WorldWideScience

Sample records for charter national mammography

  1. 76 FR 60848 - National Mammography Quality Assurance Advisory Committee; Notice of Meeting

    Science.gov (United States)

    2011-09-30

    ... HUMAN SERVICES Food and Drug Administration National Mammography Quality Assurance Advisory Committee... be open to the public. Name of Committee: National Mammography Quality Assurance Advisory Committee...) Proposed changes to the Mammography Quality Standard Act (MQSA) policies and inspection procedures;...

  2. On the Charter Question: Black Marxism and Black Nationalism

    Science.gov (United States)

    Stern, Mark; Hussain, Khuram

    2015-01-01

    This article brings two black intellectual traditions to bear on the question of charter schools: black Marxism and black nationalism. The authors examine the theoretical and rhetorical devices used to talk about charters schools by focusing on how notions of "black liberation" are deployed by the charter movement, and to what end. The…

  3. 75 FR 24367 - National Charter Schools Week, 2010

    Science.gov (United States)

    2010-05-05

    ... have a chance to realize the American Dream. Principals, teachers, parents, school boards, and.... NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority... 8, 2010, as National Charter Schools Week. I commend our Nation's charter schools, teachers,...

  4. 78 FR 66964 - International Space Station National Laboratory Advisory Committee; Charter Renewal

    Science.gov (United States)

    2013-11-07

    ... SPACE ADMINISTRATION International Space Station National Laboratory Advisory Committee; Charter Renewal... the International Space Station National Laboratory Advisory Committee. SUMMARY: Pursuant to sections... determined that renewal of the charter of the International Space Station National Laboratory...

  5. 78 FR 79005 - Charter Renewal for the National Park System Advisory Board

    Science.gov (United States)

    2013-12-27

    ... National Park Service Charter Renewal for the National Park System Advisory Board AGENCY: National Park... charter for the National Park System Advisory Board, in accordance with section 14(b) of the Federal... reauthorized legislatively within 2 years of the date of the renewal charter, the Board will revert to...

  6. 77 FR 131 - Charter Renewal for the National Park System Advisory Board

    Science.gov (United States)

    2012-01-03

    ... National Park Service Charter Renewal for the National Park System Advisory Board AGENCY: Department of the... renew the charter for the National Park System Advisory Board, in accordance with section 14(b) of the... reauthorized legislatively within 2 years of the date of the renewal charter, the Board will revert to...

  7. 76 FR 22166 - Renewal of Charter for the National Emergency Medical Services Advisory Council (NEMSAC)

    Science.gov (United States)

    2011-04-20

    ... of the National Emergency Medical Services Advisory Council to provide advice and recommendations regarding emergency medical services (EMS) matters to the U.S. Department of Transportation, National... National Highway Traffic Safety Administration Renewal of Charter for the National Emergency...

  8. 76 FR 65752 - International Space Station (ISS) National Laboratory Advisory Committee; Charter Renewal

    Science.gov (United States)

    2011-10-24

    ... SPACE ADMINISTRATION International Space Station (ISS) National Laboratory Advisory Committee; Charter Renewal AGENCY: National Aeronautics and Space Administration (NASA). ACTION: Notice of renewal and... Relations, (202) 358-0550, National Aeronautics and Space Administration, Washington, DC 20546-0001....

  9. Charter of the United Nations and statute of the International Court of Justice

    CERN Document Server

    United Nations. New York. Department of Public Information

    1993-01-01

    The Charter of the United Nations was signed on 26 June 1945, in San Francisco, at the conclusion of the United Nations Conference on International Organization, and came into force on 24 October 1945. The Statute of the International Court of Justice is an integral part of the Charter.

  10. 75 FR 43492 - Federal Advisory Committee; National Security Education Board; Charter Renewal

    Science.gov (United States)

    2010-07-26

    ... of the Secretary Federal Advisory Committee; National Security Education Board; Charter Renewal... notice that it is renewing the charter for the National Security Education Board (hereafter referred to as the Board). FOR FURTHER INFORMATION CONTACT: Jim Freeman, Deputy Committee Management Officer...

  11. 75 FR 66797 - National Advisory Committee on Occupational Safety and Health (NACOSH), Charter Renewal

    Science.gov (United States)

    2010-10-29

    ... Occupational Safety and Health Administration National Advisory Committee on Occupational Safety and Health (NACOSH), Charter Renewal AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION... National Advisory Committee on Occupational Safety and Health (NACOSH) for two years. FOR...

  12. 78 FR 26995 - National Charter Schools Week, 2013

    Science.gov (United States)

    2013-05-08

    ... expect high standards and accountability, and make tough decisions to close charter schools that are... thriving middle class. Achieving that vision means making sure our education system provides ladders of.... Many charter schools choose to locate in communities with few high- quality educational options,...

  13. 75 FR 29533 - National Advisory Council for Environmental Policy and Technology Notice of Charter Renewal

    Science.gov (United States)

    2010-05-26

    ... Environmental Policy and Technology Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA... U.S.C. App.2, the National Advisory Council for Environmental Policy and Technology (NACEPT) is a...

  14. 77 FR 27553 - National Charter Schools Week, 2012

    Science.gov (United States)

    2012-05-10

    ... prepare them to thrive in the global economy. For years, charter schools have brought new ideas to the... succeed can serve as models of reform for other public schools. In an economy where knowledge is our most..., President of the United States of America, by virtue of the authority vested in me by the Constitution...

  15. 77 FR 15997 - National Medal of Technology and Innovation Nomination Evaluation Committee Charter Renewal

    Science.gov (United States)

    2012-03-19

    ... United States Patent and Trademark Office National Medal of Technology and Innovation Nomination... Technology and Innovation Nomination Evaluation Committee on March 1, 2012. DATES: The Charter for the National Medal of Technology and Innovation Nomination Evaluation Committee was renewed on March 1,...

  16. 78 FR 6328 - Board of Scientific Counselors, National Center for Health Statistics: Notice of Charter Renewal

    Science.gov (United States)

    2013-01-30

    ... HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors, National Center for Health Statistics: Notice of Charter Renewal This gives notice under the Federal Advisory Committee Act (Pub. L. 92-463) of October 6, 1972, that the Board of Scientific Counselors, National...

  17. Digital information management: a progress report on the National Digital Mammography Archive

    Science.gov (United States)

    Beckerman, Barbara G.; Schnall, Mitchell D.

    2002-05-01

    Digital mammography creates very large images, which require new approaches to storage, retrieval, management, and security. The National Digital Mammography Archive (NDMA) project, funded by the National Library of Medicine (NLM), is developing a limited testbed that demonstrates the feasibility of a national breast imaging archive, with access to prior exams; patient information; computer aids for image processing, teaching, and testing tools; and security components to ensure confidentiality of patient information. There will be significant benefits to patients and clinicians in terms of accessible data with which to make a diagnosis and to researchers performing studies on breast cancer. Mammography was chosen for the project, because standards were already available for digital images, report formats, and structures. New standards have been created for communications protocols between devices, front- end portal and archive. NDMA is a distributed computing concept that provides for sharing and access across corporate entities. Privacy, auditing, and patient consent are all integrated into the system. Five sites, Universities of Pennsylvania, Chicago, North Carolina and Toronto, and BWXT Y12, are connected through high-speed networks to demonstrate functionality. We will review progress, including technical challenges, innovative research and development activities, standards and protocols being implemented, and potential benefits to healthcare systems.

  18. 76 FR 7217 - Board of Scientific Counselors, National Center for Health Statistics: Notice of Charter Renewal

    Science.gov (United States)

    2011-02-09

    ... HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors, National Center for Health Statistics: Notice of Charter Renewal This gives notice under the Federal Advisory Committee Act (Public Law 92-463) of October 6, 1972, that the Board of Scientific Counselors,...

  19. The Ark of Hope: Carrying the Earth Charter toward United Nations.

    Science.gov (United States)

    Linder, Sally

    2002-01-01

    Thousands of people from 51 countries created the Earth Charter, which heralds humankind's respectful recognition of life's interdependence and our shared responsibility for the world's well-being. A Vermont group put it in an "Ark of Hope" and walked it through four states to the United Nations. Related art workshops held in Vermont schools and…

  20. The National Study of Charter Management Organization (CMO) Effectiveness. Charter-School Management Organizations: Diverse Strategies and Diverse Student Impacts

    Science.gov (United States)

    Furgeson, Joshua; Gill, Brian; Haimson, Joshua; Killewald, Alexandra; McCullough, Moira; Nichols-Barrer, Ira; Teh, Bing-ru; Verbitsky-Savitz, Natalya; Bowen, Melissa; Demeritt, Allison; Hill, Paul; Lake, Robin

    2011-01-01

    Charter schools--public schools of choice that are operated autonomously, outside the direct control of local school districts--have become more prevalent over the past two decades. There is no consensus about whether, on average, charter schools are doing better or worse than conventional public schools at promoting the achievement of their…

  1. Transition from film to digital mammography: Impact for breast cancer screening through the national breast and cervical cancer early detection program

    NARCIS (Netherlands)

    N.T. van Ravesteyn (Nicolien); L. Van Lier (Lisanne); C.B. Schechter (Clyde); D.U. Ekwueme (Donatus U.); J. Royalty (Janet); J.W. Miller (Jacqueline W.); A.M. Near (Aimee); K.A. Cronin (Kathleen); E.A.M. Heijnsdijk (Eveline); J.S. Mandelblatt (Jeanne); H.J. de Koning (Harry)

    2015-01-01

    textabstractIntroduction The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides mammograms and diagnostic services for low-income, uninsured women aged 40-64 years. Mammography facilities within the NBCCEDP gradually shifted from plain-film to digital mammography. The pur

  2. Inconsistent self-reported mammography history: Findings from the National Population Health Survey longitudinal cohort

    Directory of Open Access Journals (Sweden)

    Snider Judy

    2004-11-01

    Full Text Available Abstract Background Self-reported information has commonly been used to monitor mammography utilization across populations and time periods. However, longitudinal investigations regarding the prevalence and determinants of inconsistent responses over time and the impact of such responses on population screening estimates are lacking. Methods Based on longitudinal panel data for a representative cohort of Canadian women aged 40+ years (n = 3,537 assessed in the 1994–95 (baseline and 1996–97 (follow-up National Population Health Survey (NPHS, we examined the prevalence of inconsistent self-reports of mammography utilization. Logistic regression models were used to estimate the associations between women's baseline sociodemographic and health characteristics and 2 types of inconsistent responses: (i baseline reports of ever use which were subsequently contradicted by follow-up reports of never use; and (ii baseline reports of never use which were contradicted by follow-up reports of use prior to 1994–95. Results Among women who reported having a mammogram at baseline, 5.9% (95% confidence interval (CI: 4.6–7.3% reported at follow-up that they had never had one. Multivariate logistic regression analyses showed that women with such inconsistent responses were more often outside target age groups, from low income households and less likely to report hormone replacement therapy and Pap smear use. Among women reporting never use at baseline and ever use at follow-up, 17.4% (95%CI: 11.7–23.1% reported their most recent mammogram as occurring prior to 1994–95 (baseline and such responses were more common among women aged 70+ years and those in poorer health. Conclusions Women with inconsistent responses of type (i, i.e., ever users at baseline but never users at follow-up, appeared to exhibit characteristics typical of never users of mammography screening. Although limited by sample size, our preliminary analyses suggest that type (ii

  3. Charter Halibut Limited Access Program

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This limited access system limits the number of charter vessels that may participate in the guided sport fishery for halibut in area 2C and 3A. NMFS issues a charter...

  4. Charter Schools as Nation Builders: Democracy Prep and Civic Education. Policy Brief 4

    Science.gov (United States)

    Lautzenheiser, Daniel; Kelly, Andrew P.

    2013-01-01

    This policy brief is the first in a series of in-depth case studies exploring how top-performing charter schools have incorporated civic learning in their school curriculum and school culture. This paper introduces Democracy Prep, a network of seven public charter schools with a civic mission at its core. Democracy Prep's founder and…

  5. Integrated Forest Management Charter

    Energy Technology Data Exchange (ETDEWEB)

    Hansen, Leslie A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2015-08-24

    The purpose of this charter is to establish, maintain, and implement programs for the protection, preservation, and enhancement of the land and water resources of Los Alamos National Laboratory in a changing climate.

  6. Mammography Facilities

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Mammography Facility Database is updated periodically based on information received from the four FDA-approved accreditation bodies: the American College of...

  7. Pelagic Charter Boat Patrons (1999-2001)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This study describes several aspects of the charter fishing experience, including patrons' motivations for coming to Hawaii and going charter fishing, their related...

  8. 77 FR 39705 - National Advisory Council for Environmental Policy and Technology; Charter Renewal

    Science.gov (United States)

    2012-07-05

    ... Environmental Policy and Technology; Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION... Advisory Council for Environmental Policy and Technology (NACEPT) is a necessary committee which is in the... environmental policy, technology and management issues. Inquiries may be directed to Mark Joyce, U.S. EPA,...

  9. Experience with the European quality assurance guidelines for digital mammography systems in a national screening programme.

    Science.gov (United States)

    McCullagh, J; Keavey, E; Egan, G; Phelan, N

    2013-02-01

    The transition to a fully digital breast screening programme, utilising three different full-field digital mammography (FFDM) systems has presented many challenges to the implementation of the European guidelines for physico-technical quality assurance (QA) testing. An analysis of the QA results collected from the FFDM systems in the screening programme over a 2-y period indicates that the three different systems have similar QA performances. Generally, the same tests were failed by all systems and failure rates were low. The findings provide some assurance that the QA guidelines are being correctly implemented. They also suggest that there is more scope for the development of the relevance of the guidelines with respect to modern FFDM systems. This study has also shown that a summary review of the QA data can be achieved by simple organisation of the QA data storage and by automation of data query and retrieval using commonly available software.

  10. CADx Mammography

    Science.gov (United States)

    Costaridou, Lena

    Although a wide variety of Computer-Aided Diagnosis (CADx) schemes have been proposed across breast imaging modalities, and especially in mammography, research is still ongoing to meet the high performance CADx requirements. In this chapter, methodological contributions to CADx in mammography and adjunct breast imaging modalities are reviewed, as they play a major role in early detection, diagnosis and clinical management of breast cancer. At first, basic terms and definitions are provided. Then, emphasis is given to lesion content derivation, both anatomical and functional, considering only quantitative image features of micro-calcification clusters and masses across modalities. Additionally, two CADx application examples are provided. The first example investigates the effect of segmentation accuracy on micro-calcification cluster morphology derivation in X-ray mammography. The second one demonstrates the efficiency of texture analysis in quantification of enhancement kinetics, related to vascular heterogeneity, for mass classification in dynamic contrast-enhanced magnetic resonance imaging.

  11. Smarter Charters

    Science.gov (United States)

    Kahlenberg, Richard D.; Potter, Halley

    2015-01-01

    Charter schools--what was their original promise? They would enroll diverse groups of students. They would give teachers the room and power to innovate. They would be educational laboratories that would find new ways to reach students, and they would share those lessons with other public schools. But charter schools haven't lived up to their…

  12. Mammography; Mamma

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, U.; Baum, F. [Diagnostisches Brustzentrum, Goettingen (Germany)

    2007-07-01

    The book covers the stat-of-the art of mammographic diagnostics. The first chapter on the diagnostic methods, i.e. sonography and mammography, includes a short definition of the specific methods, technical device descriptions, information on radiation exposure and radiation protection, quality criteria and data analysis methods. The other chapters contain a variety of demonstrating images on the respective topics: definitions and indications, benign changes, evaluation criteria and borderline findings, mammal carcinomas, other malignomas, post-traumatic lesions, and prosthetics.

  13. Charter of the Sandia National Laboratories Sandia Postdoctoral Development (SPD) Association.

    Energy Technology Data Exchange (ETDEWEB)

    McBride, Amber Alane Fisher; McBride, Amber Alane Fisher; Rodgers, Theron; Dong, Wen; Juan, Pierre-Alexandre; Barkholtz, Heather; Alley, William Morgan; Wolk, Benjamin Matthew; Vane, Zachary Phillips; Priye, Aashish; Ball, Cameron Scott; McBride, Amber Alane Fisher

    2017-03-01

    The SNL SPD Association represents all personnel that are classified as Postdoctoral Appointees at Sandia National Laboratories. The purpose of the SNL SPD Association is to address the needs and concerns of Postdoctoral Appointees within Sandia National Laboratories.

  14. FDA Certified Mammography Facilities

    Science.gov (United States)

    ... Products Radiation-Emitting Products Home Radiation-Emitting Products Mammography Quality Standards Act and Program Consumer Information (MQSA) ... it Email Print This list of FDA Certified Mammography Facilities is updated weekly. If you click on ...

  15. Charter Schools and Race: A Lost Opportunity for Integrated Education

    Directory of Open Access Journals (Sweden)

    Erica Frankenberg

    2003-09-01

    Full Text Available Segregation patterns in the nation's charter schools are studied. After reviewing state charter legislation that directly addresses issues of racial and ethnic balance of student enrollment, we briefly examine the racial composition and segregation of the charter school population nationally. School-level analyses, aggregated by state constitute the primary method of studying segregation in charter schools. First, we look at racial composition and segregation of charter schools by state. Then, we consider the differences in segregation between non-charter public schools (or simply "public schools" for convenience and charter schools, as well as segregation within the charter school sector. We conclude with a discussion of the article's findings and recommendations to promote further racial equity in this growing sector of public schools.

  16. Books or Guards? Charter School Security Costs

    Science.gov (United States)

    DeAngelis, Karen J.; Brent, Brian O.

    2012-01-01

    Little is known about the costs charter schools incur to foster security--a vexing phenomenon when one considers policymakers' and parents' seemingly high and growing want for school safety. Using data from the National Center for Education Statistics and Texas, we reveal how much charter schools spend on security, how they put these resources to…

  17. Charter Schools, Civil Rights and School Discipline: A Comprehensive Review

    Science.gov (United States)

    Losen, Daniel J.; Keith, Michael A., II; Hodson, Cheri L.; Martinez, Tia E.

    2016-01-01

    This report, along with the companion spreadsheet, provides the first comprehensive description ever compiled of charter school discipline. In 2011-12, every one of the nation's 95,000 public schools was required to report its school discipline data, including charter schools. This analysis, which includes more than 5,250 charter schools, focuses…

  18. School Food Environment of Charter Schools in St. Louis

    Science.gov (United States)

    Linsenmeyer, Whitney; Kelly, Patrick; Jenkins, Steve; Mattfeldt-Berman, Mildred

    2013-01-01

    Purpose/Objectives: The purpose of this study was to explore the school food environment of charter schools in Saint Louis, Missouri. The objectives were to: (1) describe the participation of charter schools in the National School Lunch Program and (2) describe the prevalence of competitive foods in charter schools. Methods: School administrators…

  19. Academic Achievement of Students in a Charter Homeschool

    Science.gov (United States)

    Leeds, Mary A.

    2009-01-01

    A recent development in education is the public charter school as a homeschool model. In several states across the nation, a child may enroll in an independent study program of a public charter school and base his or her studies in the home. This model in the realm of education is called charter homeschool. The state of California has over 120…

  20. Resource Allocation and Performance Management in Charter Schools: Connections to Student Success. Research Brief

    Science.gov (United States)

    Wong, Kenneth K.; Shen, Francis X.; Purvis, Elizabeth D.

    2010-01-01

    A consensus is emerging among researchers who study charter schools that general conclusions about whether or not charter schools nationally perform better than traditional public schools are difficult to achieve (Buddin & Zimmer, 2005). Rather than asking, "Are charter schools working?" the better questions to ask might be, "Which charter schools…

  1. Barriers to screening mammography.

    Science.gov (United States)

    Sarma, Elizabeth A

    2015-01-01

    Breast cancer (BRCA) is the second most commonly diagnosed cancer among women in the USA, and mammography is an effective means for the early detection of BRCA. Identifying the barriers to screening mammography can inform research, policy and practice aiming to increase mammography adherence. A literature review was conducted to determine common barriers to screening mammography adherence. PsycINFO and PubMed databases were searched to identify studies published between 2000 and 2012 that examined barriers associated with reduced mammography adherence. Three thematic groups of barriers, based on social ecology, were identified from the literature: healthcare system-level, social and individual-level barriers. Researchers must consider screening behaviour in context and, therefore, should simultaneously consider each level of barriers when attempting to understand screening behaviour and create interventions to increase mammography adherence.

  2. Hawaii Charter Fishing Cost Earnings Survey 2012

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These data represent a cost-earnings study of the main Hawaiian Island Charter fishing fleet in 2012. Data collected include fisher classification, vessel...

  3. Comparison of standard reading and computer aided detection (CAD) on a national proficiency test of screening mammography

    Energy Technology Data Exchange (ETDEWEB)

    Ciatto, Stefano E-mail: s.ciatto@cspo.it; Del Turco, Marco Rosselli; Risso, Gabriella; Catarzi, Sandra; Bonardi, Rita; Viterbo, Valeria; Gnutti, Pierangela; Guglielmoni, Barbara; Pinelli, Lelio; Pandiscia, Anna; Navarra, Francesco; Lauria, Adele; Palmiero, Rosa; Indovina, Pietro Luigi

    2003-02-01

    Objective: To evaluate the role of computer aided detection (CAD) in improving the interpretation of screening mammograms Material and methods: Ten radiologists underwent a proficiency test of screening mammography first by conventional reading and then with the help of CAD. Radiologists were blinded to test results for the whole study duration. Results of conventional and CAD reading were compared in terms of sensitivity and recall rate. Double reading was simulated combining conventional readings of four expert radiologists and compared with CAD reading. Results: Considering all ten readings, cancer was identified in 146 or 153 of 170 cases (85.8 vs. 90.0%; {chi}{sup 2}=0.99, df=1, P=0.31) and recalls were 106 or 152 of 1330 cases (7.9 vs. 11.4%; {chi}{sup 2}=8.69, df=1, P=0.003) at conventional or CAD reading, respectively. CAD reading was essentially the same (sensitivity 97.0 vs. 96.0%; {chi}{sup 2}=7.1, df=1, P=0.93; recall rate 10.7 vs. 10.6%; {chi}{sup 2}=1.5, df=1, P=0.96) as compared with simulated conventional double reading. Conclusion: CAD reading seems to improve the sensitivity of conventional reading while reducing specificity, both effects being of limited size. CAD reading had almost the same performance of simulated conventional double reading, suggesting a possible use of CAD which needs to be confirmed by further studies inclusive of cost-effective analysis.

  4. Frequently Asked Questions about Digital Mammography

    Science.gov (United States)

    ... Consumer Information (MQSA) Frequently Asked Questions About Digital Mammography Share Tweet Linkedin Pin it More sharing options ... mammography exams, such as DBT? What is digital mammography? Full field digital mammography (FFDM, also known simply ...

  5. Survey of mammography practices

    Energy Technology Data Exchange (ETDEWEB)

    Bassett, L.W.; Diamond, J.J.; Gold, R.H.; McLelland, R.

    1987-12-01

    Of the 319 radiologists who responded to a survey concerning mammography practices, 50% were employed in a private hospital and 26% in a private office. Film-screen mammography was used most often (54%) followed by xeromammography (30%) and a combination of film-screen and xeromammography (16%). Of the respondents, 62% had changed their method of performing mammography in the last 10 years. Of these, 50% had switched from xeromammography to film-screen, 23% from direct film to film-screen, 15% from direct film to xeromammography, and 6% from film-screen to xeromammography. Mammographic equipment had been purchased by 71% of respondents after 1983. Most respondents (71%) monitored mammography equipment doses, usually at 6- to 12-month intervals. Manual breast examinations were done at the time of mammography at 42% of the facilities, and breast self-examination was taught at 32%. For screening, 87.4% used a two-view examination, 92% required the name of a referring physician to whom the report could be sent, 28% accepted self-referred patients, and only 12% charged a reduced fee for screening. Breast sonography was performed by 53% (93% hand-held vs 7% automated), but none used sonography for screening. Only one respondent reported using thermography; three used light scanning. A need for postgraduate mammography courses for radiologists was indicated by 81%, while 69% recommended technologist courses and 64% recommended 1-week fellowships for radiologists.

  6. Danish Quality Database for Mammography Screening

    DEFF Research Database (Denmark)

    Mikkelsen, Ellen Margrethe; Njor, Sisse Helle; Vejborg, Ilse Merete Munk

    2016-01-01

    AIM: The Danish Quality Database for Mammography Screening (DKMS) was established in 2007, with the aim to monitor, sustain, and improve the quality of the Danish national breast cancer screening program. STUDY POPULATION: All Danish women aged 50-69 years who were invited every 2 years for breast...

  7. MR Mammography (MRM). MR-Mammographie (MRM)

    Energy Technology Data Exchange (ETDEWEB)

    Kaiser, W.A. (Radiologische Universitaetsklinik Bonn (Germany))

    1991-01-01

    MR mammography is carried out using a special breast coil. Gd-DTPA is injected as a contrast medium. Gradient-echo sequences are superior to the formerly used spin-echo sequences in that they show a greater sensitivity to contrast media. After the advent of gradient-echo sequences, the 0.2 mmol/kg dose that used to be injected in connection with spin-echo sequences was regarded as being too high. The best results were then achieved with 0.1 mmol/kg injections amounting to no more than 50% of the former dose. Provided that magnetic resonance imaging of the breast is carried out using the spexial examination technique discussed here, it may justly be described as magnetic resonance mammography (MRM). MR criteria are defined for such conditions as carcinoma, fibroadenoma, scars, mastopathy and cysts. (GDG).

  8. Practical digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Hashimoto, Beverly E. [Washington Univ., Seattle, WA (United States)]|[Virginia Mason Medical Center, VA (United States)

    2008-07-01

    This book is meant for the radiologist who is facing the challenge of organizing a digital mammographic imaging center. This text is meant to be a practical book that provides information about digital mammographic physics and equipment which will allow one to intelligently compare technologies and systems. Some of the major challenges include: large expense; rapidly changing technology, and inconsistent connectivity; and finally, need for strong information technology support. The initial conversion cost to digital mammographic imaging is relatively expensive due to the cost of digital mammography hardware, software, and storage. Virtually all other imaging modalities are being converted to purely digital storage and transfer, and the digital trend in mammography is inevitable. Technical advantages of digital mammography are described. However, the improved flexibility in image display and transfer are some of its strongest features. In conclusion, although there are increasing imaging modalities that may be used to evaluate breast disease, mammography will continue to play a key role in detecting breast cancer. To be an effective imager, the radiologist should become familiar with digital mammography and understand its role within the increasing complex structure of breast imaging techniques.

  9. 78 FR 57903 - Aerospace Safety Advisory Panel; Charter Renewal

    Science.gov (United States)

    2013-09-20

    ... SPACE ADMINISTRATION Aerospace Safety Advisory Panel; Charter Renewal AGENCY: National Aeronautics and Space Administration (NASA). ACTION: Notice of renewal and amendment of the charter of the Aerospace... the Aerospace Safety Advisory Panel is in the public interest in connection with the performance...

  10. 78 FR 66964 - International Space Station Advisory Committee; Charter Renewal

    Science.gov (United States)

    2013-11-07

    ... SPACE ADMINISTRATION International Space Station Advisory Committee; Charter Renewal AGENCY: National... International Space Station Advisory Committee. SUMMARY: Pursuant to sections 14(b)(1) and 9(c) of the Federal... charter of the International Space Station Advisory Committee is in the public interest in connection...

  11. Mammography - misunderstood and underutilized

    Energy Technology Data Exchange (ETDEWEB)

    Broadbent, R.V.; Reid, M.H.

    1981-12-01

    A mammography screening program for breast cancer carried out in Sacramento by the University of California Davis School of Medicine, Davis, was canceled because of negative public reaction to sensationalized reports in the lay press on the potential carcinogenic risks of the radiation exposure, along with passivity on the part of the medical community in defending the procedure and the program. Disappointment in this occurrence spurred us to explore physician's knowledge of and attitudes toward breast cancer and mammography. The results confirmed our suspicions that a significant number of physicians lack accurate knowledge of breast cancer and of the extremely high benefit-to-risk ratio of mammography as a means of early detection.

  12. Image quality in mammography

    Energy Technology Data Exchange (ETDEWEB)

    Haus, A.G.; Doi, K.; Metz, C.E. Bernstein, J.

    1976-01-01

    In mammography, image quality is a function of the shape, size, and x-ray absorption properties of the anatomic part to be radiographed and of the lesion to be detected; it also depends on geometric unsharpness, and the resolution, characteristic curve and noise properties of the recording system. X-ray energy spectra, modulation transfer functions, Wiener spectra, characteristic and gradient curves, and radiographs of a breast phantom and of a resected breast specimen containing microcalcifications are used in a review of some current considerations of the factors, and the complex relationship among factors, that affect image quality in mammography. Image quality and patient radiation exposure in mammography are interrelated. An approach to the problem of evaluating the trade-off between diagnostic certainty and the cost or risk of performing a breast imaging procedure is discussed.

  13. Abolishing mammography screening programs?

    OpenAIRE

    2015-01-01

    Biller-Andorno and Jüni (2014), in a widely debated commentary published in the May 22 issue of the New England Journal of Medicine, accept the concept that mammography every 2 years from age 50 can decrease breast cancer mortality by 20%, that is, from five to four deaths per 1000 women over a 10-year period. Both the absolute and the relative risk of breast cancer death may vary depending on the baseline mortality rates in various populations and on the impact of screening mammography in re...

  14. Mammography screening in denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse Merete Munk; Mikkelsen, Ellen Margrethe; Garne, Jens Peter

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality...

  15. Mammography screening in Denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse; Mikkelsen, Ellen Margrethe; Garne, Jens Peter

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality...

  16. 75 FR 26258 - Office of the Director; Notice of Charter Renewal for the National Science Advisory Board for...

    Science.gov (United States)

    2010-05-11

    ... National Science Advisory Board for Biosecurity In accordance with Title 41 of the U.S. Code of Federal... Board for Biosecurity (NSABB) was renewed for an additional two-year period on April 7, 2010. It...

  17. AFSC/REFM: Alaska Saltwater Sport Fishing Charter Business Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The purpose of this project was to collect cost, earning, and employment information from the Alaska saltwater sport fishing charter business sector during the...

  18. The evolution of mammography.

    Science.gov (United States)

    Gold, R H

    1992-01-01

    The history of mammography can be arbitrarily subdivided into three periods: The Age of Pioneers highlights the work of Salomon, Kleinschmidt, Warren, Vogel, Seabold, Gershon-Cohen, Leborgne, Egan, Gallager, Martin, Dodd, Strax and their colleagues; The Age of Technical Progress adds the names of Gould, Wolfe, and Gros and their co-workers; The Modern Era reflects the contributions of Price, Butler, Ostrum, Becker, Isard, Moskowitz, Sickles, Kopans, Homer, Tabár, and their associates. The ultimate success of mammography, the preeminent method of breast cancer screening, could not have been achieved without the intense vision, idealism, and scientific skill of its creators and nurturers. These investigators deserve a debt of gratitude that society can never adequately repay.

  19. Positron emission mammography imaging

    Energy Technology Data Exchange (ETDEWEB)

    Moses, William W.

    2003-10-02

    This paper examines current trends in Positron Emission Mammography (PEM) instrumentation and the performance tradeoffs inherent in them. The most common geometry is a pair of parallel planes of detector modules. They subtend a larger solid angle around the breast than conventional PET cameras, and so have both higher efficiency and lower cost. Extensions to this geometry include encircling the breast, measuring the depth of interaction (DOI), and dual-modality imaging (PEM and x-ray mammography, as well as PEM and x-ray guided biopsy). The ultimate utility of PEM may not be decided by instrument performance, but by biological and medical factors, such as the patient to patient variation in radiotracer uptake or the as yet undetermined role of PEM in breast cancer diagnosis and treatment.

  20. Positron Emission Mammography imaging

    Science.gov (United States)

    Moses, William W.

    2004-06-01

    This paper examines current trends in Positron Emission Mammography (PEM) instrumentation and the performance tradeoffs inherent in them. The most common geometry is a pair of parallel planes of detector modules. They subtend a larger solid angle around the breast than conventional PET cameras, and so have both higher efficiency and lower cost. Extensions to this geometry include encircling the breast, measuring the depth of interaction (DOI), and dual-modality imaging (PEM and X-ray mammography, as well as PEM and X-ray guided biopsy). The ultimate utility of PEM may not be decided by instrument performance, but by biological and medical factors, such as the patient to patient variation in radiotracer uptake or the as yet undetermined role of PEM in breast cancer diagnosis and treatment.

  1. Mammography accreditation program

    Energy Technology Data Exchange (ETDEWEB)

    Wilcox, P.

    1993-12-31

    In the mid-1980`s, the movement toward the use of dedicated mammography equipment provided significant improvement in breast cancer detection. However, several studies demonstrated that this change was not sufficient to ensure optimal image quality at a low radiation dose. In particular, the 1985 Nationwide Evaluation of X-ray Trends identified the wide variations in image quality and radiation dose, even from dedicated units. During this time period, the American Cancer Society (ACS) launched its Breast Cancer Awareness Screening Campaign. However, there were concerns about the ability of radiology to respond to the increased demand for optimal screening examinations that would result from the ACS program. To respond to these concerns, the ACS and the American College of Radiology (ACR) established a joint committee on mammography screening in 1986. After much discussion, it was decided to use the ACR Diagnostic Practice Accreditation Program as a model for the development of a mammography accreditation program. However, some constraints were required in order to make the program meet the needs of the ACS. This voluntary, peer review program had to be timely and cost effective. It was determined that the best way to address these needs would be to conduct the program by mail. Finally, by placing emphasis on the educational nature of the program, it would provide an even greater opportunity for improving mammographic quality. The result of this effort was that, almost six years ago, in May 1987, the pilot study for the ACR Mammography Accreditation Program (MAP) began, and in August of that year, the first applications were received. In November 1987, the first 3-year accreditation certificates were awarded.

  2. Performance Management in Portfolio School Districts. A Report from the Doing School Choice Right Project and the National Charter School Research Project

    Science.gov (United States)

    Lake, Robin J.; Hill, Paul T.

    2009-01-01

    The search continues for effective ways to educate disadvantaged children in big cities. Different cities have tried varied approaches--intensive work on the professional skills of teachers and administrators in Boston, standardized approaches to instruction in San Diego, and extensive use of vouchers and chartering in Washington, D.C., and…

  3. Charter Schools and Market Segmentation

    Science.gov (United States)

    Batie, Michael

    2009-01-01

    This dissertation was undertaken to examine the effect(s) of charter school marketing on the Los Angeles Unified School District (LAUSD) education landscape with respect to the stratification of charter schools. Information from four sources: school websites, a survey of charter school parents, existing online statistics and data, and various…

  4. Charter Schools: Experiments in Reform.

    Science.gov (United States)

    Dunn, David

    By March 1994, eight states had adopted charter-school legislation. This report defines the charter-school concept and describes its advantages and disadvantages. Proponents argue that charter schools offer flexibility, decentralized decision making, a performance accountability, and school choice, and increased pressure for change. Opponents…

  5. Does Distance Matter? Distance to Mammography Facilities and Stage at Diagnosis of Breast Cancer in Kentucky

    Science.gov (United States)

    Huang, Bin; Dignan, Mark; Han, Daikwon; Johnson, Owen

    2009-01-01

    Background: National and regional data indicate that breast cancer early detection is low in Kentucky, especially rural regions, perhaps because access to mammography services can be problematic. Objective: This study examined the distance between residences of women diagnosed with breast cancer and the nearest mammography facility, as a risk…

  6. MR mammography (MRM)

    Energy Technology Data Exchange (ETDEWEB)

    Kaiser, W.A.

    1993-01-01

    The book deals with MRI for the diagnostic evaluation of malignant breast lesions. A survey of methods available for breast examination, magnetic resonance mammography (MRM) is briefly explained in terms of development and technical problems encountered in the various examinations. The clinical aspects from a central part of the book, giving information relating to the various neoplasms and a comprehensive review of cases. The book concludes with a chapter discussing the interpretation of data and images, presenting examples of normal findings and of manifestations of carcinoma, fibroadenoma, cysts, mastopathies, scars due to plastic surgery, and the lactating breast. (UWA). 648 figs., 25 tabs.

  7. Mammography screening in Denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse; Mikkelsen, Ellen Margrethe; Garne, Jens Peter;

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality......, but it is not possible to evaluate the effect on mortality until several years later, and continuously monitoring of the quality of all aspects of a screening programme is necessary. Based on other European guidelines, 11 quality indicators have been defined, and guidelines concerning organizational requirements...

  8. Pain and discomfort during mammography

    DEFF Research Database (Denmark)

    Aro, A R; Absetz-Ylöstalo, P; Eerola, T

    1996-01-01

    The aim of this prospective study was to investigate associations of mammography pain and discomfort with sociodemographics, personal history and psychological and situational factors. Subjects were women with a negative screening finding (n = 883) from a random sample of 50-year-old Finnish women...... was the most powerful factor explaining pain and discomfort among women with earlier mammography. However, it had no effect among women without earlier mammography, for whom screening-related nervousness and perceptions of staff were crucial. Suggested interventions include better information before screening...

  9. The Impact of the Charter of Fundamental Rights of the European Union on VAT Law

    DEFF Research Database (Denmark)

    Elgaard, Karina Kim Egholm

    2016-01-01

    The Charter of Fundamental Rights of the European Union became legally binding following its entry into force with the Lisbon Treaty on 1 December 2009, and it has the same legal value as the EU Treaties. Since then, the EU fundamental rights aspect of VAT law has not been subject to much academic...... discussion or particular attention from VAT practitioners. This article contributes to further development of research in the area of EU fundamental rights and VAT law by examining; when the Charter is relevant in VAT law and if so how the Charter manifests itself in EU VAT case law, and what special...... interpretative principles the Charter triggers itself in connection with interpretation of fundamental rights comprised by the Charter. The Charter has proved to play an important—but also diversified—role in both formal and substantive aspects of VAT law, such as national rules on administrative sanctions...

  10. Overdiagnosis in screening mammography in Denmark

    DEFF Research Database (Denmark)

    Njor, Sisse Helle; Olsen, Anne Helene; Blichert-Toft, Mogens

    2013-01-01

    To use data from two longstanding, population based screening programmes to study overdiagnosis in screening mammography.......To use data from two longstanding, population based screening programmes to study overdiagnosis in screening mammography....

  11. Impact of screening mammography on breast cancer mortality.

    Science.gov (United States)

    Bleyer, Archie; Baines, Cornelia; Miller, Anthony B

    2016-04-15

    The degree to which observed reductions in breast cancer mortality is attributable to screening mammography has become increasingly controversial. We examined this issue with three fundamentally different approaches: (i) Chronology--the temporal relationship of the onset of breast cancer mortality decline and the national implementation of screening mammography; (ii) Magnitude--the degree to which breast cancer mortality declined relative to the amount (penetration) of screening mammography; (iii) Analogy--the pattern of mortality rate reductions of other cancers for which population screening is not conducted. Chronology and magnitude were assessed with data from Europe and North America, with three methods applied to magnitude. A comparison of eight countries in Europe and North America does not demonstrate a correlation between the penetration of national screening and either the chronology or magnitude of national breast cancer mortality reduction. In the United States, the magnitude of the mortality decline is greater in the unscreened, younger women than in the screened population and regional variation in the rate of breast cancer mortality reduction is not correlated with screening penetrance, either as self-reported or by the magnitude of screening-induced increase in early-stage disease. Analogy analysis of United States data identifies 14 other cancers with a similar distinct onset of mortality reduction for which screening is not performed. These five lines of evidence from three different approaches and additional observations discussed do not support the hypothesis that mammography screening is a primary reason for the breast cancer mortality reduction in Europe and North America.

  12. Charter School Replication. Policy Guide

    Science.gov (United States)

    Rhim, Lauren Morando

    2009-01-01

    "Replication" is the practice of a single charter school board or management organization opening several more schools that are each based on the same school model. The most rapid strategy to increase the number of new high-quality charter schools available to children is to encourage the replication of existing quality schools. This policy guide…

  13. Boot Camps for Charter Boards

    Science.gov (United States)

    Kronholz, June

    2015-01-01

    This article addresses the question of who owns the responsibility when a charter school gets into trouble--when its students aren't learning, or it misses its enrollment targets, or money runs short, or it closes. Upon presenting this question to a director of a charter school, a board member, and a Massachusetts-based education consultant and…

  14. Charter Schools and Democratic Accountability

    Science.gov (United States)

    Henig, Jeffrey R.

    2017-01-01

    In this article, Jeffrey R. Henig states that there is no strong accountability at charter schools without the strong oversight of public officials. When charter schooling first erupted on the scene, policymakers and citizens had little choice but to base their reactions on theory, ideology, or hunch. However twenty-five years in, there is still…

  15. Health insurance and household income associated with mammography utilization among American women, 2000-2008

    Institute of Scientific and Technical Information of China (English)

    ZHAO Da-hai; ZHANG Zhi-ruo; RAO Ke-qin

    2011-01-01

    Background National Breast and Cervical Cancer Early Detection Program (NBCCEDP) has provided free or low-costmammograms to low-income or no health insurance women in all of the states of the United States (US) since 1997.The objective of this study was to understand whether health insurance and annual household income impacted the mammography utilization since the implementation of NBCCEDP,in order to evaluate how the implementation of NBCCEDP impacted mammography utilization among American women.Methods Data were from the database of Behavioral Risk Factor Surveillance System (BRFSS) of the CDC in US.Mammography utilization was measured by whether the American woman aged 40 to 64 years had the mammography within the last two years.The chi square test and multivariate Logistic regression were used to evaluate the associations between mammography utilization and health insurance,annual household income,and other factors for any given year.Results From 2000 to 2008,the rate of mammography utilization among participants had a steady decrease on the whole from 86.7% to 83.8%.The results showed that the mammography utilization correlated significantly with health insurance and annual household income for any given year.The results also showed that compared with participants who were uninsured,those who were insured had a greater times higher rate of mammography in 2008 than any other year from 2000 to 2008,and compared with participants whose annual household income was below $15 000,those whose annual household income was above $50 000 had a greater times higher rate of mammography in 2008 than in 2004 and 2006.Conclusions Health insurance and annual household income impacted the mammography utilization for any given year from 2000 to 2008,and the implementation of NBCCEDP has not achieved its original goal on breast cancer screening.

  16. 78 FR 2445 - Notice of Intent To Renew the Advisory Committee on Apprenticeship (ACA) Charter

    Science.gov (United States)

    2013-01-11

    ... Employment and Training Administration Notice of Intent To Renew the Advisory Committee on Apprenticeship... Renew Charter. SUMMARY: The Secretary of Labor has determined that the renewal of a national advisory... renew the ACA Charter with revisions. The revisions are not intended to change the purpose or...

  17. Charter High Schools' Effects on Long-Term Attainment and Earnings

    Science.gov (United States)

    Sass, Tim R.; Zimmer, Ron W.; Gill, Brian P.; Booker, T. Kevin

    2016-01-01

    Since their inception in 1992, the number of charter schools has grown to more than 6,800 nationally, serving nearly three million students. Various studies have examined charter schools' impacts on test scores, and a few have begun to examine longer-term outcomes including graduation and college attendance. This paper is the first to estimate…

  18. Patient's rights charter in Iran.

    Directory of Open Access Journals (Sweden)

    Alireza Parsapoor

    2014-01-01

    Full Text Available Given the importance of patient's rights in healthcare, special attention has been given to the concept of patient's rights by the Ministry of Health and Medical Education in Iran. Iranian patient's rights charter has been compiled with a novel and comprehensive approach. This charter aims to elucidate rights of recipients of health services as well as observing ethical standards in medicine. This paper presents the Iranian patient's rights charter. Based on a study done from 2007 to 2009, the charter has been finalized through an extensive consultation involving all stakeholders, patients, physicians, nurses, lawyers, patient associations and health policy makers. The developed charter was adopted by the Ministry of Health in December 2009. Iranian patient's rights charter has been formulated in the framework of 5 chapters and 37 articles including vision and an explanatory note. The five chapters concern right to receiving appropriate services, right to access desired and enough information, right to choose and decide freely about receiving healthcare, right to privacy and confidentiality, and finally right to access an efficient system of dealing with complaints which have been explained in 14, 9, 7, 4 and 3 articles, respectively.  The paper concludes that, adopting the patient's rights charter is a valuable measure to meet patient's rights; however, a serious challenge is how to implement and acculturate observing patient's rights in practice in our healthcare system in Iran.

  19. Mobility Charters and Manifestos

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    2010-01-01

    and ethical positions on mobility prevail. Such ‘imagined correct mobility behavior’ are drawing on larger issues of societal change that need to be brought out in a critical analysis and discussion reflecting the attempts to control, design and orchestrate mobility patterns. The paper therefore argues within......This paper explore a number of different cases of articulating notions of ‘correct’ mobility behavior and practice by looking into charters, manifestos and codes of mobility regulation. Within such discourses of ‘correct mobility’ more or less subtle expressions of power as well as normative...... the ‘mobility turn’ that mobility is much more than movement from A to B. Seeing the cultural dimension as well as the underpinning power plays of normative mobility discourses opens up the reflection about imagined futures and imagined mobile subjects. Theoretically the paper bridges discourse studies...

  20. Mammography and Other Screening Tests for Breast Problems

    Science.gov (United States)

    f AQ FREQUENTLY ASKED QUESTIONS FAQ178 GYNECOLOGIC PROBLEMS Mammography and Other Screening Tests for Breast Problems • What ... used to screen for breast problems? • What is mammography? • Why is mammography done? • When should I start ...

  1. 76 FR 65750 - Aerospace Safety Advisory Panel; Charter Renewal

    Science.gov (United States)

    2011-10-24

    ... SPACE ADMINISTRATION Aerospace Safety Advisory Panel; Charter Renewal AGENCY: National Aeronautics and... Aerospace Safety Advisory Panel. SUMMARY: Pursuant to sections 14(b)(1) and 9(c) of the Federal Advisory... of the NASA Aerospace Safety Advisory Panel is in the public interest in connection with...

  2. 75 FR 75458 - Atlantic Highly Migratory Species; Exempted Fishing, Scientific Research, Display, and Chartering...

    Science.gov (United States)

    2010-12-03

    ... Fishing, Scientific Research, Display, and Chartering Permits; Letters of Acknowledgment AGENCY: National... Permits (EFPs), Scientific Research Permits (SRPs), Display Permits, Letters of Acknowledgment (LOAs), and... and scientific research that is exempt from regulations (e.g., seasons, prohibited species,...

  3. 76 FR 72678 - Atlantic Highly Migratory Species; Exempted Fishing, Scientific Research, Display, and Chartering...

    Science.gov (United States)

    2011-11-25

    ... Fishing, Scientific Research, Display, and Chartering Permits; Letters of Acknowledgment AGENCY: National... Permits (EFPs), Scientific Research Permits (SRPs), Display Permits, Letters of Acknowledgment (LOAs), and... and scientific research that is exempt from regulations (e.g., seasons, prohibited species,...

  4. 78 FR 66425 - Advisory Group to the Commissioner of Internal Revenue; Renewal of Charter

    Science.gov (United States)

    2013-11-05

    ..., technology adaptation, life cycle data reporting, economics and specific product/service usage. Dated...: Internal Revenue Service (IRS), Treasury. ACTION: Notice. SUMMARY: The Charter for the Information..., 2013. FOR FURTHER INFORMATION CONTACT: Ms. Caryl Grant, National Public Liaison, at...

  5. 76 FR 67556 - Advisory Group to the Commissioner of Internal Revenue; Renewal of Charter

    Science.gov (United States)

    2011-11-01

    ..., technology adaptation, life cycle data reporting, economics and specific product/service usage. Dated...: Internal Revenue Service (IRS), Treasury. ACTION: Notice. SUMMARY: The Charter for the Information..., 2011. FOR FURTHER INFORMATION CONTACT: Ms.Caryl Grant, National Public Liaison, at...

  6. Screening for breast cancer with mammography

    DEFF Research Database (Denmark)

    Gøtzsche, Peter C; Nielsen, Margrethe

    2009-01-01

    BACKGROUND: A variety of estimates of the benefits and harms of mammographic screening for breast cancer have been published and national policies vary. OBJECTIVES: To assess the effect of screening for breast cancer with mammography on mortality and morbidity. SEARCH STRATEGY: We searched Pub...... excluded a biased trial and included 600,000 women in the analyses. Three trials with adequate randomisation did not show a significant reduction in breast cancer mortality at 13 years (relative risk (RR) 0.90, 95% confidence interval (CI) 0.79 to 1.02); four trials with suboptimal randomisation showed...... a significant reduction in breast cancer mortality with an RR of 0.75 (95% CI 0.67 to 0.83). The RR for all seven trials combined was 0.81 (95% CI 0.74 to 0.87). We found that breast cancer mortality was an unreliable outcome that was biased in favour of screening, mainly because of differential...

  7. Un-"Chartered" Waters: Balancing Montessori Curriculum and Accountability Measures in a Charter School

    Science.gov (United States)

    Scott, Catherine M.

    2017-01-01

    More than 6,000 charter schools exist in the United States, and of these 120 are Montessori charter schools. When studying charter school practices, researchers often examine issues such as performance accountability measures and effectiveness of charter school curricula. In doing so, the outcomes often overlook the challenges for teachers as they…

  8. Leading Charters: How Charter School Administrators Define Their Roles and Their Ability to Lead

    Science.gov (United States)

    Carpenter, Dick Michael, II; Peak, Charity

    2013-01-01

    Charter schools have been studied from numerous perspectives. One topic that remains under-researched, however, is charter school leadership. Therefore, we examine how charter administrators define their leadership roles and their ability to lead. Results indicate that charter principals see three primary functions in their leadership--building…

  9. Protecting Geoheritage - Geodiversity Charter for England

    Science.gov (United States)

    Dunlop, Lesley

    2016-04-01

    The Geodiversity Charter for England, launched in 2014, sets out the clear vision that England's 'geodiversity is recognised as an integral and vital part of our environment, economy and heritage that must be safeguarded and managed for current and future generations'. England is privileged to be among the most geodiverse places in the world with 700 million years of geological history revealed by our rocks. The white cliffs of Dover, honey coloured Cotswold limestone, granite Dartmoor Tors, are examples of this geodiversity. To maintain and enhance our geodiversity it is important to recognise its role in: • the understanding of England's geological history and global geosciences • natural heritage, both terrestrial and marine, and landscapes in all their diversity • supporting habitats and species and the many essential benefits they provide for society • adaptation to changes in climate and sea-level through sustainable management of land and water and working with natural processes • sustainable economic development • the history, character and cultural development of our society through intellectual growth and creative expression alongside industrial and technological development • public health, quality of life and national well-being and connecting people with the natural environment including active promotion of geotourism. Geodiversity, however, is an often overlooked environmental asset. The vision of the Charter and the work of the English Geodiversity Forum is to encourage good practice and to act as a focus in order to: • raise awareness of the importance, value and relevance of geodiversity to our economic prosperity and comfort and its wider links with the natural environment, landscape, cultural and historical heritage and sense of place • encourage a sense of pride through education and learning, promotion and interpretation • promote careful management of geodiversity through conservation and enhancement of its special

  10. Update on new technologies in digital mammography

    Directory of Open Access Journals (Sweden)

    Patterson SK

    2014-08-01

    Full Text Available Stephanie K Patterson, Marilyn A Roubidoux Division of Breast Imaging, Department of Radiology, University of Michigan Health System, Ann Arbor, MI, USA Abstract: Despite controversy regarding mammography's efficacy, it continues to be the most commonly used breast cancer-screening modality. With the development of digital mammography, some improved benefit has been shown in women with dense breast tissue. However, the density of breast tissue continues to limit the sensitivity of conventional mammography. We discuss the development of some derivative digital technologies, primarily digital breast tomosynthesis, and their strengths, weaknesses, and potential patient impact. Keywords: screening mammography, breast cancer, contrast media, digital breast tomosynthesis

  11. Establishment of qualities mammography according to the standard IEC-61267 in the laboratory of metrology of ionizing radiation of the National Center of Dosimetry and enlargement of the accreditation by ENAC; Establecimiento de las calidades de mamografia segun la norma IEC-61267 en el laboratorio de metrologia de radiaciones ionizantes del centro nacional de dosimetria (CND) y proceso de ampliacion de su acreditacion por ENAC

    Energy Technology Data Exchange (ETDEWEB)

    Roig Petit, F.; Mestre de Juan, V.; Alabau Albors, J.; Palma Copete, J.; Ruiz Rodriguez, J. C.; Pons Mocholi, S.

    2013-07-01

    The extension of the accreditation of the laboratory of the National Center Dosimetry (No. 58/LC10.036) by the national accreditation entity (ENAC), according to the ISO 17025 standard [2], for the standard qualities of mammography by the IEC 61267 comes to meet part of the needs that demand our health care environment in terms of radiation measuring instruments calibration. This work intends to publicize this enlargement commenting on the different phases of the process to get the accreditation. (Author)

  12. Digital Mammography with Storage Phosphors

    Science.gov (United States)

    1993-12-31

    considerations. Proc AAPM Summer School: Specification, Acceptance Testing and Quality Control of Diagnostic X-ray Imaging Equipment 1991. 95. Melles...derived from the same cases. Radiol 1983; 148:839-843. 100. Kelsey CA, Mettler FA. ROC analysis can reveal best diagnostic method. Diagnost Imag 1989; 155 ...Madison, WI, 1991. 111. AAPM Report No. 29: Equipment requirement and quality control for mammography, Ed. by M. J. Yaffe et al, Published for the

  13. Rayleigh imaging in spectral mammography

    Science.gov (United States)

    Berggren, Karl; Danielsson, Mats; Fredenberg, Erik

    2016-03-01

    Spectral imaging is the acquisition of multiple images of an object at different energy spectra. In mammography, dual-energy imaging (spectral imaging with two energy levels) has been investigated for several applications, in particular material decomposition, which allows for quantitative analysis of breast composition and quantitative contrast-enhanced imaging. Material decomposition with dual-energy imaging is based on the assumption that there are two dominant photon interaction effects that determine linear attenuation: the photoelectric effect and Compton scattering. This assumption limits the number of basis materials, i.e. the number of materials that are possible to differentiate between, to two. However, Rayleigh scattering may account for more than 10% of the linear attenuation in the mammography energy range. In this work, we show that a modified version of a scanning multi-slit spectral photon-counting mammography system is able to acquire three images at different spectra and can be used for triple-energy imaging. We further show that triple-energy imaging in combination with the efficient scatter rejection of the system enables measurement of Rayleigh scattering, which adds an additional energy dependency to the linear attenuation and enables material decomposition with three basis materials. Three available basis materials have the potential to improve virtually all applications of spectral imaging.

  14. New Mexico Charter Schools Annual Report

    Science.gov (United States)

    New Mexico Public Education Department, 2013

    2013-01-01

    In 2011, the New Mexico legislature passed changes to the Charter School Act that provided more accountability for both charters and authorizers in New Mexico. As part of that law, the Public Education Department (PED) is asked to submit an annual report on the status of charter schools in New Mexico. This is the first report submitted under that…

  15. 78 FR 5239 - Public Charter Prospectuses

    Science.gov (United States)

    2013-01-24

    ... harm to consumers that took place when the charter operator Southern Sky Air & Tours, LLC d/b/a Direct... identify and contact tour participants regarding returning flights. Representatives of charter operators... affirmatively state that: (1) The contract between the charter operator and the direct air carrier is for...

  16. The Charter School Experience: Autonomy in Practice

    Science.gov (United States)

    McDonald, Tonya Senne

    2013-01-01

    While traditional public school and charter school systems continue to undergo dramatic reforms in response to the educational crisis, charter schools are praised as possessing the distinguishing characteristic of maintaining autonomy in exchange for increased accountability (Buckley & Schneider, 2009). The expectations for charter schools are…

  17. Barriers to Mammography among Inadequately Screened Women

    Science.gov (United States)

    Stoll, Carolyn R. T.; Roberts, Summer; Cheng, Meng-Ru; Crayton, Eloise V.; Jackson, Sherrill; Politi, Mary C.

    2015-01-01

    Mammography use has increased over the past 20 years, yet more than 30% of women remain inadequately screened. Structural barriers can deter individuals from screening, however, cognitive, emotional, and communication barriers may also prevent mammography use. This study sought to identify the impact of number and type of barriers on mammography…

  18. Mammography equipment performance, image quality and mean glandular dose in Malta.

    Science.gov (United States)

    Borg, M; Badr, I; Royle, G J

    2013-09-01

    In this first Maltese national mammography survey, the effectiveness of direct digital (DR) mammography in breast cancer screening has been confirmed. Patient data were made available from three clinics out of the participating nine. A dose survey of mean glandular dose (MGD) calculated for 759 patients examined in the state-owned mammography facilities was performed. An MGD national diagnostic reference level was set at 1.87 mGy for patients with breast compression thicknesses (BCT) between 5.0 and 7.0 cm. This range was selected since patient data were retrieved from three clinics only and the results showed that other international BCT reference levels may be unsuitable for the Maltese population. In fact, the overall average BCT was 5.75 ± 1.4 cm. The survey results have shown that the technical standard of mammographic equipment in the Malta National Breast Screening Programme is on a par with other countries, including its Western European counterparts.

  19. Emergency Response and the International Charter Space and Major Disasters

    Science.gov (United States)

    Jones, B.; Lamb, R.

    2011-12-01

    thus is helping to mitigate the effects of disasters on human life and property. The International Charter has been in formal operation since November 1, 2000. An Authorized User can call a single number to request the mobilization of satellite imagery and associated ground station support of the Charter's member agencies to obtain data and information on a disaster occurrence. The International Charter is supported by Argentinean, Canadian, European, Indian, Japanese, Chinese, Brazilian, Korean, Russian and U.S. satellite operators, as well as through U.S. and foreign commercial satellite firms and consortia. These operators can provide a wide variety of imagery and information under various environmental conditions (including, in some instances, through cloud cover and darkness). The Charter works in close cooperation with the intergovernmental Group on Earth Observations (GEO), and with United Nations bodies such as the UN Office of Outer Space Affairs (UN OOSA) and the UN Institute for Training and Research (UNITAR) Operational Satellite Applications Programe (UNOSAT). Both UN OOSA and UNOSAT are authorized to request data from Charter members in response to a UN emergency. Sentinel Asia is also allowed to request activations on behalf of its member states. These organizations play an important role in maximizing the Charter's use.

  20. Building an intranet digital mammography case library

    Science.gov (United States)

    Zhang, Hong; Lou, Shyhliang A.; Fan, Yu; Sickles, Edward A.; Huang, H. K.

    2000-05-01

    To practice mammography diagnosis effectively, radiologists expect convenient access to well-organized and authoritative mammography related information, especially when there is case in question. The purpose of this study is to build infrastructural diagnosis support by incorporating various clinical information into a digital mammography case library, and allow user to search the library based on mammographic findings. The digital mammography case library has a three- tier architecture: (1) Back-end mammography databases integrate multimedia clinical information from various operational systems, including RIS and PACS. Cases are stored in a finding index database powered by an object-relational database with finding-coded reports, which are modeled around the ACR BI-RADS (American College of Radiology, Breast Imaging Report and Data System) standard. (2) The middle-end application controllers process application logic, such as user authorization, HTTP request handling, database connection and dynamic HTML page generation. (3) Web-based user interface is developed for authorized Intranet personnel to formulate query based on radiological finding (such as mass, calcification and architectural distortion), shape and assessment, using ACR BI-RADS specified lexicon. The case library so far has 103 cases selected from over 800 digital mammography studies carried out at the Mt. Zion hospital, UCSF, during an on-going digital telemammography project. We believe that an Intranet based digital mammography case library with mammographic finding search capability facilitates continuous medical education and online decision support, by providing exemplary study to compare with case in question.

  1. Body weight and sensitivity of screening mammography

    DEFF Research Database (Denmark)

    Njor, Sisse H.; von Euler-Chelpin, My; Tjønneland, Anne

    2016-01-01

    Aim: Obese women tend to participate less in breast cancer screening than normal weight women. However, obese women have fattier breast than normal weight women, and screening mammography works better in fatty than in dense breasts. One might, therefore, hypothesise that obese women would actually...... benefit more from screening than other women. Methods: We combined data from the Danish Diet, Cancer and Health study and the organised population-based screening mammography programme in Copenhagen, Denmark. Women were categorised according to body mass index (BMI) (... sensitivity of screening mammography, while the specificity of screening remained stable across weight groups. Screening programmes should be organized to encourage these women to overcome obstacles for participation....

  2. Ethnic Segregation in Arizona Charter Schools

    Directory of Open Access Journals (Sweden)

    Casey D. Cobb

    1999-01-01

    Full Text Available Among the criticisms of charter schools is their potential to further stratify schools along ethnic and class lines. This study addressed whether Arizona charter schools are more ethnically segregated than traditional public schools. In 1996-97, Arizona had nearly one in four of all charter schools in the United States. The analysis involved a series of comparisons between the ethnic compositions of adjacent charter and public schools in Arizona's most populated region and its rural towns. This methodology differed from the approach of many evaluations of charter schools and ethnic stratification in that it incorporated the use of geographic maps to compare schools' ethnic make-ups. The ethnic compositions of 55 urban and 57 rural charter schools were inspected relative to their traditional public school neighbors.

  3. 75 FR 57249 - Fisheries of the Northeastern United States; Northeast (NE) Multispecies Fishery; Charter/Party...

    Science.gov (United States)

    2010-09-20

    ... National Oceanic and Atmospheric Administration 50 CFR Part 648 RIN 0648-BA09 Fisheries of the Northeastern United States; Northeast (NE) Multispecies Fishery; Charter/Party Fishery Control Date AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce....

  4. Understanding Charter School Governance: A Case Study of a Conversion Charter School Board of Directors

    Science.gov (United States)

    Silver, David Mark

    2010-01-01

    The charter school movement has been at the forefront of educational reform since the 1990s. The majority of charter school research has focused on academic achievement and issues of access, equity, and funding. Less attention has focused on charter school governance, yet evidence suggests that governance challenges represent a significant…

  5. Benefits and harms of mammography screening.

    Science.gov (United States)

    Løberg, Magnus; Lousdal, Mette Lise; Bretthauer, Michael; Kalager, Mette

    2015-05-01

    Mammography screening for breast cancer is widely available in many countries. Initially praised as a universal achievement to improve women's health and to reduce the burden of breast cancer, the benefits and harms of mammography screening have been debated heatedly in the past years. This review discusses the benefits and harms of mammography screening in light of findings from randomized trials and from more recent observational studies performed in the era of modern diagnostics and treatment. The main benefit of mammography screening is reduction of breast-cancer related death. Relative reductions vary from about 15 to 25% in randomized trials to more recent estimates of 13 to 17% in meta-analyses of observational studies. Using UK population data of 2007, for 1,000 women invited to biennial mammography screening for 20 years from age 50, 2 to 3 women are prevented from dying of breast cancer. All-cause mortality is unchanged. Overdiagnosis of breast cancer is the main harm of mammography screening. Based on recent estimates from the United States, the relative amount of overdiagnosis (including ductal carcinoma in situ and invasive cancer) is 31%. This results in 15 women overdiagnosed for every 1,000 women invited to biennial mammography screening for 20 years from age 50. Women should be unpassionately informed about the benefits and harms of mammography screening using absolute effect sizes in a comprehensible fashion. In an era of limited health care resources, screening services need to be scrutinized and compared with each other with regard to effectiveness, cost-effectiveness and harms.

  6. Mammography and breast sonography in transsexual women

    Energy Technology Data Exchange (ETDEWEB)

    Weyers, S., E-mail: steven.weyers@ugent.b [Department of Gynecology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent (Belgium); Villeirs, G.; Vanherreweghe, E. [Department of Radiology, Ghent University Hospital, Ghent (Belgium); Verstraelen, H. [Department of Gynecology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent (Belgium); Monstrey, S. [Department of Plastic Surgery, Ghent University Hospital, Ghent (Belgium); Van den Broecke, R.; Gerris, J. [Department of Gynecology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent (Belgium)

    2010-06-15

    Data on the necessity of performing screening mammographies in transsexual women are lacking. The main objective of this study was to assess the possibility to perform mammography and breast sonography in transsexual women. Fifty Dutch-speaking transsexual women were interviewed about the following: attitude towards mammography and breast sonography, importance attributed to and satisfaction with breast appearance, opinion about the necessity of breast check-up, expectations regarding discomfort during the exams and knowledge about the breast surgery. A fasting blood sample, clinical breast exam, mammography and breast sonography were performed. At mammography the following parameters were noted: density, technical quality, location of the prostheses, presence of any abnormalities and painfulness. At sonography the following parameters were recorded: density, presence of cysts, visualisation of retro-areolar ducts or any abnormalities. Twenty-three percent of patients are not aware of the type of breast implants and 79% do not know their position to the pectoral muscles. Patient satisfaction with the appearance of their breasts was rather high (7.94 on a scale of 0-10). Mean expected and experienced pain from mammography was low (4.37 and 2.00 respectively). There was no statistically significant difference in expected pain between those who already had mammography and those who did not. There was a significant positive correlation between the expected and the experienced pain. Mammography and breast sonography were technically feasible and no gross anomalies were detected. Since both exams were judged as nearly painless, 98% of transsexual women intended to come back if they would be invited. Since breast cancer risk in transsexual women is largely unknown and breast exams are very well accepted, breast screening habits in this population should not differ from those of biological women.

  7. Mammography

    Science.gov (United States)

    ... tomosynthesis, the x-ray tube moves in an arc over the breast, capturing multiple images from different ... your comment or suggestion into the following text box: Comment: E-mail: Area code: Phone no: Thank ...

  8. Mammography

    Science.gov (United States)

    ... shades of gray and air appears black. Until recently, x-ray images were maintained on large film ... evaluation with additional views or a special imaging technique. A follow-up examination may also be necessary ...

  9. Inequalities in the use of mammography in Spain : effect of caring for disabled family

    NARCIS (Netherlands)

    Sanz-Barbero, Belen; Sopacua, Maurice; Otero-Garcia, Laura; Borda-Olivas, Alfredo; Zunzunegui, Maria Victoria

    2012-01-01

    To examine the association between caring for disabled household members and the use of mammography in Spain during the 2 years before the interview. Weighted cross-sectional data from the 2006 National Health Survey in Spain. Using logistic regression models we analyzed the association between the

  10. Community Partnerships, Food Pantries, and an Evidence-Based Intervention to Increase Mammography among Rural Women

    Science.gov (United States)

    Bencivenga, Marcyann; DeRubis, Susan; Leach, Patricia; Lotito, Lisa; Shoemaker, Charles; Lengerich, Eugene J.

    2008-01-01

    Context: Multiple national agencies and organizations recommend that women age 40 years and older have an annual screening mammogram. Women who are poor, less educated, lack a usual source of care, and reside in rural Appalachia are less likely to have had a recent mammogram. Purpose: To increase use of mammography among a rural Appalachian…

  11. Effects of mammography screening under different screening schedules: Model estimates of potential benefits and harms

    NARCIS (Netherlands)

    J.S. Mandelblatt (Jeanne); K.A. Cronin (Kathleen); S. Bailey (Stephanie); D.A. Berry (Donald); H.J. de Koning (Harry); G. Draisma (Gerrit); H. Huang (Hailiang); S.J. Lee (Stephanie Joi); M.F. Munsell (Mark); S.K. Plevritis (Sylvia); P.M. Ravdin (P.); C.B. Schechter (Clyde); B. Sigal (Bronislava); M.A. Stoto (Michael); N.K. Stout (Natasha); N.T. van Ravesteyn (Nicolien); J. Venier (John); M. Zelen (Marvin); E. Feuer (Eric)

    2009-01-01

    textabstractBackground: Despite trials of mammography and widespread use, optimal screening policy is controversial. Objective: To evaluate U.S. breast cancer screening strategies. Design: 6 models using common data elements. Data Sources: National data on age-specific incidence, competing mortality

  12. Family/Friend Recommendations and Mammography Intentions: The Roles of Perceived Mammography Norms and Support

    Science.gov (United States)

    Molina, Yamile; Ornelas, India J.; Doty, Sarah L.; Bishop, Sonia; Beresford, Shirley A. A.; Coronado, Gloria D.

    2015-01-01

    Identifying factors that increase mammography use among Latinas is an important public health priority. Latinas are more likely to report mammography intentions and use, if a family member or friend recommends that they get a mammogram. Little is known about the mechanisms underlying the relationship between social interactions and mammography…

  13. Study on knowledge, experiences and barriers to mammography among working women from Delhi

    Directory of Open Access Journals (Sweden)

    A Khokhar

    2015-01-01

    230 (83.5% women over 40 years of age had never got a mammogram done. Main reason 74 (38.5% cited for this was that they did not know/were not aware they were supposed to go for mammography. CONCLUSION: As knowledge and utilization of mammography is low among women, there is a need to have a multipronged strategy to inform women about mammography and bring about a behavioral change along with having a formal national level screening guidelines for breast cancer early detection.

  14. A Cost Estimation Tool for Charter Schools

    Science.gov (United States)

    Hayes, Cheryl D.; Keller, Eric

    2009-01-01

    To align their financing strategies and fundraising efforts with their fiscal needs, charter school leaders need to know how much funding they need and what that funding will support. This cost estimation tool offers a simple set of worksheets to help start-up charter school operators identify and estimate the range of costs and timing of…

  15. Virtual Charter Schools: Realities and Unknowns

    Science.gov (United States)

    Torre, Daniela

    2013-01-01

    Virtual charter schools have emerged over the last decade as an increasingly popular alternative to traditional public schooling. Unlike their face-to-face counterparts, virtual charter schools educate students through blended or entirely online curricula. They present a host of new policy issues that should be scrutinized in order to ensure that…

  16. Charter Schools and the Teacher Job Search

    Science.gov (United States)

    Cannata, Marisa

    2011-01-01

    This article examines the position of charter schools in prospective elementary teachers' job search decisions. Using a labor market segmentation framework, it explores teacher applicants' decisions to apply to charter schools. The data come from a mixed-methods longitudinal study of prospective teachers looking for their first job. This article…

  17. The Story of a Charter School Closure.

    Science.gov (United States)

    Flynn, Susan L.; Arguelles, Lourdes

    2001-01-01

    The story of a charter school closure is told from the perspectives of students, parents, teachers, and community members, who felt that the sponsoring district revoked the charter for political reasons despite broad local support. The experience underscores the necessity of publicly subjecting the relationship of the public school system and the…

  18. Help for Charters in Race for Space

    Science.gov (United States)

    Robelen, Erik W.

    2008-01-01

    The world of charter school facilities is sometimes strange. Many charter operators have had to show considerable creativity and resourcefulness in finding a place to educate their students, whether it's a former K-Mart or car dealership, a church facility, or space in an office complex. Obtaining and paying for adequate facilities are often big…

  19. Earth Charter, ESD and Chinese Philosophies

    Science.gov (United States)

    Liu, Yunhua; Constable, Alicia

    2010-01-01

    This article examines the relationship between the Earth Charter and education for sustainable development (ESD), as part of the UN Decade of Education for Sustainable Development. The areas of shared interest between the two are assessed and the invaluable nature of the Earth Charter as a resource outlining global values and principles for a…

  20. Teacher Accountability at High Performing Charter Schools

    Science.gov (United States)

    Aguirre, Moises G.

    2016-01-01

    This study will examine the teacher accountability and evaluation policies and practices at three high performing charter schools located in San Diego County, California. Charter schools are exempted from many laws, rules, and regulations that apply to traditional school systems. By examining the teacher accountability systems at high performing…

  1. The Uneven Performance of Arizona's Charter Schools

    Science.gov (United States)

    Chingos, Matthew M.; West, Martin R.

    2015-01-01

    Arizona enrolls a larger share of its students in charter schools than any other state in the country, but no comprehensive examination exists of the impact of those schools on student achievement. Using student-level data covering all Arizona students from 2006 to 2012, we find that the performance of charter schools in Arizona in improving…

  2. State Policy Regimes and Charter School Performance

    Science.gov (United States)

    Pelz, Mikael L.

    2015-01-01

    The policy diffusion framework is critical to understanding the spread of policy innovations such as charter schools in the United States. This framework, however, is less instructive in explaining the state-by-state configuration of these policies. What explains the wide variation in charter school policy among states? This study addresses this…

  3. 75 FR 38758 - Pacific Halibut Fisheries; Limited Access for Guided Sport Charter Vessels in Alaska

    Science.gov (United States)

    2010-07-06

    ... for Guided Sport Charter Vessels in Alaska AGENCY: National Marine Fisheries Service (NMFS), National... guided sport fishery for Pacific halibut in the waters of International Pacific Halibut Commission... the halibut fishery management goals of the North Pacific Fishery Management Council. DATES:...

  4. 12 CFR 725.7 - Special share accounts in federally chartered agent members.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Special share accounts in federally chartered agent members. 725.7 Section 725.7 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS NATIONAL CREDIT UNION ADMINISTRATION CENTRAL LIQUIDITY FACILITY § 725.7...

  5. Mammography calibration qualities establishment in a Mo- Mo clinical system

    Science.gov (United States)

    Corrêa, E. L.; dos Santos, L. R.; Vivolo, V.; Potiens, M. P. A.

    2016-07-01

    In this study the mammography calibration qualities were established in a clinical mammography system. The objective is to provide the IPEN instruments calibration laboratory with both mammography calibration methods (using a clinical and an industrial system). The results showed a good behavior of mammography equipment, in terms of kVp, PPV and exposure time. The additional filtration of molybdenum is adequate, air-kerma rates were determined and spectra were obtained.

  6. Explaining Charter School Effectiveness. NBER Working Paper No. 17332

    Science.gov (United States)

    Angrist, Joshua D.; Pathak, Parag A.; Walters, Christopher R.

    2011-01-01

    Estimates using admissions lotteries suggest that urban charter schools boost student achievement, while charter schools in other settings do not. We explore student-level and school-level explanations for these differences using a large sample of Massachusetts charter schools. Our results show that urban charter schools boost achievement well…

  7. For Grades or Money? Charter School Failure in North Carolina

    Science.gov (United States)

    Paino, Maria; Renzulli, Linda A.; Boylan, Rebecca L.; Bradley, Christen L.

    2014-01-01

    Purpose: Charter schools are unique public schools in part because this type of school can close if it fails to meet objectives set forth by the chartering body that approved it. Thus far, however, little research has been conducted into the causes of charter school closures. In this article, we examine charter school accountability. Research…

  8. Digital mammography in breast cancer screening: Evaluation and innovation

    NARCIS (Netherlands)

    Bluekens, A.M.J.

    2015-01-01

    With all other imaging modalities in radiology being digitised and conventional mammography being ready to phase out the transition to digital mammography was inevitable. This thesis describes the performance of digital screening mammography and the consequences of implementation in a population-bas

  9. Grid infrastructures for developing mammography CAD systems.

    Science.gov (United States)

    Ramos-Pollan, Raul; Franco, Jose M; Sevilla, Jorge; Guevara-Lopez, Miguel A; de Posada, Naimy Gonzalez; Loureiro, Joanna; Ramos, Isabel

    2010-01-01

    This paper presents a set of technologies developed to exploit Grid infrastructures for breast cancer CAD, that include (1) federated repositories of mammography images and clinical data over Grid storage, (2) a workstation for mammography image analysis and diagnosis and (3) a framework for data analysis and training machine learning classifiers over Grid computing power specially tuned for medical image based data. An experimental mammography digital repository of approximately 300 mammograms from the MIAS database was created and classifiers were built achieving a 0.85 average area under the ROC curve in a dataset of 100 selected mammograms with representative pathological lesions and normal cases. Similar results were achieved with classifiers built for the UCI Breast Cancer Wisconsin dataset (699 features vectors). Now these technologies are being validated in a real medical environment at the Faculty of Medicine in Porto University after a process of integrating the tools within the clinicians workflows and IT systems.

  10. Contribution of the Unified Health Care System to mammography screening in Brazil, 2013*

    Science.gov (United States)

    Freitas-Junior, Ruffo; Rodrigues, Danielle Cristina Netto; Corrêa, Rosangela da Silveira; Peixoto, João Emílio; de Oliveira, Humberto Vinícius Carrijo Guimarães; Rahal, Rosemar Macedo Sousa

    2016-01-01

    Objective To estimate the coverage of opportunistic mammography screening performed via the Brazilian Sistema Único de Saúde (SUS, Unified Health Care System), at the state and regional level, in 2013. Materials and Methods This was an ecological study in which coverage was estimated by determining the ratio between the number of mammograms performed and the expected number of mammograms among the population of females between 50 and 69 years of age. The number of mammograms performed in the target population was obtained from the Outpatient Database of the Information Technology Department of the SUS. To calculate the expected number of mammograms, we considered 58.9% of the target population, the proportion that would be expected on the basis of the recommendations of the Brazilian National Cancer Institute. Results In 2013, the estimated national coverage of mammography screening via the SUS was 24.8%. The mammography rate ranged from 12.0% in the northern region to 31.3% in the southern region. When stratified by state, coverage was lowest in the state of Pará and highest in the state of Santa Catarina (7.5% and 35.7%, respectively). Conclusion The coverage of mammography screening performed via the SUS is low. There is a significant disparity among the Brazilian states (including the Federal District of Brasília) and among regions, being higher in the south/southeast and lower in the north/northeast. PMID:27818544

  11. Mammography screening. Benefits, harms, and informed choice

    DEFF Research Database (Denmark)

    Jørgensen, Karsten Juhl

    2013-01-01

    The rationale for breast cancer screening with mammography is deceptively simple: catch it early and reduce mortality from the disease and the need for mastectomies. But breast cancer is a complex problem, and complex problems rarely have simple solutions. Breast screening brings forward the time...... the justification of breast screening is therefore not a simple question of whether screening reduces breast cancer mortality. This dissertation quantifies the primary benefits and harms of screening mammography. Denmark has an unscreened "control group" because only two geographical regions offered screening over...

  12. Mammography activity in Norway 1983 to 2008

    DEFF Research Database (Denmark)

    Lynge, Elsebeth; Braaten, Tonje; Njor, Sisse H

    2011-01-01

    In Norway, an organized screening mammography program, the Norwegian Breast Cancer Screening Program (NBCSP) started in four counties in 1996 and became nationwide in 2004. We collected data on pre-program screening activity, and in view of this activity we evaluated the potential impact of the p......In Norway, an organized screening mammography program, the Norwegian Breast Cancer Screening Program (NBCSP) started in four counties in 1996 and became nationwide in 2004. We collected data on pre-program screening activity, and in view of this activity we evaluated the potential impact...... of the program on breast cancer mortality in Norway....

  13. AN ANALYSIS OF THE PERCEPTION OF CHARTERED ACCOUNTANT TRAINEES REGARDING ACCESS TO THE ACCOUNTING PROFESSION AND PROFESSIONAL TRAINING NEEDS

    OpenAIRE

    Bunea Ștefan; Sãcãrin Marian; Gîrbinã Maria Mãdãlina

    2013-01-01

    In Romania, the certification of the quality of chartered accountant is accomplished by CECCAR(i). It is conditioned by the completion of the period of initial training. A part of this period is provided by the universities, while the other part is provided by CECCAR through the national 3-year internship programme. The objective of our survey was to analyse the way in which chartered accountant trainees perceive the access to the accounting profession, their own limitations in terms of compe...

  14. Access to Mammography Facilities and Detection of Breast Cancer by Screening Mammography: A GIS Approach.

    Science.gov (United States)

    Rahman, Selina; Price, James H; Dignan, Mark; Rahman, Saleh; Lindquist, Peter S; Jordan, Timothy R

    2009-01-01

    OBJECTIVES: The objective of the study was to examine the association between access to mammography facilities and utilization of screening mammography in an urban population. METHODS: Data on female breast cancer cases were obtained from an extensive mammography surveillance project. Distance to mammography facilities was measured by using GIS, which was followed by measuring geographical access to mammography facilities using Floating Catchment Area (FCA) method (considering all available facilities within an arbitrary radius from the woman's residence by using Arc GIS 9.0 software). RESULTS: Of 2,024 women, 91.4% were Caucasian; age ranged from 25 to 98 years; most (95%) were non-Hispanic in origin. Logistic regression found age, family history, hormone replacement therapy, physician recommendation, and breast cancer stage at diagnosis to be significant predictors of having had a previous mammogram. Women having higher access to mammography facilities were less likely to have had a previous mammogram compared to women who had low access, considering all the facilities within 10 miles (OR=0.41, CI=0.22-0.76), 30 miles (OR=0.52, CI=0.29-0.91) and 40 miles (OR=0.51, CI=0.28-0.92) radiuses. CONCLUSIONS: Physical distance to mammography facilities does not necessarily predict utilization of mammogram and greater access does not assure greater utilizations, due to constraints imposed by socio economic and cultural barriers. Future studies should focus on measuring access to mammography facilities capturing a broader dimension of access considering qualitative aspect of facilities, as well as other travel impedances.

  15. Mammography usage with relevant factors among women with mental disabilities in Taiwan: a nationwide population-based study.

    Science.gov (United States)

    Yen, Suh-May; Kung, Pei-Tseng; Tsai, Wen-Chen

    2015-02-01

    Women with mental illness are at increased risk of developing and dying from breast cancer and are thus in urgent need of breast cancer preventive care. This study examined the use of screening mammography by Taiwanese women with mental disabilities and analyzed factors affecting this use. 17,243 Taiwanese women with mental disabilities aged 50-69 years were retrospectively included as study subjects. Linked patient data were obtained from three national databases in Taiwan (the 2008 database of physically and mentally disabled persons, the Health Promotion Administration's 2007-2008 mammography screening data, and claims data from the National Health Insurance Research Database). Besides descriptive statistics and bivariate analysis, logistic regression analysis was also performed to examine factors affecting screening mammography use. The 2007-2008 mammography screening rate for Taiwanese women with mental disabilities was 8.79% (n=1515). Variables that significantly influenced screening use were income, education, presence of catastrophic illness/injury, severity of mental disability, and usage of other preventive care services. Screening was positively correlated with income and education. Those with catastrophic illness/injury were more likely to be screened (odds ratio [OR], 1.40; 95% CI=1.15-1.72). Severity of disability was negatively correlated with screening, with very severe, severe, and moderate disability being associated with 0.34-0.69 times the odds of screening as mild disability. In Taiwan, women with mental disabilities receive far less mammography screening than women in general.

  16. [Fine needle aspiration cytology of mammography screening

    DEFF Research Database (Denmark)

    Engvad, B.; Laenkholm, A.V.; Schwartz, Thue W.

    2009-01-01

    -choice treatment. MATERIAL AND METHODS: 767 women had FNAC performed from a total of 783 lesions at the Mammography Clinic, University Hospital Odense. All FNACs were compared with the final histology diagnosis. Nine statistical parameters were calculated according to the European guidelines. RESULTS: A total...

  17. Classification of findings in mammography screening

    DEFF Research Database (Denmark)

    Pamilo, M; Lönnqvist, J; Halttunen, A

    1991-01-01

    survey of mammography screening in Helsinki and surroundings in Finland. PATIENTS--21,417 women (aged 50-59 years) were invited to be screened, 18,012 (84.10%) participated. Of these 579 (3.21% of those screened) were recalled for further studies; 124 of these were referred for surgical biopsy and 82 had...

  18. Beyond the mammography debate: a moderate perspective.

    Science.gov (United States)

    Kaniklidis, C

    2015-06-01

    After some decades of contention, one can almost despair and conclude that (paraphrasing) "the mammography debate you will have with you always." Against that sentiment, in this review I argue, after reflecting on some of the major themes of this long-standing debate, that we must begin to move beyond the narrow borders of claim and counterclaim to seek consensus on what the balance of methodologically sound and critically appraised evidence demonstrates, and also to find overlooked underlying convergences; after acknowledging the reality of some residual and non-trivial harms from mammography, to promote effective strategies for harm mitigation; and to encourage deployment of new screening modalities that will render many of the issues and concerns in the debate obsolete. To these ends, I provide a sketch of what this looking forward and beyond the current debate might look like, leveraging advantages from abbreviated breast magnetic resonance imaging technologies (such as the ultrafast and twist protocols) and from digital breast tomosynthesis-also known as three-dimensional mammography. I also locate the debate within the broader context of mammography in the real world as it plays out not for the disputants, but for the stakeholders themselves: the screening-eligible patients and the physicians in the front lines who are charged with enabling both the acts of screening and the facts of screening at their maximally objective and patient-accessible levels to facilitate informed decisions.

  19. 2D vs. 3D mammography observer study

    Science.gov (United States)

    Fernandez, James Reza F.; Hovanessian-Larsen, Linda; Liu, Brent

    2011-03-01

    Breast cancer is the most common type of non-skin cancer in women. 2D mammography is a screening tool to aid in the early detection of breast cancer, but has diagnostic limitations of overlapping tissues, especially in dense breasts. 3D mammography has the potential to improve detection outcomes by increasing specificity, and a new 3D screening tool with a 3D display for mammography aims to improve performance and efficiency as compared to 2D mammography. An observer study using a mammography phantom was performed to compare traditional 2D mammography with this ne 3D mammography technique. In comparing 3D and 2D mammography there was no difference in calcification detection, and mass detection was better in 2D as compared to 3D. There was a significant decrease in reading time for masses, calcifications, and normals in 3D compared to 2D, however, as well as more favorable confidence levels in reading normal cases. Given the limitations of the mammography phantom used, however, a clearer picture in comparing 3D and 2D mammography may be better acquired with the incorporation of human studies in the future.

  20. Thermoluminescence dosimetry in quality imaging in CR mammography systems

    Energy Technology Data Exchange (ETDEWEB)

    Gaona, E.; Franco E, J.G. [UAM-Xochimilco, 04960 Mexico D.F. (Mexico); Azorin N, J. [UAM-Iztapalapa, 09340 Mexico D.F. (Mexico); Diaz G, J.A.I. [CICATA, Unidad Legaria, Av. Legaria 694, 11599 mexico D.F. (Mexico); Arreola, M. [Department of Radiology, Shands Hospital at UF, PO Box 100374, Gainesville, FL 32610-0374 (United States)

    2006-07-01

    The aim of this work is to estimate the average glandular dose with Thermoluminescence Dosimetry (TLD) and comparison with quality imaging in CR mammography. For measuring dose, FDA and ACR use a phantom, so that dose and image quality are assessed with the same test object. The mammography is a radiological image to visualize early biological manifestations of breast cancer. Digital systems have two types of image-capturing devices, Full Field Digital Mammography (FFDM) and CR mammography. In Mexico, there are several CR mammography systems in clinical use, but only one CR mammography system has been approved for use by the FDA. Mammography CR uses a photostimulable phosphor detector (PSP) system. Most CR plates are made of 85% BaFBr and 15% BaFI doped with europium (Eu) commonly called barium fluoro halide. We carry out an exploratory survey of six CR mammography units from three different manufacturers and six dedicated x-ray mammography units with fully automatic exposure. The results show three CR mammography units (50%) have a dose that overcomes 3.0 mGy and it doesn't improve the image quality and dose to the breast will be excessive. The differences between doses averages from TLD system and dosimeter with ionization chamber are less than 10%. TLD system is a good option for average glandular dose measurement. (Author)

  1. The Black Charter School Effect: Black Students in American Charter Schools

    Science.gov (United States)

    Almond, Monica R.

    2012-01-01

    This literature analysis examines the experiences of Black students in public charter schools in the United States by analyzing the current literature and enrollment data in this domain. Through the investigation of multiple empirical studies that examine the effects of charter schools on the academic achievement and enrollment trends of Black…

  2. 77 FR 44595 - Application for New Awards; Charter Schools Program (CSP)-Charter School Exemplary Collaboration...

    Science.gov (United States)

    2012-07-30

    ..., such as student scores on pre-tests and end-of-course tests; student performance on English language... disabilities, English learners, student transportation, professional development and training, and school... public charter schools and charter school LEAs, and sustained over the long-term. (e) Innovation (up...

  3. 77 FR 44475 - Final Definitions, Requirements, and Selection Criteria; Charter Schools Program (CSP)-Charter...

    Science.gov (United States)

    2012-07-30

    ... access to charter schools by students with disabilities'' and ``English learners.'' Definitions Comment... pre-tests and end-of-course tests; student performance on English language proficiency assessments... charter school LEAs, and sustained over the long-term. (5) Innovation. The extent to which the...

  4. 77 FR 69593 - Atlantic Highly Migratory Species; Exempted Fishing, Scientific Research, Display, and Chartering...

    Science.gov (United States)

    2012-11-20

    ... Fishing, Scientific Research, Display, and Chartering Permits; Letters of Acknowledgment AGENCY: National... Permits (EFPs), Scientific Research Permits (SRPs), Display Permits, Letters of Acknowledgment (LOAs), and... related permits are necessary for the collection of HMS for public display and scientific research that...

  5. 78 FR 13864 - Atlantic Highly Migratory Species; Exempted Fishing, Scientific Research, Display, and Chartering...

    Science.gov (United States)

    2013-03-01

    ... Fishing, Scientific Research, Display, and Chartering Permits; Letters of Acknowledgment AGENCY: National... received regarding our intent to issue Exempted Fishing Permits (EFPs), Scientific Research Permits (SRPs... prohibited by the regulations contained in this part for the conduct of scientific research, the...

  6. 12 CFR 715.6 - Audit of Federally-insured State-chartered credit unions.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Audit of Federally-insured State-chartered credit unions. 715.6 Section 715.6 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS SUPERVISORY COMMITTEE AUDITS AND VERIFICATIONS § 715.6 Audit of...

  7. 75 FR 11542 - Agency Information Collection Activities; Proposed Collection; Comment Request; Mammography...

    Science.gov (United States)

    2010-03-11

    ... Collection; Comment Request; Mammography Quality Standards Act Requirements AGENCY: Food and Drug... Mammography Quality Standards Act requirements. DATES: Submit written or electronic comments on the collection... techniques, when appropriate, and other forms of information technology. The Mammography Quality...

  8. 75 FR 70011 - Guidance for Industry, Mammography Quality Standards Act Inspectors, and Food and Drug...

    Science.gov (United States)

    2010-11-16

    ... HUMAN SERVICES Food and Drug Administration Guidance for Industry, Mammography Quality Standards Act Inspectors, and Food and Drug Administration Staff; The Mammography Quality Standards Act Final Regulations... the guidance entitled ``The Mammography Quality Standards Act Final Regulations: Modifications...

  9. 78 FR 13681 - Agency Information Collection Activities; Proposed Collection; Comment Request; Mammography...

    Science.gov (United States)

    2013-02-28

    ... Collection; Comment Request; Mammography Quality Standards Act Requirements AGENCY: Food and Drug... associated with the Mammography Quality Standards Act requirements. DATES: Submit either electronic or... of information technology. Mammography Quality Standards Act Requirements--21 CFR Part 900...

  10. Advanced Breast Cancer as Indicator of Quality Mammography

    Science.gov (United States)

    Gaona, Enrique

    2003-09-01

    Breast cancer is the most frequently diagnosed cancer and is the second leading cause of cancer death among women in the Mexican Republic. Mammography is the more important screening tool for detecting early breast cancer. Screening mammography involves taking x-rays from two views from each breast, typically from above (cranial-caudal view, CC) and from an oblique or angled view (mediolateral-oblique, MLO). The purpose of this study was to carry out an exploratory survey of the issue of patients with advanced breast cancer who have had a screening mammography. A general result of the survey is that 22.5% of all patients (102) with advanced breast cancer that participated in the study had previous screening mammography. But we should consider that 10% of breast cancers are not detected by mammography. Only 70% of the family doctors prescribed a diagnostic mammography when the first symptoms were diagnosed.

  11. Perspectives of the digital mammography platform; Perspektiven der digitalen Mammographieplattform

    Energy Technology Data Exchange (ETDEWEB)

    Gruber, R.; Riedl, C.C.; Reisegger, M.; Pinker, K.; Sturm, E.; Semturs, F.; Helbich, T.H. [Medizinische Universitaet Wien, Abteilung fuer Allgemeine Radiologie und Kinderradiologie, Division fuer Molekulare und Gender-Bildgebung, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria)

    2010-11-15

    In Europe one out of every nine women suffers from breast cancer during her lifetime. Since the introduction of mammography screening programs more breast cancers are being diagnosed when they are still small and early stage cancers with a favourable prognosis. The introduction of digital mammography systems has led to a continuous reduction of breast cancer mortality especially in specific patient subgroups. Furthermore, the digital mammography platform enables the development of new, innovative breast imaging methods to increase sensitivity and decrease breast cancer mortality. This digital mammography platform includes digital breast tomosynthesis, digital contrast medium mammography and digital contrast medium breast tomosynthesis as well as fused data sets from digital mammography with ultrasound or MRI. The following article summarizes these new applications, describes the strengths of the digital platform and illustrates the potential advantages of an improved breast cancer diagnosis by digital mammography. (orig.) [German] Etwa jede neunte Frau in Europa erkrankt im Laufe ihres Lebens an Brustkrebs. Durch die Einfuehrung von Mammographiescreeningprogrammen werden immer mehr kleine Brustkarzinome in einem fruehen Stadium entdeckt. Die Einfuehrung der digitalen Mammographie erzielt insbesondere bei bestimmten Patientinnengruppen eine weitere kontinuierliche Senkung der Brustkrebsmortalitaet. Zusaetzlich ermoeglicht die digitale Mammographie die Entwicklung neuer und Fusion bereits existierender bildgebender Methoden. Zu dieser ''digitalen Mammographieplattform'' gehoeren die digitale Brusttomosynthese, die digitale Kontrastmittelmammographie und die digitale Kontrastmittel-Brusttomosynthese sowie fusionierte Datensaetze der digitalen Mammographie mit dem Ultraschall oder der MRT. Diese innovativen Techniken bieten die Moeglichkeit, die Sensitivitaet der Mammographie zu steigern und die Brustkrebsmortalitaet weiter zu senken. Der folgende

  12. Digital Mammography Imaging: Breast Tomosynthesis and Advanced Applications

    Science.gov (United States)

    Helvie, Mark A.

    2011-01-01

    Synopsis This article discusses recent developments in advanced derivative technologies associated with digital mammography. Digital breast tomosynthesis – its principles, development, and early clinical trials are reviewed. Contrast enhanced digital mammography and combined imaging systems with digital mammography and ultrasound are also discussed. Although all these methods are currently research programs, they hold promise for improving cancer detection and characterization if early results are confirmed by clinical trials. PMID:20868894

  13. Water safety in healthcare facilities. The Vieste Charter.

    Science.gov (United States)

    Bonadonna, L; Cannarozzi de Grazia, M; Capolongo, S; Casini, B; Cristina, M L; Daniele, G; D'Alessandro, D; De Giglio, O; Di Benedetto, A; Di Vittorio, G; Ferretti, E; Frascolla, B; La Rosa, G; La Sala, L; Lopuzzo, M G; Lucentini, L; Montagna, M T; Moscato, U; Pasquarella, C; Prencipe, R; Ricci, M L; Romano Spica, V; Signorelli, C; Veschetti, E

    2017-01-01

    The Study Group on Hospital Hygiene of the Italian Society of Hygiene, Preventive Medicine and Public Health (GISIO-SItI) and the Local Health Authority of Foggia, Apulia, Italy, after the National Convention "Safe water in healthcare facilities" held in Vieste-Pugnochiuso on 27-28 May 2016, present the "Vieste Charter", drawn up in collaboration with experts from the National Institute of Health and the Ministry of Health. This paper considers the risk factors that may affect the water safety in healthcare facilities and reports the current regulatory frameworks governing the management of installations and the quality of the water. The Authors promote a careful analysis of the risks that characterize the health facilities, for the control of which specific actions are recommended in various areas, including water safety plans; approval of treatments; healthcare facilities responsibility, installation and maintenance of facilities; multidisciplinary approach; education and research; regional and national coordination; communication.

  14. Charter Schools, Civil Rights and School Discipline: A Comprehensive Review

    OpenAIRE

    Losen, Daniel J.; Keith, Michael A II; Hodson, Cheri L.; Martinez, Tia E

    2016-01-01

    This report, along with the companion spreadsheet, provides the first comprehensive description ever compiled of charter school discipline. In 2011-12, every one of the nation’s 95,000 public schools was required to report its school discipline data, including charter schools. This analysis, which includes more than 5,250 charter schools, focuses on out-of-school suspension rates at the elementary and secondary levels. The report describes the extent to which suspensions meted out by charter ...

  15. Time perspective and perceived risk as related to mammography screening.

    Science.gov (United States)

    Griva, Fay; Anagnostopoulos, Fotios; Potamianos, Gregory

    2013-01-01

    The present study explored the relation of time perspective to perceived risk for breast cancer and mammography screening. Women free from breast cancer (N = 194), eligible for mammography screening in terms of age, completed the Zimbardo Time Perspective Inventory (Zimbardo & Boyd, 1999) and measures of perceived risk, attitude toward performing mammography screening, intention to get a mammogram, and mammography screening behavior. Hierarchical multiple regression analysis revealed that perceived risk of breast cancer (β= .18, p < .01) and intention to be screened (β = .35, p < .01) were significantly associated with mammography screening, after controlling for the effects of sociodemographic (e.g., age, education, and economic level) and health-related variables (e.g., family history of breast cancer and previous benign breast disease). Path analyses including the main psychological variables indicated that perceived risk was indirectly related to intention via attitude (β = .17, p < .01), and to mammography screening through attitude and intention (β = .06, p < .01). Attitude was indirectly related to mammography screening via intention (β = .20, p < .01). Also, a significant indirect association was observed between future orientation and mammography screening, via perceived risk (β = .10, p < .01). Theoretical implications of study findings and suggestions for future research on use of mammography are presented.

  16. Psychosocial predictors of first attendance for organised mammography screening

    DEFF Research Database (Denmark)

    Aro, A R; de Koning, H J; Absetz, P

    1999-01-01

    not had a mass mammogram recently, but who regularly visited gynaecologists, attended for Pap smear screening, practised breast self examination, and who did not smoke. Low confidence in their own capabilities in breast cancer prevention, overoptimism about the sensitivity of mammography, and perception...... of breast cancer risk as moderate were also predictive of attendance. Expectation of pain at mammography was predictive of non-attendance. CONCLUSION: Mammography screening organised as a public health service was well accepted. A recent mammogram, high reliance on self control of breast cancer......, and an expectation of pain at mammography deterred attendance at screening. Further information about these factors and health information on screening are needed....

  17. Encouraging Districts and Charters to Link Arms to Solve Problems

    Science.gov (United States)

    Lake, Robin J.

    2017-01-01

    Charter schools and school districts have been at odds since the first charter school law passed in 1991. Districts resent the competition and subsequent funding loss for traditional schools. Charters resent the lack of access to facilities and other resources and attempts to infringe on their autonomy. Yet a fast-growing number of school…

  18. 14 CFR 380.17 - Charters conducted by educational institutions.

    Science.gov (United States)

    2010-01-01

    ... conducted by educational institutions. (a) This section shall apply only to charters conducted by educational institutions for charter groups comprised of bona fide participants in a formal academic course of... conducted by educational institutions. (b) An educational institution conducting such a charter shall...

  19. 41 CFR 105-54.203-2 - Active charters file.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Active charters file. 105-54.203-2 Section 105-54.203-2 Public Contracts and Property Management Federal Property Management... charters file. The GSA Committee Management Officer retains each original signed charter in a file...

  20. 12 CFR 747.406 - Cancellation of charter.

    Science.gov (United States)

    2010-01-01

    ... the Federal credit union has been completed, the NCUA Board shall cancel the charter of the Federal... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Cancellation of charter. 747.406 Section 747... and Procedures Applicable to Proceedings Relating to the Suspension or Revocation of Charters and...

  1. Performance-Based Accountability: Newarks Charter School Experience.

    Science.gov (United States)

    Callahan, Kathe; Sadovnik, Alan; Visconti, Louisa

    This study assessed how New Jersey's state accountability system encouraged or thwarted charter school success, how effectively performance standards were defined and enacted by authorizing agents, and how individual charter schools were developing accountability processes that made them more or less successful than their charter school…

  2. Equity Overlooked: Charter Schools and Civil Rights Policy

    Science.gov (United States)

    Frankenberg, Erica; Siegel-Hawley, Genevieve

    2009-01-01

    The Civil Rights Project (CRP) is in the midst of an analysis of rapidly growing charter school enrollment, which the authors anticipate releasing next month. Similar to trends described in their 2003 report and in other research on racial isolation in charter schools, they find higher levels of segregation for black students in charter schools…

  3. Religious Charter Schools: Gaining Ground yet Still Undefined

    Science.gov (United States)

    Weinberg, Lawrence D.

    2009-01-01

    This article examines charter schools from the perspective of religious institutions and parents that may want to open such schools. Religion-based charter schools also pose unique policy and legal questions because charter schools are a singular reform method. It examines the relevant, recent and historical, legal cases, and relevant examples of…

  4. 77 FR 31682 - Renewal of Cultural Property Advisory Committee Charter

    Science.gov (United States)

    2012-05-29

    ... experts in archaeology, anthropology, or ethnology; experts in the international sale of cultural property... of Cultural Property Advisory Committee Charter SUMMARY: The Charter of the Department of State's Cultural Property Advisory Committee (CPAC) has been renewed for an additional two years. The Charter...

  5. 75 FR 28849 - Renewal of Cultural Property Advisory Committee Charter

    Science.gov (United States)

    2010-05-24

    ... in archaeology, anthropology, or ethnology; experts in the international sale of cultural property... of Cultural Property Advisory Committee Charter SUMMARY: The Charter of the Department of State's Cultural Property Advisory Committee (CPAC) has been renewed for an additional two years. The Charter...

  6. 22 CFR 8.8 - Chartering of committees.

    Science.gov (United States)

    2010-04-01

    ... information set forth in the charter of the parent committee. (3) Informal subgroups may not require a charter; however, the charter of the parent committee must cover this aspect of its organization. (4) The Advisory... other committees; the committee organization, composition of membership and officers'...

  7. The Relative Efficiency of Charter Schools: A Cost Frontier Approach

    Science.gov (United States)

    Gronberg, Timothy J.; Jansen, Dennis W.; Taylor, Lori L.

    2012-01-01

    Charters represent an expansion of public school choice, offering free, publicly funded educational alternatives to traditional public schools. One relatively unexplored research question concerning charter schools asks whether charter schools are more efficient suppliers of educational services than are traditional public schools. The potential…

  8. Introduction of the Mammography unit; SEPIO series

    Energy Technology Data Exchange (ETDEWEB)

    Nanbu, Yukiko; Sasaki, Osamu; Tsuji, Hisao [Shimadzu Corp., Medical Systems Division, Kyoto (Japan)

    2003-06-01

    Mammography unit SEPIO series are designed for the both screening and diagnosis of the breast cancer. SEPIO series have the following features; iso-centric C-arm rotation leads to high throughput, two phase compression method called Twincomp minimizes the blind are near chest wall and the bi-angular X-ray tube contributes to better image quality. Furthermore optional MaxVision system which has a function to pull the breast toward the film is introduced to SEPIO series. (author)

  9. Authenticity and integrity of digital mammography images.

    Science.gov (United States)

    Zhou, X Q; Huang, H K; Lou, S L

    2001-08-01

    Data security becomes more and more important in telemammography which uses a public high-speed wide area network connecting the examination site with the mammography expert center. Generally, security is characterized in terms of privacy, authenticity and integrity of digital data. Privacy is a network access issue and is not considered in this paper. We present a method, authenticity and integrity of digital mammography, here which can meet the requirements of authenticity and integrity for mammography image (IM) transmission. The authenticity and integrity for mammography (AIDM) consists of the following four modules. 1) Image preprocessing: To segment breast pixels from background and extract patient information from digital imaging and communication in medicine (DICOM) image header. 2) Image hashing: To compute an image hash value of the mammogram using the MD5 hash algorithm. 3) Data encryption: To produce a digital envelope containing the encrypted image hash value (digital signature) and corresponding patient information. 4) Data embedding: To embed the digital envelope into the image. This is done by replacing the least significant bit of a random pixel of the mammogram by one bit of the digital envelope bit stream and repeating for all bits in the bit stream. Experiments with digital IMs demonstrate the following. 1) In the expert center, only the user who knows the private key can open the digital envelope and read the patient information data and the digital signature of the mammogram transmitted from the examination site. 2) Data integrity can be verified by matching the image hash value decrypted from the digital signature with that computed from the transmitted image. 3) No visual quality degradation is detected in the embedded image compared with the original. Our preliminary results demonstrate that AIDM is an effective method for image authenticity and integrity in telemammography application.

  10. Breast cancer screening: the underuse of mammography

    Energy Technology Data Exchange (ETDEWEB)

    Fox, S.; Baum, J.K.; Klos, D.S.; Tsou, C.V.

    1985-09-01

    The early detection of breast cancer is promoted by the American Cancer Society (ACS) and the American College of Radiology (ACR) by encouraging the regular use of three types of screening: breast self-examination (BSE), the clinical breast examination, and mammography. In August 1983, the ACS publicized seven recommendations pertaining to screening, including a revised statement about the routine use of mammography for women between the ages of 40 and 49 years. In response to the ACS statement, the present study assessed compliance with the updated recommendations for all three types of screening. The results show reasonable rates of compliance for the BSE (53%-69%) and clinical examination (70%-78%). In contrast, only 19% of the women between the ages of 35 and 49 and 25% of the women older than 50 reported complying with the recommendation to undergo one baseline screening mammogram. Some implications for health education by physicians and the professional education of physicians in the use of mammography are discussed.

  11. Texas charter school legislation and the evolution of open-enrollment charter schools.

    Directory of Open Access Journals (Sweden)

    Carrie Y. Barron Ausbrooks

    2005-03-01

    Full Text Available This article chronicles the evolution of legislation for Texas open-enrollment charter schools to their implementation by demonstrating how these schools have (or have not used their freedom from state-mandated requirements to develop innovative learning environments as well as to bring innovative curricula into the classroom. The investigative focus was on an analysis of Texas open-enrollment charter school legislation, from 1995 (74th legislative session to the 77th legislative session in 2001, and the characteristics of the state's 159 open-enrollment charter schools that were in operation during the 2001-2002 academic year. The authors found that charter school legislation has changed in response to concerns of all involved, and focuses on the need for balance between choice, innovation, and public accountability. Although charter schools are free from most state regulations, legislators were clearly interested in ensuring that this freedom does not impede charter schools' ability to provide a quality education to all students who attend them. The currently operating open-enrollment charter schools in Texas are more racially and economically segregated than other public schools in the state, and charter schools that targeted students most at risk for dropping out of school (and returning students who had previously dropped out differ from other schools in their stated teaching methods. Teacher turnover remains significantly greater than that for other public schools in the state. However, it does not appear to be specifically associated with schools that target disadvantaged students or minority students. The schools' mission statements suggest that innovative school environments are a factor in school design. Texas is poised to continue along the public education choice model. Charter school legislation provides a framework upon which charter schools may build to meet the educational needs of the students who choose to attend them

  12. 14 CFR 249.21 - Preservation of records by public charter operators and overseas military personnel charter...

    Science.gov (United States)

    2010-01-01

    ... operators and overseas military personnel charter operators. 249.21 Section 249.21 Aeronautics and Space... public charter operators and overseas military personnel charter operators. Each operator authorized... in connection with the tour or series of tours. (d) All customer reservations records for each...

  13. A prospective assessment of racial/ethnic differences in future mammography behavior among women who had early mammography

    Science.gov (United States)

    Kapp, Julie M.; Walker, Rod; Haneuse, Sebastien; Yankaskas, Bonnie C.

    2011-01-01

    BACKGROUND 29% of women aged 30-39 report having had a mammogram though sensitivity and specificity are low. We investigate racial/ethnic differences in future mammography behavior among women who had a baseline screening mammogram prior to age 40. METHODS Using 1994-2008 data from the Breast Cancer Surveillance Consortium (BCSC), we identified 29,390 women ages 35-39 with a baseline screening mammogram. We followed this cohort for two outcomes: (1) future BCSC mammography between ages 40-45; and (2) among those, delay in screening mammography until ages 43-45 compared to 40-42. Using adjusted log-linear models, we estimated the relative risk (RR) of these outcomes by race/ethnicity, while also considering the impact of false positive/true negative (FP/TN) baseline mammography results on these outcomes. RESULTS Relative to non-Hispanic white women, Hispanic women had an increased risk of no future BCSC mammography (RR: 1.21, 95% confidence interval (CI): 1.13-1.30); Asian women had a decreased risk (RR: 0.67, 95% CI: 0.61-0.74). Women with a FP, compared to TN, had a decreased risk of no future BCSC mammography (RR: 0.89, 95% CI: 0.85-0.95). Among those with future BCSC screening mammography, African American women were more likely to delay the timing (RR: 1.26, 95% CI: 1.09-1.45). The interaction between race/ethnicity and FP/TN baseline results was not significant. CONCLUSIONS Race/ethnicity is differentially associated with future BCSC mammography and the timing of screening mammography after age 40. IMPACT These findings introduce the need for research that examines disparities in lifetime mammography use patterns from the initiation of mammography screening. PMID:21242330

  14. Charter Schools and Student Compositions of Traditional Public Schools

    Directory of Open Access Journals (Sweden)

    Nevbahar Ertas

    2013-06-01

    Full Text Available One of the most contentious urban education policy issues in the United States today is the expansion of charter schools and its repercussions. Does the expansion of charter schools affect the racial and socioeconomic composition of traditional public schools in the United States? This study provides empirical evidence on this question by relying on a panel design that uses school-level data from two states that have experimented with charter schools for more than 15 years: Ohio and Texas. Using county-level, spatial, and enrollment-based measures of charter exposure, the changes from pre- to post-charter-legislation stages in the student compositions of public schools that do and do not face competition from charters are examined. The results suggest that charter school presence contributes to aggregate-level changes in the share of non-Hispanic White and free-lunch-eligible students in traditional public schools in both states in different ways.

  15. THE VALUE OF ULTRASOUND MAMMOGRAPHY IN PALPABLE BREAST MASSES

    NARCIS (Netherlands)

    VANOORD, JC; VANDERVLIET, AM; THYN, CJP; MAK, B; HOOGEBOOM, GJ

    1991-01-01

    Between January 1987 and May 1988 a prospective study was carried out on 232 women with a palpable breast mass. They underwent physical examination, x-ray mammography and ultrasound mammography. The results of each study were interpreted independently by separate observers, and consensus was achieve

  16. Breast density and outcome of mammography screening: a cohort study

    DEFF Research Database (Denmark)

    Olsen, A H; Bihrmann, K; Jensen, M-B

    2009-01-01

    The purpose of this study was to investigate the effect of breast density on breast cancer (BC) mortality in a mammography screening programme. The cohort included 48 052 women participating in mammography screening in Copenhagen, Denmark, where biennial screening is offered to women aged 50...

  17. Screening Mammography Utilization in Tennessee Women: The Association with Residence

    Science.gov (United States)

    Brown, Kathleen C.; Fitzhugh, Eugene C.; Neutens, James J.; Klein, Diane A.

    2009-01-01

    Context: Approximately 70% of US women over age 40 report mammography screening within 2 years. However, rates are likely to vary by age, income, educational level, and residence. Purpose: To describe the prevalence of screening mammography and associated factors in women living in rural and urban areas of Tennessee. Methods: Using pooled data…

  18. Measuring Charter School Efficiency: An Early Appraisal

    Science.gov (United States)

    Carpenter, Dick M., II; Noller, Scott L.

    2010-01-01

    In an era of increased accountability and challenging times for public finance, charter schools built on decentralization, grassroots accountability, and market forces may provide, in the spirit of "educational laboratories," lessons for increasing student achievement more efficiently through diverse and innovative management,…

  19. Education for Change: Epic Charter School

    Science.gov (United States)

    EDUCAUSE, 2015

    2015-01-01

    The student-centered school model of Epic Charter School in Oakland, California, framed around a hero's journey empowers middle school students with sense of unity and purpose in life, where they can feel part of a culture with a shared experience and with more opportunities to experiences growth and accomplishment. Design and engineering is front…

  20. Exploring the Competitive Effects of Charter Schools

    Science.gov (United States)

    Carpenter, Dick M., II; Medina, Paul M.

    2011-01-01

    Central to the debate over school choice has been the question of how public schools respond to market-based competition. Many choice advocates suggest that competition can spur public schools to become more effective and efficient, but the evidence regarding the effect of competition from charters is comparably sparse and mixed. This article…

  1. Charter Schools' Discipline Policies Face Scrutiny

    Science.gov (United States)

    Zubrzycki, Jaclyn; Cavanagh, Sean; McNeil, Michele

    2013-01-01

    As the number of charter schools continues to grow, one facet of their autonomy--the ability to set and enforce independent disciplinary standards--has raised difficult questions about whether those schools are pushing out students who pose behavior or academic challenges and how their policies affect regular public schools. Research on the issue…

  2. 12 CFR 552.4 - Charter amendments.

    Science.gov (United States)

    2010-01-01

    ... charter by substituting a new corporate title in section 1. (2) Home office. A Federal savings association... performed for the association, or any combination of the foregoing. In the absence of actual fraud in the... any corporate action (other than the removal of directors) the affirmative vote of a larger...

  3. Scale & Care: Charter Schools & New Urbanism.

    Science.gov (United States)

    Garber, Michael P.; Anderson, R. John; DiGiovanni, Thomas G.

    The Charter School movement combined with New Urbanist designers have uncovered the importance of scale in creating school environments that are more responsive to the needs of children. This paper examines the possibilities for mutual benefit for school and community by integrating school-building into the new urbanist tool kit. The discussion…

  4. 44 CFR 12.7 - Charter.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Charter. 12.7 Section 12.7 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY... also be furnished at the time of filing to the Library of Congress, Exchange and Gift Division,...

  5. Reproducibility of Mammography Units, Film Processing and Quality Imaging

    Science.gov (United States)

    Gaona, Enrique

    2003-09-01

    The purpose of this study was to carry out an exploratory survey of the problems of quality control in mammography and processors units as a diagnosis of the current situation of mammography facilities. Measurements of reproducibility, optical density, optical difference and gamma index are included. Breast cancer is the most frequently diagnosed cancer and is the second leading cause of cancer death among women in the Mexican Republic. Mammography is a radiographic examination specially designed for detecting breast pathology. We found that the problems of reproducibility of AEC are smaller than the problems of processors units because almost all processors fall outside of the acceptable variation limits and they can affect the mammography quality image and the dose to breast. Only four mammography units agree with the minimum score established by ACR and FDA for the phantom image.

  6. TL dosimetry for quality control of CR mammography imaging systems

    Science.gov (United States)

    Gaona, E.; Nieto, J. A.; Góngora, J. A. I. D.; Arreola, M.; Enríquez, J. G. F.

    The aim of this work is to estimate the average glandular dose with thermoluminescent (TL) dosimetry and comparison with quality imaging in computed radiography (CR) mammography. For a measuring dose, the Food and Drug Administration (FDA) and the American College of Radiology (ACR) use a phantom, so that dose and image quality are assessed with the same test object. The mammography is a radiological image to visualize early biological manifestations of breast cancer. Digital systems have two types of image-capturing devices, full field digital mammography (FFDM) and CR mammography. In Mexico, there are several CR mammography systems in clinical use, but only one system has been approved for use by the FDA. Mammography CR uses a photostimulable phosphor detector (PSP) system. Most CR plates are made of 85% BaFBr and 15% BaFI doped with europium (Eu) commonly called barium flourohalideE We carry out an exploratory survey of six CR mammography units from three different manufacturers and six dedicated X-ray mammography units with fully automatic exposure. The results show three CR mammography units (50%) have a dose greater than 3.0 mGy without demonstrating improved image quality. The differences between doses averages from TLD system and dosimeter with ionization chamber are less than 10%. TLD system is a good option for average glandular dose measurement for X-rays with a HVL (0.35-0.38 mmAl) and kVp (24-26) used in quality control procedures with ACR Mammography Accreditation Phantom.

  7. Thyroid absorbed dose using TLDs during mammography

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez A, M.; Melendez L, M. [IPN, Centro de Investigacion y de Estudios Avanzados, Av. IPN 2508, Col. San Pedro Zacatenco, 07360 Mexico D. F. (Mexico); Davila M, P., E-mail: biomedica.sst@gmail.com [UNEME-DEDICAM de Ciudad Victoria, Circuito Medico s/n, 87087 Ciudad Victoria, Tamaulipas (Mexico)

    2015-10-15

    Full text: In this study, the mean glandular dose (MGD) and the thyroid dose (D Thy) were measured in 200 women screened with mammography in Cranio caudal (Cc) and mediolateral oblique projections. All mammograms were performed with Giotto-Ims (6000-14-M2 Model) equipment, which was verified to meet the criteria of quality of NOM-229-Ssa-2002. During audits performance and HVL, for each anode filter combinations was measured with the camera Radcal mammography equipment 10 X 6-6M (HVL = 0.26 mm Al). D Thy measurements were performed with TLD dosimeters (LiF:Mn) , that were read with the Harshaw 3500 TLD reader. The MGD, was obtained according to the UK and European protocols for mammographic dosimetry using a plane parallel chamber (Standard Imaging, Model A-600) calibrated by a radiation beam UW-23-Mo (= 0.279 mm Al HVL). A comparative statistical analysis was carried out with the measured MGD and D thy. The thyroid mean dose was 0.063 mGy and 0.078 mGy for Cc and mediolateral oblique respectively. There is a linear correlation between the MGD and the D Thy slightly influenced by the anode-filter combination. Using a 95% for the confidence interval in MGD (1.07 mGy), the 90% of measurements are in agreement with the established uncertainty limits. The D Thy are lower than the MGD. There is no risk for cancer induction in thyroid in women due to mammography screening. (Author)

  8. Effectiveness of Cyber Charter Schools: A Review of Research on Learnings

    Science.gov (United States)

    Cavanaugh, Cathy

    2009-01-01

    Cyber charter schools in the United States have attracted considerable interest for students and families as alternatives to other public schools, as well as from policymakers. As charter school laws are enacted state-by-state, the climate for charter schools, including cyber charters grows more favorable. As of 2008, over 4500 charter schools…

  9. A PET imaging system dedicated to mammography

    CERN Document Server

    Varela, J

    2007-01-01

    The imaging system Clear-PEM for positron emission mammography, under development within the framework of the Crystal Clear Collaboration at CERN, is presented. The detector is based on pixelized LYSO crystals optically coupled to avalanche photodiodes (APD) and readout by a fast low-noise electronic system. A dedicated digital trigger and data acquisition system is used for on-line selection of coincidence events with high efficiency, large bandwidth and negligible dead-time. The detector module performance was characterized in detail.

  10. Mammography - recent technical developments and their clinical potential

    Energy Technology Data Exchange (ETDEWEB)

    Hemdal, Bengt; Mattsson, Soeren [Malmoe Univ. Hospital (Sweden). Dept. of Radiation Physics; Andersson, Ingvar [Malmoe Univ. Hospital (Sweden). Dept. of Diagnostic Radiology; Thilander Klang, Anne [Sahlgrenska Univ. Hospital, Goeteborg (Sweden). Dept. of Medical Physics and Biomedical Engineering; Bengtsson, Gert; Jarlman, O. [Lund Univ. Hospital (Sweden). Dept. of Diagnostic Radiology; Leitz, Wolfram [Swedish Radiation Protection Authority, Stockholm (Sweden); Bjurstam, Nils [Univ. of North Norway, Troms (Norway). Dept. of Radiology

    2002-05-01

    The recent technical developments in digital as well as screen-film X-ray mammography have been reviewed in order to evaluate their clinical potential and to analyse possible lines for future development. Material and methods: The scientific literature has been reviewed, conferences covered and contacts with colleagues developed. Companies in the field have been inquired and invited for presentations. Own experience has been gathered from different screen-film and digital mammography systems. Results and conclusions: Although there are important complementary techniques such as ultrasound and magnetic resonance imaging (MRI), X-ray mammography is still the golden standard for breast imaging. It is relatively simple and cost-effective, and it is presently the only realistic technique for screening in a large scale. It is still largely the only technique that can detect breast cancer in a pre invasive stage. Equipment for digital mammography is commercially available both with small area and full field technique (FFDM). The development of FFDM systems is now intense, as well as the development of dedicated workstations and computer-aided detection (CAD). In spite of this, the introduction of digital mammography has been very slow compared to most other X-ray examinations due to high costs and technical challenges to meet the high demands on image quality and dose in mammography as well as the demands on specialised workflow support for screening mammography and suitable display techniques. Film reading of digital mammograms has been the most common display mode so far, but to take full advantage of the digital concept, diagnostic as well as logistic, monitor reading must be applied. There is a potential of FFDM systems for significantly higher image quality or significantly lower dose than screen-film mammography (SFM), or both. Further research is necessary to fully use this potential. The investment costs are much higher for digital than screen-film mammography

  11. Dosimetry and image quality in digital mammography facilities in the State of Minas Gerais, Brazil

    Science.gov (United States)

    da Silva, Sabrina Donato; Joana, Geórgia Santos; Oliveira, Bruno Beraldo; de Oliveira, Marcio Alves; Leyton, Fernando; Nogueira, Maria do Socorro

    2015-11-01

    According to the National Register of Health Care Facilities (CNES), there are approximately 477 mammography systems operating in the state of Minas Gerais, Brazil, of which an estimated 200 are digital apparatus using mainly computerized radiography (CR) or direct radiography (DR) systems. Mammography is irreplaceable in the diagnosis and early detection of breast cancer, the leading cause of cancer death among women worldwide. A high standard of image quality alongside smaller doses and optimization of procedures are essential if early detection is to occur. This study aimed to determine dosimetry and image quality in 68 mammography services in Minas Gerais using CR or DR systems. The data of this study were collected between the years of 2011 and 2013. The contrast-to-noise ratio proved to be a critical point in the image production chain in digital systems, since 90% of services were not compliant in this regard, mainly for larger PMMA thicknesses (60 and 70 mm). Regarding the image noise, only 31% of these were compliant. The average glandular dose found is of concern, since more than half of the services presented doses above acceptable limits. Therefore, despite the potential benefits of using CR and DR systems, the employment of this technology has to be revised and optimized to achieve better quality image and reduce radiation dose as much as possible.

  12. Developing a comprehensive database management system for organization and evaluation of mammography datasets.

    Science.gov (United States)

    Wu, Yirong; Rubin, Daniel L; Woods, Ryan W; Elezaby, Mai; Burnside, Elizabeth S

    2014-01-01

    We aimed to design and develop a comprehensive mammography database system (CMDB) to collect clinical datasets for outcome assessment and development of decision support tools. A Health Insurance Portability and Accountability Act (HIPAA) compliant CMDB was created to store multi-relational datasets of demographic risk factors and mammogram results using the Breast Imaging Reporting and Data System (BI-RADS) lexicon. The CMDB collected both biopsy pathology outcomes, in a breast pathology lexicon compiled by extending BI-RADS, and our institutional breast cancer registry. The audit results derived from the CMDB were in accordance with Mammography Quality Standards Act (MQSA) audits and national benchmarks. The CMDB has managed the challenges of multi-level organization demanded by the complexity of mammography practice and lexicon development in pathology. We foresee that the CMDB will be useful for efficient quality assurance audits and development of decision support tools to improve breast cancer diagnosis. Our procedure of developing the CMDB provides a framework to build a detailed data repository for breast imaging quality control and research, which has the potential to augment existing resources.

  13. Nationwide survey of glandular tissue dose for establishment of breast cancer screening using mammography

    Energy Technology Data Exchange (ETDEWEB)

    Katoh, Tsuguhisa; Matsumoto, Mitsuomi [Tokyo Metropolitan Univ. of Health Sciences (Japan); Higashida, Yoshiharu [and others

    1999-06-01

    A nationwide survey was performed in an attempt to investigate the distribution of average glandular doses caused by mammography for breast cancer mass screening, and to utilize the data to determine the national guidance level for mammography. A phantom equivalent to a breast with a compressed thickness of 42 mm, and glass radio-photo luminescence dosimeters were sent to 104 institutions and facilities. The dosimeters were exposed using a method based on the protocols described in the Mammography Quality Control Manual. The returned dosimeters were then analyzed, and the beam qualities and the entrance surface exposure were determined. Using these values, the average glandular doses were estimated with an accuracy of {+-}8%. The doses ranged from 0.5 to 3.7 mGy. The mean dose and the standard deviation were 1.48 mGy and 0.52 mGy, respectively. In 91 facilities, the doses were less than 2 mGy. Regarding the technical factors for facilities which presented doses of 2 mGy or over, it seemed that the doses could be easily reduced to less than 2 mGy if the settings of the auto exposure controller (AEC), anti-scatter grid and/or the film-screen system were optimized. (author)

  14. Quality control in digital mammography: the noise components

    Energy Technology Data Exchange (ETDEWEB)

    Leyton, Fernando [Universidade de Tarapaca, Arica (Chile). Centro de Estudios en Ciencias Radiologicas; Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil); Nogueira, Maria do Socorro, E-mail: mnogue@cdtn.b [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil); Duran, Maria Paz [Clinica Alemana, Santiago (Chile). Dept. de Radiologia; Dantas, Marcelino, E-mail: marcelino@inb.gov.b [Industrias Nucleares do Brasil (INB), Caldas, MG (Brazil). Unidade de Tratamento de Minerios; Ubeda, Carlos, E-mail: cubeda@uta.c [Universidade de Tarapaca, Arica (Chile). Fac. de Ciencias de la Salud

    2011-07-01

    To measure the linearity of the detector and determine the noise components (quantum, electronic and structural noise) that contributed to losing image quality and to determine the signal noise ratio (SNR) and contrast noise ratio (CNR). This paper describes the results of the implementation of a protocol for quality control in digital mammography performed in two direct digital mammography equipment (Hologic, Selenia) in Santiago of Chile. Shows the results of linearity and noise analysis of the images which establishes the main cause of noise in the image of the mammogram to ensure the quality and optimize procedures. The study evaluated two digital mammography's Selenia, Hologic (DR) from Santiago, Chile. We conducted the assessment of linearity of the detector, the signal noise ratio, contrast noise ratio and was determined the contribution of different noise components (quantum, electronics and structural noise). Used different thicknesses used in clinical practice according to the protocol for quality control in digital mammography of Spanish society of medical physics and NHSBSP Equipment Report 0604 Version 3. The Selenia mammography software was used for the analysis of images and Unfors Xi detector for measuring doses. The mammography detector has a linear performance, the CNR and SNR did not comply with the Protocol for the thicknesses of 60 and 70 mm. The main contribution of the noise corresponds to the quantum noise, therefore it is necessary to adjust and optimize the mammography system. (author)

  15. Mammography and ultrasound in the evaluation of male breast disease

    Energy Technology Data Exchange (ETDEWEB)

    Munoz Carrasco, Rafaela; Alvarez Benito, Marina; Raya Povedano, Jose Luis [Hospital Universitario ' Reina Sofia' , Radiology Department, Cordoba (Spain); Munoz Gomariz, Elisa [Hospital Universitario ' Reina Sofia' , Support Unit for Research, Cordoba (Spain); Martinez Paredes, Maria [University of Cordoba, Radiology and Physical Medicine Area, Cordoba (Spain)

    2010-12-15

    To assess clinical variables that may be useful in differentiating gynaecomastia from carcinoma and to analyse the contribution of mammography and ultrasound to the evaluation of male breast disease. All men who underwent mammography and/or ultrasound between 1993 and 2006 in our hospital were retrospectively evaluated. Clinical characteristics in patients with gynaecomastia and those with carcinoma were compared. Radiological findings were classified according to the BI-RADS (Breast Imaging Reporting and Data System) criteria. The diagnostic performance of physical examination, mammography and ultrasound was determined and compared. A total of 628 patients with 518 mammograms and 423 ultrasounds were reviewed. The final diagnoses were: 19 carcinomas, 526 gynaecomastias, 84 other benign conditions and 25 normal. There were statistically significant differences in age, bilateral involvement, clinical presentation and physical examination between patients with carcinoma and those with gynaecomastia. The diagnostic performance of physical examination was lower than that of mammography and ultrasound (p < 0.05 for specificity). Mammography was the most sensitive (94.7%) and ultrasound the most specific (95.3%) for detection of malignancy (p > 0.05). We propose an algorithm for the use of mammography and ultrasound in men. Mammography and ultrasound, with a negative predictive value close to 100%, make it possible to avoid very many unnecessary surgical procedures in men. (orig.)

  16. The National Security Strategy Under the United Nations and International Law

    Science.gov (United States)

    2004-03-19

    a result of that war." This was addressed in 1951 by Hans Kelsen in a legal analysis of fundamental problems with the UN Charter. He concluded that...www.zmag.org/content/print_article.cfm>; Internet; accessed 31 January 2004. 36 Charter of the United Nations, Article 107. 37 Kearly, 27–28. 38 Hans Kelsen ...the framers introduced ambiguity reveals exactly what the framers intended. Kearly cites Hans Kelsen’s authoritative research of the charter of the

  17. Computer Aided Diagnosis in Digital Mammography

    Directory of Open Access Journals (Sweden)

    "H. Mirzaalian

    2005-08-01

    Full Text Available Introduction & Background: Breast cancer is a lead-ing cause of cancer deaths among women.Early de-tection is the most effective way to reduce mortality. Mammography is the best method for early detection. In order to improve the accuracy of interpretation of mammogram, Computer Aided Diagnosis (CAD sys-tems have been proposed. The main goal of this re-search is to implement one of the algorithms and techniques for the enhancement of mammogram for easier detection of abnormalities. Patients & Methods: In the presented algorithm, morphological methods are used first for removing artifacts. Then thresholding, labeling, and active con-tours methods are used to extract the breast region, which allow the search for abnormalities to be lim-ited to the region of the breast. Finally, Gaussian fil-ter and White Top Hat Transform is used for contrast enhancement of mammogram. This algorithm has been applied on 50 images from Mammography Im-age Analysis Society (MIAS. An expert radiologist then verified improvement on the processed images. Results and Conclusions: Implementing the presented algorithm causes easier and better interpretation of mammogram without increasing the number of false positive and false negative results. Because of the spe-cial shapes and statistical features of abnormal tex-tures, it is possible to apply pattern recognition and artificial intelligence techniques as an aid for diagnos-ing suspicious regions. Research on using some of these techniques to distinguish benign abnormalities from malignant ones is on the way.

  18. Charter School Board Characteristics, Composition and Practices and Charter School Outcomes: An Organizational Effectiveness Approach to Evaluating and Understanding Charter Schools

    Science.gov (United States)

    Frazier, Bernita Maria

    2011-01-01

    Charter schools are "autonomous, publicly funded entities that operate on the basis of a contract between the individual and/or group (e.g., teachers, parents, others) which organizes the school and a sponsor (typically local or state education boards or districts)" (Lavine, 1994, p. 8). Charter schools are responsible to sponsors for their…

  19. 76 FR 44324 - Environmental Laboratory Advisory Board; Notice of Charter Renewal

    Science.gov (United States)

    2011-07-25

    ... AGENCY Environmental Laboratory Advisory Board; Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of Charter Renewal. The Charter for the Environmental Protection Agency's (EPA) Environmental Laboratory Advisory Board (ELAB) will be renewed for an additional...

  20. 78 FR 35043 - Aviation Security Advisory Committee Charter Renewal and Request for Applicants

    Science.gov (United States)

    2013-06-11

    ... SECURITY Transportation Security Administration Aviation Security Advisory Committee Charter Renewal and... (TSA) announces the renewal of the charter for the Aviation Security Advisory Committee (ASAC). The... the Aviation Security Advisory Committee Charter Renewal section below. Comments, identified by...

  1. Socio-demographic determinants of participation in mammography screening

    DEFF Research Database (Denmark)

    von Euler-Chelpin, My; Olsen, Anne Helene; Njor, Sisse

    2008-01-01

    Our objective was to use individual data on socio-demographic characteristics to identify predictors of participation in mammography screening and control to what extent they can explain the regional difference. We used data from mammography screening programmes in Copenhagen, 1991-1999, and Funen.......68-3.10) for Copenhagen and Funen, respectively. Other important predictive factors for nonparticipation were not being married and not being Danish. In conclusion, to enhance participation in mammography screening programmes special attention needs to be given to women not using other primary health care services. All...

  2. Digital mammography and their developments; Digitale Mammografie und ihre Weiterentwicklung

    Energy Technology Data Exchange (ETDEWEB)

    Wienbeck, Susanne [Universitaetsmedizin Goettingen (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Fischer, Uwe [Diagnostisches Brustzentrum Goettingen (Germany)

    2015-09-15

    At the present time digital mammography is a satisfactory breast diagnostic imaging in clinical as well as screening mammography in defined age groups. Nevertheless it shows beside the application of ionizing radiation in women with dense breasts limitations in the detection of non calcification breast cancers. Tomosynthesis, digital contrast-enhanced mammography and breast-CT with or without contrast media lead to better results. Especially the application of contrast media for the visualisation of the tumor angiogenesis is invariably superior to all other non-contrast imaging modalities. However, the excellent results of breast MRI will be probably accessible with none of the new procedures.

  3. An assessment of American Indian women's mammography experiences

    Directory of Open Access Journals (Sweden)

    Faseru Babalola

    2010-12-01

    Full Text Available Abstract Background Mortality from breast cancer has increased among American Indian/Alaskan Native (AI/AN women. Despite this alarming reality, AI/AN women have some of the lowest breast cancer screening rates. Only 37% of eligible AI/AN women report a mammogram within the last year and 52% report a mammogram within the last two years compared to 57% and 72% for White women. The experiences and satisfaction surrounding mammography for AI/AN women likely are different from that of women of other racial/ethnic groups, due to cultural differences and limited access to Indian Health Service sponsored mammography units. The overall goals of this study are to identify and understand the mammography experiences and experiential elements that relate to satisfaction or dissatisfaction with mammography services in an AI/AN population and to develop a culturally-tailored AI/AN mammography satisfaction survey. Methods and Design The three project aims that will be used to guide this work are: 1 To compare the mammography experiences and satisfaction with mammography services of Native American/Alaska Native women with that of Non-Hispanic White, Hispanic, and Black women, 2 To develop and validate the psychometric properties of an American Indian Mammography Survey, and 3 To assess variation among AI/AN women's assessments of their mammography experiences and mammography service satisfaction. Evaluations of racial/ethnic differences in mammography patient satisfaction have received little study, particularly among AI/AN women. As such, qualitative study is uniquely suited for an initial examination of their experiences because it will allow for a rich and in-depth identification and exploration of satisfaction elements. Discussion This formative research is an essential step in the development of a validated and culturally tailored AI/AN mammography satisfaction assessment. Results from this project will provide a springboard from which a maximally

  4. CR mammography: Design and implementation of a quality control program

    Energy Technology Data Exchange (ETDEWEB)

    Moreno-Ramirez, A.; Brandan, M. E.; Villasenor-Navarro, Y.; Galvan, H. A.; Ruiz-Trejo, C. [Instituto de Fisica, Universidad Nacional Autonoma de Mexico, DF 04510 (Mexico); Departamento de Radiodiagnostico, Instituto Nacional de Cancerologia, DF 14080 (Mexico); Instituto de Fisica, Universidad Nacional Autonoma de Mexico, DF 04510 (Mexico)

    2012-10-23

    Despite the recent acquisition of significant quantities of computed radiography CR equipment for mammography, Mexican regulations do not specify the performance requirements for digital systems such as those of CR type. The design of a quality control program QCP specific for CR mammography systems was thus considered relevant. International protocols were taken as reference to define tests, procedures and acceptance criteria. The designed QCP was applied in three CR mammography facilities. Important deficiencies in spatial resolution, noise, image receptor homogeneity, artifacts and breast thickness compensation were detected.

  5. [Balancing risks and benefits of mammography screening for breast cancer: would you support its recommendation in Peruvian women?].

    Science.gov (United States)

    Posso, Margarita; Puig, Teresa; Bonfill, Xavier

    2015-01-01

    The aim of this study is to assess the balance between benefits and risks of population-based mammography screening programs in Peruvian women. We followed the criteria proposed by the GRADE (Grading of Recommendations Assessment, Development and Evaluation) working group. A generic search strategy for published studies was performed using Medline and other sources of national data (gray literature). The evidence of benefits, risks, costs and preferences of the population was used in order to state a recommendation in favour, or against, screening. We found five systematic reviews (SR) that evaluated the balance between benefit and risks, two economic evaluations based on Peruvian data, and one study that reported the preferences of Peruvian women. The quality of evidence of the SR was moderate in favour of screening in women aged 50-69 years. The balance of risks and benefits showed a higher probability of overdiagnosis compared with the reduction in mortality. The most cost-effective strategy was the triennial mammography. Perceived barriers could seriously compromise the participation of women. In conclusion, the recommendation of mammography screening for Peruvian women is weak, even more if we take into account other health necessities of the population. However, if implemented, triennial mammography in women aged 50-69 years could be the more suitable screening strategy.

  6. Similarities and Differences in the Organizational Characteristics of Charter Schools: A Test of Institutional Isomorphism and Strategy Positioning Theories

    Science.gov (United States)

    Sweet, Thomas

    2013-01-01

    Charter schools, independent public schools which operate through a system of contracts with public agencies, are heavily promoted as a means of improving the nation's traditional public education system. Managed as private enterprises, these schools compete for students through the implementation of market-style practices. Popularly viewed…

  7. Similarities and Differences in the Organizational Characteristics of Charter Schools: A Test of Institutional Isomorphism and Strategy Positioning Theories

    Science.gov (United States)

    Sweet, Thomas

    2013-01-01

    Charter schools, independent public schools which operate through a system of contracts with public agencies, are heavily promoted as a means of improving the nation's traditional public education system. Managed as private enterprises, these schools compete for students through the implementation of market-style practices. Popularly viewed as…

  8. Temperature and salinity profiles from CTD casts in Willapa Bay, Washington, from charter/fishing boats as part of the Pacific Northwest Coastal Ecosystem Regional Study (PNCERS) from 29 July 1997 to 10 September 1998 (NODC Accession 0000676)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — CTD and other data were collected from charter/fishing boats in Willapa Bay, Washington, from 29 July 1997 to 10 September 1998. Data were collected by the...

  9. Influence of advertisement on women's attitudes toward mammography screening.

    Science.gov (United States)

    Collins, C; Davis, L S; Rentz, K; Vannoy, D

    1997-01-01

    This project represents an effort to incorporate a feminist perspective into research on mammography screening. The purpose of this study was to assess women's attitudes toward four advertisements designed to encourage mammography screening. The goal was to create awareness about women's attitudes toward mammography advertisements in order to encourage the development of more effective and responsive motivational materials. The results indicated that each ad communicated different messages about the seriousness of breast cancer and the efficacy of mammography in detecting early breast cancer. Each ad also affected women differently regarding their feelings of control over breast cancer, their perceived loss of sex appeal resulting from a breast cancer diagnosis, and their general fear of breast cancer.

  10. Improvement of detectability of microcalcifications by magnification digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Higashida, Yoshiharu [Kumamoto Univ. (Japan). College of Medical Science; Hatemura, Masahiro; Yoshida, Akira; Takada, Takao; Takahashi, Mutsumasa

    1998-08-01

    Our aim in this study was to evaluate the potential utility of magnification mammography with a CR system by investigating the basic imaging parameters and detectability of microcalcifications in comparison with those of conventional screen-film systems. The basic imaging parameters were evaluated by measuring scatter fraction, modulation transfer function (MTF), Wiener spectrum, and incident dose for the various magnification factors. The detection of simulated microcalcifications in radiographs of a mammographic phantom and breast specimens were evaluated subjectively and quantitatively for screen-film and CR techniques with various magnification factors. The scatter fraction of digital magnification mammography decreased with increasing magnification factor. MTF of magnification digital mammography improved with increasing magnification factor. The detectability of microcalcifications with the CR system was significantly improved by magnification technique. From the above results, it is expected that the use of magnification mammography with a CR system will improve the detectability of microcalcification. (author)

  11. Four Principles to Consider Before Advising Women on Screening Mammography

    DEFF Research Database (Denmark)

    Keen, John D; Juhl Jørgensen, Karsten

    2015-01-01

    This article reviews four important screening principles applicable to screening mammography in order to facilitate informed choice. The first principle is that screening may help, hurt, or have no effect. In order to reduce mortality and mastectomy rates, screening must reduce the rate of advanced...... might extend a woman's life is narrow, as many tumors that can form metastases will already have done so. Instead of encouraging screening mammography, physicians should help women make an informed decision as with any medical intervention....

  12. Benefits of visualization in the mammography problem

    DEFF Research Database (Denmark)

    Khan, Azam; Breslav, Simon; Glueck, Michael

    2015-01-01

    making under uncertainty. In an effort to improve decision making with Bayesian problems, previous work has studied supplementing the textual description of problems with visualizations, such as graphs and charts. However, results have been varied and generally indicate that visualization......Abstract Trying to make a decision between two outcomes, when there is some level of uncertainty, is inherently difficult because it involves probabilistic reasoning. Previous studies have shown that most people do not correctly apply Bayesian inference to solve probabilistic problems for decision...... is not an effective technique. As these studies were performed over many years with a variety of goals and experimental conditions, we sought to re-evaluate the use of visualization as an aid in solving Bayesian problems. Many of these studies used the classic Mammography Problem with visualizations portraying...

  13. X-ray source for mammography

    Science.gov (United States)

    Logan, Clinton M.

    1994-01-01

    An x-ray source utilizing anode material which shifts the output spectrum to higher energy and thereby obtains higher penetrating ability for screening mammography application, than the currently utilized anode material. The currently used anode material (molybdenum) produces an energy x-ray spectrum of 17.5/19.6 keV, which using the anode material of this invention (e.g. silver, rhodium, and tungsten) the x-ray spectrum would be in the 20-35 keV region. Thus, the anode material of this invention provides for imaging of breasts with higher than average x-ray opacity without increase of the radiation dose, and thus reduces the risk of induced breast cancer due to the radiation dose administered for mammograms.

  14. Fundamental limits of positron emission mammography

    Energy Technology Data Exchange (ETDEWEB)

    Moses, William W.; Qi, Jinyi

    2001-06-01

    We explore the causes of performance limitation in positron emission mammography cameras. We compare two basic camera geometries containing the same volume of 511 keV photon detectors, one with a parallel plane geometry and another with a rectangular geometry. We find that both geometries have similar performance for the phantom imaged (in Monte Carlo simulation), even though the solid angle coverage of the rectangular camera is about 50 percent higher than the parallel plane camera. The reconstruction algorithm used significantly affects the resulting image; iterative methods significantly outperform the commonly used focal plane tomography. Finally, the characteristics of the tumor itself, specifically the absolute amount of radiotracer taken up by the tumor, will significantly affect the imaging performance.

  15. Instrumentation optimization for positron emission mammography

    Energy Technology Data Exchange (ETDEWEB)

    Moses, William W.; Qi, Jinyi

    2003-06-05

    The past several years have seen designs for PET cameras optimized to image the breast, commonly known as Positron Emission Mammography or PEM cameras. The guiding principal behind PEM instrumentation is that a camera whose field of view is restricted to a single breast has higher performance and lower cost than a conventional PET camera. The most common geometry is a pair of parallel planes of detector modules, although geometries that encircle the breast have also been proposed. The ability of the detector modules to measure the depth of interaction (DOI) is also a relevant feature. This paper finds that while both the additional solid angle coverage afforded by encircling the breast and the decreased blurring afforded by the DOI measurement improve performance, the ability to measure DOI is more important than the ability to encircle the breast.

  16. BIRADS{sup TM} classification in mammography

    Energy Technology Data Exchange (ETDEWEB)

    Balleyguier, Corinne [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France)]. E-mail: balleyguier@igr.fr; Ayadi, Salma [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France); Van Nguyen, Kim [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France); Vanel, Daniel [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France); Dromain, Clarisse [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France); Sigal, Robert [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France)

    2007-02-15

    The Breast Imaging Report and Data System (BIRADS) of the American College of Radiology (ACR) is today largely used in most of the countries where breast cancer screening is implemented. It is a tool defined to reduce variability between radiologists when creating the reports in mammography, ultrasonography or MRI. Some changes in the last version of the BIRADS{sup TM} have been included to reduce the inaccuracy of some categories, especially for category 4. The BIRADS{sup TM} includes a lexicon and descriptive diagrams of the anomalies, recommendations for the mammographic report as well as councils and examples of mammographic cases. This review describes the mammographic items of the BIRADS classification with its more recent developments, while detailing the advantages and limits of this classification.

  17. 76 FR 59186 - Renewal of National Grain Car Council

    Science.gov (United States)

    2011-09-23

    ... Board intends to renew the charter of the National Grain Car Council (NGCC). ADDRESSES: A copy of the charter is available at the Library of the Surface Transportation Board, 395 E Street, SW., Washington, DC... Surface Transportation Board Renewal of National Grain Car Council AGENCY: Surface Transportation...

  18. 78 FR 58383 - Renewal of National Grain Car Council

    Science.gov (United States)

    2013-09-23

    ... Board intends to renew the charter of the National Grain Car Council (NGCC). ADDRESSES: A copy of the charter is available at the Library of the Surface Transportation Board, 395 E Street SW., Washington, DC... Surface Transportation Board Renewal of National Grain Car Council AGENCY: Surface Transportation...

  19. 12 CFR 34.24 - Nonfederally chartered commercial banks.

    Science.gov (United States)

    2010-01-01

    ... Section 34.24 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY REAL ESTATE LENDING AND APPRAISALS Adjustable-Rate Mortgages § 34.24 Nonfederally chartered commercial banks. Pursuant to 12 U.S.C. 3803(a), a State chartered commercial bank may make ARM loans in accordance with...

  20. Review of "Going Exponential: Growing the Charter School Sector's Best"

    Science.gov (United States)

    Garcia, David

    2011-01-01

    This Progressive Policy Institute report argues that charter schools should be expanded rapidly and exponentially. Citing exponential growth organizations, such as Starbucks and Apple, as well as the rapid growth of molds, viruses and cancers, the report advocates for similar growth models for charter schools. However, there is no explanation of…

  1. Promoting the Earth Charter in Sao Paulo's Municipal Education System

    Science.gov (United States)

    Inojosa, Rose Marie

    2010-01-01

    This article presents the process of widespread teacher training based on the Earth Charter in the municipal area of Sao Paulo, Brazil, South America. This effort diffused knowledge of the Earth Charter through 800 educators and by means of them, to one million children. This process was developed by the team from UMAPAZ--Open University of the…

  2. Capitalization of Charter Schools into Residential Property Values

    Science.gov (United States)

    Brehm, Margaret; Imberman, Scott A.; Naretta, Michael

    2017-01-01

    Although prior research has found clear impacts of schools and school quality on property values, little is known about whether charter schools have similar effects. Using sale price data for residential properties in Los Angeles County from 2008 to 2011 we estimate the neighborhood level impact of charter schools on housing prices. Using an…

  3. Charter Schools and the Teacher Job Search in Michigan

    Science.gov (United States)

    Cannata, Marisa

    2010-01-01

    This paper examines the position of charter schools in prospective elementary teachers' job search decisions. Using a labor market segmentation framework, it explores teacher applicants' decisions to apply to charter schools. The data come from a mixed-methods longitudinal study of prospective teachers looking for their first job. This paper finds…

  4. Charter School Competition, Organization, and Achievement in Traditional Public Schools

    Science.gov (United States)

    Davis, Tomeka M.

    2013-01-01

    Market models of education reform predict that the growth of charter schools will infuse competition into the public school sector, forcing traditional public schools to improve the practices they engage in to educate students. Some scholars have criticized these models, arguing that competition from charter schools is unlikely to produce…

  5. Teacher Classroom Management Ratings at Concept Charter Schools

    Science.gov (United States)

    Senlik, Yasar

    2013-01-01

    The purpose of this study is to identify the factors that impact the classroom management rating score of teachers at Concept Schools managed charter schools. Concept Schools, a non-profit management and consulting organization that manages charter schools in the Midwest, has adapted Charlotte Danielson's rubrics for "Enhancing Professional…

  6. Inside Charter Schools: Unlocking Doors to Student Success

    Science.gov (United States)

    Gross, Betheny

    2011-01-01

    As the charter movement matures and plays a growing role in education reform, educators need to know about the organizational dynamics autonomy creates, the people who end up working in autonomous schools, and the academic programs they choose to employ. That information is critical to helping the charter school sector grow and mature effectively,…

  7. Public Online Charter School Students: Choices, Perceptions, and Traits

    Science.gov (United States)

    Kim, Paul; Kim, Flora Hisook; Karimi, Arafeh

    2012-01-01

    There has been a steady growth of the K-12 student population taking courses online. This study examined reasons for students to choose a public online charter school program and their perceptions of online discussion. A survey was sent to 1,500 students newly enrolled in a statewide public online charter school program. From those who responded,…

  8. Principles & Standards for Quality Charter School Authorizing. 2012 Edition

    Science.gov (United States)

    National Association of Charter School Authorizers (NJ1), 2012

    2012-01-01

    Charter school authorizing is a powerful strategy for making excellent public schools and educational opportunities available to all students. Done well, charter authorizing increases student achievement by expanding the supply of quality public schools to satisfy unmet needs--particularly by providing life-changing opportunities for students…

  9. Charter Schools and the Teacher Job Search. Research Brief

    Science.gov (United States)

    Cannata, Marisa

    2010-01-01

    Charter schools have been the subject of much education policy research, particularly related to student achievement, governance, funding, and student composition. Although high-quality teachers are essential for the educational success of any school, much less research exists on charter schools' ability to recruit talented teachers. This study…

  10. Fiscal Impacts of Charter Schools: Lessons from New York

    Science.gov (United States)

    Bifulco, Robert; Reback, Randall

    2014-01-01

    This brief argues that charter school programs can have direct fiscal impacts on school districts for two reasons. First, operating two systems of public schools under separate governance arrangements can create excess costs. Second, charter school financing policies can distribute resources to or away from districts. Using the city school…

  11. Charter Operators Spell Out Barriers to "Scaling Up"

    Science.gov (United States)

    Zehr, Mary Ann

    2011-01-01

    The pace at which the highest-performing charter-management organizations (CMOs) are "scaling up" is being determined largely by how rapidly they can develop and hire strong leaders and acquire physical space, and by the level of support they receive for growth from city or state policies, say leaders from some charter organizations…

  12. A Phenomenological Narrative Study: Elementary Charter School Principals' Managerial Roles

    Science.gov (United States)

    Cetinkaya, Ahmet

    2016-01-01

    This study was a phenomenological narrative research investigating the managerial roles of elementary charter school principals. Managerial leadership practices were investigated under three categories personnel management, student management, and finance management. Elementary charter school principals provided positive feedback for having small…

  13. Charter Schools: An Experiment in School Reform. ASPIRA Issue Brief.

    Science.gov (United States)

    Dittmar, Belinda Corazon; And Others

    Charter schools incorporate the focus of magnet schools but often go beyond their academic specialization to more social goals. They can operate at both elementary and secondary levels, although they are always quite small. The greatest difference, however, between charter schools and other public schools is their status as a bridge between public…

  14. Cultivating Life Skills at a Project-Based Charter School

    Science.gov (United States)

    Wurdinger, Scott; Enloe, Walter

    2011-01-01

    Surveys that focused on academic and life skill development were collected from alumni who attended Avalon Charter School in St Paul, Minnesota. Avalon is a small public charter school that uses project-based learning as their primary teaching method. Forty-two alumni responded to the online survey. Students ranked life skills such as creativity,…

  15. English Learners (ELs) and Charter Schools. Fast Facts

    Science.gov (United States)

    Office of English Language Acquisition, US Department of Education, 2015

    2015-01-01

    The Office of English Language Acquisition (OELA) has synthesized key data on English learners (ELs) into two-page PDF sheets, by topic, with graphics, plus key contacts. The topics for this report on English Learners (ELs) and charter schools include: (1) Number of Charter Schools, by State, Including DC: SY 2011-12; (2) Number of ELs in Charter…

  16. Restoring Shanker's Vision for Charter Schools

    Science.gov (United States)

    Kahlenberg, Richard D.; Potter, Halley

    2015-01-01

    In 1988, education reformer and American Federation of Teachers president Albert Shanker proposed a new kind of public school--"charter schools"--which would allow teachers to experiment with innovative approaches to educating students. Publicly funded but independently managed, these schools would be given a charter to try their fresh…

  17. The Nature of Online Charter Schools: Evolution and Emerging Concerns

    Science.gov (United States)

    Waters, Lisa Hasler; Barbour, Michael K.; Menchaca, Michael P.

    2014-01-01

    Online charter schools are unique among K-12 online learning options for students. They are full-time, public schools that combine online learning with traditional and home schooling practices. They are often chartered by a state agency, supported in full or in part with state funds and most often managed by a private educational management…

  18. 14 CFR 399.21 - Charter exemptions (except military).

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Charter exemptions (except military). 399.21 Section 399.21 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION... Authority § 399.21 Charter exemptions (except military). In deciding applications for exemptions...

  19. Effective Uses of CSP Grant Funds in Tennessee Charter Schools

    Science.gov (United States)

    Williams, Andrew; Webb, Leigh

    2013-01-01

    The topic of educational spending and its connection to student achievement was long-debated before charter schools entered the conversation. With the rise in government spending on education, particularly charter school funding, the financial debate has strengthened and evoked much controversy. Though the Tennessee Department of Education (TNDOE)…

  20. Existing data sources for clinical epidemiology: the Danish Quality Database of Mammography Screening

    Directory of Open Access Journals (Sweden)

    Langagergaard V

    2013-03-01

    Full Text Available Vivian Langagergaard,1 Jens P Garne,2 Ilse Vejborg,3 Walter Schwartz,4 Martin Bak,5 Anders Lernevall,1 Nikolaj B Mogensen,6 Heidi Larsson,7 Berit Andersen,1 Ellen M Mikkelsen7 1Department of Public Health Programs, Randers Hospital, Randers, Denmark; 2Department of Breast Surgery, Aalborg Hospital, Aalborg, Denmark; 3Diagnostic Imaging Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; 4Center of Mammography, 5Department of Pathology, Odense University Hospital, Denmark; 6Department of Radiology, Ringsted Hospital, Ringsted, Denmark; 7Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark Abstract: The Danish Quality Database of Mammography Screening (DKMS was established in 2007, when screening was implemented on a nationwide basis and offered biennially to all Danish women aged 50–69 years. The primary aims of the database are to monitor and evaluate the quality of the screening program and – after years of follow-up – to evaluate the effect of nationwide screening on breast cancer-specific mortality. Here, we describe the database and present results for quality assurance from the first round of national screening. The steering committee for the DKMS defined eleven organizational and clinical quality indicators and standards to monitor the Danish breast cancer screening program. We calculated the relevant proportions and ratios with 95% confidence intervals for each quality indicator. All indicators were assessed on a national and regional level. Of 670,039 women invited for mammography, 518,823 (77.4% participated. Seventy-one percent of the women received the result of their mammography examination within 10 days of screening, and 3% of the participants were recalled for further investigation. Among all detected cancers, 86% were invasive cancers, and the proportion of women with node negative cancer was 67%. There were 36% women with small cancers, and the ratio of surgery for

  1. Mammography Prevalence within 2 Two Years (Age 40+) - Small Area Estimates

    Science.gov (United States)

    For mammography, a woman 40 years of age or older must have reported having at least one mammography in her life. Furthermore, she should have had the most recent one within the last two years by the time of interview.

  2. Massachusetts Charter Public Schools: Best Practices Serving English Language Learners. White Paper No. 140

    Science.gov (United States)

    Candal, Cara Stillings

    2015-01-01

    In recent years many charter public schools in Massachusetts have increased the number of English language learners (ELLs) that they enroll. A 2010 amendment to the charter school law has made it easier for charter schools to recruit English language learners. The success that many charter schools have had with this subset of students defies…

  3. Exploring Quality Programs for English Language Learners in Charter Schools: A Framework to Guide Future Research

    Science.gov (United States)

    Garcia, Peggie; Morales, P. Zitlali

    2016-01-01

    Although there has been a great deal of debate about the effectiveness of charter schools in the research literature, there has been surprisingly little attention paid to English language learners (ELLs) in charter schools. Moreover, the charter school research has predominantly focused on whether or not charter schools are effective rather than…

  4. Understanding and Assessing the Charter School Movement. Critical Issues in Educational Leadership Series.

    Science.gov (United States)

    Murphy, Joseph; Shiffman, Catherine Dunn

    This volume presents a "big picture" perspective on the charter-school movement. It provides a definition of charter schools, what they are, and where they fit on the landscape of school reform; an explanation of why charters enjoy widespread bipartisan support; a look at how charters are situated in the larger school-reform movement of the last…

  5. Choice without Equity: Charter School Segregation and the Need for Civil Rights Standards

    Science.gov (United States)

    Frankenberg, Erica; Siegel-Hawley, Genevieve; Wang, Jia

    2010-01-01

    Seven years after the Civil Rights Project first documented extensive patterns of charter school segregation, the charter sector continues to stratify students by race, class and possibly language. This study is released at a time of mounting federal pressure to expand charter schools, despite on-going and accumulating evidence of charter school…

  6. Critical Race Theory and the Proliferation of U.S. Charter Schools

    Science.gov (United States)

    Chapman, Thandeka K.; Donnor, Jamel K.

    2015-01-01

    Charter schools have substantial bipartisan support for their expansion. Yet, the bulk of charter school research ascertains that the majority of students in charter schools do not significantly outscore their traditional school peers on measurable indicators of academic performance. Additionally, students in charter schools do not have comparable…

  7. Reducing ABA Litigation through Autism-Centric Charter Schools: Legally Viable or Vulnerable?

    Science.gov (United States)

    Decker, Janet R.

    2010-01-01

    A recent study discovered that charter schools designed for children with autism or "autism-centric charter schools" comprise half of the total number of charter schools designed for children with disabilities. However, these unique charter schools may be vulnerable to legal challenges because they may be violating the Individuals with…

  8. Optimizing Imaging Instruments for Emission Mammography

    Science.gov (United States)

    Weinberg, Irving N.

    1996-05-01

    Clinical studies have demonstrated that radiotracer methods can noninvasively detect breast cancers in vivo(L.P. Adler, J.P.Crowe, N.K. Al-Kaisis, et al, Radiology 187,743-750 (1993)) (I. Khalkhali, I. Mena, E. Jouanne, et al, J. Am. Coll. Surg. 178, 491-497 (1994)). Due to spatial resolution and count efficiency considerations, users of conventional nuclear medicine instruments have had difficulty in detecting subcentimeter cancers. This limitation is unfortunate, since cancer therapy is generally most efficacious when tumor diameter at detection is less than a centimeter. A more subtle limitation of conventional nuclear medicine imaging instruments is that they are poorly suited to guiding interventions. With the assistance of C.J. Thompson from McGill University, and the CEBAF Detector Physics Group, we have explored the possibility of configuring detectors for nuclear medicine imaging devices into geometries that resemble conventional x-ray mammography cameras(I.N. Weinberg, U.S.Patent 5,252,830 (1993)). Phantom and pilot clinical studies suggest that applying breast compression within such geometries may offer several advantages(C.J. Thompson, K. Murthy, I.N. Weinberg, et al, Med. Physics 21, 259-538 (1994)): For coincident detection of positron emitters, efficiency and spatial resolution are improved by bringing the detectors very close to the source (the breast tumor). For single-photon detection, attenuation due to overlying tissue is reduced. Since, for a high-efficiency collimator, spatial resolution worsens with increasing source to collimator distance, adoption of compression allows more efficient collimators to be employed. Economics are favorable in that detectors can be deployed in the region of interest, rather than around the entire body, and that such detectors can be mounted in conventional mammographic gantries. The application of conventional mammographic geometry promises to assist physicians in conducting radiotracer-guided biopsies, and in

  9. Mammography calibration qualities establishment in a Mo-Mo clinical system

    Energy Technology Data Exchange (ETDEWEB)

    Correa, E.L.; Santos, L.R. dos; Vivolo, V.; Potiens, M.P.A., E-mail: educorrea1905@gmail.com [Instituto de Pesquisas Energeticas e Nucleres (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2015-07-01

    In this study the mammography calibration qualities were established in a clinical mammography system. The objective is to provide the IPEN instruments calibration laboratory with both mammography calibration methods (using a clinical and an industrial system). The results showed a good behavior of mammography equipment, in terms of kVp, PPV and exposure time. The additional filtration of molybdenum is adequate, air-kerma rates were determined and spectra were obtained. (author)

  10. Charter for Systems Engineer Working Group

    Science.gov (United States)

    Suffredini, Michael T.; Grissom, Larry

    2015-01-01

    This charter establishes the International Space Station Program (ISSP) Mobile Servicing System (MSS) Systems Engineering Working Group (SEWG). The MSS SEWG is established to provide a mechanism for Systems Engineering for the end-to-end MSS function. The MSS end-to-end function includes the Space Station Remote Manipulator System (SSRMS), the Mobile Remote Servicer (MRS) Base System (MBS), Robotic Work Station (RWS), Special Purpose Dexterous Manipulator (SPDM), Video Signal Converters (VSC), and Operations Control Software (OCS), the Mobile Transporter (MT), and by interfaces between and among these elements, and United States On-Orbit Segment (USOS) distributed systems, and other International Space Station Elements and Payloads, (including the Power Data Grapple Fixtures (PDGFs), MSS Capture Attach System (MCAS) and the Mobile Transporter Capture Latch (MTCL)). This end-to-end function will be supported by the ISS and MSS ground segment facilities. This charter defines the scope and limits of the program authority and document control that is delegated to the SEWG and it also identifies the panel core membership and specific operating policies.

  11. 42 CFR 405.535 - Special rule for nonparticipating physicians and suppliers furnishing screening mammography...

    Science.gov (United States)

    2010-10-01

    ... suppliers furnishing screening mammography services before January 1, 2002. 405.535 Section 405.535 Public... Special rule for nonparticipating physicians and suppliers furnishing screening mammography services before January 1, 2002. The provisions in this section apply for screening mammography services...

  12. 75 FR 68200 - Medical Devices; Radiology Devices; Reclassification of Full-Field Digital Mammography System

    Science.gov (United States)

    2010-11-05

    ...; Reclassification of Full- Field Digital Mammography System AGENCY: Food and Drug Administration, HHS. ACTION: Final...-field digital mammography (FFDM) system from class III (premarket approval) to class II (special... generic type of device may include digital mammography acquisition software, full-field digital...

  13. 42 CFR 405.534 - Limitation on payment for screening mammography services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Limitation on payment for screening mammography... for Determining Reasonable Charges § 405.534 Limitation on payment for screening mammography services... January 1, 1991 until December 31, 2001. Screening mammography services provided after December 31,...

  14. The Assessment of the Likelihood of Mammography Usage with Relevant Factors among Women with Disabilities

    Science.gov (United States)

    Kung, Pei-Tseng; Tsai, Wen-Chen; Chiou, Shang-Jyh

    2012-01-01

    Research that identifies the determinants of low mammography use among disabled people is scant. This study examines the determining factors related to the low usage of mammography among women with disabilities. To identify the barriers that prevent women with disabilities from participating in mammography screening can help authorities conceive…

  15. 42 CFR 410.34 - Mammography services: Conditions for and limitations on coverage.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Mammography services: Conditions for and... Medical and Other Health Services § 410.34 Mammography services: Conditions for and limitations on... mammography means a radiologic procedure furnished to a man or woman with signs or symptoms of breast...

  16. Predicting the risk of a false-positive test for women following a mammography screening programme

    DEFF Research Database (Denmark)

    Njor, Sisse Helle; Olsen, Anne Helene; Schwartz, Walter

    2007-01-01

    OBJECTIVES: The objectives of this study was to provide a simple estimate of the cumulative risk of a false-positive test for women participating in mammography screening. To test the method, we used data from two well-established, organized mammography screening programmes offering biennial...... be calculated in a simple way relatively early after the start of a mammography screening programme....

  17. 42 CFR 413.123 - Payment for screening mammography performed by hospitals on an outpatient basis.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Payment for screening mammography performed by... SKILLED NURSING FACILITIES Specific Categories of Costs § 413.123 Payment for screening mammography... mammographies performed by hospitals. (b) Payment to hospitals for outpatient services. Payment to hospitals...

  18. [Influence of Detector Radiation Damage on CR Mammography Quality Control].

    Science.gov (United States)

    Moriwaki, Atsumi; Ishii, Mie; Terazono, Shiho; Arao, Keiko; Ishii, Rie; Sanada, Taizo; Yoshida, Akira

    2016-05-01

    Recently, radiation damage to the detector apparatus employed in computed radiography (CR) mammography has become problematic. The CR system and the imaging plate (IP) applied to quality control (QC) program were also used in clinical mammography in our hospital, and the IP to which radiation damage has occurred was used for approximately 5 years (approximately 13,000 exposures). We considered using previously acquired QC image data, which is stored in a server, to investigate the influence of radiation damage to an IP. The mammography unit employed in this study was a phase contrast mammography (PCM) Mermaid (KONICA MINOLTA) system. The QC image was made newly, and it was output in the film, and thereafter the optical density of the step-phantom image was measured. An input (digital value)-output (optical density) conversion curve was plotted using the obtained data. The digital values were then converted to optical density values using a reference optical density vs. digital value curve. When a high radiation dose was applied directly, radiation damage occurred at a position on the IP where no object was present. Daily QC for mammography is conducted using an American College of Radiology (ACR) accreditation phantom and acrylic disc, and an environmental background density measurement is performed as one of the management indexes. In this study, the radiation damage sustained by the acrylic disc was shown to differ from that of the background. Thus, it was revealed that QC results are influenced by radiation damage.

  19. MammoGrid: a mammography database

    CERN Multimedia

    2002-01-01

    What would be the advantages if physicians around the world could gain access to a unique mammography database? The answer may come from MammoGrid, a three-year project under the Fifth Framework Programme of the EC. Led by CERN, MammoGrid involves the UK (the Universities of Oxford, Cambridge and the West of England, Bristol, plus the company Mirada Solutions of Oxford), and Italy (the Universities of Pisa and Sassari and the Hospitals in Udine and Torino). The aim of the project is, in light of emerging GRID technology, to develop a Europe-wide database of mammograms. The database will be used to investigate a set of important healthcare applications as well as the potential of the GRID to enable healthcare professionals throughout the EU to work together effectively. The contributions of the partners include building the GRID-database infrastructure, developing image processing and Computer Aided Detection techniques, and making the clinical evaluation. The first project meeting took place at CERN in Sept...

  20. Characterizing mammography reports for health analytics.

    Science.gov (United States)

    Rojas, Carlos C; Patton, Robert M; Beckerman, Barbara G

    2011-10-01

    As massive collections of digital health data are becoming available, the opportunities for large-scale automated analysis increase. In particular, the widespread collection of detailed health information is expected to help realize a vision of evidence-based public health and patient-centric health care. Within such a framework for large scale health analytics we describe the transformation of a large data set of mostly unlabeled and free-text mammography data into a searchable and accessible collection, usable for analytics. We also describe several methods to characterize and analyze the data, including their temporal aspects, using information retrieval, supervised learning, and classical statistical techniques. We present experimental results that demonstrate the validity and usefulness of the approach, since the results are consistent with the known features of the data, provide novel insights about it, and can be used in specific applications. Additionally, based on the process of going from raw data to results from analysis, we present the architecture of a generic system for health analytics from clinical notes.

  1. Feasibility of using LODOX technology for mammography

    Science.gov (United States)

    Lease, Alyson; Vaughan, Christopher; Beningfield, Stephan; Potgieter, Herman; Booysen, Andre

    2002-05-01

    The LODOX (Low Dose X-ray) Scanner, created by De Beers, is currently being clinically tested at the Trauma Unit of Groote Schuur Hospital and the University of Cape Town in South Africa. High quality images with exceedingly low radiation suggest that the technology may also be used to identify breast cancer lesions and microcalcifications. The measured LODOX modulation transfer function averages 6 percent at 10 cycles per millimeter, while the detected quantum efficiency is approximately 25 percent at 1 cycle per millimeter. The mean glandular doses calculated for a breast thickness of 4 cm at various intensities -- ranging from 0.022 rad at 70mAs to 0.043 rad at 125mAs -- were approximately 10 times less than the value designated by the American College of Radiology (0.3 rad per breast image). At 40kV, LODOX exhibits an average half value layer of 1.59 mm of Al (compared to 0.3 to 0.4 mm recommended for mammography), illustrating the unfavorable higher penetration of LODOX X-rays. The extremely low radiation dose delivered by the LODOX suggests that the technology would be feasible for detecting and diagnosing cancers in the sensitive tissue of the breast, once adjustments to X-ray range and beam hardness had been accomplished.

  2. Moses as a role model in the Serbia charters after 1371 changing patterns

    Directory of Open Access Journals (Sweden)

    Vujošević Žarko

    2008-01-01

    Full Text Available The aspects of the Old Testament figure of Moses highlighted in the charters of post-Nemanjić Serbia, or under the Lazarević and Branković dynasties (1371-1459, testify to a changed attitude towards Old Testament role models. While members of the Nemanjić house such as the archbishop Sava I and the rulers Stefan of Dečani and Dušan look up to Moses as a "religious leader", a prayerful intercessor before God and a victorious warrior, all of that for the sake of the "chosen" people, the role he is assigned in the arengae of the charters issued by prince Lazar and despots Stefan Lazarević and Đurađ Branković is completely different. In the universal Christian context of the post-1371 arengae Moses figures as a "prophet" and the builder of the Tabernacle - a prefiguration of the Church, thereby epitomizing a major stage in the salvation history of humankind. The role of Moses, as well as that of David, the only other Old Testament figure still referred to in the charters of the period, has a universal ecclesiologically interpreted, significance. This new pattern of interpreting Moses implies that the ruler’s main virtue now becomes his concern for the "true faith" and the houses of God. The practice of the Nemanjićs as regards selection and interpretation of Old Testament themes is reestablished by the titular despots of the Branković dynasty. In their charters, the first part of the Bible with Moses as a popular leader reassumes a "national" character and becomes part of the ideological apparatus intended to posit the Serbs as a "New Israel".

  3. Screening mammography beliefs and recommendations: a web-based survey of primary care physicians

    Directory of Open Access Journals (Sweden)

    Yasmeen Shagufta

    2012-02-01

    Full Text Available Abstract Background The appropriateness and cost-effectiveness of screening mammography (SM for women younger than 50 and older than 74 years is debated in the clinical research community, among health care providers, and by the American public. This study explored primary care physicians' (PCPs perceptions of the influence of clinical practice guidelines for SM; the recommendations for SM in response to hypothetical case scenarios; and the factors associated with perceived SM effectiveness and recommendations in the US from June to December 2009 before the United States Preventive Services Task Force (USPSTF recently revised guidelines. Methods A nationally representative sample of 11,922 PCPs was surveyed using a web-based questionnaire. The response rate was 5.7% (684; (41% 271 family physicians (FP, (36% 232 general internal medicine physicians (IM, (23% 150 obstetrician-gynaecologists (OBG, and (0.2% 31 others. Cross-sectional analysis examined PCPs perceived effectiveness of SM, and recommendation for SM in response to hypothetical case scenarios. PCPs responses were measured using 4-5 point adjectival scales. Differences in perceived effectiveness and recommendations for SM were examined after adjusting for PCPs specialty, race/ethnicity, and the US region. Results Compared to IM and FP, OBG considered SM more effective in reducing breast cancer mortality among women aged 40-49 years (p = 0.003. Physicians consistently recommended mammography to women aged 50-69 years with no differences by specialty (p = 0.11. However, 94% of OBG "always recommended" SM to younger and 86% of older women compared to 81% and 67% for IM and 84% and 59% for FP respectively (p = p = Conclusions A majority of physicians, especially OBG, favour aggressive breast cancer screening for women from 40 through 79 years of age, including women with short life expectancy. Policy interventions should focus on educating providers to provide tailored recommendations for

  4. SU-E-I-64: X-Ray Coherent Scatter Mammography Simulation

    Energy Technology Data Exchange (ETDEWEB)

    Hassan, L R; MacDonald, C A [University at Albany, SUNY, Albany, NY (United States)

    2014-06-01

    Purpose: Conventional mammography has poor contrast between healthy and cancerous tissues due to the small difference in attenuation properties. Coherent scatter potentially provides more information because interference of coherently scattered radiation depends on the average intermolecular spacing, and can be used to characterize tissue types. However, typical coherent scatter analysis techniques are not compatible with rapid low dose screening modalities. Coherent scatter slot scan imaging is a novel imaging technique which provides new information with higher contrast. In this work a simulation was performed of coherent scatter slot scan imaging to assess its performance and provide system optimization. Methods: In coherent scatter imaging, the coherent scatter is exploited using a conventional slot scan mammography system with anti-scatter grids tilted at the characteristic angle of cancerous tissues. A Monte Carlo simulation was used to simulate the coherent scatter imaging. System optimization was performed across several parameters, including source voltage and filtration, tilt angle, source and grid distances, grid ratio, and shielding geometry. Results: The contrast was high and increased as the grid tilt angle was increased beyond the characteristic angle for the modeled carcinoma, and as the source voltage increased. Source filtration did not have a significant effect on contrast. Increasing grid ratio improved contrast at the expense of decreasing the signal to noise ratio (SNR). As the tumor size is decreased, additional shields to block the fat signal are necessary in order to detect the cancer signal. Conclusion: Coherent scatter analysis using a wide slot setup is promising as an enhancement for screening mammography. This work was supported by National Institutes of Health, # 7 R01EB009715.

  5. Air charter leisure traffic and organised tourism in Poland: Are charters passé?

    Directory of Open Access Journals (Sweden)

    Taylor Zbigniew

    2016-12-01

    Full Text Available Data from a number of tourism and transport sources are used in this analysis, concentrating on Poland: the largest tour operators and areas in which air carriers are likely to have the greatest impact. The top 25 air charter carriers identified are examined closely in terms of connections, and the geographical characteristics of these links are highlighted. The research reveals substantial differences in models of air leisure traffic between Western Europe and Poland. These are of a quantitative, but also a qualitative nature, and reflect the disparate levels of affluence of societies, different mobility patterns, and various experiences, adventures and demands on the part of travellers. Overall, charter traffic in Poland is still seen to be flourishing, while that in Western Europe is in relative decline.

  6. Statistical methods for determining the effect of mammography screening

    DEFF Research Database (Denmark)

    Lophaven, Søren

    2016-01-01

    In an overview of five randomised controlled trials from Sweden, a reduction of 29% was found in breast cancer mortality in women aged 50-69 at randomisation after a follow up of 5-13 years. Organised, population based, mammography service screening was introduced on the basis of these resultsin...... the municipality of Copenhagen in 1991, in the county of Fyn in 1993 and in the municipality of Frederiksberg in 1994, although reduced mortality in randomised controlled trials does not necessarily mean that screening also works in routine health care. In the rest of Denmark mammography screening was introdueed...... in 2007-2008. Women aged 50-69 were invited to screening every second year. Taking advantage of the registers of population and health, we present statistical methods for evaluating the effect of mammography screening on breast cancer mortality (Olsen et al. 2005, Njor et al. 2015 and Weedon-Fekjær etal...

  7. Diagnostic Invasiveness and Psychosocial Consequences of False-Positive Mammography

    DEFF Research Database (Denmark)

    Heleno, Bruno M.; Siersma, Volkert Dirk; Brodersen, John

    2015-01-01

    of a cohort study of 454 womenwith abnormal screening mammography and 908 matched control women withnormal results. Using a condition-specific questionnaire (Consequences of Screening in Breast Cancer), we assessed 12 psychosocial consequences at 5 time points (0, 1, 6, 18, and 36 months after final diagnosis......) and compared the 2 groups of women with false-positives (invasive and noninvasive management groups). RESULTS: Among the 252 women with false-positive mammography eligible forthis study, psychosocial consequences were similar for those managed invasivelyand those managed noninvasively during the 36 months...... between those of women withnormal mammography and those of women determined to have breast cancer. CONCLUSIONS: We found no evidence that use of more invasive diagnosticswas associated with worse psychosocial consequences. It is therefore reasonableto pool subgroups of women with false...

  8. Minimizing misclassification of hormone users at mammography screening

    DEFF Research Database (Denmark)

    Njor, Sisse Helle; Pedersen, Anette Tønnes; Schwartz, Walter

    2009-01-01

    The aim of the study was to retrospectively determine the impact of comparing current mammograms with prior mammograms on risk of misclassification especially for hormone users. Data on mammography screening were retrieved for 1993-2005 from Fyn, Denmark. At first screen, two projections were made...... of HT. The study indicated that misclassification at screening mammography in current users of HT can be reduced considerably, when the screening mammograms are viewed with the mammograms taken 4 years earlier. It should be stressed that these results come from a single clinic, and replication in other...

  9. Overdiagnosis in organised mammography screening in Denmark. A comparative study

    DEFF Research Database (Denmark)

    Jørgensen, Karsten J; Zahl, Per-Henrik; Gøtzsche, Peter C

    2009-01-01

    BACKGROUND: Overdiagnosis in cancer screening is the detection of cancer lesions that would otherwise not have been detected. It is arguably the most important harm. We quantified overdiagnosis in the Danish mammography screening programme, which is uniquely suited for this purpose, as only 20......% of the Danish population has been offered organised mammography screening over a long time-period. METHODS: We collected incidence rates of carcinoma in situ and invasive breast cancer in areas with and without screening over 13 years with screening (1991-2003), and 20 years before its introduction (1971...

  10. Mammography use and mode of detection among breast cancer patients in Estonia.

    Science.gov (United States)

    Innos, Kaire; Valvere, Vahur; Padrik, Peeter; Eelma, Evelyn; Kütner, Riina; Lehtsaar, Jaak; Tekkel, Mare

    2016-01-01

    The aim of this study was to examine past mammography use and mode of detection among breast cancer (BC) patients in Estonia, a country that has low screening coverage and high BC mortality. Women newly diagnosed with primary BC in Estonia in 2008-2010 were interviewed. Determinants of past mammography use and the detection of BC by mammography were studied using multivariate logistic regression. Among 977 participants, almost half reported no mammograms prior to the detection of BC. Overall, 22% of the cases were detected by mammography (16% by screening mammography). Detection by mammography was strongly related to age, past mammography use, and obesity. Among cases detected by mammography, 10% were stage III/IV at diagnosis (32% among cases detected by other modes). This study showed low mammography utilization and high rate of self-detection of BC in Estonia. Increased detection by mammography would help diagnose the disease at an earlier stage and consequently avoid premature BC deaths. Efforts should be undertaken to increase participation in screening and improve the availability of mammography among older and high-risk women. The results are likely to be relevant for other countries and population groups with low screening coverage.

  11. Positron Emission Mammography with Multiple Angle Acquisition

    Energy Technology Data Exchange (ETDEWEB)

    Mark F. Smith; Stan Majewski; Raymond R. Raylman

    2002-11-01

    Positron emission mammography (PEM) of F-18 fluorodeoxyglucose (FbG) uptake in breast tumors with dedicated detectors typically has been accomplished with two planar detectors in a fixed position with the breast under compression. The potential use of PEM imaging at two detector positions to guide stereotactic breast biopsy has motivated us to use PEM coincidence data acquired at two or more detector positions together in a single image reconstruction. Multiple angle PEM acquisition and iterative image reconstruction were investigated using point source and compressed breast phantom acquisitions with 5, 9, 12 and 15 mm diameter spheres and a simulated tumor:background activity concentration ratio of 6:1. Image reconstruction was performed with an iterative MLEM algorithm that used coincidence events between any two detector pixels on opposed detector heads at each detector position. This present study compared two acquisition protocols: 2 angle acquisition with detector angular positions of -15 and +15 degrees and 11 angle acquisition with detector positions spaced at 3 degree increments over the range -15 to +15 degrees. Three-dimensional image resolution was assessed for the point source acquisitions, and contrast and signal-to-noise metrics were evaluated for the compressed breast phantom with different simulated tumor sizes. Radial and tangential resolutions were similar for the two protocols, while normal resolution was better for the 2 angle acquisition. Analysis is complicated by the asymmetric point spread functions. Signal- to-noise vs. contrast tradeoffs were better for 11 angle acquisition for the smallest visible 9 mm sphere, while tradeoff results were mixed for the larger and more easily visible 12 mm and 15 mm diameter spheres. Additional study is needed to better understand the performance of limited angle tomography for PEM. PEM tomography experiments with complete angular sampling are planned.

  12. Positron Emission Mammography with Multiple Angle Acquisition

    Energy Technology Data Exchange (ETDEWEB)

    Mark F. Smith; Stan Majewski; Raymond R. Raylman

    2002-11-01

    Positron emission mammography (PEM) of F-18 fluorodeoxyglucose (FDG) uptake in breast tumors with dedicated detectors typically has been accomplished with two planar detectors in a fixed position with the breast under compression. The potential use of PEM imaging at two detector positions to guide stereotactic breast biopsy has motivated us to use PEM coincidence data acquired at two or more detector positions together in a single image reconstruction. Multiple angle PEM acquisition and iterative image reconstruction were investigated using point source and compressed breast phantom acquisitions with 5, 9, 12 and 15 mm diameter spheres and a simulated tumor:background activity concentration ratio of 6:1. Image reconstruction was performed with an iterative MLEM algorithm that used coincidence events between any two detector pixels on opposed detector heads at each detector position. This present study compared two acquisition protocols: 2 angle acquisition with detector angular positions of -15 and +15 degrees and 11 angle acquisition with detector positions spaced at 3 degree increments over the range -15 to +15 degrees. Three- dimensional image resolution was assessed for the point source acquisitions, and contrast and signal-to-noise metrics were evaluated for the compressed breast phantom with different simulated tumor sizes. Radial and tangential resolutions were similar for the two protocols, while normal resolution was better for the 2 angle acquisition. Analysis is complicated by the asymmetric point spread functions. Signal- to-noise vs. contrast tradeoffs were better for 11 angle acquisition for the smallest visible 9 mm sphere, while tradeoff results were mixed for the larger and more easily visible 12 mm and 15 mm diameter spheres. Additional study is needed to better understand the performance of limited angle tomography for PEM. PEM tomography experiments with complete angular sampling are planned.

  13. District of Columbia Charter Schools: Criteria for Awarding School Buildings to Charter Schools Needs Additional Transparency. Report to Congressional Committees. GAO-11-263

    Science.gov (United States)

    Scott, George A.

    2011-01-01

    Almost 40 percent of all public school students in the District of Columbia (D.C. or District) were enrolled in charter schools in the 2010-11 school year. The D.C. School Reform Act established the Public Charter School Board (PCSB) for the purpose of authorizing and overseeing charter schools. Congress required GAO (US Government Accountability…

  14. Perspectivas sobre las escuelas charter: Una resena para padres de familia (Perspectives on Charter Schools: A Review for Parents). ERIC Digest.

    Science.gov (United States)

    Donahoo, Saran

    Recently, charter schools have gained popularity with parents, students, and others as alternatives to public schools, but what are charter schools and what effects are they having? This Spanish-language Digest defines charter schools and clarifies some of the administrative and legal details surrounding such schools. The Digest also lays out some…

  15. 78 FR 66801 - Motor Carrier Safety Advisory Committee; Charter Renewal

    Science.gov (United States)

    2013-11-06

    ... Federal Motor Carrier Safety Administration Motor Carrier Safety Advisory Committee; Charter Renewal AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION: Announcement of advisory... Committee that provides the Agency with advice and recommendations on motor carrier safety programs...

  16. 77 FR 10543 - Wildlife and Hunting Heritage Conservation Council Charter

    Science.gov (United States)

    2012-02-22

    ... Office of the Secretary Wildlife and Hunting Heritage Conservation Council Charter AGENCY: Office of the... Secretary of Agriculture have renewed the Wildlife and Hunting Heritage Conservation Council (Council..., providing recommendations for: (a) Implementing the Recreational Hunting and Wildlife Resource...

  17. 78 FR 65982 - Notice of Renewal of FASAB Charter

    Science.gov (United States)

    2013-11-04

    ... From the Federal Register Online via the Government Publishing Office FEDERAL ACCOUNTING STANDARDS ADVISORY BOARD Notice of Renewal of FASAB Charter AGENCY: Federal Accounting Standards Advisory Board... continue an advisory committee to consider and recommend accounting standards and principles for...

  18. 76 FR 71032 - Notice of Renewal of FASAB Charter

    Science.gov (United States)

    2011-11-16

    ... From the Federal Register Online via the Government Publishing Office FEDERAL ACCOUNTING STANDARDS ADVISORY BOARD Notice of Renewal of FASAB Charter AGENCY: Federal Accounting Standards Advisory Board... agreed to continue an advisory committee to consider and recommend accounting standards and...

  19. News media coverage of a women's health contraversy: how newspapers and TV outlets covered a recent debate over screening mammography.

    Science.gov (United States)

    Steele, Whitney Randolph; Mebane, Felicia; Viswanath, K; Solomon, Janice

    2005-01-01

    Over the past decade, there have been several highly visible debates about mammography that have captured professional, public and media attention. This paper looks at newspaper and television news coverage of a controversial research letter in The Lancet by Gøtzsche and Olsen (2001) that concluded that screening mammography did not prevent deaths from breast cancer. The news pieces examined for this project were published between October 2001 and March 2002 in one of eight U.S. newspapers or aired on one of six national or cable news networks. The six-month period was divided into one-week segments; the numbers of articles published or stories aired in each week were graphed to examine patterns. Each newspaper article and television transcript was then reviewed to identify its main content area and the amount of coverage for each major event was quantified. The highest number of newspaper articles appeared to result from several events during the end of January through the beginning of February. These events included the publication of another meta-analysis of mammography that disputed the original letter's conclusion and a full-page New York Times advertisement paid for by major medical organizations stating their continued support for mammography. The greatest amount of television news coverage was devoted to the announcement of the official federal guidelines by the Secretary of Health and Human Services in late February. We conclude by discussing how the flow of news coverage of medical controversies can potentially impact the actions and reactions of the public, the medical community and health policy makers.

  20. Start-to-end simulation of a Thomson source for mammography

    Science.gov (United States)

    Oliva, P.; Bacci, A.; Bottigli, U.; Carpinelli, M.; Delogu, P.; Ferrario, M.; Giulietti, D.; Golosio, B.; Petrillo, V.; Serafini, L.; Tomassini, P.; Vaccarezza, C.; Vicario, C.; Stefanini, A.

    2010-03-01

    Thomson scattering X-ray sources have many features which are of relevance for several applications: the main one is the capability to produce intense, quasi-monochromatic, tunable X-ray beams, after collimation, still with a reasonably small size apparatus. Applications to medical physics are straightforward, in particular in mammography where dose control in screening programs is the main relevant issue. An optimal choice of the X-ray energy to image the breast will result in a best image quality and hence will lead to a dose reduction. A Thomson scattering source is presently under development at the Frascati National Laboratories (LNF) of INFN (Istituto Nazionale di Fisica Nucleare). A complete simulation of the source including electron beam, laser beam, Thomson interaction and X-ray imaging is presented. The X-rays are generated in the energy range suitable for mammography and used to generate images of a mammographic phantom. Image quality is evaluated in terms of dose efficiency and compared to those obtained by monochromatic beams and conventional X-ray tubes.

  1. Start-to-end simulation of a Thomson source for mammography

    Energy Technology Data Exchange (ETDEWEB)

    Oliva, P., E-mail: oliva@uniss.i [Istituto di Matematica e Fisica dell' Universita degli Studi di Sassari e Sezione INFN di Cagliari (Italy); Bacci, A. [Sezione INFN e Dipartimento di Fisica dell' Universita degli Studi di Milano (Italy); Bottigli, U. [Dipartimento di Fisica dell' Universita degli Studi di Siena e Sezione INFN di Pisa (Italy); Carpinelli, M. [Istituto di Matematica e Fisica dell' Universita degli Studi di Sassari e Sezione INFN di Cagliari (Italy); Delogu, P. [Dipartimento di Fisica dell' Universita degli Studi e Sezione INFN di Pisa (Italy); Ferrario, M. [INFN, Laboratori Nazionali di Frascati (Italy); Giulietti, D. [Dipartimento di Fisica dell' Universita degli Studi e Sezione INFN di Pisa (Italy); Golosio, B. [Istituto di Matematica e Fisica dell' Universita degli Studi di Sassari e Sezione INFN di Cagliari (Italy); Petrillo, V.; Serafini, L. [Sezione INFN e Dipartimento di Fisica dell' Universita degli Studi di Milano (Italy); Tomassini, P. [Sezione INFN di Milano (Italy); Vaccarezza, C.; Vicario, C. [INFN, Laboratori Nazionali di Frascati (Italy); Stefanini, A. [Dipartimento di Fisica dell' Universita degli Studi e Sezione INFN di Pisa (Italy)

    2010-03-21

    Thomson scattering X-ray sources have many features which are of relevance for several applications: the main one is the capability to produce intense, quasi-monochromatic, tunable X-ray beams, after collimation, still with a reasonably small size apparatus. Applications to medical physics are straightforward, in particular in mammography where dose control in screening programs is the main relevant issue. An optimal choice of the X-ray energy to image the breast will result in a best image quality and hence will lead to a dose reduction. A Thomson scattering source is presently under development at the Frascati National Laboratories (LNF) of INFN (Istituto Nazionale di Fisica Nucleare). A complete simulation of the source including electron beam, laser beam, Thomson interaction and X-ray imaging is presented. The X-rays are generated in the energy range suitable for mammography and used to generate images of a mammographic phantom. Image quality is evaluated in terms of dose efficiency and compared to those obtained by monochromatic beams and conventional X-ray tubes.

  2. Eight years of quality control in Bulgaria: impact on mammography practice.

    Science.gov (United States)

    Avramova-Cholakova, S; Lilkov, G; Kaneva, M; Terziev, K; Nakov, I; Mutkurov, N; Kovacheva, D; Ivanova, M; Vasilev, D

    2015-07-01

    The requirements for quality control (QC) in diagnostic radiology were introduced in Bulgarian legislation in 2005. Hospital medical physicists and several private medical physics groups provide QC services to radiology departments. The aim of this study was to analyse data from QC tests in mammography and to investigate the impact of QC introduction on mammography practice in the country. The study was coordinated by the National Centre of Radiobiology and Radiation Protection. All medical physics services were requested to fill in standardised forms with information about most important parameters routinely measured during QC. All QC service providers responded. Results demonstrated significant improvement of practice since the introduction of QC, with reduction of established deviations from 65 % during the first year to 7 % in the last year. The systems that do not meet the acceptability criteria were suspended from use. Performance of automatic exposure control and digital detectors are not regularly tested because of the absence of requirements in the legislation. The need of updated guidance and training of medical physicists to reflect the change in technology was demonstrated.

  3. The Efficacy of Mammography Boot Camp to Improve the Performance of Radiologists

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Eun Hye [Dept. of Radiology, Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon (Korea, Republic of); Jun, Jae Kwan [National Cancer Control Institute, National Cancer Center, Goyang (Korea, Republic of); Jung, Seung Eun [Dept. of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of); Kim, You Me [Dept. of Radiology, Dankook University Hospital, Cheonan (Korea, Republic of); Choi, Nami [Dept. of Radiology, Konkuk University Medical Center, Seoul (Korea, Republic of)

    2014-10-15

    To evaluate the efficacy of a mammography boot camp (MBC) to improve radiologists' performance in interpreting mammograms in the National Cancer Screening Program (NCSP) in Korea. Between January and July of 2013, 141 radiologists were invited to a 3-day educational program composed of lectures and group practice readings using 250 digital mammography cases. The radiologists' performance in interpreting mammograms were evaluated using a pre- and post-camp test set of 25 cases validated prior to the camp by experienced breast radiologists. Factors affecting the radiologists' performance, including age, type of attending institution, and type of test set cases, were analyzed. The average scores of the pre- and post-camp tests were 56.0 ± 12.2 and 78.3 ± 9.2, respectively (p < 0.001). The post-camp test scores were higher than the pre-camp test scores for all age groups and all types of attending institutions (p < 0.001). The rate of incorrect answers in the post-camp test decreased compared to the pre-camp test for all suspicious cases, but not for negative cases (p > 0.05). The MBC improves radiologists' performance in interpreting mammograms irrespective of age and type of attending institution. Improved interpretation is observed for suspicious cases, but not for negative cases.

  4. Charte des Nations Unies et statut de la Cour internationale de justice

    CERN Document Server

    United Nations. New York. Department of Public Information

    1979-01-01

    The Charter of the United Nations was signed on 26 June 1945, in San Francisco, at the conclusion of the United Nations Conference on International Organization, and came into force on 24 October 1945. The Statute of the International Court of Justice is an integral part of the Charter.

  5. An equivalent relative utility metric for evaluating screening mammography.

    Science.gov (United States)

    Abbey, Craig K; Eckstein, Miguel P; Boone, John M

    2010-01-01

    Comparative studies of performance in screening mammography are often ambiguous. A new method will frequently show a higher sensitivity or detection rate than an existing standard with a concomitant increase in false positives or recalls. The authors propose an equivalent relative utility (ERU) metric based on signal detection theory to quantify screening performance in such comparisons. The metric is defined as the relative utility, as defined in classical signal detection theory, needed to make 2 systems equivalent. ERU avoids the problem of requiring a predefined putative relative utility, which has limited application of utility theory in receiver operating characteristic analysis. The metric can be readily estimated from recall and detection rates commonly reported in comparative clinical studies. An important practical advantage of ERU is that in prevalence matched populations, the measure can be estimated without an independent estimate of disease prevalence. Thus estimating ERU does not require a study with long-term follow-up to find cases of missed disease. The approach is applicable to any comparative screening study that reports results in terms of recall and detection rates, although the authors focus exclusively on screening mammography in this work. They derive the ERU from the definition of utility given in classical treatments of signal detection theory. They also investigate reasonable values of relative utility in screening mammography for use in interpreting ERU using data from a large clinical study. As examples of application of ERU, they reanalyze 2 recently published reports using recall and detection rates in screening mammography.

  6. Significance of screening mammography in the detection of breast diseases

    Energy Technology Data Exchange (ETDEWEB)

    Ham, Soo Youn; Kim, Kyoung Ah; Oh, Yu Whan; Kim, Hong In; Chung, Kyoo Byung [College of Medicine Korea University, Seoul (Korea, Republic of)

    1995-02-15

    To evaluate the clinical significance of the screening mammography in the detection of the breast diseases, especially breast carcinoma. We analyzed 1,800 cases of mammography retrospectively. The mammography was done as a part of routine check in Health Counselling Center, Korea University Medical Center, during 9 months from November 1993 to July 1994. The age range was from 23 years to 76 years, mean 49.8 years, and the largest age group was 6th decade (31.4%). According to the mammographic findings, we divided the subjects into three groups; normal group, abnormal group in need of follow-up study, abnormal group requiring biopsy. On mammography, the normal group consisted of 1,534 cases (85%), and the abnormal group consisted of 266 cases (15%). The abnormal findings were benign-looking calcification (n = 140), fibroadeno ma (n = 29), fibrocystic changes (n = 27), cyst (n = 23), malignant lesion (n = 15) lipoma (n = 7), and others. In four of 15 cases, which were suspected to be malignant on mammograms, breast carcinoma was confirmed pathologically. In four cases of breast carcinoma, one was under 40 and the other 3 were over 50 years of age. All of the breast cancers were under 3 cm in size, and the mammographic findings of breast cancer included spiculated margin (n = 3), parenchymal distortion (n = 3), malignant calcification (n = 2) and enlarged axillary node (n = 1). Screening mammogram is helpful for early detection of non-palpable breast cancer, especially for women over 50 years of age.

  7. Issues to Consider in Converting to Digital Mammography

    Science.gov (United States)

    Pisano, Etta D.; Zuley, Margarita; Baum, Janet K.; Marques, Helga S.

    2007-01-01

    This paper will outline the reasons that many radiology practices are converting to digital mammography. In addition, we will provide basic information on the issues that must be considered in making the transformation. These include technical matters regarding image display, storage and retrieval, as well as clinical and ergonomic considerations. PMID:17888771

  8. Challenges of Charter Schools with Special Education: Issues of Concern for Charter School Authorizers and Service Providers

    Directory of Open Access Journals (Sweden)

    Leman Kaniturk Kose

    2013-04-01

    Full Text Available Charter schools, as one type of school choice, have been attracting a growing number of students since first inception in Minnesota in 1991. Although charter schools are a fledgling reform, they are already a significant part of the federal and state efforts to improve schools and have a growing number of students. Like traditional public schools, charter schools accept all students equally. As a result, they are also obligated to support and serve students with disabilities and meet the requirements of constitutional provisions and federal laws enacted for students with disabilities. This article intends to provide a succinct literature review examining the operational and organizational challenges regarding the design and delivery of special education in the young charter school movement so that charter school authorizers and service providers are cognizant of the issues of concern when serving students with disabilities at charter schools. The literature was located through searching through the Educational Resources Information Center (ERIC, Google Scholar, and the Dissertation Abstracts International. Other information is gleaned from the U.S. Department of Education, Center for Education Reform, and the federal and state statutes regarding students with disabilities.

  9. Postmortem validation of breast density using dual-energy mammography

    Energy Technology Data Exchange (ETDEWEB)

    Molloi, Sabee, E-mail: symolloi@uci.edu; Ducote, Justin L.; Ding, Huanjun; Feig, Stephen A. [Department of Radiological Sciences, University of California, Irvine, California 92697 (United States)

    2014-08-15

    Purpose: Mammographic density has been shown to be an indicator of breast cancer risk and also reduces the sensitivity of screening mammography. Currently, there is no accepted standard for measuring breast density. Dual energy mammography has been proposed as a technique for accurate measurement of breast density. The purpose of this study is to validate its accuracy in postmortem breasts and compare it with other existing techniques. Methods: Forty postmortem breasts were imaged using a dual energy mammography system. Glandular and adipose equivalent phantoms of uniform thickness were used to calibrate a dual energy basis decomposition algorithm. Dual energy decomposition was applied after scatter correction to calculate breast density. Breast density was also estimated using radiologist reader assessment, standard histogram thresholding and a fuzzy C-mean algorithm. Chemical analysis was used as the reference standard to assess the accuracy of different techniques to measure breast composition. Results: Breast density measurements using radiologist reader assessment, standard histogram thresholding, fuzzy C-mean algorithm, and dual energy were in good agreement with the measured fibroglandular volume fraction using chemical analysis. The standard error estimates using radiologist reader assessment, standard histogram thresholding, fuzzy C-mean, and dual energy were 9.9%, 8.6%, 7.2%, and 4.7%, respectively. Conclusions: The results indicate that dual energy mammography can be used to accurately measure breast density. The variability in breast density estimation using dual energy mammography was lower than reader assessment rankings, standard histogram thresholding, and fuzzy C-mean algorithm. Improved quantification of breast density is expected to further enhance its utility as a risk factor for breast cancer.

  10. ANIMALS - INDIVIDUAL - COUNTS, HABITAT, Displacement Volume, TAXONOMIC CODE and other tows and trawl data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-17 to 2003-08-08 (NODC Accession 0115265)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115265 includes tows, biological and trawl data collected aboard the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN during cruises GP0108,...

  11. HABITAT, WATER TEMPERATURE, cloud amount/frequency and WIND SPEED tows and trawl data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-17 to 2004-11-08 (NODC Accession 0115264)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115264 includes meteorological, tows, biological, physical and trawl data collected aboard the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN...

  12. Current components, water pressure, physical, and other data from moored current meters, pressure gauges, and CTD casts from CHARTER/FISHING BOATS and other platforms from the Bering Sea - Coastal Waters of Western Alaska and other locations from 14 May 1989 to 06 October 1989 (NCEI Accession 9000278)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Current components, water pressure, physical, and other data were collected from moored current meters, pressure gauges, and CTD casts from CHARTER/FISHING BOATS and...

  13. STOMACH CONTENTS - FULLNESS, WATER TEMPERATURE, STOMACH CONTENTS - PREY COUNT, SPECIES IDENTIFICATION and other fish examination data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS cruises GP0108, GP0207-01 and MF0310 as part of the NEP project from 2001-07-18 to 2003-08-08 (NODC Accession 0115262)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115262 includes biological, fish examination and physical data collected aboard the CHARTER/FISHING BOATS during cruises GP0108, GP0207-01 and MF0310...

  14. HABITAT, WATER TEMPERATURE, SPECIES IDENTIFICATION and INDIVIDUAL FISH EXAMINATION - AGE fish examination data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-18 to 2004-11-08 (NODC Accession 0115263)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115263 includes fish examination, biological and physical data collected aboard the CHARTER/FISHING BOATS during cruises GP0108, GP0207-01,...

  15. SPECIES IDENTIFICATION - ORGANISM LENGTH and SPECIES IDENTIFICATION fish examination data collected in the North Pacific Ocean on the CHARTER/FISHING BOATS cruises FR0206-01, FR0206-02 and others as part of the NEP project from 2000-05-29 to 2002-08-18 (NODC Accession 0113968)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0113968 includes biological and fish examination data collected aboard the CHARTER/FISHING BOATS during cruises FR0206-01, FR0206-02, FR0208, SE0005...

  16. SPECIES IDENTIFICATION - ORGANISM LENGTH, SPECIES IDENTIFICATION, WATER DEPTH, SPECIES IDENTIFICATION - LIFE STAGE and other fish examination data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-18 to 2004-11-08 (NODC Accession 0115200)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115200 includes meteorological, fish examination and biological data collected aboard the CHARTER/FISHING BOATS during cruises GP0108, GP0207-01,...

  17. HABITAT, WATER TEMPERATURE, SPECIES IDENTIFICATION, cloud amount/frequency and other trawl data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-18 to 2004-11-08 (NODC Accession 0115261)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0115261 includes meteorological, biological, physical and trawl data collected aboard the CHARTER/FISHING BOATS during cruises GP0108, GP0207-01,...

  18. WATER DEPTH, SPECIES IDENTIFICATION, SPECIES IDENTIFICATION - LIFE STAGE, species abundance and SPECIES IDENTIFICATION - WET WEIGHT trawl data collected in the North Pacific Ocean on the CHARTER/FISHING BOATS cruises FR0206-01, FR0206-02 and others as part of the NEP project from 2000-05-29 to 2002-08-18 (NODC Accession 0114641)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0114641 includes meteorological, biological and trawl data collected aboard the CHARTER/FISHING BOATS during cruises FR0206-01, FR0206-02, FR0208,...

  19. INDIVIDUAL FISH EXAMINATION - WEIGHT, SPECIES IDENTIFICATION, SPECIES IDENTIFICATION - LIFE STAGE and SPECIES IDENTIFICATION - SEX fish examination data collected in the North Pacific Ocean on the CHARTER/FISHING BOATS cruises FR0206-01, FR0206-02 and others as part of the NEP project from 2000-05-29 to 2002-08-18 (NODC Accession 0114242)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0114242 includes fish examination and biological data collected aboard the CHARTER/FISHING BOATS during cruises FR0206-01, FR0206-02, FR0208, SE0005...

  20. CHLOROPHYLL A, SALINITY, WATER TEMPERATURE, FLUORESCENCE and SIGMA-T profile data collected in the Gulf of Alaska and North Pacific Ocean on the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN cruises GP0108, GP0207-01 and others as part of the NEP project from 2001-07-17 to 2004-11-08 (NODC Accession 0113921)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NODC Accession 0113921 includes profile, biological and physical data collected aboard the CHARTER/FISHING BOATS and NOAA Ship MILLER FREEMAN during cruises GP0108,...

  1. Nuclear Safety Charter; Charte Surete Nucleaire

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-07-01

    The AREVA 'Values Charter' reaffirmed the priority that must be given to the requirement for a very high level of safety, which applies in particular to the nuclear field. The purpose of this Nuclear Safety Charter is to set forth the group's commitments in the field of nuclear safety and radiation protection so as to ensure that this requirement is met throughout the life cycle of the facilities. It should enable each of us, in carrying out our duties, to commit to this requirement personally, for the company, and for all stakeholders. These commitments are anchored in organizational and action principles and in complete transparency. They build on a safety culture shared by all personnel and maintained by periodic refresher training. They are implemented through Safety, Health, and Environmental management systems. The purpose of these commitments, beyond strict compliance with the laws and regulations in force in countries in which we operate as a group, is to foster a continuous improvement initiative aimed at continually enhancing our overall performance as a group. Content: 1 - Organization: responsibility of the group's executive management and subsidiaries, prime responsibility of the operator, a system of clearly defined responsibilities that draws on skilled support and on independent control of operating personnel, the general inspectorate: a shared expertise and an independent control of the operating organization, an organization that can be adapted for emergency management. 2 - Action principles: nuclear safety applies to every stage in the plant life cycle, lessons learned are analyzed and capitalized through the continuous improvement initiative, analyzing risks in advance is the basis of Areva's safety culture, employees are empowered to improve nuclear Safety, the group is committed to a voluntary radiation protection initiative And a sustained effort in reducing waste and effluent from facility Operations, employees and

  2. Comparison of digital screening mammography and screen-film mammography in the early detection of clinically relevant cancers: a multicenter study

    NARCIS (Netherlands)

    Bluekens, A.M.; Holland, R.; Karssemeijer, N.; Broeders, M.J.M.; Heeten, G.J. den

    2012-01-01

    Purpose: To compare screen-film mammography with digital mammography in a breast cancer screening program, with a focus on the clinical relevance of detected cancers. Materials and Methods: The study was approved by the regional medical ethics review board. Informed consent was not required. Before

  3. MR mammography in the pre-operative staging of breast cancer in patients with dense breast tissue: comparison with mammography and ultrasound

    Energy Technology Data Exchange (ETDEWEB)

    Van Goethem, M.; Schelfout, K.; Verslegers, I.; Biltjes, I.; De Schepper, A. [Department of Radiology, University Hospital Antwerp, Antwerp (Belgium); Dijckmans, L. [Department of Gynecology, University Hospital Antwerp, Antwerp (Belgium); Van Der Auwera, J.C.; Weyler, J. [Department of Epidemiology and Social Medicine, University Hospital Antwerp, Antwerp (Belgium)

    2004-05-01

    The aim of this study was to determine whether pre-operative MR mammography could predict the extent of breast cancer in patients with dense breasts or whether dense parenchyma will lead to false-positive or inconclusive examinations. Sixty-seven patients with dense breasts with a malignant breast tumor planned for conservative surgery were reviewed. Detection rates of mammography, ultrasound, and MR mammography were studied, and the diameters of the lesions were measured and compared with pathological examination. Pathology revealed breast cancer in 65 patients. Sensitivity for detection of index lesions was 83% for mammography, 70.8% for ultrasound, and 98% for MR mammography. Mammography underestimated tumor extent in 37%, ultrasound in 40%, and MR in 12.5%. Of the 20 patients (31%) with multifocal or multicentric carcinoma, mammography detected the lesions in 35%, ultrasound in 30%, and MR in 100%, with a false-positive rate of 12.5, 14, and 23%. The MR mammography is more accurate in assessing tumor extent and multifocality in patients with dense breasts, but benign changes may lead to false-positive examinations. (orig.)

  4. 76 FR 25525 - National Charter Schools Week, 2011

    Science.gov (United States)

    2011-05-05

    ... in a unique position to spark a dialogue with other public schools on how to organize teaching and learning and enhance curricula. As part of our strategy for strengthening public education, my... their laws and policies so students can thrive. Equally important to a world-class education system...

  5. Mean glandular doses in mammography: a comparison of values displayed by a mammography unit with in-house values, both using the method proposed by Dance.

    Science.gov (United States)

    Pasicz, Katarzyna; Fabiszewska, Ewa; Grabska, Iwona; Skrzyński, Witold

    2016-09-01

    The purpose of this work is to compare the mean glandular dose (MGD) displayed by the mammography system and the MGD calculated according to the method proposed by Dance for women. This study also attempts to analyse whether the relationship between the calculated and the displayed values is constant and what factors influence this relationship. Material for this study included data from 1200 exposures (i.e. six series; each series consisting of 200 exposures) performed with one full-field digital mammography unit. Based on collected parameters of exposures, values of the MGD for individual mammography examinations were calculated according to the methods proposed by Dance. Obtained values of the MGD were compared with the values displayed by the mammography system. The MGD displayed by the mammography system and the MGD calculated according to the method proposed by Dance for women are significantly different. This result emphasises the importance of verifying MGD values for patient radiation protection, particularly after machine servicing.

  6. Organizational Structures and Perceived Cultures of Community-Charter School in Ohio.

    Science.gov (United States)

    Fox, Jeannie L.

    2002-01-01

    Challenges the assumption that bureaucracy is bad for charter schools. Examines perceived autonomy, governance structures, leadership, and perceived culture of community-charter schools in Ohio. (Contains 15 references.) (PKP)

  7. 77 FR 1485 - Local Government's Advisory Committee; Notice of Charter Renewal

    Science.gov (United States)

    2012-01-10

    ... AGENCY Local Government's Advisory Committee; Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION: Notice. The Charter for the Environmental Protection Agency's Local Government's... Administrator on ways to improve its partnership with local governments and provide more efficient and...

  8. 75 FR 49547 - Renewal of the Charter of the United States International Telecommunication Advisory Committee

    Science.gov (United States)

    2010-08-13

    ... of the Charter of the United States International Telecommunication Advisory Committee SUMMARY: The Charter of the International Telecommunication Advisory Committee (ITAC) has been renewed for an... Department of State with respect to, and provide strategic planning recommendations on, telecommunication...

  9. 76 FR 66845 - United Nations Day, 2011

    Science.gov (United States)

    2011-10-27

    ... October 27, 2011 Part IV The President Proclamation 8740--United Nations Day, 2011 #0; #0; #0... Nations Day, 2011 By the President of the United States of America A Proclamation In 1945, 51 nations in a world shaken by war signed the Charter of the United Nations. Determined to move beyond an era...

  10. 78 FR 64385 - United Nations Day, 2013

    Science.gov (United States)

    2013-10-28

    ... October 28, 2013 Part V The President Proclamation 9045--United Nations Day, 2013 #0; #0; #0; Presidential... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 9045 of October 23, 2013 United Nations Day..., 68 years after the adoption of the United Nations Charter, we mark United Nations Day by...

  11. Screening for breast cancer with mammography

    DEFF Research Database (Denmark)

    Gøtzsche, Peter C; Jørgensen, Karsten Juhl

    2013-01-01

    A variety of estimates of the benefits and harms of mammographic screening for breast cancer have been published and national policies vary.......A variety of estimates of the benefits and harms of mammographic screening for breast cancer have been published and national policies vary....

  12. Free to Lead: Autonomy in Highly Successful Charter Schools. Issue Brief

    Science.gov (United States)

    Ableidinger, Joe; Hassel, Bryan C.

    2010-01-01

    Autonomy is a key component of the charter school concept. By allowing charter schools to have autonomy over decisions concerning finance, personnel, scheduling, curriculum and instruction, states have enabled many of these schools to produce stellar results for their students. This issue brief explores autonomy at five excellent charter schools…

  13. 14 CFR 212.5 - Operation of affinity (pro rata) charters.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Operation of affinity (pro rata) charters. 212.5 Section 212.5 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION... Operation of affinity (pro rata) charters. An affinity (pro rata) charter operated by a certificated...

  14. 12 CFR 614.4080 - Loans and chartered territory-banks for cooperatives.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Loans and chartered territory-banks for... POLICIES AND OPERATIONS Chartered Territories § 614.4080 Loans and chartered territory—banks for... eligible domestic parties domiciled within any territory that may be served by Farm Credit...

  15. Cyber Charter Schools: Evolution, Issues, and Opportunities in Funding and Localized Oversight

    Science.gov (United States)

    Ellis, Kathleen

    2008-01-01

    Cyber schools, also known as virtual schools, are noteworthy charter school developments that provide viable options for education. Charter schools in general and cyber charter schools in particular are not "revenue neutral" to local school districts. Nationwide, hundreds of millions of dollars allocated for education are being routed into charter…

  16. Massachusetts Charter Public Schools: Best Practices in Curricular Innovation. White Paper No. 141

    Science.gov (United States)

    Candal, Cara Stillings

    2016-01-01

    The ongoing push to raise or eliminate the charter school cap in Massachusetts provides an opportunity to reflect upon the purpose of charter schools. When the legislature created the Commonwealth's charter school law, as a part of the 1993 Massachusetts Education Reform Act (MERA), it clearly stated a main reason for these new schools was…

  17. Resisting Charters: A Comparative Policy Development Analysis of Washington and Kentucky, 2002-2012

    Science.gov (United States)

    Johnston, Joseph B.

    2014-01-01

    Over the past two decades, most states have adopted laws enabling charter schools, as charter advocates successfully presented charters as the solution to core problems in urban public education. Yet some states with large urban centers, notably Washington and Kentucky, resisted this seemingly inexorable trend for years. What explains their…

  18. 75 FR 80045 - Federal Advisory Committee Act; Board of Advisors Charter Renewal

    Science.gov (United States)

    2010-12-21

    ... COMMISSION Federal Advisory Committee Act; Board of Advisors Charter Renewal AGENCY: Election Assistance Commission. ACTION: Notice of Charter Renewal. SUMMARY: In accordance with the Federal Advisory Committee Act... (EAC) has renewed the charter for the Board of Advisors for a two-year period through December 14,...

  19. 77 FR 19012 - Environmental Financial Advisory Board; Notice of Charter Renewal

    Science.gov (United States)

    2012-03-29

    ... AGENCY Environmental Financial Advisory Board; Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of Charter renewal. The Charter for the Environmental Protection Agency's Environmental Financial Advisory Board (EFAB) will be renewed for an additional two- year period, as a...

  20. 76 FR 19708 - Pacific Halibut Fisheries; Limited Access for Guided Sport Charter Vessels in Alaska

    Science.gov (United States)

    2011-04-08

    ... access program, all vessel operators in Area 2C and Area 3A with charter vessel anglers on board catching and retaining halibut must have a valid charter halibut permit that was issued by NMFS on board the vessel. This interpretation clarifies that a valid charter halibut permit must be on board a vessel...

  1. 78 FR 72600 - Proposed Priorities, Requirements, and Definitions-Charter Schools Program (CSP) Grants for...

    Science.gov (United States)

    2013-12-03

    ..., universities, and nonprofit organizations, to recruit teachers and leaders more broadly, and in a more structured way, than charter schools. Charter schools are explicitly designed to have the autonomy to employ innovative, promising ] approaches to public education. This autonomy, however, can limit charter...

  2. 78 FR 53426 - United States Travel and Tourism Advisory Board Charter Renewal

    Science.gov (United States)

    2013-08-29

    ... International Trade Administration United States Travel and Tourism Advisory Board Charter Renewal AGENCY... Services Administration, renewed the Charter for the United States Travel and Tourism Advisory Board on August 19, 2013. DATES: The Charter for the United States Travel and Tourism Advisory Board was...

  3. The Influence of Finance and Accountability Policies on Location of New York State Charter Schools

    Science.gov (United States)

    Bifulco, Robert; Buerger, Christian

    2015-01-01

    This article identifies a set of location incentives created by New York's charter school financing and accountability provisions. We then use regression models to examine the location of charter schools across and within districts. We find that charter schools (1) are significantly more likely to locate in districts with high operating expenses…

  4. 78 FR 79401 - Advisory Committee on Supply Chain Competitiveness Charter Renewal

    Science.gov (United States)

    2013-12-30

    ... International Trade Administration Advisory Committee on Supply Chain Competitiveness Charter Renewal AGENCY... Administration, renewed the Charter for the Advisory Committee on Supply Chain Competitiveness on November 20, 2013. DATES: The Charter for the Advisory Committee on Supply Chain Competitiveness was renewed...

  5. A tale of two charters : Political crisis, political realignment and administrative reform in Belgium

    NARCIS (Netherlands)

    S.G.J. Van de Walle (Steven); N. Thijs (Nick); G. Bouckaert (Geert)

    2005-01-01

    markdownabstractCharters are official commitments to quality and reform. Belgium introduced its Charter of the User of Public Services in 1993. The federal administration’s Copernicus reform began in 1999 and had a strong external outlook. It therefore may be considered as a second User Charter. In

  6. Critical thinking triggered by re-interpretation of the Burra Charter%解读《巴拉宪章》的现实意义引发的辩证思考

    Institute of Scientific and Technical Information of China (English)

    杨小舟

    2014-01-01

    随着城市与区域发展的复杂化,世界各国对历史遗产的保护与发展愈加重视,相继出台了具有各国特点的保护法案。澳大利亚在1979年根据国情颁布了《巴拉宪章》。本文从现实意义的角度对《巴拉宪章》进行重新解读,并诠释与其他具有国际有影响力的相关文物保护法案的关系,并简评《巴拉宪章》在现代人居环境建设中的影响和作用,对中国的历史遗迹保护工作薄弱环节提出改良建议。%Due to the complexity of urban and regional development, counties over the world have been shedding lights on heritage conservation and development. Acts for heritage protection based on various national conditions are being promulgated in succession. The Bur a Charter was issued in Australia in 1979. The aim of this report is to provide a critical study of the Bur a Charter. The report reviews the Bur a Charter and its relationship to other international Charters and policies especial y the Venice Charter. It also presents the positive and negative aspects of the Bur a Charter. The report concludes by summarizing the Burra Charter as wel as setting forward some suggested proposals to strengthen the weaker sections of the cur ent Charter of China.

  7. Performance of combined clinical mammography and needle biopsy: a nationwide study from Denmark

    DEFF Research Database (Denmark)

    Jensen, Allan; Rank, Fritz; Dyreborg, Uffe

    2006-01-01

    Clinical mammography and needle biopsy are key tools for non-operative assessment of breast lesions. We evaluated the performance of all combined tests undertaken in Denmark in 2000. Clinical mammography and needle biopsy data were collected and linked to final cancer outcome, to determine...... sensitivity, specificity, and predictive values of clinical mammography, needle biopsy, and combined test. In 2000, 6709 combined tests were performed in 36 mammography clinics in Denmark. The combined test was consistently more sensitive than any single test, increasing the proportion of women correctly...

  8. Estimating the benefits of mammography screening: the impact of study design

    DEFF Research Database (Denmark)

    Olsen, Anne Helene; Njor, Sisse H; Lynge, Elsebeth

    2007-01-01

    BACKGROUND: Mammography screening is justifiable only if it leads to reduction in breast cancer mortality. However, evaluation of routine screening is not straightforward, as no unscreened control group is available. We report here on a cohort study of the effect of routine mammography on breast...... control group resulted in an estimated increase of 6% in breast cancer mortality. CONCLUSION: Estimated changes in breast cancer mortality following the introduction of routine mammography ranged from a 25% reduction (based on the best methodology) to a 6% increase with a less rigid study design....... The estimated effect of routine mammography on breast cancer mortality is thus highly dependent on study design....

  9. A comparison of the performance of digital mammography systems.

    Science.gov (United States)

    Monnin, P; Gutierrez, D; Bulling, S; Guntern, D; Verdun, F R

    2007-03-01

    An objective analysis of image quality parameters was performed for six digital mammography systems. The presampled modulation transfer function (MTF), normalized noise power spectrum (NNPS), and detective quantum efficiency (DQE) for the systems were determined at different doses, for 28 kVp with a Mo/Mo or W/Al target/filter combination and 2 mm of additional aluminium filtration. The flat-panel units have higher MTF and DQE in the mid to high frequency range than standard CR systems. The highest DQE, over the whole dose range, is for the slit-scanning direct photon counting system. Dual-side read CR can overcome the inherent x-ray absorption and signal collection limitations of standard CR mammography, improving the low-frequency DQE by 40%, to the same level as full-field systems, but it does not improve the poor spatial resolution of phosphor.

  10. Measurement of half-value layer in mammography

    CERN Document Server

    Yagi, H; Saruwatari, R; Doi, N; Yamane, E

    2003-01-01

    The half-value layer (HVL) of an X-ray beam for film-screen mammography is considered an important parameter for image quality and patient dose. Thus, HVL must be measured in accordance with The Manual of Accuracy for Mammography printed by the Japanese Society of Radiological Technology. The manual prescribes exactly the geometry of measurement, chamber position of measurement in the field, selection of chamber, and so on. However, the measurement of HVL is difficult in the actual clinical setting. This study examined the results of failure to perform the measurement of HVL in accordance with the manual for measuring HVL in the clinical setting. The investigation indicated that serious problems do not arise when measuring HVL for routine quality control even if the chamber in the field is not always set according to the manual and if a chamber for radiotherapy or diagnosis is used that is not recommended for soft X-ray by the manual. (author)

  11. Toward a post-Charter health promotion.

    Science.gov (United States)

    Labonté, Ronald

    2011-12-01

    The past 25 years have seen enormous shifts in the environmental, political, economic and social landscapes that condition people's abilities to be healthy. Climate change is now a reality. China, India, Brazil and other 'developing' countries are emerging as new axes of political and economic power. Global capitalism has become increasingly predatory and crisis ridden, a result of unregulated and irresponsible greed of unimaginable scale. The elite response has been the increased erosion of the health and other social protection policies of redistribution that characterized the first-world run-up to the Ottawa Charter. These new realities challenge health promoters in ways unforeseen a quarter century ago. It is imperative that local determinants of health, to which health promoters give their attention, be traced to broader, even global levels of determinants. Support for groups acting at these levels should become a fundamental practice tenet. So, too, should advocacy for the social state, in which progressive taxation and hefty social investment blunt the health inequalities created by unfettered markets. As environmental and economic insecurities and inequalities increase in many of the world's countries, so does the risk of xenophobia and conflict. The roots of racism are complex; but weeding them out becomes another health promotion practice of the new millennium. There are some hopeful signs of health promoting political change, much of it emanating now from countries in the global South; but the threat of a return to health behaviourism in the face of the new global pandemic of chronic disease is real and must be confronted.

  12. Mammography controversy: a case for breast self-examination

    Energy Technology Data Exchange (ETDEWEB)

    Gorringe, R.; Lee, M.M.; Voda, A.

    1978-07-01

    The mammography controversy and the directives in the NIH guidelines must be considered by nurses because of their implications for preventive health care and early detection of breast cancer. Nursing is in an ideal position within the health care delivery system to promote breast self-examination. In the meantime the relative risks and benefits of the procedure for women under age 50 must be studied.

  13. Patient's charter. NHS--keeping the customer satisfied.

    Science.gov (United States)

    Rigge, M

    1997-10-30

    Complaints to the College of Health suggest that the Patient's Charter standards on receiving care on the basis of clinical need, response to complaints, and information-giving are not being met in many cases. Patients must be involved in revising the Patient's Charter. A truly patient-focused service demands patient representatives on health authority and trust boards, spot checks and systematic reviews of health services. Acute trusts should be remodelled to mirror the patient's progress through the hospital and back to the community.

  14. Barriers to Mammography Screening: How to Overcome Them

    Directory of Open Access Journals (Sweden)

    Yasmin Hassoun

    2015-10-01

    Full Text Available Background: Screening mammography is an established intervention that leads to early breast cancer detection and reduced mortality. The Lebanese Ministry of Health has initiated yearly awareness campaigns and provided free mammography in multiple centers around the country. Methods: The study took place in two major areas of Lebanon - Beirut and South Lebanon. This cross-sectional survey aimed to assess knowledge about breast cancer screening and screening behaviors in the Lebanese population. The primary outcome of the study was to assess the reasons that prevented women from performing screening mammography based on our categories of questions: lack of knowledge about breast cancer, lack of access to screening facilities, failure of primary care physician to encourage screening behavior, and other reasons. Results: The major barriers to seek screening that had statistically significant P-values, in order of prevalence, included: lack of knowledge about breast cancer, followed by social reasons and lack of access. Conclusion: Given the prevalence of breast cancer in our population, it is important to understand the pitfalls that we experience in promoting awareness. Our study is the first study to reach out to the community to assess perceived barriers against screening and provide solutions for such barriers.

  15. Theoretical analysis of high-resolution digital mammography.

    Science.gov (United States)

    Suryanarayanan, Sankararaman; Karellas, Andrew; Vedantham, Srinivasan; Sechopoulos, Ioannis

    2006-06-21

    The performance of a high-resolution charge coupled device-based full-field digital mammography imager was analysed using a mathematical framework based on an adaptation of cascaded linear systems theory described by other investigators. This work has been conducted in order to understand the impact of various design parameters on the physical performance characteristics of the imager. Specifically, the effect of pixel size, scintillator thickness and packing density, x-ray spectra, air kerma, dark current, charge integration time, and pixel fill-factor on the frequency dependent detective quantum efficiency was studied using a charge-coupled device as a reference platform. The imaging system was modelled as a series of physical processes with gain and spatial spreading. For each stage, the signal and noise power spectra were computed and propagated through the imaging chain as inputs to subsequent stages. Good agreement between experimental and theoretical predictions was obtained for various x-ray spectral conditions that were investigated. The modulation transfer function, MTF(f) and detective quantum efficiency DQE(f) characteristics obtained in this study are encouraging and comparable to other digital mammography systems. The results of this study strongly suggest the feasibility of large area scintillator-based digital mammography imagers with pixel sizes below 100 microm.

  16. Development of Automatic Cluster Algorithm for Microcalcification in Digital Mammography

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Seok Yoon [Dept. of Medical Engineering, Korea University, Seoul (Korea, Republic of); Kim, Chang Soo [Dept. of Radiological Science, College of Health Sciences, Catholic University of Pusan, Pusan (Korea, Republic of)

    2009-03-15

    Digital Mammography is an efficient imaging technique for the detection and diagnosis of breast pathological disorders. Six mammographic criteria such as number of cluster, number, size, extent and morphologic shape of microcalcification, and presence of mass, were reviewed and correlation with pathologic diagnosis were evaluated. It is very important to find breast cancer early when treatment can reduce deaths from breast cancer and breast incision. In screening breast cancer, mammography is typically used to view the internal organization. Clusterig microcalcifications on mammography represent an important feature of breast mass, especially that of intraductal carcinoma. Because microcalcification has high correlation with breast cancer, a cluster of a microcalcification can be very helpful for the clinical doctor to predict breast cancer. For this study, three steps of quantitative evaluation are proposed : DoG filter, adaptive thresholding, Expectation maximization. Through the proposed algorithm, each cluster in the distribution of microcalcification was able to measure the number calcification and length of cluster also can be used to automatically diagnose breast cancer as indicators of the primary diagnosis.

  17. The promise of computer aided detection in digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Roehrig, Jimmy E-mail: jimmy@enrico.r2tech.com; Castellino, Ronald A. E-mail: castellr@mskcc.org

    1999-07-01

    Computer-aided detection (CAD) is a new technology now being implemented in many clinics to reduce the false negative rate in mammography screening. A large clinical study has been completed which shows that a substantial false negative (miss) rate exists in screening mammography, a significant fraction of the missed cancers are not subtle, and CAD has high sensitivity to these missed cancers. Full field digital mammography is now coming on the scene, but has not yet been proven in clinical practice. The authors believe that full acceptance of the new digital technology depends not merely on demonstrations of 'substantial equivalence' to film-screen technology, but rather on more complete exploitation of the unique advantages of digital technology, and that CAD can play a key role. These advantages derive from CAD's ability to quickly (in near real-time) perform analytical computations on digital information that is not readily available to the radiologist until after the cost of film-processing has occurred.

  18. Ultra-Fast Image Reconstruction of Tomosynthesis Mammography Using GPU

    Directory of Open Access Journals (Sweden)

    Arefan D

    2015-06-01

    Full Text Available Digital Breast Tomosynthesis (DBT is a technology that creates three dimensional (3D images of breast tissue. Tomosynthesis mammography detects lesions that are not detectable with other imaging systems. If image reconstruction time is in the order of seconds, we can use Tomosynthesis systems to perform Tomosynthesis-guided Interventional procedures. This research has been designed to study ultra-fast image reconstruction technique for Tomosynthesis Mammography systems using Graphics Processing Unit (GPU. At first, projections of Tomosynthesis mammography have been simulated. In order to produce Tomosynthesis projections, it has been designed a 3D breast phantom from empirical data. It is based on MRI data in its natural form. Then, projections have been created from 3D breast phantom. The image reconstruction algorithm based on FBP was programmed with C++ language in two methods using central processing unit (CPU card and the Graphics Processing Unit (GPU. It calculated the time of image reconstruction in two kinds of programming (using CPU and GPU.

  19. Spectral lesion characterization on a photon-counting mammography system

    Science.gov (United States)

    Erhard, Klaus; Fredenberg, Erik; Homann, Hanno; Roessl, Ewald

    2014-03-01

    Spectral X-ray imaging allows to differentiate between two given tissue types, provided their spectral absorption characteristics differ measurably. In mammography, this method is used clinically to determine a decomposition of the breast into adipose and glandular tissue compartments, from which the glandular tissue fraction and, hence, the volumetric breast density (VBD) can be computed. Another potential application of this technique is the characterization of lesions by spectral mammography. In particular, round lesions are relatively easily detected by experienced radiologists, but are often difficult to characterize. Here, a method is described that aims at discriminating cystic from solid lesions directly on a spectral mammogram, obtained with a calibrated spectral mammography system and using a hypothesis-testing algorithm based on a maximum likelihood approach. The method includes a parametric model describing the lesion shape, compression height variations and breast composition. With the maximum likelihood algorithm, the model parameters are estimated separately under the cyst and solid hypothesis. The resulting ratio of the maximum likelihood values is used for the final tissue characterization. Initial results using simulations and phantom measurements are presented.

  20. Characteristics of YouTube™ Videos Related to Mammography.

    Science.gov (United States)

    Basch, Corey H; Hillyer, Grace Clarke; MacDonald, Zerlina L; Reeves, Rachel; Basch, Charles E

    2015-12-01

    With a monthly total of more than one billion unique visitors, YouTube™ is one of the Internet's most visited websites and contributes to the growing amount of health-related information on the Internet. The purpose of this study was to analyze coverage of mammography screening in popular YouTube™ videos. A total of 173 videos were included in the analysis. Compared with professionally created videos, consumer-created videos had a significantly greater number of comments (>9 comments 38.0% for consumer vs. 11.8% for professional videos, p=<0.001). Videos created by professionals more often portrayed general mammography information (97.1 vs. 88.7%) compared to those created by consumers. The vast majority of videos presented general information (93.6%) related to mammography, and almost two thirds addressed preparing for the test. Less than 20% dealt with other types of examinations. Approximately 30% discussed pain associated with the examination (35.3%) and addressed issues of anxiety (32.4%) and fear (29.5%). Nearly half of the videos presented information about the test results (46.2%). Over 25% covered medical or family history. The majority did not pertain to a specific age group. Future research should focus on analyzing the accuracy of the information in the videos.

  1. 77 FR 60707 - National Toxicology Program Board of Scientific Counselors; Announcement of Meeting; Request for...

    Science.gov (United States)

    2012-10-04

    ... HUMAN SERVICES National Institutes of Health National Toxicology Program Board of Scientific Counselors... Toxicology Program (NTP) Board of Scientific Counselors (BSC). The NTP BSC, a federally chartered, external... authorities knowledgeable in fields such as toxicology, pharmacology, pathology, biochemistry,...

  2. The Transition from Analog to Digital Mammography: Overall Considerations

    Directory of Open Access Journals (Sweden)

    A. Sardo

    2007-05-01

    Full Text Available In the last decades a continuous growth of the infor-matics process around the world has been observed: paper documents, data, images…, converted into a “digital format” allow an easier and safer manage-ment, making possible its compatibility and access to internet networking. This migration confirms the huge technology progresses made especially in the image capture ways: from photography to graphic arts, from movie to healthcare imaging, where the end user/radiologist requires, at least, a digital clinical image with a quality equivalent to the previous ana-log film image. In women’s breast imaging care mammography is acknowledged as the most effective method to detect a breast cancer at an earlier stage and it is currently the only imaging modality, which has been proven to reduce mortality in women screened from 50 to 69 years. The transition to Digital Mammography represents a challenge to decide when to change the first concern is to get the money availability to purchase a Digital Mammography system and the well-trained human resources (radiologist, technician and physicist for using it. A digital system must satisfy actual needs such as the diagnostic accuracy, dose and regulatory requirements, productivity and archive issues. The new digital modality must be integrated in a fully digital environment (PACS and the presence of CR or DR systems for general radiography could condi-tion the choice of CR or DR Digital Mammography system. The Primary goal of mammography (both analog and digital is to provide to the radiologist clinical images for confident interpretation. Certainly the confidence derives from radiologist’s experience in reading mammograms, but many other factors can increase it, for instance correct patient positioning, excellent and consistent image quality (photographic and artifacts free, easy use and interpretation aid (e.g. lens, CAD use of imaging system. However, the habit in read-ing film-images on view box

  3. Solid-state dosimeters: A new approach for mammography measurements

    Energy Technology Data Exchange (ETDEWEB)

    Brateman, Libby F., E-mail: bratel@radiology.ufl.edu [Department of Radiology, University of Florida College of Medicine Box 100374, Gainesville, Florida 32610-0374 (United States); Heintz, Philip H. [Department of Radiology, University of New Mexico, MSC10 5530, Albuquerque, New Mexico 87131 (United States)

    2015-02-15

    Purpose: To compare responses of modern commercially available solid-state dosimeters (SStDs) used in mammography medical physics surveys for two major vendors of current digital mammography units. To compare differences in dose estimates among SStD responses with ionization chamber (IC) measurements for several target/filter (TF) combinations and report their characteristics. To review scientific bases for measurements of quantities required for mammography for traditional measurement procedures and SStDs. Methods: SStDs designed for use with modern digital mammography units were acquired for evaluation from four manufacturers. Each instrument was evaluated under similar conditions with the available mammography beams provided by two modern full-field digital mammography units in clinical use: a GE Healthcare Senographe Essential (Essential) and a Hologic Selenia Dimensions 5000 (Dimensions), with TFs of Mo/Mo, Mo/Rh; and Rh/Rh and W/Rh, W/Ag, and W/Al, respectively. Measurements were compared among the instruments for the TFs over their respective clinical ranges of peak tube potentials for kVp and half-value layer (HVL) measurements. Comparisons for air kerma (AK) and their associated relative calculated average glandular doses (AGDs), i.e., using fixed mAs, were evaluated over the limited range of 28–30 kVp. Measurements were compared with reference IC measurements for AK, reference HVLs and calculated AGD, for two compression paddle heights for AK, to evaluate scatter effects from compression paddles. SStDs may require different positioning from current mammography measurement protocols. Results: Measurements of kVp were accurate in general for the SStDs (within −1.2 and +1.1 kVp) for all instruments over a wide range of set kVp’s and TFs and most accurate for Mo/Mo and W/Rh. Discrepancies between measurements and reference values were greater for HVL and AK. Measured HVL values differed from reference values by −6.5% to +3.5% depending on the SStD and

  4. Two-view versus single-view mammography at subsequent screening in a region of the Dutch breast screening programme.

    NARCIS (Netherlands)

    Smallenburg, V.v.; Duijm, L.E.M.; Heeten, G.J. den; Groenewoud, J.H.; Jansen, F.H.M.; Fracheboud, J.; Plaisier, M.L.; Doorne-Nagtegaal, H.J. van; Broeders, M.J.M.

    2012-01-01

    We retrospectively determined the effect of analogue two-view mammography versus single-view mammography at subsequent screens on breast cancer detection and determined financial consequences for a current digital mammography setting. Two screening radiologists reviewed the mammograms of 536 screen

  5. Performance of screening mammography: A report of the alliance for breast cancer screening in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Eun Hye [Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon (Korea, Republic of); Kim, Keum Woo [Konyang University Hospital, Konyang University College of Medicine, Daejeon (Korea, Republic of); Kim, Young Joong [Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung (Korea, Republic of); and others

    2016-07-15

    To analyze the diagnostic accuracy and trend in screening mammography in Korea. We retrospectively linked the information from hospitals participating in the Alliance of Breast Cancer Screening in Korea (ABCS-K) and the database of the National Cancer Screening Program. We calculated performance indicators, including the recall rate, cancer detection rate (CDR), positive predictive value (PPV), sensitivity, specificity, false-positive rate (FPR), and interval cancer rate (ICR). Changes in the performance indicators were calculated as the annual percent change with 95% confidence interval (CI). We enrolled 128756 cases from 10 hospitals from 2005 to 2010. The recall rate was 19.1% with a downward trend over time (-12.1% per year; 95% CI, -15.9 to -8.2). The CDR was 2.69 per 1000 examinations, without a significant trend. The PPV was 1.4% with an upward trend (20.8% per year; 95% CI, 15.2 to 26.7). The sensitivity was 86.5% without a significant trend, whereas the specificity was 81.1% with an upward trend (3.3% per year; 95% CI, 2.1 to 4.5). The FPR was 18.9% with a downward trend (-12.4% per year; 95% CI, -16.2 to -8.4). The ICR was 0.5 per 1000 negative examinations without a significant trend. There were institutional variations in the diagnostic accuracy and trend except for the CDR, sensitivity, and ICR. The sensitivity and CDR of screening mammography in the ABCS-K from 2005 to 2010 were compatible with those for Western women. The recall rate, PPV and specificity, however, were suboptimal, although they showed significant improvements over this period. A further analysis is required to explain institutional variations.

  6. School Identity in the Context of Alberta Charter Schools

    Science.gov (United States)

    Thompson, Merlin; Gereluk, Dianne; Kowch, Eugene

    2016-01-01

    The central tenet of this investigation is that educational institutions possess their own school identity. Acknowledging that school identity is influenced by institutional mechanisms and personal dynamics, we examine school identity in the context of 13 Alberta charter schools. Narratives of 73 educational stakeholders across the network of…

  7. InnovateEDU, Inc.: Brooklyn Laboratory Charter Schools (LAB)

    Science.gov (United States)

    EDUCAUSE, 2015

    2015-01-01

    Entrepreneurial learning is the backbone of this Brooklyn charter school network which opened in Fall 2014 to serve grades 6-12, including English language learners and students with disabilities. LAB's academic model combines empirically effective learning practices with innovative implementation strategies, including a blended learning model…

  8. The Quest for Accountability: Charter Schools' Holy Grail.

    Science.gov (United States)

    Steineger, Melissa

    2001-01-01

    A seminar in Idaho on creating assessment and accountability plans for charter schools presented attributes of assessments that build children's confidence and give insights into how they can improve; offered criteria for using portfolio assessments; and described how to develop objectives that are measurable. A sidebar presents a six-step plan…

  9. 77 FR 64828 - Office on Violence Against Women; Charter Reestablishment

    Science.gov (United States)

    2012-10-23

    ... on Violence Against Women; Charter Reestablishment AGENCY: Office on Violence Against Women, United... Advisory Committee Act (FACA), as amended (5 U.S.C. App.2), and Title IX of the Violence Against Women Act... on Research on Violence Against American Indian and Alaska Native Women (hereinafter ``the Task......

  10. Location Decisions of Charter Schools: An Examination of Michigan

    Science.gov (United States)

    Koller, Kyle; Welsch, David M.

    2017-01-01

    Using school level data we examine which factors influence charter school location decisions. We augment previous research by employing a panel dataset, recently developed geographic techniques to measure distances and define areas, and employing a hurdle model to deal with the excess zero problem. The main results of our research indicate that,…

  11. Understanding the "New" Racism through an Urban Charter School

    Science.gov (United States)

    Hatt-Echeverria, Beth; Jo, Ji-Yeon

    2005-01-01

    The purpose of this paper is to deconstruct the new racist discourse within an urban charter school. The authors focus upon how the new racist discourse relieves Whites, "of any semblance of social responsibility and commitment" (Giroux, 1999). As multiculturalism and political correctness are being taught and encouraged in the society to work…

  12. BeDP- new module on Time Charter Parties

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Following the successful launch of the first two modules on "Introduction to Shipping" and "Bills of Lading", the BIMCO eLearning Diploma Programme (BeDP) continues with a brand-new module on "Time Charter Parties" which commences on 6 February 2012.

  13. Letter: The Athena SWAN Charter and Good Employment Practice

    OpenAIRE

    2008-01-01

    Both men and women benefit from good employment practice; however, women in particular are adversely affected by bad practice. UCL was one of ten founder members of the Athena SWAN Charter when it was launched in June 2005 to celebrate excellence, and to share good practice in the employment of women in academic science, engineering and technology, especially at senior levels.

  14. 78 FR 59880 - Enhanced Consumer Protections for Charter Air Transportation

    Science.gov (United States)

    2013-09-30

    ... brokers, as described more fully below, by conducting considerable industry outreach to make clear to air... fitness determinations examining their financial fitness, managerial competence, and compliance... response to the growth in the air charter broker industry and certain problems that accompanied that...

  15. 77 FR 33229 - Sport Fishing and Boating Partnership Council Charter

    Science.gov (United States)

    2012-06-05

    ... Office of the Secretary Sport Fishing and Boating Partnership Council Charter AGENCY: Office of the... ] consultation with the General Services Administration, the Secretary of the Interior has renewed the Sport... or programs to increase public awareness and support for the Sport Fish Restoration and Boating...

  16. Charter, Private, and Public Schools Work Together in Boston

    Science.gov (United States)

    Lam, Diana

    2014-01-01

    A public, Catholic, and charter school in Boston all work together to share their strengths and learn from each other in an effort to deliver the best education for all of their students. The arrangement is called the School Performance Partnership, and it is a grantee of the Bill and Melinda Gates Foundation.

  17. Understanding Student Discipline Practices in Charter Schools: A Research Agenda

    Science.gov (United States)

    Denice, Patrick; Gross, Betheny; Rausch, Karega

    2015-01-01

    Fair use of exclusionary discipline is a rising concern in public schools. At issue is whether this type of discipline is disproportionately applied to certain groups of students and whether some charter schools use it more frequently. For the first time, data compiled by the Department of Education's Office for Civil Rights capture discipline…

  18. Latinas' Mammography Intention Following a Home-Based Promotores-Led Intervention.

    Science.gov (United States)

    Scheel, John R; Molina, Yamile; Briant, Katherine J; Ibarra, Genoveva; Lehman, Constance D; Thompson, Beti

    2015-12-01

    Despite increases in mammography rates among Latinas, screening rates remain lower than in non-Latina Whites and Latinas typically present with breast cancer at a later stage. Trained lay community workers (promotores) have been successfully used to increase screening mammography intention in Latinas. Little is known, however, about the potential mechanisms of these interventions, such as increased breast cancer knowledge (knowledge) and social interactions concerning mammography practices (social engagement). This prospective pre-post study examined this gap in the literature by (1) documenting changes in knowledge and social engagement after receipt of a promotores-based intervention; and (2) establishing if post-intervention knowledge and social engagement predicted mammography intention, after adjusting for socio-demographic and lifetime mammography history. There were significant increases in knowledge and social engagement about mammography. Finally, post-intervention social engagement was a significant predictor of mammography intention. Future promotores-based interventions should focus on enhancing social engagement to improve mammography intention and use.

  19. Contrast-enhanced dual-energy mammography : a promising new imaging tool in breast cancer detection

    NARCIS (Netherlands)

    Lalji, Ulrich; Lobbes, Marc

    2014-01-01

    Contrast-enhanced dual-energy mammography (CEDM) is a promising new breast imaging tool for breast cancer detection. In CEDM, an iodine-based contrast agent is intravenously administered and subsequently, dual-energy mammography is performed. This results in a set of images containing both a regular

  20. Mammography use among women with and without diabetes: results from the Southern Community Cohort Study.

    Science.gov (United States)

    Sanderson, Maureen; Lipworth, Loren; Han, Xijing; Beeghly-Fadiel, Alicia; Shen-Miller, David; Patel, Kushal; Blot, William J; Hargreaves, Margaret K

    2014-09-01

    Studies have shown an increased risk of breast cancer associated with diabetes which may be due to differences in mammography use among women who have diabetes compared with women who do not have diabetes. Baseline data was used from the Southern Community Cohort Study - a prospective cohort study conducted primarily among low-income persons in the southeastern United States - to examine the association between diabetes and mammography use. In-person interviews collected information on diabetes and mammography use from 14,665 white and 30,846 black women aged 40-79years between 2002 and 2009. After adjustment for potential confounding, white women with diabetes were no more likely (odds ratio [OR] 0.95, 95% confidence interval [CI] 0.85-1.06) to undergo mammography within the past 12months than white women without diabetes. Nor was there an association between diabetes and mammography use among black women (OR 1.00, 95% CI 0.93-1.07). An increase in mammography use was seen within one year following diabetes diagnosis, more so among white than black women, but this was offset by decreases thereafter. Although there was some evidence of an increase in mammography use within one year of diabetes diagnosis, these results suggest that mammography use is not related to diabetes.

  1. Attitudes and Beliefs Associated with Mammography in a Multiethnic Population in Israel

    Science.gov (United States)

    Baron-Epel, Orna

    2010-01-01

    This article highlights beliefs, attitudes, and barriers that are associated with mammography use in four distinct cultural and ethnic groups in Israel: veteran, ultra-orthodox, and immigrant Jewish and Arab women. A random telephone survey of 1,550 women was performed. Information from claims records concerning mammography use was obtained for…

  2. Overdiagnosis, sojourn time, and sensitivity in the Copenhagen mammography screening program

    DEFF Research Database (Denmark)

    Olsen, Anne Helene; Agbaje, Olorunsola F; Myles, Jonathan P

    2006-01-01

    The goal of this research was to estimate the overdiagnosis at the first and second screens of the mammography screening program in Copenhagen, Denmark. This study involves a mammography service screening program in Copenhagen, Denmark, with 35,123 women screened at least once. We fit multistate...

  3. Cultural Views, Language Ability, and Mammography Use in Chinese American Women

    Science.gov (United States)

    Liang, Wenchi; Wang, Judy; Chen, Mei-Yuh; Feng, Shibao; Yi, Bin; Mandelblatt, Jeanne S.

    2009-01-01

    Mammography screening rates among Chinese American women have been reported to be low. This study examines whether and how culture views and language ability influence mammography adherence in this mostly immigrant population. Asymptomatic Chinese American women (n = 466) aged 50 and older, recruited from the Washington, D.C. area, completed a…

  4. Mammography in Norway: Image quality and total performance; Mammografivirksomhet i Norge: Bildekvalitet og totalytelse

    Energy Technology Data Exchange (ETDEWEB)

    Olsen, J.B.; Skretting, A. [Norske Radiumhospital, Oslo (Norway); Widmark, A. [Statens Straalevern, Oesteraas (Norway)

    1997-04-01

    This report describes a method for assessing the total performance in mammography based on Receiver Operating Characteristic (ROC) analysis. In the time period from December 1993 to March 1994 the method was applied to assess the total performance of all the 45 Norwegian mammography laboratories operative at that time. Image quality characteristics in each laboratory was established by use of well-known phantoms.

  5. Performance of systematic and non-systematic ('opportunistic') screening mammography: a comparative study from Denmark

    DEFF Research Database (Denmark)

    Bihrmann, Kristine; Jensen, Allan; Olsen, Anne Helene;

    2008-01-01

    OBJECTIVES: Evaluation and comparison of the performance of organized and opportunistic screening mammography. METHODS: Women attending screening mammography in Denmark in 2000. The study included 37,072 women attending organized screening. Among these, 320 women were diagnosed with breast cancer...

  6. Added value of one-view breast tomosynthesis combined with digital mammography according to reader experience

    Energy Technology Data Exchange (ETDEWEB)

    Thomassin-Naggara, Isabelle, E-mail: isabelle.thomassin@tnn.aphp.fr [Sorbonne Universités, UPMC Univ Paris 06, IUC, 75005 Paris (France); INSERM, UMR970, Equipe 2, Imagerie de l’angiogenèse, 75005 Paris (France); AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Perrot, Nicolas [AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Centre Pyramides, Paris (France); Dechoux, Sophie [Sorbonne Universités, UPMC Univ Paris 06, IUC, 75005 Paris (France); AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Ribeiro, Carine [Centre Pyramides, Paris (France); Chopier, Jocelyne [AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Bazelaire, Cedric de [APHP, Department of Radiology, Hôpital Saint Louis, 75010 Paris (France)

    2015-02-15

    Highlights: • Breast tomosynthesis improves diagnostic performance especially for radiologists with lower experience in mammography. • Adding only one-view digital breast tomosynthesis to mammography improves the cancer detection rate. • Breast tomosynthesis is mainly useful for helping radiologists to detect architectural distortion. - Abstract: Purpose: To retrospectively evaluate the added value of one-view breast tomosynthesis in adjunct with mammography to characterize breast lesions. Materials and methods: Our institutional ethics committees approved the study and granted a waiver of informed consent. One hundred fifty-five women (mean age, 51.3 years, range: 24–92 years) who systematically underwent mammography and breast tomosynthesis with subsequent percutaneous biopsy were analyzed. Four radiologists (two seniors, R1 and R2, and two juniors, R3 and R4 with 30, 10, 3 and 1 years of experience in breast imaging, respectively) independently reviewed exams in two steps: mammography alone and tomosynthesis in adjunct with mammography. The lesions in the cohort included 39.3% (61/155) cancers, 2.5% (4/155) high-risk lesions and 58.1% (90/155) benign lesions. A receiver operating characteristic (ROC) curve analysis was performed to compare the results of the two readings. Results: There was almost perfect agreement irrespective of reader experience for the reading of the mammography in adjunct with tomosynthesis, whereas agreement was poor between junior and senior readers for the reading of mammography alone. Area under the ROC (Az) values for the tomosynthesis in adjunct with mammography were significantly better than Az values for mammography alone for all readers except the most experienced, for whom only a tendency was noted. The proportion of cancers undiagnosed by mammography alone that were well diagnosed by tomosynthesis in adjunct with mammography was 6.5% (4/61), 13.1% (8/61), 27.8% (17/61) and 26.2% (16/61) for Readers 1, 2, 3 and 4

  7. Evaluation of patient dose saving in grid-less x-ray mammography acquisition compared with full field digital mammography (FFDMG) acquisition

    DEFF Research Database (Denmark)

    Abdi, Ahmed Jibril; Mussmann, Bo Redder

    2017-01-01

    Purpose: To investigate the patient radiation dose saving of grid-less X-ray mammography acquisitions compared with conventional full-field digital X-ray mammography (FFDMG). Methods and materials: The Siemens Inspiration MAMMOMAT PRIME system with Software Based Scatter Correction (SBSC) was used...... to investigate the dose saving in grid-less acquisition compared with conventional full-field digital mammography (FFDMG) acquisitions. A Piranha 657 was used to measure the entrance exposure. The entrance exposure was directly measured on different PMMA thicknesses of 20-70mm in steps of 10mm. The PMMA block...... thicknesses were then converted to an equivalent compressed breast tissue thicknesses. The average glandular dose (AGD) is calculated. Results: Dose reduction in both the directly measured entrance exposure and the calculated AGD is between 13% and 32% in the grid-less mammography acquisition. The contrast...

  8. Evaluation of the performance characteristic for mammography by using edge device

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ki Won [Dept. of Radiology, Kyung Hee University Hospital at Gang-dong, Seoul (Korea, Republic of); Choi, Jwan Woo [Dept. of Radiology, Asan Medical Center, Seoul (Korea, Republic of); Jeong, Hoi Woun [Dept. of Radiological Technology, The Baekseok Culture University, Cheonan (Korea, Republic of); Jang, Seo Goo [Dept. of Medical Science, The Soonchunhyang University, Asan (Korea, Republic of); Lee, Eul Kyu [Dept. of Radiology, Inje Paik University Hospital Jeo-dong, Seoul (Korea, Republic of); Son, Soon Yong [Dept. of Radiological Technology, The Wonkwang Health Science University, Iksan (Korea, Republic of); Son, Jin Hyun; Min, Jung Whan [Dept. of Radiological Technology, The Shingu University, Sungnam (Korea, Republic of)

    2016-09-15

    The purpose of this study was to evaluation of the performance characteristic for mammography by using edge device that mammography equipment improves essential in the correct diagnosis for the maintenance. We measured the modulation transfer function (MTF), the noise power spectrum (NPS), and the detective quantum efficiency (DQE) using the 61267 RQA-M2 based on commission standard international electro-technical commission (IEC). As a results, spatial resolution of dimensions tomo and lorad selenia mammography were maintained at 10 mm-1 and NPS and DQE including the low nyquist frequency indicated to 6.0 mm-1. Therefore, regularly QA of mammography system should be necessary. This study can be contribute to evaluate QA for performance characteristic of mammography of DDR system.

  9. Is mammography screening history a predictor of future breast cancer risk?

    DEFF Research Database (Denmark)

    Andersen, Sune Bangsbøll; Törnberg, Sven; Kilpeläinen, Sini

    2015-01-01

    Inspired by the model by Walter and Day for risk of cervical cancer following negative screens, one might hypothesize that women in a mammography screening programme with a certain number of negative screens had a lower remaining breast cancer risk than that of women in general. We studied whether...... number of negative screens was a predictor for a low remaining breast cancer risk in women participating in the mammography screening programmes in Stockholm, Copenhagen and Funen. Data were collected from the mammography screening programmes in Stockholm, Sweden (1989-2012), Copenhagen, Denmark (1991...... was not a predictor of a low remaining breast cancer risk in women participating in the mammography screening programmes in Stockholm, Sweden, Copenhagen and Funen, Denmark. The history of previous negative screens is therefore not suitable for personalisation of mammography screening....

  10. Descriptive study of the quality control in mammography; Estudio descriptivo del control de calidad en mamografia

    Energy Technology Data Exchange (ETDEWEB)

    Gaona, E.; Perdigon C, G.M.; Casian C, G.A.; Azorin N, J.; Diaz G, J.A.I.; Arreola, M. [UAM, Xochimilco 14000 Mexico D.F. (Mexico)

    2005-07-01

    The goal of mammography is to provide contrast between a lesion that is possible residing within the breast and normal surrounding tissue. Quality control is essential for maintaining the contrast imaging performance of a mammography system and incorporate tests that are relevant in that they are predictive of future degradation of contrast imaging performance. These tests will also be done at frequency that is high enough to intercept most drifts in quality imaging or performance before they become diagnostically significant. The quality control study has as objective to describe the results of the assessment of quality imaging elements (film optical density, contrast (density difference), uniformity, resolution and noise) of 62 mammography departments without quality control program and comparison these results with a mammography reference department with a quality control program. When comparing the results they allow seeing the clinical utility of to have a quality control program to reduce the errors of mammography interpretation. (Author)

  11. Cultural views, language ability, and mammography use in Chinese American women.

    Science.gov (United States)

    Liang, Wenchi; Wang, Judy; Chen, Mei-Yuh; Feng, Shibao; Yi, Bin; Mandelblatt, Jeanne S

    2009-12-01

    Mammography screening rates among Chinese American women have been reported to be low. This study examines whether and how culture views and language ability influence mammography adherence in this mostly immigrant population. Asymptomatic Chinese American women (n = 466) aged 50 and older, recruited from the Washington, D.C. area, completed a telephone interview. Regular mammography was defined as having two mammograms at age-appropriate recommended intervals. Cultural views were assessed by 30 items, and language ability measured women's ability in reading, writing, speaking, and listening to English. After controlling for risk perception, worry, physician recommendation, family encouragement, and access barriers, women holding a more Chinese/Eastern cultural view were significantly less likely to have had regular mammograms than those having a Western cultural view. English ability was positively associated with mammography adherence. The authors' results imply that culturally sensitive and language-appropriate educational interventions are likely to improve mammography adherence in this population.

  12. To Charter or Not to Charter: What Questions Should We Ask, and What Will the Answers Tell Us?

    Science.gov (United States)

    Brighouse, Harry; Schouten, Gina

    2014-01-01

    In this essay, Harry Brighouse and Gina Schouten outline four standards for judging whether to support the chartering of a new school within a given jurisdiction. The authors pose the following questions to a hypothetical school board member: Will the school increase equality of opportunity? Will it benefit the least-advantaged students in the…

  13. Bone mineral imaging using a digital magnification mammography system

    Science.gov (United States)

    Toyofuku, Fukai; Tokumori, Kenji; Higashida, Yoshiharu; Arimura, Hidetaka; Morishita, Junji; Ohki, Masafumi

    2008-03-01

    The measurement of bone mineral content is important for diagnosis of demineralization diseases such as osteoporosis. A reliable method of obtaining bone mineral images using a digital magnification mammography system has been developed. The full-field digital phase contrast mammography (PCM) system, which has a molybdenum target of 0.1mm focal spot size, was used with 1.75 x magnification. We have performed several phantom experiments using aluminum step wedges (0.2 mm - 6.0 mm in thickness) and a bone mineral standard phantom composed of calcium carbonate and polyurethane (CaCO 3 concentration: 26.7 - 939.0 mg/cm 3) within a water or Lucite phantom. X-ray spectra on the exposure field are measured using a CdTe detector for evaluation of heel effect. From the equations of x-ray attenuation and the thickness of the subjects, quantitative images of both components were obtained. The quantitative images of the two components were obtained for different tube voltages of 24 kV to 39 kV. The relative accuracy was less than 2.5% for the entire aluminum thickness of 0.5 to 6.0 mm at 5 cm water thickness. Accuracy of bone mineral thickness was within 3.5% for 5cm water phantom. The magnified quantitative images of a hand phantom significantly increased the visibility of fine structures of bones. The digital magnification mammography system is useful not only for measurement of bone mineral content, but also high-resolution quantitative imaging of trabecular structure.

  14. SU-E-I-88: Mammography Imaging: Does Positioning Matter?

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, J; Szabunio, M [University of Kentucky, Lexington, KY (United States)

    2014-06-01

    Purpose: In mammography, compression is imperative for quality images and glandular radiation exposure dose. The thickness of the compressed breast directly determines mammography acquisition parameters. The compressed thickness varies due to variation in technologist practice, even for the same patient imaged at different time. This study is to investigate potential effect of the variation in breast positioning on radiation dose and image quality. Methods: Radiation dose at different thicknesses was measured with a BR-12 breast phantom for both conventional craniocaudal view and tomosynthesis in a Hologic Tomosynthesis mammography system. The CIRS stereotactic needle biopsy training phantom embedded dense masses and microcalcification in various sizes were imaged for image quality evaluation. Radiologists evaluated images. Clinical mammograms from the same patient but acquired at different time were retrospectively retrieved to evaluate potential effects of variation in positioning. Results: Acquisition parameters (kVp and mAs) increase with the increased phantom thickness. Radiation exposure increases following an exponential trend. The stereotactic phantom images showed loss of spatial and contrast resolution with inappropriate positioning. The compressed pressure may not be a good indicator for appropriate positioning. The inclusion of different amount of pectoralis muscle may lead to the same compressed pressure but different compressed thickness. The initial retrospective study of 3 patients showed that there were potential large variations in positioning the same patient at different examination time, resulting in large variations in patient radiation dose and image quality. Conclusion: Variations in patient positioning potentially influence patient radiation dose and image quality. The technologist has the critical responsibility to position patient to provide quality images in spite of different breast and body types. To reduce intra and inter practice

  15. Clear-PEM, a dedicated PET camera for mammography

    CERN Document Server

    Lecoq, P

    2002-01-01

    Preliminary results suggest that Positron Emission Mammography (PEM) can offer a noninvasive method for the diagnosis of breast cancer. Metabolic images from PEM contain unique information not available from conventional morphologic imaging techniques and aid in expeditiously establishing the diagnosis of cancer. A dedicated machine seems to offer better perspectives in terms of position resolution and sensitivity. This paper describes the concept of Clear-PEM, the system presently developed by the Crystal Clear Collaboration at CERN for an evaluation of this approach. This device is based on new crystals introduced by the Crystal Clear as well as on modern data acquisition techniques developed for the large experiments in high energy physics experiments.

  16. Digital mammography with multi-electrode ionization chamber

    CERN Document Server

    Groshev, V R; Nifontov, V I; Pishenuok, S M; Samsonov, A A; Shekhtman, L I; Telnov, V I

    2000-01-01

    For viewing micro-calcifications smaller than 100 mu m investigation of image formation in mammography shows that a significant dose to the patient is imperative. We propose a novel one-dimensional Multi- electrode Ionisation Chamber (MIC), with high spatial resolution, and lowered doses. In this work, first results from a prototype are presented. High spatial resolution is demonstrated working with Xe mixture at high pressure. An addition of a Gas Electron Multiplier (GEM) allowed an improvement in sensitivity up to almost single- photon level. (8 refs).

  17. Early breast cancer detection using techniques other than mammography

    Energy Technology Data Exchange (ETDEWEB)

    Kopans, D.B.

    1984-09-01

    X-ray mammography is the only imaging method currently available with any proven efficacy for screening to detect early-stage, clinically occult breast cancer. Sonography has a limited role in the differentiation of cystic from solid masses and as a guide for aspiration and preoperative localization of selected breast lesions. Computed tomography has a more limited role to determine the spatial orientation of a lesion detected only in the lateral mammographic position. All other imaging methods should be considered experimental at this time.

  18. Comparison of 2D versus 3D mammography with screening cases: an observer study

    Science.gov (United States)

    Fernandez, James Reza; Deshpande, Ruchi; Hovanessian-Larsen, Linda; Liu, Brent

    2012-02-01

    Breast cancer is the most common type of non-skin cancer in women. 2D mammography is a screening tool to aid in the early detection of breast cancer, but has diagnostic limitations of overlapping tissues, especially in dense breasts. 3D mammography has the potential to improve detection outcomes by increasing specificity, and a new 3D screening tool with a 3D display for mammography aims to improve performance and efficiency as compared to 2D mammography. An observer study using human studies collected from was performed to compare traditional 2D mammography with this new 3D mammography technique. A prior study using a mammography phantom revealed no difference in calcification detection, but improved mass detection in 2D as compared to 3D. There was a significant decrease in reading time for masses, calcifications, and normals in 3D compared to 2D, however, as well as more favorable confidence levels in reading normal cases. Data for this current study is currently being obtained, and a full report should be available in the next few weeks.

  19. Dose and risk evaluation in digital mammography using computer modeling

    Energy Technology Data Exchange (ETDEWEB)

    Correa, Samanda Cristine Arruda; Souza, Edmilson Monteiro de, E-mail: scorrea@nuclear.ufrj.b, E-mail: emonteiro@nuclear.ufrj.b [Centro Universitario Estadual da Zona Oeste (CCMAT/UEZO), Rio de Janeiro, RJ (Brazil); Silva, Humberto de Oliveira, E-mail: hbetorj@gmail.co [Universidade Federal do Rio de Janeiro IF/UFRJ, RJ (Brazil). Inst. de Fisica; Silva, Ademir Xavier da; Lopes, Ricardo Tadeu; Magalhaes, Sarah Braga, E-mail: ademir@nuclear.ufrj.b, E-mail: ricardo@lin.ufrj.b, E-mail: smagalhaes@nuclear.ufrj.b [Coordenacao dos Programas de Pos-Graduacao de Engenharia (COPPE/UFRJ), RJ (Brazil). Programa de Engenharia Nuclear

    2010-07-01

    Digital mammography has been introduced in several countries in the last years. The new technology requires new optimising methods considering for instance the increased possibility of changing the absorbed dose, mainly in modern mammographic systems that allow the operator to choose the beam quality by varying the tube voltage, and filter and target materials. In this work, the Monte Carlo code MCNPX is used in order to investigate how the average glandular dose vary with tube voltage (23-32 kV) and anode-filter combination (Mo-Mo,Mo-Rh and Rh-Rh) in digital mammographic examinations. Furthermore, the risk of breast cancer incidence attributable to mammography exams was estimated using the Biological Effects of Ionizing Radiations (BEIR) VII Committee Report. The results show that the risk of breast cancer incidence in women younger than 30 years of age tends to decrease significantly using Rh-Rh anode-filter combination and higher tube voltage. For women older than 50 years of age the variation of tube voltage, and anode-filter combination did not influence the risk values considerably. (author)

  20. Frequency-domain optical mammography: edge effect corrections.

    Science.gov (United States)

    Fantini, S; Franceschini, M A; Gaida, G; Gratton, E; Jess, H; Mantulin, W W; Moesta, K T; Schlag, P M; Kaschke, M

    1996-01-01

    We have investigated the problem of edge effects in laser-beam transillumination scanning of the human breast. Edge effects arise from tissue thickness variability along the scanned area, and from lateral photon losses through the sides of the breast. Edge effects can be effectively corrected in frequency-domain measurements by employing a two-step procedure: (1) use of the phase information to calculate an effective tissue thickness for each pixel location; (2) application of the knowledge of tissue thickness to calculate an edge-corrected optical image from the ac signal image. The measurements were conducted with a light mammography apparatus (LIMA) designed for feasibility tests in the clinical environment. Operating in the frequency-domain (110 MHz), this instrument performs a transillumination optical scan at two wavelengths (685 and 825 nm). We applied the proposed two-step procedure to data from breast phantoms and from human breasts. The processed images provide higher contrast and detectability in optical mammography with respect to raw data breast images.

  1. Future of mammography-based imaging; Zukunft mammographiebasierter Bildgebung

    Energy Technology Data Exchange (ETDEWEB)

    Schulz-Wendtland, R.; Brehm, B.; Meier-Meitinger, M.; Uder, M. [Klinikum der Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Gynaekologische Radiologie, Radiologisches Institut, Erlangen (Germany); Wittenberg, T. [Fraunhofer-Institut fuer Integrierte Schaltkreise IIS, Erlangen (Germany); Michel, T.; Anton, G. [Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Erlangen Centre for Astroparticle Physics, Erlangen (Germany); Hartmann, A. [Klinikum der Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Institut fuer Pathologie, Erlangen (Germany); Beckmann, M.W.; Rauh, C.; Jud, S.M.; Fasching, P.A. [Klinikum der Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Frauenklinik, Comprehensive Cancer Center Erlangen-EMN, Erlangen (Germany)

    2014-03-15

    Mammography is the central diagnostic method for clinical diagnostics of breast cancer and the breast cancer screening program. In the clinical routine complementary methods, such as ultrasound, tomosynthesis and optional magnetic resonance imaging (MRI) are already combined for the diagnostic procedure. Future developments will utilize investigative procedures either as a hybrid (combination of several different imaging modalities in one instrument) or as a fusion method (the technical fusion of two or more of these methods) to implement fusion imaging into diagnostic algorithms. For screening there are reasonable hypotheses to aim for studies that individualize the diagnostic process within the screening procedure. Individual breast cancer risk prediction and individualized knowledge about sensitivity and specificity for certain diagnostic methods could be tested. The clinical implementation of these algorithms is not yet in sight. (orig.) [German] Die Mammographie ist die zentrale diagnostische Methode der klinischen symptombezogenen Abklaerung von Brusterkrankungen und des Brustkrebsscreenings. In der klinischen Diagnostik wird sie heute schon oft durch zusaetzliche Untersuchungsmethoden wie dem Ultraschall, der Tomosynthese und ggf. auch der MRT-Bildgebung unterstuetzt. Zukuenftige Entwicklungen gehen in die Richtung, dass diese Kombination aus 2 oder mehr Untersuchungsverfahren entweder in Hybrid- (Aufnahme mehrerer unterschiedlicher Bildmodalitaeten in einem einzigen Geraet) oder in Fusionsmethoden (Zusammenfuehrung und Registrierung von Bilddaten aus verschiedenen Modalitaeten) technisch professionalisiert werden. Des Weiteren koennten an subgruppenbezogene Erkrankungsrisiken und individuelle Sensitivitaeten und Spezifitaeten angepasste Diagnostikkombinationen fuer eine Screeningdiagnostik Gegenstand kuenftiger Studien sein. Wir stellen die aktuellen Entwicklungen auf diesen Gebieten und deren momentane Relevanz fuer die klinische Praxis und

  2. Digital technology and human development: a charter for nature conservation.

    Science.gov (United States)

    Maffey, Georgina; Homans, Hilary; Banks, Ken; Arts, Koen

    2015-11-01

    The application of digital technology in conservation holds much potential for advancing the understanding of, and facilitating interaction with, the natural world. In other sectors, digital technology has long been used to engage communities and share information. Human development-which holds parallels with the nature conservation sector-has seen a proliferation of innovation in technological development. Throughout this Perspective, we consider what nature conservation can learn from the introduction of digital technology in human development. From this, we derive a charter to be used before and throughout project development, in order to help reduce replication and failure of digital innovation in nature conservation projects. We argue that the proposed charter will promote collaboration with the development of digital tools and ensure that nature conservation projects progress appropriately with the development of new digital technologies.

  3. Performance of diagnostic mammography differs in the United States and Denmark

    DEFF Research Database (Denmark)

    Jensen, Allan; Geller, Berta M; Gard, Charlotte C;

    2010-01-01

    Diagnostic mammography is the primary imaging modality to diagnose breast cancer. However, few studies have evaluated variability in diagnostic mammography performance in communities, and none has done so between countries. We compared diagnostic mammography performance in community-based settings...... in the United States and Denmark. The performance of 93,585 diagnostic mammograms from 180 facilities contributing data to the US Breast Cancer Surveillance Consortium (BCSC) from 1999 to 2001 was compared to that of all 51,313 diagnostic mammograms performed at Danish clinics in 2000. We used the imaging...... that it can be further optimized....

  4. The Charter of Venice in the 21 st century

    Directory of Open Access Journals (Sweden)

    Francisco Javier López Morales

    2016-01-01

    Full Text Available The Venice Charter (1964 meant -50 years ago- an important step for the worldwide application of normative principles as for theory and the practice of the architectural restoration. The objective of this article is to present and to recognize, fifty years after its promulgation, the importance and the influence of the Venice Charter in the theory and practice of the restoration and urban-architectural conservation. This study is the result of the deductive analysis of the facts that have been evidenced along the half century of existence of this document. We can affirm that to the date that its statements and definitions have universal validity because its technical postulates set the tone so that the criteria, the philosophy and the methods had a wider notion of the monuments as well as of the historic centers: their consequent rescue, conservation and enhancement. The application of the doctrinal postulates of the Venice Charter has experienced a relentless and permanent evolution of concepts. These range from the diverse ways of looking at the monuments and the heritage sites, including the territory, to the landscapes and cultural routes, to the new notions of rescue, restoration, conservation and safeguarding, according to the transformation of the social, economic, cultural and tourist life of the monument areas, adding to this, the impact that it has had in the multidisciplinary technical formation of the responsible for their safeguarding.

  5. Sensitivity and Specificity of Screening Mammographies and Ultrasonographies Performed in Women at Seven Health Promotion Centers for One year

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun Sung; Kang, Bong Joo; Yim, Hyeon Woo [Catholic University of Korea College of Medicine, Seoul (Korea, Republic of)

    2010-03-15

    We wanted to evaluate the sensitivity and specificity of screening mammography and ultrasonography for breast examinations and we assessed the clinical usefulness of breast ultrasound for cancer screening. Of all the women who visited the health promotion center of seven medical institutions from Mar 2004 to Feb 2005, we compared the sensitivity and specificity between a single use of mammography and mammography with ultrasonography for the patients who underwent both mammography and ultrasonography. Here, the reference criteria were the follow-up and the histopathology, which were performed after one year. A total of 1123 patients underwent both mammography and ultrasonography and they could be followed up for a year. For the 1123 patients who underwent both mammography and ultrasonography, the sensitivity and specificity of a single use of mammography were 14.3% and 86.9%, respectively. The sensitivity and specificity of mammography with ultrasonography were 85.7% and 85.9%, respectively. These results showed that the sensitivity was significantly increased when mammography was combined with ultrasonography (< 0.05). The sensitivity was improved for the cases that underwent both mammography and ultrasonography

  6. Comparison of the diagnostic performance of digital breast tomosynthesis and magnetic resonance imaging added to digital mammography in women with known breast cancers

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Won Hwa; Chang, Jung Min; Moon, Woo Kyung [Seoul National University Hospital, Department of Radiology, 101 Daehangno, Jongno-gu, Seoul (Korea, Republic of); Moon, Hyeong-Gon [Seoul National University Hospital, Department of Surgery, Seoul (Korea, Republic of); Yi, Ann [Seoul National University Hospital, Department of Radiology, Gangnan Healthcare Center, Seoul (Korea, Republic of); Koo, Hye Ryoung [Hanyang University College of Medicine, Department of Radiology, Seoul (Korea, Republic of); Gweon, Hye Mi [Yonsei University College of Medicine, Department of Radiology, Gangnam Severance Hospital, Seoul (Korea, Republic of)

    2016-06-15

    To compare the diagnostic performance of digital breast tomosynthesis (DBT) and magnetic resonance imaging (MRI) added to mammography in women with known breast cancers. Three radiologists independently reviewed image sets of 172 patients with 184 cancers; mammography alone, DBT plus mammography and MRI plus mammography, and scored for cancer probability using the Breast Imaging Reporting and Data System (BI-RADS). Jack-knife alternative free-response receiver-operating characteristic (JAFROC), which allows diagnostic performance estimation using single lesion as a statistical unit in a cancer-only population, was used. Sensitivity and positive predictive value (PPV) were compared using the McNemar and Fisher-exact tests. The JAFROC figures of merit (FOMs) was lower in DBT plus mammography (0.937) than MRI plus mammography (0.978, P = 0.0006) but higher than mammography alone (0.900, P = 0.0013). The sensitivity was lower in DBT plus mammography (88.2 %) than MRI plus mammography (97.8 %) but higher than mammography alone (78.3 %, both P < 0.0001). The PPV was significantly higher in DBT plus mammography (93.3 %) than MRI plus mammography (89.6 %, P = 0.0282). DBT provided lower diagnostic performance than MRI as an adjunctive imaging to mammography. However, DBT had higher diagnostic performance than mammography and higher PPV than MRI. (orig.)

  7. A Radial Sclerosing Lesion Mimicking Breast Cancer on Mammography in a Young Woman

    Directory of Open Access Journals (Sweden)

    Masashi Furukawa

    2012-02-01

    Full Text Available A spiculated mass on a mammogram is highly suggestive of malignancy. We report the case of a 32-year-old woman with a radial sclerosing lesion that mimicked breast cancer on mammography. She visited her physician after palpating a lump in her left breast. Mammography showed architectural distortion in the upper inner quadrant of the left breast. Ultrasonography showed a low echoic area with an ambiguous boundary. Core needle biopsy was performed because of the suspicion of malignancy. Histological examination did not reveal any malignant cells. After 6 months, the breast lump became larger and the patient was referred to our hospital. Mammography performed in our hospital showed a spiculated mass, and therefore mammotome biopsy was performed. Histological examination revealed dense fibroelastic stroma with a wide variety of mastopathic changes, leading to a diagnosis of a radial sclerosing lesion. One year after the biopsy, the lump on her left breast had disappeared and mammography showed no spiculated mass.

  8. Breast cancer mortality in organised mammography screening in Denmark: comparative study

    DEFF Research Database (Denmark)

    Juhl Jørgensen, Karsten; Zahl, Per-Henrik; Gøtzsche, Peter C

    2010-01-01

    To determine whether the previously observed 25% reduction in breast cancer mortality in Copenhagen following the introduction of mammography screening was indeed due to screening, by using an additional screening region and five years additional follow-up....

  9. 77 FR 70874 - Notice of Charter Renewal of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific...

    Science.gov (United States)

    2012-11-27

    ... Board serves the Global AIDS Coordinator in a solely advisory capacity concerning scientific... of Charter Renewal of the President's Emergency Plan for AIDS Relief (PEPFAR) Scientific Advisory... the PEPFAR Scientific Advisory Board (hereinafter referred to as ``the Board''). This charter...

  10. Individuality and mass consumption in charter tourism

    DEFF Research Database (Denmark)

    Lauring, Jakob

    2011-01-01

    Intercultural communication has mainly been described in terms of national differences disturbing the sending and receiving of messages. In this article, it is argued that the local organizational context has to be taken into account. By linking Bourdieu’s theories on the social organization...... of differences to recent theories of organizational communication, the focus of the article is directed at describing the impact of informal and power-related aspects in intercultural communication. The usefulness of a theory on intercultural organizational communication is illustrated by the results...

  11. Breast cancer mortality in organised mammography screening in Denmark: comparative study

    DEFF Research Database (Denmark)

    Juhl Jørgensen, Karsten; Zahl, Per-Henrik; Gøtzsche, Peter C

    2010-01-01

    To determine whether the previously observed 25% reduction in breast cancer mortality in Copenhagen following the introduction of mammography screening was indeed due to screening, by using an additional screening region and five years additional follow-up.......To determine whether the previously observed 25% reduction in breast cancer mortality in Copenhagen following the introduction of mammography screening was indeed due to screening, by using an additional screening region and five years additional follow-up....

  12. EFFECTIVENESS OF LIDOCAINE/PRILOCAINE CREAM ON PERCEIVED PAIN DURING MAMMOGRAPHY: A PILOT STUDY

    OpenAIRE

    2016-01-01

    Background: Mammography (MG) is an important imaging method in the diagnosis of breast diseases. However, pain during MG is an uncomfortable factor for the majority of women. Aim: The aim of this study is to determine the effectiveness of lidocaine/prilocaine cream on reducing pain during mammography. Methods: This is a prospective clinical study. A total of 60 female patients who had mammographic examination were equally divided into three groups; patients receiving 10 g EMLA cream (EM...

  13. Breast Cancer Worry among Women Awaiting Mammography: Is It Unfounded? Does Prior Counseling Help?

    OpenAIRE

    Steinemann, Susan K; Chun, Maria BJ; Huynh, Dustin H; Loui, Katherine

    2011-01-01

    The purpose of this study was to explore the prevalence of breast cancer anxiety and risk counseling in women undergoing mammography, and the association with known risk factors for cancer. Women awaiting mammography were surveyed regarding anxiety, prior breast cancer risk counseling, demographic and risk factors. Anxiety was assessed via 7-point Likert-type scale (LS). Risk was defined by Gail model or prior breast cancer. Data were analyzed by nonparametric methods; significance determined...

  14. Digital mammography in a screening programme and its implications for pathology: a comparative study.

    LENUS (Irish Health Repository)

    Feeley, Linda

    2011-03-01

    Most studies comparing full-field digital mammography (FFDM) with conventional screen-film mammography (SFM) have been radiology-based. The pathological implications of FFDM have received little attention in the literature, especially in the context of screening programmes. The primary objective of this retrospective study is to compare FFDM with SFM in a population-based screening programme with regard to a number of pathological parameters.

  15. First breast cancer mammography screening program in Mexico: initial results 2005-2006.

    Science.gov (United States)

    Rodríguez-Cuevas, Sergio; Guisa-Hohenstein, Fernando; Labastida-Almendaro, Sonia

    2009-01-01

    Breast cancer is the most frequent malignant neoplasia worldwide. In emergent countries as Mexico, an increase has been shown in frequency and mortality, unfortunately, most cases in advanced loco-regional stages developed in young women. The success of breast screening in mortality reduction has been observed since 1995 in Western Europe and the United States, where as many as 40% mortality reduction has been achieved. Most countries guidelines recommends an annual or biannual mammography for all women >40 years of age. In 2005, FUCAM, a nonlucrative civil foundation in Mexico join with Mexico City government, initiated the first voluntary mammography screening program for women >40 years of age residing in Mexico City's Federal District. Mammographies were carried out with analogical mammographs in specially designed mobile units and were performed in the area of women's domiciles. This report includes data from the first 96,828 mammographies performed between March 2005 and December 2006. There were 1% of mammographies in Breast Imaging Reporting and Data System 0, 4, or 5 and 208 out of 949 women with abnormal mammographies (27.7%) had breast cancer, a rate of 2.1 per thousand, most of them in situ or stage I (29.4%) or stage II (42.2%) nevertheless 21% of those women with abnormal mammography did not present for further clinical and radiologic evaluation despite being personally notified at their home addresses. The breast cancer rate of Mexican women submitted to screening mammography is lower than in European or North American women. Family history of breast cancer, nulliparity, absence of breast feeding, and increasing age are factors that increase the risk of breast cancer. Most cancers were diagnosed in women's age below 60 years (68.5%) with a mean age of 53.55 corroborating previous data published. It is mandatory to sensitize and educate our population with regard to accepting to visit the Specialized Breast Centers.

  16. Type of hormone therapy and risk of misclassification at mammography screening

    DEFF Research Database (Denmark)

    Njor, Sisse H; Hallas, Jesper; Schwartz, Walter;

    2011-01-01

    Current users of hormone therapy (HT) are known to have a lower accuracy of mammography screening than do never users. We studied whether the risk of misclassification depends on type of hormone, administration, regimen, and dose of the therapy.......Current users of hormone therapy (HT) are known to have a lower accuracy of mammography screening than do never users. We studied whether the risk of misclassification depends on type of hormone, administration, regimen, and dose of the therapy....

  17. FROST: an ASIC for digital mammography with synchrotron radiation

    Energy Technology Data Exchange (ETDEWEB)

    Bergamaschi, A. E-mail: bergamaschi@ts.infn.it; Prest, M.; Vallazza, E.; Arfelli, F.; Dreossi, D.; Longo, R.; Olivo, A.; Pani, S.; Castelli, E

    2003-09-01

    The FRONTier RADiography (FRONTRAD) collaboration is developing a digital system for mammography at the Elettra Synchrotron Light Source in Trieste. The system is based on a silicon microstrip detector array. The ASIC FROST (FRONTRAD Read Out sySTem) was developed as a collaboration between INFN Trieste and Aurelia Microelettronica and is designed to operate in single photon counting mode. FROST provides low-noise and high-gain performances and is able to work at incident photon rates higher than 100 kHz with almost 100% efficiency. The ASIC has been tested and the first images of mammographic test objects will be shown. The acquisition time per breast image should be of about 10 s.

  18. Data acquisition electronics for positron emission mammography (PEM) detectors

    Energy Technology Data Exchange (ETDEWEB)

    Martinez, J.D. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain)]. E-mail: jormarp1@doctor.upv.es; Sebastia, A. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Cerda, J. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Esteve, R. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Mora, F.J. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Toledo, J.F. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Benlloch, J.M. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain); Gimenez, N. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain); Gimenez, M. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain); Lerche, Ch. W. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain); Pavon, N. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain); Sanchez, F. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain)

    2005-01-21

    Positron emission mammography (PEM) is an innovative technique to increase sensitivity and overcome the main drawbacks of conventional X-ray screening. However, dedicated PET imaging systems demand specific hardware solutions for data acquisition and processing that can take advantage of the reduction in the number of channels. Data acquisition issues can affect PEM scanners performance and they should be exhaustively addressed in order to exploit the increment in the event count rate. This is crucial in order to reduce both the scanning time and the total injected dose. This paper presents the electronics for our PEM camera prototype that enables us to achieve very high-count rates and perform comprehensive online processing. Results about acquisition in our detector for a typical clinical setup are studied using Monte Carlo simulation of hot lesion phantoms.

  19. Do shorter wavelengths improve contrast in optical mammography?

    Science.gov (United States)

    Taroni, P.; Pifferi, A.; Torricelli, A.; Spinelli, L.; Danesini, G. M.; Cubeddu, R.

    2004-04-01

    The detection of tumours with time-resolved transmittance imaging relies essentially on blood absorption. Previous theoretical and phantom studies have shown that both contrast and spatial resolution of optical images are affected by the optical properties of the background medium, and high absorption and scattering are generally beneficial. Based on these observations, wavelengths shorter than presently used (680-780 nm) could be profitable for optical mammography. A study was thus performed analysing time-resolved transmittance images at 637, 656, 683 and 785 nm obtained from 26 patients bearing 16 tumours and 15 cysts. The optical contrast proved to increase upon decreasing wavelengths for the detection of cancers in late-gated intensity images, with higher gain in contrast for lesions of smaller size (decrease in contrast with wavelength was observed in scattering images.

  20. High-Resolution Mammography Detector Employing Optical Switching Readout

    Science.gov (United States)

    Irisawa, Kaku; Kaneko, Yasuhisa; Yamane, Katsutoshi; Sendai, Tomonari; Hosoi, Yuichi

    Conceiving a new detector structure, FUJIFILM Corporation has successfully put its invention of an X-ray detector employing "Optical Switching" into practical use. Since Optical Switching Technology allows an electrode structure to be easily designed, both high resolution of pixel pitch and low electrical noise readout have been achieved, which have consequently realized the world's smallest pixel size of 50×50 μm2 from a Direct-conversion FPD system as well as high DQE. The digital mammography system equipped with this detector enables to acquire high definition images while maintaining granularity. Its outstanding feature is to be able to acquire high-precision images of microcalcifications which is an important index in breast examination.

  1. Lesion detection and quantitation of positron emission mammography

    Energy Technology Data Exchange (ETDEWEB)

    Qi, Jinyi; Huesman, Ronald H.

    2001-12-01

    A Positron Emission Mammography (PEM) scanner dedicated to breast imaging is being developed at our laboratory. We have developed a list mode likelihood reconstruction algorithm for this scanner. Here we theoretically study the lesion detection and quantitation. The lesion detectability is studied theoretically using computer observers. We found that for the zero-order quadratic prior, the region of interest observer can achieve the performance of the prewhitening observer with a properly selected smoothing parameter. We also study the lesion quantitation using the test statistic of the region of interest observer. The theoretical expressions for the bias, variance, and ensemble mean squared error of the quantitation are derived. Computer simulations show that the theoretical predictions are in good agreement with the Monte Carlo results for both lesion detection and quantitation.

  2. Comparative study of dose estimation in the change a conventional mammography to digital mammography; Estudio comparativo de estimacion de dosis en el cambio de un mamografo convencional a un mamografo digital

    Energy Technology Data Exchange (ETDEWEB)

    Vazquez Vazquez, R.; Otero Martinez, C.; Soto Bua, M.; Santamarina Vazquez, F.; Carril Iglesias, S.; Lobato Busto, R.; Luna Vega, V.; Mosquera Sueiro, J.; Sqanchez Garcia, M.; Pombar Camean, M.

    2011-07-01

    Mammographic studies are now one of the most demanding radiological because of its effectiveness in detecting breast cancer early. The introduction of digital mammography has been a major advance because it has overcome some of the limitations of conventional systems. Due to the nature of the radiosensitive glandular tissue becomes very important control of the dose given to patients. In the present study is to analyze the variations in dosimetry that can exist between a conventional mammography and digital mammography.

  3. MO-AB-207-04: ACR Update in Mammography

    Energy Technology Data Exchange (ETDEWEB)

    Berns, E. [University of Colorado Health Science (United States)

    2015-06-15

    A goal of an imaging accreditation program is to ensure adequate image quality, verify appropriate staff qualifications, and to assure patient and personnel safety. Currently, more than 35,000 facilities in 10 modalities have been accredited by the American College of Radiology (ACR), making the ACR program one of the most prolific accreditation options in the U.S. In addition, ACR is one of the accepted accreditations required by some state laws, CMS/MIPPA insurance and others. Familiarity with the ACR accreditation process is therefore essential to clinical diagnostic medical physicists. Maintaining sufficient knowledge of the ACR program must include keeping up-to-date as the various modality requirements are refined to better serve the goals of the program and to accommodate newer technologies and practices. This session consists of presentations from authorities in four ACR accreditation modality programs, including magnetic resonance imaging, computed tomography, nuclear medicine, and mammography. Each speaker will discuss the general components of the modality program and address any recent changes to the requirements. Learning Objectives: To understand the requirements of the ACR MR Accreditation program. The discussion will include accreditation of whole-body general purpose magnets, dedicated extremity systems well as breast MRI accreditation. Anticipated updates to the ACR MRI Quality Control Manual will also be reviewed. To understand the requirements of the ACR CT accreditation program, including updates to the QC manual as well as updates through the FAQ process. To understand the requirements of the ACR nuclear medicine accreditation program, and the role of the physicist in annual equipment surveys and the set up and supervision of the routine QC program. To understand the current ACR MAP Accreditation requirement and present the concepts and structure of the forthcoming ACR Digital Mammography QC Manual and Program.

  4. Physical characteristics of a full-field digital mammography system

    Science.gov (United States)

    Suryanarayanan, Sankararaman; Karellas, Andrew; Vedantham, Srinivasan

    2004-11-01

    The physical performance characteristics of a flat-panel clinical full-field digital mammography (FFDM) system were investigated for a variety of mammographic X-ray spectral conditions. The system was investigated using 26 kVp: Mo/Mo, 28 kVp: Mo/Rh, and 30 kVp: Rh/Rh, with polymethyl methacrylate (PMMA) "tissue equivalent material" of thickness 20, 45, and 60 mm for each of three X-ray spectra, resulting in nine different spectral conditions. The experimental results were compared with a theoretical cascaded linear systems-based model that has been developed independently by other investigators. The FFDM imager (Senographe 2000D, GE Medical Systems, Milwaukee, WI) uses an amorphous silicon (aSi:H) photodiode (100 μm pixel) array directly coupled to a cesium iodide (CsI) scintillator. The spatial resolution of the digital mammography system was determined by measuring the presampling modulation transfer function (MTF). The noise power spectra (NPS) of the system were measured under the different mammographic X-ray spectral conditions at an exposure of approximately 10 mR to the detector from which corresponding detective quantum efficiencies (DQE) were determined. The experimental results provide additional information on the performance of the mammographic system for a broader range of experimental conditions than have been reported in the past. The flat-panel imager exhibits favorable physical quality characteristics under the conditions investigated. The experimental results were compared with theoretical estimates under various spectral conditions and demonstrated good agreement.

  5. Four Principles to Consider Before Advising Women on Screening Mammography.

    Science.gov (United States)

    Keen, John D; Jørgensen, Karsten J

    2015-11-01

    This article reviews four important screening principles applicable to screening mammography in order to facilitate informed choice. The first principle is that screening may help, hurt, or have no effect. In order to reduce mortality and mastectomy rates, screening must reduce the rate of advanced disease, which likely has not happened. Through overdiagnosis, screening produces substantial harm by increasing both lumpectomy and mastectomy rates, which offsets the often-promised benefit of less invasive therapy. Next, all-cause mortality is the most reliable way to measure the efficacy of a screening intervention. Disease-specific mortality is biased due to difficulties in attribution of cause of death and to increased mortality due to overdiagnosis and the resulting overtreatment with radiotherapy and chemotherapy. To enhance participation, the benefit from screening is often presented in relative instead of absolute terms. Third, some screening statistics must be interpreted with caution. Increased survival time and the percentage of early-stage tumors at detection sound plausible, but are affected by lead-time and length biases. In addition, analyses that only include women who attend screening cannot reliably correct for selection bias. The final principle is that accounting for tumor biology is important for accurate estimates of lead time, and the potential benefit from screening. Since "early detection" is actually late in a tumor's lifetime, the time window when screen detection might extend a woman's life is narrow, as many tumors that can form metastases will already have done so. Instead of encouraging screening mammography, physicians should help women make an informed decision as with any medical intervention.

  6. Knowledge about mammography and associated factors: population surveys with female adults and elderly

    Directory of Open Access Journals (Sweden)

    Ione Jayce Ceola Schneider

    2013-12-01

    Full Text Available The purpose of this paper is to describe the knowledge about mammography and to identify associated factors in female adults and elderly. Data were obtained from two population surveys, one with female adults and another with elderly women from Florianópolis (SC in 2009 - 2010. A descriptive analysis of the variables was carried out, the appropriate mean of responses about mammography was estimated and crude and adjusted Poisson regression was conducted to identify associated factors. Among adults, 23.1% answered all of the questions appropriately and the appropriate average responses was 7.2 (95%CI 7.1 - 7.3 in a total of 9. In the adjusted model, older age, higher education and income were associated with knowledge about mammography. For the elderly, 15.3% answered all questions appropriately and the average of appropriate responses was 6.4 (95%CI 5.2 - 6.5 and the factors associated with knowledge about mammography in the adjusted model were younger age groups, increased education and income, and identification of mammography as the main diagnostic method for breast cancer. Information about mammography can neither be transmitted in a clear way nor be easily understood; there are also demographic and socioeconomic differences concerning the knowledge about the exam.

  7. The quality control of mammography imaging and equipment in Minas Gerais, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Nogueira, M.S.; Oliveira, M.; Guedes, E.; Andrade, M.C.; Peixoto, J.E.; Joana, G.S. [Cento de Desenvolvimento da Tecnologia Nuclear (CDTN)- Comissao Nacional de Energia Nuclear (CNEN) Rua Prof. Mario Werneck, s/n - Cidade Universitaria - Pampulha 30123-970 Belo Horizonte, MG, (Brazil)

    2007-07-01

    Full text: Cancer is the second cause of death in the Brazilian female population and breast cancer is the most frequent neoplasm amongst women. Mammography is an essential tool for diagnosis and early detection of this disease. In order to be effective, the mammography must be of good quality. Doses in mammography should be maintained as low as possible without reducing the high image quality needed to the early detection of the breast cancer. The-breast is composed of tissues with very close composition and densities. It increases the difficulty to detect small changes in the normal anatomical structures which may be associated with breast cancer. To achieve the standards of definition and contrast for mammography, the quality and intensity of the x ray beam, the breast positioning and compression, the film-screen system, and the film processing have to be in optimal operational conditions. This study sought to evaluate the entrance surface kerma and the image quality on a phantom in 180 mammography units in the state of Minas Gerais, Brazil, between December 2004 and October 2006. The results showed that 54.5% of the facilities did not achieve the minimum performance level for image quality and 42% of the mammography units, the reference range for entrance surface kerma of 10 {+-} 3 mGy was exceeded. (Author)

  8. 78 FR 18415 - Notice of Amendment to the Advisory Committee on International Law Charter

    Science.gov (United States)

    2013-03-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Notice of Amendment to the Advisory Committee on International Law Charter The Department of State has amended the Charter of the Advisory Committee on International Law to add three additional membership positions. The Committee is comprised of all...

  9. The Strategic Management of Charter Schools: Frameworks and Tools for Educational Entrepreneurs. Educational Innovations

    Science.gov (United States)

    Frumkin, Peter; Manno, Bruno V.; Edgington, Nell

    2011-01-01

    "The Strategic Management of Charter Schools" addresses the challenges facing such schools by mapping out, in straightforward and highly pragmatic terms, a management framework for them. The first charter school law in the United States was enacted in Minnesota in 1991. In the twenty years since that modest beginning, the movement has burgeoned…

  10. Why Here and Why Now? Teacher Motivations for Unionizing in a New Orleans Charter School

    Science.gov (United States)

    Beabout, Brian R.; Gill, Ivan

    2015-01-01

    The rigidity of teachers unions has been given as a primary reason for their lack of representation among America's rapidly growing, although still relatively small, charter school sector. In the case of post-Hurricane Katrina New Orleans, the city rapidly converted from a union-backed teacher workforce to a largely nonunionized charter school…

  11. Review of "Charter-School Management Organizations: Diverse Strategies and Diverse Student Impacts"

    Science.gov (United States)

    Fuller, Bruce

    2012-01-01

    This report details how charter schools are increasingly run by private, nonprofit management organizations called charter school management organizations (CMOs). The researchers find that most CMOs serve urban students from low-income families, operate small schools that offer more instructional time, and attract teachers loyal to each school's…

  12. 78 FR 19355 - Announcement of Charter Renewal of the Radio Technical Commission for Aeronautics (RTCA), Inc.

    Science.gov (United States)

    2013-03-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Announcement of Charter Renewal of the Radio Technical Commission for Aeronautics (RTCA), Inc. SUMMARY: The FAA is issuing this notice to advise the public of the charter...

  13. Financial Management of New York's Charter Schools: A Normative, Descriptive, and Prescriptive Analysis

    Science.gov (United States)

    Brent, Brian O.; Finnigan, Kara S.

    2009-01-01

    Surprisingly little is known about the financial management practices of charter schools. The literature offer policymakers only anecdotal answers to the following important questions: Who manages charter school finances and what educational and previous employment experiences do they bring to their positions? What do audited financial statements…

  14. 75 FR 4909 - Charter Bank: Santa Fe, New Mexico; Notice of Appointment of Receiver

    Science.gov (United States)

    2010-01-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Office of Thrift Supervision Charter Bank: Santa Fe, New Mexico; Notice of Appointment of Receiver Notice... sole Receiver for Charter Bank, Santa Fe, New Mexico, (OTS No. 08337) on January 22, 2010....

  15. 76 FR 48863 - Renewal of Charter for the Presidential Advisory Council on HIV/AIDS

    Science.gov (United States)

    2011-08-09

    ... HUMAN SERVICES Renewal of Charter for the Presidential Advisory Council on HIV/ AIDS AGENCY: Department..., Office of HIV/ AIDS Policy. ACTION: Notice. SUMMARY: The Department of Health and Human Services is hereby giving notice that the charter for the Presidential Advisory Council on HIV/ AIDS (PACHA;...

  16. A Call to Action: To Improve the Quality of Full-Time Virtual Charter Public Schools

    Science.gov (United States)

    National Alliance for Public Charter Schools, 2016

    2016-01-01

    Currently, more than 180,000 students attend 135 full-time virtual charter schools in 23 states and the District of Columbia. While some students do well in a full-time virtual charter school environment, too many of these schools are not providing a quality educational program to the vast majority of their students, while enrolling too many who…

  17. The Effects of Charter School Competition on School District Resource Allocation

    Science.gov (United States)

    Arsen, David; Ni, Yongmei

    2012-01-01

    Purpose: This article examines two questions: (a) How does resource allocation change in school districts experiencing sustained charter school competition? (b) Among districts exposed to charter competition, are there differences in the resource allocation adjustments between those that do and do not succeed in stemming further enrollment loss to…

  18. 77 FR 63337 - Renewal of Charter of Advisory Committee on Actuarial Examinations

    Science.gov (United States)

    2012-10-16

    ... ENROLLMENT OF ACTUARIES Renewal of Charter of Advisory Committee on Actuarial Examinations AGENCY: Joint Board for the Enrollment of Actuaries. ACTION: Notice of Renewal of Advisory Committee. SUMMARY: The Joint Board for the Enrollment of Actuaries announces the renewal of the charter of the...

  19. 75 FR 22754 - Federal Advisory Committee; Department of Defense Board of Actuaries; Charter Renewal

    Science.gov (United States)

    2010-04-30

    ... of the Secretary Federal Advisory Committee; Department of Defense Board of Actuaries; Charter... Defense gives notice that it is renewing the charter for the Department of Defense Board of Actuaries... members appointed by the Secretary of Defense from among qualified professional actuaries who are...

  20. Implementation of the Credit Enhancement for Charter School Facilities Program. Final Report

    Science.gov (United States)

    Temkin, Kenneth; Hong, Grace; Davis, Laurel; Bavin, William

    2008-01-01

    The number of charter schools has grown rapidly from 250 in 1995 to about 4,000 by 2007, now enrolling more than 1.1 million students in the United States. Charter schools face many challenges when they attempt to purchase or lease permanent facilities and frequently operate in temporary space that is poorly suited for delivering educational…

  1. Fulfilling the Compact: Building a Breakthrough, Results-Driven Public Charter School Sector

    Science.gov (United States)

    Ableidinger, Joe; Steiner, Lucy; Spong, Angie; Hassel, Bryan C.

    2012-01-01

    In 2005, the Task Force on Charter School Quality and Accountability issued "Renewing the Compact," a position statement for the charter school sector that presented recommendations for achieving the goals of growth and quality. This report evaluates the sector's progress on those goals and recommends bold actions to capitalize on its…

  2. Making Americans: UNO Charter Schools and Civic Education. Policy Brief 6

    Science.gov (United States)

    Feith, David

    2013-01-01

    This policy brief is the third in a series of in-depth case studies exploring how top-performing charter schools have incorporated civic learning in their school curriculum and school culture. The UNO Charter School Network includes 13 schools serving some 6,500 students across Chicago. Located in predominantly Hispanic neighborhoods, the…

  3. Choices or Rights? Charter Schools and the Politics of Choice-Based Education Policy Reform

    Science.gov (United States)

    Eastman, Nicholas J.; Anderson, Morgan; Boyles, Deron

    2017-01-01

    Simply put, charter schools have not lived up to their advocates' promise of equity. Using examples of tangible civil rights gains of the twentieth century (e.g. "Brown v. Board," "Lau v. Nichols") and extending feminist theories of invisible labor to include the labor of democracy, the authors argue that the charter movement…

  4. Cultivating Innovation: How a Charter/District Network Is Turning Professional Development into Professional Practice.

    Science.gov (United States)

    Andrews, Kevin; Rothman, Michael

    2002-01-01

    Describes the pilot year of the Project for School Innovation, a Boston charter-school initiative to bring together charter and district schools to cultivate innovation in public education. A major goal of the project is to overcome the shortcomings in teacher professional development through professional empowerment, professional networks, and…

  5. 75 FR 48742 - Renewal of the Regional Resource Stewardship Council Charter

    Science.gov (United States)

    2010-08-11

    ... Renewal of the Regional Resource Stewardship Council Charter AGENCY: Tennessee Valley Authority (TVA). ACTION: Notice of Charter Renewal. SUMMARY: Pursuant to the Federal Advisory Committee Act (FACA) (5 U.S.C. Appendix), the TVA Board of Directors has renewed the Regional Resource Stewardship...

  6. 75 FR 22559 - Federal Advisory Committee; Air University Board of Visitors; Charter Renewal

    Science.gov (United States)

    2010-04-29

    ... of the Secretary Federal Advisory Committee; Air University Board of Visitors; Charter Renewal AGENCY... the charter for the Air University Board of Visitors (hereafter referred to as the Board). FOR FURTHER..., 703-601-6128. SUPPLEMENTARY INFORMATION: The Board is a discretionary Federal advisory committee...

  7. 75 FR 22754 - Federal Advisory Committee; Chief of Engineers Environmental Advisory Board; Charter Renewal

    Science.gov (United States)

    2010-04-30

    ... of the Secretary Federal Advisory Committee; Chief of Engineers Environmental Advisory Board; Charter... that it is renewing the charter for the Chief of Engineers Environmental Advisory Board (hereafter referred to as the Board). FOR FURTHER INFORMATION CONTACT: Jim Freeman, Deputy Advisory...

  8. 77 FR 32088 - EPA Board of Scientific Counselors Advisory Board; Notice of Charter Renewal

    Science.gov (United States)

    2012-05-31

    ... AGENCY EPA Board of Scientific Counselors Advisory Board; Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of Charter Renewal. Notice is hereby given that the Environmental... Committee Act (FACA), 5 U.S.C. App.2, the EPA Board of Scientific Counselors Advisory Board (BOSC) is...

  9. 75 FR 22756 - Federal Advisory Committee; United States Army Science Board; Charter Renewal

    Science.gov (United States)

    2010-04-30

    ... of the Secretary Federal Advisory Committee; United States Army Science Board; Charter Renewal AGENCY... the charter for the United States Army Science Board (hereafter referred to as the Board). FOR FURTHER..., 703-601-6128. SUPPLEMENTARY INFORMATION: The Board is a discretionary Federal advisory committee...

  10. 75 FR 65614 - Federal Advisory Committee Act; Standards Board Charter Renewal

    Science.gov (United States)

    2010-10-26

    ... COMMISSION Federal Advisory Committee Act; Standards Board Charter Renewal AGENCY: Election Assistance... (EAC) has renewed the charter for the Standards Board for a two-year period through October 18, 2012...-463, as amended, this notice advises interested persons of the renewal of the Standards Board...

  11. 75 FR 22753 - Federal Advisory Committee; Defense Science Board; Charter Renewal

    Science.gov (United States)

    2010-04-30

    ... of the Secretary Federal Advisory Committee; Defense Science Board; Charter Renewal AGENCY... the charter for the Defense Science Board (hereafter referred to as the Board). FOR FURTHER..., 703-601-6128. SUPPLEMENTARY INFORMATION: The Board is a discretionary Federal advisory committee...

  12. 75 FR 29338 - EPA Board of Scientific Counselors Advisory Board; Notice of Charter Renewal

    Science.gov (United States)

    2010-05-25

    ... AGENCY EPA Board of Scientific Counselors Advisory Board; Notice of Charter Renewal AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of charter renewal. Notice is hereby given that the Environmental... Committee Act (FACA), 5 U.S.C. App.2, the EPA Board of of Scientific Counselors Advisory Board (BOSC) is...

  13. 75 FR 11534 - Notice of Charter Renewal for the Environmental Financial Advisory Board (EFAB)

    Science.gov (United States)

    2010-03-11

    ... AGENCY Notice of Charter Renewal for the Environmental Financial Advisory Board (EFAB) AGENCY: Environmental Protection Agency (EPA). ACTION: Notice. The Charter for the Environmental Protection Agency's Environmental Financial Advisory Board (EFAB) will be renewed for an additional two- year period, as a...

  14. 75 FR 22560 - Federal Advisory Committee; U.S. Air Force Scientific Advisory Board; Charter Renewal

    Science.gov (United States)

    2010-04-29

    ... of the Secretary Federal Advisory Committee; U.S. Air Force Scientific Advisory Board; Charter... that it is renewing the charter for the U.S. Air Force Scientific Advisory Board (hereafter referred to as the Board). FOR FURTHER INFORMATION CONTACT: Jim Freeman, Deputy Advisory Committee...

  15. 50 CFR 648.89 - Recreational and charter/party vessel restrictions.

    Science.gov (United States)

    2010-10-01

    ... no gear other than rod and reel or handline gear on board; and (iv) For the GOM charter/party closed... 50 Wildlife and Fisheries 8 2010-10-01 2010-10-01 false Recreational and charter/party vessel... Management Measures for the NE Multispecies and Monkfish Fisheries § 648.89 Recreational and...

  16. Urban School Choice and Integration: The Effect of Charter Schools in Little Rock

    Science.gov (United States)

    Ritter, Gary W.; Jensen, Nathan C.; Kisida, Brian; Bowen, Daniel H.

    2016-01-01

    We examine the impact of charter schools on school integration in the Little Rock, Arkansas metropolitan area. We find that charters are less likely to be hyper-segregated than traditional public schools (TPS), but TPS have compositions more closely reflecting the region. However, differences in each case are slight. Using student-level data to…

  17. Are You Leaving? A Case of Succession in the Willow Tree Charter School

    Science.gov (United States)

    Gawlik, Marytza A.

    2015-01-01

    This case study asks readers to contemplate what leadership practices may facilitate leadership succession at charter schools. The case narrative is followed by an activity designed for students in principal preparation programs. In this activity, students develop an exit strategy for the departing leader, a hiring plan for the charter school…

  18. Charter Management Organizations: An Emerging Approach to Scaling up What Works

    Science.gov (United States)

    Farrell, Caitlin; Wohlstetter, Priscilla; Smith, Joanna

    2012-01-01

    Policymakers have shown increasing interest in replicating high-quality education models as a way to improve chronically underperforming schools. Charter management organizations (CMOs) have been touted as one organizational model poised to be such a vehicle for reform. CMOs are nonprofit organizations that operate a network of charter schools…

  19. One Size Does Not Fit All: Understanding the Variation in Charter Management Scale-Up

    Science.gov (United States)

    Farrell, Caitlin; Nayfack, Michelle B.; Smith, Joanna; Wohlstetter, Priscilla

    2014-01-01

    The prevalence of charter management organizations (CMOs)--networks of charter schools overseen by a home office--has exploded in recent years but there is a paucity of research into how CMOs approach growth and the factors that influence their growth plans. In this qualitative study, we examine how a set of 25 older, more established CMOs…

  20. Charter Schools, Equity, and Student Enrollments: The Role of For-Profit Educational Management Organizations

    Science.gov (United States)

    Ertas, Nevbahar; Roch, Christine H.

    2014-01-01

    For-profit educational management organizations (EMOs) are a growing phenomenon in public education, and they are an integral part of charter school reform in many states. Research suggests that charter schools operated by for-profit entities may take a more entrepreneurial approach when expanding their operations and thus may be more inclined to…

  1. California Charter Schools Serving Low-SES Students: An Analysis of the Academic Performance Index.

    Science.gov (United States)

    Slovacek, Simeon P.; Kunnan, Antony J.; Kim, Hae-Jin

    This report presents the findings of an analysis of the Academic Performance Index (API) scores based on SATs taken in 1999, 2000, and 2001. It focuses on charter schools in California that serve students from low socioeconomic-status (SES) families. The purpose of the study was to see how standardized test scores from charter schools serving…

  2. For-Profit Charter Schools: What the Public Needs to Know.

    Science.gov (United States)

    Dykgraaf, Christy Lancaster; Lewis, Shirley Kane

    1998-01-01

    For-profit charter-school managers may be removing the "public" from public education. A study of 11 Michigan charter schools showed that cost-cutting strategies are adversely affecting student transportation, special education, and the socioeconomic mix of students. Corporations' superimposed bureaucracies have eradicated educators' freedom to…

  3. Examining Charter School Policy and Public School District Resource Allocation in Ohio

    Science.gov (United States)

    Linick, Matthew A.

    2016-01-01

    This project focuses on the competitive pressure, or the threat of competitive pressure, generated by charter school policy. This paper uses longitudinal district-level data and multiple quasi-experimental designs to examine the relationship between two Ohio charter school policies and changes in public school district instructional resource…

  4. 77 FR 69692 - Guidance on Review and Approval of Public Charter Prospectuses

    Science.gov (United States)

    2012-11-20

    ... between the tour operator and the direct air carriers must be all-inclusive and cannot be ACMI (i.e., fuel... be accessible to the tour operator at all times. In addition, to ensure that consumers not paying in... Charter Prospectuses Notice The abrupt cessation of service by the public charter operator, Southern...

  5. Disparities in Charter School Resources--The Influence of State Policy and Community

    Science.gov (United States)

    Bodine, Edward; Fuller, Bruce; Gonzalez, Maria-Fernanda; Huerta, Luis; Naughton, Sandra; Park, Sandra; Teh, Laik Woon

    2008-01-01

    Recent findings show that students attending charter schools in the United States achieve at comparable or lower levels to those enrolled in regular public schools, perhaps due to uneven quality and disparities in the levels of resources acquired by charter schools. But little is known as to what state and local factors contribute to disparate…

  6. The Influence of News Framing on Support for Charter School Reform

    Science.gov (United States)

    Feuerstein, Abe

    2015-01-01

    This study examined the influence of media framing on attitudes toward charter school reform. Participants in an Internet-based experiment were presented, at random, with one of three manipulated news articles framing charter school reform as (a) supportive of values such as freedom, choice, and innovation; (b) conflicting with values such as…

  7. 76 FR 62374 - Proposed Information Collection; Comment Request; Alaska Recreational Charter Vessel Guide and...

    Science.gov (United States)

    2011-10-07

    ... management measures have recently been proposed or implemented that affect recreational charter boat fishing... effect of regulatory restrictions (currently in place or potential) on charter operator and owner... their operations and fishing behavior, and costs and earnings information are generally not...

  8. The Paperwork Pile-Up: Measuring the Burden of Charter School Applications

    Science.gov (United States)

    McShane, Michael Q.; Hatfield, Jenn; English, Elizabeth

    2015-01-01

    In 1988, Albert Shanker, head of the United Federation of Teachers, suggested that small groups of teachers could design charter (performance-based)schools as alternatives to local public schools. In theory, charter school teachers would be held in check by a performance contract but would be otherwise free from rules, norms, and regulations that…

  9. "Are We Architects or Construction Workers?" Re-Examining Teacher Autonomy and Turnover in Charter Schools

    Science.gov (United States)

    Torres, A. Chris

    2014-01-01

    Charter school teachers nationwide expressed greater autonomy compared to traditional public school teachers at the turn of the century. But is this trend changing? The recent proliferation of Charter Management Organizations (CMOs), which often have prescriptive organizational models, has raised questions around how teachers perceive autonomy and…

  10. The Charter of Regional and Minority Languages as a political factor

    NARCIS (Netherlands)

    C. Hamans

    2008-01-01

    In this paper the genesis of the Charter of Regional and Minority Languages (1992) is discussed briefly, just as the current politico-linguistic situation in a few European languages with respect to the Charter. Especially the postion of the Russian speaking minority in the Ukraine, one of the partn

  11. Legal and Policy Issues Regarding Niche Charter Schools: Race, Religion, Culture, and the Law

    Science.gov (United States)

    Eckes, Suzanne E.; Fox, Robert A.; Buchanan, Nina K.

    2011-01-01

    A growing number of ethnocentric or culturally oriented niche charter schools have opened around the country. These ethnic or culture-oriented models raise legal and policy concerns about church/state entanglement as well as concerns about diversity. Indeed, there has already been litigation focused on racial and ethnic aspects of charter schools…

  12. 78 FR 22593 - The United States Advisory Commission on Public Diplomacy Notice of Charter Renewal

    Science.gov (United States)

    2013-04-16

    ... United States Advisory Commission on Public Diplomacy Notice of Charter Renewal The Department of State has renewed the charter of the United States Advisory Commission on Public Diplomacy. The Commission... public diplomacy activities (activities intended to understand, inform, and influence foreign...

  13. A New Turnaround Model: Michigan's Highland Park Goes Charter. Policy Brief

    Science.gov (United States)

    Spalding, Audrey

    2013-01-01

    This brief examines the series of events that led to the Highland Park school district being converted to a system of charter public schools in 2012. Used as a strategy to help the district eliminate its large fiscal debt while still providing resident students with a local public school option, Highland Park's charter conversion is one of the…

  14. Civic Fragmentation or Voluntary Association? Habermas, Fraser, and Charter School Segregation

    Science.gov (United States)

    Wilson, Terri S.

    2010-01-01

    In this essay, Terri Wilson puts the argument developed by Kathleen Knight Abowitz that charter schools could be considered as counterpublic spaces into interaction with empirical research that explores patterns of voluntary self-segregation in charter schools. Wilson returns to the theoretical tension between Jurgen Habermas and Nancy Fraser over…

  15. "He Pu'a Kani 'Aina": Mapping Student Growth in Hawaiian-Focused Charter Schools

    Science.gov (United States)

    Kana'iaupuni, Shawn Malia

    2008-01-01

    Fourteen of the startup charter schools in the State of Hawai'i are Hawaiian-focused, providing an education grounded in culturally relevant content and context. This study centers on outcomes in these Hawaiian-focused charter schools, which have demonstrated their value to the community, serving the educational needs of an increasing number of…

  16. Charter-School Management Organizations: Diverse Strategies and Diverse Student Impacts. Updated Edition

    Science.gov (United States)

    Furgeson, Joshua; Gill, Brian; Haimson, Joshua; Killewald, Alexandra; McCullough, Moira; Nichols-Barrer, Ira; Verbitsky-Savitz, Natalya; Teh, Bing-ru; Bowen, Melissa; Demeritt, Allison; Hill, Paul; Lake, Robin

    2012-01-01

    Charter schools--public schools of choice that are operated autonomously, outside the direct control of local school districts--have become more prevalent over the past two decades. There is no consensus about whether, on average, charter schools are doing better or worse than conventional public schools at promoting the achievement of their…

  17. Who Teaches in American Charter Schools? Findings from Secondary Analysis of the 1999-2000 Schools and Staffing Survey

    Science.gov (United States)

    Rui, Ning; Boe, Erling E.

    2012-01-01

    Charter schools have been in existence for 20 years in the USA and their effectiveness has been heatedly debated. Despite a growing literature on charter school administration, research on charter school teachers in comparison with their counterparts at traditional public schools is scarce. Using secondary data from the 1999-2000 Schools and…

  18. 12 CFR 614.4070 - Loans and chartered territory-Farm Credit Banks, agricultural credit banks, Federal land bank...

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Loans and chartered territory-Farm Credit Banks... ADMINISTRATION FARM CREDIT SYSTEM LOAN POLICIES AND OPERATIONS Chartered Territories § 614.4070 Loans and chartered territory—Farm Credit Banks, agricultural credit banks, Federal land bank associations,...

  19. 77 FR 6796 - Notification of Three Public Teleconferences of a Work Group of the Chartered Science Advisory Board

    Science.gov (United States)

    2012-02-09

    ... AGENCY Notification of Three Public Teleconferences of a Work Group of the Chartered Science Advisory... Board (SAB) Staff Office announces three public teleconferences of a work group of the Chartered Science... EPA policy, notice is hereby given that a work group of the chartered SAB will hold three...

  20. How to Recruit High-Performing Charter Management Organizations to a New Region: Results from the 2015 CMO Survey

    Science.gov (United States)

    National Alliance for Public Charter Schools, 2016

    2016-01-01

    Charter Management Organizations (CMOs) are nonprofit entities that manage at least two charter schools. They play an important role in increasing the number of high-quality charter public schools by enabling the replication and expansion of models that work, creating economies of scale, encouraging collaboration, and building support structures…

  1. Screen-film versus full-field digital mammography: Radiation dose and image quality in a large teaching hospital

    Directory of Open Access Journals (Sweden)

    Stantić Tomislav J.

    2013-01-01

    Full Text Available The objective of this paper is to measure the radiation dose and image quality in conventional screen-film mammography and full-field digital mammography in women referred to mammography examination. Participants underwent bilateral, two-view screen-film mammography or full-field digital mammography. The visibility of anatomical regions and overall clinical image quality was rated by experienced radiologists. Total of 387 women and 1548 mammograms were enrolled in the study. Image quality was assessed in terms of image quality score, whereas patient dose assessment was performed in terms of mean glandular dose. Average mean glandular dose for cranio-caudal projection was 1.5 mGy and 2.1 mGy in full-field digital mammography and screen-film mammography, respectively. For medio-lateral oblique projection, corresponding values were 2.3 and 2.1 mGy. Overall image quality criteria scoring was 0.82 and 0.99 for screen-film and digital systems, respectively. The scores were in the range from 0.11 to 1.0 for different anatomical structures. Overall, full-field digital mammography was superior both in terms of image quality and dose over the screen-film mammography. The results have indicated that phantom dose values can assist in setting the optimisation activities in mammography and for comparison between mammography units. To obtain accurate diagnostic information with an acceptable radiation dose to breast, it is necessary to periodically perform patient dose and image quality surveys in all mammography units.

  2. Nation

    DEFF Research Database (Denmark)

    Østergaard, Uffe

    2014-01-01

    Nation er et gammelt begreb, som kommer af det latinske ord for fødsel, natio. Nationalisme bygger på forestillingen om, at mennesker har én og kun én national identitet og har ret til deres egen nationalstat. Ordet og forestillingen er kun godt 200 år gammel, og i 1900-tallet har ideologien bredt...... sig over hele verden. Nationalisme er blevet global....

  3. AN ANALYSIS OF THE PERCEPTION OF CHARTERED ACCOUNTANT TRAINEES REGARDING ACCESS TO THE ACCOUNTING PROFESSION AND PROFESSIONAL TRAINING NEEDS

    Directory of Open Access Journals (Sweden)

    Bunea Ștefan

    2013-07-01

    Full Text Available In Romania, the certification of the quality of chartered accountant is accomplished by CECCAR(i. It is conditioned by the completion of the period of initial training. A part of this period is provided by the universities, while the other part is provided by CECCAR through the national 3-year internship programme. The objective of our survey was to analyse the way in which chartered accountant trainees perceive the access to the accounting profession, their own limitations in terms of competences, the need for professional training, and the benefits ensured by the professional training within CECCAR. Being a member of IFAC(ii, CECCAR has implemented the requirements of the international education standards. The results of the survey confirm that due to differences in their educational backgrounds trainees perceived certain barriers preventing their access to the accounting profession. They also considered that the training of chartered accountants should be provided by CECCAR rather than by the universities. The self-assessed competence level of trainees in fields such as accounting, taxation, or IT was appreciated as at least good, while the competences regarding organizations and businesses, international financial reporting, corporate governance, and financial markets were appreciated as modest. The need for professional training is assessed by trainees considering the immediate practice and not the expectations regarding future career development or future evolutions of accounting practices. The trainees in our survey do not consider necessary any investment in competences that they cannot use immediately at the level required by small and medium-sized businesses they work for. This implicates that results should be interpretated with caution and other factors (such as long term trends and expectations should be considered in establishing the educational needs of future accountants.

  4. Comparison of the Mammography, Contrast-Enhanced Spectral Mammography and Ultrasonography in a Group of 116 patients.

    Science.gov (United States)

    Luczyńska, Elzbieta; Heinze, Sylwia; Adamczyk, Agnieszka; Rys, Janusz; Mitus, Jerzy W; Hendrick, Edward

    2016-08-01

    Mammography (MG) is the gold-standard in breast cancer detection - the only method documented to reduce breast cancer mortality. Breast ultrasound (US) has been shown to increase sensitivity to breast cancers in screening women with dense breasts. Contrast-enhanced spectral mammography (CESM) is a novel technique intensively developed in the last few years. The goal of this study was to compare the sensitivity, specificity and accuracy of MG, US and CESM in detecting malignant breast lesions. The study included 116 patients. All patients were symptomatic and underwent MG, US and CESM. A radiologist with 20 years of experience in US and MG breast imaging and 1 year of experience in CESM reviewed images acquired in each of the three modalities separately, within an interval of 14-30 days. All identified lesions were confirmed at core biopsy. BI-RADS classifications on US, MG and CESM were compared to histopathology. MG, CESM and US were compared among 116 patients with 137 lesions encountered. Sensitivity of CESM was 100%, significantly higher than that of MG (90%, p<0.004) or US (92%, p<0.01). CESM accuracy was 78%, also higher than MG (69%, p<0.004) and US (70%, p=0.03). There was no statistically significant difference between AUCs for CESM and US (both 0.83). The AUCs of both US and CESM, however, were significantly larger than that of MG (p<0.0004 for each). CESM permitted better detection of malignant lesions than both MG and US, read individually. CESM found lesion enhancement in some benign lesions, as well, yielding a rate of false-positive diagnoses similar to that of MG and US.

  5. Evaluation of the Relationship Between Family History of Breast Cancer and Risk Perception and Impacts on Repetition of Mammography.

    Science.gov (United States)

    Khoshravesh, Sahar; Taymoori, Parvaneh; Roshani, Daem

    2016-01-01

    Since the mean age of breast cancer in women living in developing countries, compared with those in developed countries, is lower by about 10 years, repetition of mammography can play an important role in reducing morbidity and mortality. Hence, this study aimed to investigate the relationship between family history of breast cancer and risk perception and its impact on repetition of mammography. In this cross-sectional study, 1,507 women aged 50 years and older, referred to the mammography center of Regions 1 and 6 in Tehran, Iran, were enrolled. Data were collected using a self-report questionnaire and analyzed using SPSS and LISREL. According to our findings, knowledge about the time interval of mammography was found to have the highest correlation with repetition of mammography (r =0.4). Among the demographic variables, marital status (β= -0.1) and family history of breast cancer (β=0.1) had the most direct and significant impact on repetition of mammography (P mammography (P mammography, but the results did not prove any relationship with risk perception. Further studies are needed to assess the effect of risk perception and knowledge about time interval on the initiation and continuation of mammography.

  6. Effect of adding screening ultrasonography to screening mammography on patient recall and cancer detection rates: A retrospective study in Japan

    Energy Technology Data Exchange (ETDEWEB)

    Tohno, Eriko, E-mail: tohno@tmch.or.jp [Total Health Evaluation Center Tsukuba, 1-2, Amakubo, Tsukuba, Ibaraki 305-0005 (Japan); Umemoto, Takeshi, E-mail: umemoto@tmch.or.jp [Tsukuba Medical Center Hospital, 1-3-1, Amakubo, Tsukuba, Ibaraki 305-0005 (Japan); Sasaki, Kyoko, E-mail: kdon@za.cyberhome.ne.jp [Tsukuba Medical Center Hospital, 1-3-1, Amakubo, Tsukuba, Ibaraki 305-0005 (Japan); Morishima, Isamu, E-mail: morishima@tmch.or.jp [Tsukuba Medical Center Hospital, 1-3-1, Amakubo, Tsukuba, Ibaraki 305-0005 (Japan); Ueno, Ei, E-mail: e-ueno@tmch.or.jp [Tsukuba Medical Center Hospital, 1-3-1, Amakubo, Tsukuba, Ibaraki 305-0005 (Japan)

    2013-08-15

    Purpose: To determine whether adding screening ultrasonography to screening mammography can reduce patient recall rates and increase cancer detection rates. Materials and methods: We analyzed the results of mammography and ultrasonography breast screenings performed at the Total Health Evaluation Center Tsukuba, Japan, between April 2011 and March 2012. We also reviewed the modalities and results of diagnostic examinations from women with mammographic abnormalities who visited the Tsukuba Medical Center Hospital for further testing. Results: Of 11,753 women screened, cancer was diagnosed in 10 (0.22%) of the 4529 participants who underwent mammography alone, 23 (0.37%) of the 6250 participants who underwent ultrasonography alone, and 5 (0.51%) of the 974 participants who underwent mammography and ultrasonography. The recall rate due to mammographic abnormalities was 4.9% for women screened only with mammography and 2.6% for those screened with both modalities. The cancer detection rate was 0.22% for women screened only with mammography (positive predictive value, 4.5%) and 0.31% for those screened with both modalities (positive predictive value, 12.0%). Of the 211 lesions presenting as mammographic abnormalities investigated further, diagnostic ultrasonography found no abnormalities in 63 (29.9%) and benign findings in 69 (33.7%). The rest 36.4% needed mammography, cytological or histological examinations or follow-up in addition to diagnostic ultrasonography. Conclusions: It is possible to reduce the recall rate in screening mammography by combining mammography and ultrasonography for breast screening.

  7. Does Dividend Tax Impede Competition for Corporate Charters?

    DEFF Research Database (Denmark)

    Lai, Tat-kei; Ng, Travis

    High dividend income tax in the U.S. can impede state competition in the market for corporate charters. We offer a model to formalize the mechanism through which dividend tax lowers the incentives for a state legislator to refrain from enacting takeover regulations. We test a key driver within...... the model, that dividend tax exacerbates agency conflicts between management and shareholders, making takeover regulations less consequential to the corporations that have their shareholders subject to the tax. The implication, that under a dividend tax cut, firms governed by fewer anti-takeover provisions...

  8. Studies of breast masses in Korean woman using tungsten anode mammography

    Energy Technology Data Exchange (ETDEWEB)

    Suh, C. O.; Oh, K. K.; Lee, K. S. [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    1979-06-15

    Mammography is the oldest and most popular method in the diagnosis of breast disease and received the special attention as the powerful instrument in early detection of breast cancer. In Korea, the mammography has not been widely used, yet, but nowadays, increasing incidence of breast cancer and good prognosis after early detection and proper treatment need the clinical application of mammography for management of patient with breast disease and for the detection of occult cancer. The technique obtaining the good quality film is essential for improving the diagnostic accuracy of mammography in breast disease and in general, excellent film radiographs of breast can be obtained with proper combination of Kvp, processing, selection of fine grained film, fine focus tube and compression. In present study, radiographic technique was used in which 36-40 Kvp and 200 mAs were derived from a small focus Tungsten Anode tube. Medio-lateral and Cranio-caudad view were taken using Acryl compression device, which was specially designed by authors in order to properly examine the small, dense breasts of Korean women. Non-screen fine grained mammographic films was used and processing was manual.The materials consisted of 150 cases of mammography performed at Yonsei University Medical College, Severance Hospital, since January, 1978. We analyzed the diagnostic accuracy of mammography and mammographic findings in pathologically confirmed 39 cases. The conclusions are as follows: 1. Because women are sensitive to her breast changes, mammography is very useful not only in diagnosis of breast disease and early detection of cancer, but also management of patients with breast symptom and sign. 2. We obtained the relatively good quality film and high diagnostic accuracy with our own method, using conventional Tungsten Anode tube, compression device and hand processing. 3. We also applied specimen radiography in diagnosis of breast disease, which was helpful in verification of the adequacy

  9. Impact of the Introduction of Digital Mammography in an Organized Screening Program on the Recall and Detection Rate.

    Science.gov (United States)

    Campari, Cinzia; Giorgi Rossi, Paolo; Mori, Carlo Alberto; Ravaioli, Sara; Nitrosi, Andrea; Vacondio, Rita; Mancuso, Pamela; Cattani, Antonella; Pattacini, Pierpaolo

    2016-04-01

    In 2012, the Reggio Emilia Breast Cancer Screening Program introduced digital mammography in all its facilities at the same time. The aim of this work is to analyze the impact of digital mammography introduction on the recall rate, detection rate, and positive predictive value. The program actively invites women aged 45-74 years. We included women screened in 2011, all of whom underwent film-screen mammography, and all women screened in 2012, all of whom underwent digital mammography. Double reading was used for all mammograms, with arbitration in the event of disagreement. A total of 42,240 women underwent screen-film mammography and 45,196 underwent digital mammography. The recall rate increased from 3.3 to 4.4% in the first year of digital mammography (relative recall adjusted by age and round 1.46, 95% CI = 1.37-1.56); the positivity rate for each individual reading, before arbitration, rose from 3 to 5.7%. The digital mammography recall rate decreased during 2012: after 12 months, it was similar to the recall rate with screen-film mammography. The detection rate was similar: 5.9/1000 and 5.2/1000 with screen-film and digital mammography, respectively (adjusted relative detection rate 0.95, 95% CI = 0.79-1.13). The relative detection rate for ductal carcinoma in situ remained the same. The introduction of digital mammography to our organized screening program had a negative impact on specificity, thereby increasing the recall rate. The effect was limited to the first 12 months after introduction and was attenuated by the double reading with arbitration. We did not observe any relevant effects on the detection rate.

  10. Engaging diverse underserved communities to bridge the mammography divide

    Directory of Open Access Journals (Sweden)

    Cully Angelia

    2011-01-01

    Full Text Available Abstract Background Breast cancer screening continues to be underutilized by the population in general, but is particularly underutilized by traditionally underserved minority populations. Two of the most at risk female minority groups are American Indians/Alaska Natives (AI/AN and Latinas. American Indian women have the poorest recorded 5-year cancer survival rates of any ethnic group while breast cancer is the number one cause of cancer mortality among Latina women. Breast cancer screening rates for both minority groups are near or at the lowest among all racial/ethnic groups. As with other health screening behaviors, women may intend to get a mammogram but their intentions may not result in initiation or follow through of the examination process. An accumulating body of research, however, demonstrates the efficacy of developing 'implementation intentions' that define when, where, and how a specific behavior will be performed. The formulation of intended steps in addition to addressing potential barriers to test completion can increase a person's self-efficacy, operationalize and strengthen their intention to act, and close gaps between behavioral intention and completion. To date, an evaluation of the formulation of implementation intentions for breast cancer screening has not been conducted with minority populations. Methods/Design In the proposed program, community health workers will meet with rural-dwelling Latina and American Indian women one-on-one to educate them about breast cancer and screening and guide them through a computerized and culturally tailored "implementation intentions" program, called Healthy Living Kansas - Breast Health, to promote breast cancer screening utilization. We will target Latina and AI/AN women from two distinct rural Kansas communities. Women attending community events will be invited by CHWs to participate and be randomized to either a mammography "implementation intentions" (MI2 intervention or a

  11. Survey of health beliefs of women about performing mammography in thehealth servic centers of Sari

    Directory of Open Access Journals (Sweden)

    K. Abedian

    2006-01-01

    Full Text Available Background and purpose: Breast cancer is one of the most important non contagious disease with high incidence and mortality in females. It is the most commonly reported cancer and consists 18.9% of all reported cancer cases. Screening is a very important method for early diagnosis of breast cancer. Considering the important role of beliefs in performing as the most effective available method in diagnosis, this study was designed and done about the health beliefs of women towards mammography.Materials and Methods: This descriptive study was performed on 400 randomly selected women above 40 years of age referring to the health service centers in Sari. Their health beliefs about mammography was assessed by a questionnaire using Champion method. The obtained data were analyzed by inferential and descriptive statistical methods.Results: Majority of the women (69.5% did not practice mammography until the time of this study but 13.9% of their first family members did it. About 55.8% of them accepted that mammography insures individuals of their breast health. About 41.6% of them believed that early diagnosis of breast cancer prevents mastectomy. The most common obstacle of mammography was the concept that lack of any mass observation in breast self examination rejects requirement for mammography. About 34.5% of the patients, agreed that breast cancer affects their job activity and 34.7% agreed that breast cancer may lead to masteatomy. Statistical analysis did not reveal any relation between the occupation of the women and their beliefs about benefit of mammography and their vulnerability to breast cancer and its severity. Statistically significant relationship was observed between the education and the concepts of the women about the benefit and barrier of mammography (p<0.05.Conclusion: Despite positive concept, about mammography, it is not routinely performed in the society. Hence, it is recommended to encourage women to take advantage of this

  12. Sixty women a day examined with world-unique mammography system from Sectra. Breast disease centre in Sweden offers lowest radiation dose in the world

    CERN Document Server

    2003-01-01

    "Sectra's digital mammography system, Sectra MicroDose Mammography(TM), has been used to examine more than 1,500 women in the Helsingborg Hospital mammography screening program. This was accomplished in the record time of two months in clinical operation. The system is now being used to examine more than sixty women every day" (1 page).

  13. A comparison of the performance of modern screen-film and digital mammography systems

    Energy Technology Data Exchange (ETDEWEB)

    Monnin, P [Institut Universitaire de Radiophysique Appliquee (IRA), CH-1007 Lausanne (Switzerland); Gutierrez, D [Institut Universitaire de Radiophysique Appliquee (IRA), CH-1007 Lausanne (Switzerland); Bulling, S [Institut Universitaire de Radiophysique Appliquee (IRA), CH-1007 Lausanne (Switzerland); Lepori, D [Department of Radiology, University Hospital Center (CHUV), CH-1011 Lausanne (Switzerland); Valley, J-F [Institut Universitaire de Radiophysique Appliquee (IRA), CH-1007 Lausanne (Switzerland); Verdun, F R [Institut Universitaire de Radiophysique Appliquee (IRA), CH-1007 Lausanne (Switzerland)

    2005-06-07

    This work compares the detector performance and image quality of the new Kodak Min-R EV mammography screen-film system with the Fuji CR Profect detector and with other current mammography screen-film systems from Agfa, Fuji and Kodak. Basic image quality parameters (MTF, NPS, NEQ and DQE) were evaluated for a 28 kV Mo/Mo (HVL = 0.646 mm Al) beam using different mAs exposure settings. Compared with other screen-film systems, the new Kodak Min-R EV detector has the highest contrast and a low intrinsic noise level, giving better NEQ and DQE results, especially at high optical density. Thus, the properties of the new mammography film approach those of a fine mammography detector, especially at low frequency range. Screen-film systems provide the best resolution. The presampling MTF of the digital detector has a value of 15% at the Nyquist frequency and, due to the spread size of the laser beam, the use of a smaller pixel size would not permit a significant improvement of the detector resolution. The dual collection reading technology increases significantly the low frequency DQE of the Fuji CR system that can at present compete with the most efficient mammography screen-film systems.

  14. Mammography screening in Greece: An exploratory survey of women's views, experiences and behaviours

    Directory of Open Access Journals (Sweden)

    Athena Kalokerinou

    2012-01-01

    Full Text Available Background: Internationally, breast cancer comprises 29% of all cancer incidences. In Greece, 1,500-1,800women die annually from breast cancer out of the 4,000 who are affected. Only 5% are detected at an early diseasestage through mammography screening.Aim: This paper presents findings from a study exploring the factors that influence Greek women’smammography screening behaviour.Methodology: Data were collected in Athens-Greece, during the period March-July 2008, from individuals whowere members of six women’s associations. One hundred and eighty six questionnaires were completed and 33interviews were conducted from a sub-sample. This paper reports the findings from the questionnaire survey.Results: Participants had a variety of demographic characteristics with 85% of them having attendedmammography screening. Only 61% of them intended to continue in the future. Τhe majority of women agreedwith a number of factors which supported their decision to participate in regular mammography screening, such asdoctors’ encouragement and mammogram efficacy to detect breast cancer at an early stage, while anxiety wasidentified as a possible inhibitor to their participation.Conclusion: Women’s mammography screening behaviour and perceptions of mammography screening appearedto be positive in relation to their participation. However, the reasons as to why a large number of women indicatedthey were unlikely to go for mammography screening again is not known, and needs further investigation.

  15. Research in digital mammography and tomosynthesis at the University of Toronto.

    Science.gov (United States)

    Yaffe, Martin J

    2014-07-01

    There have been major advances in the field of breast cancer imaging since the early 1970s, both in technological improvements and in the use of the methods of medical physics and image analysis to optimize image quality. The introduction of digital mammography in 2000 provided a marked improvement in imaging of dense breasts. In addition, it became possible to produce tomographic and functional images on modified digital mammography systems. Digital imaging also greatly facilitated the extraction of quantitative information from images. My laboratory has been fortunate in being able to participate in some of these exciting developments. I will highlight some of the areas of our research interest which include modeling of the image formation process, development of high-resolution X-ray detectors for digital mammography and investigating new methods for analyzing image quality. I will also describe our more recent work on developing new applications of digital mammography including tomosynthesis, contrast-enhanced mammography, and measurement of breast density. Finally, I will point to a new area for our research--the application of the techniques of medical imaging to making pathology more quantitative to contribute to use of biomarkers for better characterizing breast cancer and directing therapeutic decisions.

  16. [Usefulness and risks of routine mammography for the detection of breast cancer].

    Science.gov (United States)

    Hernández-Valencia, Marcelino; Hernández-Quijano, Tomás; Zárate, Arturo; Saucedo, Renata

    2014-01-01

    It has been accepted that preclinicall detection of breast cancer by means of the routine practice of mammography could discover the disease at its initial stage; therefore, practicing a mammography annually became widespread as a preventive health measure to diagnose the disease and prevent death due to breast cancer. Over time, the benefit of detection tests has been questioned and demonstration of their benefit, as well as that of the undesirable effects they might cause, has been demanded. There is recent information with regard to an absence of difference in terms of breast cancer mortality as final index between women with or without routine mammography. Additionally, a 20 % frequency has been observed in false-positive diagnoses, with high numbers of women undergoing unnecessary diagnostic procedures due to suspicion of a non-clinically apparent presumed cancer. In Mexico, from 2004 on, the popularity of mammography to detect and effectively cure cancer has increased. Acceptance can be attributted to how easily detection campaigns can be promoted, since most women accept that mastography can offer the opportunity of receiving an early treatment that reduces dissemination and prevents early mortality. The age at which it is convenient to perform the first mammography, how frequently it should be repeated and even the age for its discontinuation is still under debate and no consensus has been reached.

  17. Comparison between mammography and ultrasonography for palpable breast mass: focusing fibroadenoma and breast cancer

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Do Kyun; Koh, Mi Kyung; Choi, Chul Soon; Chung, Soo Young; Yi, Jeong Geun; Yoon, Dae Young; Kim, Ho Chul; Bae, Sang Hoon [Hallym Univ. College of Medicine, Seoul (Korea, Republic of)

    1997-09-01

    The purpose of our study was to compare the diagnostic accuracy of mammography and breast ultrasonography between fibroadenoma and palpable breast cancer and to evaluate the feasibility of ultrasonography as a primary diagnostic modality to differentiate between these two tumor types. In 36 cases of fibroadenoma and 35 of breast cancer, all palpable and pathologically-proven, the diagnostic accuracy of mammography and ultrasonography was retros-pectively analysed. In fibroadenoma cases, the diagnostic accuracy of mammography and ultrasonography was 53% and 80%, respectively, and the difference was statistically significant(p=3D0.0162). In cases of breast cancer, the corresponding figures were 74% and 82%, respectively;the difference was not statistically signigicant(p-0.55). Overall, the diagnostic accuracy of mammography and ultrasonog-raphy was 63% and 82%, respectively, and this difference was statistically significant(p=3D0.0164). The total diagnostic accuracy of both studies was 90%, and this was signigicantly different(p=3D0.044) from that of ultrasonography(82%). In patients who have clinically palpable breast masses, ultrasonography can be recommended as the primary diagnostic modality, though for other breast lesions, mammography is the recommended primary modality.=20.

  18. Interdisciplinary Climate Change Curriculum Materials based on the Next Generation Science Standards and The Earth Charter

    Science.gov (United States)

    Barbosa, A.; Robertson, W. H.

    2013-12-01

    In the 2012, the National Research Council (NRC) of the National Academies' reported that one of the major issues associated with the development of climate change curriculum was the lack of interdisciplinary materials that also promoted a correlation between science standards and content. Therefore, in order to respond to this need, our group has developed an interdisciplinary climate change curriculum that has had as its fundamental basis the alignment with the guidelines presented by the Next Generation Science Standards (NGSS) and the ones presented by the international document entitled The Earth Charter. In this regards, while the alignment with NGSS disciplinary core ideas, cross-concepts and students' expectations intended to fulfill the need for the development of climate change curriculum activities that were directly associated with the appropriate set of NGSS guidelines, the alignment with The Earth Charter document intended to reinforce the need the for the integration of sociological, philosophical and intercultural analysis of the theme 'climate change'. Additionally, our curriculum was also developed as part of a collaborative project between climate scientists and engineers, who are responsible for the development of a Regional Arctic Simulation Model (RASM). Hence, another important curriculum constituent was the feedback, suggestions and reviews provided by these professionals, who have also contributed to these pedagogical materials' scientific accuracy by facilitating the integration of datasets and visualizations developed by RASM. Furthermore, our group has developed a climate change curriculum for two types of audience: high school and early undergraduate students. Each curriculum unit is divided into modules and each module contains a set of lesson plans. The topics selected to compose each unit and module were designated according to the surveys conducted with scientists and engineers involved with the development of the climate change

  19. Seamless lesion insertion in digital mammography: methodology and reader study

    Science.gov (United States)

    Pezeshk, Aria; Petrick, Nicholas; Sahiner, Berkman

    2016-03-01

    Collection of large repositories of clinical images containing verified cancer locations is costly and time consuming due to difficulties associated with both the accumulation of data and establishment of the ground truth. This problem poses a significant challenge to the development of machine learning algorithms that require large amounts of data to properly train and avoid overfitting. In this paper we expand the methods in our previous publications by making several modifications that significantly increase the speed of our insertion algorithms, thereby allowing them to be used for inserting lesions that are much larger in size. These algorithms have been incorporated into an image composition tool that we have made publicly available. This tool allows users to modify or supplement existing datasets by seamlessly inserting a real breast mass or micro-calcification cluster extracted from a source digital mammogram into a different location on another mammogram. We demonstrate examples of the performance of this tool on clinical cases taken from the University of South Florida Digital Database for Screening Mammography (DDSM). Finally, we report the results of a reader study evaluating the realism of inserted lesions compared to clinical lesions. Analysis of the radiologist scores in the study using receiver operating characteristic (ROC) methodology indicates that inserted lesions cannot be reliably distinguished from clinical lesions.

  20. Mammographic artifacts on full-field digital mammography.

    Science.gov (United States)

    Choi, Jae Jeong; Kim, Sung Hun; Kang, Bong Joo; Choi, Byung Gil; Song, ByungJoo; Jung, Haijo

    2014-04-01

    This study investigates the incidence of full-field digital mammographic (FFDM) artifacts with three systems at two institutions and compares the artifacts between two detector types and two grid types. A total of 4,440 direct and 4,142 indirect FFDM images were reviewed by two radiologists, and artifacts were classified as patient related, hardware related, and software processing. The overall incidence of FFDM artifacts was 3.4% (292/8,582). Patient related artifacts (motion artifacts and skin line artifacts) were the most commonly detected types (1.7%). Underexposure among hardware related artifacts and high-density artifacts among software processing artifacts also were common (0.7 and 0.5%, respectively). These artifacts, specific to digital mammography, were more common with the direct detector type and the crossed air grid type than with the indirect type and linear grid type (p artifacts on FFDM were patient related, which might be controlled by the instruction of a patient and technologist. Underexposure and high-density artifacts were more common with direct detector and crossed air type of grid.

  1. Predictive features of breast cancer on Mexican screening mammography patients

    Science.gov (United States)

    Rodriguez-Rojas, Juan; Garza-Montemayor, Margarita; Trevino-Alvarado, Victor; Tamez-Pena, José Gerardo

    2013-02-01

    Breast cancer is the most common type of cancer worldwide. In response, breast cancer screening programs are becoming common around the world and public programs now serve millions of women worldwide. These programs are expensive, requiring many specialized radiologists to examine all images. Nevertheless, there is a lack of trained radiologists in many countries as in Mexico, which is a barrier towards decreasing breast cancer mortality, pointing at the need of a triaging system that prioritizes high risk cases for prompt interpretation. Therefore we explored in an image database of Mexican patients whether high risk cases can be distinguished using image features. We collected a set of 200 digital screening mammography cases from a hospital in Mexico, and assigned low or high risk labels according to its BIRADS score. Breast tissue segmentation was performed using an automatic procedure. Image features were obtained considering only the segmented region on each view and comparing the bilateral di erences of the obtained features. Predictive combinations of features were chosen using a genetic algorithms based feature selection procedure. The best model found was able to classify low-risk and high-risk cases with an area under the ROC curve of 0.88 on a 150-fold cross-validation test. The features selected were associated to the differences of signal distribution and tissue shape on bilateral views. The model found can be used to automatically identify high risk cases and trigger the necessary measures to provide prompt treatment.

  2. Comparison of scintillators for positron emission mammography (PEM) systems

    Energy Technology Data Exchange (ETDEWEB)

    Raymond Raylman; Stanislaw Majewski; Mark Smith; Randolph Wojcik; Andrew Weisenberger; Brian Kross; Vladimir Popov; Jamal J. Derakhshan

    2003-02-01

    Positron emission mammography (PEM) has promise as an effective method for the detection of breast lesions. Perhaps the most significant design feature of a PEM system is the choice of scintillator material. In this investigation we compared three scintillators for use in PEM: NaI(Tl), gadolinium oxyorthosilicate (GSO), and lutetium-gadolinium oxyorthosilicate (LGSO). The PEM systems consisted of two 30/spl times/30 arrays of pixelated scintillators (3/spl times/3/spl times/10 mm/sup 3/ for GSO and LGSO and 3/spl times/3/spl times/19 mm/sup 3/ for NaI(Tl)) coupled to arrays of square position-sensitive photomultiplier tubes. The Compton scatter fraction, system energy resolution, spatial resolution, spatial resolution uniformity, and detection sensitivity were compared. Compton scatter fractions for the systems were comparable, between 8% and 9%. The NaI(Tl) system produced the best system energy resolution (18.2%), the GSO system had the worst system energy resolution (28.7%).

  3. Optical mammography: bilateral breast symmetry in hemoglobin saturation maps

    Science.gov (United States)

    Anderson, Pamela G.; Sassaroli, Angelo; Kainerstorfer, Jana M.; Krishnamurthy, Nishanth; Kalli, Sirishma; Makim, Shital S.; Graham, Roger A.; Fantini, Sergio

    2016-10-01

    We present a study of the bilateral symmetry of human breast hemoglobin saturation maps measured with a broadband optical mammography instrument. We have imaged 21 patients with unilateral breast cancer, 32 patients with unilateral benign lesions, and 27 healthy patients. An image registration process was applied to the bilateral hemoglobin saturation (SO2) images by assigning each pixel to the low, middle, or high range of SO2 values, where the thresholds for the categories were the 15th and 85th percentiles of the individual saturation range. The Dice coefficient, which is a measure of similarity, was calculated for each patient's pair of right and left breast SO2 images. The invasive cancer patients were found to have an average Dice coefficient value of 0.55±0.07, which was significantly lower than the benign and healthy groups (0.61±0.11 and 0.62±0.12, respectively). Although differences were seen in a group analysis, the healthy patient Dice coefficients spanned a wide range, limiting the diagnostic capabilities of this SO2 symmetry analysis on an individual basis. Our results suggest that for assessing the SO2 contrast of breast lesions, it may be better to select a reference tissue in the ipsilateral rather than the contralateral breast.

  4. Socioeconomic status as determinant for participation in mammography screening: assessing the difference between using women's own versus their partner's

    DEFF Research Database (Denmark)

    Kjellén, Malin; von Euler-Chelpin, My

    2010-01-01

    Earlier research has shown that participation in mammography screening tends to vary across socioeconomic levels. We assessed the difference between using the woman's own socioeconomic status (SES) and using that of her household or partner as determinant of participation in mammography screening....

  5. Inequity of healthcare utilization on mammography examination and Pap smear screening in Thailand: Analysis of a population-based household survey

    Science.gov (United States)

    2017-01-01

    Healthcare in Thailand is not equally distributed, and not all people can equally access healthcare resources even if they are covered by health insurance. To examine factors associated with the utilization of mammography examination for breast cancer and Pap smear screening for cervical cancer, data from the national reproductive health survey conducted by the National Statistical Office of Thailand in 2009 was examined. The survey was carried out on 15,074,126 women aged 30–59 years. The results showed that the wealthier respondents had more mammograms than did the lower-income groups. The concentration index was 0.144. The data on Pap smears for cervical cancer also showed that the wealthier respondents were more likely to have had a Pap smear than their lower-income counterparts. The concentration index was 0.054. Determinants of mammography examination were education, followed by health welfare and wealth index, whereas the determinants of Pap smear screening were wealth index, followed by health welfare and education. The government should support greater education for women because education was associated with socioeconomic status and wealth. There should be an increase in the number of screening campaigns, mobile clinics, and low-cost mammograms and continued support for accessibility to mammograms, especially in rural areas and low-income communities. PMID:28282430

  6. Mammography combined with breast dynamic contrast-enhanced-magnetic resonance imaging for the diagnosis of early breast cancer

    Institute of Scientific and Technical Information of China (English)

    Yakun He; Guohui Xu; Jin Ren; Bin Feng; Xiaolei Dong; Hao Lu; Changjiu He

    2016-01-01

    Objective The aim of this study was to investigate the application of mammography combined with breast dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) for the diagnosis of early breast cancer. Methods Mammography and DCE-MRI were performed for 120 patients with breast cancer (malignant, 102; benign; 18). Results The sensitivity of mammography for early diagnosis of breast cancer was 66.67%, specificity was 77.78%, and accuracy was 68.33%. The sensitivity of MRI for early diagnosis of breast cancer was 94.12%, specificity was 88.89%, and accuracy was 93.33%. However, the sensitivity of mammography combined with DCE-MRI volume imaging with enhanced water signal (VIEWS) scanning for early diagnosis of breast cancer was 97.06%, specificity was 94.44%, and accuracy was 96.67%. Conclusion Mammography combined with DCE-MRI increased the sensitivity, specificity, and accuracy of diagnosing early breast cancer.

  7. Testing the feasibility of a DVD-based intervention to promote preparedness for mammography in women with intellectual disabilities.

    Science.gov (United States)

    Greenwood, Nechama W; Wang, Claire Tienwey; Bowen, Deborah; Wilkinson, Joanne

    2014-03-01

    Women with intellectual disabilities (ID, formerly mental retardation) have a similar breast cancer incidence as the general population, but they have higher breast cancer mortality and lower rates of regular screening mammography. We conducted a feasibility study evaluating acceptability, demand, and limited efficacy of a health education DVD about mammography for women with ID. The DVD was developed in order to address disability-specific barriers to mammography identified in prior studies, such as anxiety related to navigating the logistics of obtaining a mammogram. The DVD was found to be acceptable and feasible, and led to a moderate increase in mammography preparedness in this population. Study results suggest that this DVD-based intervention is an appropriate candidate for further study measuring efficacy and effectiveness in increasing regular mammography in women with ID, a disparity population.

  8. Participation rate or informed choice? Rethinking the European key performance indicators for mammography screening.

    Science.gov (United States)

    Strech, Daniel

    2014-03-01

    Despite the intensive controversies about the likelihood of benefits and harms of mammography screening almost all experts conclude that the choice to screen or not to screen needs to be made by the individual patient who is adequately informed. However, the "European guideline for quality assurance in breast cancer screening and diagnosis" specifies a participation rate of 70% as the key performance indicator for mammography screening. This paper argues that neither the existing evidence on benefits and harms, nor survey research with women, nor compliance rates in clinical trials, nor cost-effectiveness ratios justify participation rates as a reasonable performance indicator for preference-sensitive condition such as mammography screening. In contrast, an informed choice rate would be more reasonable. Further research needs to address the practical challenges in assessing informed choice rates.

  9. Association between persistence with mammography screening and stage at diagnosis among elderly women diagnosed with breast cancer.

    Science.gov (United States)

    Vyas, Ami; Madhavan, Suresh; Sambamoorthi, Usha

    2014-12-01

    Previous studies on the association between mammography screening and stage at breast cancer (BC) diagnosis have limitations because they did not analyze persistence with mammography screening and did not distinguish screening from diagnostic mammograms. The objective of this study is to determine the association between persistence with mammography screening and stage at BC diagnosis among elderly women. A retrospective observational study of 39,006 women age ≥70 diagnosed with incident BC from 2005 to 2009 from the Surveillance, Epidemiology, and End Results (SEER)-Medicare dataset was conducted. A validated algorithm with high sensitivity and specificity was used to distinguish between screening and diagnostic mammograms. Persistence with mammography screening was measured as having at least three screening mammograms in five years before BC diagnosis. Multinomial logistic regressions were performed to analyze the association between persistence with mammography screening and stage at diagnosis, in a multivariate framework. Overall, 46% of elderly women were persistent with mammography screening, 26% were not persistent, and 28% did not have any screening mammogram in five years before BC diagnosis. As compared to women who were not persistent with mammography screening, women who were persistent with mammography screening were significantly more likely to be diagnosed at earlier stages of BC. The adjusted odds ratios were 3.28, 2.37, and 1.60 for in situ, local, and regional stages, respectively. A lower proportion of elderly women was persistent with mammography and it was highly associated with earlier stages of BC diagnosis. Interventions designed to promote persistent mammography screening among elderly women are warranted.

  10. Solving Complex Problems to Create Charter Extension Options

    DEFF Research Database (Denmark)

    Tippmann, Esther; Nell, Phillip Christopher

    This study examines subsidiary-driven problem solving processes and their potential to create advanced solutions for charter extension options. Problem solving theory suggests that biases in problem formulation and solution search can confine problem solving potential. We thus argue that balanced...... undertaken by 29 subsidiary units supports our hypotheses, demonstrating that these activities are a means to systematically reduce inherent problem solving biases. This study contributes to problem solving theory, the literature on headquarters’ roles in complex organizations, as well as the literature...... solution search, or activities to reconcile the need for some solution features to be locally-tailored while others can be internationally standardized, mediates the relationships between problem complexity/headquarters involvement and the capacity to create advanced solutions. An analysis of 67 projects...

  11. Relationship between the arterial calcification detected in mammography and coronary artery disease

    Energy Technology Data Exchange (ETDEWEB)

    Topal, Ugur [Department of Radiology, Uludag University, Medical School, Goeruekle Campus, 16059 Bursa (Turkey)], E-mail: utopal@uludag.edu.tr; Kaderli, Aysel [Department of Cardiology, Uludag University, Medical School, Goeruekle Campus, 16059 Bursa (Turkey); Topal, Naile Bolca [Department of Radiology, Uludag University, Medical School, Goeruekle Campus, 16059 Bursa (Turkey); Ozdemir, Buelent; Yesilbursa, Dilek; Cordan, Jale [Department of Cardiology, Uludag University, Medical School, Goeruekle Campus, 16059 Bursa (Turkey); Ediz, Buelent [Department of Statistics, Uludag University, Medical School, Goeruekle Campus, 16059 Bursa (Turkey); Aydinlar, Ali [Department of Cardiology, Uludag University, Medical School, Goeruekle Campus, 16059 Bursa (Turkey)

    2007-09-15

    Objective: Arterial calcification is frequently encountered in mammography. The frequency of breast arterial calcification (BAC) increases with increasing age. Studies have shown that BAC is seen more frequently among the people who are under the risk of coronary artery diseases (CAD) such as diabetes and hypertension. The objective of this study is to investigate the relationship between the arterial calcification detected in mammography and the CAD. Material and methods: Screening mammography was performed in 123 women above the age of 40 years who had been examined with coronary angiography for the evaluation of CAD. The presence of BAC, number of affected vessels, and the distribution of calcification in the vessel wall were evaluated in the mammography. Subjects were questioned in terms of the cardiovasculary risk factors. The severity of CAD was evaluated according to the Gensini scoring. In addition, the number of blood vessels with stenosis of more than 50% was used as the vascular score. The correlation between Gensini and the vascular scores, and BAC was statistically evaluated using Mann-Whitney U and Kruskal-Wallis tests. Results: Eighty (65%) of 123 patients had CAD. BAC was detected in the mammography of 49 (39.8%) subjects. The ages and duration of menopause of the cases with BAC were significantly higher than those without BAC (p < 0.001). There was an almost significant correlation between the BAC and Gensini scores (p = 0.059). There was a significant increase in the frequency of BAC among subjects with more than two vessels with stenosis (p = 0.033). Conclusion: Frequency of BAC increases with increasing age. BAC is also frequently seen in subjects having severe coronary artery disease. Although increasing age may be a factor increasing the frequency of BAC, BAC may also be an indicator of CAD. Therefore, the mentioning of arterial calcification in mammography reports may be important in warning the clinician in terms of CAD.

  12. 77 FR 22755 - Black Hills National Forest Advisory Board

    Science.gov (United States)

    2012-04-17

    ... approval of the Board's re-charter package submitted to the Secretary, U.S. Department of Agriculture...; ] DEPARTMENT OF AGRICULTURE Forest Service Black Hills National Forest Advisory Board AGENCY: USDA Forest Service. ACTION: Notice of cancellation of meetings of the Black Hills National Forest Advisory...

  13. 78 FR 55114 - Native American Employment and Training Council (Council) Charter; Notice of Intent To Renew

    Science.gov (United States)

    2013-09-09

    ... Employment and Training Administration Native American Employment and Training Council (Council) Charter; Notice of Intent To Renew AGENCY: Employment and Training Administration, Labor. ACTION: Notice of Intent... Labor (the Department), Employment and Training Administration (ETA) intends to renew the...

  14. [Should the Ottawa Charter still be the reference 30 years later?

    Science.gov (United States)

    Alla, François

    2016-12-19

    The Ottawa Charter for health promotion is the subject of a number of criticisms. For example, less than 30 years after signature of this agreement, some authors claim that it no longer corresponds to current health problems, that its modalities of action are obsolete, that it is not effective, and even less efficient or even utopian and, consequently, not operational.On the contrary, we believe that the Ottawa Charter represents a relevant response to today’s major challenges. The levers of this Charter have been shown to be effective and efficient and can constitute an integrating framework that can be adapted to contextual and scientific changes in public health. It is therefore not time to abandon this Charter, but, on the contrary, to intensify its deployment..

  15. 77 FR 71474 - Commercial Space Transportation Advisory Committee-Charter Renewal

    Science.gov (United States)

    2012-11-30

    ... Federal Aviation Administration Commercial Space Transportation Advisory Committee--Charter Renewal AGENCY... Renewal of the Commercial Space Transportation Advisory Committee (COMSTAC). SUMMARY: FAA announces the... (FAA) on the critical matters facing the U.S. commercial space transportation industry. This...

  16. 77 FR 75606 - Renewal of the Plant Variety Protection Board Charter

    Science.gov (United States)

    2012-12-21

    ... Agricultural Marketing Service Renewal of the Plant Variety Protection Board Charter AGENCY: Agricultural..., USDA, Agricultural Marketing Service (AMS), 1400 Independence Ave. SW.; Rm. 4512-South Bldg., Mail Stop..., Administrator, Agricultural Marketing Service. BILLING CODE 3410-02-P...

  17. Survey of mammography practice in Croatia: equipment performance, image quality and dose.

    Science.gov (United States)

    Faj, Dario; Posedel, Dario; Stimac, Damir; Ivezic, Zdravko; Kasabasic, Mladen; Ivkovic, Ana; Kubelka, Dragan; Ilakovac, Vesna; Brnic, Zoran; Bjelac, Olivera Ciraj

    2008-01-01

    A national audit of mammography equipment performance, image quality and dose has been conducted in Croatia. Film-processing parameters, optical density (OD), average glandular dose (AGD) to the standard breast, viewing conditions and image quality were examined using TOR(MAM) test object. Average film gradient ranged from 2.6 to 3.7, with a mean of 3.1. Tube voltage used for imaging of the standard 45 mm polymethylmethacrylate phantom ranged from 24 to 34 kV, and OD ranged from 0.75 to 1.94 with a mean of 1.26. AGD to the standard breast ranged from 0.4 to 2.3 mGy with a mean of 1.1 mGy. Besides clinical conditions, the authors have imaged the standard phantom in the referent conditions with 28 kV and OD as close as possible to 1.5. Then, AGD ranged from 0.5 to 2.6 mGy with a mean of 1.3 mGy. Image viewing conditions were generally unsatisfying with ambient light up to 500 lx and most of the viewing boxes with luminance between 1000 and 2000 cd per m(2). TOR(MAM) scoring of images taken in clinical and referent conditions was done by local radiologists in local image viewing conditions and by the referent radiologist in good image viewing conditions. Importance of OD and image viewing conditions for diagnostic information were analysed. The survey showed that the main problem in Croatia is the lack of written quality assurance/quality control (QA/QC) procedures. Consequently, equipment performance, image quality and dose are unstable and activities to improve image quality or to reduce the dose are not evidence-based. This survey also had an educational purpose, introducing in Croatia the QC based on European Commission Guidelines.

  18. Breast cancer incidence after the introduction of mammography screening: what should be expected?

    DEFF Research Database (Denmark)

    Svendsen, Anne Louise; Olsen, Anne Helene; von Euler-Chelpin, My

    2006-01-01

    BACKGROUND: A prevalence peak is expected in breast cancer incidence when mammography screening begins, but afterward the incidence still may be elevated compared with prescreening levels. It is important to determine whether this is due to overdiagnosis (ie, the detection of asymptomatic disease...... that would otherwise not have arisen clinically). In the current study, the authors examined breast cancer incidence after the introduction of mammography screening in Denmark. METHODS: Denmark has 2 regional screening programs targeting women ages 50 years to 69 years. The programs were initiated in 1991...

  19. Waiting time and the psychosocial consequences of false-positive mammography

    DEFF Research Database (Denmark)

    Heleno, Bruno M.; Siersma, Volkert; Brodersen, John

    2015-01-01

    Background: There is wide variation in the psychosocial response to false-positive mammography. We aimed to assess whether women having to wait longer to exclude cancer had increased psychosocial consequences that persisted after cancer was ruled out. Findings: We selected women with false......-positive mammography (n = 272), screened for breast cancer in Copenhagen and Funen (Denmark) over a 1-year period. We measured psychosocial consequences immediately before women attended their recall visit and 1, 6, 18 and 36 months after women received their final diagnosis. After women were told that cancer had been...

  20. Comparison of cumulative false-positive risk of screening mammography in the United States and Denmark

    DEFF Research Database (Denmark)

    Kemp Jacobsen, Katja; Abraham, Linn; Buist, Diana S M

    2015-01-01

    INTRODUCTION: In the United States (US), about one-half of women screened with annual mammography have at least one false-positive test after ten screens. The estimate for European women screened ten times biennially is much lower. We evaluate to what extent screening interval, mammogram type......, and statistical methods, can explain the reported differences. METHODS: We included all screens from women first screened at age 50-69 years in the US Breast Cancer Surveillance Consortium (BCSC) (n=99,455) between 1996-2010, and from two population-based mammography screening programs in Denmark (n=230,452 and n...