01-01

    Due to the globalization trend and knowledge boost in the second millennium, multi-lingual translation has become a noteworthy issue. For the purposes of learning knowledge in academic fields, Machine Translation (MT) should be noticed not only academically but also practically. MT should be informed to the translating learners because it is a…

  8. supplementary foods for weaning purposes

    African Journals Online (AJOL)

    DR. AMINU

    Nigeria. ABSTRACT. The paper focuses on complementary and supplementary foods for weaning purposes. While ... decision, which guides when to introduce semi-solid foods to infants. It considers the .... readiness of many healthy infants. ... foods. However, caution should be exercised .... Attitudes and practices of infants.

  9. Common Courses for Common Purposes:

    DEFF Research Database (Denmark)

    Schaub Jr, Gary John

    2014-01-01

    (PME)? I suggest three alternative paths that increased cooperation in PME at the level of the command and staff course could take: a Nordic Defence College, standardized national command and staff courses, and a core curriculum of common courses for common purposes. I conclude with a discussion of how...

  10. Purposes and Effects of Lying.

    Science.gov (United States)

    Hample, Dale

    Three exploratory studies were aimed at describing the purposes of lies and the consequences of lying. Data were collected through a partly open-ended questionnaire, a content analysis of several tape-recorded interviews, and a large-scale survey. The results showed that two of every three lies were told for selfish reasons, while three of every…

  11. General purpose programmable accelerator board

    Science.gov (United States)

    Robertson, Perry J.; Witzke, Edward L.

    2001-01-01

    A general purpose accelerator board and acceleration method comprising use of: one or more programmable logic devices; a plurality of memory blocks; bus interface for communicating data between the memory blocks and devices external to the board; and dynamic programming capabilities for providing logic to the programmable logic device to be executed on data in the memory blocks.

  12. 20 CFR 655.300 - Purpose and scope of subparts D and E.

    Science.gov (United States)

    2010-04-01

    ... Aliens as Registered Nurses § 655.300 Purpose and scope of subparts D and E. (a) Purpose. The Immigration... crisis. Subpart D of this part sets forth the procedure by which health care facilities seeking to use...

  13. S3 Guideline. Diagnosis and treatment of colorectal carcinoma. Relevance for radiologic imaging and interventions; Aktualisierte S3-Leitlinie zur Diagnostik und Therapie des kolorektalen Karzinoms. Bedeutung fuer die radiologische Diagnostik und Intervention

    Energy Technology Data Exchange (ETDEWEB)

    Vogl, T.J.; Fischer, S. [Universitaetsklinikum Frankfurt (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Schmiegel, W.; Pox, C. [Bochum Univ. (Germany). Medizinische Universitaetsklinik; Pereira, P.L. [SLK Kliniken, Heilbronn (Germany). Klinik fuer Radiologie, Minimal-Invasive Therapien und Nuklearmedizin; Brambs, H.J. [Universitaetsklinikum Ulm (Germany). Klinik fuer Diagnostische und Interventionelle Radiologie; Lux, P. [Universitaetsklinikum Erlangen (Germany). Chirurgische Klinik

    2013-08-15

    The new German S3 guideline 'Colorectal Carcinoma' was created as part of the German Guideline Program in Oncology of the Association of the Scientific Medical Societies in Germany, the German Cancer Society and the German Cancer Aid under the auspices of the German Society for Digestive and Metabolic Diseases and replaces the guideline from 2008. With its evidence-based treatment recommendations, the guideline contains numerous updates and detailed definitions regarding the diagnosis and treatment of colon and rectal cancer. In particular, consensus-based recommendations regarding early detection, preoperative diagnostic method selection, and the use of interventional radiological treatment methods are detailed. The guideline also includes quality indicators so that standardized quality assurance methods can be used to optimize patient-related processes. The present article discusses the significance of the current recommendations for radiological diagnosis and treatment and is intended to enhance the quality of patient information and care by increasing distribution. (orig.)

  14. Indications and limitations of the radiotherapy of malignant neoplasms. An introduction for physicians and scientists working in oncology and radiology. Indikationen und Grenzen der Strahlentherapie boesartiger Neubildungen. Eine Einfuehrung fuer onkologisch und radiologisch taetige Aerzte und Naturwissenschaftler

    Energy Technology Data Exchange (ETDEWEB)

    Arndt, J [Friedrich-Schiller-Universitaet, Jena (German Democratic Republic). Radiologische Klinik und Poliklinik

    1978-01-01

    General remarks on the topic of oncoradiology precede the discussion of the problems of special oncoradiology concerning the respiratory system, the digestive tract, the mamma, the female genitals, the male genitals, the urinary tract, the nervous system, the hematopoietic system, the non-Hodgkin lymphomas, and malignant meoplasms of the supporting apparatus, of the thyroid, of the eye including malignant exophthalmus, of the ear, and of the skin. Each chapter contains introductory notes on morphological, radiobiological, and clinical aspects followed by discussions of the results of treatment, of the planning of radiotherapeutic measures as well as of problems of the patient's follow-up care. Numerous bibliographic references conclude the individual chapters. Of interest to physicians and scientists working in the field of radiotherapy.

  15. Preconception Care and Prenatal Care

    Science.gov (United States)

    ... Twitter Pinterest Email Print About Preconception Care and Prenatal Care What is preconception care? Preconception care is the ... improve the health of your child. What is prenatal care? Prenatal care is the health care a woman ...

  16. Taking care of Care

    NARCIS (Netherlands)

    Evelien Eggink; Debbie Oudijk; Isolde Woittiez

    2010-01-01

    Original title: Zorgen voor Zorg. The Dutch population will become increasingly older over the coming decades. This will have consequences for the use of care and consequently the demand for staff, especially in the nursing and care sectors (home care, nursing homes and residential care

  17. Educational Purpose Cardiopulmonary Resuscitation Simulator

    Directory of Open Access Journals (Sweden)

    DRAGHICIU Nicolae

    2014-05-01

    Full Text Available Along with the development of computers and other sciences we can use in our personal projects complex structures built with microcontrollers. They miniaturise and simplify the final project, instead they depend/rely on the computer, through the programming of the microcontroller/s/them. This project presents the application of electronics in order to achieve a resuscitation mannequin for didactic purpose, using Arduino Prototyping Platform.

  18. Measurement methods for radiological characterisation of low-active and mid-active radioactive waste for emplacement; Messmethoden fuer die radiologische Charakterisierung von niedrig - und mittelaktiven radioaktiven Abfaellen fuer die Einlagerung

    Energy Technology Data Exchange (ETDEWEB)

    Sokcic-Kostic, Marina; Schultheis, Roland [NUKEM Technologies GmbH, Alzenau (Germany)

    2014-03-15

    For radiological classification and characterisation of radioactive waste - as it is here considered - the specification of a multitude of parameters is necessary. The measurement or rather definition of parameter ought to guarantee, that waste packages can be handled safely, that radioactive waste repository corresponds to the respective waste and that safety of emplacement is assured. From the parameters further properties of waste, such as the share of long-living isotopes, as well as activity limiting values, are deducted. For this purpose necessary measurements can be divided into non-destructive and destructive ones. The validity, sensitiveness and accuracy of both measurement methods differ. For the destructive methods, samples from the waste packages are retrieved and examined at the laboratory. In case of non-destructive methods, the entire package is scanned, whereby depending on the nuclides and their specific emissions (Gamma- and Neutron radiation, both the Beta- as well as Alpha- radiation) specific measurement methods arise. Available methods are evaluated and introduced with regard to accuracy, reliability as well as handling. Regarding the hardware- with exception of neutron evaluation technics - progress lies less in the development of new methods, rather than in the production line of robust and reliable measurement devices, which can be applied in automated infrastructures. During the evaluation routine simulation with the Monte-Carlo-Methods establishes itself more and more. Main focus regarding changes lies nevertheless in the introduction of the Bayes-Theory, which calculates consistently, and reliably measurement values and their errors, as well as trust intervals. (orig.)

  19. Solar stills for agricultural purposes

    Science.gov (United States)

    Selcuk, M. K.; Tran, V. V.

    1975-01-01

    Basic concepts of using desalinated water for agricultural purposes are outlined. A mathematical model describing heat and mass transfer in a system combining a solar still with a greenhouse, its solution, and test results of a small-scale unit built at the Middle East Technical University, Ankara, Turkey, are discussed. The unit was employed to demonstrate the technical feasibility of the system. Further development and modifications are necessary for larger-scale operations. The basis of an optimization study which is underway at the Brace Research Institute of McGill University in Montreal, Canada, aimed at finding the best combination of design and operation parameters is also presented.

  20. 42 CFR 67.10 - Purpose and scope.

    Science.gov (United States)

    2010-10-01

    ... and procedures; projects to improve methods and data bases for outcomes, effectiveness, and other... Research, Evaluation, Demonstration, and Dissemination Projects § 67.10 Purpose and scope. The regulations... projects, including conferences, on health care services and systems for the delivery of such services, as...

  1. General Purpose Heat Source Simulator

    Science.gov (United States)

    Emrich, Bill

    2008-01-01

    The General Purpose Heat Source (GPHS) simulator project is designed to replicate through the use of electrical heaters, the form, fit, and function of actual GPHS modules which generate heat through the radioactive decay of Pu238. The use of electrically heated modules rather than modules containing Pu238 facilitates the testing of spacecraft subsystems and systems without sacrificing the quantity and quality of the test data gathered. Previous GPHS activities are centered around developing robust heater designs with sizes and weights that closely matched those of actual Pu238 fueled GPHS blocks. These efforts were successful, although their maximum temperature capabilities were limited to around 850 C. New designs are being pursued which also replicate the sizes and weights of actual Pu238 fueled GPHS blocks but will allow operation up to 1100 C.

  2. Iris Cryptography for Security Purpose

    Science.gov (United States)

    Ajith, Srighakollapu; Balaji Ganesh Kumar, M.; Latha, S.; Samiappan, Dhanalakshmi; Muthu, P.

    2018-04-01

    In today's world, the security became the major issue to every human being. A major issue is hacking as hackers are everywhere, as the technology was developed still there are many issues where the technology fails to meet the security. Engineers, scientists were discovering the new products for security purpose as biometrics sensors like face recognition, pattern recognition, gesture recognition, voice authentication etcetera. But these devices fail to reach the expected results. In this work, we are going to present an approach to generate a unique secure key using the iris template. Here the iris templates are processed using the well-defined processing techniques. Using the encryption and decryption process they are stored, traversed and utilized. As of the work, we can conclude that the iris cryptography gives us the expected results for securing the data from eavesdroppers.

  3. Saliva Preservative for Diagnostic Purposes

    Science.gov (United States)

    Pierson, Duane L.; Mehta, Satish K.

    2012-01-01

    Saliva is an important body fluid for diagnostic purposes. Glycoproteins, glucose, steroids, DNA, and other molecules of diagnostic value are found in saliva. It is easier to collect as compared to blood or urine. Unfortunately, saliva also contains large numbers of bacteria that can release enzymes, which can degrade proteins and nucleic acids. These degradative enzymes destroy or reduce saliva s diagnostic value. This innovation describes the formulation of a chemical preservative that prevents microbial growth and inactivates the degradative enzymes. This extends the time that saliva can be stored or transported without losing its diagnostic value. Multiple samples of saliva can be collected if needed without causing discomfort to the subject and it does not require any special facilities to handle after it is collected.

  4. Diagnostic imaging in polytrauma: comparison of radiation exposure from whole-body MSCT and conventional radiography with organ-specific CT; Radiologische Bildgebung beim Polytrauma: Dosisvergleich von Ganzkoerper-MSCT und konventionellem Roentgen mit organspezifischer CT

    Energy Technology Data Exchange (ETDEWEB)

    Wedegaertner, U.; Lorenzen, M.; Weber, C.; Adam, G. [Klinik und Poliklinik fuer Diagnostische und Interventionelle Radiologie, Universitaetsklinikum Hamburg-Eppendorf (Germany); Nagel, H.D. [Philips Medizin Systeme GmbH, Hamburg (Germany)

    2004-07-01

    Purpose: To compare the radiation dose of whole-body multislice CT (MSCT) and conventional radiography with organ-specific CT in polytrauma. Materials and Methods: The whole-body MSCT encompassing brain, neck and midface, chest, abdomen and pelvis was performed on a Somatom Volume Zoom (Siemens). Conventional radiography consisted of chest and cervical, thoracic and lumbar spine in two views as well as pelvis. Polymat, Siemens. Three combinations of organ specific CT were chosen: CT examination of (1) head and cervical spine, (2) head, cervical spine and chest, (3) head, cervical spine and abdomen. The effective doses of whole-body MSCT and conventional radiography with organ-specific CT were calculated. Results: Effective doses were 20 mSv for whole-body MSCT, 2 mSv for conventional x-ray, and 5 mSv for combination (1), 8 mSv for combination (2) and (3) 16 mSv for combination (3) of the organ-specific CT. The ratio of radiation dose between whole-body MSCT and radiography was 10: 1. This ratio was reduced to 3: 1, 2: 1 and 1: 1 when a combination of radiography and CT was performed. Conclusions: Whole-body MSCT in polytrauma compared to conventional radiography with organ-specific CT induces a threefold increased dose in unfavorable situations and no increased dose in favorable situations. Nevertheless, routine use of whole-body MSCT should be critically evaluated and should be adapted to the clinical benefit. (orig.) [German] Ziel: Dosisvergleich von Ganzkoerper-MSCT und konventioneller Basisdiagnostik mit organspezifischen Ct-Untersuchungen beim Polytrauma. Material und Methoden: Die Ganzkoerper-MSCT-Untersuchung von Schaedel, Mittelgesicht, HWS sowie Thorax, Abdomen und Becken erfolgte an einem Somatom-Volume-Zoom (Siemens). Die konventionelle Bildgebung, bestehend aus Thorax, Becken, HWS, BWS und LWs, wurde an einem Siemens-Polymat durchgefuehrt. Fuer die organspezifischen CT-Untersuchungen wurden 3 Kombinationen ausgewaehlt: (1) CCT + HWS, (2) CCT + HWS

  5. MR-arthrography of the acetabular labrum - radiologic-pathologic correlation in 20 cadaveric hip joints; MR-Arthrographie des Labrum acetabulare - Radiologisch-anatomische Korrelation an 20 Leichenhueften

    Energy Technology Data Exchange (ETDEWEB)

    Brossmann, J.; Steffens, J.C.; Heller, M. [Kiel Univ. (Germany). Klinik fuer Diagnostische Radiologie; Ploetz, G.M.J.; Hassenpflug, J. [Kiel Univ. (Germany). Klinik fuer Orthopadie

    1999-08-01

    Purpose: To investigate frequency of acetabular labral lesions in elderly hip joints, and to determine sensitivity and specificity of MR arthrography (MRa) for the detection of these abnormalities. Materials and Methods: Twenty cadaveric hip joints were examined by MRa. For MRa, 15 ml of a solution of iodinated contrast solution (Solutrast 300) and Gd-DTPA (100:1) were injected under fluoroscopic guidance. MR imaging was performed on a 1.5 TM scanner (Vision, Siemens; FOV 16 cm, matrix 256x256, fat-suppressed 3D-FLASH). Multiplanar image reconstructions were done perpendicular to the acetabulum in the oblique-coronal, oblique-axial, and radial planes. The labral specimens were examined macroscopically. Results: In 12/20 hips (60%), a labral lesion was found on pathologic examination. In 7 specimens, the labrum was partially or completely detached in the weight-bearing superior region. One flap-like variant of the labrum was seen; in 4 hip joints, the labrum was degenerated (one cystic degeneration). Pathologic findings were confirmed by MRa in 8/12 specimens (sensitivity 67%). All degenerated labra were correctly diagnosed on MRa. Three small labral detachments and the flap-like variant were misinterpreted as being normal. There were no false positive findings (specificity 100%). The accuracy was 80%. Labral lesions were seen in 6/8 and in 6/12 of hips with and without osteoarthritis, respectively. Conclusion: MRa is well suited to delineate the acetabular labrum and to diagnose labral abnormalities. Detection of small labral detachments and anatomic variants is difficult and requires some experience. Labral lesions are correlated to osteoarthritis of the hip, but may be frequently seen in the elderly without underlying osteoarthritis. (orig.) [German] Ziel: Feststellung der Haeufigkeit von Laesionen des Labrum acetabulare bei aelteren Hueftgelenkspraeparaten und Untersuchung der Sensitivitaet und Spezifitaet der MR-Arthrographie (MRa) fuer die Darstellung dieser

  6. US health care crisis.

    Science.gov (United States)

    Cirić, Ivan

    2013-01-01

    The United States health care is presently challenged by a significant economic crisis. The purpose of this report is to introduce the readers of Medicinski Pregled to the root causes of this crisis and to explain the steps undertaken to reform health care in order to solve the crisis. It is hoped that the information contained in this report will be of value, if only in small measure, to the shaping of health care in Serbia.

  7. Care partner: A concept analysis.

    Science.gov (United States)

    Bennett, Paul N; Wang, Wei; Moore, Mel; Nagle, Cate

    The use of the term care partner has increased, particularly in the chronic disease literature; however, the concept has not been well defined. The purpose of this concept analysis was to define and assist nurses to better understand the concept of care partner. The method by Walker and Avant was used for this literature-based concept analysis. Care partnering includes providing assistance to an individual with a health condition to meet their self-care deficits, the commitment to a care partner relationship, and the recognition that people with self-care deficits are care partners contributing to their own care. Emphasizing the care partner dyad in nursing may contribute to improved patient care outcomes both in the acute and chronic settings. It is recommended that nurses view the person with the condition as a contributor and partner in their own care in the context of a larger care partnership. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Enhanced care for depression : Review

    NARCIS (Netherlands)

    Beekman, A.J.; van der Feltz-Cornelis, C.M.; van Marwijk, H.W.J.

    2013-01-01

    Purpose of review: The purpose of this study is to review recent evidence of the effects of enhanced depression care, focusing (1) on symptomatic, functional and economic outcomes and (2) across different countries, (3) ethnic groups and (4) settings. Recent findings: Collaborative care is currently

  9. The Nordic maintenance care program

    DEFF Research Database (Denmark)

    Myburgh, Corrie; Brandborg-Olsen, Dorthe; Albert, Hanne

    2013-01-01

    To describe and interpret Danish Chiropractors' perspectives regarding the purpose and rationale for using MC (maintenance care), its content, course and patient characteristics.......To describe and interpret Danish Chiropractors' perspectives regarding the purpose and rationale for using MC (maintenance care), its content, course and patient characteristics....

  10. Calibration of action cameras for photogrammetric purposes.

    Science.gov (United States)

    Balletti, Caterina; Guerra, Francesco; Tsioukas, Vassilios; Vernier, Paolo

    2014-09-18

    The use of action cameras for photogrammetry purposes is not widespread due to the fact that until recently the images provided by the sensors, using either still or video capture mode, were not big enough to perform and provide the appropriate analysis with the necessary photogrammetric accuracy. However, several manufacturers have recently produced and released new lightweight devices which are: (a) easy to handle, (b) capable of performing under extreme conditions and more importantly (c) able to provide both still images and video sequences of high resolution. In order to be able to use the sensor of action cameras we must apply a careful and reliable self-calibration prior to the use of any photogrammetric procedure, a relatively difficult scenario because of the short focal length of the camera and its wide angle lens that is used to obtain the maximum possible resolution of images. Special software, using functions of the OpenCV library, has been created to perform both the calibration and the production of undistorted scenes for each one of the still and video image capturing mode of a novel action camera, the GoPro Hero 3 camera that can provide still images up to 12 Mp and video up 8 Mp resolution.

  11. Calibration of Action Cameras for Photogrammetric Purposes

    Directory of Open Access Journals (Sweden)

    Caterina Balletti

    2014-09-01

    Full Text Available The use of action cameras for photogrammetry purposes is not widespread due to the fact that until recently the images provided by the sensors, using either still or video capture mode, were not big enough to perform and provide the appropriate analysis with the necessary photogrammetric accuracy. However, several manufacturers have recently produced and released new lightweight devices which are: (a easy to handle, (b capable of performing under extreme conditions and more importantly (c able to provide both still images and video sequences of high resolution. In order to be able to use the sensor of action cameras we must apply a careful and reliable self-calibration prior to the use of any photogrammetric procedure, a relatively difficult scenario because of the short focal length of the camera and its wide angle lens that is used to obtain the maximum possible resolution of images. Special software, using functions of the OpenCV library, has been created to perform both the calibration and the production of undistorted scenes for each one of the still and video image capturing mode of a novel action camera, the GoPro Hero 3 camera that can provide still images up to 12 Mp and video up 8 Mp resolution.

  12. Radiographic symptoms of peripheral joints; Allgemeine radiologische Symptomatologie peripherer Gelenke

    Energy Technology Data Exchange (ETDEWEB)

    Klauser, Andrea Sabine [Medizinische Univ. Innsbruck (Austria). Bereich Rheuma und Sportbildgebung; Woertler, Klaus [TU Muenchen (Germany). Inst. fuer Roentgendiagnostik; Jaschke, Werner R. [Klinikum Mannheim (Germany). Inst. fur Klinische Radiologie

    2010-09-15

    Diagnosis of inflammatory rheumatic diseases is besides clinical parameters mainly based on the potential for differential diagnosis of radiographic symptoms obtained by systematic analysis. The initial analysis should emphasize which part of the joint is involved referring to synovial disease, cartilage disease or disease of the enthesis. Synovial arthropathies are assessed regarding soft tissue swelling, soft tissue opacification and the presence of erosions. Cartilaginous pathology is reflected by reduced or increased joint space, calcifications and subchondral bone changes. Enthesopathy is typically located at tendon-ligament and joint capsule attachment, where osteoproliferative but also erosive changes might occur. Lastly, differential diagnosis of arthropathies is mainly based on distribution and allocation of affected joints. (orig.)

  13. Radiological dose and metadata management; Radiologisches Dosis- und Metadatenmanagement

    Energy Technology Data Exchange (ETDEWEB)

    Walz, M.; Madsack, B. [TUeV SUeD Life Service GmbH, Aerztliche Stelle fuer Qualitaetssicherung in der Radiologie, Nuklearmedizin und Strahlentherapie Hessen, Frankfurt (Germany); Kolodziej, M. [INFINITT Europe GmbH, Frankfurt/M (Germany)

    2016-12-15

    This article describes the features of management systems currently available in Germany for extraction, registration and evaluation of metadata from radiological examinations, particularly in the digital imaging and communications in medicine (DICOM) environment. In addition, the probable relevant developments in this area concerning radiation protection legislation, terminology, standardization and information technology are presented. (orig.) [German] Dieser Artikel stellt die aktuell in Deutschland verfuegbaren Funktionen von Managementsystemen zur Erfassung und Auswertung von Metadaten zu radiologischen Untersuchungen insbesondere im DICOM-Umfeld (Digital Imaging and Communications in Medicine) vor. Ausserdem werden die in diesem Bereich voraussichtlich relevanten Entwicklungen von Strahlenschutzgesetzgebung ueber Terminologie und Standardisierung bis zu informationstechnischen Aspekten dargestellt. (orig.)

  14. Radiologic diagnosis of echinococcosis. Radiologische Diagnostik bei Echinokokkose

    Energy Technology Data Exchange (ETDEWEB)

    Lobinger, B. (Abt. fuer Radiologische Diagnostik der Radiologischen Universitaetsklinik Tuebingen (Germany)); Pfannenberg, A.C. (Abt. fuer Radiologische Diagnostik der Radiologischen Universitaetsklinik Tuebingen (Germany)); Brambs, H.J. (Abt. fuer Radiologische Diagnostik der Radiologischen Universitaetsklinik Tuebingen (Germany))

    1994-05-01

    Medical imaging and laboratory parameters permit a reliable detection and differentiation of cases of echinococcosis. Computerized tomography is a particularly valuable diagnostic tool here. In cases of liver infestation the resulting calcified foci are less readily revealed by magnetic resonance imaging than by CT, even though the former method has its merits in the diagnosis of concomitant vascular changes. If E. cysticus has invaded the lungs, the X-rays will show a sharply delineated round-to-oval cyst of uniform density, preferably in the lower and central compartments of that organ. In 1-4% of all organ infestations with E. cysticus it is the bone that has been parasitically invaded. In those cases, X-ray pictures of the osseous tissue show a light patch of a cyst-like appearance. Computerized tomography and nmr imaging are also able to visualize any soft tissue invasion beyond the limits of the diseased bony structures. Magnetic resonance imaging is the most sensitive method to detect bone marrow infestation. (orig./MG)

  15. Radiological diagnosis of maxillary sinus aspergillosis. Radiologische Diagnostik der Kieferhoehlenaspergillose

    Energy Technology Data Exchange (ETDEWEB)

    Schulte, B.; Beyer, D. (Akademisches Lehrkrankenhaus, Porz (Germany). Radiologische Abt.)

    1992-11-01

    Aspergillosis of the maxillary sinuses shows an increasing incidence in even otherwise healthy patients. Next to inhalation as the mode of infection, a dental root canal filling with an orosinusal fistula can be the cause. As most infections remain initially undetected or underestimated as common sinusitis, early diagnosis must be achieved. Standard X-ray of the paranasal sinuses, conventional tomography as well as CT scans are of major importance. Centrally located hyperdense opacifications are a good criterion and can be best seen in CT. Even when the case has not progressed too much, radical surgery combined with Amphotericin B therapy is still the treatment of choice since the infection may progress rapidly. (orig.).

  16. Amyloidosis associated with dialysis. Dialyseassoziierte Amyloidosteopathie - radiologische Aspekte

    Energy Technology Data Exchange (ETDEWEB)

    Schadmand, S.; Klose, K.J. (Mainz Univ. (Germany, F.R.). Inst. fuer Klinische Strahlenkunde); Wandel, E. (Mainz Univ. (Germany, F.R.). 1. Medizinische Klinik und Poliklinik)

    1991-06-01

    Amongst the complications of dialysis, amyloid osteopathy is getting increasingly significant. It is due to deposition of {beta}2-microglobulin. To determine the incidence and time of development of this complication, the skeletal radiographs of 185 patients undergoing dialysis, some for up to ten years, were analysed retrospectively. In about 10% of patients, the presence of {beta}2-microglobulin osteopathy may be expected. The radiological features, sites of predilection and differential diagnosis of amyloid osteopathy and of other skeletal changes due to dialysis are discussed. (orig.).

  17. Radiological diagnostics of multiple myeloma; Radiologische Diagnostik des multiplen Myeloms

    Energy Technology Data Exchange (ETDEWEB)

    D' Anastasi, M.; Grandl, S.; Reiser, M.F.; Baur-Melnyk, A. [Klinikum der Ludwig-Maximilians-Universitaet Muenchen, Campus Grosshadern, Institut fuer Klinische Radiologie, Muenchen (Germany)

    2014-06-15

    Robust and reliable imaging methods are required to estimate the skeletal tumor load in multiple myeloma, as well as for the diagnosis of extraskeletal manifestations. Imaging also plays an essential role in the assessment of fracture risk and of vertebral fractures. The conventional skeletal survey has been the gold standard in the imaging of multiple myeloma for many years. Other modalities which have been investigated and are in use are whole-body computed tomography (WBCT), 18F-fluorodeoxyglucose positron emission tomography computed tomography (FDG PET-CT) and whole-body magnetic resonance imaging (WBMRI). These techniques are able to depict both mineralized bone and the bone marrow with a high sensitivity for myeloma lesions. Several studies have shown that cross-sectional imaging is superior to the skeletal survey in the detection of myeloma lesions and WBMRI has been shown to be significantly more sensitive than WBCT for the detection of focal myeloma lesions as well as for diffuse infiltration. The FDG PET-CT technique has a sensitivity comparable to WBMRI. Due to the higher sensitivity in the detection of myeloma lesions WBCT and WBMRI should replace the skeletal survey. A WBCT should be performed if there is suspicion of multiple myeloma. If no focal lesions are found WBMRI or at least MRI of the spine and pelvis should be additionally performed if available. If WBMRI has been initially performed and focal lesions are present, an additional WBCT may be performed to assess the extent of bone destruction and fracture risk. In cases of monoclonal gammopathy of undetermined significance (MGUS), solitary and smoldering myeloma, a WBMRI, if available, should be performed in addition to WBCT. (orig.) [German] Die Aufgabe der bildgebenden Diagnostik beim multiplen Myelom (MM) ist die zuverlaessige Erfassung der Tumorlast im Skelett sowie auch der extraskelettalen Manifestationen und der assoziierten Komplikationen (z. B. Wirbelkoerperfrakturen, Frakturgefahr). Projektionsradiographie (Skelettstatus) zur Erfassung von Osteolysen, Osteoporose oder Frakturen. Die Ganzkoerper-CT stellt hochsensitiv die Osteolysen, die Ganzkoerper-MRT das Ausmass der Knochenmarkinfiltration dar. Die Positronenemissionstomographie(PET)-CT kann zusaetzlich die aktiven Myelomlaesionen detektieren und wichtige Informationen fuer den Therapieverlauf geben. Nach den Ergebnissen mehrerer Studien sind die Schnittbildverfahren dem Roentgenskelettstatus ueberlegen. Die Ganzkoerper-MRT ist sowohl fuer den Nachweis fokaler Laesionen als auch einer diffusen Infiltration signifikant sensitiver als die Ganzkoerper-CT. Die PET-CT zeigt eine vergleichbare Sensitivitaet mit der Ganzkoerper-MRT. Aufgrund der hoeheren Sensitivitaet bei der Detektion von Myelomlaesionen sollten die Ganzkoerper-CT und die Ganzkoerper-MRT die Projektionsradiographie ersetzen. Bei Verdacht auf ein MM sollte bei der initialen Diagnostik eine Ganzkoerper-CT durchgefuehrt werden. Werden hier keine Herde gefunden, sollte, falls verfuegbar, eine Ganzkoerper(GK)-MRT oder zumindest eine MRT der Wirbelsaeule und des Beckens durchgefuehrt werden. Falls eine GK-MRT in der initialen Diagnostik durchgefuehrt wurde, sollte bei fokalen Herden eine ergaenzende Ganzkoerper-CT erfolgen, um das Ausmass der Osteolysen zu erfassen und das Frakturrisiko abzuschaetzen. Bei der monoklonalen Gammopathie unklarer Signifikanz (MGUS), beim solitaeren und beim ''smoldering'' Myelom sollte, falls verfuegbar, die GK-MRT eingesetzt werden, da hiervon die Prognose und das Therapiekonzept bei vorhandenen Infiltraten betroffen sind. (orig.)

  18. Diagnostic imaging in COPD; Radiologische Diagnostik bei COPD

    Energy Technology Data Exchange (ETDEWEB)

    Owsijewitsch, Michael; Ley-Zaporozhan, Julia [Universitaetsklinik Heidelberg (Germany). Klinik fuer Diagnostische und Interventionelle Radiologie; Eichinger, Monika [Deutsches Krebsforschungszentrum (DKFZ), Heidelberg (Germany). Abt. Radiologie

    2011-03-15

    COPD is a heterogeneous disease defined by expiratory airflow limitation. Airflow limitation is caused by a variable combination of emphysematous destruction of lung parenchyma and small airway obstruction. Only advanced emphysema can be diagnosed by chest X-ray. Less severe emphysema and changes in small airways are commonly diagnosed by computed tomography. Typical visual appearance of pathologic changes in lung parenchyma and airways of COPD patients are presented, furthermore methods for quantitative assessment of these changes and the crucial role of imaging for surgical and bronchoscopic treatment in COPD are discussed. (orig.)

  19. Radiological diagnosis in traumatology; Radiologische Diagnostik in der Traumatologie

    Energy Technology Data Exchange (ETDEWEB)

    Frahm, R. (ed.)

    2001-07-01

    This loose-leaf publication covers all radiological problems that may possibly occur in accident surgery. The focus is on conventional radiological diagnosis. The physical and technical fundamentals of diagnostic examination methods are discussed, followed by practical hints on radiation protection, technical equipment and quality assurance, as well as accurate information on the procedure of taking and interpreting standard X-ray pictures. The indications for standard X-raying, tomography, CT and MRT are presented in consideration of the radiation exposure incurred by the patient. The reader is also informed on the dynamics and varying morphology of bone fracture healing, potential disturbances of callus formation and reconstruction, as well as on possible complications. The main section of the book discusses injuries of the skull, spinal cord, pectoral girdle, upper arm, elbow and lower arm, wrist and hands, pelvis, hip joint, knee and upper and lower leg, ankle joint and foot, thorax and abdomen. (orig.)

  20. 12 CFR 41.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY FAIR CREDIT REPORTING General Provisions § 41.1 Purpose. (a) Purpose. The purpose of this part is to establish standards for national banks regarding consumer report information. In addition, the purpose of this part is to specify the extent to which...

  1. Costs of health care across primary care models in Ontario.

    Science.gov (United States)

    Laberge, Maude; Wodchis, Walter P; Barnsley, Jan; Laporte, Audrey

    2017-08-01

    The purpose of this study is to analyze the relationship between newly introduced primary care models in Ontario, Canada, and patients' primary care and total health care costs. A specific focus is on the payment mechanisms for primary care physicians, i.e. fee-for-service (FFS), enhanced-FFS, and blended capitation, and whether providers practiced as part of a multidisciplinary team. Utilization data for a one year period was measured using administrative databases for a 10% sample selected at random from the Ontario adult population. Primary care and total health care costs were calculated at the individual level and included costs from physician services, hospital visits and admissions, long term care, drugs, home care, lab tests, and visits to non-medical health care providers. Generalized linear model regressions were conducted to assess the differences in costs between primary care models. Patients not enrolled with a primary care physicians were younger, more likely to be males and of lower socio-economic status. Patients in blended capitation models were healthier and wealthier than FFS and enhanced-FFS patients. Primary care and total health care costs were significantly different across Ontario primary care models. Using the traditional FFS as the reference, we found that patients in the enhanced-FFS models had the lowest total health care costs, and also the lowest primary care costs. Patients in the blended capitation models had higher primary care costs but lower total health care costs. Patients that were in multidisciplinary teams (FHT), where physicians are also paid on a blended capitation basis, had higher total health care costs than non-FHT patients but still lower than the FFS reference group. Primary care and total health care costs increased with patients' age, morbidity, and lower income quintile across all primary care payment types. The new primary care models were associated with lower total health care costs for patients compared to the

  2. Tracheostomy care

    Science.gov (United States)

    Respiratory failure - tracheostomy care; Ventilator - tracheostomy care; Respiratory insufficiency - tracheostomy care ... Before you leave the hospital, health care providers will teach you how ... and suction the tube Keep the air you breathe moist Clean ...

  3. Digital dental photography. Part 2: Purposes and uses.

    Science.gov (United States)

    Ahmad, I

    2009-05-09

    Although the primary purpose of using digital photography in dentistry is for recording various aspects of clinical information in the oral cavity, other benefits also accrue. Detailed here are the uses of digital images for dento-legal documentation, education, communication with patients, dental team members and colleagues and for portfolios, and marketing. These uses enhance the status of a dental practice and improve delivery of care to patients.

  4. Costs of health care across primary care models in Ontario

    OpenAIRE

    Laberge, Maude; Wodchis, Walter P; Barnsley, Jan; Laporte, Audrey

    2017-01-01

    Background The purpose of this study is to analyze the relationship between newly introduced primary care models in Ontario, Canada, and patients? primary care and total health care costs. A specific focus is on the payment mechanisms for primary care physicians, i.e. fee-for-service (FFS), enhanced-FFS, and blended capitation, and whether providers practiced as part of a multidisciplinary team. Methods Utilization data for a one year period was measured using administrative databases for a 1...

  5. Focus on Dementia Care: Continuing Education Preferences, Challenges, and Catalysts among Rural Home Care Providers

    Science.gov (United States)

    Kosteniuk, Julie G.; Morgan, Debra G.; O'Connell, Megan E.; Dal Bello-Haas, Vanina; Stewart, Norma J.

    2016-01-01

    Home care staff who provide housekeeping and personal care to individuals with dementia generally have lower levels of dementia care training compared with other health care providers. The study's purposes were to determine whether the professional role of home care staff in a predominantly rural region was associated with preferences for delivery…

  6. 32 CFR 74.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... DOCTORS OF OSTEOPATHY AS MEDICAL OFFICERS § 74.1 Purpose. The purpose of this part is to implement the provisions of Pub. L. 763, 84th Congress (70 Stat. 608), relating to the appointment of doctors of osteopathy...

  7. 49 CFR 541.2 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... OF TRANSPORTATION FEDERAL MOTOR VEHICLE THEFT PREVENTION STANDARD § 541.2 Purpose. The purpose of this standard is to reduce the incidence of motor vehicle thefts by facilitating the tracing and recovery of parts from stolen vehicles. ...

  8. 24 CFR 51.200 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... Conventional Fuels or Chemicals of an Explosive or Flammable Nature § 51.200 Purpose. The purpose of this... store, handle, or process hazardous substances; (b) Alert those responsible for the siting of HUD...

  9. 14 CFR 1201.101 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... INFORMATION Introduction § 1201.101 Purpose. It is the purpose of the National Aeronautics and Space... activities peculiar to or primarily associated with the development of weapons systems, military operations...

  10. 5 CFR 582.101 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... of the United States Postal Service, the Postal Rate Commission, and the General Accounting Office. ... FEDERAL EMPLOYEES' PAY Purpose, Definitions, and Exclusions § 582.101 Purpose. Section 5520a of title 5 of...

  11. 15 CFR 990.40 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE OIL POLLUTION ACT REGULATIONS NATURAL RESOURCE DAMAGE ASSESSMENTS Preassessment Phase § 990.40 Purpose. The purpose of this subpart is to provide a...

  12. 15 CFR 990.60 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE OIL POLLUTION ACT REGULATIONS NATURAL RESOURCE DAMAGE ASSESSMENTS Restoration Implementation Phase § 990.60 Purpose. The purpose of this subpart is to...

  13. Reproductive handle of the herd of cattle of double purpose

    International Nuclear Information System (INIS)

    Castro Hernandez, A.

    1988-01-01

    The influence of the environmental factors is analyzed, in the reproductive efficiency of herd cattle of double purpose. The reproductive behavior begins with the gestation of the heifers. Under the conditions of the Colombian tropic these they reach the weight required for the reproduction to an age but late that in the temperate areas. Once the first childbirth, the cow takes place it enters in exhaustion that makes that this animal is the but difficult to reproduce after the childbirth, that which demands special cares of handling and feeding. The interval among the childbirth to evaluate the reproductive efficiency. Environmental factors that influence significantly. The use of the practice simple of handling, health, selection and feeding produces significant increments in the fertility of the herd of cattle of double purpose. One practices of effective handling in the improvement of the reproductive behavior of the cows of double purpose it is the restricted nursing

  14. 33 CFR 151.1000 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Purpose. 151.1000 Section 151.1000 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION... Transportation of Municipal and Commercial Waste § 151.1000 Purpose. The purpose of this subpart is to implement...

  15. 28 CFR 23.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Purpose. 23.1 Section 23.1 Judicial Administration DEPARTMENT OF JUSTICE CRIMINAL INTELLIGENCE SYSTEMS OPERATING POLICIES § 23.1 Purpose. The purpose...-647), are utilized in conformance with the privacy and constitutional rights of individuals. ...

  16. 10 CFR 205.350 - General purpose.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false General purpose. 205.350 Section 205.350 Energy DEPARTMENT OF ENERGY OIL ADMINISTRATIVE PROCEDURES AND SANCTIONS Electric Power System Permits and Reports....350 General purpose. The purpose of this rule is to establish a procedure for the Office of...

  17. 12 CFR 1703.31 - General purposes.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false General purposes. 1703.31 Section 1703.31 Banks and Banking OFFICE OF FEDERAL HOUSING ENTERPRISE OVERSIGHT, DEPARTMENT OF HOUSING AND URBAN... Legal Proceedings in Which OFHEO Is Not a Named Party § 1703.31 General purposes. The purposes of this...

  18. 5 CFR 211.101 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Purpose. 211.101 Section 211.101 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS VETERAN PREFERENCE § 211.101 Purpose. The purpose of this part is to define veterans' preference and the administration of preference...

  19. 23 CFR 710.101 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Purpose. 710.101 Section 710.101 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RIGHT-OF-WAY AND ENVIRONMENT RIGHT-OF-WAY AND REAL ESTATE General § 710.101 Purpose. The primary purpose of the requirements in this part is to ensure the...

  20. 23 CFR 710.701 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Purpose. 710.701 Section 710.701 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RIGHT-OF-WAY AND ENVIRONMENT RIGHT-OF-WAY AND REAL ESTATE Concession Agreements § 710.701 Purpose. The purpose of this subpart is to prescribe the standards...

  1. 12 CFR 408.2 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Purpose. 408.2 Section 408.2 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES PROCEDURES FOR COMPLIANCE WITH THE NATIONAL ENVIRONMENTAL POLICY ACT General § 408.2 Purpose. The purpose of this part is to establish procedures which supplement the...

  2. 45 CFR 2400.1 - Purposes.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Purposes. 2400.1 Section 2400.1 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS General § 2400.1 Purposes. (a) The purposes of the James Madison Memorial Fellowship...

  3. 7 CFR 1980.310 - Loan purposes.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 14 2010-01-01 2009-01-01 true Loan purposes. 1980.310 Section 1980.310 Agriculture... REGULATIONS (CONTINUED) GENERAL Rural Housing Loans § 1980.310 Loan purposes. The purpose of a loan guaranteed... applicant as a primary residence. The loan may be to purchase a new dwelling or an existing dwelling. The...

  4. 7 CFR 762.121 - Loan purposes.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Loan purposes. 762.121 Section 762.121 Agriculture... SPECIAL PROGRAMS GUARANTEED FARM LOANS § 762.121 Loan purposes. (a) Operating Loan purposes. (1) Loan... the need to refinance; (viii) Payment of loan closing costs; (ix) Payment of costs associated with...

  5. 24 CFR 963.1 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... by this part is based on the established procurement procedures set forth in 24 CFR 85.36, with... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Purpose. 963.1 Section 963.1... HOUSING-CONTRACTING WITH RESIDENT-OWNED BUSINESSES General § 963.1 Purpose. The purpose of this part is to...

  6. 29 CFR 215.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Purpose. 215.1 Section 215.1 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR GUIDELINES, SECTION 5333(b), FEDERAL TRANSIT LAW § 215.1 Purpose. The purpose of these guidelines is to provide information concerning the...

  7. 34 CFR 104.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE General Provisions § 104.1 Purpose. The purpose of this part is to effectuate section 504 of the Rehabilitation Act... 34 Education 1 2010-07-01 2010-07-01 false Purpose. 104.1 Section 104.1 Education Regulations of...

  8. 45 CFR 605.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE General Provisions § 605.1 Purpose. The purpose of this part is to effectuate section 504 of the Rehabilitation Act of 1973... 45 Public Welfare 3 2010-10-01 2010-10-01 false Purpose. 605.1 Section 605.1 Public Welfare...

  9. 45 CFR 1232.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... NONDISCRIMINATION ON BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE General Provisions § 1232.1 Purpose. The purpose of this part is to effectuate section 504 of the Rehabilitation Act... 45 Public Welfare 4 2010-10-01 2010-10-01 false Purpose. 1232.1 Section 1232.1 Public Welfare...

  10. 29 CFR 32.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... ASSISTANCE General Provisions § 32.1 Purpose. Section 504 of the Rehabilitation Act of 1973 prohibits... purpose of this part is to implement section 504 with respect to receiving Federal financial assistance... 29 Labor 1 2010-07-01 2010-07-01 true Purpose. 32.1 Section 32.1 Labor Office of the Secretary of...

  11. 7 CFR 15b.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... FEDERAL FINANCIAL ASSISTANCE General Provisions § 15b.1 Purpose. The purpose of this part is to implement... 7 Agriculture 1 2010-01-01 2010-01-01 false Purpose. 15b.1 Section 15b.1 Agriculture Office of the... receiving Federal financial assistance. ...

  12. 12 CFR 1806.100 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Purpose. 1806.100 Section 1806.100 Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY BANK ENTERPRISE AWARD PROGRAM General Provisions § 1806.100 Purpose. The purpose of the Bank Enterprise Award Program is...

  13. 33 CFR 135.101 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... FINANCIAL RESPONSIBILITY AND COMPENSATION OFFSHORE OIL POLLUTION COMPENSATION FUND Levy of Fees § 135.101 Purpose. (a) The purpose of this subpart is to state the general requirements concerning the levy of fees. ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Purpose. 135.101 Section 135.101...

  14. 49 CFR 22.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Purpose. 22.1 Section 22.1 Transportation Office of the Secretary of Transportation SHORT-TERM LENDING PROGRAM (STLP) General § 22.1 Purpose. The purpose of the DOT OSDBU STLP is to provide financial assistance in the form of short-term loans from...

  15. 28 CFR 42.501 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... the Rehabilitation Act of 1973 General Provisions § 42.501 Purpose. The purpose of this subpart is to... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Purpose. 42.501 Section 42.501 Judicial... basis of handicap in any program or activity receiving Federal financial assistance. ...

  16. 12 CFR 1805.100 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Purpose. 1805.100 Section 1805.100 Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS PROGRAM General Provisions § 1805.100 Purpose. The purpose of the Community...

  17. 41 CFR 101-6.202 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... FEDERAL PROPERTY MANAGEMENT REGULATIONS GENERAL 6-MISCELLANEOUS REGULATIONS 6.2-Nondiscrimination in Programs Receiving Federal Financial Assistance § 101-6.202 Purpose. The purpose of this subpart is to... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Purpose. 101-6.202...

  18. 49 CFR 604.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... TRANSPORTATION CHARTER SERVICE General provisions. § 604.1 Purpose. (a) The purpose of this part is to implement... 49 Transportation 7 2010-10-01 2010-10-01 false Purpose. 604.1 Section 604.1 Transportation Other... recipients of Federal financial assistance under the Federal Transit Laws. (b) This subpart specifies which...

  19. 22 CFR 142.1 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... RECEIVING FEDERAL FINANCIAL ASSISTANCE General Provisions § 142.1 Purpose. The purpose of this part is to... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Purpose. 142.1 Section 142.1 Foreign Relations... the basis of handicap in any program or activity receiving Federal financial assistance. ...

  20. 45 CFR 1170.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... ACTIVITIES General Provisions § 1170.1 Purpose. The purpose of this part is to implement section 504 of the... 45 Public Welfare 3 2010-10-01 2010-10-01 false Purpose. 1170.1 Section 1170.1 Public Welfare... or activity receiving Federal financial assistance. ...

  1. 22 CFR 217.1 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... RECEIVING FEDERAL FINANCIAL ASSISTANCE General Provisions § 217.1 Purpose. The purpose of this part is to... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Purpose. 217.1 Section 217.1 Foreign Relations... the basis of handicap in any program or activity within the United States receiving Federal financial...

  2. 49 CFR 27.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Purpose. 27.1 Section 27.1 Transportation Office of the Secretary of Transportation NONDISCRIMINATION ON THE BASIS OF DISABILITY IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE General § 27.1 Purpose. The purpose of this part is to...

  3. 49 CFR 28.101 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Purpose. 28.101 Section 28.101 Transportation Office of the Secretary of Transportation ENFORCEMENT OF NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES CONDUCTED BY THE DEPARTMENT OF TRANSPORTATION § 28.101 Purpose. The purpose of this...

  4. Integrated care.

    Science.gov (United States)

    Warwick-Giles, Lynsey; Checkland, Kath

    2018-03-19

    Purpose The purpose of this paper is to try and understand how several organisations in one area in England are working together to develop an integrated care programme. Weick's (1995) concept of sensemaking is used as a lens to examine how the organisations are working collaboratively and maintaining the programme. Design/methodology/approach Qualitative methods included: non-participant observations of meetings, interviews with key stakeholders and the collection of documents relating to the programme. These provided wider contextual information about the programme. Comprehensive field notes were taken during observations and analysed alongside interview transcriptions using NVIVO software. Findings This paper illustrates the importance of the construction of a shared identity across all organisations involved in the programme. Furthermore, the wider policy discourse impacted on how the programme developed and influenced how organisations worked together. Originality/value The role of leaders from all organisations involved in the programme was of significance to the overall development of the programme and the sustained momentum behind the programme. Leaders were able to generate a "narrative of success" to drive the programme forward. This is of particular relevance to evaluators, highlighting the importance of using multiple methods to allow researchers to probe beneath the surface of programmes to ensure that evidence moves beyond this public narrative.

  5. 75 FR 77878 - Determination of Regulatory Review Period for Purposes of Patent Extension; FREESTYLE NAVIGATOR

    Science.gov (United States)

    2010-12-14

    .... Patent No. 5,262,035) from Abbott Diabetes Care Inc., and the Patent and Trademark Office requested FDA's... diabetes mellitus for the purpose of improving diabetes management. Subsequent to this approval, the Patent...

  6. Development of a Proactive Care Program (U-CARE) to Preserve Physical Functioning of Frail Older People in Primary Care

    NARCIS (Netherlands)

    Bleijenberg, N.; Ten Dam, V.H.; Drubbel, I.; Numans, M.E.; De Wit, N.J.; Schuurmans, M.J.

    2013-01-01

    Purpose: Care for older patients in primary care is currently reactive, fragmented, and time consuming. An innovative structured and proactive primary care program (U-CARE) has been developed to preserve physical functioning and enhance quality of life of frail older people. This study describes in

  7. Health care engineering management.

    Science.gov (United States)

    Jarzembski, W B

    1980-01-01

    Today, health care engineering management is merely a concept of dreamers, with most engineering decisions in health care being made by nonengineers. It is the purpose of this paper to present a rationale for an integrated hospital engineering group, and to acquaint the clinical engineer with some of the salient features of management concepts. Included are general management concepts, organization, personnel management, and hospital engineering systems.

  8. 42 CFR 441.60 - Continuing care.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Continuing care. 441.60 Section 441.60 Public... Periodic Screening, Diagnosis, and Treatment (EPSDT) of Individuals Under Age 21 § 441.60 Continuing care. (a) Continuing care provider. For purposes of this subpart, a continuing care provider means a...

  9. Residential Care

    Science.gov (United States)

    ... Kids For Teens For Parents & Teachers Resolving Family Conflicts The Holidays and Alzheimer's Glossary Virtual Library Online ... longer an option Costs Choosing a care setting Types of residential care A good long-term care ...

  10. Palliative Care

    Science.gov (United States)

    Palliative care is treatment of the discomfort, symptoms, and stress of serious illness. It provides relief from distressing symptoms ... of the medical treatments you're receiving. Hospice care, care at the end of life, always includes ...

  11. Critical Care

    Science.gov (United States)

    Critical care helps people with life-threatening injuries and illnesses. It might treat problems such as complications from surgery, ... attention by a team of specially-trained health care providers. Critical care usually takes place in an ...

  12. Comprehensive Care

    Science.gov (United States)

    ... Comprehensive Care Share this page Facebook Twitter Email Comprehensive Care Understand the importance of comprehensive MS care ... In this article A complex disease requires a comprehensive approach Today multiple sclerosis (MS) is not a ...

  13. Development of a General Purpose Gamification Framework

    OpenAIRE

    Vea, Eivind

    2016-01-01

    This report describes the design and implementation of a general purpose gamification framework developed in JavaScript on the Metor platform. Gamification is described as the use of game elements in none-game contexts. The purpose is to encourage and change user behaviour. Examples of existing gamification use cases and frameworks are described. A demo game shows how a general purpose framework can be used.

  14. Purpose and Meaning, Ethnic Identity, and

    OpenAIRE

    Kiang, Lisa; Fuligni, Andrew J.

    2008-01-01

    Purpose and meaning are primary facets of eudaimonic well-being, yet are understudied in adolescent development. Using data from 579 adolescents from Latin American, Asian, and European backgrounds, demographic differences in purpose and meaning, links with psychological and academic adjustment, links with ethnic identity, and the mediating role of purpose and meaning in associations between ethnic identity and adjustment were examined. Although no generational or gender differences in purpos...

  15. 24 CFR 92.600 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... INVESTMENT PARTNERSHIPS PROGRAM American Dream Downpayment Initiative § 92.600 Purpose. This subpart describes the requirements for the HOME Program American Dream Downpayment Initiative (ADDI). Through the...

  16. 5 CFR 2472.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... AGENCY DETERMINATIONS NOT TO ESTABLISH OR TO TERMINATE FLEXIBLE OR COMPRESSED WORK SCHEDULES Purpose and... determinations not to establish or to terminate flexible and compressed work schedules. ...

  17. Continuum of Care (COC) Areas

    Data.gov (United States)

    Department of Housing and Urban Development — The purpose of the Continuum of Care (CoC) Homeless Assistance Programs is to reduce the incidence of homelessness in CoC communities by assisting homeless...

  18. Home-based care

    African Journals Online (AJOL)

    Mrs. Patience Edoho Samson-Akpan

    study was to ascertain the relationship between home-based care and quality of life of PLWHA in support groups in. Calabar South Local Government Area. A correlational design was utilized and a purposive sample of 74 PLWHA participated in the study. A self developed and well validated questionnaire was used for data ...

  19. 12 CFR 4.61 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Purpose. 4.61 Section 4.61 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY ORGANIZATION AND FUNCTIONS, AVAILABILITY AND RELEASE...; Contracting for Goods and Services § 4.61 Purpose. Pursuant to the Financial Institutions Reform, Recovery...

  20. 28 CFR 93.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Purpose. 93.1 Section 93.1 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PROVISIONS IMPLEMENTING THE VIOLENT CRIME CONTROL AND LAW ENFORCEMENT ACT OF 1994 Drug Courts § 93.1 Purpose. This part sets forth requirements and procedures to ensure...

  1. 36 CFR 219.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... System Land and Resource Management Planning Purpose and Principles § 219.1 Purpose. (a) Land and... management of these lands. (3) Sustainability, composed of interdependent ecological, social, and economic elements, embodies the principles of multiple-use and sustained-yield without impairment to the...

  2. 16 CFR 1115.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS SUBSTANTIAL PRODUCT HAZARD REPORTS General Interpretation § 1115.1 Purpose. The purpose of this part 1115 is to set forth the Consumer Product Safety Commission's (Commission's) interpretation of the reporting requirements imposed on...

  3. 7 CFR 3052.100 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Purpose. 3052.100 Section 3052.100 Agriculture Regulations of the Department of Agriculture (Continued) OFFICE OF THE CHIEF FINANCIAL OFFICER, DEPARTMENT OF AGRICULTURE AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFIT ORGANIZATIONS General § 3052.100 Purpose. This...

  4. 28 CFR 49.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Purpose. 49.1 Section 49.1 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) ANTITRUST CIVIL PROCESS ACT § 49.1 Purpose. The regulations in... the Antitrust Civil Process Act, as amended (15 U.S.C. 1313(c)). The terms used in this part shall be...

  5. 23 CFR 1313.2 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... TRAFFIC SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION INCENTIVE GRANT CRITERIA FOR ALCOHOL-IMPAIRED DRIVING PREVENTION PROGRAMS § 1313.2 Purpose. The purpose of this part is to encourage States to adopt and implement effective programs to reduce traffic safety problems resulting from individuals driving motor...

  6. 28 CFR 31.500 - Program purposes.

    Science.gov (United States)

    2010-07-01

    ... prosecutors to address drug, gang, and youth violence more effectively; (f) Program purpose no. 6: Providing... sharing programs that enable the juvenile and criminal justice system, schools, and social services... treatment of juveniles who repeatedly commit serious delinquent or criminal acts; (k) Program purpose no. 11...

  7. 29 CFR 99.100 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Purpose. 99.100 Section 99.100 Labor Office of the Secretary of Labor AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFIT ORGANIZATIONS General § 99.100 Purpose. This part sets forth standards for obtaining consistency and uniformity among Federal agencies for the...

  8. 47 CFR 400.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Purpose. 400.1 Section 400.1 Telecommunication NATIONAL TELECOMMUNICATIONS AND INFORMATION ADMINISTRATION, DEPARTMENT OF COMMERCE, AND NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION E-911 GRANT PROGRAM § 400.1 Purpose. This part...

  9. 28 CFR 570.20 - Purpose.

    Science.gov (United States)

    2010-07-01

    ..., halfway house, restitution center, mental health facility, alcohol or drug rehabilitation center, or other... Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE COMMUNITY PROGRAMS AND RELEASE COMMUNITY PROGRAMS Pre-Release Community Confinement § 570.20 Purpose. The purpose of this subpart is to provide the procedures...

  10. 18 CFR 284.261 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... Emergency Natural Gas Sale, Transportation, and Exchange Transactions § 284.261 Purpose. This subpart... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Purpose. 284.261 Section 284.261 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT...

  11. 6 CFR 25.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 6 Domestic Security 1 2010-01-01 2010-01-01 false Purpose. 25.1 Section 25.1 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY REGULATIONS TO SUPPORT ANTI-TERRORISM BY FOSTERING EFFECTIVE TECHNOLOGIES § 25.1 Purpose. This part implements the Support Anti-terrorism by Fostering...

  12. 7 CFR 3430.201 - Purpose.

    Science.gov (United States)

    2010-01-01

    ...-GENERAL AWARD ADMINISTRATIVE PROVISIONS Specialty Crop Research Initiative § 3430.201 Purpose. (a) Focus areas. The purpose of this program is to address the critical needs of the specialty crop industry by developing and disseminating science-based tools to address needs of specific crops and their regions...

  13. 22 CFR 226.70 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Purpose. 226.70 Section 226.70 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS After-the-Award Requirements § 226.70 Purpose. Sections 226.71 through 226.73 contain closeout...

  14. 22 CFR 226.10 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Purpose. 226.10 Section 226.10 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Pre-award Requirements § 226.10 Purpose. Sections 226.11 through 226.17 prescribe forms and...

  15. Youth Purpose Worldwide: A Tapestry of Possibilities

    Science.gov (United States)

    Moran, Seana

    2017-01-01

    Interest in youth purpose is growing among scholars around the world. With globalization, better understanding of life purposes in different countries becomes more important as this generation's youth are influenced by ideas and events anywhere. This special issue contributes to this inclusive, worldwide frame of mind by showcasing work done…

  16. 32 CFR 644.429 - Wildlife purposes.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Wildlife purposes. 644.429 Section 644.429... ESTATE HANDBOOK Disposal Disposal of Fee-Owned Real Property and Easement Interests § 644.429 Wildlife... for wildlife conservation purposes by the agency of the state exercising administration over the...

  17. 19 CFR 212.01 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false Purpose. 212.01 Section 212.01 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT General Provisions § 212.01 Purpose. (a) The Equal Access to...

  18. 7 CFR 254.1 - General purpose.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false General purpose. 254.1 Section 254.1 Agriculture... GENERAL REGULATIONS AND POLICIES-FOOD DISTRIBUTION ADMINISTRATION OF THE FOOD DISTRIBUTION PROGRAM FOR INDIAN HOUSEHOLDS IN OKLAHOMA § 254.1 General purpose. This part sets the requirement under which...

  19. 22 CFR 309.1 - General purpose.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true General purpose. 309.1 Section 309.1 Foreign Relations PEACE CORPS DEBT COLLECTION General Provisions § 309.1 General purpose. This part prescribes the procedures to be used by the United States Peace Corps (Peace Corps) in the collection and/or disposal of non...

  20. 24 CFR 960.701 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF..., AND OCCUPANCY OF, PUBLIC HOUSING Pet Ownership in Public Housing § 960.701 Purpose. The purpose of.... 1437z-3), to permit pet ownership by residents of public housing, subject to compliance with reasonable...

  1. A new multi-purpose NIM module

    International Nuclear Information System (INIS)

    Dong Binjiang; Wang Congrong; Du Chunxiang.

    1992-01-01

    The authors briefly state the function, character and main technique performance of a new multi-purpose NIM interposition (NI01) developed recently. This interposition uses 8031 single-chip microprocessors as the kernel and is multi-purpose, reliable and convenient. Especially, it is suitable for training teaching and scientific researching

  2. 22 CFR 1203.735-101 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... CONDUCT General Provisions § 1203.735-101 Purpose. The maintenance of the highest standards of honesty... reporting employment and financial interests. Note: These regulations are codified in State 3 FAM 620, AID... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Purpose. 1203.735-101 Section 1203.735-101...

  3. 33 CFR 155.1010 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... OIL OR HAZARDOUS MATERIAL POLLUTION PREVENTION REGULATIONS FOR VESSELS Tank Vessel Response Plans for Oil § 155.1010 Purpose. The purpose of this subpart is to establish requirements for oil spill response plans for certain vessels. The planning criteria in this subpart are intended for use in response...

  4. 44 CFR 206.31 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Purpose. 206.31 Section 206.31 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND... purpose of this subpart is to describe the process leading to a Presidential declaration of a major...

  5. 12 CFR 1730.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... AND SOUNDNESS DISCLOSURE OF FINANCIAL AND OTHER INFORMATION § 1730.1 Purpose. (a) The purpose of this part is to require the Enterprises to prepare and submit financial and other disclosures as specified... soundness mandate to regulate the Enterprises, including conducting examinations, requiring reports and...

  6. 44 CFR 17.600 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Purpose. 17.600 Section 17.600 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL GOVERNMENTWIDE REQUIREMENTS FOR DRUG-FREE WORKPLACE (GRANTS) § 17.600 Purpose. (a) The...

  7. 2 CFR 215.10 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... ORGANIZATIONS (OMB CIRCULAR A-110) Pre-Award Requirements § 215.10 Purpose. Sections 215.11 through 215.17... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false Purpose. 215.10 Section 215.10 Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET CIRCULARS AND GUIDANCE Reserved UNIFORM ADMINISTRATIVE...

  8. 32 CFR 67.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... REQUIREMENTS FOR APPOINTMENT OF RESERVE COMPONENT OFFICERS TO A GRADE ABOVE FIRST LIEUTENANT OR LIEUTENANT (JUNIOR GRADE) § 67.1 Purpose. This part provides guidance for implementing policy, assigns... 32 National Defense 1 2010-07-01 2010-07-01 false Purpose. 67.1 Section 67.1 National Defense...

  9. 2 CFR 215.70 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... ORGANIZATIONS (OMB CIRCULAR A-110) After-the-Award Requirements § 215.70 Purpose. Sections 215.71 through 215.73... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false Purpose. 215.70 Section 215.70 Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET CIRCULARS AND GUIDANCE Reserved UNIFORM ADMINISTRATIVE...

  10. 7 CFR 1775.66 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Purpose. 1775.66 Section 1775.66 Agriculture... (CONTINUED) TECHNICAL ASSISTANCE GRANTS Solid Waste Management Grants § 1775.66 Purpose. Grants may be made...) Provide technical assistance and/or training to reduce the solid waste stream through reduction, recycling...

  11. 49 CFR 543.2 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... OF TRANSPORTATION EXEMPTION FROM VEHICLE THEFT PREVENTION STANDARD § 543.2 Purpose. The purpose of... passenger motor vehicles to obtain an exemption from the parts-marking requirements of the vehicle theft... motor vehicle theft as compliance with the parts-marking requirements. This part also provides the...

  12. 49 CFR 591.2 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... OF TRANSPORTATION (CONTINUED) IMPORTATION OF VEHICLES AND EQUIPMENT SUBJECT TO FEDERAL SAFETY, BUMPER AND THEFT PREVENTION STANDARDS § 591.2 Purpose. The purpose of this part is to ensure that motor vehicles and motor vehicle equipment permanently imported into the United States conform with theft...

  13. 12 CFR 410.101 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Purpose. 410.101 Section 410.101 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES ENFORCEMENT OF NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES CONDUCTED BY EXPORT-IMPORT BANK OF THE UNITED STATES § 410.101 Purpose...

  14. 7 CFR 1703.100 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... RURAL DEVELOPMENT Distance Learning and Telemedicine Loan and Grant Program-General § 1703.100 Purpose. The purpose of the Distance Learning and Telemedicine (DLT) Loan and Grant Program is to encourage and... telecommunications, computer networks, and related advanced technologies by students, teachers, medical professionals...

  15. 7 CFR 771.5 - Loan purposes.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Loan purposes. 771.5 Section 771.5 Agriculture... SPECIAL PROGRAMS BOLL WEEVIL ERADICATION LOAN PROGRAM § 771.5 Loan purposes. (a) Loan funds may be used..., travel and office operations; (3) Salaries and benefits. (b) Loan funds may not be used to pay expenses...

  16. 32 CFR 634.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Purpose. 634.1 Section 634.1 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) LAW ENFORCEMENT AND CRIMINAL INVESTIGATIONS MOTOR VEHICLE TRAFFIC SUPERVISION Introduction § 634.1 Purpose. (a) This subpart establishes policy, responsibilities, and procedures for...

  17. 7 CFR 1780.2 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... (CONTINUED) WATER AND WASTE LOANS AND GRANTS General Policies and Requirements § 1780.2 Purpose. Provide loan and grant funds for water and waste projects serving the most financially needy communities. Financial... 7 Agriculture 12 2010-01-01 2010-01-01 false Purpose. 1780.2 Section 1780.2 Agriculture...

  18. 10 CFR 140.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Purpose. 140.1 Section 140.1 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) FINANCIAL PROTECTION REQUIREMENTS AND INDEMNITY AGREEMENTS General Provisions § 140.1 Purpose. The regulations in this part are issued to provide appropriate procedures and requirements for...

  19. 7 CFR 550.19 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... GENERAL ADMINISTRATIVE POLICY FOR NON-ASSISTANCE COOPERATIVE AGREEMENTS Management of Agreements Financial Management § 550.19 Purpose. Sections 550.20 through 550.25 of this subpart prescribe standards for financial... 7 Agriculture 6 2010-01-01 2010-01-01 false Purpose. 550.19 Section 550.19 Agriculture Regulations...

  20. 45 CFR 84.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Purpose. 84.1 Section 84.1 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE General Provisions § 84.1 Purpose. The...

  1. 15 CFR 8b.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... of handicap in any program or activity receiving Federal financial assistance. The purpose of this... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Purpose. 8b.1 Section 8b.1 Commerce... HANDICAPPED IN FEDERALLY ASSISTED PROGRAMS OPERATED BY THE DEPARTMENT OF COMMERCE General Provisions § 8b.1...

  2. 14 CFR 1251.100 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... General Provisions § 1251.100 Purpose. This part effectuates section 504 of the Rehabilitation Act of 1973... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Purpose. 1251.100 Section 1251.100... receiving Federal financial assistance. ...

  3. 48 CFR 9904.402-20 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Section 9904.402-20 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.402-20 Purpose. The purpose of this standard is to require that...

  4. 48 CFR 9904.403-20 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Section 9904.403-20 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.403-20 Purpose. (a) The purpose of this Cost Accounting Standard is...

  5. 48 CFR 9904.410-20 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Section 9904.410-20 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.410-20 Purpose. The purpose of this Cost Accounting Standard is to...

  6. 48 CFR 9904.408-20 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Section 9904.408-20 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.408-20 Purpose. The purpose of this Standard is to improve, and...

  7. 48 CFR 9904.404.20 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Section 9904.404.20 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.404.20 Purpose. This Standard requires that, for purposes of cost...

  8. 48 CFR 9904.406-20 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Section 9904.406-20 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.406-20 Purpose. The purpose of this Cost Accounting Standard is to...

  9. 48 CFR 9904.405-20 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Section 9904.405-20 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.405-20 Purpose. (a) The purpose of this Cost Accounting Standard is...

  10. 48 CFR 9904.409-20 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Section 9904.409-20 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.409-20 Purpose. The purpose of this Standard is to provide criteria...

  11. 48 CFR 9904.401-20 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Section 9904.401-20 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.401-20 Purpose. The purpose of this Cost Accounting Standard is to...

  12. 15 CFR 806.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... ANALYSIS, DEPARTMENT OF COMMERCE DIRECT INVESTMENT SURVEYS § 806.1 Purpose. The purpose of this part is to... concerning direct investment as required by, or provided for in, the International Investment Survey Act of... investment, including direct investment, and to do so with a minimum of burden on respondents and with no...

  13. 12 CFR 998.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... institutions who raise funds in the global debt markets. ... EQUITY SECURITIES § 998.1 Purpose. The purposes of this part are to enhance the quality of the financial... disclosures from Bank to Bank, to provide a greater degree of transparency regarding the financial condition...

  14. 15 CFR 990.50 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE OIL POLLUTION ACT REGULATIONS NATURAL RESOURCE DAMAGE ASSESSMENTS Restoration Planning Phase § 990.50 Purpose. The purpose of this subpart is to provide... that information to determine the need for and scale of restoration actions (restoration selection). ...

  15. 23 CFR 972.200 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... Federal land management agency, to the extent appropriate, to develop by rule safety, bridge, pavement, and congestion management systems for roads funded under the FLHP. ... MANAGEMENT SYSTEMS Fish and Wildlife Service Management Systems § 972.200 Purpose. The purpose of this...

  16. 23 CFR 973.200 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... appropriate, to develop by rule safety, bridge, pavement, and congestion management systems for roads funded... HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION FEDERAL LANDS HIGHWAYS MANAGEMENT SYSTEMS PERTAINING... Management Systems § 973.200 Purpose. The purpose of this subpart is to implement 23 U.S.C. 204 which...

  17. 23 CFR 971.200 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... management agency, to the extent appropriate, to develop by rule safety, bridge, pavement, and congestion... HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION FEDERAL LANDS HIGHWAYS FOREST SERVICE MANAGEMENT SYSTEMS Forest Highway Program Management Systems § 971.200 Purpose. The purpose of this subpart is to...

  18. 23 CFR 970.200 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... Federal land management agency, to the extent appropriate, to develop by rule safety, bridge, pavement, and congestion management systems for roads funded under the FLHP. These management systems serve to... MANAGEMENT SYSTEMS National Park Service Management Systems § 970.200 Purpose. The purpose of this subpart is...

  19. 23 CFR 500.101 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION TRANSPORTATION INFRASTRUCTURE MANAGEMENT MANAGEMENT AND MONITORING SYSTEMS Management Systems § 500.101 Purpose. The purpose of this part is to implement... highway pavement of Federal-aid highways (PMS), bridges on and off Federal-aid highways (BMS), highway...

  20. 10 CFR 712.31 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Purpose. 712.31 Section 712.31 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards § 712.31 Purpose. The standards and procedures set forth in... impairment in reliability; (b) Facilitate the early diagnosis and treatment of disease or impairment and...

  1. The Influence of Chinese College Teachers' Competence for Purpose Support on Students' Purpose Development

    Science.gov (United States)

    Jiang, Fei; Lin, Shan; Mariano, Jenni Menon

    2016-01-01

    Research studies agree on the role formal education can play in facilitating students building a sense of life purpose. This paper examined the influence of Chinese college students' perceived competence of their teachers for supporting purpose on these same college students' purpose status. Portions of the Revised Youth Purpose Survey were…

  2. Crucial aspects promoting meaning and purpose in life: perceptions of nursing home residents

    Directory of Open Access Journals (Sweden)

    Jorunn Drageset

    2017-10-01

    Full Text Available Abstract Background Meaning and purpose in life are fundamental to human beings. In changing times, with an aging population and increased life expectancy, the need for health care services and long-term care is likely to grow. More deeply understanding how older long-term care residents perceive meaning and purpose in life is critical for improving the quality of care and the residents’ quality of life. The purpose of this study was to explore crucial aspects promoting nursing home residents’ experience of meaning and purpose in everyday life. Method An exploratory hermeneutical design with qualitative interviews for collecting data. Results Four key experiences were found to promote meaning and purpose in life: 1 physical and mental well-being, 2 belonging and recognition, 3 personally treasured activities and 4 spiritual closeness and connectedness. Conclusion In supporting meaning and purpose in life of nursing home residents, the residents’ everyday well-being should be a central focus of care and facilitate personally treasured activities. Focused attention should also be given to the meaning-making power of experiencing belonging, recognition and spiritual connectedness.

  3. Palliative Care

    Science.gov (United States)

    ... for Patients and Families What Is Palliative Care? Definition Palliative care (pronounced pal-lee-uh-tiv) is specialized medical care for people with serious illness. This type of care is focused on providing relief from the symptoms and stress of a serious illness. The goal is to ...

  4. Palliative Care.

    Science.gov (United States)

    Swetz, Keith M; Kamal, Arif H

    2018-03-06

    Palliative care prioritizes symptom management and quality of life throughout the course of serious illness. Regardless of whether care is inpatient or outpatient, primary or subspecialty, a solid understanding of the basics of effective communication, symptom management, and end-of-life care is crucial. This article reviews these essentials and provides an overview of current evidence to support patient-centered palliative care.

  5. Caring experiences of nurse educators.

    Science.gov (United States)

    Grigsby, K A; Megel, M E

    1995-12-01

    Central to nursing practice today is the theme of caring. Yet nursing faculty are themselves experiencing a lack of caring. Faculty frequently voice the complaint that no one in the school of nursing work environment cares about them as they struggle to balance the demands of work with the demands of a personal life. A descriptive phenomenological approach was used to facilitate understanding of the caring experiences of nurses who teach. The question guiding this study was, "How do nurse educators experience caring in their work situations?" Nomination and purposive sampling techniques were used to select seven nurse faculty as participants. Unstructured interviews, lasting approximately one hour, were audiotaped and transcribed. Colaizzi's (1978) methodology was used to analyze the resulting data. Resulting themes included: 1) Caring is Connection and 2) Caring is a Pattern of Establishing and Maintaining Relationships. The use of narrative, journaling, and dialogue are suggested as techniques that will help nurse educators experience caring in schools of nursing.

  6. [A comparison of convenience sampling and purposive sampling].

    Science.gov (United States)

    Suen, Lee-Jen Wu; Huang, Hui-Man; Lee, Hao-Hsien

    2014-06-01

    Convenience sampling and purposive sampling are two different sampling methods. This article first explains sampling terms such as target population, accessible population, simple random sampling, intended sample, actual sample, and statistical power analysis. These terms are then used to explain the difference between "convenience sampling" and purposive sampling." Convenience sampling is a non-probabilistic sampling technique applicable to qualitative or quantitative studies, although it is most frequently used in quantitative studies. In convenience samples, subjects more readily accessible to the researcher are more likely to be included. Thus, in quantitative studies, opportunity to participate is not equal for all qualified individuals in the target population and study results are not necessarily generalizable to this population. As in all quantitative studies, increasing the sample size increases the statistical power of the convenience sample. In contrast, purposive sampling is typically used in qualitative studies. Researchers who use this technique carefully select subjects based on study purpose with the expectation that each participant will provide unique and rich information of value to the study. As a result, members of the accessible population are not interchangeable and sample size is determined by data saturation not by statistical power analysis.

  7. Current Trends in Korean Adolescents’ Social Purpose

    Directory of Open Access Journals (Sweden)

    Shin Jongho

    2014-06-01

    Full Text Available In the research presented we investigated the features of Korean adolescents’ social purpose as compared with other life goals in terms of different aspects of psychological well-being (study 1. We also examine the perceptions of high achieving Korean adolescents on social purpose and factors affecting it (study 2.The results of study 1 showed that the pursuit of social purpose significantly predicted psychological well-being compared to the other two life goals. Results of study 2 showed Korean adolescents value and pursue social purpose as a life goal. They explicitly accepted their social responsibility to serve their country in line with idyllic Confucianism values and Collectivistic roles. However, further analysis revealed that they had implicitly pursued individualistic desires of materialistic wealth and fame in parallel with their explicit social purpose. Implications of the results are discussed from the socio-cultural perspective on social purpose in regards to how to understand the features of social purpose that Korean adolescents have and how to foster its development.

  8. 32 CFR 845.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... EXPENSES IN FOREIGN TRIBUNALS § 845.1 Purpose. This part establishes criteria and assigns responsibility... the Armed Forces, civilian personnel and dependents. Payment of fines is not authorized hereunder. ...

  9. 32 CFR 734.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... CIVILIAN PERSONNEL FOR COLLECTION OF CHILD SUPPORT AND ALIMONY § 734.1 Purpose. This part prescribes responsibilities and procedures applicable in the Department of the Navy when processsing and honoring legal...

  10. 23 CFR 650.401 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS BRIDGES, STRUCTURES, AND HYDRAULICS Highway Bridge Replacement and Rehabilitation Program § 650.401 Purpose. The... Bridge Replacement and Rehabilitation Program in accordance with 23 U.S.C. 144. ...

  11. 40 CFR 1500.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... act according to the letter and spirit of the Act. The regulations that follow implement section 102(2). Their purpose is to tell federal agencies what they must do to comply with the procedures and achieve...

  12. 23 CFR 230.201 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION CIVIL RIGHTS EXTERNAL PROGRAMS Supportive Services for Minority, Disadvantaged, and Women Business Enterprises § 230.201 Purpose. To prescribe the... programs for minority, disadvantaged, and women business enterprises. ...

  13. 49 CFR 9.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... litigants; (4) Avoid spending the time and money of the United States for private purposes; and (5) To... exception may be granted only when the deviation will not interfere with matters of operational or military...

  14. 42 CFR 456.500 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... ASSISTANCE PROGRAMS UTILIZATION CONTROL Utilization Review Plans: FFP, Waivers, and Variances for Hospitals and Mental Hospitals § 456.500 Purpose. For hospitals and mental hospitals, this subpart— (a...

  15. Course evaluation for the purpose of development

    DEFF Research Database (Denmark)

    Nielsen, Tine; Kreiner, Svend

    2017-01-01

    The purpose was to investigate whether it would be useful for development purposes to include a survey of learning styles among student and teachers as part of the evaluation of a graduate course in statistics in a Public Health Programme, and to compare the learning styles of students and lectur......The purpose was to investigate whether it would be useful for development purposes to include a survey of learning styles among student and teachers as part of the evaluation of a graduate course in statistics in a Public Health Programme, and to compare the learning styles of students...... different styles. Results showed differences between the learning styles of teachers and students, and identified two areas for course development: the design of exercises with regard to the level of abstraction and concreteness; the incompatibility of the relatively complex ways of thinking embedded...

  16. 38 CFR 61.0 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... PROVIDERS GRANT AND PER DIEM PROGRAM § 61.0 Purpose. This part implements the VA Homeless Providers Grant and Per Diem Program which consists of the following components: capital grants, per diem, special...

  17. Selected Special-Purpose Telecommunications Circuits

    National Research Council Canada - National Science Library

    Gimble, Thomas

    1994-01-01

    We are providing this memorandum report for your information and use. This report is the first of three reports resulting from the review of requirements for special-purpose voice circuits as part of Project...

  18. Fit-For-Purpose Land Administration

    DEFF Research Database (Denmark)

    Enemark, Stig

    2015-01-01

    The term “Fit-For-Purpose Land Administration” indicates that the approach used for building land administration systems in less developed countries should be flexible and focused on serving the purpose of the systems (such as providing security of tenure and control of land use) rather than...... focusing on top-end technical solutions and high accuracy surveys. Of course, such flexibility allows for land administration systems to be incrementally improved over time. This paper unfolds the Fit-For-Purpose concept by analyzing the three core components: The spatial framework (large scale land parcel...... mapping) should be provided using affordable modern technologies such aerial imageries rather than field surveys. The legal framework must support both legal and social tenure, and the regulations must be designed along administrative rather than judicial lines. The fit-for-purpose approach must...

  19. 32 CFR 352a.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... DEFENSE FINANCE AND ACCOUNTING SERVICE (DFAS) § 352a.1 Purpose. Pursuant to the authority vested in the... Finance and Accounting Service (DFAS) as an Agency of the Department of Defense with responsibilities...

  20. 45 CFR 1643.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ..., EUTHANASIA, AND MERCY KILLING § 1643.1 Purpose. This part is intended to ensure that recipients do not use any LSC funds for any assisted suicide, euthanasia or mercy killing activities prohibited by this part. ...

  1. 22 CFR 139.1 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... Act of 1998 (the “IPPCTPA”), Public Law 105-319, 112 Stat. 3013. The purpose of the IPPCTPA is to... governmental authorities in the Republic of Ireland and in Northern Ireland to further the goals of the IPPCTPA...

  2. 22 CFR 62.1 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... Immigration and Nationality Act, as amended, 8 U.S.C. 1101(a)(15)(J). (b) The Secretary of State of the... assistance of third parties. The purpose of the Program is to provide foreign nationals with opportunities to...

  3. 32 CFR 651.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... and Major Automated Information Systems). (e) This part applies to actions of the Active Army and Army... ANALYSIS OF ARMY ACTIONS (AR 200-2) Introduction § 651.1 Purpose. (a) This part implements the National...

  4. 33 CFR 133.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... FINANCIAL RESPONSIBILITY AND COMPENSATION OIL SPILL LIABILITY TRUST FUND; STATE ACCESS § 133.1 Purpose. This... trust Fund (the Fund) for oil pollution removal costs under section 1012(d)(1) of the Oil Pollution Act...

  5. 40 CFR 97.301 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Purpose. 97.301 Section 97.301 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) FEDERAL NOX... and nitrogen oxides. ...

  6. 12 CFR 1710.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... minimum standards with respect to the corporate governance practices and procedures of the Enterprises. ... AND SOUNDNESS CORPORATE GOVERNANCE General § 1710.1 Purpose. OFHEO is responsible under the Federal...

  7. 48 CFR 904.7200 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Public Affairs 904.7200 Purpose. It is the policy of the Department of Energy to provide to the public... information with the cognizant contracting officer and appropriate DOE Public Affairs personnel. ...

  8. General purpose code for Monte Carlo simulations

    International Nuclear Information System (INIS)

    Wilcke, W.W.

    1983-01-01

    A general-purpose computer called MONTHY has been written to perform Monte Carlo simulations of physical systems. To achieve a high degree of flexibility the code is organized like a general purpose computer, operating on a vector describing the time dependent state of the system under simulation. The instruction set of the computer is defined by the user and is therefore adaptable to the particular problem studied. The organization of MONTHY allows iterative and conditional execution of operations

  9. Designing a Science Curriculum Fit for Purpose

    Science.gov (United States)

    Millar, Robin

    2014-01-01

    The science curriculum to age 16 should be judged on how well it meets the needs of students who progress to A-level science courses and those (a larger number) who do not. To address the diversity of students' interests and aspirations, we need a clear view of the purposes of science education rooted in a view of the purposes of education itself.…

  10. Improving care coordination using organisational routines

    DEFF Research Database (Denmark)

    Prætorius, Thim

    2016-01-01

    Purpose – The purpose of this paper is to systematically apply theory of organisational routines to standardised care pathways. The explanatory power of routines is used to address open questions in the care pathway literature about their coordinating and organising role, the way they change......: care pathways and coordination, change, replication, the organisation and health care professionals. Research limitations/implications – The paper is conceptual and uses care pathways as illustrative instances of hospital routines. The propositions provide a starting point for empirical research....... Practical implications – The analysis highlights implications that health care professionals and managers have to consider in relation to coordination, change, replication, the way the organisation influences care pathways and the way care pathways influence health care professionals. Originality...

  11. Caring in telehealth.

    Science.gov (United States)

    Varghese, Shainy B; Phillips, Carolyn A

    2009-12-01

    The overall goal of this study was to explore and describe the perceptions of advanced practice nurses (APNs) about caring while providing primary care using telehealth technology. This study used naturalistic inquiry methodology to elicit the subjective perceptions and reflections of a sample of APNs about how they convey caring in the context of telehealth. Thirteen APNs, selected by purposive and snowball sampling, participated in the study. The data for the study consisted of interviews conducted by e-mail using a semistructured interview guide. Data analysis used the constant comparison method; rigor and trustworthiness of the study procedures were established using the criteria of credibility, confirmability, dependability, and transferability. The findings of this study revealed that the APNs conveyed caring to their telehealth patients by (1) being with them, (2) personifying the images, and (3) possessing certain attributes. The major constructs that emerged from the data together formed a model of how APNs conveyed caring in telehealth. The findings provide insights and increase the understanding of how caring in telehealth was perceived by APNs. The findings of the study can make important contributions in improving our profession's preparation of future telehealth APNs. The study findings also can lend themselves to developing an instrument to measure caring in telehealth. The study findings also contribute to the nursing literature in a number of ways.

  12. Virtual care

    DEFF Research Database (Denmark)

    Kamp, Annette; Aaløkke Ballegaard, Stinne

    of retrenchment, promising better quality, empowerment of citizens and work that is smarter and more qualified. Through ethnographic field studies we study the introduction of virtual home care in Danish elderly care, focusing on the implications for relational work and care relations. Virtual home care entails...... the performance of specific home care services by means of video conversations rather than physical visits in the citizens’ homes. As scholars within the STS tradition maintain, technologies do not simply replace a human function; they rather transform care work, redistributing tasks between citizens, technology...... point out how issues of trust and surveillance, which are always negotiated in care relations, are in fact accentuated in this kind of virtual care work. Moreover, we stress that the contemporary institutional context, organization and time schedules have a vast impact on the practices developed....

  13. Teaching writing in English for medical purposes

    Directory of Open Access Journals (Sweden)

    Beckles, Nancy María

    2012-07-01

    Full Text Available This paper describes teaching-learning process shortcomings in the English for Medical Purposes, a subject of fourth-year medical student’s curriculum at the medical university of Camagüey. Its main objective is aimed at the elaboration of a Methodological Alternative distinguished by the use of the Project Method approach to favour the development of writing skills in English. This Methodological Alternative is characterized by being flexible, pertinent and able to develop and integrate knowledge of the English language and medicine. It has two main stages: Socio-affective dynamics for the production of written texts in English for medical purposes and the dynamics for the construction of written texts in English for medical purposes. The results of considering expertise’s’ opinion revealed the feasibility of the proposal as a fostering tool for teaching writing in medical sciences.

  14. 10 CFR 455.70 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... ENERGY CONSERVATION GRANT PROGRAMS FOR SCHOOLS AND HOSPITALS AND BUILDINGS OWNED BY UNITS OF LOCAL GOVERNMENT AND PUBLIC CARE INSTITUTIONS Energy Conservation Measures for Schools and Hospitals § 455.70... energy conservation measures, including renewable resource measures, and the elements of an energy...

  15. Fit-For-Purpose Land Administration

    DEFF Research Database (Denmark)

    Enemark, Stig; McLaren, Robin

    2017-01-01

    This paper looks at implementing Fit-For-Purpose land administration solutions at county level. This will require a country specific strategy drawing from the recent GLTN publication on “Fit-For-Purpose Land Administration – Guiding Principles for Country Implementation”. The Fit...... administration; 4) Designing the country specific FFP spatial / legal / institutional frameworks; 5) Capacity development; 6) Country specific instruction manuals; and 7) Economic benefits analysis. Finally, the paper presents some experiences and reflections from a case study on implementing the FFP approach...

  16. General-purpose radiographic and fluoroscopic table

    International Nuclear Information System (INIS)

    Ishizaki, Noritaka

    1982-01-01

    A new series of diagnostic tables, Model DT-KEL, was developed for general-purpose radiographic and fluoroscopic systems. Through several investigations, the table was so constructed that the basic techniques be general radiography and GI examination, and other techniques be optionally added. The diagnostic tables involve the full series of the type for various purposes and are systematized with the surrounding equipment. A retractable mechanism of grids was adopted first for general use. The fine grids with a density of 57 lines per cm, which was adopted in KEL-2, reduced the X-ray doses by 16 percent. (author)

  17. General purpose computers in real time

    International Nuclear Information System (INIS)

    Biel, J.R.

    1989-01-01

    I see three main trends in the use of general purpose computers in real time. The first is more processing power. The second is the use of higher speed interconnects between computers (allowing more data to be delivered to the processors). The third is the use of larger programs running in the computers. Although there is still work that needs to be done, I believe that all indications are that the online need for general purpose computers should be available for the SCC and LHC machines. 2 figs

  18. Transport and Purpose in the Anthropocene

    Science.gov (United States)

    Haff, P. K.

    2012-12-01

    A challenge to a geological, or any scientific, explanation of transport and other fundamental processes of the anthroposphere is the presence of purpose. The proximate force driving the flux of economic goods in a society is clearly physical (e.g., diesel engines), but a higher-level cause or force is human purpose—people want stuff. Large-scale expression of human purpose in the anthroposphere is nonetheless subject to some of the same physical restrictions as apply to physical forcing. Long-distance transport (Haff, 2010) of economic goods in response to human demand, for example, requires a diffusion-to-advection hand-off from producer to transport mode which resembles heat transfer from a thermal boundary layer to a convective roll in a Rayleigh-Benard cell (Haff, 2012) or to the earth's atmosphere. The (inverse) thickness of the boundary layer plays a role analogous to price. However, detailing anthropic mass and energy fluxes even with consideration of human purpose addresses only half the problem of describing transport dynamics in the anthroposphere; this is meant in the same sense that studies of river flow under the influence of gravity address only part of the problem of water transport in the hydrologic cycle. From the point of view of the hydrosphere the purpose of a river is to help maintain hydrospheric function, and from the point of view of the anthroposphere, the purpose of economic flows is not to fulfill human wants but to help maintain anthropospheric function. The role of purpose in the anthroposphere becomes clearer under the (mental) operation of coarse-graining a system, i.e., of spatially decomposing a system according to scale. Self-consistency, or equivalently system longevity, implies the existence of a set of mutual responsibilities and constraints between system and parts. These relationships illustrate the role of purpose as an attribute of complex, steady, dynamical systems, including the anthroposphere. Purpose arises

  19. 21 CFR 814.2 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Purpose. 814.2 Section 814.2 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PREMARKET..., Apr. 1, 2010, § 814.2 was revised, effective Aug. 16, 2010. For the convenience of the user, the...

  20. 13 CFR 400.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Purpose. 400.1 Section 400.1 Business Credit and Assistance EMERGENCY STEEL GUARANTEE LOAN BOARD EMERGENCY STEEL GUARANTEE LOAN PROGRAM..., Chapter 1 of Public Law 106-51, 113 Stat. 252, as amended by section 734 of Public Law 106-102, 113 Stat...

  1. 47 CFR 214.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Purpose. 214.1 Section 214.1 Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL PROCEDURES FOR THE USE AND... provide guidance for the use of the radio spectrum in a period of war, or a threat of war, or a state of...

  2. 32 CFR 552.84 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Purpose. 552.84 Section 552.84 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY MILITARY RESERVATIONS AND NATIONAL CEMETERIES... training areas. Uninterrupted military use is vital to maintain and improve the combat readiness of the US...

  3. 28 CFR 522.10 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... TO INSTITUTION Civil Contempt of Court Commitments § 522.10 Purpose. (a) This subpart describes the procedures for federal civil contempt of court commitments (civil contempt commitments) referred to the... to implement civil contempt commitments by making our facilities and resources available. When we...

  4. 32 CFR 112.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN INDEBTEDNESS OF MILITARY PERSONNEL § 112.1 Purpose. This part: (a) Updates DoD policies and assigns responsibilities... U.S.C. 5520a(k). (b) Establishes responsibility for procedures implementing 5 U.S.C. 5520a(k), 15 U...

  5. 32 CFR 247.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... DEFENSE NEWSPAPERS, MAGAZINES AND CIVILIAN ENTERPRISE PUBLICATIONS § 247.1 Purpose. This part implements DoD Directive 5122.10 1 and implements policy, assigns responsibilities, and prescribes procedures concerning authorized DoD Appropriated Funded (APF) newspapers and magazines, and Civilian Enterprise (CE...

  6. 32 CFR 104.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN CIVILIAN EMPLOYMENT... UNIFORMED SERVICES § 104.1 Purpose. This part: (a) Updates implementation policy, assigns responsibilities... chapter 43 and individuals who apply for uniformed service, of their civilian employment and reemployment...

  7. 32 CFR 155.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Purpose. 155.1 Section 155.1 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE SECURITY DEFENSE INDUSTRIAL PERSONNEL SECURITY... Industrial Personnel Security Clearance Review Program implementing E.O. 10865, as amended. [57 FR 5383, Feb...

  8. 7 CFR 3430.901 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Purpose. 3430.901 Section 3430.901 Agriculture Regulations of the Department of Agriculture (Continued) COOPERATIVE STATE RESEARCH, EDUCATION, AND EXTENSION SERVICE, DEPARTMENT OF AGRICULTURE COMPETITIVE AND NONCOMPETITIVE NON-FORMULA FEDERAL ASSISTANCE PROGRAMS...

  9. 15 CFR 290.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... Technology, as well as criteria for the evaluation of the Centers, throughout the lifecycle of financial... AND TECHNOLOGY, DEPARTMENT OF COMMERCE NIST EXTRAMURAL PROGRAMS REGIONAL CENTERS FOR THE TRANSFER OF MANUFACTURING TECHNOLOGY § 290.1 Purpose. This rule provides policy for a program to establish Regional Centers...

  10. 48 CFR 3.701 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... PRACTICES AND PERSONAL CONFLICTS OF INTEREST Voiding and Rescinding Contracts 3.701 Purpose. This subpart... final conviction for bribery, conflict of interest, disclosure or receipt of contractor bid or proposal information or source selection information in exchange for a thing of value or to give anyone a competitive...

  11. 28 CFR 524.10 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Purpose. 524.10 Section 524.10 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INMATE ADMISSION, CLASSIFICATION, AND TRANSFER... subpart is to explain the Bureau of Prisons (Bureau) process for classifying newly committed inmates and...

  12. 46 CFR 169.101 - Purpose.

    Science.gov (United States)

    2010-10-01

    ..., DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS SAILING SCHOOL VESSELS General Provisions § 169.101 Purpose. The regulations in this part set forth uniform requirements which are suited to the particular characteristics and specialized operations of sailing school vessels as defined in Title 46...

  13. 24 CFR 1007.1 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... or as a result of a lack of access to private financial markets. ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Purpose. 1007.1 Section 1007.1 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF...

  14. 15 CFR 911.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... OF THE NOAA SPACE-BASED DATA COLLECTION SYSTEMS § 911.1 Purpose. These regulations set forth the procedural, informational and technical requirements for use of the NOAA Data Collection Systems (DCS). In... agreement to operate data collection platforms pursuant to these regulations does not affect related...

  15. 36 CFR 62.1 - Purpose

    Science.gov (United States)

    2010-07-01

    ... Landmarks Program focuses attention on areas of exceptional natural value to the nation as a whole rather... United States, enhances the scientific and educational values of preserved areas, strengthens public... LANDMARKS PROGRAM § 62.1 Purpose The procedures in this part set forth the processes and criteria for the...

  16. 15 CFR 705.2 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... AND SECURITY, DEPARTMENT OF COMMERCE NATIONAL SECURITY INDUSTRIAL BASE REGULATIONS EFFECT OF IMPORTED ARTICLES ON THE NATIONAL SECURITY § 705.2 Purpose. These regulations set forth the procedures by which the Department shall commence and conduct an investigation to determine the effect on the national security of...

  17. 29 CFR 34.1 - Purpose; application.

    Science.gov (United States)

    2010-07-01

    ... Assistance Act of 1974, as amended (38 U.S.C. 4212), the Equal Pay Act of 1963, as amended (29 U.S.C. 206d... Secretary of Labor IMPLEMENTATION OF THE NONDISCRIMINATION AND EQUAL OPPORTUNITY REQUIREMENTS OF THE JOB TRAINING PARTNERSHIP ACT OF 1982, AS AMENDED (JTPA) General Provisions § 34.1 Purpose; application. (a...

  18. 29 CFR 1621.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES-THE EQUAL PAY ACT § 1621.1 Purpose. The regulations set forth in this part contain the procedures established by the Equal Employment Opportunity Commission for issuing opinion letters under the Equal Pay Act. ...

  19. 15 CFR 303.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Purpose. 303.1 Section 303.1 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) INTERNATIONAL TRADE ADMINISTRATION, DEPARTMENT OF COMMERCE MISCELLANEOUS REGULATIONS WATCHES, WATCH MOVEMENTS AND JEWELRY PROGRAM...

  20. 15 CFR 303.15 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Purpose. 303.15 Section 303.15 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) INTERNATIONAL TRADE ADMINISTRATION, DEPARTMENT OF COMMERCE MISCELLANEOUS REGULATIONS WATCHES, WATCH MOVEMENTS AND...

  1. 50 CFR 453.01 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS ENDANGERED SPECIES EXEMPTION PROCESS ENDANGERED SPECIES COMMITTEE § 453.01 Purpose. This part prescribes the procedures to be used by the Endangered Species Committee when examining applications for exemption from section 7(a)(2) of the Endangered Species Act of...

  2. 44 CFR 360.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... intergovernmental endeavor which combines financial and human resources to fill the unique training needs of local... PREPAREDNESS STATE ASSISTANCE PROGRAMS FOR TRAINING AND EDUCATION IN COMPREHENSIVE EMERGENCY MANAGEMENT § 360.1 Purpose. The Emergency Management Training Program is designed to enhance the States' emergency management...

  3. 7 CFR 1955.101 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... Community and Business Programs (C&BP) and Multi-Family Housing (MFH) which will be handled in accordance... Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE... REGULATIONS (CONTINUED) PROPERTY MANAGEMENT Disposal of Inventory Property § 1955.101 Purpose. This subpart...

  4. 40 CFR 58.2 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... QUALITY SURVEILLANCE General Provisions § 58.2 Purpose. (a) This part contains requirements for measuring ambient air quality and for reporting ambient air quality data and related information. The monitoring... instruments or instrument probes. (5) Minimum ambient air quality monitoring network requirements used to...

  5. 44 CFR 327.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Purpose. 327.1 Section 327.1 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS POLICY ON USE OF GOVERNMENT-OWNED INDUSTRIAL PLANT EQUIPMENT BY PRIVATE INDUSTRY (DMO-10A) § 327.1...

  6. 32 CFR 57.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... Individualized Educational Programs (IEP). (4) Monitoring of DoD programs providing EIS, special education, and... INTERVENTION AND SPECIAL EDUCATION SERVICES TO ELIGIBLE DOD DEPENDENTS § 57.1 Purpose. This part: (a... with disabilities (birth through 2 years, inclusive) and their families, and special education and...

  7. Doing Mathematics with Purpose: Mathematical Text Types

    Science.gov (United States)

    Dostal, Hannah M.; Robinson, Richard

    2018-01-01

    Mathematical literacy includes learning to read and write different types of mathematical texts as part of purposeful mathematical meaning making. Thus in this article, we describe how learning to read and write mathematical texts (proof text, algorithmic text, algebraic/symbolic text, and visual text) supports the development of students'…

  8. 36 CFR 73.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Purpose. 73.1 Section 73.1 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR WORLD HERITAGE... Convention is to enhance worldwide understanding and appreciation of heritage conservation, and to recognize...

  9. 22 CFR 1104.1 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Purpose. 1104.1 Section 1104.1 Foreign Relations INTERNATIONAL BOUNDARY AND WATER COMMISSION, UNITED STATES AND MEXICO, UNITED STATES SECTION PROTECTION OF..., located on public lands through permits authorizing excavation and/or removal of archaeological resources...

  10. 22 CFR 1102.1 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Purpose. 1102.1 Section 1102.1 Foreign Relations INTERNATIONAL BOUNDARY AND WATER COMMISSION, UNITED STATES AND MEXICO, UNITED STATES SECTION FREEDOM OF... implement the Freedom of Information Act (FOIA), 5 U.S.C. 552, as amended on November 21, 1974, by Public...

  11. 22 CFR 61.1 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Purpose. 61.1 Section 61.1 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES WORLD-WIDE FREE FLOW OF AUDIO-VISUAL MATERIALS § 61.1... formally known as the Agreement for Facilitating the International Circulation of Visual and Auditory...

  12. 22 CFR 231.01 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Purpose. 231.01 Section 231.01 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ARAB REPUBLIC OF EGYPT LOAN GUARANTEES ISSUED UNDER THE EMERGENCY WARTIME SUPPLEMENTAL APPROPRIATIONS ACT OF 2003, PUBLIC LAW 108-11-STANDARD TERMS AND CONDITIONS...

  13. 22 CFR 203.1 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Purpose. 203.1 Section 203.1 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT REGISTRATION OF PRIVATE VOLUNTARY ORGANIZATIONS (PVOs) § 203.1... enable registered PVOs to make any representation to the public concerning the meaning of being...

  14. 17 CFR 200.550 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 17 Commodity and Securities Exchanges 2 2010-04-01 2010-04-01 false Purpose. 200.550 Section 200.550 Commodity and Securities Exchanges SECURITIES AND EXCHANGE COMMISSION ORGANIZATION; CONDUCT AND ETHICS; AND INFORMATION AND REQUESTS Regulations Pertaining to the Protection of the Environment § 200...

  15. 15 CFR 960.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... the foreign policies and international obligations of the United States; (3) Advance and protect U.S... necessary to meet national security, foreign policy and international obligations are made by the... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Purpose. 960.1 Section 960.1 Commerce...

  16. 7 CFR 1767.11 - Purpose.

    Science.gov (United States)

    2010-01-01

    ..., business and affairs of the borrower in accordance with the methods and principles of accounting of this... (CONTINUED) ACCOUNTING REQUIREMENTS FOR RUS ELECTRIC BORROWERS Uniform System of Accounts § 1767.11 Purpose...A for electric borrowers and by providing accounting methodologies and procedures which are...

  17. 21 CFR 516.2 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... designation of minor use or minor species new animal drugs and associated exclusive marketing rights. ... AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) ANIMAL DRUGS, FEEDS, AND RELATED PRODUCTS NEW ANIMAL DRUGS FOR MINOR USE AND MINOR SPECIES General Provisions § 516.2 Purpose. This...

  18. 5 CFR 9701.401 - Purpose.

    Science.gov (United States)

    2010-01-01

    ..., managers, and employees in the implementation and operation of the performance management system; (6) Periodic performance feedback and dialogue among supervisors, managers, and employees throughout the... MANAGEMENT SYSTEM Performance Management § 9701.401 Purpose. (a) This subpart provides for the establishment...

  19. 45 CFR 1620.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION PRIORITIES IN USE OF RESOURCES § 1620.1 Purpose. This part is designed to provide guidance to recipients for setting priorities and to ensure that a recipient's governing body adopts written priorities for the types of cases and matters...

  20. 28 CFR 81.11 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... Administration DEPARTMENT OF JUSTICE (CONTINUED) CHILD ABUSE AND CHILD PORNOGRAPHY REPORTING DESIGNATIONS AND PROCEDURES Child Pornography Reporting Designations and Procedures § 81.11 Purpose. The regulations in this... pornography that are forwarded from the National Center for Missing and Exploited Children under the...

  1. 28 CFR 804.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... hospitality to support offender and defendant programs, and of equipment and vocational training services to... Administration COURT SERVICES AND OFFENDER SUPERVISION AGENCY FOR THE DISTRICT OF COLUMBIA ACCEPTANCE OF GIFTS § 804.1 Purpose. By statute, the Director of the Court Services and Offender Supervision Agency (CSOSA...

  2. 32 CFR 249.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... OF DoD-RELATED SCIENTIFIC AND TECHNICAL PAPERS AT MEETINGS § 249.1 Purpose. This part amplifies... scientific and technical papers; provides guidance for reviewing and presenting papers containing export... scientific and technical papers; and provides criteria for identifying fundamental research activities...

  3. Evolution of work utilization - multiple purpose works

    International Nuclear Information System (INIS)

    Meclot, B.; Masson, J.; Eon, J.

    1992-01-01

    EDF exploitation of hydraulic resource is mainly for electric purposes, but also for electricity, irrigation, tourism and sport activities (for example: DURANCE and VERDON), electricity and navigation (for example: RHIN), and for providing collectivity needs (new reserves creation, existing barrages improvement, present management adaptation

  4. 44 CFR 334.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Purpose. 334.1 Section 334.1 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... proceed with specific responses to an identified crisis or emergency. (c) Provides guidance to the Federal...

  5. Identification of irradiated apples for phytosanitary purposes

    Energy Technology Data Exchange (ETDEWEB)

    Horak, Celina I. [Comision Nacional de Energia Atomica, Presb. Juan Gonzalez y Aragon No 15 B1802AYA, Ezeiza, Prov. Buenos Aires (Argentina)], E-mail: horak@cae.cnea.gov.ar; Di Giorgio, Marina [Autoridad Regulatoria Nuclear, Presb. Juan Gonzalez y Aragon No 15 B1802AYA, Ezeiza, Prov. Buenos Aires (Argentina); Kairiyama, Eulogia [Comision Nacional de Energia Atomica, Presb. Juan Gonzalez y Aragon No 15 B1802AYA, Ezeiza, Prov. Buenos Aires (Argentina)

    2009-07-15

    The irradiation treatment of fresh fruits and vegetables for phytosanitary purposes is a satisfactory alternative method to others like fumigation and cold and hot treatments. Its use is increasing in several countries, and at present its approval is under revision by the National Regulatory Authorities. To verify the control process, apart from irradiation and dosimetry certificates, National Authorities require complementary evidence to show the efficacy of this treatment, especially when the documentation is not clear. The irradiation of fresh fruits produces single and double fragmentation in the DNA molecule, which can be measured using the microgel electrophoresis of individual cell (comet assay). The purpose of this work was to evaluate if it is possible to identify the irradiated apples for phytosanitary purposes from the others that were not treated. The possibility to estimate the absorbed dose was also evaluated. The methodology was carried out on the cell suspension obtained from irradiated seed cells with incremental doses (100, 200 and 300 Gy). The irradiation treatment for phytosanitary purposes to avoid emergency of codling moth (Cydia pomonella) is 200 Gy. The fragmentation produced in the irradiated samples was proportional with the incremental doses applied. These results show that with this methodology it can be determined if the apple was irradiated or not. This comet assay is a simple, economical and interesting method that can be used, in case of necessity, by the National Authorities.

  6. 25 CFR 286.2 - Purpose.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Purpose. 286.2 Section 286.2 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR ECONOMIC ENTERPRISES INDIAN BUSINESS DEVELOPMENT PROGRAM § 286.2... employment through establishment, acquisition or expansion of profit-making Indian-owned economic enterprises...

  7. 15 CFR 5.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... includes vending machines). ... Foreign Trade Office of the Secretary of Commerce OPERATION OF VENDING STANDS § 5.1 Purpose. This part... the Randolph-Sheppard Vending Stand Act (49 Stat. 1559, as amended by the act of August 3, 1954, 68...

  8. 45 CFR 73.735-101 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION STANDARDS OF CONDUCT General Provisions § 73.735-101 Purpose. To assure that the business of the Department of Health and Human Services... responsibilities. In accord with these principles, the regulations in this part are issued to inform HHS employees...

  9. 33 CFR 154.1010 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... FACILITIES TRANSFERRING OIL OR HAZARDOUS MATERIAL IN BULK Response Plans for Oil Facilities § 154.1010 Purpose. This subpart establishes oil spill response plan requirements for all marine transportation... response plan prepares the facility owner or operator to respond to an oil spill. These requirements...

  10. 7 CFR 1962.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE... REGULATIONS (CONTINUED) PERSONAL PROPERTY Servicing and Liquidation of Chattel Security § 1962.1 Purpose. This... 103-354) chattel security, Economic Opportunity (EO) loan property, and note only loans. Security...

  11. 10 CFR 2.1101 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... of the Nuclear Waste Policy Act of 1982 (96 Stat. 2230), to be used at the request of any party in... 10 Energy 1 2010-01-01 2010-01-01 false Purpose. 2.1101 Section 2.1101 Energy NUCLEAR REGULATORY... Procedures for Expansion of Spent Nuclear Fuel Storage Capacity at Civilian Nuclear Power Reactors § 2.1101...

  12. 44 CFR 78.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... INSURANCE AND HAZARD MITIGATION National Flood Insurance Program FLOOD MITIGATION ASSISTANCE § 78.1 Purpose... of the Flood Mitigation Assistance (FMA) program, authorized by Sections 1366 and 1367 of the... eliminate claims under the National Flood Insurance Program (NFIP) through mitigation activities. The...

  13. 44 CFR 79.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... INSURANCE AND HAZARD MITIGATION National Flood Insurance Program FLOOD MITIGATION GRANTS § 79.1 Purpose. (a... the hazard mitigation grant programs made available under the National Flood Insurance Act of 1968, as... Repetitive Loss (SRL) and Flood Mitigation Assistance (FMA) grant programs mitigate losses from floods...

  14. Electrosprayed calcium phosphate coatings for biomedical purposes.

    NARCIS (Netherlands)

    Leeuwenburgh, S.C.G.

    2006-01-01

    In this thesis, the suitability of the Electrostatic Spray Deposition (ESD) technique was studied for biomedical purposes, i.e., deposition of calcium phosphate (CaP) coatings onto titanium substrates. Using ESD, which is a simple and cheap deposition method for inorganic and organic coatings, it

  15. 32 CFR 246.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... STRIPES (S&S) NEWSPAPER AND BUSINESS OPERATIONS § 246.1 Purpose. This part: (a) Establishes policy... the S&S newspapers. (c) Authorizes the establishment, management, operation, and oversight of the... mission, production, distribution authority, and business operations as mission-essential activities of...

  16. 32 CFR 96.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... OF CRIMINAL HISTORY RECORD INFORMATION BY THE MILITARY SERVICES § 96.1 Purpose. Under title 10 U.S. Code, sections 503, 504, 505 and 520a, this part establishes policy guidance concerning the acquisition of criminal history record information for use in determining an enlistment applicant's suitability...

  17. MULTIPLE-PURPOSE DEVELOPMENT OF WATER RESOURCES

    African Journals Online (AJOL)

    practices of cost allocations to various functions of the multiple-purpose development and calls for giving ... An appraisal of water resource must consider surface as well as ground water supplies in terms of location, .... as such a very satisfactory method of cost allocation that would be equally applicable to all projects and.

  18. Life Purposes of Iranian Secondary School Students

    Science.gov (United States)

    Hedayati, Nasibeh; Kuusisto, Elina; Gholami, Khalil; Tirri, Kirsi

    2017-01-01

    This article examines Iranian secondary students' (N = 336) life purposes. Economic and hedonistic life goals were the most valued. Relationships in terms of having a family and children were also appreciated. In the students' views, religiousness was associated with social goals such as helping others in need and volunteering in the community.…

  19. 14 CFR 272.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ECONOMIC REGULATIONS ESSENTIAL AIR SERVICE TO THE FREELY ASSOCIATED STATES § 272.1 Purpose. Paragraph 5 of Article IX... Transportation (Department), as successor to the Civil Aeronautics Board (Board), to guarantee essential air...

  20. 14 CFR 271.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ECONOMIC REGULATIONS GUIDELINES FOR SUBSIDIZING AIR CARRIERS PROVIDING ESSENTIAL AIR TRANSPORTATION § 271.1 Purpose... establishing the fair and reasonable amount of compensation needed to ensure the continuation of essential air...

  1. 10 CFR 455.90 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... Marketing § 455.90 Purpose. This subpart describes what constitutes a State program for technical assistance, program assistance, and marketing that may receive financial assistance under this part and sets forth the eligibility criteria for States to receive grants for technical assistance, program assistance, and marketing. ...

  2. Enhancing Life Purpose amongst Thai Adolescents

    Science.gov (United States)

    Balthip, Karnsunaphat; McSherry, Wilfred; Petchruschatachart, Usanee; Piriyakoontorn, Siriwan; Liamputtong, Pranee

    2017-01-01

    This article describes experiences that enhanced life purpose in 21 Thai adolescents living in Southern Thailand. Thailand is undergoing rapid change from technology, a globalizing economy, and shifting social norms. A phenomenological analysis of in-depth interviews and stories to better understand how Thai youth themselves experience and…

  3. 2 CFR 215.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false Purpose. 215.1 Section 215.1 Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET CIRCULARS AND GUIDANCE Reserved UNIFORM ADMINISTRATIVE REQUIREMENTS FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT...

  4. Identification of irradiated apples for phytosanitary purposes

    International Nuclear Information System (INIS)

    Horak, Celina I.; Di Giorgio, Marina; Kairiyama, Eulogia

    2009-01-01

    The irradiation treatment of fresh fruits and vegetables for phytosanitary purposes is a satisfactory alternative method to others like fumigation and cold and hot treatments. Its use is increasing in several countries, and at present its approval is under revision by the National Regulatory Authorities. To verify the control process, apart from irradiation and dosimetry certificates, National Authorities require complementary evidence to show the efficacy of this treatment, especially when the documentation is not clear. The irradiation of fresh fruits produces single and double fragmentation in the DNA molecule, which can be measured using the microgel electrophoresis of individual cell (comet assay). The purpose of this work was to evaluate if it is possible to identify the irradiated apples for phytosanitary purposes from the others that were not treated. The possibility to estimate the absorbed dose was also evaluated. The methodology was carried out on the cell suspension obtained from irradiated seed cells with incremental doses (100, 200 and 300 Gy). The irradiation treatment for phytosanitary purposes to avoid emergency of codling moth (Cydia pomonella) is 200 Gy. The fragmentation produced in the irradiated samples was proportional with the incremental doses applied. These results show that with this methodology it can be determined if the apple was irradiated or not. This comet assay is a simple, economical and interesting method that can be used, in case of necessity, by the National Authorities.

  5. Single-purpose nuclear medicine instruments

    International Nuclear Information System (INIS)

    Boucek, J.

    Nuclear medicine requires the most up-to-date specialized technical facilities. The paper underlines the factor of reliability in purpose-designed equipment used for basic examinations. The possibility is also discussed of the automation of standard nuclear medicine instruments

  6. 40 CFR 8.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... provides for: (1) The environmental impact assessment of nongovernmental activities, including tourism, for... Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL ENVIRONMENTAL IMPACT ASSESSMENT OF NONGOVERNMENTAL ACTIVITIES IN ANTARCTICA § 8.1 Purpose. (a) This part is issued pursuant to the Antarctic Science, Tourism...

  7. 5 CFR 2604.101 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... AND SCHEDULE OF FEES FOR THE PRODUCTION OF PUBLIC FINANCIAL DISCLOSURE REPORTS General Provisions... reproduction and mailing of public financial disclosure reports requested by any person. ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Purpose. 2604.101 Section 2604.101...

  8. 45 CFR 2490.101 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Purpose. 2490.101 Section 2490.101 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION ENFORCEMENT OF NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES CONDUCTED BY THE JAMES MADISON MEMORIAL...

  9. 15 CFR 2008.2 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Purpose. 2008.2 Section 2008.2 Commerce and Foreign Trade Regulations Relating to Foreign Trade Agreements OFFICE OF THE UNITED STATES TRADE REPRESENTATIVE REGULATIONS TO IMPLEMENT E.O. 12065; OFFICE OF THE UNITED STATES TRADE...

  10. 30 CFR 18.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES General Provisions § 18.1 Purpose. The regulations in this part set forth the requirements to obtain MSHA: Approval of electrically operated machines... use on or with approved machines, permission to modify the design of an approved machine or certified...

  11. 5 CFR 330.1201 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS RECRUITMENT, SELECTION, AND... Employees § 330.1201 Purpose. This subpart implements Section 1232 of Public Law 96-70 (the Panama Canal Act of 1979) and provides eligible displaced employees of the former Panama Canal Zone with interagency...

  12. 28 CFR 104.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... Administration DEPARTMENT OF JUSTICE (CONTINUED) SEPTEMBER 11TH VICTIM COMPENSATION FUND OF 2001 General; Eligibility § 104.1 Purpose. This part implements the provisions of the September 11th Victim Compensation... those who were killed as a result of the crashes. All compensation provided through the Fund will be on...

  13. 33 CFR 135.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... FINANCIAL RESPONSIBILITY AND COMPENSATION OFFSHORE OIL POLLUTION COMPENSATION FUND General § 135.1 Purpose... oil pollution liability and compensation, including the administration and general operation of the fund established under Title III of the Outer Continental Shelf Lands Act Amendments of 1978 (Pub. L...

  14. 28 CFR 26.20 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Purpose. 26.20 Section 26.20 Judicial Administration DEPARTMENT OF JUSTICE DEATH SENTENCES PROCEDURES Certification Process for State Capital Counsel... Attorney General to certify whether a state has a mechanism for providing legal representation to indigent...

  15. 5 CFR 9901.501 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Purpose. 9901.501 Section 9901.501 Administrative Personnel DEPARTMENT OF DEFENSE HUMAN RESOURCES MANAGEMENT AND LABOR RELATIONS SYSTEMS (DEPARTMENT... procedures for the recruitment for, and appointment to, positions; and assignment, reassignment, detail...

  16. 40 CFR 97.1 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Purpose. 97.1 Section 97.1 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) FEDERAL NOX... transport of ozone and nitrogen oxides, an ozone precursor. ...

  17. 40 CFR 97.101 - Purpose.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Purpose. 97.101 Section 97.101 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) FEDERAL NOX... chapter, as a means of mitigating interstate transport of fine particulates and nitrogen oxides. ...

  18. 15 CFR 1160.1 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Purpose. 1160.1 Section 1160.1 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) TECHNOLOGY ADMINISTRATION, DEPARTMENT OF COMMERCE PRODUCTIVITY, TECHNOLOGY AND INNOVATION Promotion of Private Sector...

  19. 49 CFR 98.1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Purpose. 98.1 Section 98.1 Transportation Office of the Secretary of Transportation ENFORCEMENT OF RESTRICTIONS ON POST-EMPLOYMENT ACTIVITIES... administrative enforcement procedures that the Department of Transportation will follow when there is an...

  20. 5 CFR 1304.4601 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Purpose. 1304.4601 Section 1304.4601 Administrative Personnel OFFICE OF MANAGEMENT AND BUDGET ADMINISTRATIVE PROCEDURES POST EMPLOYMENT CONFLICT OF... Government Act of 1978, 18 U.S.C. 207, and the Office of Personnel Management's implementing regulations, 5...

  1. 5 CFR 330.601 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS RECRUITMENT, SELECTION, AND... Employees § 330.601 Purpose. (a) This subpart implements the President's memorandum of September 12, 1995, to establish agency Career Transition Assistance Plans for Federal employees during a period of...

  2. 5 CFR 330.701 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS RECRUITMENT, SELECTION, AND PLACEMENT (GENERAL) Interagency Career Transition Assistance Plan for Displaced Employees § 330.701 Purpose... interagency career transition assistance program for Federal employees during a period of severe Federal...

  3. 15 CFR 990.10 - Purpose.

    Science.gov (United States)

    2010-01-01

    ... AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE OIL POLLUTION ACT REGULATIONS NATURAL RESOURCE DAMAGE ASSESSMENTS Introduction § 990.10 Purpose. The goal of the Oil Pollution Act of 1990 (OPA), 33 U.S... services resulting from an incident involving a discharge or substantial threat of a discharge of oil...

  4. 42 CFR 93.101 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Purpose. 93.101 Section 93.101 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND FACILITIES PUBLIC HEALTH SERVICE POLICIES ON RESEARCH MISCONDUCT General...

  5. 16 CFR 316.3 - Primary purpose.

    Science.gov (United States)

    2010-01-01

    ....3 Primary purpose. (a) In applying the term “commercial electronic mail message” defined in the CAN-SPAM Act, 15 U.S.C. 7702(2), the “primary purpose” of an electronic mail message shall be deemed to be... does not intend for these criteria to treat as a “commercial electronic mail message” anything that is...

  6. Purpose and Preference in Educational Podcasting

    Science.gov (United States)

    Van Zanten, Rob; Somogyi, Simon; Curro, Gina

    2012-01-01

    The application of podcasting for educational purposes is growing fast in universities. There are several benefits of this asynchronous, direct communication and interaction between teacher and student. Nonetheless, the benefits, the pedagogical value of podcasting the traditional lecture format, have come into question. Furthermore, issues have…

  7. Linguistic aspects of writing for professional purposes

    Directory of Open Access Journals (Sweden)

    Greta Përgjegji

    2016-03-01

    Full Text Available Writing for Professional Purposes is considered as a means of communication between professionals who belong to two communities that have different languages, but share the same knowledge or expertise. The article gives a hint on how writing for specific purposes evolved to give rise to the creation of Writing for Professional Purposes. The social, cultural and cognitive aspects are an essential part of Writing for Professional Purposes since the physical act of writing cannot be considered only a result or product of the knowledge the individual possesses but also a social and cultural act. Therefore, the social and cultural aspects of writing explains the specificities and the intricacies of the effects these aspects have on writing for it is considered as an inseparable part of social and cultural groups. On the other hand, the cognitive aspect of writing explains and emphasizes the mental activities of the individual during the decision-making process while he/she is writing planning and editing their material having in mind the audience. On the same line of reasoning, writing for professional purposes in a second language means that the writer has to consider the audience twice; first, there is an audience who shares the same knowledge or expertise and second, the audience does not have the same language. Consequently, writing in another language that is not the first language with a specific jargon as well as a specific grammatical structure brings about a lot of difficulties. Hence, writing in professional contexts in the mother tongue implies only writing in a specialized version of a language already known to the writer, but writing in a target language means that the writer has to learn the target language and the specialized version of that language.

  8. Monitoring Outpatient Care

    Science.gov (United States)

    2003-01-01

    Each year, health care costs for managing chronically ill patients increase as the life expectancy of Americans continues to grow. To handle this situation, many hospitals, doctors practices, and home care providers are turning to disease management, a system of coordinated health care interventions and communications, to improve outpatient care. By participating in daily monitoring programs, patients with congestive heart failure, chronic obstructive pulmonary disease, diabetes, and other chronic conditions requiring significant self-care are facing fewer emergency situations and hospitalizations. Cybernet Medical, a division of Ann Arbor, Michigan-based Cybernet Systems Corporation, is using the latest communications technology to augment the ways health care professionals monitor and assess patients with chronic diseases, while at the same time simplifying the patients interaction with technology. Cybernet s newest commercial product for this purpose evolved from research funded by NASA, the National Institute of Mental Health, and the Advanced Research Projects Agency. The research focused on the physiological assessment of astronauts and soldiers, human performance evaluation, and human-computer interaction. Cybernet Medical's MedStar Disease Management Data Collection System is an affordable, widely deployable solution for improving in-home-patient chronic disease management. The system's battery-powered and portable interface device collects physiological data from off-the-shelf instruments.

  9. Quality of care for people with multimorbidity

    DEFF Research Database (Denmark)

    Schiøtz, Michaela L.; Høst, Dorte; Christensen, Mikkel B.

    2017-01-01

    BACKGROUND: Multimorbidity is becoming increasingly prevalent and presents challenges for healthcare providers and systems. Studies examining the relationship between multimorbidity and quality of care report mixed findings. The purpose of this study was to investigate quality of care for people ...... includes formally assigned responsibility for care coordination, a change in the financial incentive structure towards a system rewarding high quality care and care focusing on prevention of disease exacerbation, as well as implementing shared medical record systems.......BACKGROUND: Multimorbidity is becoming increasingly prevalent and presents challenges for healthcare providers and systems. Studies examining the relationship between multimorbidity and quality of care report mixed findings. The purpose of this study was to investigate quality of care for people...... with multimorbidity in the publicly funded healthcare system in Denmark. METHODS: To investigate the quality of care for people with multimorbidity different groups of clinicians from the hospital, general practice and the municipality reviewed records from 23 persons with multimorbidity and discussed them in three...

  10. Purpose-built mosques in Copenhagen

    DEFF Research Database (Denmark)

    Neergaard, Maja de; Koefoed, Lasse Martin; Simonsen, Kirsten

    2017-01-01

    form and the location of the mosques. In the paper we explore both similarities and differences in the way the material culture of the mosques are planned and received by the public. Today, three purpose-built mosques exist in the Copenhagen area, and they differ in terms of architectural form, age...... of purpose-built mosques in Copenhagen. The public visibility is a manifestation of religious differences that cannot be thought independent of the materiality of culture; namely aesthetic forms, dress codes and architectural genres. Cultural encounters are mediated through the materiality, the aesthetic...... are received in public, how this reception varies, and what lessons that can be learned from these meetings as regards possibilities/limitations for, and co-existence in, the city....

  11. Effluent monitoring: Its purpose and value

    International Nuclear Information System (INIS)

    Schoen, A.A.

    1978-01-01

    The purpose of effluent monitoring is described in terms of the primary objectives, the most important of which is to verify that the facility is functioning as it was designed and that the waste treatment and effluent control systems are performing as planned and expected. The object of a monitoring programme should be periodically re-examined to ensure that the programme serves a contemporary purpose. The value of the effluent monitoring programme is determined by the extent to which users of the monitoring data, i.e. the operator, the regulating authorities and the public, accept the result as indicating that the plant is operating safely, and in an environmentally acceptable manner. The credibility of the monitoring results is therefore the most important factor determining the value of an effluent monitoring programme. (author)

  12. Summary of JENDL-2 general purpose file

    Energy Technology Data Exchange (ETDEWEB)

    Nakagawa, Tsuneo [ed.

    1984-06-15

    The general purpose file of the second version of Japanese Evaluated Nuclear Data Library (JENDL-2) was released in December 1982. Recently, descriptive data were added to JENDL-2 and at the same time the first revision of numerical data was performed. JENDL-2 (Rev.1) consists of the data for 89 nuclides and about 211,000 records in the ENDF/B-IV format. In this report, full listings of presently added descriptive data are given to summarize the JENDL-2 general purpose file. The 2200-m/sec and 14-MeV cross sections, resonance integrals, Maxwellian and fission spectrum averaged cross sections are given in a table. Average cross sections were also calculated in suitable energy intervals.

  13. Neutron Spectrometry for Radiation Protection Purposes

    International Nuclear Information System (INIS)

    McDonald, Joseph C.

    2001-01-01

    Determination of the dose equivalent is required for radiation protection purposes, however such a determination is quite difficult for neutron radiation. In order to perform accurate dosimetric determinations, it is necessary to acquire information about the neutron fluence spectrum in the workplace as well as the reference radiations used to calibrate dosimetric instruments. This information can then be used to select the appropriate dosimetric instrument, the optimum calibration condition or to establish correction factors that account for the differences in calibration and workplace conditions. For quite some time, neutron spectrometry has been used for these purposes. A brief review of the applications of spectrometers in radiation protection and some recommendations for further development are given here

  14. Neutron spectrometry for radiation protection purposes

    CERN Document Server

    McDonald, J C; Alberts, W G

    2002-01-01

    Determination of the dose equivalent is required for radiation protection purposes, however such a determination is quite difficult for neutron radiation. In order to perform accurate dosimetric determinations, it is advantageous to acquire information about the neutron fluence spectrum in the workplace as well as the reference radiations used to calibrate dosimetric instruments. This information can then be used to select the appropriate dosimetric instrument, the optimum calibration condition or to establish correction factors that account for the differences in calibration and workplace conditions. For quite some time, neutron spectrometry has been used for these purposes. A brief review of the applications of spectrometers in radiation protection and some recommendations for further development are given here.

  15. Summary of JENDL-2 general purpose file

    International Nuclear Information System (INIS)

    Nakagawa, Tsuneo

    1984-06-01

    The general purpose file of the second version of Japanese Evaluated Nuclear Data Library (JENDL-2) was released in December 1982. Recently, descriptive data were added to JENDL-2 and at the same time the first revision of numerical data was performed. JENDL-2 (Rev1) consists of the data for 89 nuclides and about 211,000 records in the ENDF/B-IV format. In this report, full listings of presently added descriptive data are given to summarize the JENDL-2 general purpose file. The 2200-m/sec and 14-MeV cross sections, resonance integrals, Maxwellian and fission spectrum averaged cross sections are given in a table. Average cross sections were also calculated in suitable energy intervals. (author)

  16. Multi-purpose canister project overview

    International Nuclear Information System (INIS)

    Williams, J.

    1995-01-01

    In this presentation, the author lists the approved and proposed dry storage technologies. He discusses the compatibility of dry storage systems with waste management systems. Historical aspects, recent history, key features of the program approach, benefits, specifications, acquisition and potential utility use of the multi-purpose canister (MPC) are covered. The MPCs provide standardization in the waste management system and a cost savings to utilities and government. MPC will be developed to the same level as existing dry storage systems

  17. Electrosprayed calcium phosphate coatings for biomedical purposes.

    OpenAIRE

    Leeuwenburgh, S.C.G.

    2006-01-01

    In this thesis, the suitability of the Electrostatic Spray Deposition (ESD) technique was studied for biomedical purposes, i.e., deposition of calcium phosphate (CaP) coatings onto titanium substrates. Using ESD, which is a simple and cheap deposition method for inorganic and organic coatings, it was possible to obtain thin CaP layers with an extremely wide range of chemical and morphological characteristics. Various CaP phases and phase mixtures were deposited and a broad diversity of coatin...

  18. Speech pattern recognition for forensic acoustic purposes

    OpenAIRE

    Herrera Martínez, Marcelo; Aldana Blanco, Andrea Lorena; Guzmán Palacios, Ana María

    2014-01-01

    The present paper describes the development of a software for analysis of acoustic voice parameters (APAVOIX), which can be used for forensic acoustic purposes, based on the speaker recognition and identification. This software enables to observe in a clear manner, the parameters which are sufficient and necessary when performing a comparison between two voice signals, the suspicious and the original one. These parameters are used according to the classic method, generally used by state entit...

  19. Vertical Scan-Conversion for Filling Purposes

    OpenAIRE

    Hersch, R. D.

    1988-01-01

    Conventional scan-conversion algorithms were developed independently of filling algorithms. They cause many problems, when used for filling purposes. However, today's raster printers and plotters require extended use of filling, especially for the generation of typographic characters and graphic line art. A new scan-conversion algorithm, called vertical scan-conversion has been specifically designed to meet the requirements of parity scan line fill algorithms. Vertical scan-conversion ensures...

  20. Design of mobile shelters for communication purposes

    Science.gov (United States)

    Lotens, W. A.; Leebeek, H. J.

    1982-03-01

    A general design for a future generation of shelters, to be used as mobile work places, is presented. Design criteria involve ergonomics, functional suitability, and air conditioning. Electronics, power supply, and personnel get their own compartments. Work space is provided for two people with room for two more. Center of mass and cable connections are considered. Air conditioning requirements are calculated with a computer program. The result is an integrated design, applicable to shelters for several purposes.

  1. Purpose and objectives for international plutonium storage

    International Nuclear Information System (INIS)

    Kupp, R.W.

    1983-01-01

    Separated and decontaminated plutonium - out of a reactor, in a bottle, tank or canister represents an easy target for diversion into possible non-peaceful uses. It also presents a situation that is of concern from a terrorist attack standpoint. Because this special nuclear material has such national and international sensitivity, storage for those quantities which are ''in excess'' of those necessary to be used for peaceful purposes is of concern to the Nations of the World. Recognizing these concerns, Article XII.A.5 of the IAEA Statutes was developed (1956) and the introduction to this Sub-article 5 states ''...that with respect to any Agency Project or other arrangements where the Agency is requested by the parties concerned to apply safeguards, the Agency shall have the following rights and responsibilities to the extent relevant to the project or arrangement....'' Article XII.A.5 then continues: ''To approve the means to be used for chemical processing.... to insure that this chemical processing will not lend itself to diversion of materials for military purposes.... to require that special additional materials recovered or produced as by-product be used for peaceful purposes under continuing Agency safeguards, for research or in reactors.... and to require deposit with the Agency of any excess.... over what is needed for the above stated uses in order to prevent stockpiling of these materials, provided that thereafter, at the request of the member or members concerned.... (plutonium) shall be returned promptly.... for use under the same provisions as stated above.''

  2. Year in Review 2015: Neonatal Respiratory Care.

    Science.gov (United States)

    Courtney, Sherry E

    2016-04-01

    Neonatal respiratory care practices have changed with breathtaking speed in the past few years. It is critical for the respiratory therapist and others caring for neonates to be up to date with current recommendations and evolving care practices. The purpose of this article is to review papers of particular note that were published in 2015 and address important aspects of newborn respiratory care. Copyright © 2016 by Daedalus Enterprises.

  3. Improving Customer Service in Elderly Care

    OpenAIRE

    Nielsen, Chris

    2015-01-01

    The elderly care sector is increasingly facing more competition and demanding customers. This leads to a growing pressure on elderly care home providers to find new and improved solutions that will enhance their level of customer service. The will ensure that the elderly service provider is remaining competitive in the elderly care service marketplace. The purpose of this thesis is to identify areas for improvements and propose implementable solutions for enhancing the elderly care custom...

  4. Using the general-purpose reactivity indicator: challenging examples.

    Science.gov (United States)

    Anderson, James S M; Melin, Junia; Ayers, Paul W

    2016-03-01

    We elucidate the regioselectivity of nucleophilic attack on substituted benzenesulfonates, quinolines, and pyridines using a general-purpose reactivity indicator (GPRI) for electrophiles. We observe that the GPRI is most accurate when the incoming nucleophile resembles a point charge. We further observe that the GPRI often chooses reactive "dead ends" as the most reactive sites as well as sterically hindered reactive sites. This means that care must be taken to remove sites that are inherently unreactive. Generally, among sites where reactions actually occur, the GPRI identifies the sites in the molecule that lead to the kinetically favored product(s). Furthermore, the GPRI can discern which sites react with hard reagents and which sites react with soft reagents. Because it is currently impossible to use the mathematical framework of conceptual DFT to identify sterically inaccessible sites and reactive dead ends, the GPRI is primarily useful as an interpretative, not a predictive, tool.

  5. Shared care and boundaries:

    DEFF Research Database (Denmark)

    Winthereik, Brit Ross

    2008-01-01

    Purpose – The paper seeks to examine how an online maternity record involving pregnant women worked as a means to create shared maternity care. Design/methodology/approach – Ethnographic techniques have been used. The paper adopts a theoretical/methodological framework based on science and techno......Purpose – The paper seeks to examine how an online maternity record involving pregnant women worked as a means to create shared maternity care. Design/methodology/approach – Ethnographic techniques have been used. The paper adopts a theoretical/methodological framework based on science...... and technology studies. Findings – The paper shows how a version of “the responsible patient” emerges from the project which is different from the version envisioned by the project organisation. The emerging one is concerned with the boundary between primary and secondary sector care, and not with the boundary......, IT designers and project managers should attend to the specific ways in which boundaries are inevitably enacted and to the ways in which care is already shared. This will provide them with opportunities to use the potentials of new identities and concerns that emerge from changing the organisation...

  6. Managing care.

    Science.gov (United States)

    Sandifer, Q D

    1997-09-01

    The terms 'managed care' and 'disease management' are gaining common usage in the health service but their meaning is not widely understood. Managed care is a generic term describing any health care system that integrates the financing and delivery of medical care. Its growth in the United States has been driven by pressure to control costs, and there is circumstantial evidence that costs are slowing as a result of better management of resources. However, it is not clear how much of this is due to managed care, the selection of more favourable enrollees to health plans or other factors. Research evidence is limited, and that available is constrained by the rapidly changing nature of managed care. In the United States a bewildering variety of managed care arrangements have emerged, although several common characteristics can be identified: limited choice of physician providers; controlled access to secondary care; selective contracting; financial incentives; quality management; and utilization management. All are present in the National Health Service (NHS), which exemplifies a nationalized managed care system. Disease management is an extension of managed care that takes a global approach to patient care by attempting to co-ordinate resources across the entire health care delivery system throughout the life cycle of the disease. This is poorly developed in the NHS, so that the attention of commercial organizations has been attracted. However, concern has been expressed about the implications of commercial involvement: the fragmentation of general medical services; effect of for-profit status; and use of patient-based data. Recent policy developments could allow disease management to develop within the NHS.

  7. Employee Care

    OpenAIRE

    Zavadilová, Eva

    2014-01-01

    The theme of the bachelor's thesis is the issue of employee care and related provision of employee benefits. The main objective is to analyze the effective legislation and characterize the basic areas of employee care. First of all, the thesis focuses on the matter of employee care and related legislation analyzing the working conditions, professional growth of the employees, catering of employees and special conditions for some employees. Furthermore, the special attention is paid to the vol...

  8. What Purposes, Specifically? Re-Thinking Purposes and Specificity in the Context of the "New Vocationalism"

    Science.gov (United States)

    Dovey, Teresa

    2006-01-01

    Discipline-specific approaches to English for Academic Purposes (EAP) tend to overlook the purposes of the disciplines themselves and the issue of transferability from academic to professional contexts. This becomes problematic in the context of the "new knowledge economy" and emergent pedagogies in higher education, which are increasingly focused…

  9. Purpose control : did you process the data for the intended purpose?

    NARCIS (Netherlands)

    Petkovic, M.; Prandi, D.; Zannone, N.; Jonker, W.; Petkovic, M.

    2011-01-01

    Data protection legislation requires personal data to be collected and processed only for lawful and legitimate purposes. Unfortunately, existing protection mechanisms are not appropriate for purpose control: they only prevent unauthorized actions from occurring and do not guarantee that the data

  10. Pakistan's Nuclear programme for peaceful purposes

    International Nuclear Information System (INIS)

    Hilali, A.Z.

    1994-01-01

    Pakistan's nuclear programme is peaceful purposes and as the foregoing analysis shows, it is essential for its economic development. Nuclear power provides affordable energy for development of Pakistan economy and for meeting the minimum requirements of the people. Growing conventional energy requirements reflect Pakistan's expanding industrial demand for energy intensive appliances. Prospects for developing domestic sources of oil, natural gas, coal and hydro power are limited and the search for natural resources is slow due to lack of foreign aid and capital. Nuclear technology is an immensely powerful factor in the achievement of socio-economic development and elimination of poverty. (Orig./A.B.)

  11. A horizontal multi-purpose microbeam system

    Science.gov (United States)

    Xu, Y.; Randers-Pehrson, G.; Marino, S. A.; Garty, G.; Harken, A.; Brenner, D. J.

    2018-04-01

    A horizontal multi-purpose microbeam system with a single electrostatic quadruplet focusing lens has been developed at the Columbia University Radiological Research Accelerator Facility (RARAF). It is coupled with the RARAF 5.5 MV Singleton accelerator (High Voltage Engineering Europa, the Netherlands) and provides micrometer-size beam for single cell irradiation experiments. It is also used as the primary beam for a neutron microbeam and microPIXE (particle induced x-ray emission) experiment because of its high particle fluence. The optimization of this microbeam has been investigated with ray tracing simulations and the beam spot size has been verified by different measurements.

  12. General-purpose RFQ design program

    International Nuclear Information System (INIS)

    Wadlinger, E.A.

    1984-01-01

    We have written a general-purpose, radio-frequency quadrupole (RFQ) design program that allows maximum flexibility in picking design algorithms. This program optimizes the RFQ on any combination of design parameters while simultaneously satisfying mutually compatible, physically required constraint equations. It can be very useful for deriving various scaling laws for RFQs. This program has a friendly user interface in addition to checking the consistency of the user-defined requirements and is written to minimize the effort needed to incorporate additional constraint equations. We describe the program and present some examples

  13. Report of the general purpose detector group

    International Nuclear Information System (INIS)

    Barbaro-Galtieri, A.; Bartel, W.; Bulos, F.; Cool, R.; Hanson, G.; Koetz, U.; Kottahaus, R.; Loken, S.; Luke, D.; Rothenberg, A.

    1975-01-01

    A general purpose detector for PEP is described. The main components of this detector are a l meter radius, 15 kilogauss superconducting solenoidal magnet with drift chambers to detect and measure the momentum of charged particles, a liquid argon neutral detector and hadron calorimeter, and a system of Cherenkov and time-of-flight counters for identification of charged hadrons. A major consideration in the design of this detector was that it be flexible: the magnet coil and drift chambers form a core around which various apparatus for specialized detection can be placed

  14. NEEDS ANALYSIS IN ENGLISH FOR SPECIFIC PURPOSES

    Directory of Open Access Journals (Sweden)

    SIMION MINODORA OTILIA

    2015-03-01

    Full Text Available Needs analysis is considered to be the cornerstone of English for Specific Purposes(ESP. The concept of Needs analysis has been different along the decades. At the initial stages of ESP( the 1960s and early 1970s, needs analysis consisted in assessing the communicative needs of the learners and the techniques of achieving specific teaching objectives. Nowadays, the tasks of needs analysis is much more complex: it aims at collecting information about the learners and at defining the target situation and environment of studying ESP.

  15. Pin care

    Science.gov (United States)

    ... Drugs & Supplements Videos & Tools Español You Are Here: Home → Medical Encyclopedia → Pin care URL of this page: //medlineplus.gov/ency/patientinstructions/000481.htm Pin care To use the sharing features on this page, please enable JavaScript. Broken bones can be fixed in surgery with metal ...

  16. Exploring the development of a cultural care framework for European caring science.

    Science.gov (United States)

    Albarran, John; Rosser, Elizabeth; Bach, Shirley; Uhrenfeldt, Lisbeth; Lundberg, Pranee; Law, Kate

    2011-01-01

    The aim of this paper is to discuss the development of a cultural care framework that seeks to inform and embrace the philosophical ideals of caring science. Following a review of the literature that identified a lack of evidence of an explicit relationship between caring science and cultural care, a number of well-established transcultural care frameworks were reviewed. Our purpose was to select one that would resonate with underpinning philosophical values of caring science and that drew on criteria generated by the European Academy of Caring Science members. A modified framework based on the work of Giger and Davidhizar was developed as it embraced many of the values such as humanism that are core to caring science practice. The proposed caring science framework integrates determinants of cultural lifeworld-led care and seeks to provide clear directions for humanizing the care of individuals. The framework is offered to open up debate and act as a platform for further academic enquiry.

  17. General Purpose Crate (GPC) for control applications

    International Nuclear Information System (INIS)

    Singh, Kundan; Munda, Deepak K.; Jain, Mamta; Archunan, M.; Barua, P.; Ajith Kumar, B.P.

    2011-01-01

    A General Purpose Crate (GPC) capable of handling digital and analog Inputs/Outputs signals has been developed at Inter University Accelerator Centre (IUAC), New Delhi, for accelerator control system applications. The system includes back-plane bus with on board plugged-in single board computer with PC104 and Ethernet interface, running Linux operating system. The bus control logic is designed on the back-plane pcb itself, making the system more rugged. The various types of digital and analog input/output modules can be plugged into the back plane bus randomly with standard euro connectors, which provides highly reliable and dust free contacts. Maximum eight modules can be inserted into the crate. The total power consumption for various types of modules and back-plane controller is approximately 50 watts. The multi-output DC power supply from COSEL has been used in the crate. The general purpose crate is software compatible with the CAMAC crates used in the accelerator control system. (author)

  18. Modeling a nuclear reactor for experimental purposes

    International Nuclear Information System (INIS)

    Berta, V.T.

    1980-01-01

    The Loss-of-Fluid Test (LOFT) Facility is a scale model of a commercial PWR and is as fully functional and operational as the generic commercial counterpart. LOFT was designed and built for experimental purposes as part of the overall NRC reactor safety research program. The purpose of LOFT is to assess the capability of reactor safety systems to perform their intended functions during occurrences of off-normal conditions in a commercial nuclear reactor. Off-normal conditions arising from large and small break loss-of-coolant accidents (LOCA), operational transients, and anticipated transients without scram (ATWS) were to be investigated. This paper describes the LOFT model of the generic PWR and summarizes the experiments that have been conducted in the context of the significant findings involving the complex transient thermal-hydraulics and the consequent effects on the commercial reactor analytical licensing techniques. Through these techniques the validity of the LOFT model as a scaled counterpart of the generic PWR is shown

  19. Palliative care and spirituality

    Directory of Open Access Journals (Sweden)

    Narayanasamy Aru

    2007-01-01

    Full Text Available Critical junctures in patients′ lives such as chronic illnesses and advanced diseases may leave the persons in a state of imbalance or disharmony of body, mind and spirit. With regard to spirituality and healing, there is a consensus in literature about the influence of spirituality on recovery and the ability to cope with and adjust to the varying and demanding states of health and illness. Empirical evidence suggests that spiritual support may act as an adjunct to the palliative care of those facing advanced diseases and end of life. In this article, the author draws from his empirical work on spirituality and culture to develop a discourse on palliative care and spirituality in both secular and non-secular settings. In doing so, this paper offers some understanding into the concept of spirituality, spiritual needs and spiritual care interventions in palliative care in terms of empirical evidence. Responding to spiritual needs could be challenging, but at the same time it could be rewarding to both healthcare practitioner (HCP and patient in that they may experience spiritual growth and development. Patients may derive great health benefits with improvements in their quality of life, resolutions and meaning and purpose in life. It is hoped that the strategies for spiritual support outlined in this paper serve as practical guidelines to HCPs for development of palliative care in South Asia.

  20. [Medical centers--methods, purpose and benefits].

    Science.gov (United States)

    Schrappe, Matthias

    2007-01-01

    The German hospital sector is characterized by a profound deficit in organizational integration. The implementation of centers as one way to improve the situation is complicated by the heterogeneity of the concept and understanding of the term "center". The author proposes to distinguish between functional, divisional and process-oriented centers. In German hospitals where the transition from functional to divisional organization is under way matrix elements can be expected to be introduced into organizational practice. Process-oriented centers like breast centers represent matrix components by simultaneously applying functional and process-oriented perspectives. Matrix components map the complexity of clinical structures, but increase coordination and management load and should be applied only to a limited number of care processes.

  1. Barriers to Quality Care for Dying Patients in Rural Communities

    Science.gov (United States)

    Van Vorst, Rebecca F.; Crane, Lori A.; Barton, Phoebe Lindsey; Kutner, Jean S.; Kallail, K. James; Westfall, John M.

    2006-01-01

    Context: Barriers to providing optimal palliative care in rural communities are not well understood. Purpose: To identify health care personnel's perceptions of the care provided to dying patients in rural Kansas and Colorado and to identify barriers to providing optimal care. Methods: An anonymous self-administered survey was sent to health care…

  2. An Ethic of Care in High School Instrumental Music

    Science.gov (United States)

    Edgar, Scott N.

    2014-01-01

    The purpose of this paper is to apply Noddings' ethic of care to a qualitative inquiry of select instrumental music educators. In the first section I describe and define an ethic of care, considering specifically who is involved in a caring relationship, how an ethic of care can be taught, and strategies for educational implementation and…

  3. Modern collagen wound dressings: function and purpose.

    Science.gov (United States)

    Fleck, Cynthia Ann; Simman, Richard

    2010-09-01

    Collagen, which is produced by fibroblasts, is the most abundant protein in the human body. A natural structural protein, collagen is involved in all 3 phases of the wound-healing cascade. It stimulates cellular migration and contributes to new tissue development. Because of their chemotactic properties on wound fibroblasts, collagen dressings encourage the deposition and organization of newly formed collagen, creating an environment that fosters healing. Collagen-based biomaterials stimulate and recruit specific cells, such as macrophages and fibroblasts, along the healing cascade to enhance and influence wound healing. These biomaterials can provide moisture or absorption, depending on the delivery system. Collagen dressings are easy to apply and remove and are conformable. Collagen dressings are usually formulated with bovine, avian, or porcine collagen. Oxidized regenerated cellulose, a plant-based material, has been combined with collagen to produce a dressing capable of binding to and protecting growth factors by binding and inactivating matrix metalloproteinases in the wound environment. The increased understanding of the biochemical processes involved in chronic wound healing allows the design of wound care products aimed at correcting imbalances in the wound microenvironment. Traditional advanced wound care products tend to address the wound's macroenvironment, including moist wound environment control, fluid management, and controlled transpiration of wound fluids. The newer class of biomaterials and wound-healing agents, such as collagen and growth factors, targets specific defects in the chronic wound environment. In vitro laboratory data point to the possibility that these agents benefit the wound healing process at a biochemical level. Considerable evidence has indicated that collagen-based dressings may be capable of stimulating healing by manipulating wound biochemistry.

  4. Introducing care pathway commissioning to primary dental care: measuring performance.

    Science.gov (United States)

    Harris, R; Bridgman, C; Ahmad, M; Bowes, L; Haley, R; Saleem, S; Singh, R; Taylor, S

    2011-12-09

    Care pathways have been used in a variety of ways: firstly to support quality improvement through standardising clinical processes, but also for secondary purposes, by purchasers of healthcare, to monitor activity and health outcomes and to commission services. This paper focuses on reporting a secondary use of care pathways: to commission and monitor performance of primary dental care services. Findings of a project involving three dental practices implementing a system based on rating patients according to their risk of disease and need for care are outlined. Data from surgery-based clinical databases and interviews from commissioners and providers are reported. The use of both process and outcome key performance indicators in this context is discussed, as well as issues which arise such as attributability of outcome measures and strategic approaches to improving quality of care.

  5. Energy monitoring and managing for electromobility purposes

    Science.gov (United States)

    Slanina, Zdenek; Docekal, Tomas

    2016-09-01

    This paper describes smart energy meter design and implementation focused on using in charging stations (stands) for electric vehicle (follows as EV) charging support and possible embedding into current smart building technology. In this article there are included results of research of commercial devices available in Czech republic for energy measuring for buildings as well as analysis of energy meter for given purposes. For example in described module there was required measurement of voltage, electric current and frequency of power network. Finally there was designed a communication module with common interface to energy meter for standard communication support between charging station and electric car. After integration into smart buildings (home automation, parking houses) there are pros and cons of such solution mentioned1,2.

  6. Multi-Purpose Storage Complex description

    International Nuclear Information System (INIS)

    Nyman, D.H.

    1993-01-01

    The Multi-Purpose Storage Complex will provide interim storage of radioactive material (irradiated fuel, cesium/strontium capsules, plutonium residuals, canisters of vitrified high-level waste glass, and other radioactive material) at the Hanford Site near Richland, Washington. A Storage Preparation and Shipping Facility is included that will have the capability to stabilize failed metal fuel, segregate high-level solid waste, and package/repackage any of the materials for interim storage/final disposal or subsequent processing. Current technology, both domestic and foreign, will be adapted with the expectation that no new technology will be required. This cost-effective approach will use fuel casks, transport systems, and/or modular vaults that have been licensed in the United States. The complex will have a central control room, and appropriate safeguards and security measures will be incorporated. A specific design objective will be to minimize the amount of secondary waste

  7. General-Purpose Software For Computer Graphics

    Science.gov (United States)

    Rogers, Joseph E.

    1992-01-01

    NASA Device Independent Graphics Library (NASADIG) is general-purpose computer-graphics package for computer-based engineering and management applications which gives opportunity to translate data into effective graphical displays for presentation. Features include two- and three-dimensional plotting, spline and polynomial interpolation, control of blanking of areas, multiple log and/or linear axes, control of legends and text, control of thicknesses of curves, and multiple text fonts. Included are subroutines for definition of areas and axes of plots; setup and display of text; blanking of areas; setup of style, interpolation, and plotting of lines; control of patterns and of shading of colors; control of legends, blocks of text, and characters; initialization of devices; and setting of mixed alphabets. Written in FORTRAN 77.

  8. What Makes Migrant Live-in Home Care Workers in Elder Care Be Satisfied with Their Job?

    Science.gov (United States)

    Iecovich, Esther

    2011-01-01

    Purpose: The study aims to examine job satisfaction of migrant live-in home care workers who provide care to frail older adults and to examine the extent to which quality of relationships between the care provider and care recipient and workplace characteristics is associated with job satisfaction. Design and Methods: A convenience sample that…

  9. Fermentation characteristics of different purpose sorghum silage

    Directory of Open Access Journals (Sweden)

    Arthur Behling Neto

    2017-08-01

    Full Text Available Sorghum stands out among other plants recommended for ensiling due to its forage composition, its resistance to drought, and its planting range. New cultivars of grain and sweet sorghum that can be used for silage production are available, but there is little information regarding their ensiling characteristics. The aim of this study was to evaluate the fermentation characteristics at the ensiling of different purpose sorghum cultivars, at two crop periods. The trial was carried out at the Plant Production Department of the Federal Institute of Education, Science and Technology of Rondônia, Colorado do Oeste campus, Rondônia, Brazil, and chemical analyses were performed at the Laboratory of Animal Nutrition, at the Federal University of Mato Grosso, Cuiabá campus, Mato Grosso, Brazil. The experimental design used was a randomized block, in split-plot design, with four replicates. The plot treatments consisted of six sorghum cultivars grown for different purposes (grain sorghum: BRS 308 and BRS 310; forage sorghum: BR 655 and BRS 610; sweet sorghum: BRS 506 and CMSXS 647. Split-plot treatments consisted of two cropping seasons (first crop and second crop. The grain sorghum cultivar BRS 310 was the only one that had suitable dry matter content for ensiling; however, it was also the only one that did not show ideal water soluble carbohydrate content for ensiling. Nevertheless, all treatments presented pH below than 4.2 and ammonia nitrogen lower than 12% of total N, which indicates that the fermentation inside the silo had proceeded well. For sweet sorghum cultivars, higher ethanol and butyric acid content were observed for the first crop than for the second crop. All evaluated sorghum cultivars can be used for silage production, but the use of sweet sorghum is recommended at the second crop.

  10. Montessori-based dementia care.

    Science.gov (United States)

    Cline, Janet

    2006-10-01

    Montessori-based Dementia Care is an approach used in Alzheimer's care that does not involve chemical or physical restraints. This program works by giving the elder with Alzheimer/Dementia a purpose by getting them involved. When staff/families care for a confused Alzheimer/Dementia patient, who is having behaviors, the Montessori program teaches them to look at what is causing the behavior. When assessing the elder to determine what is causing the behavior, the goal is to find the answer, but the answer cannot be dementia. The goal of the program is to bring meaning to the life of an Alzheimer/Dementia elder.

  11. Asian Care Certificate (ACC): a care quality assurance framework.

    Science.gov (United States)

    Talaie, Tony

    2018-04-16

    Purpose Quality assuring elderly care through a viable and feasible standard framework is a major challenge for Asian governments. Although several attempts have been made to tackle foreign care worker (FCW) shortage, assuring the quality of the care they provide has been overlooked. The original framework allowed a better control over service quality to assure the elderly about their care according to the agreed standards. The paper aims to discuss these issues. Design/methodology/approach Through several Japanese Governmental meetings, a new Asian Care Certificate (ACC) program is discussed based on the Japanese Care Certificate (JCC). The governments' representatives adopted the JCC to form the ACC, which enables the ACC board to evaluate care workers and to intervene whenever the desired quality level is not achieved. Findings The author describes a new program. The findings of this paper will be confirmed when the ACC is implemented. Practical implications Using the ACC framework, the challenge in providing a high-quality care service using FCWs across Asia would be partly resolved. FCWs' quality of life might also gradually improve especially regarding to their human rights. Originality/value The ACC provides a new framework. Its value is recognized if one considers that many Asian populations are rapidly aging and many governments compromise quality by employing overseas workers to solve care worker shortages.

  12. Collaborative HIV care in primary health care: nurses' views.

    Science.gov (United States)

    Ngunyulu, R N; Peu, M D; Mulaudzi, F M; Mataboge, M L S; Phiri, S S

    2017-12-01

    Collaborative HIV care between the nurses and traditional health practitioners is an important strategy to improve health care of people living with HIV. To explore and describe the views of nurses regarding collaborative HIV care in primary healthcare services in the City of Tshwane, South Africa. A qualitative, descriptive design was used to explore and describe the views of nurses who met the study's inclusion criteria. In-depth individual interviews were conducted to collect data from purposively selected nurses. Content analysis was used to analyse data. Two main categories were developed during the data analysis stage. The views of nurses and health system challenges regarding collaborative HIV care. The study findings revealed that there was inadequate collaborative HIV care between the nurses and the traditional health practitioners. It is evident that there is inadequate policy implementation, monitoring and evaluation regarding collaboration in HIV care. The study findings might influence policymakers to consider the importance of collaborative HIV care, and improve the quality of care by strengthening the referral system and follow-up of people living with HIV and AIDS, as a result the health outcomes as implied in the Sustainable Development Goals 2030 might be improved. Training and involvement of traditional health practitioners in the nursing and health policy should be considered to enhance and build a trustworthy working relationship between the nurses and the traditional health practitioners in HIV care. © 2017 International Council of Nurses.

  13. Continuing Care

    Science.gov (United States)

    ... Can’t Grandma Remember My Name? Artwork for Purchase Support Articles Ten Signs of Caregiver Stress Therapeutic ... loved one with Alzheimer’s may be a difficult decision. It is best to make decisions about care ...

  14. Hospice Care

    Science.gov (United States)

    ... Volunteer Donate Search Heart.org Search Get Your Local Info Find out what is happening at your ... your care. Other team members may include a music therapist, physical therapist, speech therapist or occupational therapist. ...

  15. Home Care

    Science.gov (United States)

    ... are part of home healthcare agencies. You may benefit from home care if you are dealing with ... it will trigger an emergency response or checkup phone call. Newer technologies ... or mobile testing technology (home diagnostics), including x-rays and ...

  16. Modelling of biomass utilization for energy purpose

    Energy Technology Data Exchange (ETDEWEB)

    Grzybek, Anna [ed.

    2010-07-01

    the overall farms structure, farms land distribution on several separate subfields for one farm, villages' overpopulation and very high employment in agriculture (about 27% of all employees in national economy works in agriculture). Farmers have low education level. In towns 34% of population has secondary education and in rural areas - only 15-16%. Less than 2% inhabitants of rural areas have higher education. The structure of land use is as follows: arable land 11.5%, meadows and pastures 25.4%, forests 30.1%. Poland requires implementation of technical and technological progress for intensification of agricultural production. The reason of competition for agricultural land is maintenance of the current consumption level and allocation of part of agricultural production for energy purposes. Agricultural land is going to be key factor for biofuels production. In this publication research results for the Project PL0073 'Modelling of energetical biomass utilization for energy purposes' have been presented. The Project was financed from the Norwegian Financial Mechanism and European Economic Area Financial Mechanism. The publication is aimed at moving closer and explaining to the reader problems connected with cultivations of energy plants and dispelling myths concerning these problems. Exchange of fossil fuels by biomass for heat and electric energy production could be significant input in carbon dioxide emission reduction. Moreover, biomass crop and biomass utilization for energetical purposes play important role in agricultural production diversification in rural areas transformation. Agricultural production widening enables new jobs creation. Sustainable development is going to be fundamental rule for Polish agriculture evolution in long term perspective. Energetical biomass utilization perfectly integrates in the evolution frameworks, especially on local level. There are two facts. The fist one is that increase of interest in energy crops in Poland has been

  17. Modelling of biomass utilization for energy purpose

    Energy Technology Data Exchange (ETDEWEB)

    Grzybek, Anna (ed.)

    2010-07-01

    the overall farms structure, farms land distribution on several separate subfields for one farm, villages' overpopulation and very high employment in agriculture (about 27% of all employees in national economy works in agriculture). Farmers have low education level. In towns 34% of population has secondary education and in rural areas - only 15-16%. Less than 2% inhabitants of rural areas have higher education. The structure of land use is as follows: arable land 11.5%, meadows and pastures 25.4%, forests 30.1%. Poland requires implementation of technical and technological progress for intensification of agricultural production. The reason of competition for agricultural land is maintenance of the current consumption level and allocation of part of agricultural production for energy purposes. Agricultural land is going to be key factor for biofuels production. In this publication research results for the Project PL0073 'Modelling of energetical biomass utilization for energy purposes' have been presented. The Project was financed from the Norwegian Financial Mechanism and European Economic Area Financial Mechanism. The publication is aimed at moving closer and explaining to the reader problems connected with cultivations of energy plants and dispelling myths concerning these problems. Exchange of fossil fuels by biomass for heat and electric energy production could be significant input in carbon dioxide emission reduction. Moreover, biomass crop and biomass utilization for energetical purposes play important role in agricultural production diversification in rural areas transformation. Agricultural production widening enables new jobs creation. Sustainable development is going to be fundamental rule for Polish agriculture evolution in long term perspective. Energetical biomass utilization perfectly integrates in the evolution frameworks, especially on local level. There are two facts. The fist one is that increase of interest in energy crops in Poland

  18. Care Coordination with Schools: The Role of Family-Centered Care for Children with Special Health Care Needs.

    Science.gov (United States)

    Barnard-Brak, Lucy; Stevens, Tara; Carpenter, Julianna

    2017-05-01

    Objectives Family-centered care has been associated with positive outcomes for children with special health care needs. The purpose of the current study was to examine the relationship of family-centered care as associated with care coordination with schools and school absences (e.g., missed days) as reported by parents of children with special health care needs. Methods The current study utilized data from the National Survey of Children with Special Health Care Needs 2009-201 (N = 40,242) to achieve this purpose. The National Survey of Children with Special Health Care Needs may be considered a nationally-representative and community-based sample of parent responses for children with special health care needs across the United States. Results Results from the current study indicate that family-centered care is associated with fewer absences and improved care coordination with schools when applicable. The variables of functional difficulties, poverty level, and the number of conditions were statistically controlled. Conclusions We suggest that the positive influence of family-centered care when practiced extends beyond the family and interacts with educational outcomes. We also suggest that the role of schools appears to be under-studied given the role that schools can play in family-centered care.

  19. Multi-purpose ECG telemetry system.

    Science.gov (United States)

    Marouf, Mohamed; Vukomanovic, Goran; Saranovac, Lazar; Bozic, Miroslav

    2017-06-19

    The Electrocardiogram ECG is one of the most important non-invasive tools for cardiac diseases diagnosis. Taking advantage of the developed telecommunication infrastructure, several approaches that address the development of telemetry cardiac devices were introduced recently. Telemetry ECG devices allow easy and fast ECG monitoring of patients with suspected cardiac issues. Choosing the right device with the desired working mode, signal quality, and the device cost are still the main obstacles to massive usage of these devices. In this paper, we introduce design, implementation, and validation of a multi-purpose telemetry system for recording, transmission, and interpretation of ECG signals in different recording modes. The system consists of an ECG device, a cloud-based analysis pipeline, and accompanied mobile applications for physicians and patients. The proposed ECG device's mechanical design allows laypersons to easily record post-event short-term ECG signals, using dry electrodes without any preparation. Moreover, patients can use the device to record long-term signals in loop and holter modes, using wet electrodes. In order to overcome the problem of signal quality fluctuation due to using different electrodes types and different placements on subject's chest, customized ECG signal processing and interpretation pipeline is presented for each working mode. We present the evaluation of the novel short-term recorder design. Recording of an ECG signal was performed for 391 patients using a standard 12-leads golden standard ECG and the proposed patient-activated short-term post-event recorder. In the validation phase, a sample of validation signals followed peer review process wherein two experts annotated the signals in terms of signal acceptability for diagnosis.We found that 96% of signals allow detecting arrhythmia and other signal's abnormal changes. Additionally, we compared and presented the correlation coefficient and the automatic QRS delineation results

  20. Needs of research for regulatory purposes

    International Nuclear Information System (INIS)

    Wanner, H.

    2010-01-01

    question whether or not it is the duty of the regulator to carry out such complementary work is the subject of controversial discussions. A further issue is the source of the budget from which research for regulatory purposes should be funded since frequent sources of funding are the waste producers and the national budgets. The question of how much regulatory research is needed is difficult to answer on a general basis. It appears obvious that the regulator must achieve the objectives of competence and independence. The research needed for this purpose is the least the regulator must undertake. The verification of key safety issues and the investigation of issues not addressed by the implementer may be considered as optional

  1. Effect of Health Care Professionals' Continuing Education ...

    African Journals Online (AJOL)

    Purpose: To evaluate the impact of educational intervention by health care providers on clinical outcomes in type 2 diabetes patients in a Yemeni health facility. Methods: A .... compliance, exercise and diets recommended for diabetes patients.

  2. Pharmaceutical Care Implementation: A Survey of Attitude ...

    African Journals Online (AJOL)

    International Journal of Health Research ... Purpose: To assess the attitude, perception and practice of pharmacists in Ogun State towards pharmaceutical care implementation. Methods: Pre-tested and validated structured questionnaire was ...

  3. Kinship foster care and foster care in the Netherlands

    NARCIS (Netherlands)

    Strijker, J.; Zandberg, Tj.; Van der Meulen, B.F.

    2003-01-01

    This study examines the similarities and differences between foster parents and kinship foster parents in the Netherlands. Both parents and caseworkers have filled out questionnaires for the purpose of this study. No evidence has been found to support the argument that kinship foster care holds

  4. Defining care products to finance health care in the Netherlands

    NARCIS (Netherlands)

    M. Westerdijk (MacHiel); J.J. Zuurbier (Joost); M. Ludwig (Martijn); S. Prins (Sarah)

    2012-01-01

    textabstractA case-mix project started in the Netherlands with the primary goal to define a complete set of health care products for hospitals. The definition of the product structure was completed 4 years later. The results are currently being used for billing purposes. This paper focuses on the

  5. Shared care dyadic intervention: outcome patterns for heart failure care partners.

    Science.gov (United States)

    Sebern, Margaret D; Woda, Aimee

    2012-04-01

    Up to half of heart failure (HF) patients are readmitted to hospitals within 6 months of discharge. Many readmissions are linked to inadequate self-care or family support. To improve care, practitioners may need to intervene with both the HF patient and family caregiver. Despite the recognition that family interventions improve patient outcomes, there is a lack of evidence to support dyadic interventions in HF. Thus, the purpose of this study was to test the Shared Care Dyadic Intervention (SCDI) designed to improve self-care in HF. The theoretical base of the SCDI was a construct called Shared Care. Shared Care represents a system of processes used in family care to exchange support. Key findings were as follows: the SCDI was acceptable to both care partners and the data supported improved shared care for both. For the patient, there were improvements in self-care. For the caregivers, there were improvements in relationship quality and health.

  6. Special purpose materials for fusion application

    International Nuclear Information System (INIS)

    Scott, J.L.; Clinard, F.W. Jr.; Wiffen, F.W.

    1984-01-01

    Originally in 1978 the Special Purpose Materials Task Group was concerned with tritium breeding materials, coolants, tritium barriers, graphite and silicon carbide, ceramics, heat-sink materials, and magnet components. Since then several other task groups have been created, so now the category includes only materials for superconducting magnets and ceramics. For the former application copper-stabilized Nb 3 Sn (Ti) insulated with polyimides will meet the general requirements, so that testing of prototype components is the priority task. Ceramics are required for several critical components of fusion reactors either as dielectrics or as a structural material. Components near the first wall will receive exposures of 5 to 20 MW.year/m"2. Other ceramic applications are well behind the first wall, with lower damage levels. Most insulators operate near room temperature, but ceramic blanket structures may operate up to 1000 0 C. Because of a meager data base, one cannot identify optimum ceramics for structural application; but MgAl 2 O 4 is an attractive dielectric material

  7. SRAC95; general purpose neutronics code system

    International Nuclear Information System (INIS)

    Okumura, Keisuke; Tsuchihashi, Keichiro; Kaneko, Kunio.

    1996-03-01

    SRAC is a general purpose neutronics code system applicable to core analyses of various types of reactors. Since the publication of JAERI-1302 for the revised SRAC in 1986, a number of additions and modifications have been made for nuclear data libraries and programs. Thus, the new version SRAC95 has been completed. The system consists of six kinds of nuclear data libraries(ENDF/B-IV, -V, -VI, JENDL-2, -3.1, -3.2), five modular codes integrated into SRAC95; collision probability calculation module (PIJ) for 16 types of lattice geometries, Sn transport calculation modules(ANISN, TWOTRAN), diffusion calculation modules(TUD, CITATION) and two optional codes for fuel assembly and core burn-up calculations(newly developed ASMBURN, revised COREBN). In this version, many new functions and data are implemented to support nuclear design studies of advanced reactors, especially for burn-up calculations. SRAC95 is available not only on conventional IBM-compatible computers but also on scalar or vector computers with the UNIX operating system. This report is the SRAC95 users manual which contains general description, contents of revisions, input data requirements, detail information on usage, sample input data and list of available libraries. (author)

  8. Purposeful selection of variables in logistic regression

    Directory of Open Access Journals (Sweden)

    Williams David Keith

    2008-12-01

    Full Text Available Abstract Background The main problem in many model-building situations is to choose from a large set of covariates those that should be included in the "best" model. A decision to keep a variable in the model might be based on the clinical or statistical significance. There are several variable selection algorithms in existence. Those methods are mechanical and as such carry some limitations. Hosmer and Lemeshow describe a purposeful selection of covariates within which an analyst makes a variable selection decision at each step of the modeling process. Methods In this paper we introduce an algorithm which automates that process. We conduct a simulation study to compare the performance of this algorithm with three well documented variable selection procedures in SAS PROC LOGISTIC: FORWARD, BACKWARD, and STEPWISE. Results We show that the advantage of this approach is when the analyst is interested in risk factor modeling and not just prediction. In addition to significant covariates, this variable selection procedure has the capability of retaining important confounding variables, resulting potentially in a slightly richer model. Application of the macro is further illustrated with the Hosmer and Lemeshow Worchester Heart Attack Study (WHAS data. Conclusion If an analyst is in need of an algorithm that will help guide the retention of significant covariates as well as confounding ones they should consider this macro as an alternative tool.

  9. A Cosmic Ray Telescope For Educational Purposes

    International Nuclear Information System (INIS)

    Voulgaris, G.; Kazanas, S.; Chamilothoris, I.

    2010-01-01

    Cosmic ray detectors are widely used, for educational purposes, in order to motivate students to the physics of elementary particles and astrophysics. Using a 'telescope' of scintillation counters, the directional characteristics, diurnal variation, correlation with solar activity, can be determined, and conclusions about the composition, origin and interaction of elementary particles with the magnetic field of earth can be inferred. A telescope was built from two rectangular scintillator panels with dimensions: 91.6x1.9x3.7 cm 3 . The scintillators are placed on top of each other, separated by a fixed distance of 34.6 cm. They are supported by a wooden frame which can be rotated around a horizontal axis. Direction is determined by the coincidence of the signals of the two PMTs. Standard NIM modules are used for readout. This device is to be used in the undergraduate nuclear and particle physics laboratory. The design and construction of the telescope as well as some preliminary results are presented.

  10. MODERN BUILDING STRUCTURES USED FOR MILITARY PURPOSES

    Directory of Open Access Journals (Sweden)

    Mariana Domnica STANCIU

    2014-04-01

    Full Text Available This paper investigates the technical aspects of the spherical spatial structures, focusing on the tensegrity building systems used for military purpose. The spherical spatial structures have been studied and used since antiquity. Pythagoras, Plato and Euclid were conducted extensive research on the concept of such type of structures. Regular pentagon has properties related to the value of the golden section, intuitively used by great architects and engineers since ancient times. In the Middle Ages, Leonardo Da Vinci created spatial objects using proportions based on the golden number, and later R. B. Fuller made the famous geodesic domes. The structures proposed by the authors are based on concepts related to the "golden section", on studies made on the regular pentagon, on the spatial volumes able to be inscribed in spheres and on the tensegrity systems. The proposed structures present some advantages related to the ease of mounting, to the volume covered, to the resistance to the environmental factors (snow, wind, earthquake, and so on. The paper presents the conclusions of the investigations on the components of the spatial structures and on the outcomes of their use.

  11. SRAC95; general purpose neutronics code system

    Energy Technology Data Exchange (ETDEWEB)

    Okumura, Keisuke; Tsuchihashi, Keichiro [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Kaneko, Kunio

    1996-03-01

    SRAC is a general purpose neutronics code system applicable to core analyses of various types of reactors. Since the publication of JAERI-1302 for the revised SRAC in 1986, a number of additions and modifications have been made for nuclear data libraries and programs. Thus, the new version SRAC95 has been completed. The system consists of six kinds of nuclear data libraries(ENDF/B-IV, -V, -VI, JENDL-2, -3.1, -3.2), five modular codes integrated into SRAC95; collision probability calculation module (PIJ) for 16 types of lattice geometries, Sn transport calculation modules(ANISN, TWOTRAN), diffusion calculation modules(TUD, CITATION) and two optional codes for fuel assembly and core burn-up calculations(newly developed ASMBURN, revised COREBN). In this version, many new functions and data are implemented to support nuclear design studies of advanced reactors, especially for burn-up calculations. SRAC95 is available not only on conventional IBM-compatible computers but also on scalar or vector computers with the UNIX operating system. This report is the SRAC95 users manual which contains general description, contents of revisions, input data requirements, detail information on usage, sample input data and list of available libraries. (author).

  12. Treecode with a Special-Purpose Processor

    Science.gov (United States)

    Makino, Junichiro

    1991-08-01

    We describe an implementation of the modified Barnes-Hut tree algorithm for a gravitational N-body calculation on a GRAPE (GRAvity PipE) backend processor. GRAPE is a special-purpose computer for N-body calculations. It receives the positions and masses of particles from a host computer and then calculates the gravitational force at each coordinate specified by the host. To use this GRAPE processor with the hierarchical tree algorithm, the host computer must maintain a list of all nodes that exert force on a particle. If we create this list for each particle of the system at each timestep, the number of floating-point operations on the host and that on GRAPE would become comparable, and the increased speed obtained by using GRAPE would be small. In our modified algorithm, we create a list of nodes for many particles. Thus, the amount of the work required of the host is significantly reduced. This algorithm was originally developed by Barnes in order to vectorize the force calculation on a Cyber 205. With this algorithm, the computing time of the force calculation becomes comparable to that of the tree construction, if the GRAPE backend processor is sufficiently fast. The obtained speed-up factor is 30 to 50 for a RISC-based host computer and GRAPE-1A with a peak speed of 240 Mflops.

  13. Palliative care in neuromuscular diseases

    NARCIS (Netherlands)

    de Visser, Marianne; Oliver, David J.

    2017-01-01

    Purpose of review Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness. Neuromuscular disorders (NMDs) are characterized by progressive muscle weakness, leading to pronounced and incapacitating

  14. Mobile Technology Applications in Cancer Palliative Care.

    Science.gov (United States)

    Freire de Castro Silva, Sandro Luís; Gonçalves, Antônio Augusto; Cheng, Cezar; Fernandes Martins, Carlos Henrique

    2018-01-01

    Mobile devices frequently used in other specialties can find great utility in palliative care. For healthcare professionals, the use of mobile technology not only can bring additional resources to the care, but it can actually radically change the cancer remote care practices. The Brazilian National Cancer Institute (INCA) has developed the largest cancer home care program in Latin America, which currently benefits more than 500 patients. The purpose of this paper is to show the development of an ICT environment of mobile applications developed to support the palliative cancer care program at INCA.

  15. OPTIMIZATION OF MARSHMALLOW GELATIN FUNCTIONAL PURPOSE

    Directory of Open Access Journals (Sweden)

    G. O. Magomedov

    2015-01-01

    Full Text Available Marshmallow on gelatin or marshmallow items finely porous foam structure. This product is a popular and widely demanded confectionery products to the public, especially children and students. Urgent by the NE-a method for producing a mini-marshmallow functionality in terms of domestic production with natural-functional ingredient – gum-arabic «Instantgum», which is the source of natural-fiber, improving gastrointestinal function, lowering blood glucose levels that especially important in the use of products of diabetics. The inclusion of gum-arabic in the diet leads to a prebiotic effect, stimulating human immune system and improves the functioning intestines. Technology mini marshmallow gelatin with gum-arabic comprises the following manufacturing steps of: preparing a gelatin solution, an aqueous solution of gum-arabic, sugar syrup, invert syrup, whipped gelatinous mass density of 400-600 kg / m3, molding or pressing off mass fractionation followed by cooling and cutting, exposure and dusting starch and sugar mixture housings mini marshmallows. The optimization formulation mini marshmallows on gelatin with functional ingredients «Instantgum» based on gum-arabic method of multicriteria optimization of op-using desirability function Harrington. The greatest value generalized desirability function had a sample with 10% in-functional ingredient, since it belongs to the best set of parameters optimization. The developed product has high organoleptic, physical and chemical parameters, satisfactory form-retaining ability elastic chewing consistency and a functional purpose by NIJ-containing dietary fiber. Proposed can be recommended for the production on-time with continuous mechanized lines to develop Pastila products.

  16. The purpose of radiation protection monitoring

    International Nuclear Information System (INIS)

    Morgan, K.Z.

    1979-01-01

    In the early period (1942-1960) of nuclear energy programmes with which I was associated, most radiation protection standards seem to have been formulated on the assumption that there is a threshold dose of ionizing radiation below which no radiation damage is expected to result in the lifetime of the exposed individual. It was in this climate of opinion that health physics began as a profession, and levels of maximum permissible exposure (MPE) to external sources of radiation, maximum permissible concentrations in air, water and food, and maximum permissible body burdens of radionuclides inside the human body were set and enforced. Some of the levels of MPE were quite high in comparison with present standards but, fortunately, the health physicists at the national laboratories in which most radiation workers were employed were very conservative; in most cases the average annual exposures were less than 10% of the MPE levels. However, there was not much concern with the man-rem concept, as exemplified by rather high levels of radioactive waste discharged from the plants or placed in temporary holding facilities - where there was a likely possibility of seepage into the environment. This situation was understandable and justifiable at a time when the purpose of radiation protection monitoring was simply to prevent individuals from exceeding a threshold dose. The period of the recent past up to the present time (1978) has been one in which there has been a gradual change from the concept of a threshold dose hypothesis to the linear hypothesis. In this period the International Commission on Radiological Protection (ICRP) and the national standards setting bodies have pointed out that the levels they have selected are based on the linear hypothesis, but in most respects they leave us with the impression that this is most probably a conservative assumption, subject to revision when better data become available. Also, during this period, the concept of exposure As Low As

  17. Use of marijuana for medical purposes

    Directory of Open Access Journals (Sweden)

    Jarosław Pinkas

    2016-07-01

    Full Text Available Cannabis is the most popular illicit drug on the European market. Over 16 million young Europeans have used it at least once in the last few years. The recent trends in the consumption of marihuana differ between countries. Some countries face an increase in the prevalence of cannabis use, including Poland, where the level cannabis use has been systematically increasing since the 1990’s. According to a recent ESPAD study, 19% of Polish adolescents aged 15–16 have used cannabis in the last year. Marihuana is also a leading substance when analyzing the data of seizures and crimes. The recent EMCDDA Annual report on the drug situation in Europe notes the increasing potency in cannabis available on the market. Some countries face an increasing number of emergencies caused by marihuana, which was unlikely to have happened previously. In almost all European countries there is an ongoing discussion about loosening marijuana laws or its complete legalization. There is also ongoing discussion on the use of marihuana in therapy as a medicine. Many scientific studies are being conducted in this field. Some of the results are promising; however, there is no well-designed human trial which would unequivocally confirm that medical cannabis is effective as a medicine, or more effective than other medicines on the market. The problem is that the debate on the medical use of marihuana becomes more ideological and less professional. The medical use of marihuana is strongly supported by organizations lobbying for the legalization of cannabis use. Research on the medical use of cannabis should be continued, as there are some promising results supporting therapy in different medical conditions. However, the use of cannabis as a medicine should be discussed only among professionals. If marihuana is to be used for medical purposes, the fact that it is the most popular illicit drug in Europe is irrelevant.

  18. Caring for Strangers

    Directory of Open Access Journals (Sweden)

    Marta Lobato Rodriguez

    2017-12-01

    Full Text Available Caring for Strangers (2017 takes the reader on an interesting journey to the everyday lives of Filipino migrant nurse workers placed in Singapore. It does so focusing on the narratives and the frequent encounters that anthropologist Megha Amrith had over her fieldwork time in Singapore. The result is a rich compilation of the social, political, and economic factors that make many men and women in the Philippines undertake nursing education with the purpose of migrating to work abroad. This review of the book focuses on three aspects of the book that the present author found to be of great importance in the contemporary anthropology of economy and labour: the political economy of global capital, the marketization of care work, and the ways in which these migrant workers built their subjectivities

  19. Pediatric cardiac postoperative care

    Directory of Open Access Journals (Sweden)

    Auler Jr. José Otávio Costa

    2002-01-01

    Full Text Available The Heart Institute of the University of São Paulo, Medical School is a referral center for the treatment of congenital heart diseases of neonates and infants. In the recent years, the excellent surgical results obtained in our institution may be in part due to modern anesthetic care and to postoperative care based on well-structured protocols. The purpose of this article is to review unique aspects of neonate cardiovascular physiology, the impact of extracorporeal circulation on postoperative evolution, and the prescription for pharmacological support of acute cardiac dysfunction based on our cardiac unit protocols. The main causes of low cardiac output after surgical correction of heart congenital disease are reviewed, and methods of treatment and support are proposed as derived from the relevant literature and our protocols.

  20. Teamwork and Patient Care Teams in an Acute Care Hospital.

    Science.gov (United States)

    Rochon, Andrea; Heale, Roberta; Hunt, Elena; Parent, Michele

    2015-06-01

    The literature suggests that effective teamwork among patient care teams can positively impact work environment, job satisfaction and quality of patient care. The purpose of this study was to determine the perceived level of nursing teamwork by registered nurses, registered practical nurses, personal support workers and unit clerks working on patient care teams in one acute care hospital in northern Ontario, Canada, and to determine if a relationship exists between the staff scores on the Nursing Teamwork Survey (NTS) and participant perception of adequate staffing. Using a descriptive cross-sectional research design, 600 staff members were invited to complete the NTS and a 33% response rate was achieved (N=200). The participants from the critical care unit reported the highest scores on the NTS, whereas participants from the inpatient surgical (IPS) unit reported the lowest scores. Participants from the IPS unit also reported having less experience, being younger, having less satisfaction in their current position and having a higher intention to leave. A high rate of intention to leave in the next year was found among all participants. No statistically significant correlation was found between overall scores on the NTS and the perception of adequate staffing. Strategies to increase teamwork, such as staff education, among patient care teams may positively influence job satisfaction and patient care on patient care units. Copyright © 2015 Longwoods Publishing.

  1. Health care employee perceptions of patient-centered care.

    Science.gov (United States)

    Balbale, Salva Najib; Turcios, Stephanie; LaVela, Sherri L

    2015-03-01

    Given the importance of health care employees in the delivery of patient-centered care, understanding their unique perspectives is essential for quality improvement. The purpose of this study was to use photovoice to evaluate perceptions and experiences around patient-centered care among U.S. Veterans Affairs (VA) health care employees. We asked participants to take photographs of salient features in their environment related to patient-centered care. We used the photographs to facilitate dialogue during follow-up interviews. Twelve VA health care employees across two VA sites participated in the project. Although most participants felt satisfied with their work environment and experiences at the VA, they identified several areas for improvement. These included a need for more employee health and wellness initiatives and a need for enhanced opportunities for training and professional growth. Application of photovoice enabled us to learn about employees' unique perspectives around patient-centered care while engaging them in an evaluation of care delivery. © The Author(s) 2014.

  2. Spiritual Experiences of Muslim Critical Care Nurses.

    Science.gov (United States)

    Bakir, Ercan; Samancioglu, Sevgin; Kilic, Serap Parlar

    2017-12-01

    The purpose of this study was to determine the experiences and perceptions of intensive care nurses (ICNs) about spirituality and spiritual care, as well as the effective factors, and increase the sensitivity to the subject. In this study, we examined spiritual experiences, using McSherry et al. (Int J Nurs Stud 39:723-734, 2002) Spirituality and spiritual care rating scale (SSCRS), among 145 ICNs. 44.8% of the nurses stated that they received spiritual care training and 64.1% provided spiritual care to their patients. ICNs had a total score average of 57.62 ± 12.00 in SSCRS. As a consequence, it was determined that intensive care nurses participating in the study had insufficient knowledge about spirituality and spiritual care, but only the nurses with sufficient knowledge provided the spiritual care to their patients.

  3. IT-Support for Shared Care

    DEFF Research Database (Denmark)

    Bansler, Jørgen P.; Havn, Erling C.; Kensing, Finn

    2005-01-01

    This paper describes work-in-progress to explore how informa-tion and communication technologies (ICT) can be designed and implemented to provide effective support of shared care programs. The purpose of the project is to develop generic models of shared care applications as well as organizational...

  4. African Journal of Anaesthesia and Intensive Care

    African Journals Online (AJOL)

    The purpose of the African Journal of Anaesthesia and Intensive Care is to provide a medium for the dissemination of original works in Africa and other parts of the world about anaesthesia and intensive care including the application of basic sciences ...

  5. Effect of Health Care Professionals' Continuing Education ...

    African Journals Online (AJOL)

    Purpose: To evaluate the impact of educational intervention by health care providers on clinical outcomes in type 2 diabetes patients in a Yemeni health facility. Methods: A prospective, one-group and pre- and post-test design to assess the effects of health care providers' education on clinical patient outcomes was ...

  6. Indicators of Dysphagia in Aged Care Facilities

    Science.gov (United States)

    Pu, Dai; Murry, Thomas; Wong, May C. M.; Yiu, Edwin M. L.; Chan, Karen M. K.

    2017-01-01

    Purpose: The current cross-sectional study aimed to investigate risk factors for dysphagia in elderly individuals in aged care facilities. Method: A total of 878 individuals from 42 aged care facilities were recruited for this study. The dependent outcome was speech therapist-determined swallowing function. Independent factors were Eating…

  7. Older people's perceptions of quality of care.

    NARCIS (Netherlands)

    Sixma, H.J.

    2001-01-01

    Purpose: User views on quality of care are generally assessed by patients satisfaction questionnaires. However, doubts have been cast on the validity and reliability of such instruments. Aim of this paper are: (1) to describe the development of a new instrument measuring quality of care from the

  8. [The aesthetic character of caring knowledge].

    Science.gov (United States)

    Tsai, Cheng-Yun

    2013-08-01

    The identity of nursing is founded on caring knowledge, which is derived from our understanding of its experience-revealed essence. This purposive knowledge differs from scientific knowledge because validity guides the latter and ethics guides the former. Therefore, justifying the objectivity of caring knowledge should be based on the aesthetic character of this knowledge rather than on a general social-science explanation.

  9. Structural dimensioning of dual purpose cask prototype

    International Nuclear Information System (INIS)

    Silva, Luiz Leite da; Mourao, Rogerio Pimenta; Lopes, Claudio Cunha

    2005-01-01

    The structural dimensioning of a Type B(U) dual purpose cask prototype is part of the scope of work of the Brazilian institute CDTN in the IAEA regional project involving Latin American countries which operate research reactors (Argentina, Brazil, Chile, Mexico and Peru). In order to meet the dimensional and operational characteristics of the reactor facilities in these countries, a maximum weight of 10.000 kgf and a maximum dimension of 1 m in at least one direction were set for the cask. With these design restrictions, the cask's payload is either 21 MTR or 78 TRIGA fuel elements. The cask's most important components are main body, primary and secondary lids, basket and impact limiters. The main body has a sandwich-like wall with internal and external layers made of AISI 304 stainless steel with lead in-between. The lead provides biological shielding. The primary lid is similarly layered, but in the axial direction. It is provided with a double system of metallic rings and has ports for pressurization, sampling and containment verification. The secondary lid has the main function of protecting the primary lid against mechanical impacts. The basket structure is basically a tube array reinforced by bottom plate, feet and spacers. Square tubes are used for MTR elements and circular tubes for TRIGA elements. Finally, the impact limiters are structures made of an external stainless steel thin covering and a filling made of the wood composite OSB - Oriented Strand Board. The prototype is provided with bottom and top impact limiters, which are attached to each other by means of four threaded rods. The limiters are not rigidly attached to the cask body. A half scale cask model was designed to be submitted to a testing program. As its volume scales down to 1:8, the model weight is 1,250 kgf. This paper presents the methodology for the preliminary structural dimensioning of the critical parameters of the cask prototype. Both normal conditions of operation and hypothetical

  10. Careful science?

    DEFF Research Database (Denmark)

    Jespersen, Astrid P; Bønnelycke, Julie; Eriksen, Hanne Hellerup

    2014-01-01

    Concern about obesity has prompted numerous public health campaigns that urge people to be more physically active. The campaigns often include normative statements and attempt to impose restrictions on individuals' lives without considering the complexities of daily life. We suggest that broadening...... into different exercise groups. In this article we analyse the scientific work of the trial as representing entangled processes of bodywork, where data are extracted and objectified bodies are manipulated and care practices address the emotional, social and mundane aspects of the participants' everyday lives....... Care practices are an inherent part of producing scientific facts but they are removed from the recognised results of scientific practice and thus from common public health recommendations. However, knowledge about the strategic use of care practices in lifestyle interventions is important for public...

  11. Subgroup analyses in confirmatory clinical trials: time to be specific about their purposes

    Directory of Open Access Journals (Sweden)

    Julien Tanniou

    2016-02-01

    Full Text Available Abstract Background It is well recognized that treatment effects may not be homogeneous across the study population. Subgroup analyses constitute a fundamental step in the assessment of evidence from confirmatory (Phase III clinical trials, where conclusions for the overall study population might not hold. Subgroup analyses can have different and distinct purposes, requiring specific design and analysis solutions. It is relevant to evaluate methodological developments in subgroup analyses against these purposes to guide health care professionals and regulators as well as to identify gaps in current methodology. Methods We defined four purposes for subgroup analyses: (1 Investigate the consistency of treatment effects across subgroups of clinical importance, (2 Explore the treatment effect across different subgroups within an overall non-significant trial, (3 Evaluate safety profiles limited to one or a few subgroup(s, (4 Establish efficacy in the targeted subgroup when included in a confirmatory testing strategy of a single trial. We reviewed the methodology in line with this “purpose-based” framework. The review covered papers published between January 2005 and April 2015 and aimed to classify them in none, one or more of the aforementioned purposes. Results In total 1857 potentially eligible papers were identified. Forty-eight papers were selected and 20 additional relevant papers were identified from their references, leading to 68 papers in total. Nineteen were dedicated to purpose 1, 16 to purpose 4, one to purpose 2 and none to purpose 3. Seven papers were dedicated to more than one purpose, the 25 remaining could not be classified unambiguously. Purposes of the methods were often not specifically indicated, methods for subgroup analysis for safety purposes were almost absent and a multitude of diverse methods were developed for purpose (1. Conclusions It is important that researchers developing methodology for subgroup analysis

  12. Improving care coordination using organisational routines.

    Science.gov (United States)

    Prætorius, Thim

    2016-01-01

    The purpose of this paper is to systematically apply theory of organisational routines to standardised care pathways. The explanatory power of routines is used to address open questions in the care pathway literature about their coordinating and organising role, the way they change and can be replicated, the way they are influenced by the organisation and the way they influence health care professionals. Theory of routines is systematically applied to care pathways in order to develop theoretically derived propositions. Care pathways mirror routines by being recurrent, collective and embedded and specific to an organisation. In particular, care pathways resemble standard operating procedures that can give rise to recurrent collective action patterns. In all, 11 propositions related to five categories are proposed by building on these insights: care pathways and coordination, change, replication, the organisation and health care professionals. Research limitations/implications - The paper is conceptual and uses care pathways as illustrative instances of hospital routines. The propositions provide a starting point for empirical research. The analysis highlights implications that health care professionals and managers have to consider in relation to coordination, change, replication, the way the organisation influences care pathways and the way care pathways influence health care professionals. Originality/value - Theory on organisational routines offers fundamental, yet unexplored, insights into hospital processes, including in particular care coordination.

  13. Instruments to assess integrated care

    DEFF Research Database (Denmark)

    Lyngsø, Anne Marie; Godtfredsen, Nina Skavlan; Høst, Dorte

    2014-01-01

    INTRODUCTION: Although several measurement instruments have been developed to measure the level of integrated health care delivery, no standardised, validated instrument exists covering all aspects of integrated care. The purpose of this review is to identify the instruments concerning how to mea...... was prevalent. It is uncertain whether development of a single 'all-inclusive' model for assessing integrated care is desirable. We emphasise the continuing need for validated instruments embedded in theoretical contexts.......INTRODUCTION: Although several measurement instruments have been developed to measure the level of integrated health care delivery, no standardised, validated instrument exists covering all aspects of integrated care. The purpose of this review is to identify the instruments concerning how...... to measure the level of integration across health-care sectors and to assess and evaluate the organisational elements within the instruments identified. METHODS: An extensive, systematic literature review in PubMed, CINAHL, PsycINFO, Cochrane Library, Web of Science for the years 1980-2011. Selected...

  14. Assessing primary care data quality.

    Science.gov (United States)

    Lim, Yvonne Mei Fong; Yusof, Maryati; Sivasampu, Sheamini

    2018-04-16

    Purpose The purpose of this paper is to assess National Medical Care Survey data quality. Design/methodology/approach Data completeness and representativeness were computed for all observations while other data quality measures were assessed using a 10 per cent sample from the National Medical Care Survey database; i.e., 12,569 primary care records from 189 public and private practices were included in the analysis. Findings Data field completion ranged from 69 to 100 per cent. Error rates for data transfer from paper to web-based application varied between 0.5 and 6.1 per cent. Error rates arising from diagnosis and clinical process coding were higher than medication coding. Data fields that involved free text entry were more prone to errors than those involving selection from menus. The authors found that completeness, accuracy, coding reliability and representativeness were generally good, while data timeliness needs to be improved. Research limitations/implications Only data entered into a web-based application were examined. Data omissions and errors in the original questionnaires were not covered. Practical implications Results from this study provided informative and practicable approaches to improve primary health care data completeness and accuracy especially in developing nations where resources are limited. Originality/value Primary care data quality studies in developing nations are limited. Understanding errors and missing data enables researchers and health service administrators to prevent quality-related problems in primary care data.

  15. Legislation on treating animals in human care

    OpenAIRE

    Konečná, Petra

    2016-01-01

    1 Abstract This Master's thesis entitled Legislation on treating animals in human care compares Czech and Australian legislation in selected aspects of three categories of animals in human care - farm animals, companion animals and animals used for scientific and other research purposes. The thesis is composed of 5 main chapters. The first chapter describes sources of law regarding treating animals in human care from the perspectives of international law, European Union law, federal Czech law...

  16. The impact of the survivorship care plan on health care use

    DEFF Research Database (Denmark)

    Jeppesen, Mette Moustgaard; Ezendam, Nicole P M; Pijnenborg, Johanna M A

    2018-01-01

    PURPOSE: The purpose of this paper was to assess the impact of survivorship care plan (SCP) provision and moderating factors on health care use following endometrial cancer treatment. METHODS: Women newly diagnosed with endometrial cancer were included in a pragmatic cluster randomized trial at 12...... of general practitioner, specialist, and additional health care was collected through questionnaires after diagnosis and at 6-, 12-, and 24-month follow-up and compared using linear multilevel regression analyses. RESULTS: Women who received an SCP had more cancer-related primary care visits compared...... to the usual care arm during the first year after diagnosis (β = 0.7, p women in the SCP group used more additional health care compared to women receiving usual care (24 vs. 11%, p = 0.04). Women with anxious symptoms (p = 0.03) and women who received radiotherapy (p = 0.01) had...

  17. Just caring.

    Science.gov (United States)

    Hussey, Trevor

    2012-01-01

    Social justice is concerned with fair distribution of the benefits and burdens of living together in society. Regarding nursing care, social justice is concerned with who should receive its benefits, how much they should receive, and who should take up the burden of providing and paying for it. A specific thesis is offered: 'Health care, including nursing care, should be distributed on the basis of need, free at the point of use, the cost being born by the community involved.' This thesis is shown to be incompatible with consequentialist (utilitarian) and libertarian approaches to social justice, but reasons are given for rejecting these theories. It is shown that it may be compatible with Rawl's liberal theory of justice and definitely compatible with a version of the teleological (Aristotelian) theory. The thesis is then defended against criticisms concerned with desert and responsibility: that the provident ought not to pay for the improvident, and that those who are responsible for their health do not deserve free care. There are answered by an epistemological argument concerning what we need to know before we can decide what people deserve, and an argument about social cohesion. The conclusion is that the thesis can be offered as a moral principle for a fair society. © 2011 Blackwell Publishing Ltd.

  18. Prenatal Care.

    Science.gov (United States)

    Health Resources and Services Administration (DHHS/PHS), Rockville, MD. Office for Maternal and Child Health Services.

    This booklet is the first in a series of publications designed to provide parents with useful information about childrearing. Contents are organized into three parts. Part I focuses on the pregnancy, prenatal care, development of the baby, pregnant lifestyles, nutrition, common discomforts, and problems of pregnancy. Part II provides information…

  19. Enacting Care

    Czech Academy of Sciences Publication Activity Database

    Urban, Petr

    2015-01-01

    Roč. 9, č. 2 (2015), s. 216-222 ISSN 1749-6535 R&D Projects: GA ČR(CZ) GPP401/12/P544 Institutional support: RVO:67985955 Keywords : ethics of care * enactivism * autonomy * social institutions * autism * exclusion Subject RIV: AA - Philosophy ; Religion http://dx.doi.org/10.1080/17496535.2015.1022356

  20. Bridging generic and professional care practices for Muslim patients through use of Leininger's culture care modes.

    Science.gov (United States)

    Wehbe-Alamah, Hiba

    2008-04-01

    The purpose of this article is to provide knowledge of traditional Muslim generic (folk) care beliefs, expressions and practices derived from research and descriptive sources, in order to assist nurses and other health care professionals to integrate generic (folk) into professional care practices. Muslim generic (folk) care beliefs and practices related to the caregiving process, health, illness, dietary needs, dress, privacy, modesty, touch, gender relations, eye contact, abortion, contraception, birth, death and bereavement were explored. A discussion involving the use of Leininger's culture care preservation and/or maintenance, culture care accommodation and/or negotiation and culture care repatterning and/or restructuring action modes to bridge the gap between generic (folk) and professional (etic) care practices and to consequently promote culturally congruent care is presented.

  1. Palliative Care in Cancer

    Science.gov (United States)

    ... care is usually provided by palliative care specialists, health care practitioners who have received special training and/or certification in palliative care. They provide holistic care to the patient and family or caregiver ...

  2. [Violence for educational purpose: Representations of general practitioners in the Paris area, France. A qualitative study].

    Science.gov (United States)

    de Brie, Claire; Piet, Emmanuelle; Chariot, Patrick

    2018-03-01

    Violence for educational purpose refers to a modality of education that includes threats, verbal abuse, physical abuse and humiliations. Twenty European countries, not including France, have abolished corporal punishment through explicit laws and regulations. The position of general practitioners in the screening and care of violence for educational purpose in France is unknown. In this study, we aimed to assess the representations of this form of violence among general practitioners. We have performed semi-directed interviews of general practitioners in the Paris, France region (Île-de-France). Interviews were conducted until data saturation was achieved. Interviews were recorded, transcribed and analysed by two investigators. Interviews were conducted with 20 physicians (November 2015-January 2016). General practitioners considered that physical, verbal or psychological abuse had possible negative consequences on children. Uncertainty regarding the consequences of violence was a cause of tolerance towards violence for educational purpose, depending on the act committed and the context, as perceived by nearly all practitioners. General practitioners expressed interest in the field. They cited their own education and experience as the main obstacles to action. Most of them expressed a feeling of failure when they screened or took care of violence for educational purpose. This study suggests that doctors can participate in supporting the parents in the prevention of violence for educational purpose. Support to parents would need specific medical training as well as a societal change. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

  3. [Promoting citizenship through nursing care].

    Science.gov (United States)

    Backes, Dirce Stein; Backes, Marli Stein; Erdmann, Alacoque Lorenzini

    2009-01-01

    This study is the result of the project: networks care and social entrepreneurship: the autonomy and social commitment of nurses. The purpose of this qualitative study is to comprehend the meaning of nursing care as a social enterprising practice. The Grounded Theory was used as a methodological reference and the interview, conducted with 35 participants as technique of data collection. Data codification led to the central theme: Viewing Nursing Care as a Social Enterprising Practice. This theme is complemented by the category, characterized the cause condition: the social integration through the creation a political identity that expresses your involvement. The results showed that is necessary to learn and have a deep dialogic knowledge. In order to consolidate popular participation as a citizenship ideal, a critical professional attitude, base don the combination of care with liberty, participation end autonomy.

  4. Patients‟ perceptions of primary health care services in the Eastern ...

    African Journals Online (AJOL)

    Seeking to understand patient perspectives is an important step in the efforts to improve the quality of health care. The purpose of this study was to examine patient satisfaction with primary health care (PHC) services. A purposive sample of 19136 patients aged 18 years and above was interviewed at 266 PHC clinics in ...

  5. The critical care nursing workforce in Western Cape hospitals - a ...

    African Journals Online (AJOL)

    Background. A global shortage of registered nurses (RNs) has been reported internationally, and confirmed in South Africa by the National Audit of Critical Care services. Critical care nurses (CCNs) especially are in great demand and short supply. Purpose. The purpose of this study was to quantify the nursing workforce ...

  6. Resident Satisfaction and Its Components in Residential Aged Care

    Science.gov (United States)

    Chou, Shu-Chiung; Boldy, Duncan P.; Lee, Andy H.

    2002-01-01

    Purpose: The purpose of this study was to assess the direction and magnitude of the effects among the components of resident satisfaction in residential aged care and to examine if the relationships among satisfaction components vary according to facility type (i.e., nursing home and hostel). Briefly, a hostel is a low-care facility in which…

  7. Learning Opportunities for Nurses Working within Home Care

    Science.gov (United States)

    Lundgren, Solveig

    2011-01-01

    Purpose: The purpose of this study is to explore home care nurses' experience of learning in a multicultural environment. Design/methodology/approach: The study was based on qualitative research design. Data were collected through repeated interviews with registered home care nurses working in a multicultural area. The data were analyzed through a…

  8. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review.

    Science.gov (United States)

    Jones, Terry L; Hamilton, Patti; Murry, Nicole

    2015-06-01

    The purposes of this review of unfinished care were to: (1) compare conceptual definitions and frameworks associated with unfinished care and related synonyms (i.e. missed care, implicitly rationed care; and care left undone); (2) compare and contrast approaches to instrumentation; (3) describe prevalence and patterns; (4) identify antecedents and outcomes; and (5) describe mitigating interventions. A literature search in CINAHL and MEDLINE identified 1828 articles; 54 met inclusion criteria. Search terms included: implicit ration*, miss* care, ration* care, task* undone, and unfinish*care. Analysis was performed in three phases: initial screening and sorting, comprehensive review for data extraction (first author), and confirmatory review to validate groupings, major themes, and interpretations (second author). Reviewed literature included 42 quantitative reports; 7 qualitative reports; 1 mixed method report; and 4 scientific reviews. With one exception, quantitative studies involved observational cross-sectional survey designs. A total of 22 primary samples were identified; 5 involved systematic sampling. The response rate was >60% in over half of the samples. Unfinished care was measured with 14 self-report instruments. Most nursing personnel (55-98%) reported leaving at least 1 task undone. Estimates increased with survey length, recall period, scope of response referent, and scope of resource scarcity considered. Patterns of unfinished care were consistent with the subordination of teaching and emotional support activities to those related to physiologic needs and organizational audits. Predictors of unfinished care included perceived team interactions, adequacy of resources, safety climate, and nurse staffing. Unfinished care is a predictor of: decreased nurse-reported care quality, decreased patient satisfaction; increased adverse events; increased turnover; decreased job and occupational satisfaction; and increased intent to leave. Unfinished care is a

  9. Respite Child Care in California: Alternatives for At-Risk Families. A Report from the California Children's Council.

    Science.gov (United States)

    Weinstein, Vivian; Siegel, Patty

    Respite child care is a form of short-term care provided in a family day care home or a child care center for the purpose of helping families that are experiencing stress. At an average cost of $300 to $400 per month, respite care is cost effective. Since 1983, California's child care resource and referral agencies have administered a small…

  10. Seeking Humanizing Care in Patient-Centered Care Process: A Grounded Theory Study.

    Science.gov (United States)

    Cheraghi, Mohammad Ali; Esmaeili, Maryam; Salsali, Mahvash

    Patient-centered care is both a goal in itself and a tool for enhancing health outcomes. The application of patient-centered care in health care services globally however is diverse. This article reports on a study that sought to introduce patient-centered care. The aim of this study is to explore the process of providing patient-centered care in critical care units. The study used a grounded theory method. Data were collected on 5 critical care units in Tehran University of Medical Sciences. Purposive and theoretical sampling directed the collection of data using 29 semistructured interviews with 27 participants (nurses, patients, and physician). Data obtained were analyzed according to the analysis stages of grounded theory and constant comparison to identify the concepts, context, and process of the study. The core category of this grounded theory is "humanizing care," which consisted of 4 interrelated phases, including patient acceptance, purposeful patient assessment and identification, understanding patients, and patient empowerment. A core category of humanizing care integrated the theory. Humanizing care was an outcome and process. Patient-centered care is a dynamic and multifaceted process provided according to the nurses' understanding of the concept. Patient-centered care does not involve repeating routine tasks; rather, it requires an all-embracing understanding of the patients and showing respect for their values, needs, and preferences.

  11. Multidisciplinary care of craniosynostosis

    Directory of Open Access Journals (Sweden)

    Buchanan EP

    2017-07-01

    Full Text Available Edward P Buchanan,1 Yunfeng Xue,1 Amy S Xue,1 Asaf Olshinka,1 Sandi Lam2 1Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, 2Michael E. DeBakey Department of Surgery, Division of Neurosurgery, Baylor College of Medicine, Houston, TX, USA Abstract: The management of craniosynostosis, especially in the setting of craniofacial syndromes, is ideally done in a multidisciplinary clinic with a team focused toward comprehensive care. Craniosynostosis is a congenital disorder of the cranium, caused by the premature fusion of one or more cranial sutures. This fusion results in abnormal cranial growth due to the inability of the involved sutures to accommodate the growing brain. Skull growth occurs only at the patent sutures, resulting in an abnormal head shape. If cranial growth is severely restricted, as seen in multisuture craniosynostosis, elevation in intracranial pressure can occur. Whereas most patients treated in a multidisciplinary craniofacial clinic have non-syndromic or isolated craniosynostosis, the most challenging patients are those with syndromic craniosynostosis. The purpose of this article was to discuss the multidisciplinary team care required to treat both syndromic and non-syndromic craniosynostosis. Keywords: multidisciplinary team care, syndromic craniosynostosis, nonsyndromic craniosynostosis

  12. Care for children with special health care needs in a managed care system: a patient satisfaction survey.

    Science.gov (United States)

    Flynn, J M; Bravo, C J; Reyes, O

    2001-09-01

    In 1994 the government of Puerto Rico adopted a capitated managed health care system for the medically indigent. The new law has been implemented in most municipalities. A survey of children with special health care needs treated at a tertiary pediatric center under the capitated managed care system and the prior non-capitated system was analyzed using the Consumer Assessments of Health Plan Survey (CHAPS) instrument. One third of the patients who were under the new capitated managed care system were not satisfied with the medial care they were receiving. The parents of children with multidisciplinary conditions found it much more difficult to access care at the tertiary center. It took parents two years to learn to navigate within the capitated managed care system. Studies to measure outcome and health quality of children with special health care needs in capitated managed health care programs must be developed to learn how the potential benefits of managed care can be maximized and the potential harms minimized. The purpose of this study was to analyze the accessibility and satisfaction of caretakers of children with special health care needs under a capitated managed health care system.

  13. Caring Leadership in Schools: Findings from Exploratory Analyses

    Science.gov (United States)

    Louis, Karen Seashore; Murphy, Joseph; Smylie, Mark

    2016-01-01

    Purpose: This article (1) analyzes and synthesizes literatures from philosophy and education to propose a conceptual framework for caring in schools and caring school leadership and (2) reports the results of an exploratory analysis of the relationship of caring principal leadership to school-level supports for student academic learning.…

  14. Medicaid Home Care Services and Survival in New York City

    Science.gov (United States)

    Albert, Steven M.; Simone, Bridget; Brassard, Andrea; Stern, Yaakov; Mayeux, Richard

    2005-01-01

    Purpose: New York City's Medicaid Home Care Services Program provides an integrated program of housekeeping and personal assistance care along with regular nursing assessments. We sought to determine if this program of supportive care offers a survival benefit to older adults. Design and Methods: Administrative data from New York City's Medicaid…

  15. Emergency Nurses' Perspectives: Factors Affecting Caring.

    Science.gov (United States)

    Enns, Carol L; Sawatzky, Jo-Ann V

    2016-05-01

    Caring is a universal phenomenon. However, as a result of higher patient acuity and staff shortages within the chaotic ED environment, caring behaviors may be in peril. The purpose of this study was to gain insight into the meaning of caring from the perspective of emergency nurses. Exploring nurses' perspectives of caring is central to improving staffing and retention issues in this unique work environment. As part of a larger study, a subsample of emergency nurses who work in public hospitals in Manitoba, Canada (n = 17) were interviewed. A qualitative descriptive design was used to gain insight into the caring perspectives of nurses by asking them, "What does caring meaning to you?" and "What affects caring in your practice in the emergency department?" Emerging themes were extracted through analysis of audio tapes and transcripts. Advocacy and holistic care emerged as major themes in the meaning of caring for emergency nurses. Caring was affected by a number of factors, including workload, lack of time, staffing issues, shift work, and lack of self-care. However, lack of management support was the most consistent hindrance to caring identified by study participants. Caring continues to be a unifying concept in nursing; however, influencing factors continue to undermine caring for emergency nurses. Caring is not subsidiary to nursing; it is the central core of nursing. Therefore, fostering a caring working environment is essential for nurses to practice holistic nursing care. It is also imperative to job satisfaction and the retention of emergency nurses. Copyright © 2016 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

  16. BUSINESS MODELS FOR TAX AND TRANSFER PRICING PURPOSES

    Directory of Open Access Journals (Sweden)

    Corlaciu Alexandra

    2013-07-01

    Full Text Available In order to remain competitive, the multinational enterprises (MNEs are forced by the globalization phenomenon (which manifestation has became more and more stringent to analyze continuously its effectiveness. In this respect, the structure of the business represents an element which might have an important impact for the enterprise’s overall results. This is why, in the last decades, the MNEs granted special attention to business structures and put significant efforts in business restructurings, where the case, with the scope to keep the efficiency and to remain on the market. Generally, the operational business restructuring process follows one of the business model globally developed, namely manufacturer or sales business models. Thus, according to the functions performed, assets used and risks assumed, the entities within the group are labeled into limited risk units (such as toll manufacturer or commission agent, medium risk (contract manufacturer, commissionaire, stripped distributor or high risk units (fully fledged manufacturer, fully fledged distributor. Notwithstanding the above, there should be emphasized that the operational business restructuring has to be undertaken with maximal care, as it might have important fiscal impact. Having this regard, the purpose of the present investigation is to provide, from a tax and transfer pricing point of view, a systematic and structured analysis of the generally characteristics of business models (manufacturer and sales business models used by multinational enterprises in the process of business reorganization, with the scope to increase their performance and the sustainable competitive advantages. Thus, by using the fundamental (theoretical and qualitative research type, this paper is aiming to present the most important characteristics of each business model (general overview of each model, the principal risk assumed, the usual transfer pricing method used for the remuneration of intra

  17. Palliative Care: Delivering Comprehensive Oncology Nursing Care.

    Science.gov (United States)

    Dahlin, Constance

    2015-11-01

    To describe palliative care as part of comprehensive oncology nursing care. A review of the palliative care, oncology, and nursing literature over the past 10 years. Palliative care is mandated as part of comprehensive cancer care. A cancer diagnosis often results in distress in the physical, psychosocial, spiritual, and emotional domains of care. Oncology nurses are essential in providing palliative care from diagnosis to death to patients with cancer. They address the myriad aspects of cancer. With palliative care skills and knowledge, oncology nurses can provide quality cancer care. There are many opportunities in which oncology nurses can promote palliative care. Oncology nurses must obtain knowledge and skills in primary palliative care to provide comprehensive cancer care. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Health Care Employee Perceptions of Patient-Centered Care: A Photovoice Project

    Science.gov (United States)

    Balbale, Salva Najib; Turcios, Stephanie; LaVela, Sherri L.

    2015-01-01

    Given the importance of health care employees in the delivery of patient-centered care, understanding their unique perspective is essential for quality improvement. The purpose of this study was to use photovoice to evaluate perceptions and experiences around patient-centered care among Veterans Affairs (VA) health care employees. We asked participants to take photographs of salient features in their environment related to patient-centered care. We used the photographs to facilitate dialogue during follow-up interviews. Twelve VA health care employees across two VA sites participated in the project. Although most participants felt satisfied with their work environment and experiences at the VA, several areas for improvement were identified. These included a need for more employee health and wellness initiatives and a need for enhanced opportunities for training and professional growth. Application of photovoice enabled us to learn about employees' unique perspectives around patient-centered care while engaging them in an evaluation of care delivery. PMID:25274626

  19. Foster Care and College: The Educational Aspirations and Expectations of Youth in the Foster Care System

    Science.gov (United States)

    Kirk, Chris M.; Lewis, Rhonda K.; Nilsen, Corinne; Colvin, Deltha Q.

    2013-01-01

    Despite an overall increase in college attendance, low-income youth and particularly those in the foster care system are less likely to attend college (Wolanin, 2005). Although youth in foster care report high educational aspirations, as little as 4% obtain a 4-year college degree (Nixon & Jones, 2007). The purpose of this study is to explore…

  20. Primary care as a means of decreasing health care costs | van ...

    African Journals Online (AJOL)

    The study was focussedat furthering the health objectives of the Government\\'s Reconstruction and Development Programme in the area ofprimary care. The purpose of the study was to examine the possible reduction of medical scheme claims for cardiovascular disease by means of primary care, so that medical scheme ...

  1. Home Health Care and Patterns of Subsequent VA and Medicare Health Care Utilization for Veterans

    Science.gov (United States)

    Van Houtven, Courtney Harold; Jeffreys, Amy S.; Coffman, Cynthia J.

    2008-01-01

    Purpose: The Veterans Affairs or VA health care system is in the process of significantly expanding home health care (HOC) nationwide. We describe VA HHC use in 2003 for all VA HHC users from 2002; we examine whether VA utilization across a broad spectrum of services differed for a sample of VA HHC users and their propensity-score-matched…

  2. Partners in Dementia Care: A Care Coordination Intervention for Individuals with Dementia and Their Family Caregivers

    Science.gov (United States)

    Judge, Katherine S.; Bass, David M.; Snow, A. Lynn; Wilson, Nancy L.; Morgan, Robert; Looman, Wendy J.; McCarthy, Catherine; Kunik, Mark E.

    2011-01-01

    Purpose: This article provides a detailed description of a telephone-based care coordination intervention, Partners in Dementia Care (PDC), for veterans with dementia and their family caregivers. Essential features of PDC included (a) formal partnerships between Veterans Affairs (VA) medical centers and Alzheimer's Association Chapters; (b) a…

  3. Families' experiences of intensive care unit quality of care

    DEFF Research Database (Denmark)

    Jensen, Hanne Irene; Gerritsen, Rik T; Koopmans, Matty

    2015-01-01

    PURPOSE: The purpose of the study is to adapt and provide preliminary validation for questionnaires evaluating families' experiences of quality of care for critically ill patients in the intensive care unit (ICU). MATERIALS AND METHODS: This study took place in 2 European ICUs. Based on literature...... validity. RESULTS: A total of 110 family members participated. Response rate was 87%. For all questions, a median of 97% (94%-99%) was assessed as relevant, and a median of 98% (97%-100%), as understandable. Median ceiling effect was 41% (30%-47%). There was a median of 0% missing data (0%-1%). Test......-retest reliability showed a median weighted κ of 0.69 (0.53-0.83). Validation showed significant correlation between total scores and key questions. CONCLUSIONS: The questions were assessed as relevant and understandable, providing high face and content validity. Ceiling effects were comparable to similar...

  4. Factors influencing implementation of a Survivorship Care Plan : A quantitative process evaluation of the ROGY Care Trial

    NARCIS (Netherlands)

    de Rooij, B.H.; Ezendam, N.P.M.; Nicolaije, K.A.H.; Vos, M.C.; Pijnenborg, J.M.A.; Boll, Dorry; Kruitwagen, R.F.P.M.; van de Poll-Franse, L.V.

    2017-01-01

    Purpose The aim of this study is to investigate the factors that influence implementation of Survivorship Care Plans (SCPs) in the intervention arm of the ROGY Care trial by (1) assessing the level of SCP receipt in the ROGY Care trial and (2) identifying patient- and provider-level factors that

  5. The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care

    Directory of Open Access Journals (Sweden)

    Nick Goodwin

    2001-03-01

    Full Text Available Purpose: This article reviews the impact of successive experiments in the development of primary care organisations in England and assesses the long-term importance of English primary care groups for the integration of health and community and health and social care and the deinstitutionalisation of hospital care. Theory: Governments in a number of Western countries are attempting to improve the efficiency, appropriateness and equity of their health systems. One of the main ways of doing this is to devolve provision and commissioning responsibility from national and regional organisations to more local agencies based in primary care. Such primary care organisations are allocated budgets that span both primary and secondary (hospital services and also, potentially, social care. Method: This article is based on a systematic review of the literature forthcoming from the UK Government's Department of Health-funded evaluations of successive primary care organisational developments. These include total purchasing pilots, GP commissioning group pilots, personal medical services pilots and primary care groups and trusts. Results: Primary care organisations in England have proved to be a catalyst in facilitating the development of integrated care working between primary and community health services. Conversely, primary care organisations have proved less effective in promoting integration between health and social care agencies where most progress has been made at the strategic commissioning level. The development of primary care trusts in England is heralding an end to traditional community hospitals. Conclusions: The development of primary care groups in England are but an intermediate step of a policy progression towards future primary care-based organisations that will functionally integrate primary and community health services with local authority services under a single management umbrella.

  6. 47 CFR 215.0 - Purpose and authority.

    Science.gov (United States)

    2010-10-01

    ... POINT FOR ELECTROMAGNETIC PULSE (EMP) INFORMATION § 215.0 Purpose and authority. The purpose of this part is to designate a focal point within the Federal Government for electromagnetic pulse (EMP...

  7. 5 CFR 841.701 - Purpose and scope.

    Science.gov (United States)

    2010-01-01

    ... (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-GENERAL ADMINISTRATION Cost-of-Living Adjustments § 841.701 Purpose and scope. (a) The purpose of this subpart is to regulate computation of cost-of-living...

  8. 10 CFR 5.100 - Purpose and effective date.

    Science.gov (United States)

    2010-01-01

    ... RECEIVING FEDERAL FINANCIAL ASSISTANCE Introduction § 5.100 Purpose and effective date. The purpose of these... or activity receiving Federal financial assistance, whether or not such program or activity is...

  9. 7 CFR 15a.1 - Purpose and effective date.

    Science.gov (United States)

    2010-01-01

    ... FROM FEDERAL FINANCIAL ASSISTANCE Introduction § 15a.1 Purpose and effective date. The purpose of this... education program or activity receiving Federal financial assistance, whether or not such program or...

  10. Iranian women and care providers' perceptions of equitable prenatal care: A qualitative study.

    Science.gov (United States)

    Gheibizadeh, Mahin; Abedi, Heidar Ali; Mohammadi, Easa; Abedi, Parvin

    2016-06-01

    Equity as a basic human right builds the foundation of all areas of primary healthcare, especially prenatal care. However, it is unclear how pregnant women and their care providers perceive the equitable prenatal care. This study aimed to explore Iranian women's and care providers' perceptions of equitable prenatal care. In this study, a qualitative approach was used. Individual in-depth unstructured interviews were conducted with a purposeful sample of pregnant women and their care providers. Data were analyzed using inductive content analysis method. A total of 10 pregnant women and 10 prenatal care providers recruited from six urban health centers across Ahvaz, a south western city in Iran, were participated in the study. The study was approved by the Ethics Committee affiliated to Ahvaz Jundishapur University of Medical Sciences. The ethical principles of voluntary participation, confidentiality, and anonymity were considered. Analysis of participants' interviews resulted in seven themes: guideline-based care, time-saving care, nondiscriminatory care, privacy-respecting care, affordable comprehensive care, effective client-provider relationships, and caregivers' competency. The findings explain the broader and less discussed dimensions of equitable care that are valuable information for the realization of equity in care. Understanding and focusing on these dimensions will help health policy-makers in designing more equitable healthcare services for pregnant women. © The Author(s) 2015.

  11. Can We Help Care Providers Communicate More Effectively With Persons Having Dementia Living in Long-Term Care Homes?

    Science.gov (United States)

    Rochon, Elizabeth; Sidani, Souraya; Shaw, Alexander; Ben-David, Boaz M.; Saragosa, Marianne; Boscart, Veronique M.; Wilson, Rozanne; Galimidi-Epstein, Karmit K.

    2016-01-01

    Background: Effective communication between residents with dementia and care providers in long-term care homes (LTCHs) is essential to resident-centered care. Purpose: To determine the effects of a communication intervention on residents’ quality of life (QOL) and care, as well as care providers’ perceived knowledge, mood, and burden. Method: The intervention included (1) individualized communication plans, (2) a dementia care workshop, and (3) a care provider support system. Pre- and postintervention scores were compared to evaluate the effects of the intervention. A total of 12 residents and 20 care providers in an LTCH participated in the feasibility study. Results: The rate of care providers’ adherence to the communication plans was 91%. Postintervention, residents experienced a significant increase in overall QOL. Care providers had significant improvement in mood and perceived reduced burden. Conclusion: The results suggest that the communication intervention demonstrates preliminary evidence of positive effects on residents’ QOL and care providers’ mood and burden. PMID:27899433

  12. 25 CFR 39.1000 - Purpose and scope.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Purpose and scope. 39.1000 Section 39.1000 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION THE INDIAN SCHOOL EQUALIZATION PROGRAM Administrative Cost Formula § 39.1000 Purpose and scope. The purpose of this subpart is to provide funds at the...

  13. 24 CFR 35.1000 - Purpose and applicability.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Purpose and applicability. 35.1000 Section 35.1000 Housing and Urban Development Office of the Secretary, Department of Housing and Urban..., Support Services, or Operation § 35.1000 Purpose and applicability. (a) The purpose of this subpart K is...

  14. 33 CFR 107.205 - Purpose and delegation.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Purpose and delegation. 107.205 Section 107.205 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY MARITIME... Cuban Territorial Waters § 107.205 Purpose and delegation. The purpose of this subpart is to implement...

  15. 46 CFR 232.1 - Purpose and applicability.

    Science.gov (United States)

    2010-10-01

    ... ACTIVITIES UNIFORM FINANCIAL REPORTING REQUIREMENTS § 232.1 Purpose and applicability. (a) Purpose. The purpose of this regulation is to establish uniform reporting requirements for the preparation of financial reports and submissions of information to the Maritime Administration. The Maritime Administration will...

  16. 7 CFR 225.1 - General purpose and scope.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false General purpose and scope. 225.1 Section 225.1... AGRICULTURE CHILD NUTRITION PROGRAMS SUMMER FOOD SERVICE PROGRAM General § 225.1 General purpose and scope... primary purpose of the Program is to provide food service to children from needy areas during periods when...

  17. 7 CFR 2902.48 - General purpose household cleaners.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false General purpose household cleaners. 2902.48 Section... PROCUREMENT Designated Items § 2902.48 General purpose household cleaners. (a) Definition. Products designed... procurement preference for qualifying biobased general purpose household cleaners. By that date, Federal...

  18. 7 CFR 2902.37 - General purpose de-icers.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false General purpose de-icers. 2902.37 Section 2902.37... Items § 2902.37 General purpose de-icers. (a) Definition. Chemical products (e.g., salt, fluids) that... preference for qualifying biobased general purpose de-icers. By that date, Federal agencies that have the...

  19. 7 CFR 277.1 - General purpose and scope.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false General purpose and scope. 277.1 Section 277.1 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF... AGENCIES § 277.1 General purpose and scope. (a) Purpose. This part establishes uniform requirements for the...

  20. 7 CFR 285.1 - General purpose and scope.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false General purpose and scope. 285.1 Section 285.1... COMMONWEALTH OF PUERTO RICO § 285.1 General purpose and scope. This part describes the general terms and... government of the Commonwealth of Puerto Rico for the purpose of designing and conducting a nutrition...