WorldWideScience

Sample records for fr22se10r mandatory reporting

  1. 77 FR 8717 - Dairy Product Mandatory Reporting

    Science.gov (United States)

    2012-02-15

    ... Marketing Service 7 CFR Part 1170 RIN 0581-AD12 Dairy Product Mandatory Reporting AGENCY: Agricultural... manufacturers of dairy products to report sales information for a mandatory dairy product reporting program. The... for this final rule. Background: The Dairy Product Mandatory Reporting Program, 7 CFR part 1170,...

  2. 7 CFR 59.301 - Mandatory Daily Reporting for Lambs.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Mandatory Daily Reporting for Lambs. 59.301 Section 59... (CONTINUED) LIVESTOCK MANDATORY REPORTING Lamb Reporting § 59.301 Mandatory Daily Reporting for Lambs. (a) In... prices for lambs (per hundredweight) established on that day as F.O.B. feedlot or delivered at the...

  3. 7 CFR 59.302 - Mandatory weekly reporting for lambs.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Mandatory weekly reporting for lambs. 59.302 Section... (CONTINUED) LIVESTOCK MANDATORY REPORTING Lamb Reporting § 59.302 Mandatory weekly reporting for lambs. (a... domestic from imported market purchases: (1) The quantity of lambs purchased through a negotiated...

  4. Mandatory IFRS Reporting and Stock Price Informativeness

    NARCIS (Netherlands)

    Beuselinck, C.A.C.; Joos, P.P.M.; Khurana, I.K.; van der Meulen, S.

    2010-01-01

    In this paper, we examine whether mandatory adoption of IFRS influences the flow of firm-specific information and contributes to stock price informativeness as measured by stock return synchronicity. Using a constant sample of 1,904 mandatory IFRS adopters in 14 EU countries for the period 2003-2007

  5. Mandatory IFRS Reporting and Stock Price Informativeness

    NARCIS (Netherlands)

    Beuselinck, C.A.C.; Joos, P.P.M.; Khurana, I.K.; van der Meulen, S.

    2010-01-01

    In this paper, we examine whether mandatory adoption of IFRS influences the flow of firm-specific information and contributes to stock price informativeness as measured by stock return synchronicity. Using a constant sample of 1,904 mandatory IFRS adopters in 14 EU countries for the period

  6. Mandatory IFRS Reporting and Stock Price Informativeness

    OpenAIRE

    Beuselinck, C.A.C.; Joos, P.P.M.; Khurana, I.K.; Van der Meulen, S.

    2010-01-01

    In this paper, we examine whether mandatory adoption of IFRS influences the flow of firm-specific information and contributes to stock price informativeness as measured by stock return synchronicity. Using a constant sample of 1,904 mandatory IFRS adopters in 14 EU countries for the period 2003-2007, we find a V-shaped pattern in synchronicity around IFRS adoption, which is consistent with IFRS disclosures revealing new firm-specific information in the adoption period (i.e., a reduction of sy...

  7. Mandatory reporting of occupational diseases by clinicians

    Energy Technology Data Exchange (ETDEWEB)

    Freund, E.; Seligman, P.J. (National Institute for Occupational Safety and Health, Cincinnati, OH (USA)); Chorba, T.L.; Safford, S.K.; Drachman, J.G. (Centers for Disease Control, Atlanta, GA (USA)); Hull, H.R. (New Mexico Health and Environment Department, Santa Fe (USA))

    1989-12-01

    Occupational disease surveillance is a critical step in the prevention of work-related injury and illness. Case reporting by health care providers to public health authorities is one way of identifying sources of exposure toward which control measures can be directed. Most health care providers are familiar with the existence of reporting requirements for infectious diseases; however, less attention has been paid by the medical community to recognizing and reporting occupationally related conditions. The Department of labor estimated that in 1978 approximately 1.9 million people were severely or partially disabled from occupationally related diseases, at an annual cost of $11.4 billion in lost wages alone.

  8. 7 CFR 59.203 - Mandatory daily reporting for sows and boars.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Mandatory daily reporting for sows and boars. 59.203... (CONTINUED) LIVESTOCK MANDATORY REPORTING Swine Reporting § 59.203 Mandatory daily reporting for sows and... packer of sows and boars shall report to the Secretary for each business day of the packer not later than...

  9. 7 CFR 59.104 - Mandatory reporting of boxed beef sales.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Mandatory reporting of boxed beef sales. 59.104... (CONTINUED) LIVESTOCK MANDATORY REPORTING Cattle Reporting § 59.104 Mandatory reporting of boxed beef sales... time, and once by 2 p.m. central time) the following information on total boxed beef domestic...

  10. 7 CFR 59.103 - Mandatory weekly reporting for steers and heifers.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Mandatory weekly reporting for steers and heifers. 59... (CONTINUED) LIVESTOCK MANDATORY REPORTING Cattle Reporting § 59.103 Mandatory weekly reporting for steers and heifers. (a) In general. The corporate officers or officially designated representatives of each steer...

  11. 7 CFR 59.102 - Mandatory daily reporting for cows and bulls.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Mandatory daily reporting for cows and bulls. 59.102... (CONTINUED) LIVESTOCK MANDATORY REPORTING Cattle Reporting § 59.102 Mandatory daily reporting for cows and bulls. (a) In General. The corporate officers or officially designated representatives of each cow...

  12. 75 FR 17331 - Public Hearings for the Mandatory Reporting Rule for Greenhouse Gases

    Science.gov (United States)

    2010-04-06

    ... 2060-AP99, AP88, AQ00 Public Hearings for the Mandatory Reporting Rule for Greenhouse Gases AGENCY... two public hearings to be held for proposed rules related to mandatory reporting of greenhouse gases... Mandatory Reporting of Greenhouse Gases rule, published on October 30, 2009 by requiring reporting...

  13. Mandatory Corporate Social Responsibility Reporting in the EU

    DEFF Research Database (Denmark)

    Szabó, Dániel Gergely

    Although non-financial or CSR-reporting has attracted increasing attention in the last decades, it only recently entered the legal discourse. This book narrows the gap between CSR reporting and legal disclosure requirements. It analyses financial, management, and corporate governance reporting......, as well as other dedicated reporting types. The author investigates what legal framework underpins these disclosure types; to what extent these instruments mandate the disclosure of non-financial information; and if they have potential to expand their non-financial disclosure requirements. The findings...... suggest that mandatory nonfinancial reporting is less developed than expected. It further recommends more narrow and elaborate disclosure obligations to achieve higher transparency in CSR matters....

  14. California's new mandatory greenhouse gas reporting regulation

    Energy Technology Data Exchange (ETDEWEB)

    Patrick Gaffney; Doug Thompson; Richard Bode [California Air Resources Board, CA (United States)

    2008-11-15

    Beginning in early 2009, approximately 1000 California businesses will begin reporting their greenhouse gas (GHG) emissions based on the requirements of a new regulation adopted by the California Air Resources Board (CARB) in December 2007. California's mandatory GHG reporting regulation is the first rule adopted as a requirement of the Global Warming Solutions Act of 2006, passed by the California Legislature as Assembly Bill 32 (AB 32; Nunez, Chapter 488, Statutes of 2006) and signed by Governor Arnold Schwarzenegger in September 2006. The regulation is the first of its kind in the United States to require facilities to report annual GHG emissions. In general, all facilities subject to reporting are required to report their on-site stationary source combustion emissions of CO{sub 2}, nitrous oxide (N{sub 2}O), and methane (CH{sub 4}). Some industrial sectors, such as cement producers and oil refineries, also must report their process emissions, which occur from chemical or other noncombustion activities. Fugitive emissions from facilities are required to be reported when specified in the regulation. Sulfur hexafluoride (SF{sub 6}) and hydrofluorocarbon (HFC) use is prevalent in electricity facilities and must be reported. CO{sub 2} emissions from biomass-derived fuels must be separately identified during reporting, and reporters must also provide their consumption of purchased or acquired electricity and thermal energy; these requirements will assist facilities in evaluating changes in their fossil fuel carbon footprints. 1 tab.

  15. 75 FR 12489 - Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions

    Science.gov (United States)

    2010-03-16

    ... AGENCY 40 CFR Part 98 RIN 2060-AQ15 Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to...: EPA is proposing to amend the general provisions for the Mandatory Greenhouse Gas (GHG) Reporting Rule... Register. FOR FURTHER INFORMATION CONTACT: Carole Cook, Climate Change Division, Office of...

  16. 75 FR 74773 - Mandatory Reporting of Greenhouse Gases: Additional Sources of Fluorinated GHGs

    Science.gov (United States)

    2010-12-01

    ... greenhouse gas GWP global warming potential HAP hazardous air pollutant(s) HCFC hydrochlorofluorocarbon HFC... dioxide equivalent MRR mandatory greenhouse gas reporting rule MS mass spectrometry MVAC motor vehicle air... Protection Agency 40 CFR Part 98 Mandatory Reporting of Greenhouse Gases: Additional Sources of...

  17. Australian Undergraduate Primary School Student-Teachers' Responses to Child Sexual Abuse and Its Mandatory Reporting

    Science.gov (United States)

    Goldman, Juliette D. G.

    2010-01-01

    This study aims to understand how primary school teachers, as mandatory reporters of child sexual abuse, are responding to child sexual abuse and its mandatory reporting, even though many teachers do not receive a compulsory course in Child Protection and its legal requirements in their pre-service university training. A cohort of 81 Australian…

  18. The right whale mandatory ship reporting system: a retrospective

    Directory of Open Access Journals (Sweden)

    Gregory K. Silber

    2015-03-01

    Full Text Available In 1998, the United States sought and received International Maritime Organization-endorsement of two Mandatory Ship Reporting (MSR systems designed to improve mariner awareness about averting ship collisions with the endangered North Atlantic right whale (Eubalaena glacialis. Vessel collisions are a serious threat to the right whale and the program was among the first formal attempts to reduce this threat. Under the provisions of the MSR, all ships >300 gross tons are required to report their location, speed, and destination to a shore-based station when entering two key right whale habitats: one in waters off New England and one off coastal Georgia and Florida. In return, reporting ships receive an automatically-generated message, delivered directly to the ship’s bridge, that provides information about right whale vulnerability to vessel collisions and actions mariners can take to avoid collisions. The MSR has been in operation continuously from July 1999 to the present. Archived incoming reports provided a 15-plus year history of ship operations in these two locations. We analyzed a total of 26,772 incoming MSR messages logged between July 1999 and December 2013. Most ships that were required to report did so, and compliance rates were generally constant throughout the study period. Self-reported vessel speeds when entering the systems indicated that most ships travelled between 10 and 16 (range = 5–20 + knots. Ship speeds generally decreased in 2009 to 2013 following implementation of vessel speed restrictions. The number of reports into the southern system remained relatively constant following a steady increase through 2007, but numbers in the northern system decreased annually beginning in 2008. If reporting is indicative of long-term patterns in shipping operations, it reflects noteworthy changes in marine transportation. Observed declines in ship traffic are likely attributable to the 2008–2009 economic recession, the

  19. The right whale mandatory ship reporting system: a retrospective.

    Science.gov (United States)

    Silber, Gregory K; Adams, Jeffrey D; Asaro, Michael J; Cole, Timothy V N; Moore, Katie S; Ward-Geiger, Leslie I; Zoodsma, Barbara J

    2015-01-01

    In 1998, the United States sought and received International Maritime Organization-endorsement of two Mandatory Ship Reporting (MSR) systems designed to improve mariner awareness about averting ship collisions with the endangered North Atlantic right whale (Eubalaena glacialis). Vessel collisions are a serious threat to the right whale and the program was among the first formal attempts to reduce this threat. Under the provisions of the MSR, all ships >300 gross tons are required to report their location, speed, and destination to a shore-based station when entering two key right whale habitats: one in waters off New England and one off coastal Georgia and Florida. In return, reporting ships receive an automatically-generated message, delivered directly to the ship's bridge, that provides information about right whale vulnerability to vessel collisions and actions mariners can take to avoid collisions. The MSR has been in operation continuously from July 1999 to the present. Archived incoming reports provided a 15-plus year history of ship operations in these two locations. We analyzed a total of 26,772 incoming MSR messages logged between July 1999 and December 2013. Most ships that were required to report did so, and compliance rates were generally constant throughout the study period. Self-reported vessel speeds when entering the systems indicated that most ships travelled between 10 and 16 (range = 5-20 +) knots. Ship speeds generally decreased in 2009 to 2013 following implementation of vessel speed restrictions. The number of reports into the southern system remained relatively constant following a steady increase through 2007, but numbers in the northern system decreased annually beginning in 2008. If reporting is indicative of long-term patterns in shipping operations, it reflects noteworthy changes in marine transportation. Observed declines in ship traffic are likely attributable to the 2008-2009 economic recession, the containerized shipping industry

  20. 75 FR 22699 - Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions

    Science.gov (United States)

    2010-04-30

    ... AGENCY 40 CFR Part 98 RIN 2060-AQ15 Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to... withdrawing the direct final rule to amend the general provisions for the Mandatory Greenhouse Gas (GHG... Part 98 Environmental protection, Administrative practice and procedure, Greenhouse gases,...

  1. 76 FR 36472 - Mandatory Reporting of Greenhouse Gases; Changes to Provisions for Electronics Manufacturing...

    Science.gov (United States)

    2011-06-22

    ... Electronics Manufacturing (Subpart I) To Provide Flexibility AGENCY: Environmental Protection Agency (EPA... the Electronics Manufacturing portion (Subpart I) of the Mandatory Greenhouse Gas Reporting Rule for the ``largest'' semiconductor manufacturing facilities (i.e., those that fabricate devices on...

  2. Preservice teachers' sources of information on mandatory reporting of child sexual abuse.

    Science.gov (United States)

    Goldman, Juliette D G; Grimbeek, Peter

    2015-01-01

    Teachers in many countries are mandated by law, professional codes, or education authorities to report child abuse and neglect, including child sexual abuse. However, teachers may not receive adequate preparation for such sensitive interventions, as preservice teacher education degrees provide very few or no compulsory courses on child protection and crucially related, lifelong health and well-being issues. So, where do preservice teachers source their information regarding the mandatory reporting of such abuse? This research examines preservice teachers' professional university education for their sources of information about mandatory reporting and child sexual abuse. A sample cohort of 56 final 4th-year university bachelor of education (primary school) student teachers in Australia identified the sources they used regarding 10 important aspects of child protection. The results suggest that most did not learn about mandatory reporting or child sexual abuse, and others cited sparse and sporadic public media as their primary information source. These findings, building on previous evidence about inadequate or nonexistent preservice mandatory intervention courses in primary teacher education, may guide the design of appropriate training responses enhancing educational professionals' knowledge, competencies, skills, and efficacies as mandatory reporters of child sexual abuse.

  3. 76 FR 61293 - Extension of Public Comment Period: Mandatory Reporting of Greenhouse Gases: Technical Revisions...

    Science.gov (United States)

    2011-10-04

    ... Categories of the Greenhouse Gas Reporting Rule AGENCY: Environmental Protection Agency (EPA). ACTION..., Mandatory Reporting of Greenhouse Gases: Technical Revisions to the Electronics Manufacturing and the Petroleum and Natural Gas Systems Categories of the Greenhouse Gas Reporting Rule. In this action, EPA...

  4. Mandatory Reporting of Human Trafficking: Potential Benefits and Risks of Harm.

    Science.gov (United States)

    English, Abigail

    2017-01-01

    Human trafficking, including both sex and labor trafficking, has profound consequences for the safety, health, and well-being of victims and survivors. Efforts to address human trafficking through prevention, protection, and prosecution are growing but remain insufficient. Mandatory reporting has the potential to bring victims and survivors to the attention of social service and law enforcement agencies but may discourage trafficked persons from seeking help, thereby limiting the ability of health care professionals to establish trust and provide needed care. States' experience in implementing child abuse laws can be useful in assessing the potential risks and benefits of mandatory reporting of human trafficking.

  5. 7 CFR 59.204 - Mandatory weekly reporting for swine.

    Science.gov (United States)

    2010-01-01

    ...) Weekly noncarcass merit premium report. Not later than 4 p.m. central time in accordance with § 59.10(b... 59.204 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED)...

  6. 75 FR 18455 - Mandatory Reporting of Greenhouse Gases

    Science.gov (United States)

    2010-04-12

    ... Stationary Fuel Facilities operating Combustion Sources. boilers, process heaters, incinerators, turbines... of unit and thermal output. 15 16 However, WCI is considering including separate reporting... of thermal energy produced; the amount of electricity and thermal energy used on site, sold to...

  7. 75 FR 18607 - Mandatory Reporting of Greenhouse Gases: Petroleum and Natural Gas Systems

    Science.gov (United States)

    2010-04-12

    ... stations, underground natural gas storage, liquefied natural gas (LNG) storage, LNG import and export... Intergovernmental Panel on Climate Change kg kilograms LDCs local natural gas distribution companies LNG liquefied natural gas LPG liquefied petroleum gas MRR mandatory GHG reporting rule MMTCO 2 e million......

  8. Socio-Praxis Preferences in Teacher Preparation for Child Sexual Abuse and Its Mandatory Reporting

    Science.gov (United States)

    Goldman, Juliette D. G.; Grimbeek, Peter

    2015-01-01

    Child abuse and neglect, particularly child sexual abuse, is a pastoral care issue that deeply concerns all education professionals. The literature strongly supports specific training for pre-service teachers about child sexual abuse and its mandatory reporting, although few studies identify how such training should be academically structured.…

  9. 7 CFR 59.303 - Mandatory reporting of lamb carcasses and boxed lamb.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Mandatory reporting of lamb carcasses and boxed lamb. 59.303 Section 59.303 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER...

  10. Socio-Praxis Preferences in Teacher Preparation for Child Sexual Abuse and Its Mandatory Reporting

    Science.gov (United States)

    Goldman, Juliette D. G.; Grimbeek, Peter

    2015-01-01

    Child abuse and neglect, particularly child sexual abuse, is a pastoral care issue that deeply concerns all education professionals. The literature strongly supports specific training for pre-service teachers about child sexual abuse and its mandatory reporting, although few studies identify how such training should be academically structured.…

  11. 75 FR 14081 - Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions

    Science.gov (United States)

    2010-03-24

    ... AGENCY 40 CFR Part 98 RIN 2060-AQ15 Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to... greenhouse gas suppliers (subpart OO): (A) All producers of industrial greenhouse gases. (B) Importers of industrial greenhouse gases with annual bulk imports of N2O, fluorinated GHG, and CO2 that in combination...

  12. 78 FR 20632 - Mandatory Reporting of Greenhouse Gases: Notice of Data Availability Regarding Global Warming...

    Science.gov (United States)

    2013-04-05

    ... AGENCY Mandatory Reporting of Greenhouse Gases: Notice of Data Availability Regarding Global Warming... EPA is announcing to the public the availability of estimated global warming potentials, as well as... requesting comments on the estimated global warming potentials and the data and analysis supporting them. We...

  13. 75 FR 71568 - Establishment of Negotiated Rulemaking Committee for Changes to Livestock Mandatory Reporting

    Science.gov (United States)

    2010-11-24

    ... information valuable to the decision- making process. V. Requests for Nominations and Comments To comply with... Agricultural Marketing Service 7 CFR Part 59 Establishment of Negotiated Rulemaking Committee for Changes to Livestock Mandatory Reporting AGENCY: Agricultural Marketing Service, USDA. ACTION: Establishment...

  14. 76 FR 56009 - Mandatory Reporting of Greenhouse Gases: Technical Revisions to the Electronics Manufacturing and...

    Science.gov (United States)

    2011-09-09

    ... cubic feet per day CFR Code of Federal Regulations CH 4 methane CO 2 carbon dioxide CO 2 e CO 2... per day mTCO 2 e million metric tons carbon dioxide equivalent MRR mandatory GHG reporting rule N 2 O... term `producing horizon/ formation' ''. Well testing venting Yes. and flaring clarification. CEC/...

  15. Sources of Knowledge of Departmental Policy on Child Sexual Abuse and Mandatory Reporting Identified by Primary School Student-Teachers

    Science.gov (United States)

    Goldman, Juliette D. G.; Grimbeek, Peter

    2011-01-01

    The introduction of a Department of Education policy on child sexual abuse and mandatory reporting is significant for school teachers. The mandatory reporting of child sexual abuse by school teachers carries wide-ranging and significant implications for the lives of school-aged children, and for the teachers who must implement the policy's…

  16. Dilemmas in mandatory reporting of domestic violence: carative ethics in emergency rooms.

    Science.gov (United States)

    Mayer, B

    1998-01-01

    Laws are clear when it comes to reporting child abuse, elder abuse, or maltreatment of the disabeled; however, the fuzzy area of domestic violence, or injury to women by their husbands or intimates, puzzles the system ethically and legally. Experts are divided on the issue of mandatory reporting of domestic violence by health care professionals. As exemplified by the Florida law, the crux of the problem may be twofold. First, the law requires reporting of certain incidents that are ambiguously defined. Second, reporting may be mandatory without the patient's consent. Many experts in the field of domestic violence suggest that mandated reporting by health care workers is not in the best interests of the victims; it may lead to more violence and increase the victim's reluctance to get needed health care. This victim vulnerability creates ethical dilemmas in the emergency department, often the first outside contact after a violent incident. This paper examines the implications of reporting applied to emergency practice in the context of basic ethical standards. The application of mandatory reporting laws to competent adult victims presents questions related to nonmaleficence, beneficence, autonomy, confidentiality, and a variety of contextual issues that arise from these main ethical domains.

  17. Mandatory Reporting? Issues to consider when developing legislation and policy to improve discovery of child abuse

    Directory of Open Access Journals (Sweden)

    Emma Davies

    2014-10-01

    Full Text Available Article by Dr Emma Davies (School of Law, Liverpool John Moores University, Associate Professor Ben Mathews (School of Law, Queensland University of Technology and Professor John Read (Institute of Psychology, Health and Society, University of Liverpool. In the United Kingdom, recent investigations into child sexual abuse occurring within schools, the Catholic Church and the British Broadcasting Corporation, have intensified debate on ways to improve the discovery of child sexual abuse, and child maltreatment generally. One approach adopted in other jurisdictions to better identify cases of severe child maltreatment is the introduction of some form of legislative mandatory reporting to require designated persons to report known and suspected cases. The debate in England has raised the prospect of whether adopting a strategy of some kind of mandatory reporting law is advisable. The purpose of this article is to add to this debate by identifying fundamental principles, issues and complexities underpinning policy and even legislative developments in the interests of children and society. The article will first highlight the data on the hidden nature of child maltreatment and the background to the debate. Secondly, it will identify some significant gaps in knowledge that need to be filled. Thirdly, the article will summarise the barriers to reporting abuse and neglect. Fourthly, we will identify a range of options for, and clarify the dilemmas in developing, legislative mandatory reporting, addressing two key issues: who should be mandated to report, and what types of child maltreatment should they be required to report? Finally, we draw attention to some inherently different goals and competing interests, both between and within the various institutions involved in the safeguarding of children and the criminal prosecution of some offenders. Based on this analysis we offer some concluding observations that we hope contribute to informed and careful

  18. Child sexual abuse and mandatory reporting intervention preservice content preferred by student teachers.

    Science.gov (United States)

    Goldman, Juliette D G; Grimbeek, Peter

    2014-01-01

    The importance of preservice university teacher training about child sexual abuse and its mandatory reporting intervention is addressed in educational literature, although very little is known about student teachers' learning interests and preferences in this area. In this article, student teachers refer to students in university who are training to become teachers whose training includes teaching experiences in schools. This study examines the content about child sexual abuse and its intervention that student teachers believe they should learn. Results based on quantitative analyses show the relative importance of gender in determining responses to questions about university training and, to a lesser extent, the importance of a previous acquaintance with victims of sexual abuse, previous employment, and the length of the university course. Results based on qualitative data show that content knowledge preferred by elementary/primary and secondary school student teachers includes the teacher's role in mandatory reporting of child sexual abuse and signs, experiences, and responses to student disclosure. Student teachers prefer content examples of school professionals' responses and procedures after disclosure and prefer direct learning content from intervening school professionals. These outcomes could usefully guide teachers and educators who design intervention curricula on child sexual abuse for preservice teachers.

  19. A Qualitative Evaluation of the Effects of Mandatory Reporting of Domestic Violence on Victims and Their Children

    Science.gov (United States)

    Antle, Becky; Barbee, Anita; Yankeelov, Pam; Bledsoe, Linda

    2010-01-01

    This purpose of this research was to evaluate the mandatory reporting law for domestic violence victims in the state of Kentucky through the qualitative interview of 24 female victims of domestic violence. Victims were generally supportive of the law and felt that professionals should be required to report domestic abuse. They did not feel that…

  20. Impact of missing sounding reports on mandatory levels and tropopause statistics: a case study

    Directory of Open Access Journals (Sweden)

    J. C. Antuña

    2006-10-01

    Full Text Available This paper describes the effect of missing sounding reports on temperature and pressure mean values for mandatory levels using the aerological information from the Camagüey Meteorological Centre. Also it is described the effect of missing data on mean temperature and pressure values at the multiple tropopause levels. The case study belongs to one station for a time lag of eight years. Up to the present these types of studies have been conducted using simulated datasets. The present one uses a real inhomogeneous radiosonde dataset. The main reason for missing reports were transmission problems and possible encoding-decoding difficulties. It has been found that profiles of the mean temperature and altitude show little differences between the complete and incomplete datasets. Moreover, no statistical significant differences were found for the mean values of the variables for the complete and incomplete datasets. The most probable reason for those results is that the cause of the missing reports has a random behaviour. Finally we have found that the only two effects noticed on the statistics were slightly higher values of the mean temperatures in the complete dataset and the decrease in the percent of multiple tropopause reports for the incomplete dataset.

  1. An Analysis of the Effectiveness and Impact of Mandatory Company Greenhouse Gas Emission Reporting Under The Companies Act 2006 (Strategic Report and Directors’ Report) Regulations 2013

    OpenAIRE

    Plaza, Celina

    2014-01-01

    The intent of this research is to examine the effectiveness and impact of the UK’s mandatory reporting of company greenhouse gas emissions, otherwise known as carbon dioxide equivalent (CO2e) emissions, in accordance to The Companies Act 2006 (Strategic Report and Directors’ Report) Regulations 2013, especially regarding the regulations’ influence on quality of a company’s CO2e emission reporting, setting of CO2e emission reduction targets, and the comparability to other companies...

  2. Mandatory Genres: The case of European Public Assessment Report (EPAR) summaries

    DEFF Research Database (Denmark)

    Askehave, Inger; Zethsen, Karen K.

    2008-01-01

    The aim of this article is to consider the nature of mandatory genres (legally regulated genres) emanating from European Union directives and point to the challenges which such genres pose due to their legal origin and complex text production and text reception processes. Taking its point...

  3. Mandatory Reporting of Child Abuse and Neglect: Crafting a Positive Process for Health Professionals and Caregivers

    Science.gov (United States)

    Pietrantonio, Anna Marie; Wright, Elise; Gibson, Kathleen N.; Alldred, Tracy; Jacobson, Dustin; Niec, Anne

    2013-01-01

    Health professionals working with children and their families are often required by law to report to governmental authorities any reasonable suspicion of child abuse and/or neglect. Extant research has pointed toward various barriers to reporting, with scant attention to positive processes to support the reporting process. This paper focuses on…

  4. Mandatory Reporting of Child Abuse and Neglect: Crafting a Positive Process for Health Professionals and Caregivers

    Science.gov (United States)

    Pietrantonio, Anna Marie; Wright, Elise; Gibson, Kathleen N.; Alldred, Tracy; Jacobson, Dustin; Niec, Anne

    2013-01-01

    Health professionals working with children and their families are often required by law to report to governmental authorities any reasonable suspicion of child abuse and/or neglect. Extant research has pointed toward various barriers to reporting, with scant attention to positive processes to support the reporting process. This paper focuses on…

  5. Nurse Home Visitors' Perceptions of Mandatory Reporting of Intimate Partner Violence to Law Enforcement Agencies

    Science.gov (United States)

    Davidov, Danielle M.; Nadorff, Michael R.; Jack, Susan M.; Coben, Jeffrey H.

    2012-01-01

    In the United States, there is an ongoing debate about requiring health care professionals to report intimate partner violence (IPV) to law enforcement agencies. A comprehensive examination of the perspectives of those required to report abuse is critical, as their roles as mandated reporters often pose legal, practical, moral, and ethical…

  6. Mandatory reporting by doctors of medically unsafe drivers is unpopular and poorly adhered to: a survey of sleep physicians and electro-physicians.

    Science.gov (United States)

    Elgar, Nathan J; Smith, Brian J

    2017-09-11

    Medical fitness to drive is one way governments control the issuing and renewal of driving licences and some jurisdictions demand mandatory reporting of unsafe drivers by doctors. We wished to determine the views, adherence rate and experiences of sleep physicians and electro-physicians with regard to South Australia's mandatory reporting law. Self-administered surveys were delivered by post and e-mail to all South Australian Medical Board registered sleep physicians (n=49) and electro-physicians (n=11). Twenty nine sleep physicians and six electro-physicians returned surveys giving a 61% response rate. Eight doctors agreed with mandatory reporting, 19 thought reporting should be voluntary and six that doctors should never report. Four doctors had reported all reportable patients, five had never reported any and the rest inconsistently applied the law. Mandatory reporting affected doctors' relationships with their patients as follows: 28 had experienced abuse by patients; 25 suspected patients of doctor shopping; and 33 suspected patients of withholding information fearing loss of licence. Only eight thought they were the most appropriate person to determine their patient's fitness to drive. Twenty nine had not received any training with regard to making such determinations, yet, of these, 27 desired training. Widely disliked and causing deterioration of doctor-patient relationships, the mandatory reporting law is ignored by some and inconsistently applied by most of the doctors surveyed. Further clinician and community education is required regardless of whether the law is abandoned, modified or left unchanged. This article is protected by copyright. All rights reserved.

  7. 7 CFR 59.202 - Mandatory daily reporting for barrows and gilts.

    Science.gov (United States)

    2010-01-01

    ... live weight basis; and (iv) The base price and premiums and discounts paid for carcass characteristics... unavailable due to pricing that is determined on a delayed basis. The packer shall report information on such... reporting day, unless such information is unavailable due to pricing that is determined on a delayed basis...

  8. Elevating the quality of disability and rehabilitation research: mandatory use of the reporting guidelines.

    Science.gov (United States)

    Chan, Leighton; Heinemann, Allen W; Roberts, Jason

    2014-01-01

    Note from the AJOT Editor-in-Chief: Since 2010, the American Journal of Occupational Therapy (AJOT) has adopted reporting standards based on the Consolidated Standards of Reporting Trials (CONSORT) Statement and American Psychological Association (APA) guidelines in an effort to publish transparent clinical research that can be easily evaluated for methodological and analytical rigor (APA Publications and Communications Board Working Group on Journal Article Reporting Standards, 2008; Moher, Schulz, & Altman, 2001). AJOT has now joined 28 other major rehabilitation and disability journals in a collaborative initiative to enhance clinical research reporting standards through adoption of the EQUATOR Network reporting guidelines, described below. Authors will now be required to use these guidelines in the preparation of manuscripts that will be submitted to AJOT. Reviewers will also use these guidelines to evaluate the quality and rigor of all AJOT submissions. By adopting these standards we hope to further enhance the quality and clinical applicability of articles to our readers.

  9. Mandatory Reporting of Intimate Partner Violence: An Ethical Dilemma for Forensic Nurses.

    Science.gov (United States)

    Walker, Rosalyn M

    Nearly all states and provinces have laws mandating licensed healthcare professionals to report to law enforcement suspicions and allegations of the abuse of children, older adults, and disabled persons and all incidents of violence by a deadly weapon. However, a few states in the United States additionally mandate providers to report all injuries resultant from reported or suspected domestic/intimate partner violence. This can present a challenge to forensic nurses seeking to protect patient confidentiality and autonomy. This challenge becomes further compounded when a patient desiring to remain anonymous reports sexual assault by their partner, accompanied by bodily injury. This case report explores one such scenario that occurred in a rural Colorado Emergency Department, the issues this presents to forensic nurses, and possible responses.

  10. Impact of a new mandatory reporting law on reporting and identification of child sexual abuse: A seven year time trend analysis.

    Science.gov (United States)

    Mathews, Ben; Lee, Xing Ju; Norman, Rosana E

    2016-06-01

    Child sexual abuse is widespread and difficult to detect. To enhance case identification, many societies have enacted mandatory reporting laws requiring designated professionals, most often police, teachers, doctors and nurses, to report suspected cases to government child welfare agencies. Little research has explored the effects of introducing a reporting law on the number of reports made, and the outcomes of those reports. This study explored the impact of a new legislative mandatory reporting duty for child sexual abuse in the State of Western Australia over seven years. We analyzed data about numbers and outcomes of reports by mandated reporters, for periods before the law (2006-2008) and after the law (2009-2012). Results indicate that the number of reports by mandated reporters of suspected child sexual abuse increased by a factor of 3.7, from an annual mean of 662 in the three year pre-law period to 2448 in the four year post-law period. The increase in the first two post-law years was contextually and statistically significant. Report numbers stabilized in 2010-2012, at one report per 210 children. The number of investigated reports increased threefold, from an annual mean of 451 in the pre-law period to 1363 in the post-law period. Significant decline in the proportion of mandated reports that were investigated in the first two post-law years suggested the new level of reporting and investigative need exceeded what was anticipated. However, a subsequent significant increase restored the pre-law proportion, suggesting systemic adaptive capacity. The number of substantiated investigations doubled, from an annual mean of 160 in the pre-law period to 327 in the post-law period, indicating twice as many sexually abused children were being identified.

  11. 75 FR 26904 - Mandatory Reporting of Greenhouse Gases: Notice of Data Availability; Default Emission Factors...

    Science.gov (United States)

    2010-05-13

    ... Emission Factors for Semiconductor Manufacturing Refined Process Categories AGENCY: Environmental... Protection Agency (EPA) is making available to the public draft default emission factors for semiconductor... specifically, as one option for monitoring and reporting, EPA proposed semiconductor manufacturers...

  12. 76 FR 59542 - Mandatory Reporting of Greenhouse Gases: Changes to Provisions for Electronics Manufacturing To...

    Science.gov (United States)

    2011-09-27

    ... Electronics Manufacturing To Provide Flexibility AGENCY: Environmental Protection Agency (EPA). ACTION: Final... Electronics Manufacturing portion of the Greenhouse Gas Reporting Rule for the ``largest'' semiconductor... facilities Electronics Manufacturing 334111 Microcomputer manufacturing facilities. 334413...

  13. 76 FR 80553 - Mandatory Reporting of Greenhouse Gases: Technical Revisions to the Petroleum and Natural Gas...

    Science.gov (United States)

    2011-12-23

    ... rate must be determined for one well in a tubing diameter group and pressure group in each sub-basin... ``pressure groups'' in 40 CFR 98.238 to inform reporters of the ranges for the pressure groupings that are... used for all other wells in that tubing diameter group and pressure group in a sub-basin...

  14. 75 FR 74457 - Mandatory Reporting of Greenhouse Gases: Petroleum and Natural Gas Systems

    Science.gov (United States)

    2010-11-30

    ... information CBM Coal bed methane CEMS Continuous emission monitoring systems cf cubic feet CFR Code of Federal Regulations CH 4 methane CO 2 carbon dioxide CO 2 e CO 2 -equivalent DOE Department of Energy E&P exploration... reporting of GHGs including carbon dioxide (CO 2 ), methane (CH 4 ), nitrous oxide (N 2...

  15. 75 FR 81365 - Call for Information: Information on Inputs to Emission Equations Under the Mandatory Reporting...

    Science.gov (United States)

    2010-12-27

    ... abbreviations are used in this document. CAA Clean Air Act CBI confidential business information CEMS continuous... monitoring systems (CEMS). Several reporters wrote that they would have installed CEMS or otherwise changed... emissions with CEMS as an alternative to calculation with emission equations but that, by the time...

  16. How University Student-Teachers for Primary School Learn about Department of Education Policy on Child Sexual Abuse, and Mandatory Reporting: The Sources of Their Professional Information

    Science.gov (United States)

    Goldman, Juliette D. G.; Grimbeek, Peter

    2009-01-01

    Many regional and local Departments of Education in many countries now require their primary school teachers to be mandatory reporters of child sexual abuse. However, many student-teachers are not provided with courses on child protection and its policy requirements during their pre-service university education. So, how do student-teachers source,…

  17. Violence against children: an analysis of mandatory reporting of violence, Brazil 2011.

    Science.gov (United States)

    Rates, Susana Maria Moreira; de Melo, Elza Machado; Mascarenhas, Márcio Dênis Medeiros; Malta, Deborah Carvalho

    2015-03-01

    This article aims to describe and analyze reporting of violence against children from 0 to 9 years of age, issued by the public health services, in Brazil. Data from the Violence and Accident Surveillance System (Viva-SINAN) were used. The frequency of selected variables was calculated by age group (0-1; 2-5 and 6-9 years of age) as well as their Prevalence Ratios (PR). 17.900 cases were reported: 33% in the 0-1 year group; 35,8% in the 2-5 year group; and 31,2% in the 6-9 year group. Physical violence predominated among boys (PR: 1.22; CI 95%: 1,16-1,28 ); 6-9 years old (PR: 1,19; CI 95%: 1,12-1.27 ). Sexual violence predominated among girls, mulatto/afro-descendant (PR: 1.12; CI 95 %: 1.06 to 1.19 ); 6-9 years (PR: 4.63; CI 95%: 4.22- 5.08) with more chances of occurring at home (PR: 1.38 , CI: 95%: 1.29-1.48); psychological violence prevailed among girls, mulatto/afro-descendant (PR: 1.10; CI 95 %: 1.03-1.18 ), 6-9 years old (PR: 2.95; CI 95%: 2.69- 3.23), at home (PR: 1.40; CI 95%: 1.29-1.53); negligence predominated among boys (PR: 1.33 ; 95% CI: 1.27-1.39); 0-1 years and their parents were the most prevalent perpetrators.The results indicate the need to strengthen intersectoral actions aiming at extending the social protection and care network.

  18. Violence against children: an analysis of mandatory reporting of violence, Brazil 2011

    Directory of Open Access Journals (Sweden)

    Susana Maria Moreira Rates

    2015-03-01

    Full Text Available This article aims to describe and analyze reporting of violence against children from 0 to 9 years of age, issued by the public health services, in Brazil. Data from the Violence and Accident Surveillance System (Viva-SINAN were used. The frequency of selected variables was calculated by age group (0-1; 2-5 and 6-9 years of age as well as their Prevalence Ratios (PR. 17.900 cases were reported: 33% in the 0-1 year group; 35,8% in the 2-5 year group; and 31,2% in the 6-9 year group. Physical violence predominated among boys (PR: 1.22; CI 95%: 1,16-1,28 ; 6-9 years old (PR: 1,19; CI 95%: 1,12-1.27 . Sexual violence predominated among girls, mulatto/afro-descendant (PR: 1.12; CI 95 %: 1.06 to 1.19 ; 6-9 years (PR: 4.63; CI 95%: 4.22- 5.08 with more chances of occurring at home (PR: 1.38 , CI: 95%: 1.29-1.48; psychological violence prevailed among girls, mulatto/afro-descendant (PR: 1.10; CI 95 %: 1.03-1.18 , 6-9 years old (PR: 2.95; CI 95%: 2.69- 3.23, at home (PR: 1.40; CI 95%: 1.29-1.53; negligence predominated among boys (PR: 1.33 ; 95% CI: 1.27-1.39; 0-1 years and their parents were the most prevalent perpetrators.The results indicate the need to strengthen intersectoral actions aiming at extending the social protection and care network.

  19. Mandatory notification of impaired doctors.

    Science.gov (United States)

    Beran, R G

    2014-12-01

    Mandatory reporting of impaired doctors is compulsory in Australasia. Australian Health Practitioner Regulation Agency guidelines for notification claim high benchmark though the Royal Australasian College of Surgeons and the Royal Australasian College of Physicians suggest they still obstruct doctors seeking help. Western Australia excludes mandatory reporting of practitioner-patients. This study examines reporting, consequences and international experiences with notification. Depressed doctors avoid diagnosis and treatment, fearing consequences, yet are more prone to marital problems, substance dependence and needing psychotherapy. South African research confirms isolation of impaired doctors and delayed seeking help with definable characteristics of those at risk. New Zealand data acknowledge: errors occur; questionable contribution from mandatory reporting; issues concerning competence assessment; favouring reporting to senior colleagues or self-intervention to compliance with mandatory reporting. UK found an anaesthetist guilty of professional misconduct for not reporting and sanctioned doctors regarding Harold Shipman. Australians are reluctant to report, fearing legalistic intrusion into care. Australian research confirmed definable characteristics for doctors with psychiatric illness or alcohol abuse. Exposure to legal medicine evokes personal disenchantment for doctors involved. Medicine poses barriers for impaired doctors. Spanish and UK doctors do not use general practitioners and may have suboptimal care. US and European doctors self-medicate using samples. US drug-dependent doctors also prescribe for spouses. Junior doctors are losing empathy with the profession. UK doctors favour private care, avoiding public scrutiny. NZ and Brazil created specific services for doctors, which appear effective. Mandatory reporting may be counterproductive requiring reappraisal.

  20. The Correlated Factors of Mandatory Social Reporting by Islamic Banks in Indonesia

    Directory of Open Access Journals (Sweden)

    Dodik Siswantoro

    2012-08-01

    penelitian ini adalah untuk memperkirakan Kemauan Membayar rumah tangga Muslim untuk berkontribusi wakaf tunai sebagai strategi menuju pengelolaan kekayaan di Sri Lanka. Wakaf secara bahasa menahan (harta yang ditekankan dalam Islam sebagai ibadah karena dapat mendistribusikan kekayaan di antara masyarakat Muslim dan akan membantu untuk mengembangkan visi Islam yaitu persaudaraan.Metode - Metode penilaian Kontingensi digunakan untuk memperkirakan Kesediaan membayar rumah tangga Muslim dalam meningkatkan status sosial - ekonomi masyarakat berpenghasilan rendah melalui pengelolaan kekayaan wakaf di Sri Lanka. Penelitian ini dikembangkan berdasarkan Teori Utilitas Acak.Hasil - Paper ini mengidentifikasi metode yang tepat untuk memperkirakan kemauan membayar rumah tangga Muslim di Sri Lanka untuk wakaf lembaga. Evaluasi tersebut sangat penting untuksistem keuangan Islam yang berfungsi secara efektif dalam rangka mencapai tujuan yang bermartabat keadilan sosial - ekonomi melalui distribusi kekayaan yang tepat.Kesimpulan - Paper ini menyajikan model konseptual lembaga wakaf yang akan berguna untuk penelitian empiris lebih lanjut di daerah ini. Temuan ini tidak hanya tepat dan berlaku untuk Sri Lanka, tetapi juga ke negara-negara Muslim dan non -Muslim lainnya. Ini adalah kontribusi yang unik untuk literatur ekonomi Islam. Pengetahuan yang diperoleh dari studi ini adalah mengharapkan agar wakaf tunai diusulkan untuk mengelola kekayaan dalam rangka meningkatkan status sosial - ekonomi masyarakat berpenghasilan rendah di Sri Lanka.Keywords: Awqaf, Contingent Valuation Method, Utility Theory, Willingness to Pay, Welfare Changes Objective – The purpose of this research is to analyze correlated factors related to social reporting by Islamic banks in Indonesia. According to the accounting standard in Indonesia, Islamic banks are legally required to report on social aspects. Social reporting is regulated in Indonesia under the accounting standard for Islamic Financial Institutions No

  1. Reduction in Clostridium difficile infection rates after mandatory hospital public reporting: findings from a longitudinal cohort study in Canada.

    Science.gov (United States)

    Daneman, Nick; Stukel, Therese A; Ma, Xiaomu; Vermeulen, Marian; Guttmann, Astrid

    2012-01-01

    The role of public reporting in improving hospital quality of care is controversial. Reporting of hospital-acquired infection rates has been introduced in multiple health care systems, but its relationship to infection rates has been understudied. Our objective was to determine whether mandatory public reporting by hospitals is associated with a reduction in hospital rates of Clostridium difficile infection. We conducted a longitudinal, population-based cohort study in Ontario (Canada's largest province) between April 1, 2002, and March 31, 2010. We included all patients (>1 y old) admitted to 180 acute care hospitals. Using Poisson regression, we developed a model to predict hospital- and age-specific monthly rates of C. difficile disease per 10,000 patient-days prior to introduction of public reporting on September 1, 2008. We then compared observed monthly rates of C. difficile infection in the post-intervention period with rates predicted by the pre-intervention predictive model. In the pre-intervention period there were 33,634 cases of C. difficile infection during 39,221,113 hospital days, with rates increasing from 7.01 per 10,000 patient-days in 2002 to 10.79 in 2007. In the first calendar year after the introduction of public reporting, there was a decline in observed rates of C. difficile colitis in Ontario to 8.92 cases per 10,000 patient-days, which was significantly lower than the predicted rate of 12.16 (95% CI 11.35-13.04) cases per 10,000 patient-days (ppublic reporting was associated with a 26.7% (95% CI 21.4%-31.6%) reduction in C. difficile cases, or a projected 1,970 cases averted per year (95% CI 1,476-2,500). The effect was specific to C. difficile, with rates of community-acquired gastrointestinal infections and urinary tract infections unchanged. A limitation of our study is that this observational study design cannot rule out the influence of unmeasured temporal confounders. Public reporting of hospital C. difficile rates was associated

  2. Mandatory quality reports in Germany from the hospitals’ point of view: a cross-sectional observational study

    Directory of Open Access Journals (Sweden)

    Auras Silke

    2012-10-01

    their reports for mostly internal purposes (e.g. comparison with competitors, quality management whereas private ones used them externally (e.g. communication, marketing (p=0.024, chi-2 test, hypotheses-generating level. Conclusions German hospitals consider the mandatory QR as only partially capable to put the legally defined aims effectively and efficiently into practice. In order for public reporting to achieve its potentially positive effects, the QR must be more closely aligned to the needs of hospitals.

  3. Narrative Review of Statistical Reporting Checklists, Mandatory Statistical Editing, and Rectifying Common Problems in the Reporting of Scientific Articles.

    Science.gov (United States)

    Dexter, Franklin; Shafer, Steven L

    2017-03-01

    Considerable attention has been drawn to poor reproducibility in the biomedical literature. One explanation is inadequate reporting of statistical methods by authors and inadequate assessment of statistical reporting and methods during peer review. In this narrative review, we examine scientific studies of several well-publicized efforts to improve statistical reporting. We also review several retrospective assessments of the impact of these efforts. These studies show that instructions to authors and statistical checklists are not sufficient; no findings suggested that either improves the quality of statistical methods and reporting. Second, even basic statistics, such as power analyses, are frequently missing or incorrectly performed. Third, statistical review is needed for all papers that involve data analysis. A consistent finding in the studies was that nonstatistical reviewers (eg, "scientific reviewers") and journal editors generally poorly assess statistical quality. We finish by discussing our experience with statistical review at Anesthesia & Analgesia from 2006 to 2016.

  4. 美国温室气体强制报告制度综述%Review of Mandatory Reporting of Greenhouse Gases in America

    Institute of Scientific and Technical Information of China (English)

    董文福; 刘泓汐; 王秀琴; 劳月娥; 殷培红

    2011-01-01

    2009年12月美国环境保护署出台了,要求上报温室气体排放量的排放源涉及31个工业部门和种类,对全国约85%的温室气体排放源的排放数据进行监测、统计,以便更加全面、准确地掌握美国温室气体排放状况.文章从建立的背景、制度的主要内容、运行方式和作用四个方面进行了介绍.%In December of 2009 Environmental Protection Agency (EPA) promulgated a regulation to require reporting of greenhouse gas emissions.This regulation covers 31 sectors or categories.In order to know the whole condition of greenhouse gases emissions in America, about 85% U.S.greenhouse gases emissions will be monitored or calculated.This article mainly introduces "Mandatory Reporting of Greenhouses Gases" from four aspects: Rule Origin and Purpose, Key Elements, How it works and this rule' s function.

  5. Is Mandatory Prospective Trial Registration Working to Prevent Publication of Unregistered Trials and Selective Outcome Reporting? An Observational Study of Five Psychiatry Journals That Mandate Prospective Clinical Trial Registration

    OpenAIRE

    Amelia Scott; Julia J Rucklidge; Roger T Mulder

    2015-01-01

    Objective To address the bias occurring in the medical literature associated with selective outcome reporting, in 2005, the International Committee of Medical Journal Editors (ICMJE) introduced mandatory trial registration guidelines and member journals required prospective registration of trials prior to patient enrolment as a condition of publication. No research has examined whether these guidelines are impacting psychiatry publications. Our objectives were to determine the extent to which...

  6. Comparing Voluntary and Mandatory Gameplay

    Directory of Open Access Journals (Sweden)

    Esther Kuindersma

    2016-09-01

    Full Text Available Gameplay is commonly considered to be a voluntary activity. Game designers generally believe that voluntary gameplay is essentially different from mandatory gameplay. Such a belief may be a challenge for serious games, as instruction is usually mandatory. The article describes the outcomes of two experiments on the impact of voluntariness on the learning effect and enjoyment of a serious game. In the first experiment freedom of choosing to play a serious game was studied, with participants who had volunteered to participate. The results suggested that, contrary to the opinion of many game designers, being required to play a serious game does not automatically take the fun out of the game. The second experiment had voluntary participants and mandatory participants, who had to participate as part of a homework assignment. The outcomes show that mandatory participants enjoyed the game as much as the voluntary participants, even if they had to play the game for a minimum required time. These studies indicate that mandatory gameplay does not reduce enjoyment and learning effect.

  7. Systematic inclusion of mandatory interprofessional education in health professions curricula at Gunma University: a report of student self-assessment in a nine-year implementation

    Directory of Open Access Journals (Sweden)

    Makino Takatoshi

    2009-07-01

    Full Text Available Abstract Background The mandatory interprofessional education programme at Gunma University was initiated in 1999. This paper is a statistical evaluation of the programme from 1999 to 2007. Methods A questionnaire of 10 items to assess the achievement levels of the programme, which was developed independently of other assessment systems published previously, was distributed, as well as two or three open-ended questions to be answered at the end of each annual module. A multivariate analysis of variance model was used, and the factor analysis of the responses was performed with varimax rotation. Results Over all, 1418 respondents of a possible 1629 students completed the survey, for a total response rate of 87.1%. Cronbach's alpha of 10 items was 0.793, revealing high internal consistency. Our original questionnaire was categorized into four subscales as follows: "Role and responsibilities", "Teamwork and collaboration", "Structure and function of training facilities", and "Professional identity". Students in the Department of Occupational Therapy reached a relatively lower level of achievement. In the replies to the open-ended questions, requests for the participation of the medical students were repeated throughout the evaluation period. Conclusion The present four subscales measure "understanding", and may take into account the development of interprofessional education programmes with clinical training in various facilities. The content and quality of clinical training subjects may be remarkably dependent on training facilities, suggesting the importance of full consultation mechanisms in the local network with the relevant educational institutes for medicine, health care and welfare.

  8. Mandatory Class 1 Federal Areas Web Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — This web service contains the following layers: Mandatory Class 1 Federal Area polygons and Mandatory Class 1 Federal Area labels in the United States. The polygon...

  9. 42 CFR 1002.203 - Mandatory exclusion.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Mandatory exclusion. 1002.203 Section 1002.203... AUTHORITIES PROGRAM INTEGRITY-STATE-INITIATED EXCLUSIONS FROM MEDICAID Mandatory Exclusion § 1002.203 Mandatory exclusion. (a) The State agency, in order to receive Federal financial participation (FFP),...

  10. Mandatory Quality Disclosure and Quality Supply : Evidence from German Hospitals

    NARCIS (Netherlands)

    Filistrucchi, L.; Ozbugday, F.C.

    2012-01-01

    Abstract: Using a newly constructed dataset on German hospitals, which includes 24 process and outcome indicators of clinical quality, we test whether quality has increased in various clinical areas since the introduction of mandatory quality reports and the online publication of part of the

  11. New Mandatory Computer Security Course

    CERN Multimedia

    CERN Bulletin

    2010-01-01

    Just like any other organization, CERN is permanently under attack - even right now. Consequently it's important to be vigilant about security risks, protecting CERN's reputation - and your work. The availability, integrity and confidentiality of CERN's computing services and the unhindered operation of its accelerators and experiments come down to the combined efforts of the CERN Security Team and you. In order to remain par with the attack trends, the Security Team regularly reminds CERN users about the computer security risks, and about the rules for using CERN’s computing facilities. Since 2007, newcomers have to follow a dedicated basic computer security course informing them about the “Do’s” and “Dont’s” when using CERNs computing facilities. This course has recently been redesigned. It is now mandatory for all CERN members (users and staff) owning a CERN computer account and must be followed once every three years. Members who...

  12. Reminder: Mandatory Computer Security Course

    CERN Multimedia

    IT Department

    2011-01-01

    Just like any other organization, CERN is permanently under attack – even right now. Consequently it's important to be vigilant about security risks, protecting CERN's reputation - and your work. The availability, integrity and confidentiality of CERN's computing services and the unhindered operation of its accelerators and experiments come down to the combined efforts of the CERN Security Team and you. In order to remain par with the attack trends, the Security Team regularly reminds CERN users about the computer security risks, and about the rules for using CERN’s computing facilities. Therefore, a new dedicated basic computer security course has been designed informing you about the “Do’s” and “Dont’s” when using CERN's computing facilities. This course is mandatory for all person owning a CERN computer account and must be followed once every three years. Users who have never done the course, or whose course needs to be renewe...

  13. Mandatory requirements in relation to air, soil, or water protection. Analysis of need and feasibility. Final Report (Tasks 3 and 4)

    Energy Technology Data Exchange (ETDEWEB)

    Diaz-Chavez, R.; Kunen, E.; Walden, D.; Fingerman, K.; Arya, L; Chalmers, J. [Winrock International, Little Rock (United States); Kretschmer, B.; Polakova, J.; Farmer, A.; Bowyer, C.; Menadue, H. [Institute for European Environmental Policy IEEP, London (United Kingdom); Alberici, S.; Toop, G. [Ecofys, Utrecht (Netherlands)

    2013-02-15

    This study focusses on the environmental impacts, both within and outside Europe, associated with the agricultural management of biofuel feedstocks consumed within the European Union (EU). This study has focussed on an examination of the environmental effects associated with crops that: Represent the prevailing cropping type in a country/region and are already produced in intensive agricultural systems and in zones with vulnerable soil/water conditions; and have become the prevailing feedstocks to supply the EU biofuel markets. The report starts with an overview of key biofuel crops and focus countries within and outside the EU (Section 2). Section 3 provides an overview of soils risks from biofuels consumed in the EU. It sets out the type of risks arising from the cultivation of biofuel feedstocks within Europe and in non-EU countries, provides information from case studies on actual risks arising in the selected countries, as well as considering the scope and effectiveness of existing provisions for soil protection. A synthesis of the estimated risks per region for different types of risks concludes the section. Section 4 sets out water risks associated with the identified biofuel crops in the selected EU and non-EU focus areas. Similarly to the soil section, the assessment of existing provisions for water protection addresses their scope and effectiveness in containing the pressures from biofuel feedstock production and concludes with a synthesis estimating the actual risks. Section 5 provides a corresponding analysis of air quality risks. Section 6 discussed the feasibility of introducing additional sustainability criteria in the RED to mitigate identified risks to soil, water and air and overall concludes the study.

  14. Mandatory Arbitration: Weighing the Pros and Cons

    Science.gov (United States)

    Settenbrino, Susan D.

    2012-01-01

    When big businesses enter into mandatory arbitration agreements with consumers, the large companies typically tout the fairness while the individual is left feeling cheated. Now that mandatory arbitration clauses are finding their way into more and more contracts signed by school systems, school boards and district administrators are realizing…

  15. 27 CFR 7.52 - Mandatory statements.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Mandatory statements. 7.52 Section 7.52 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT....52 Mandatory statements. (a) Responsible advertiser. The advertisement shall state the name...

  16. 76 FR 34004 - Dairy Product Mandatory Reporting

    Science.gov (United States)

    2011-06-10

    ... requirements for submitting data through electronic means specified by AMS. In addition, AMS plans to beta test... be encouraged to participate in the beta-testing program. Any feedback received during this outreach..., on a monthly basis, stocks of dairy products (as defined in Sec. 1170.4) on hand, on the appropriate...

  17. Is Mandatory Prospective Trial Registration Working to Prevent Publication of Unregistered Trials and Selective Outcome Reporting? An Observational Study of Five Psychiatry Journals That Mandate Prospective Clinical Trial Registration.

    Directory of Open Access Journals (Sweden)

    Amelia Scott

    Full Text Available To address the bias occurring in the medical literature associated with selective outcome reporting, in 2005, the International Committee of Medical Journal Editors (ICMJE introduced mandatory trial registration guidelines and member journals required prospective registration of trials prior to patient enrolment as a condition of publication. No research has examined whether these guidelines are impacting psychiatry publications. Our objectives were to determine the extent to which articles published in psychiatry journals adhering to ICMJE guidelines were correctly prospectively registered, whether there was evidence of selective outcome reporting and changes to participant numbers, and whether there was a relationship between registration status and source of funding.Any clinical trial (as defined by ICMJE published between 1 January 2009 and 31 July 2013 in the top five psychiatry journals adhering to ICMJE guidelines (The American Journal of Psychiatry, Archives of General Psychiatry/JAMA Psychiatry, Biological Psychiatry, Journal of the American Academy of Child and Adolescent Psychiatry, and The Journal of Clinical Psychiatry and conducted after July 2005 (or 2007 for two journals was included. For each identified trial, where possible we extracted trial registration information, changes to POMs between publication and registry to assess selective outcome reporting, changes to participant numbers, and funding type.Out of 3305 articles, 181 studies were identified as clinical trials requiring registration: 21 (11.6% were deemed unregistered, 61 (33.7% were retrospectively registered, 37 (20.4% had unclear POMs either in the article or the registry and 2 (1.1% were registered in an inaccessible trial registry. Only 60 (33.1% studies were prospectively registered with clearly defined POMs; 17 of these 60 (28.3% showed evidence of selective outcome reporting and 16 (26.7% demonstrated a change in participant numbers of 20% or more; only 26 (14

  18. 7 CFR 29.40 - Mandatory inspection.

    Science.gov (United States)

    2010-01-01

    ... Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing... INSPECTION Regulations Definitions § 29.40 Mandatory inspection. Inspection authorized or required under section 5 of the Act or Section 759 of the Appropriations Act. definitions...

  19. Mandatory IFRS adoption and executive compensation: Evidence from China

    Directory of Open Access Journals (Sweden)

    Qingchuan Hou

    2014-03-01

    Full Text Available This study investigates how the mandatory adoption of International Financial Reporting Standards (IFRS affects the contractual benefits of using accounting information to determine executive compensation in China. After controlling for firm and corporate governance characteristics, we find strong evidence supporting the positive role of mandatory IFRS adoption on the accounting-based performance sensitivity of executive compensation. Subsample analysis suggests that improvements in accounting-based performance sensitivity after IFRS adoption differ across regions with various levels of institutional quality and across firms that are affected to a different extent by the adoption. Additional analysis supports the argument that the positive effects of IFRS adoption on the use of accounting performance in executive compensation are driven by the reduction in accounting conservatism associated with IFRS adoption.

  20. Mandatory IFRS adoption and executive compensation:Evidence from China

    Institute of Scientific and Technical Information of China (English)

    Qingchuan; Hou; Qinglu; Jin; Lanfang; Wang

    2014-01-01

    This study investigates how the mandatory adoption of International Financial Reporting Standards(IFRS) affects the contractual benefits of using accounting information to determine executive compensation in China. After controlling for firm and corporate governance characteristics, we find strong evidence supporting the positive role of mandatory IFRS adoption on the accounting-based performance sensitivity of executive compensation. Subsample analysis suggests that improvements in accounting-based performance sensitivity after IFRS adoption differ across regions with various levels of institutional quality and across firms that are affected to a different extent by the adoption. Additional analysis supports the argument that the positive effects of IFRS adoption on the use of accounting performance in executive compensation are driven by the reduction in accounting conservatism associated with IFRS adoption.

  1. Performance appraisal of Croatian mandatory pension funds

    Directory of Open Access Journals (Sweden)

    Pierre Matek

    2016-03-01

    Full Text Available The goal of this paper is to determine whether managers of Croatian mandatory pension funds have displayed investment skill on a risk-adjusted basis during the 2005-2014 period. We have calculated various risk-adjusted investment performance measures and have then used a number of statistical tools to test the significance of the results. Evidence from our analysis suggests that Croatian mandatory pension funds have reached their investment targets in terms of risk-free rates or benchmarks. Evidence of investment skill was found in some of the funds analysed.

  2. Mandatory School Uniforms and Freedom of Expression

    Science.gov (United States)

    Vopat, Mark C.

    2010-01-01

    On 10 December 2007 the Akron City School Board--following the precedent set by many school systems across the United States and the world--instituted a policy of mandatory school uniforms for all students in grades K-8. The measure was met with mixed reviews. While many parents supported the measure, a small group of parents from a selective,…

  3. The benefits of mandatory auditor rotation

    National Research Council Canada - National Science Library

    Healey, Thomas J; Kim, Yu-Jin

    2003-01-01

    ... and shortcomings of such a practice, known as auditor rotation. In our opinion, although several valid arguments are marshaled against mandatory auditor rotation, they are far outnumbered by the potential benefits. Perhaps the greatest of those benefits is the practice's usefulness in restoring badly shaken investor confidence in our f...

  4. 28 CFR 2.53 - Mandatory parole.

    Science.gov (United States)

    2010-07-01

    ..., YOUTH OFFENDERS, AND JUVENILE DELINQUENTS United States Code Prisoners and Parolees § 2.53 Mandatory..., Federal Juvenile Delinquency Act, or the provisions of 5010(c) of the Youth Corrections Act) serving a..., or local crime or that the prisoner has frequently or seriously violated the rules of the...

  5. Does Mandatory Attendance Improve Student Performance?

    Science.gov (United States)

    Marburger, Daniel R.

    2006-01-01

    Previous empirical literature indicates that student performance is inversely correlated with absenteeism. The author investigates the impact of enforcing an attendance policy on absenteeism and student performance. The evidence suggests that an enforced mandatory attendance policy significantly reduces absenteeism and improves exam performance.

  6. 27 CFR 5.63 - Mandatory statements.

    Science.gov (United States)

    2010-04-01

    ....” (2) Optional statement. In addition, the advertisement may also state the alcohol content in degrees... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Mandatory statements. 5.63 Section 5.63 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU,...

  7. 27 CFR 4.62 - Mandatory statements.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Mandatory statements. 4.62 Section 4.62 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT... statements. (a) Responsible advertiser. The advertisement shall state the name and address of the...

  8. Italian healthcare workers' views on mandatory vaccination

    OpenAIRE

    Germinario Cinzia CG; Arbore Annamaria AA; Caputi Giovanni GC; Martinelli Domenico DM; Tafuri Silvio ST; Prato Rosa RP

    2009-01-01

    Abstract Background Mandatory vaccination has contributed to the success of immunisation programmes but voluntary vaccination allows people to be responsible for their own health. There are benefits from both policies and the arguments between them remain subject to debate within and without the scientific community, both nationally and internationally. The aim of this study is to assess the opinions of those who actually work in the Vaccination Service. Methods The survey was carried out usi...

  9. Ethics of mandatory vaccination for healthcare workers.

    Science.gov (United States)

    Galanakis, E; Jansen, A; Lopalco, P L; Giesecke, J

    2013-11-07

    Healthcare workers (HCWs) are at increased risk of contracting infections at work and further transmitting them to colleagues and patients. Immune HCWs would be protected themselves and act as a barrier against the spread of infections and maintain healthcare delivery during outbreaks, but vaccine uptake rates in HCWs have often been low. In order to achieve adequate immunisation rates in HCWs, mandatory vaccination policies are occasionally implemented by healthcare authorities, but such policies have raised considerable controversy. Here we review the background of this debate, analyse arguments for and against mandatory vaccination policies, and consider the principles and virtues of clinical, professional, institutional and public health ethics. We conclude that there is a moral imperative for HCWs to be immune and for healthcare institutions to ensure HCW vaccination, in particular for those working in settings with high-risk groups of patients. If voluntary uptake of vaccination by HCWs is not optimal, patients’ welfare, public health and also the HCW’s own health interests should outweigh concerns about individual autonomy: fair mandatory vaccination policies for HCWs might be acceptable. Differences in diseases, patient and HCW groups at risk and available vaccines should be taken into consideration when adopting the optimal policy.

  10. Italian healthcare workers' views on mandatory vaccination

    Directory of Open Access Journals (Sweden)

    Germinario Cinzia CG

    2009-06-01

    Full Text Available Abstract Background Mandatory vaccination has contributed to the success of immunisation programmes but voluntary vaccination allows people to be responsible for their own health. There are benefits from both policies and the arguments between them remain subject to debate within and without the scientific community, both nationally and internationally. The aim of this study is to assess the opinions of those who actually work in the Vaccination Service. Methods The survey was carried out using a self-administered standardised anonymous questionnaire given to all of the Vaccination Service employees in the Apulia Region. Results Of 302 completed questionnaire replies, 4.4% stated that mandatory vaccination should be abandoned now, 21.2% that it should be phased out, and 74.4% that it should be retained. Conclusion An educational program should be set up to explain to Vaccination staff the value and worth of voluntary compared to mandatory vaccination and why high vaccination rates do not have to depend on compulsion.

  11. 21 CFR 868.5955 - Intermittent mandatory ventilation attachment.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Intermittent mandatory ventilation attachment. 868.5955 Section 868.5955 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... mandatory ventilation attachment. (a) Identification. An intermittent mandatory ventilation (IMV)...

  12. MANDATORY TAKEOVER BIDS ON ROMANIAN CAPITAL MARKET

    Directory of Open Access Journals (Sweden)

    Cristian GHEORGHE

    2017-05-01

    Full Text Available The Romanian Capital Market Law (Law no 297/2004 lays down rules regarding public offers (to buy or sell of securities admitted to trading on a regulated market. Such offers are not unknown in the general framework of companies’ regulations, i.e. Company Law no 31/1990. Actually a public limited liability company (joint stock company can use a public subscriptions (offering shares for sale to raise the registered capital for incorporation of the company or to increase the company’s share capital already established. But all such operations are voluntary decisions. The founders or the shareholders of the company are those who decide to launch a public subscriptions. Capital Market Law comes with something new and at least peculiar at first sight: mandatory takeover bid, meaning a mandatory public offer made by an offeror to the holders of the securities of a company (offeree to acquire all or some of those securities. Can someone be forced to buy securities on the regulated market? The Capital Market Law responds affirmatively, but only if such takeover bid follows or has as its objective the acquisition of control of the offeree company in accordance with national law. The takeover bid remains under supervision and authorization of the national authority of the Capital Market (FSA – Financial Supervisory Authority.

  13. Using Risk to Assess the Legal Violence of Mandatory Detention

    Directory of Open Access Journals (Sweden)

    Robert Koulish

    2016-07-01

    Full Text Available Immigration mandatory detention is a particularly harsh example of the structural violence embedded in immigration enforcement. It deprives liberty without bond for immigrants with prior crimes, and assigns many individuals to the harsh conditions associated with unnecessary and even wrongful detention. Mandatory detention has been justified on the grounds that mandatory detainees are a danger to public safety. This article puts to the test this presumption of dangerousness among mandatory detainees, and finds, to the contrary, that immigrants with prior charges or convictions are no more dangerous than any other category of individuals in Immigration and Customs Enforcement (ICE custody. Using the risk classification assessment (RCA tool, which the author is the first to obtain through the Freedom of Information Act, the article contributes to the growing criticism of mandatory detention, providing evidence that many of those in mandatory detention should probably have never been detained.

  14. [Why do we need mandatory communication courses for pre-registration house officers?

    DEFF Research Database (Denmark)

    Pedersen, B.D.; Faarvang, K.L.; Larsen, M.H.

    2008-01-01

    This study reports the rationale for the composition of a 3-day mandatory communication skills course for pre-registration house officers (PRHOs). In addition to communication skills, the course addresses aspects of competence related to professional performance within areas covered by the legal...

  15. 22 CFR 9.10 - Mandatory declassification review.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Mandatory declassification review. 9.10 Section 9.10 Foreign Relations DEPARTMENT OF STATE GENERAL SECURITY INFORMATION REGULATIONS § 9.10 Mandatory declassification review. All requests to the Department by a member of the public, a government employee, or an...

  16. 22 CFR 301.2 - Requests for mandatory declassification review.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Requests for mandatory declassification review. 301.2 Section 301.2 Foreign Relations PEACE CORPS PUBLIC ACCESS TO CLASSIFIED MATERIAL § 301.2 Requests for mandatory declassification review. (a) All information originally classified by the Peace...

  17. 29 CFR 530.205 - Mandatory denial or revocation.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Mandatory denial or revocation. 530.205 Section 530.205... EMPLOYMENT OF HOMEWORKERS IN CERTAIN INDUSTRIES Denial/Revocation of Homeworker Employer Certificates § 530.205 Mandatory denial or revocation. The Administrator shall deny or revoke a certificate in...

  18. 32 CFR 643.55 - Mandatory revocation clause in lease.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Mandatory revocation clause in lease. 643.55... PROPERTY REAL ESTATE Leases § 643.55 Mandatory revocation clause in lease. Each lease will contain a provision permitting the SA to revoke the lease at any time, unless it is determined that the omission...

  19. Mandatory disclosure and its impact on the company value

    NARCIS (Netherlands)

    Popova, T.; Georgakopoulos, G.; Sotiropoulos, I.; Vasileiou, K.Z.

    2013-01-01

    This study investigated the association between mandatory disclosure and company value expressed in share price anticipation of earnings by using a sample of UK companies included in the FTSE 350 Index for a period of five years, from 2006 to 2010. A mandatory disclosure index was developed

  20. 34 CFR 300.174 - Prohibition on mandatory medication.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Prohibition on mandatory medication. 300.174 Section 300.174 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF... § 300.174 Prohibition on mandatory medication. (a) General. The SEA must prohibit State and...

  1. A time series analysis of the effects of financial incentives and mandatory clinical applications as interventions to improve spontaneous adverse drug reaction reporting by hospital medical staff in China.

    Science.gov (United States)

    Chang, Feng; Xi, Yue; Zhao, Jie; Zhang, Xiaojian; Lu, Yun

    2017-07-04

    Spontaneous reporting of adverse drug reactions (ADRs) in hospitals is often under-reported, which may lead to problems in patient management. This study was aimed to assess the effectiveness of a financial intervention based on a fine and a bonus for improving spontaneous reporting of ADRs by physicians in a hospital setting. This study was conducted at the First Affiliated Hospital of Zhengzhou University (China). Starting in 2009, a bonus of 20 RMB (Chinese currency) was given for each spontaneous ADR report, and a fine of 50 RMB was given for any withheld ADR report. A time series analysis using autoregressive integrated moving average models was performed to assess the changes in the total number of spontaneous ADR reports between the preintervention period (2006-2008) and during the first (2009-2011) and second (2012-2014) intervention periods. The median number of reported ADRs per year increased from 29 (range 27-72) in the preintervention period to 277 (range 199-284) in the first intervention period and to 666 in the second (range 644-691). The monthly number of reported ADRs was stable during the 3 periods: 3.56 ± 3.60/month (95% confidence interval (CI), 2.42-4.75) during the preintervention period, 21 ± 13/month (95% CI, 16.97-25.80) in the first intervention period, and 56 ± 20/month (95% CI, 48.81-62.17) in the second intervention period. A financial incentive and ADR management regulations had a significant effect on the increase of reported ADRs. © 2017 John Wiley & Sons, Ltd.

  2. [The mandatory medical insurance through eyes of medical personnel].

    Science.gov (United States)

    Semenov, V Yu; Lakunin, K Yu; Livshits, S A

    2014-01-01

    The article considers the results of sociological survey carries out among medical personnel of the Moscowskaya oblast in August-September 2013. The purpose of the study was to examine opinions of medical personnel about system of mandatory insurance in conditions of implementation of the new law regulating system of mandatory medical insurance during last three years. The sampling included 932 respondents that corresponds approximately 1% of all medical personnel in the oblast. It is established that even 20 years later after the moment of organization of the system of mandatory medical insurance not all medical personnel is oriented in it. More than 70% of respondents consider this system too convoluted and over bureaucratized and only 22.2% of respondents assume that medical insurance organizations defense interests of patient and 25.8% feel no impact of mandatory medical insurance funds on functioning of medical organizations. Most of respondents consider functions of mandatory medical insurance organizations and mandatory medical insurance funds as controlling only. Only 31% of respondents support the actual system of mandatory medical insurance.

  3. Mandatory seatbelt law support and opposition in New England--a survey.

    Science.gov (United States)

    Morelock, S; Hingson, R W; Smith, R A; Lederman, R I

    1985-01-01

    Less than one-fifth of the U.S. population consistently wears automobile seatbelts. Automatic seatbelts or air bags will be required in all new cars, unless States whose total population equals two-thirds of the nation's adopt mandatory seatbelt use laws by 1989, according to the U.S. Department of Transportation. In July 1984, New York State passed the first mandatory seatbelt law in the nation, followed by New Jersey, Illinois, Missouri, Michigan, and New Mexico. A telephone survey of 2,982 randomly selected drivers examined belt use and support for mandatory belt use laws in the six New England States. Drivers with little education and low income, younger drivers, and drivers who drove after heavy drinking or marijuana use, or both, were least likely to wear seatbelts. Beliefs that seatbelts are not effective in reducing injury risk and are uncomfortable were more common among those not wearing belts. Sixty percent of drivers favored a mandatory seatbelt use law. The most important predictors of opposition to a belt use law were beliefs that seatbelts are ineffective, inconvenient, and uncomfortable. Opposition was also more likely among persons who reported that they drove after marijuana use, or heavy drinking, or both, drove more miles per year, exhibited a low frequency of seatbelt use, and perceived a low probability of personal crash involvement. PMID:3927377

  4. Nudges or mandates? The ethics of mandatory flu vaccination.

    Science.gov (United States)

    Dubov, Alex; Phung, Connie

    2015-05-21

    According to the CDC report for the 2012-2013 influenza season, there was a modest increase in the vaccination coverage rate among healthcare workers from 67% in 2011-2012, to 72% in 2012-2013 to the current 75% coverage. This is still far from reaching the US National Healthy People 2020 goal of 90% hospitals vaccination rates. The reported increase in coverage is attributed to the growing number of healthcare facilities with vaccination requirements with average rates of 96.5%. However, a few other public health interventions stir so much controversy and debate as vaccination mandates. The opposition stems from the belief that a mandatory flu shot policy violates an individual right to refuse unwanted treatment. This article outlines the historic push to achieve higher vaccination rates among healthcare professionals and a number of ethical issues arising from attempts to implement vaccination mandates. It then turns to a review of cognitive biases relevant in the context of decisions about influenza vaccination (omission bias, ambiguity aversion, present bias etc.) The article suggests that a successful strategy for policy-makers and others hoping to increase vaccination rates is to design a "choice architecture" that influences behavior of healthcare professionals without foreclosing other options. Nudges incentivize vaccinations and help better align vaccination intentions with near-term actions.

  5. Mandatory helmet legislation and the print media in Viet Nam.

    Science.gov (United States)

    Hill, Peter S; Ngo, Anh D; Khuong, Tuan A; Dao, Huong L; Hoang, Hanh T M; Trinh, Hang T; Nguyen, Lien T N; Nguyen, Phong H

    2009-07-01

    With motorcycle ownership high and rising in Viet Nam, and motorcycle riders vulnerable to both fatal and non-fatal injury, the re-introduction of mandatory helmet legislation in 2007 has been a priority for the Vietnamese government. The paper uses a qualitative analysis of web-based versions of the eight most popular newspapers in Viet Nam to track reporting over four phases of the implementation of the legislation, identifying codes and constructing the dominant themes of the media coverage. The study documents the justification and promotion of the legislation, and the mechanisms for preparing for its implementation at a national and local level, developing solutions and encouraging the replication of successful strategies. It records opposition and obstacles to helmet use, and concerns raised around the quality of helmets purchased. In return, the press notes the response of the market in innovative solutions to these problems. With the successful implementation of the legislation, the functions of the print media in promulgating and promoting the legislation, together with the reporting of ongoing resistance to the process, serve to enable a dialogue between the State and population around expressed concerns. In highlighting quality control of helmets as a key issue, the media have identified a potential ongoing role in monitoring the state's initiative in reducing the road toll from traumatic brain injury in motorcyclists.

  6. The Alcohol Mandatory Treatment Act: evidence, ethics and the law.

    Science.gov (United States)

    Lander, Fiona; Gray, Dennis; Wilkes, Edward

    2015-07-01

    The Northern Territory Alcohol Mandatory Treatment Act 2013 (AMT Act) permits mandatory residential alcohol rehabilitation for up to 3 months. International guidelines and human rights law confirm that mandatory rehabilitation should only be used for short periods. Evidence concerning the efficacy of long-term mandatory alcohol rehabilitation is lacking, and minimal data concerning the efficacy of the scheme have been released. Specific legal issues also arise concerning the AMT Act, including its potentially discriminatory application to Aboriginal and Torres Strait Islander peoples. The program only permits referral by police, despite the fact that it is ostensibly a medical intervention. Use of a treatment as a method of effectively solving a public intoxication problem is highly dubious, and should be of concern to the medical community. Given that more cost-effective and proven measures exist to combat alcohol dependence, the utility of the AMT Act is questionable.

  7. The histrionic push for mandatory perinatal HIV testing.

    Science.gov (United States)

    Hansen, E

    1997-01-01

    Voluntary HIV testing of newborns is driving down the rate of maternal-fetal transmission, although mandatory testing in other populations continues to be controversial. An amendment to the Ryan White CARE Act that encourages mandatory HIV testing of newborns, to be phased in over a four-year period, is being met with resistance from AIDS activists. The justification for mandatory testing is from a single trial, ACTG 076, that shows that HIV infection rates could be decreased two-thirds in newborns through the use of AZT during pregnancy and immediately after delivery. However, there has been no testing of AZT's potential toxicity in mothers or the long-term effects on babies. This also means that AZT monotherapy, much less effective than combination therapy, is only prescribed for pregnant women. Activists call for strategy sessions and grassroots organizations to defeat the trend toward mandatory testing in any population.

  8. 75 FR 3863 - Mandatory Deposit of Published Electronic Works Available Only Online

    Science.gov (United States)

    2010-01-25

    ... largest repository of knowledge and creativity. With the adoption of this amendment, mandatory deposit... permanent exemption for mandatory deposit for photographs and databases are more appropriately raised...

  9. Should the European Commission Enact a Mandatory Lobby Register?

    Directory of Open Access Journals (Sweden)

    Direnc Kanol

    2012-12-01

    Full Text Available This article reviews the literature on the mandatory government regulation/self-regulation approaches to regulating interest group behaviour. The findings of the author suggest that the voluntary register of the European Commission is bound to fail. The European Commission should implement a mandatory register as soon as possible if the genuine aim of the incumbents is to overcome the Commission’s accountability deficit.

  10. [Attitudes of winter sport participants toward ski helmet mandatory].

    Science.gov (United States)

    Ruedl, G; Kopp, M; Hotter, B; Ledochowski, L; Burtscher, M

    2011-12-01

    The aim of this study was to examine attitudes of winter sport participants toward a ski helmet mandatory. In total, 959 persons who had to estimate statements regarding ski helmet and helmet mandatory with the aid of a five level Likert scale were interviewed. About 85 % of interviewed persons totally agreed that a ski helmet reduces head injury risk although only 64 % are wearing a ski helmet. Significant more helmet wearers and females compared to non-wearers and males totally agreed that all winter sport participants should wear ski helmets on slopes as well as that all children on slopes should wear a ski helmet. Also, significant more helmet wearers and females compared to non-wearers and males totally agreed that a ski helmet mandatory for all people has to be recommended as well as that a ski helmet mandatory for children under 16 years has to be recommended. However, the acceptance for a helmet mandatory for all people as well as for children was significantly lower compared to recommendations for helmet use irrespective of helmet use or gender. Therefore, we conclude that preventive helmet campaigns possibly attain a higher acceptance leading to a higher helmet use compared to a helmet mandatory.

  11. 75 FR 66433 - Mandatory Reporting of Greenhouse Gases

    Science.gov (United States)

    2010-10-28

    ... 325120 Hydrogen manufacturing facilities. Iron and Steel Production 331111 Integrated iron and steel... Coal liquefaction at mine sites. Suppliers of Natural Gas and NGLs 221210 Natural gas distribution... Q--Iron and Steel Production J. Subpart S--Lime Manufacturing K. Subpart V--Nitric Acid Production L...

  12. 75 FR 33949 - Mandatory Reporting of Greenhouse Gases

    Science.gov (United States)

    2010-06-15

    ... facilities. Iron and Steel Production 331111 Integrated iron and steel mills, steel companies, sinter plants... mine sites. Suppliers of Natural Gas and NGLs 221210 Natural gas distribution facilities. 211112... H. Subpart P--Hydrogen Production I. Subpart Q--Iron and Steel Production J. Subpart S--Lime...

  13. 75 FR 79091 - Mandatory Reporting of Greenhouse Gases

    Science.gov (United States)

    2010-12-17

    ... tons of CO 2 equivalents MVC molar volume conversion factor NESHAP National Emission Standards for... NSPS New Source Performance Standards N 2 O nitrous oxide NAICS North American Industry Classification..., made since proposal in response to those comments. Finally, the last (third) section discusses the...

  14. 75 FR 48743 - Mandatory Reporting of Greenhouse Gases

    Science.gov (United States)

    2010-08-11

    ... tons of CO 2 equivalents MVC molar volume conversion factor MWC municipal waste combustor NESHAP... North American Industry Classification System NGLs natural gas liquids O 2 oxygen O&M operation and.... Finally, the last (third) section discusses the various statutory and executive order requirements...

  15. 76 FR 73885 - Mandatory Reporting of Greenhouse Gases

    Science.gov (United States)

    2011-11-29

    ... Wastewater 322110 Pulp mills. Treatment. 322121 Paper mills. 322122 Newsprint mills 322130 Paperboard mills... Landfills.... 562212 Solid waste 322110 landfills. 322121 Pulp mills. Paper mills. 322122 Newsprint mills... calibrated annually using measurements made by gas chromatography methods. Also, as proposed, we...

  16. 75 FR 57669 - Mandatory Reporting of Greenhouse Gases

    Science.gov (United States)

    2010-09-22

    ... the Air Docket is (202) 566-1742. FOR FURTHER INFORMATION CONTACT: For technical information and... dust reclaiming facilities, recovering from scrap and/or alloying purchased metals. Municipal Solid...: Regulatory Planning and Review B. Paperwork Reduction Act C. Regulatory Flexibility Act D. Unfunded Mandates...

  17. Mandatory and Voluntary Disclosure of Annual Report on Investor Reaction

    National Research Council Canada - National Science Library

    Hendra Gunawan; Evelyn Octa Lina

    2015-01-01

    ...), cash flows investing activities (AKIn), cash flows financing activities (AKDa) as the control variable and the investor reaction was measured by using trading volume activity as the dependent variable...

  18. 76 FR 47391 - Mandatory Reporting of Greenhouse Gases

    Science.gov (United States)

    2011-08-04

    ... American Society for Testing and Materials. BAMM best available monitoring methods. CAA Clean Air Act. CBI... volatile solids concentration was expected to have units of mass of volatile solids per mass of (wet) waste... some questions raised in the 2009 final rule about where certain communications should be...

  19. Investor Reaction to Mandatory Offers on the Warsaw Stock Exchange

    Directory of Open Access Journals (Sweden)

    Szymon Okoń

    2012-06-01

    Full Text Available The following paper aims to assess investor reaction to mandatory offers on the Warsaw Stock Exchange, which is important because knowledge about these reactions can be used to make better investment decisions. This paper highlights the importance of procedure in making a mandatory offer and its grounds in the Polish legal system. Additionally, it presents empirical research on the reactions of investors to mandatory offers on the Warsaw Stock Exchange. It has been provided that mandatory offers have a significant impact on the price of a company’s shares listed on the Warsaw Stock Exchange. Knowledge about the reactions of investors to a mandatory offer may be used when selecting securities for an investment portfolio. The findings may provide guidance in deciding whether to begin or end investment in the company, both for individual and institutional investors. The event study methodology approach used in the paper is regarded as valuable and can be the basis for further research in other areas of the capital market research, especially in the context of information efficiency.

  20. Visitor assessment of the mandatory alternative transportation system at Zion National Park.

    Science.gov (United States)

    Mace, Britton L; Marquit, Joshua D; Bates, Scott C

    2013-11-01

    Transportation infrastructure in national parks has historically been designed for the automobile. With more vehicles in the parks, visitors found themselves in circumstances more reminiscent of a city than a park. Traffic jams, overcrowding, illegal parking, horn honking, and idling vehicles became common, creating stress and contributing to air and noise pollution, the very things visitors were hoping to get away from. Park managers began searching for alternatives, including shuttle systems. Many national parks have implemented optional shuttle systems, but relatively few have completely closed roads to vehicles, transporting visitors on mandatory shuttles. Zion National Park instituted a mandatory shuttle system in May 2000 to relieve crowding and congestion in the main canyon and to protect natural resources. Taking a longitudinal approach, attributes of the shuttle (e.g., crowding, accessibility, freedom, efficiency, preference, and success) were assessed with experiential park factors (e.g., scenic beauty, naturalness, solitude, tranquility, air quality, and soundscape) in 2000, 2003, and 2010 by surveying shuttle-riding park visitors. While visitors initially reported a few reservations about the shuttle system, by 2003, the majority rated the system successful. Ratings of all shuttle-related variables, except crowding, improved over the decade. Improvements were greatest for freedom, accessibility, and efficiency. Multiple regression found overall shuttle success to be mediated by preference, freedom, accessibility, efficiency, and comfort. Experiential variables assessing park conditions followed a similar pattern, with improved ratings as the decade progressed. Results provide important insights into the visitor experience with mandatory alternative shuttle systems in national parks.

  1. Visitor Assessment of the Mandatory Alternative Transportation System at Zion National Park

    Science.gov (United States)

    Mace, Britton L.; Marquit, Joshua D.; Bates, Scott C.

    2013-11-01

    Transportation infrastructure in national parks has historically been designed for the automobile. With more vehicles in the parks, visitors found themselves in circumstances more reminiscent of a city than a park. Traffic jams, overcrowding, illegal parking, horn honking, and idling vehicles became common, creating stress and contributing to air and noise pollution, the very things visitors were hoping to get away from. Park managers began searching for alternatives, including shuttle systems. Many national parks have implemented optional shuttle systems, but relatively few have completely closed roads to vehicles, transporting visitors on mandatory shuttles. Zion National Park instituted a mandatory shuttle system in May 2000 to relieve crowding and congestion in the main canyon and to protect natural resources. Taking a longitudinal approach, attributes of the shuttle (e.g., crowding, accessibility, freedom, efficiency, preference, and success) were assessed with experiential park factors (e.g., scenic beauty, naturalness, solitude, tranquility, air quality, and soundscape) in 2000, 2003, and 2010 by surveying shuttle-riding park visitors. While visitors initially reported a few reservations about the shuttle system, by 2003, the majority rated the system successful. Ratings of all shuttle-related variables, except crowding, improved over the decade. Improvements were greatest for freedom, accessibility, and efficiency. Multiple regression found overall shuttle success to be mediated by preference, freedom, accessibility, efficiency, and comfort. Experiential variables assessing park conditions followed a similar pattern, with improved ratings as the decade progressed. Results provide important insights into the visitor experience with mandatory alternative shuttle systems in national parks.

  2. Mandatory Risk Assessment Reduces Venous Thromboembolism in Bariatric Surgery Patients.

    Science.gov (United States)

    Nimeri, Abdelrahman A; Bautista, Jejomar; Ibrahim, Maha; Philip, Ruby; Al Shaban, Talat; Maasher, Ahmed; Altinoz, Ajda

    2017-08-23

    Bariatric surgery patients are at high risk for venous thromboembolism (VTE), and chemoprophylaxis is recommended. Sheikh Khalifa Medical City (SKMC) is an American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) member since 2009. We report the rates of VTE in bariatric surgery patients from 2010 to 2016 compared to ACS NSQIP bariatric surgery programs before and after switching from heparin to low molecular weight heparin (LMWH), initiating mandatory risk assessment using Caprini scoring for VTE and adopting an aggressive strategy for high-risk patients regarding dosage of LMWH and chemoprophylaxis after discharge. During the study period, there were 1152 cases (laparoscopic Roux-en-Y gastric bypass (LRYGB) 625 and laparoscopic sleeve gastrectomy (LSG) 527) at Bariatric & Metabolic Institute (BMI) Abu Dhabi compared to 65,693 cases (LRYGB 32,130 and LSG 33,563) at ACS NSQIP bariatric surgery programs. VTE rates remained stable at ACS NSQIP bariatric surgery programs from 2010 to 2016 (0.45, 0.45, 0.45, 0.25, 0.35, 0.3, and 0.3%). In contrast, VTE rates at BMI Abu Dhabi decreased from 2.2% in 2011 to 0.35% after we adopted an aggressive strategy to VTE without an increase in bleeding complications. LRYGB patients with VTE had higher OR time, leak, collection, and mortality at ACS NSQIP hospitals compared to those at BMI Abu Dhabi. In contrast, rates were similar in LSG patients with VTE. Changing our approach to VTE management led our VTE rates to decrease and become like those of ACS NSQIP bariatric surgery patients in LSG and LRYGB.

  3. Ethical Considerations in Mandatory Disclosure of Data Acquired While Caring for Human Trafficking Survivors.

    Science.gov (United States)

    Kerr, Patrick L; Dash, Rachel

    2017-01-01

    Accurate data on the prevalence and psychological effects of human trafficking as well as treatment outcomes for survivors are essential for measuring the impact of interventions and generating better understanding of this phenomenon. However, such data are difficult to obtain. A legal mandate for health care professionals to report trafficking opens opportunities for advancing our work in the field of human trafficking but also poses risks to survivors seeking services. In this article, we provide an analysis of some critical ethical considerations for the development and implementation of a mandatory reporting policy and offer recommendations for the ethical implementation of such a policy.

  4. The Effectiveness of Mandatory-Random Student Drug Testing

    Science.gov (United States)

    James-Burdumy, Susanne; Goesling, Brian; Deke, John; Einspruch, Eric

    2011-01-01

    One approach some U.S. schools now use to combat high rates of adolescent substance use is school-based mandatory-random student drug testing (MRSDT). Under MRSDT, students and their parents sign consent forms agreeing to the students' participation in random drug testing as a condition of participating in athletics and other school-sponsored…

  5. 78 FR 34565 - Modification of Mandatory Label Information for Wine

    Science.gov (United States)

    2013-06-10

    ... Information for Wine AGENCY: Alcohol and Tobacco Tax and Trade Bureau, Treasury. ACTION: Final rule; Treasury... the mandatory labeling requirements for wine. The regulatory change permits alcohol content to appear... regulatory change provides greater flexibility in wine labeling, and will conform the TTB wine labeling...

  6. 41 CFR 51-5.2 - Mandatory source requirement.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Mandatory source requirement. 51-5.2 Section 51-5.2 Public Contracts and Property Management Other Provisions Relating to... such as the Defense Logistics Agency and the General Services Administration, and certain...

  7. The Compatibility of Liberalism and Mandatory Environmental Education

    Science.gov (United States)

    Ferkany, Matt; Whyte, Kyle Powys

    2013-01-01

    Recently scholars have wondered whether liberals can promote mandatory programs of formal environmental education, including education for the environment or sustainable development. Critics maintain that they cannot on grounds that environmental education is a threat to student autonomy or cannot be justified using liberal principles. We argue…

  8. 28 CFR 17.31 - Mandatory review for declassification requests.

    Science.gov (United States)

    2010-07-01

    ... appeal rights. (b) Request for mandatory review for declassification and any subsequent appeal to the DRC..., or the DRC in the case of an appeal, and provide the requester with an acknowledgement of receipt of... decision to the DRC. (d) The component that originally classified the information shall provide a...

  9. Mandatory Identification Bar Checks: How Bouncers Are Doing Their Job

    Science.gov (United States)

    Monk-Turner, Elizabeth; Allen, John; Casten, John; Cowling, Catherine; Gray, Charles; Guhr, David; Hoofnagle, Kara; Huffman, Jessica; Mina, Moises; Moore, Brian

    2011-01-01

    The behavior of bouncers at on site establishments that served alcohol was observed. Our aim was to better understand how bouncers went about their job when the bar had a mandatory policy to check identification of all customers. Utilizing an ethnographic decision model, we found that bouncers were significantly more likely to card customers that…

  10. Mandatory Use of Electronic Health Records: Overcoming Physician Resistance

    Science.gov (United States)

    Brown, Viseeta K.

    2012-01-01

    Literature supports the idea that electronic health records hold tremendous value for the healthcare system in that it increases patient safety, improves the quality of care and provides greater efficiency. The move toward mandatory implementation of electronic health records is a growing concern in the United States health care industry. The…

  11. The Implications of the Elimination of Mandatory Retirement for Professors.

    Science.gov (United States)

    Craver, Charles B.

    1990-01-01

    Eliminating mandatory retirement for tenured professors will force institutions to reassess their relationships with older faculty. Institutions should not abolish or modify existing tenure policies, which might erode academic freedom, but should instead adopt and consistently apply performance review procedures. (Author/MSE)

  12. 14 CFR 223.3 - Mandatory free transportation.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Mandatory free transportation. 223.3 Section 223.3 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ECONOMIC REGULATIONS FREE AND REDUCED-RATE TRANSPORTATION General Provisions § 223.3...

  13. Probing the Future of Mandatory Retirement in Canada

    Science.gov (United States)

    Ibbott, Peter; Kerr, Don; Beaujot, Roderic

    2006-01-01

    The future of mandatory retirement is at least partly driven by changing demographics. In Canada, these demographics include slowing population growth, rapid aging, declining rates of labour force participation, and slowing labour force growth. After reviewing the demographic trends and considering alternate scenarios in labour force…

  14. 5 CFR 9701.707 - Appeals of mandatory removal actions.

    Science.gov (United States)

    2010-01-01

    ... employee may appeal such actions to the Mandatory Removal Panel (MRP) established under § 9701.708. (b) Procedures. (1) The MRP will establish procedures for the fair, impartial, and expeditious assignment and... other matters as may be necessary to ensure the operation of the MRP. (2) The MRP will conduct a...

  15. 75 FR 3355 - Guidelines and Requirements for Mandatory Recall Notices

    Science.gov (United States)

    2010-01-21

    ... apply to mandatory recall orders and the Commission declines to duplicate these provisions in the rule... Act (``FOIA'') rights. Response--The Commission declines to address FOIA issues in the rule because a... products second-hand or receive them as gifts. Considering the popularity of certain Web sites that...

  16. The Compatibility of Liberalism and Mandatory Environmental Education

    Science.gov (United States)

    Ferkany, Matt; Whyte, Kyle Powys

    2013-01-01

    Recently scholars have wondered whether liberals can promote mandatory programs of formal environmental education, including education for the environment or sustainable development. Critics maintain that they cannot on grounds that environmental education is a threat to student autonomy or cannot be justified using liberal principles. We argue…

  17. Competition with mandatory labeling of genetically modified products

    NARCIS (Netherlands)

    Toolsema-Veldman, Linda

    2005-01-01

    In April 2004, the European Union adopted a new legislative framework for genetically modified (GM) organisms. This framework regulates the placing on the market of GM products, and demands these products to be labeled as such. We present a duopoly model with vertical differentiation and mandatory l

  18. 27 CFR 7.53 - Legibility of mandatory information.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Legibility of mandatory information. 7.53 Section 7.53 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU... part that appear in any written, printed, or graphic advertisement shall be in lettering or type...

  19. 27 CFR 4.63 - Legibility of mandatory information.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Legibility of mandatory information. 4.63 Section 4.63 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU... written, printed, or graphic advertisement shall be in lettering or type size sufficient to be...

  20. 27 CFR 5.64 - Legibility of mandatory information.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Legibility of mandatory information. 5.64 Section 5.64 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU... this part to appear in any written, printed, or graphic advertisement shall be in lettering or...

  1. The Economics of the Mandatory Renewable Energy Target (MRET)

    OpenAIRE

    del Mundo, Israel; Wills, Ian R.

    2005-01-01

    In response to increasing awareness of climate change, the Howard government implemented the Mandatory Renewable Energy Target (MRET) in 2001. It requires electricity wholesalers to source an additional 9500 GWh of electricity from renewable sources by 2010. Electricity wholesalers are required to subsidise renewable energy generators by purchasing Renewable Energy Certificates (RECs) equivalent to the target; failure to do so incurs a penalty of $40 per megawatt. Economic analysis is used to...

  2. Mandatory participation in occupational pension schemes in the Netherlands and other countries

    NARCIS (Netherlands)

    D.H.J. Chen; R.M.W.J. Beetsma

    2014-01-01

    This paper discusses mandatory participation in Dutch occupational pension schemes. While mandatory participation is a historical feature of most second-pillar pension arrangements, some recent developments may affect the case for mandatory participation. The main ones are the revision of the Dutch

  3. 75 FR 52528 - Mandatory Reliability Standards for the Bulk-Power System; Notice of Technical Conference

    Science.gov (United States)

    2010-08-26

    ... Energy Regulatory Commission Mandatory Reliability Standards for the Bulk-Power System; Notice of... ] 61,053 (2007). \\2\\ Mandatory Reliability Standards for the Bulk Power System, 130 FERC ] 61,218... a frequency response requirement.'' \\3\\ \\1\\ Mandatory Reliability Standards for the...

  4. 29 CFR Appendix III to Part 1918 - The Mechanics of Conventional Cargo Gear (Non-mandatory)

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 7 2010-07-01 2010-07-01 false The Mechanics of Conventional Cargo Gear (Non-mandatory.... 1918, App. III Appendix III to Part 1918—The Mechanics of Conventional Cargo Gear (Non-mandatory) Note: This appendix is non-mandatory and provides an explanation of the mechanics in the correct spotting...

  5. Mandatory and Self-citation; Types, Reasons, Their Benefits and Disadvantages.

    Science.gov (United States)

    Hemmat Esfe, Mohammad; Wongwises, Somchai; Asadi, Amin; Karimipour, Arash; Akbari, Mohammad

    2015-12-01

    This paper defines and discusses two important types of citations, self-citation and mandatory citation, in engineering journals. Citation can be classified in three categories: optional; semi-mandatory; and mandatory. There are some negative and positive impacts for the authors' paper and journals' reputation if mandatory citation of a paper or set of papers is requested. These effects can be different based on the recommended papers for citing in the new research. Mandatory citation has various types discussed in this paper. Self-citation and its reasons and impacts are also discussed in the present study.

  6. Mandatory and Self-citation; Types, Reasons, Their Benefits and Disadvantages

    DEFF Research Database (Denmark)

    Hemmat Esfe, Mohammad; Wongwises, Somchai; Asadi, Amin

    2015-01-01

    This paper defines and discusses two important types of citations, self-citation and mandatory citation, in engineering journals. Citation can be classified in three categories: optional; semi-mandatory; and mandatory. There are some negative and positive impacts for the authors’ paper and journals......’ reputation if mandatory citation of a paper or set of papers is requested. These effects can be different based on the recommended papers for citing in the new research. Mandatory citation has various types discussed in this paper. Self-citation and its reasons and impacts are also discussed in the present...

  7. N.J. governor vetoes mandatory testing of psychiatric patients.

    Science.gov (United States)

    1997-06-13

    New Jersey Governor Christie Whitman conditionally vetoed a bill that would have mandated HIV testing of all patients in State psychiatric hospitals. The bill would have required patients upon admission to undergo testing for HIV, hepatitis B, hepatitis C, syphilis, gonorrhea, and other sexually transmitted diseases. Except in limited circumstances, New Jersey does not mandate HIV testing. The measure passed both houses with little opposition but the governor decided to invoke her power of conditional veto. The governor recommended that the mandatory testing and disclosure portions be deleted and replaced with a provision requiring that the patient be informed of the benefits of HIV testing and be given the option of voluntary testing.

  8. Federal mandatory spending caps vital for health care reform.

    Science.gov (United States)

    Domenici, P V

    1992-01-01

    Rising health spending creates an increasing burden on families, businesses, and government. Federal health spending--chiefly on Medicare and Medicaid--is a major contributor to a budget deficit that threatens to exceed $400 billion. In order to control that deficit, the President and the Congress must cap mandatory spending, excluding Social Security. In turn, policymakers should adopt health reforms to fit spending within the cap including enrolling more consumers in managed care plans, resolving medical liability disputes in arbitration instead of courts, and increasing assessment of research into cost-effective new technology.

  9. Paying for Forest Ecosystem Services: Voluntary Versus Mandatory Payments

    Science.gov (United States)

    Roesch-McNally, Gabrielle E.; Rabotyagov, Sergey S.

    2016-03-01

    The emergence of new markets for forest ecosystem services can be a compelling opportunity for market diversification for private forest landowners, while increasing the provision of public goods from private lands. However, there is limited information available on the willingness-to-pay (WTP) for specific forest ecosystem services, particularly across different ecosystem market mechanisms. We utilize survey data from Oregon and Washington households to compare marginal WTP for forest ecosystem services and the total WTP for cost-effective bundles of forest ecosystem services obtained from a typical Pacific Northwest forest across two value elicitation formats representing two different ecosystem market mechanisms: an incentive-compatible choice experiment involving mandatory tax payments and a hypothetical private provision scenario modeled as eliciting contributions to the preferred forest management alternative via a provision point mechanism with a refund. A representative household's total WTP for the average forest management program was estimated at 217.59 per household/year under a mandatory tax mechanism and 160.44 per household/per year under a voluntary, crowdfunding-style, contribution mechanism; however, these estimates are not statistically different. Marginal WTP estimates were assessed for particular forest ecosystem service attributes including water quality, carbon storage, mature forest habitat, and public recreational access. This study finds that survey respondents place significant economic value on forest ecosystem services in both elicitation formats and that the distributions of the marginal WTP are not statistically significantly different.

  10. Paying for Forest Ecosystem Services: Voluntary Versus Mandatory Payments.

    Science.gov (United States)

    Roesch-McNally, Gabrielle E; Rabotyagov, Sergey S

    2016-03-01

    The emergence of new markets for forest ecosystem services can be a compelling opportunity for market diversification for private forest landowners, while increasing the provision of public goods from private lands. However, there is limited information available on the willingness-to-pay (WTP) for specific forest ecosystem services, particularly across different ecosystem market mechanisms. We utilize survey data from Oregon and Washington households to compare marginal WTP for forest ecosystem services and the total WTP for cost-effective bundles of forest ecosystem services obtained from a typical Pacific Northwest forest across two value elicitation formats representing two different ecosystem market mechanisms: an incentive-compatible choice experiment involving mandatory tax payments and a hypothetical private provision scenario modeled as eliciting contributions to the preferred forest management alternative via a provision point mechanism with a refund. A representative household's total WTP for the average forest management program was estimated at $217.59 per household/year under a mandatory tax mechanism and $160.44 per household/per year under a voluntary, crowdfunding-style, contribution mechanism; however, these estimates are not statistically different. Marginal WTP estimates were assessed for particular forest ecosystem service attributes including water quality, carbon storage, mature forest habitat, and public recreational access. This study finds that survey respondents place significant economic value on forest ecosystem services in both elicitation formats and that the distributions of the marginal WTP are not statistically significantly different.

  11. The effects of mandatory seatbelt laws on seatbelt use, motor vehicle fatalities, and crash-related injuries among youths.

    Science.gov (United States)

    Carpenter, Christopher S; Stehr, Mark

    2008-05-01

    We provide the first comprehensive assessment of the effects of mandatory seatbelt laws on self-reported seatbelt use, highway fatalities, and crash-related injuries among high school age youths using data from the Centers for Disease Control's (CDC) national, state, and local Youth Risk Behavior Surveys (YRBS) and the Fatality Analysis Reporting System (FARS) from 1991 to 2005, a period spanning over 20 changes in state seatbelt laws. Our quasi-experimental approaches isolate the independent effects of seatbelt laws net of demographic characteristics, area and year fixed effects, and smooth area-specific trends. Across all data sources, we find consistent evidence that state mandatory seatbelt laws - particularly those permitting primary enforcement - significantly increased seatbelt use among high school age youths by 45-80%, primarily at the extensive margin. Unlike previous research for adults, however, we find evidence against the selective recruitment hypothesis: seatbelt laws had consistently larger effects on those most likely to be involved in traffic accidents (drinkers, alcohol-involved drivers). We also find that mandatory seatbelt laws significantly reduced traffic fatalities and serious injuries resulting from fatal crashes by 8 and 9%, respectively. Our results suggest that if all states had primary enforcement seatbelt laws then regular youth seatbelt use would be nearly universal and youth fatalities would fall by about 120 per year.

  12. The Introduction of Corporate Governance Codes in a Transitional Economy And its Impact on Compliance with Mandatory Disclosures: The Case of Egypt

    Directory of Open Access Journals (Sweden)

    Marwa Hassaan

    2016-01-01

    extends the financial reporting literature and the emerging markets disclosure literature by being the first to investigate the influence of corporate governance requirements for best practices on the levels of compliance with mandatory IFRSs disclosure requirements by companies listed on the EGX. Results provide evidence of the lack of influence of corporate governance best practices on the levels of compliance with mandatory IFRSs disclosure requirements as it is not yet part of the cultural values within the Egyptian context. These findings are consistent with the notions of the proposed theoretical foundation.

  13. Incident Report - Legacy

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Incident Report is a mandatory post trip legal document observers fill out to report any enforcement related situations they have encountered on an observed trip...

  14. Mandatory communication training of all employees with patient contact

    DEFF Research Database (Denmark)

    Ammentorp, Jette; Graugaard, Lars Toke; engelbrecht lau, marianne

    2014-01-01

    of the process to date. METHOD: The cornerstone of the program is a communication course based on the Calgary Cambridge Guide and on the experiences of several efficacy and effectiveness studies conducted at the same hospital. The specific elements of the program are described in steps and a preliminary......In 2010 a communication program that included mandatory communication skills training for all employees with patient contact was developed and launched at a large regional hospital in Denmark. OBJECTIVE: We describe the communication program, the implementation process, and the initial assessment...... assessment based on feedback from the departments will be presented. RESULTS: The elements of the communication program are as follows: (1) education of trainers; (2) courses for health professionals employed in clinical departments; (3) education of new staff; (4) courses for health professionals in service...

  15. [Duration of breast feeding after mandatory early discharge].

    Science.gov (United States)

    Kierkegaard, O

    1993-08-23

    A trial arrangement for mandatory early discharge for all normal multiparae was started in 1990 and the duration of breastfeeding was investigated by a questionnaire. 89 mothers who stayed at the hospital were compared to 113 mothers who were discharged within 24 hours after delivery. The latter group was also compared to 122 early discharged mothers who delivered 14-17 months after the trial arrangement had started. The three groups were comparable in all aspects. After four weeks a large proportion of the later discharged mothers were still breastfeeding compared to the other two groups (p < 0.001). This difference disappeared later, hence when comparing the total duration of breastfeeding no differences were found between the three groups.

  16. Mandatory weight loss during the wait for bariatric surgery.

    Science.gov (United States)

    Glenn, Nicole M; Raine, Kim D; Spence, John C

    2015-01-01

    Mandatory presurgical, behavior-induced weight loss, although not standard, is a relatively common practice among bariatric surgical clinics. We explore the patient's experience of this practice using phenomenology. We gathered experiential accounts from 7 individuals waiting to have the procedure at a large publically funded clinic in western Canada. In writing this article, we focused on four phenomenological themes: "just nod your head and carry on"-silencing through the ideal; waiting and weighing-promoting weight consciousness to the weight conscious; paying for surgical approval through weight loss; and presurgical weight loss and questioning the need for weight loss surgery altogether. We contrast the experiential findings with the clinical literature to question the impact and possible (unintended or unexpected) effects the practice might have, particularly on patients' lives. We situate this article within a larger discussion about the possible contribution of experiential knowledge to clinical guidelines, practices, and pedagogies. © The Author(s) 2014.

  17. Autonomous Cars: In Favor of a Mandatory Ethics Setting.

    Science.gov (United States)

    Gogoll, Jan; Müller, Julian F

    2016-07-14

    The recent progress in the development of autonomous cars has seen ethical questions come to the forefront. In particular, life and death decisions regarding the behavior of self-driving cars in trolley dilemma situations are attracting widespread interest in the recent debate. In this essay we want to ask whether we should implement a mandatory ethics setting (MES) for the whole of society or, whether every driver should have the choice to select his own personal ethics setting (PES). While the consensus view seems to be that people would not be willing to use an automated car that might sacrifice themselves in a dilemma situation, we will defend the somewhat contra-intuitive claim that this would be nevertheless in their best interest. The reason is, simply put, that a PES regime would most likely result in a prisoner's dilemma.

  18. Department of Health's requirement for mandatory collection of data on ethnic group of inpatients.

    Science.gov (United States)

    Aspinall, P. J.

    1995-01-01

    On 1 April the Department of Health introduced the mandatory collection of data on the ethnic group of patients admitted to hospital. Its coding was based on a national minimum standard for classifying ethnic groups, ostensibly using the categories in the 1991 census. In the census, however, one in four people from ethnic groups other than white, including many of mixed parentage, provided non-standard responses to the question on ethnic group. The Department of Health's standard does not include provision for respondents to write in a description of their ethnic group, and this has produced a flawed system out of step with current practice on collection of data on ethnic group. Different methods of analysis preclude comparison with census statistics, and the difficulties in aggregating more detailed local categories to the standard raise concerns about consistency of reporting and quality of the data. PMID:7580590

  19. 75 FR 76478 - Mandatory Guidelines for Federal Workplace Drug Testing Programs

    Science.gov (United States)

    2010-12-08

    ... HUMAN SERVICES Mandatory Guidelines for Federal Workplace Drug Testing Programs AGENCY: Substance Abuse... Department of Health and Human Services (HHS) Mandatory Guidelines for Federal Workplace Drug Testing... drug testing results that seek approval by the Secretary must submit their qualifications and a sample...

  20. 36 CFR 1260.56 - Is White House originated information subject to mandatory review?

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Is White House originated... Mandatory Review § 1260.56 Is White House originated information subject to mandatory review? White House... administrations pursuant to 44 U.S.C. 2107 and 2111. Unless precluded by such laws or agreements, White...

  1. 48 CFR 252.222-7006 - Restrictions on the Use of Mandatory Arbitration Agreements.

    Science.gov (United States)

    2010-10-01

    ... Mandatory Arbitration Agreements. 252.222-7006 Section 252.222-7006 Federal Acquisition Regulations System... Arbitration Agreements. As prescribed in 222.7404, use the following clause: Restrictions on the Use of Mandatory Arbitration Agreements (MAY 2010) (a) Definitions. As used in this clause— Covered...

  2. 42 CFR 403.308 - State systems under demonstration projects-mandatory approval.

    Science.gov (United States)

    2010-10-01

    ...-mandatory approval. 403.308 Section 403.308 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... Reimbursement Control Systems § 403.308 State systems under demonstration projects—mandatory approval. CMS will... approval of a State system are met under § 403.304 (b)(1)-(10) and § 403.304(c), and, if appropriate §...

  3. Evaluation of the Mandatory Construction Induction Training Program in Western Australia: Unanticipated Consequences

    Science.gov (United States)

    Bahn, Susanne; Barratt-Pugh, Llandis

    2012-01-01

    Since January 1, 2007, Government legislation in Western Australia required all workers in construction to complete mandatory safety awareness training before they began work on site. During the implementation of this new legislation there was considerable resistance from the construction sector due to the mandatory nature of the training. The…

  4. 75 FR 22809 - Mandatory Guidelines for Federal Workplace Drug Testing Programs

    Science.gov (United States)

    2010-04-30

    ...: Final rule: Change in effective date. SUMMARY: The Department of Health and Human Services (HHS) is changing the effective date of the Revisions to the Mandatory Guidelines for Federal Workplace Drug Testing... HUMAN SERVICES Mandatory Guidelines for Federal Workplace Drug Testing Programs AGENCY: Substance Abuse...

  5. 76 FR 64082 - Mandatory Reliability Standards for the Bulk-Power System; Notice of Staff Meeting

    Science.gov (United States)

    2011-10-17

    ... Energy Regulatory Commission Mandatory Reliability Standards for the Bulk-Power System; Notice of Staff...\\ Mandatory Reliability Standards for the Bulk-Power System, Order No. 693, FERC Stats. & Regs. ] 31,242... Discussion on the reliability issues relating to ``Single Point of Failure on Protection Systems,'' on...

  6. 28 CFR 2.35 - Mandatory release in the absence of parole.

    Science.gov (United States)

    2010-07-01

    ... the offender may be required to serve for violation of parole or mandatory release. (c) A prisoner... RECOMMITMENT OF PRISONERS, YOUTH OFFENDERS, AND JUVENILE DELINQUENTS United States Code Prisoners and Parolees § 2.35 Mandatory release in the absence of parole. (a) A prisoner shall be mandatorily released by...

  7. 76 FR 4001 - Foreign Trade Regulations (FTR): Mandatory Automated Export System Filing for All Shipments...

    Science.gov (United States)

    2011-01-21

    ... Commerce Census Bureau 15 CFR Part 30 Foreign Trade Regulations (FTR): Mandatory Automated Export System... Foreign Trade Regulations (FTR): Mandatory Automated Export System Filing for All Shipments Requiring... Automated Export System (AES) or through AESDirect for all shipments of used self-propelled...

  8. Mandatory IFRS adoption and the cost of Equity Capital. Evidence from Spanish Firms

    Directory of Open Access Journals (Sweden)

    David Castillo-Merino

    2014-05-01

    Full Text Available Purpose: The main objective of this paper analyses the effects of mandatory International Financial Reporting Standards (IFRS adoption by Spanish firms in 2005 on the cost of equity capital. Design/methodology: Using a sample of listed Spanish companies during the 1999 to 2009 period and a country-level focused analysis. To achieve our objective we relied on OLS regression analysis and estimate the dependent variable – the cost of equity – by using the proxy suggested in Easton (2004. Findings: We find evidence that, unlike previous studies, Spanish listed companies show a significant reduction in their cost of equity capital after the mandatory adoption of IFRS in 2005, after controlling by a set of firm-risk and market variables. According to our results, increased financial disclosure and enhanced information comparability, along with changes in legal and institutional enforcement, seem to have a joint effect on the cost of capital, leading to a large decrease in expected equity returns. Research limitations: The main limitation of the study is that the sample represents just one country. Practical implications: The findings of the study may have implications for the firms’ management staff, as they reveal what information determines the cost of equity capital. The systematic risk and the leverage affect positively the cost of stocks and therefore their market value. The results are consistent with the financial principle establishing that the higher risk and the higher leverage, the higher cost of capital. Originality/value: As a result of the conducted research, one is able to figure out which stock-return variables should be observed to anticipate the change of a company’s cost of capital.

  9. Lights on for daytime driving: mandatory from 1 January 2014

    CERN Multimedia

    2013-01-01

    In accordance with the Swiss Federal Decree of 15 June 2012, it will be mandatory from 1 January 2014 to keep your vehicle lights permanently switched on when driving on Swiss territory.   New vehicles are now equipped with daytime running lights which switch on automatically. For older vehicles, side lights can be used as daytime running lights, and it is always possible to fit specific daytime running lights to a vehicle at a later date. This measure is already in force in most European countries and is particularly aimed at improving the visibility of vehicles and helping pedestrians and cyclists to judge the distance and speed of an approaching vehicle more easily. From 1 January 2014, this obligation applies to all “automobiles (passenger cars, heavy goods vehicles, delivery vehicles and coaches)”(1) as well as to “motorcycles” driven on Swiss roads. “Electric bicycles and vehicles in circulation before 1970”(2) are exempt.&nb...

  10. Lights on for daytime driving: mandatory from 1 January 2014

    CERN Multimedia

    2014-01-01

    In accordance with the Swiss Federal Decree of 15 June 2012, it will be mandatory from 1 January 2014 to keep your vehicle lights permanently switched on when driving on Swiss territory.   New vehicles are now equipped with daytime running lights which switch on automatically. For older vehicles, side lights can be used as daytime running lights, and it is always possible to fit specific daytime running lights to a vehicle at a later date. This measure is already in force in most European countries and is particularly aimed at improving the visibility of vehicles and helping pedestrians and cyclists to judge the distance and speed of an approaching vehicle more easily. From 1 January 2014, this obligation applies to all “automobiles (passenger cars, heavy goods vehicles, delivery vehicles and coaches)”(1) as well as to “motorcycles” driven on Swiss roads. “Electric bicycles and vehicles in circulation before 1970”(2) are exempt.&nb...

  11. Postpercutaneous Nephrolithotomy Nephrostogram: Is It Mandatory? A Single Center Experience

    Directory of Open Access Journals (Sweden)

    Abdul Rouf Khawaja

    2014-01-01

    Full Text Available Aims and Objective. “Postpercutaneous nephrolithotomy nephrostogram” (PPNN is routinely performed in most of the centers. No published series could be found in the literature without post percutaneous nephrolithotomy nephrostogram. Hence, the aim of our study is to highlight that post percutaneous nephrolithotomy nephrostogram is not mandatory and it only adds to cost and morbidity without adding any information in the management of such patients. Methods. It was a prospective study from 2005 to 2012, conducted in our institute. It included 119 patients of renal stones who underwent percutaneous nephrolithotomy performed under the guidance of a single surgeon. Postoperative nephrostogram was not done in any of the patients. Results. Complete stone clearance was achieved in 97.5% of patients and 2.5% of patients needed two to three sessions of ESWL later on. None of the patients needed second look percutaneous nephrolithotomy or nephrostogram. Conclusion. Postpercutaneous nephrolithotomy nephrostogram increases chances of infection, inconvenience, contrast related complications, and cost, with no added advantage over plain X-ray KUB, and it should not be done as a routine investigation prior to the removal of PCN tube in patients with complete stone clearance.

  12. Mandatory continuing professional education: what is the prognosis?

    Science.gov (United States)

    James, Ainsley; Francis, Karen

    2011-01-01

    Each year registered nurses apply for registration renewal The Nursing and Midwifery Board of Australia stipulate all nurses and midwives are expected to take responsibility and accountability for participating in continuing professional development (CPD) as a declaration that their practice is current, safe and competent. The code of professional conduct and Australian Nursing and Midwifery Council (ANMC) competencies governing registered nurses and midwives, outline the professional and personal responsibility nurses hold in order to maintain clinical competence; which may be achieved through continuing nurse education and professional development. As the health care industry shifts focus to keep up with changes in technology, economics, demographics and culture, the nursing profession must respond accordingly. With the implementation of a national registration scheme in Australia, this paper provides a review of the literature relating to mandatory CPD and how CPD may assist nurses to respond to the changing needs of the health care system and its consumers, to ensure the best possible health outcomes. Suggestions of possible avenues of research into the concept of CPD are also offered.

  13. Lights on for daytime driving: mandatory from 1 January 2014

    CERN Multimedia

    2013-01-01

    In accordance with the Swiss Federal Decree of 15 June 2012, it will be mandatory from 1 January 2014 to keep your vehicle lights permanently switched on when driving on Swiss territory.   New vehicles are now equipped with daytime running lights which switch on automatically. For older vehicles, side lights can be used as daytime running lights, and it is always possible to fit specific daytime running lights to a vehicle at a later date. This measure is already in force in most European countries and is particularly aimed at improving the visibility of vehicles and helping pedestrians and cyclists to judge the distance and speed of an approaching vehicle more easily. From 1 January 2014, this obligation applies to all “automobiles (passenger cars, heavy goods vehicles, delivery vehicles and coaches)”(1) as well as to “motorcycles” driven on Swiss roads. “Electric bicycles and vehicles in circulation before 1970”(2) are exempt.&nb...

  14. 40 CFR 98.361 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Manure Management § 98.361 Reporting threshold. Livestock facilities must report GHG emissions under this subpart if the facility meets the reporting threshold as defined in...

  15. Attitudes toward mandatory occupational vaccinations and vaccination coverage against vaccine-preventable diseases of health care workers in primary health care centers.

    Science.gov (United States)

    Maltezou, Helena C; Katerelos, Panos; Poufta, Sophia; Pavli, Androula; Maragos, Antonios; Theodoridou, Maria

    2013-01-01

    The aim of this study was to assess the attitudes regarding mandatory occupational vaccinations and the vaccination coverage against vaccine-preventable diseases among health care workers (HCWs) working in primary health care centers in Greece. A standardized questionnaire was distributed to HCWs working in all primary health care centers in Greece (n = 185). A total of 2,055 of 5,639 HCWs (36.4% response rate) from 152 primary health care centers participated. The self-reported completed vaccination rates were 23.3% against measles, 23.3% against mumps, 29.8% against rubella, 3% against varicella, 5.8% against hepatitis A, 55.7% against hepatitis B, and 47.3% against tetanus-diphtheria; corresponding susceptibility rates were 17%, 25%, 18.6%, 16.7%, 87.5%, 35%, and 52.6%. Mandatory vaccinations were supported by 65.1% of 1,807 respondents, with wide differences by disease. Multiple logistic regression analysis revealed higher rates of acceptance of mandatory vaccination in physicians compared with other HCW categories. Despite the fact that two-thirds of HCWs working in primary health care centers in Greece support mandatory vaccination for HCWs, completed vaccination rates against vaccine-preventable diseases are suboptimal. Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  16. 77 FR 16951 - Livestock Mandatory Reporting Program; Establishment of the Reporting Regulation for Wholesale Pork

    Science.gov (United States)

    2012-03-23

    ... delivery is beyond the timeframe of a negotiated sale and means a sale by a packer selling wholesale pork... contained in the proposed regulatory text. OMB Control Numbers Subpart E of part 59 covers the OMB control..., parental status, or protected genetic information. This review included persons that are employees of the...

  17. 77 FR 50561 - Livestock Mandatory Reporting Program; Establishment of the Reporting Regulation for Wholesale Pork

    Science.gov (United States)

    2012-08-22

    ... differences that exist among companies, information technology (IT) systems, and business structure. While AMS... every aspect of the value chain, ranging from multinational corporations to part-time operators...

  18. 36 CFR 1260.60 - What are agency responsibilities with regard to mandatory review requests for White House...

    Science.gov (United States)

    2010-07-01

    ... responsibilities with regard to mandatory review requests for White House originated information? 1260.60 Section... responsibilities with regard to mandatory review requests for White House originated information? When an agency receives a mandatory review request from NARA for consultation on declassification of White...

  19. Differential profile in partner aggressors: Prison vs. mandatory community intervention programs

    Directory of Open Access Journals (Sweden)

    Jesús J. García-Jiménez

    2014-07-01

    Full Text Available In Spain, there are two types of sentence for partner aggressors: prison sentence and the alternative measure, specifically psychosocial intervention programs. The goal of this study was to determine differences in the delinquent and psychopathological profile of these aggressors as a function of the prison sentence received, for which the models proposed by Dutton (1995 and Holtzworth-Munroe and Stuart (1994 were followed. The sample was made up of 50 incarcerated aggressors and 40 men sentenced to mandatory community orders. The variables were obtained through a mixed method, with supervision of penitentiary case files, clinical interview for personality disorder (SCID-II, and self-reports for the personality profile (NEO-PI-R. Binary logistic regression was used to identify the final model, which best reveals the differences between both groups. The results describe the incarcerated aggressors' profile as having more altered risk factors at the socioeconomic, delinquent, and psychopathological levels. The three variables that increase the probability of belonging to the prison inmate group, according to the final model obtained were: use of weapons, drug consumption, and personality disorder. In contrast to other investigations, the high incidence in the outcomes of the target variables, mainly drug use and personality disorder, makes us wonder whether the diagnostic method used influenced the results in contrast to the exclusive use of self-reports, a goal to be confirmed in future studies.

  20. Association between mandatory seatbelt laws and road traffic injuries in Iran.

    Science.gov (United States)

    Soori, H; Nasermoadeli, A; Ainy, E; Hassani, S A; Mehmandar, M R

    2011-11-01

    This study investigated the efficacy of mandatory seatbelt legislation on traffic injuries and intensity of road traffic injuries (RTIs). We carried out a before- after interventional study. Data regarding road traffic accidents and injuries one year before and one and two years after the implementation of mandatory seatbelt legislation were obtained from the traffic police database. Traffic accident mortality was 13.0% of all RTIs during the year prior to implementation. This decreased to 9.7% and 11.4% during the first and second years after implementation, respectively (p < 0.001). The mortality rate was not consistent for seatbelt use since there was a slight increase in the mortality rate in second year after implementation of mandatory seatbelt use although this level was lower than the pre- implementation rate. Our findings suggest mandatory seatbelt use reduces the intensity of RTIs and reduces the crude number of RTIs.

  1. 75 FR 57764 - Mandatory Reliability Standards for the Bulk Power System; Supplemental Notice of Technical...

    Science.gov (United States)

    2010-09-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Mandatory Reliability Standards for the Bulk Power System; Supplemental Notice of Technical Conference September 14, 2010. On August 19, 2010 the Federal Energy...

  2. 75 FR 59261 - Mandatory Reliability Standards for the Bulk Power System; Supplemental Notice of Technical...

    Science.gov (United States)

    2010-09-27

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Mandatory Reliability Standards for the Bulk Power System; Supplemental Notice of Technical Conference September 17, 2010. On August 19, 2010 the Federal...

  3. Towards State Hegemony Over Agricultural Certification: From Voluntary Private to Mandatory State Regimes on Palm Oil in Indonesia

    Directory of Open Access Journals (Sweden)

    Muhammad Alif Kaimuddin Sahide

    2015-12-01

    Full Text Available Previous work on certification of palm oil has reported on a trend toward a change, from failed state regulation to voluntary, private governance. However, recent observations suggest a trend, moving from voluntary, private governance to mandatory state governance in palm oil certification in Indonesia, a move in which the state is reclaiming authority.In thislight, the aims of ourresearch are (1 to identify the main actorsinvolved in certification politics, (2 to explain this trend in terms of the actors' interests and whatever benefits may result for them. We developed our research questions based on bureaucratic politics and power theory. A mix of document analysis, interviews, and observations are applied for addressing the questions. The results answer our research questions, i.e., that (1 the state claims back its authority over certification from private actors and contributed to the complex meta governance of palm oil certification, the state mandatory scheme that is supported by states' bureaucracies in charge reducesthe influence of non-government or private actors. (2 Thistrend is due to a coalition ofspecific state bureaucracies and big industry interests, which grant privileges to industry that are denied to small producers. Unexpectedly, all Indonesian bureaucracies associated with this trend support mandatory state certification, which indicates that palm oil has been elevated in importance to become a matter of national, rather than mere bureaucratic interest.Making certificationmandatory through coercive regulatory poweristhe main toolwithwhich state power can challenge voluntary implementation and reclaim authority. Furthermore, the state needs the voluntary system to exist as well in order to strengthen its position. Therefore, the voluntary and the compulsory systems collaborate to attract global initiatives,which is contributing to the high complex of meta governance.

  4. Mandatory Uniform Dress Code Implementation and the Impact on Attendance, Achievement, and Perceptions of Classroom Environment

    OpenAIRE

    Ward, Ella Porter

    1999-01-01

    One of the many attempts to solve problems that plague America's schools is the implementation of uniform dress code policies. Those who favor uniforms contend that uniforms will increase attendance, enhance academic achievement, and improve classroom environment. Prior research studies ( Behling, 1991; Hughes, 1996; and Hoffler-Riddick, 1998) on the effects of mandatory school uniforms have been inconclusive in their findings. The purpose of this study was to examine the impact of mandatory...

  5. Impact of a Mandatory Prescription Drug Monitoring Program on Prescription of Opioid Analgesics by Dentists

    OpenAIRE

    Linda Rasubala; Lavanya Pernapati; Ximena Velasquez; James Burk; Yan-Fang Ren

    2015-01-01

    Prescription Drug Monitoring Programs (PDMP) are statewide databases that collect data on prescription of controlled substances. New York State mandates prescribers to consult the PDMP registry before prescribing a controlled substance such as opioid analgesics. The effect of mandatory PDMP on opioid drug prescriptions by dentists is not known. This study investigates the impact of mandatory PDMP on frequency and quantity of opioid prescriptions by dentists in a dental urgent care center. Bas...

  6. Effectiveness and acceptability of parental financial incentives and quasi-mandatory schemes for increasing uptake of vaccinations in preschool children: systematic review, qualitative study and discrete choice experiment.

    Science.gov (United States)

    Adams, Jean; Bateman, Belinda; Becker, Frauke; Cresswell, Tricia; Flynn, Darren; McNaughton, Rebekah; Oluboyede, Yemi; Robalino, Shannon; Ternent, Laura; Sood, Benjamin Gardner; Michie, Susan; Shucksmith, Janet; Sniehotta, Falko F; Wigham, Sarah

    2015-11-01

    incentives. Those reporting that they would need an incentive to vaccinate their children completely required around £110. Those who did not felt that the maximum acceptable incentive was around £70. Systematic review - a number of relevant studies were excluded as they did not meet the study design inclusion criteria. Qualitative study - few partially and non-vaccinating parents were recruited. DCE and questionnaire - data were from a convenience sample. There is little current evidence on the effectiveness or economic costs and consequences of parental financial incentives and quasi-mandatory interventions for preschool vaccinations. Universal incentives are likely to be more acceptable than targeted ones. Preferences concerning incentives versus quasi-mandatory interventions may depend on the context in which these are elicited. Further evidence is required on (i) the effectiveness and optimal configuration of parental financial incentive and quasi-mandatory interventions for preschool vaccinations - if effectiveness is confirmed, further evidence is required on how to communicate this to stakeholders and the impact on acceptability; and (ii) the acceptability of parental financial incentive and quasi-mandatory interventions for preschool vaccinations to members of the population who are not parents of preschool children or relevant health professionals. Further consideration should be given to (i) incorporating reasons for non-vaccination into new interventions for promoting vaccination uptake; and (ii) how existing services can be optimised. This study is registered as PROSPERO CRD42012003192. The National Institute for Health Research Health Technology Assessment programme.

  7. Persistent circulating unmetabolised folic acid in a setting of liberal voluntary folic acid fortification. Implications for further mandatory fortification?

    Directory of Open Access Journals (Sweden)

    Bailey Steven W

    2009-08-01

    of 50 blood donors (unfasted (CI: 88.0%–99.9%, comprising 2.25% of total plasma folate, Conclusion While the levels of circulatory unmetabolised folic acid reported are low, it is persistently present in women immediately after caesarean section who were fasting indicating that there would be a constant/habitual exposure of existing tumours to folic acid, with the potential for accelerated growth. Mandatory fortification might exacerbate this. This has implications for those with responsibility for drafting legislating in this area.

  8. Persistent circulating unmetabolised folic acid in a setting of liberal voluntary folic acid fortification. Implications for further mandatory fortification?

    LENUS (Irish Health Repository)

    Sweeney, Mary R

    2012-02-01

    (unfasted) (CI: 88.0%-99.9%), comprising 2.25% of total plasma folate, CONCLUSION: While the levels of circulatory unmetabolised folic acid reported are low, it is persistently present in women immediately after caesarean section who were fasting indicating that there would be a constant\\/habitual exposure of existing tumours to folic acid, with the potential for accelerated growth. Mandatory fortification might exacerbate this. This has implications for those with responsibility for drafting legislating in this area.

  9. Persistent circulating unmetabolised folic acid in a setting of liberal voluntary folic acid fortification. Implications for further mandatory fortification?

    LENUS (Irish Health Repository)

    Sweeney, Mary R

    2009-01-01

    (unfasted) (CI: 88.0%-99.9%), comprising 2.25% of total plasma folate, CONCLUSION: While the levels of circulatory unmetabolised folic acid reported are low, it is persistently present in women immediately after caesarean section who were fasting indicating that there would be a constant\\/habitual exposure of existing tumours to folic acid, with the potential for accelerated growth. Mandatory fortification might exacerbate this. This has implications for those with responsibility for drafting legislating in this area.

  10. 40 CFR 98.411 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Suppliers of Industrial Greenhouse Gases § 98.411 Reporting threshold. Any supplier of industrial greenhouse gases who meets the requirements of § 98.2(a)(4) must report GHG emissions....

  11. 40 CFR 98.181 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Lead Production § 98.181 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a lead production process and the facility meets...

  12. 40 CFR 98.341 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Municipal Solid Waste Landfills § 98.341 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a MSW landfill and the facility...

  13. 40 CFR 98.191 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Lime Manufacturing § 98.191 Reporting threshold. You must report GHG emissions under this subpart if your facility is a lime manufacturing plant as defined in § 98.190 and...

  14. 40 CFR 98.391 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Suppliers of Petroleum Products § 98.391 Reporting threshold. Any supplier of petroleum products who meets the requirements of § 98.2(a)(4) must report GHG emissions....

  15. 40 CFR 98.71 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Ammonia Manufacturing § 98.71 Reporting threshold. You must report GHG emissions under this subpart if your facility contains an ammonia manufacturing process and the...

  16. 40 CFR 98.271 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Pulp and Paper Manufacturing § 98.271 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a pulp and paper manufacturing...

  17. 40 CFR 98.381 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Suppliers of Coal-based Liquid Fuels § 98.381 Reporting threshold. Any supplier of coal-to-liquid products who meets the requirements of § 98.2(a)(4) must report GHG emissions....

  18. 40 CFR 98.291 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Soda Ash Manufacturing § 98.291 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a soda ash manufacturing process and the...

  19. 40 CFR 98.161 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Hydrogen Production § 98.161 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a hydrogen production process and the facility...

  20. 40 CFR 98.31 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING General Stationary Fuel Combustion Sources § 98.31 Reporting threshold. You must report GHG emissions under this subpart if your facility contains one or more stationary...

  1. 40 CFR 98.111 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Ferroalloy Production § 98.111 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a ferroalloy production process and the...

  2. 40 CFR 98.41 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Electricity Generation § 98.41 Reporting threshold. You must report GHG emissions under this subpart if your facility contains one or more electricity generating units and...

  3. 40 CFR 98.151 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING HCFC-22 Production and HFC-23 Destruction § 98.151 Reporting threshold. You must report GHG emissions under this subpart if your facility contains an HCFC-22 production...

  4. 40 CFR 98.81 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Cement Production § 98.81 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a cement production process and the facility...

  5. 40 CFR 98.251 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Petroleum Refineries § 98.251 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a petroleum refineries process and the facility...

  6. 40 CFR 98.281 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Silicon Carbide Production § 98.281 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a silicon carbide production process...

  7. 40 CFR 98.211 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Miscellaneous Uses of Carbonate § 98.211 Reporting threshold. You must report GHG emissions from miscellaneous uses of carbonate if your facility uses carbonates as defined...

  8. 40 CFR 98.51 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Adipic Acid Production § 98.51 Reporting threshold. You must report GHG emissions under this subpart if your facility contains an adipic acid production process and the...

  9. 40 CFR 98.311 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Titanium Dioxide Production § 98.311 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a titanium dioxide production process...

  10. 40 CFR 98.221 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Nitric Acid Production § 98.221 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a nitric acid train and the facility meets...

  11. 40 CFR 98.261 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Phosphoric Acid Production § 98.261 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a phosphoric acid production process...

  12. 40 CFR 98.171 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Iron and Steel Production § 98.171 Reporting threshold. You must report GHG emissions under this subpart if your facility contains an iron and steel production process...

  13. 40 CFR 98.331 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Zinc Production § 98.331 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a zinc production process and the facility meets...

  14. 40 CFR 98.141 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Glass Production § 98.141 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a glass production process and the facility meets...

  15. 40 CFR 98.241 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Petrochemical Production § 98.241 Reporting threshold. You must report GHG emissions under this subpart if your facility contains a petrochemical process as specified...

  16. 40 CFR 98.61 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Aluminum Production § 98.61 Reporting threshold. You must report GHG emissions under this subpart if your facility contains an aluminum production process and the facility...

  17. Mandatory policy: Most successful way to maximize fortification’s effect on vitamin and mineral deficiency

    Directory of Open Access Journals (Sweden)

    Sarah Zimmerman

    2014-12-01

    Full Text Available Background: Damaging effects of vitamin and mineral deficiencies contribute to health and development problems throughout the world. Food fortification has substantially improved nutrition-related health conditions in many countries, but opportunities for fortification are not fully utilized. Where food fortification is considered, leaders have to determine whether fortification should be mandatory or voluntary. Objective: This article explores experiences with mandatory wheat flour fortification as compared to voluntary fortification to offer insight for policies related to any type of food fortification. Mandatory fortification means the country requires the addition of specific nutrients at predetermined levels to specified foods or food products. Voluntary policies allow food manufacturers to enrich their products but do not require them to do so. Results: Mandatory fortification is more likely than voluntary fortification to reach a high proportion of the population and hence achieve the desired health impact. Mandatory fortification does not require consumers to change food purchasing preferences, it distributes the health benefits more equitably than voluntary fortification across a population, it establishes safe levels of included nutrients, and it is not subject to the food manufacturers’ marketing investments or discretion. Conclusion: The health benefits of mandatory fortification are most likely to be achieved and sustained if national, multi-sector leaders develop a cooperative approach for appropriate food fortification policies that can be feasibly implemented and effectively monitored. Mandatory fortification, however, requires high-level commitment through the political process. Policy makers must contend with possible criticism that it interferes with personal choices or may cause unintended health problems.

  18. Customer responses to mandatory menu labeling at full-service restaurants.

    Science.gov (United States)

    Auchincloss, Amy H; Mallya, Giridhar G; Leonberg, Beth L; Ricchezza, Andrew; Glanz, Karen; Schwarz, Donald F

    2013-12-01

    In 2010, Philadelphia enacted a menu-labeling law requiring full-service restaurant chains to list values for calories, sodium, fat, and carbohydrates for each item on all printed menus. The goal of the study was to determine whether purchase decisions at full-service restaurants varied depending on the presence of labeling. In August 2011, this cross-sectional study collected 648 customer surveys and transaction receipts at seven restaurant outlets of one large full-service restaurant chain. Two outlets had menu labeling (case sites); five outlets did not (control sites). Outcomes included differences in calories and nutrients purchased and customers' reported use of nutrition information when ordering. Data were analyzed in 2012. Mean age was 37 years; 60% were female; 50% were black/African-American and reported incomes ≥$60,000. Customers purchased food with approximately 1600 kcal (food plus beverage, 1800 kcal); 3200 mg sodium; and 35 g saturated fat. After adjustment for confounders, customers at labeled restaurants purchased food with 151 fewer kilocalories (95% CI=-270, -33); 224 mg less sodium (95% CI=-457, +8); and 3.7 g less saturated fat (95% CI=-7.4, -0.1) compared to customers at unlabeled restaurants (or 155 less kilocalories from food plus beverage, 95% CI=-284, -27). Those reporting that nutrition information affected their order purchased 400 fewer food calories, 370 mg less sodium, and 10 g less saturated fat. Mandatory menu labeling was associated with better food choices among a segment of the public dining at full-service restaurants. Consumer education on the availability and use of nutrition information may extend the impact of menu labeling. © 2013 American Journal of Preventive Medicine Published by American Journal of Preventive Medicine All rights reserved.

  19. Psychological characteristics of Swedish mandatory enlisted soldiers volunteering and not volunteering for international missions: an exploratory study.

    Science.gov (United States)

    Rydstedt, Leif W; Osterberg, Johan

    2013-04-01

    The purpose of this study was to assess personality traits, psychological fitness, and hardiness among conscript soldiers volunteering for international missions (n = 146), by comparing them with conscripts from the same year class and unit who did not apply for international missions (n = 275). The sample consisted of all mandatory enlisted soldiers assigned to a supply and maintenance regiment. There were no demographic differences between the groups. The volunteers reported greater stress tolerance, concern for others, extraversion, and self-confidence than the non-volunteers. There were no differences between the groups in orderliness, temper instability, or independence. Volunteers repeatedly reported greater psychological fitness for military missions and greater hardiness over the period of military service compared to the non-volunteers.

  20. Impact of a Mandatory Prescription Drug Monitoring Program on Prescription of Opioid Analgesics by Dentists.

    Directory of Open Access Journals (Sweden)

    Linda Rasubala

    Full Text Available Prescription Drug Monitoring Programs (PDMP are statewide databases that collect data on prescription of controlled substances. New York State mandates prescribers to consult the PDMP registry before prescribing a controlled substance such as opioid analgesics. The effect of mandatory PDMP on opioid drug prescriptions by dentists is not known. This study investigates the impact of mandatory PDMP on frequency and quantity of opioid prescriptions by dentists in a dental urgent care center. Based on the sample size estimate, we collected patient records of a 3-month period before and two consecutive 3-month periods after the mandatory PDMP implementation and analyzed the data on number of visits, treatment types and drug prescriptions using Chi-square tests. For patients who were prescribed pain medications, 452 (30.6%, 190 (14.1%, and 140 (9.6% received opioid analgesics in the three study periods respectively, signifying a statistically significant reduction in the number of opioid prescriptions after implementation of the mandatory PDMP (p<0.05. Total numbers of prescribed opioid pills in a 3-month period decreased from 5096 to 1120, signifying a 78% reduction in absolute quantity. Prescriptions for non-opioid analgesics acetaminophen increased during the same periods (p<0.05. We conclude that the mandatory PDMP significantly affected the prescription pattern for pain medications by dentists. Such change in prescription pattern represents a shift towards the evidence-based prescription practices for acute postoperative pain.

  1. Mandatory continuing professional development requirements: what does this mean for Australian nurses.

    Science.gov (United States)

    Ross, Kay; Barr, Jennieffer; Stevens, John

    2013-03-27

    This paper presents a discussion related to the recent decision in Australia to introduce mandatory Continuing Professional Development (CPD) for nurses. Historically there has been international debate surrounding mandatory CPD requirements; this debate is ongoing as Australian nurses face a diverse range of CPD offerings from a variety of providers. The purpose of this paper is to examine how mandatory CPD requirements for national nursing registration in Australia have evolved and to present an analysis of what this will mean for Australian nurses. What is yet to be determined is how to measure professional development and the effectiveness of professional development education. This is important to the international community with consensus in the literature that professional development is linked to ongoing education. Contradicting arguments are presented about whether this professional development should be mandatory. Presenting a contemporary discussion about the current and potential impact of mandatory CPD requirements for nurses, this discussion paper utilises the case of Australia's current national policy and CPD operation to examine the choices that nurses make in order to fulfil their legislative requirements. Additional arguments are presented about the barriers nurses face in undertaking CPD. The quest for effective CPD is complex and should incorporate different situations for nurses and individual learning styles.

  2. Was Mandatory Quarantine Necessary in China for Controlling the 2009 H1N1 Pandemic?

    Directory of Open Access Journals (Sweden)

    Wenjun Geng

    2013-09-01

    Full Text Available The Chinese government enforced mandatory quarantine for 60 days (from 10 May to 8 July 2009 as a preventative strategy to control the spread of the 2009 H1N1 pandemic. Such a prevention strategy was stricter than other non-pharmaceutical interventions that were carried out in many other countries. We evaluated the effectiveness of the mandatory quarantine and provide suggestions for interventions against possible future influenza pandemics. We selected one city, Beijing, as the analysis target. We reviewed the epidemiologic dynamics of the 2009 H1N1 pandemic and the implementation of quarantine measures in Beijing. The infectious population was simulated under two scenarios (quarantined and not quarantined using a deterministic Susceptible-Exposed-Infectious-Recovered (SEIR model. The basic reproduction number R0 was adjusted to match the epidemic wave in Beijing. We found that mandatory quarantine served to postpone the spread of the 2009 H1N1 pandemic in Beijing by one and a half months. If mandatory quarantine was not enforced in Beijing, the infectious population could have reached 1,553 by 21 October, i.e., 5.6 times higher than the observed number. When the cost of quarantine is taken into account, mandatory quarantine was not an economically effective intervention approach against the 2009 H1N1 pandemic. We suggest adopting mitigation methods for an influenza pandemic with low mortality and morbidity.

  3. Reducing Fluid-Related Complications During Operative Hysteroscopy: Use of a New Mandatory Fluid-Balance Form.

    Science.gov (United States)

    Alexandroni, Heli; Bahar, Raz; Chill, Henry H; Karavani, Gilad; Ben-Yossef, Orna; Shushan, Asher

    To examine whether our new reporting system and mandatory fluid-balance form could improve the communication and awareness within the surgical team and therefore the safety of hysteroscopic operations. A case-control study (Canadian Task Force classification II-2). An endoscopic gynecology unit at a tertiary-care university hospital. Women aged 17 to 88 years (median, 43.9) who underwent operative hysteroscopy to treat uterine pathology. Operative hysteroscopy was performed using bipolar technology and normal saline as an irrigation media with the new fluid-balance form and a mandatory reporting system. The control group was composed of women who underwent the procedure using the same technology, with a previous protocol. Data regarding intraoperative and postoperative short-term complications were prospectively collected during surgery and at the 2-week follow-up visit. About 2000 procedures were investigated (601 in the study group and 1396 in the control group). In the control group there were 20 incidents of fluid deficit over 2 L. In 4 of these cases the procedure was terminated, but in the other 16 cases the procedure was continued, with or without awareness of the surgeons to the deficit. Of these cases, 2 suffered from media-related complications, and in 3 others complications were avoided by diuretics. In contrast, in the study group there were 10 incidents of fluid deficit over 2 L, of which 5 cases were terminated on time and the other 5 continued under the informed decision of the surgeon. In this group, none of the women experienced a media-related complication. The difference between the number of procedures that were terminated on time between the control and study groups was not statistically significant (p = .115). There was a statistically significant reduction in the total complication rate between the study group (1.8%) and the control group (3.9%; p = .019). The fluid-balance form and mandatory reporting system have been shown to reduce

  4. Mandatory Arrest Law in domestic violence cases and its implementation in New York City

    Directory of Open Access Journals (Sweden)

    Milivojević Sanja K.

    2002-01-01

    Full Text Available This paper contains the analysis of the Mandatory Arrest Law in domestic violence cases in New York State. Introduction includes the subject and main goals of the paper. Second chapter starts with historical development of the police response in domestic violence cases in New York before and after the Mandatory Arrest Law is passed, than analysis of the Law, and ends with one of the programs which Safe Horizon, Victim Service organization, developed in New York City. Third chapter gives the analysis of pro et contra arguments for mandatory arrest provision and results of surveys and studies, which were conducted in United States. In fourth chapter we present the analysis of the research conducted in two police precincts in New York City this year. Paper also contains the list of main problems in implementation of this Law in New York City.

  5. Effectiveness and acceptance of a health care-based mandatory vaccination program.

    Science.gov (United States)

    Leibu, Rachel; Maslow, Joel

    2015-01-01

    To decrease the risk of transmission of hospital-associated transmission of influenza and pertussis through mandatory vaccination of staff. A mandatory influenza and toxoid-diphtheria toxoid-acellular pertussis program was implemented systemwide. A structured vaccine exemption program was implemented for those requesting a medical and/or religious/moral/ethical exemption. Systemwide influenza vaccination rates increased from 67% historically, 76.2% in the 2012 to 2013 influenza season, to 94.7% in 2013 to 2014 with an overall compliance rate of 97.8%. Toxoid-diphtheria toxoid-acellular pertussis vaccination rates systemwide reached 94.9%, with an overall compliance rate of 98%. Higher rates were experienced at individual hospital facilities compared with the corporate location. Successful vaccination campaign outcomes can be achieved through diligent enforcement of mandatory vaccination, masking, and other infection prevention procedures.

  6. ENVIRONMENTAL SCENARIOS FOR MANDATORY BIO-FUEL BLENDING TARGETS: AN APPLICATION OF INTUITIVE LOGICS

    Directory of Open Access Journals (Sweden)

    Marco Antonio Conejero

    2010-09-01

    Full Text Available Scenarios depicting targets concerning mandatory bio-fuel blending are critical to the strategic planning of food and bio-energy production chains and their design is the purpose of this paper. Each scenario tells a story about how various elements might interact under given conditions. The method herein utilized is primarily based on Schoemaker´s (1995 and Schwartz´s (1991 earlier proposals. A six step framework is followed: i identify the focal issue; ii summarize current mandatory blending targets; iii identify the driving forces as of a macro-environmental analysis; iv validate driving forces with specialists; v rank such key forces by importance before uncertainties, building a correlation matrix; vi design the scenarios. Finally, three alternative scenarios, relative to the adoption on behalf of countries, by the year 2020, of mandatory bio-fuel blending targets, are proposed which might guide these countries’ decision makers when planning production systems.

  7. Free-riding, fairness and the rights of minority groups in exemption from mandatory childhood vaccination.

    Science.gov (United States)

    May, Thomas; Silverman, Ross D

    2005-01-01

    The authority of government to require participation in mandatory childhood vaccination programs may not target specific groups for either participation or exemption on a discriminatory basis. This poses difficulties when allowing religious or philosophical exemptions to mandatory vaccination, because certain groups are more likely to appeal for exemption. Avoiding loss of herd immunity, then, may require either discrimination against these groups by disallowing an exemption option that is available to others, or by denying the good of an exemption option to the entire population because of the action of certain groups. To avoid this unacceptable choice, steps must be taken now to more stringently enforce exemption requirements.

  8. 21 CFR 99.103 - Mandatory statements and information.

    Science.gov (United States)

    2010-04-01

    ... statement to the front of each reprint or copy of an article from a scientific or medical journal and to the... official labeling for the drug or device; (3) A bibliography of other articles (that concern reports of clinical investigations both supporting and not supporting the new use) from a scientific...

  9. 企业社会责任能抑制盈余管理吗?--基于强制披露企业社会责任报告准实验%Can Corporate Social Responsibility Inhibit Earnings Management?---A Quasi-Experiment of the Mandatory Disclosure of Corporate Social Responsibility Report

    Institute of Scientific and Technical Information of China (English)

    刘华; 魏娟; 巫丽兰

    2016-01-01

    具有负责任声誉的企业一定会做出负责任的行为吗?本文以2006-2013年沪、深A股上市公司为样本,研究强制披露企业社会责任报告对盈余管理的影响。研究发现:强制披露企业社会责任报告与操纵性应计利润显著负相关,说明企业承担社会责任后显著地减少了操纵性应计,提高了会计信息质量。同时,强制披露企业社会责任报告对真实盈余管理,特别是操纵性酌量费用,存在显著抑制作用。由于业绩好坏会影响企业盈余管理动机,本文进一步分析企业业绩对强制披露企业社会责任与操纵性应计、真实盈余管理关系的调节作用。区分不同盈利状况,我们发现强制披露企业社会责任对应计项目和真实盈余管理的抑制作用主要集中在盈利较差的样本组,声誉机制在高风险公司效果更为显著。考虑机构投资者和分析师监督作用、随机效应和关键变量测量误差影响后,声誉责任的监督作用依旧存在。%Whether firms taking corporate social responsible activities will behavior responsibly in other corporate decisions? The regulation on mandatorily disclosure of corporate social responsibility report provides a good quasi-experience to study this research question. This paper tests the impact of mandatorily disclosure of corporate social responsibility report on accrual and real earnings management using the samples of A-share listed companies in Shanghai and Shenzhen Stock Exchange during 2006 to 2013. We find that whether mandatorily disclosure corporate social responsibility report is negatively related to discretionary accrual. Meanwhile, mandatorily disclosure corporate social responsibility report can decrease real earnings management, especially discretional expense. These results suggest that mandatorily disclosure corporate social responsibility report can generate “reputation responsible” effect, which can monitor

  10. Academic Integrity in a Mandatory Physics Lab: The Influence of Post-Graduate Aspirations and Grade Point Averages

    Science.gov (United States)

    Gallant, Tricia Bertram; Anderson, Michael G.; Killoran, Christine

    2013-03-01

    Research on academic cheating by high school students and undergraduates suggests that many students will do whatever it takes, including violating ethical classroom standards, to not be left behind or to race to the top. This behavior may be exacerbated among pre-med and pre-health professional school students enrolled in laboratory classes because of the typical disconnect between these students, their instructors and the perceived legitimacy of the laboratory work. There is little research, however, that has investigated the relationship between high aspirations and academic conduct. This study fills this research gap by investigating the beliefs, perceptions and self-reported academic conduct of highly aspirational students and their peers in mandatory physics labs. The findings suggest that physics laboratory classes may face particular challenges with highly aspirational students and cheating, but the paper offers practical solutions for addressing them.

  11. Academic integrity in a mandatory physics lab: the influence of post-graduate aspirations and grade point averages.

    Science.gov (United States)

    Bertram Gallant, Tricia; Anderson, Michael G; Killoran, Christine

    2013-03-01

    Research on academic cheating by high school students and undergraduates suggests that many students will do whatever it takes, including violating ethical classroom standards, to not be left behind or to race to the top. This behavior may be exacerbated among pre-med and pre-health professional school students enrolled in laboratory classes because of the typical disconnect between these students, their instructors and the perceived legitimacy of the laboratory work. There is little research, however, that has investigated the relationship between high aspirations and academic conduct. This study fills this research gap by investigating the beliefs, perceptions and self-reported academic conduct of highly aspirational students and their peers in mandatory physics labs. The findings suggest that physics laboratory classes may face particular challenges with highly aspirational students and cheating, but the paper offers practical solutions for addressing them.

  12. AKRO/SF: Shoreside Production Reports

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Shoreside production reports are mandatory reports submitted by shoreside and stationary floating processors that receive groundfish from federally permitted catcher...

  13. Suspension of mandatory vaccination and public health preserving: Rovigo local health unit experience after appliance of Veneto regional law 7/2007.

    Science.gov (United States)

    Cattarin, M; Bellè, M; Bergamini, M; Gallo, L

    2013-09-01

    The burden of infectious diseases preventable by vaccination decreased considerably over last decades in all countries provided with effective immunization schedules. Implementation of these programs with new vaccines has started discussion on duality between mandatory and recommended vaccinations. Regional autonomy has allowed the Veneto Region, with introduction of Law 7/2007, to experience suspension of all mandatory childhood vaccinations, replaced by an active and free offer of all vaccines recognized as safe and effective. Coverage's trends and acceptance of invitation are carefully monitored to avoid loss of compliance and reduction of immunized children. The evaluation, performed on population of Rovigo ULSS18 for 2002-2008 birth cohorts (2008 is the first concerned by the change), revealed no fall for previously mandatory vaccinations, but rather a slight increase. Percentage of non-vaccinated children was negligible. The leading cause of non-vaccination to polio was inability to deliver the letter of invitation due to wrong address. An informed dissent was expressed only by a minority (0.9% in 2008 birth cohort). Compliance to immunization offer was elevated both for previously compulsory and recommended vaccinations. Experience of Rovigo ULSS 18 showed that, in a context of already high levels of coverage for recommended vaccinations with optimal organization of immunization services, coverage rates for ex-mandatory vaccines remain unchanged. Further research and reports are required to carefully assess the effect on coverage rates in next birth cohorts, but available data are encouraging. Similar legislative measures can be successfully adopted by other Regions with starting conditions comparable to Veneto Region.

  14. Creating and Implementing a Regularized Monitoring and EnforcementSystem for China's Mandatory Standards and Energy Information Label forAppliances

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Jiang

    2007-03-01

    National Institute of Standardization (CNIS), the China Administration for Quality, Supervision, Inspection and Quarantine (AQSIQ) and relevant stakeholders in the industry to develop a stronger system of monitoring and enforcement. In November 2005, CNIS and LBNL (a CLASP implementing partner) with funding from the Energy Foundation jointly organized an international workshop to present the international best practices in S&L monitoring and enforcement. Currently, CNIS is developing a guideline for monitoring and enforcement for appliance standards. With support from METI, CLASP has been able to expand the on-going collaboration with CNIS to include enforcement needs for the mandatory energy information label and to accelerate the progress of the project to develop a more robust monitoring and enforcement for S&L programs in China. This expanded effort has included: (1) Holding an enforcement and monitoring roadmap planning workshop with key S&L stakeholders; (2) Interviews with S&L stakeholders on the need and scope of national compliance tests; (3) Research on past enforcement activities; (4) An analysis of compliance data from the mandatory energy information labeling program; (5) Interviews with stakeholders on the need and scope of testing infrastructure; and (6) Development of a roadmap for future activities. This report summarizes the findings of these activities and identifies the progress that China is making, and can make, toward developing a stronger system of monitoring and enforcement (M&E). In sum, it outlines a vision of moving forward with more vigorous M&E in China.

  15. 76 FR 34086 - Mandatory Guidelines for Federal Workplace Drug Testing Programs; Request for Information...

    Science.gov (United States)

    2011-06-10

    ... Federal Workplace Drug Testing Programs; Request for Information Regarding Specific Issues Related to the Use of the Oral Fluid Specimen for Drug Testing AGENCY: Substance Abuse and Mental Health Services... Mandatory Guidelines for Federal Workplace Drug Testing Programs (oral fluid specimen). DATES: Comment Close...

  16. The Effectiveness of Mandatory-Random Student Drug Testing. NCEE 2010-4025

    Science.gov (United States)

    James-Burdumy, Susanne; Goesling, Brian; Deke, John; Einspruch, Eric

    2010-01-01

    To help assess the effects of school-based random drug testing programs, the U.S. Department of Education's Institute of Education Sciences (IES) contracted with RMC Research Corporation and Mathematica Policy Research to conduct an experimental evaluation of the Mandatory-Random Student Drug Testing (MRSDT) programs in 36 high schools within…

  17. Voluntary or Mandatory Enrollment in Training and the Motivation to Transfer Training

    Science.gov (United States)

    Curado, Carla; Henriques, Paulo Lopes; Ribeiro, Sofia

    2015-01-01

    The purpose of this study is to examine the motivation to transfer training in a multidimensional way. It investigates autonomous and controlled motivation and explores the difference in motivation to transfer according to whether the employee is enrolled in training on a voluntary or mandatory basis. This is a cross-sectional hypotheses-testing…

  18. Impact of Deterrents on Effectiveness of Mandatory Continuing Professional Education for Company Secretaries in India

    Science.gov (United States)

    Walawalkar, Rajesh

    2015-01-01

    This study is about the perceptions of Company Secretaries about effectiveness of their formal and mandatory Continuing Professional Education (CPE) programme run by the Institute of Company Secretaries of India. The objectives were to ascertain: (1) to what extent do Company Secretaries perceive their CPE as effective, (2) what are the various…

  19. Impact of a Mandatory Prescription Drug Monitoring Program on Prescription of Opioid Analgesics by Dentists.

    Science.gov (United States)

    Rasubala, Linda; Pernapati, Lavanya; Velasquez, Ximena; Burk, James; Ren, Yan-Fang

    2015-01-01

    Prescription Drug Monitoring Programs (PDMP) are statewide databases that collect data on prescription of controlled substances. New York State mandates prescribers to consult the PDMP registry before prescribing a controlled substance such as opioid analgesics. The effect of mandatory PDMP on opioid drug prescriptions by dentists is not known. This study investigates the impact of mandatory PDMP on frequency and quantity of opioid prescriptions by dentists in a dental urgent care center. Based on the sample size estimate, we collected patient records of a 3-month period before and two consecutive 3-month periods after the mandatory PDMP implementation and analyzed the data on number of visits, treatment types and drug prescriptions using Chi-square tests. For patients who were prescribed pain medications, 452 (30.6%), 190 (14.1%), and 140 (9.6%) received opioid analgesics in the three study periods respectively, signifying a statistically significant reduction in the number of opioid prescriptions after implementation of the mandatory PDMP (pPrescriptions for non-opioid analgesics acetaminophen increased during the same periods (pprescription pattern for pain medications by dentists. Such change in prescription pattern represents a shift towards the evidence-based prescription practices for acute postoperative pain.

  20. Is Object-Based Attention Mandatory? Strategic Control over Mode of Attention

    Science.gov (United States)

    Yeari, Menahem; Goldsmith, Morris

    2010-01-01

    Is object-based attention mandatory or under strategic control? In an adapted spatial cuing paradigm, participants focused initially on a central arrow cue that was part of a perceptual group (Experiment 1) or a uniformly connected object (Experiment 2), encompassing one of the potential target locations. The cue always pointed to an opposite,…

  1. 75 FR 81313 - Petitions for Modification of Existing Mandatory Safety Standards

    Science.gov (United States)

    2010-12-27

    ... modify the application of any mandatory safety standard to a coal or other mine if the Secretary..., and floor heave conditions in the return entry in the C-Mains resulting from multi-seam mining and... gas or other harmful, noxious, or poisonous gases will not be permitted to accumulate in excess...

  2. 75 FR 71613 - Mandatory Reliability Standards for Interconnection Reliability Operating Limits

    Science.gov (United States)

    2010-11-24

    ... Reliability Operating Limits November 18, 2010. AGENCY: Federal Energy Regulatory Commission. ACTION: Notice... Interconnection Reliability Operating Limits. The Commission also proposes to approve the addition of two new.... Mandatory Reliability Standards 3 B. Order No. 693 Directives 4 II. Discussion 7 A. System Operating...

  3. The added value of auditing in a non-mandatory environment

    NARCIS (Netherlands)

    Duits, Hans

    2012-01-01

    What is the ‘raison d’être’ of auditing? Does auditing only exist by the grace of the legislator? Or does auditing fulfill other needs in contemporary society? For many companies, auditing has been made mandatory. This is possibly one of the reasons why researchers to date have given limited attenti

  4. 78 FR 64294 - Loan Guaranty: Mandatory Electronic Delivery of Loan Files for Review

    Science.gov (United States)

    2013-10-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Loan Guaranty: Mandatory Electronic Delivery of Loan Files for Review AGENCY: Department of... review. Currently, lenders can submit loan files selected for review by LGY through either electronic...

  5. Exploring the (Un-) Usefulness of Mandatory Assessment Documents in Primary Technology

    Science.gov (United States)

    Hartell, Eva

    2014-01-01

    Every student in the Swedish compulsory school system is entitled to information regarding their progress in all school subjects given. In 2008, a mandatory assessment tool, called the individual development plan (IDP) with written assessment, was introduced by the Government. The statutory purpose was to provide teachers with a formative…

  6. 42 CFR 403.306 - Additional requirements for State systems-mandatory approval.

    Science.gov (United States)

    2010-10-01

    ... approval. 403.306 Section 403.306 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF... Reimbursement Control Systems § 403.306 Additional requirements for State systems—mandatory approval. (a... State system if the system meets all of the requirements of § 403.304 and of paragraph (b) of...

  7. The HPV Vaccine: Framing the Arguments "for" and "against" Mandatory Vaccination of All Middle School Girls

    Science.gov (United States)

    Vamos, Cheryl A.; McDermott, Robert J.; Daley, Ellen M.

    2008-01-01

    Background: Human papillomavirus (HPV), the virus responsible for cervical cancer, is the most common viral sexually transmitted infection in the United States. A vaccine was approved in 2006 that is effective in preventing the types of HPV responsible for 70% of cervical cancers and 90% of genital warts. Proposals for routine and mandatory HPV…

  8. 77 FR 36998 - Proposed Information Collection; Comment Request; Mandatory Shrimp Vessel and Gear...

    Science.gov (United States)

    2012-06-20

    ... Information Collection; Comment Request; Mandatory Shrimp Vessel and Gear Characterization Survey AGENCY... for the Gulf Shrimp Vessel and Gear Characterization Form may be found at 50 CFR 622.5(a)(1)(iii)(C... shrimp must complete an annual Gulf Shrimp Vessel and Gear Characterization Form. The form will...

  9. An Internet Dialogue: Mandatory Student Community Service, Court-Ordered Volunteering, and Service-Learning.

    Science.gov (United States)

    Ellis, Susan; And Others

    1998-01-01

    Excerpts from an Internet debate identify issues and opinions on mandatory community service as a graduation requirement and court-ordered volunteering. The debate ranges over such topics as quality of the service experience, freedom of choice, intended outcomes, and values conflicts. (SK)

  10. The added value of auditing in a non-mandatory environment

    NARCIS (Netherlands)

    Duits, H.B.

    2012-01-01

    What is the `raison d'être' of auditing? Does auditing only exist by the grace of the legislator? Or does auditing fulfill other needs in contemporary society? For many companies, auditing has been made mandatory. This is possibly one of the reasons why researchers to date have given limited

  11. The Effect of Mandatory Reading Logs on Children's Motivation to Read

    Science.gov (United States)

    Pak, Sarah S.; Weseley, Allyson J.

    2012-01-01

    Reading logs have become a practice in many elementary schools. Although lack of autonomy undermines intrinsic motivation (Lepper, Greene, & Nisbett, 1973), no study has examined the effect of logs. Second and third-grade students (N = 112) were assigned either a mandatory or voluntary log and surveyed about their motivation to read at…

  12. Voluntary or Mandatory Enrollment in Training and the Motivation to Transfer Training

    Science.gov (United States)

    Curado, Carla; Henriques, Paulo Lopes; Ribeiro, Sofia

    2015-01-01

    The purpose of this study is to examine the motivation to transfer training in a multidimensional way. It investigates autonomous and controlled motivation and explores the difference in motivation to transfer according to whether the employee is enrolled in training on a voluntary or mandatory basis. This is a cross-sectional hypotheses-testing…

  13. The HPV Vaccine: Framing the Arguments "for" and "against" Mandatory Vaccination of All Middle School Girls

    Science.gov (United States)

    Vamos, Cheryl A.; McDermott, Robert J.; Daley, Ellen M.

    2008-01-01

    Background: Human papillomavirus (HPV), the virus responsible for cervical cancer, is the most common viral sexually transmitted infection in the United States. A vaccine was approved in 2006 that is effective in preventing the types of HPV responsible for 70% of cervical cancers and 90% of genital warts. Proposals for routine and mandatory HPV…

  14. 75 FR 61478 - Mandatory Reliability Standards for the Bulk Power System; Notice Allowing Post-Technical...

    Science.gov (United States)

    2010-10-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Mandatory Reliability Standards for the Bulk Power System; Notice Allowing Post-Technical Conference Comments September 24, 2010. On September 23, 2010, the Federal...

  15. Employee Participation in Non-Mandatory Professional Development--The Role of Core Proactive Motivation Processes

    Science.gov (United States)

    Sankey, Kim S.; Machin, M. Anthony

    2014-01-01

    With a focus on the self-initiated efforts of employees, this study examined a model of core proactive motivation processes for participation in non-mandatory professional development (PD) within a proactive motivation framework using the Self-Determination Theory perspective. A multi-group SEM analysis conducted across 439 academic and general…

  16. Governing GMOs: The (Counter Movement for Mandatory and Voluntary Non-GMO Labels

    Directory of Open Access Journals (Sweden)

    Carmen Bain

    2014-12-01

    Full Text Available Since 2012 the anti-GMO (genetically modified organism movement has gained significant grassroots momentum in its efforts to require mandatory GMO food labels through state-level ballot and legislative efforts. Major food and agriculture corporations are opposed to mandatory GMO labels and have successfully defeated most of these initiatives. Nevertheless, these battles have garnered significant media attention and re-energized the debate over GMO crops and foods. In this paper, we argue that one of the most significant outcomes of this fight is efforts by food retailers and value-based food companies to implement voluntary non-GMO labels and brands. We draw on the governance and political consumerism literature to explore (counter movement efforts for mandatory labels and how these efforts are being institutionalized through private voluntary governance institutions. Our assessment is based on in-depth, semi-structured interviews with key informants from consumer and environmental organizations, agriculture and biotech companies, and government regulatory agencies, as well as a content analysis of food industry websites. A growing number of food retailers recognize the reputational and economic value that new niche markets for non-GMO foods can offer, while the anti-GMO movement views these efforts as a step in the direction of mandatory GMO labels. We conclude that voluntary labels may act to settle the labeling debate by mollifying agri-food industry concerns about mandatory labeling and meeting the desire of political consumers for greater choice and transparency but without addressing the broader social and environmental sustainability concerns that drives the anti-GMO movement in the first place.

  17. 40 CFR Appendix A to Subpart E of... - Interim Transmission Electron Microscopy Analytical Methods-Mandatory and Nonmandatory-and...

    Science.gov (United States)

    2010-07-01

    ..., Subpt. E, App. A Appendix A to Subpart E of Part 763—Interim Transmission Electron Microscopy Analytical... completion of response actions. This unit is mandatory. II. Mandatory Transmission Electron Microscopy Method... sample. 17. PCM—Phase contrast microscopy. 18. SAED—Selected area electron diffraction. 19....

  18. 49 CFR 1109.4 - Mandatory mediation in rate cases to be considered under the stand-alone cost methodology.

    Science.gov (United States)

    2010-10-01

    ... § 1109.4 Mandatory mediation in rate cases to be considered under the stand-alone cost methodology. (a) A..., the Board will assign a mediator to the case. Within 5 business days of the assignment to mediate, the... 49 Transportation 8 2010-10-01 2010-10-01 false Mandatory mediation in rate cases to be considered...

  19. 36 CFR 1260.62 - What is the appeal process when a mandatory review request for White House originated information...

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false What is the appeal process when a mandatory review request for White House originated information is denied? 1260.62 Section 1260... mandatory review request for White House originated information is denied? (a) When the Deputy Archivist...

  20. 36 CFR 1260.58 - What are the procedures for requesting a mandatory review of White House originated information?

    Science.gov (United States)

    2010-07-01

    ... requesting a mandatory review of White House originated information? 1260.58 Section 1260.58 Parks, Forests... review of White House originated information? (a) Requests for mandatory review must describe the...) NARA will promptly acknowledge to the requester the receipt of a request for White House...

  1. Mandatory Contract Law: Functions and Principles in Light of the Proposal for a Directive on Consumer Rights

    NARCIS (Netherlands)

    G. Wagner (Gerhard)

    2010-01-01

    textabstractStarting from the theoretical underpinnings of contract law, mandatory rules should be the exception. In the reality of current European legislation, mandatory law is not the exception but the rule. The obvious explanation is that the EU has focussed on consumer law, i.e. on the

  2. 25 CFR 1000.168 - Is it mandatory to go through the information phase before initiating the negotiation phase?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Is it mandatory to go through the information phase... Funding Agreements Negotiation of Initial Annual Funding Agreements § 1000.168 Is it mandatory to go through the information phase before initiating the negotiation phase? No, a Tribe/Consortium may go...

  3. AKRO/SF: Vessel (at-sea) Production Reports

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Vessel (at-sea) production reports are mandatory reports submitted by catcher/processors and motherships that are issued a Federal Fishing Permit. These reports...

  4. 7 CFR 59.101 - Mandatory daily reporting for steers and heifers.

    Science.gov (United States)

    2010-01-01

    ... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT... later than 10 a.m. central time and not later than 2 p.m. central time the following...

  5. 76 FR 37300 - Mandatory Reporting of Greenhouse Gases: Petroleum and Natural Gas Systems: Revisions to Best...

    Science.gov (United States)

    2011-06-27

    ... an ``anonymous access'' system, which means EPA will not know your identity or contact information...: Consultation and Coordination With Indian Tribal Governments G. Executive Order 13045: Protection of Children... governments to have meaningful and timely input in the development of EPA regulatory proposals...

  6. 76 FR 22825 - Mandatory Reporting of Greenhouse Gases: Petroleum and Natural Gas Systems

    Science.gov (United States)

    2011-04-25

    ..., Climate Change Division, Office of Atmospheric Programs (MC-6207J), Environmental Protection Agency, 1200... change as a result of this reconsideration process. In addition, we are extending these provisions to... justice related issues, as required by Executive Order 12898 (59 FR 7629, February 16, 1994)....

  7. 75 FR 39735 - Mandatory Reporting of Greenhouse Gases From Magnesium Production, Underground Coal Mines...

    Science.gov (United States)

    2010-07-12

    ... require emissions sources, persons subject to the CAA, manufacturers of process or control equipment, or..., industrial wastewater treatment, and industrial waste landfills must begin monitoring GHG emissions on... example, many industrial facilities will have already assessed their GHG emissions from combustion...

  8. 75 FR 12451 - Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions

    Science.gov (United States)

    2010-03-16

    ... facilities. Iron and Steel Production 331111 Integrated iron and steel mills, steel companies, sinter plants.... Suppliers of Coal Based Liquids Fuels........ 211111 Coal liquefaction at mine sites. Suppliers of Petroleum... production (subpart P). Iron and steel production (subpart Q). Lead production (subpart R). Pulp and paper...

  9. 76 FR 30781 - Confidentiality Determinations for Data Required Under the Mandatory Greenhouse Gas Reporting...

    Science.gov (United States)

    2011-05-26

    ..., polishing, anodizing, and coloring. 336 Manufacturers of motor vehicle parts and accessories. 221 Electric.......... 325181 Alkalies and chlorine manufacturing facilities. 212391 Soda ash, natural, mining, and/or.... Products. Suppliers of Natural Gas and 221210 Natural gas NGLs. distribution facilities. 211112 Natural...

  10. 77 FR 10434 - Mandatory Reporting of Greenhouse Gases Rule: Confidentiality Determinations and Best Available...

    Science.gov (United States)

    2012-02-22

    ... 1995 OMB Office of Management & Budget RFA Regulatory Flexibility Act RSASTP Random Sampling Abatement..., manufacturers of control or process equipment, or persons whom the Administrator believes may have necessary... facility as already publicly determined in Equation I-5. available through the World Fab Forecast,\\4\\...

  11. 75 FR 18575 - Mandatory Reporting of Greenhouse Gases: Injection and Geologic Sequestration of Carbon Dioxide

    Science.gov (United States)

    2010-04-12

    ... permit condition. Under the Kyoto Protocol, the Clean Development Mechanism (CDM) is a market-based... International Maritime Organization (IMO) has published under the London Protocol \\18\\ two documents to provide...

  12. 75 FR 75059 - Mandatory Reporting of Greenhouse Gases: Injection and Geologic Sequestration of Carbon Dioxide

    Science.gov (United States)

    2010-12-01

    ... Sequestration of Carbon Dioxide; Final Rule #0;#0;Federal Register / Vol. 75 , No. 230 / Wednesday, December 1... sequestration of carbon dioxide and all other facilities that conduct injection of carbon dioxide. This rule... may determine''). These regulations will affect owners or operators of carbon dioxide (CO 2...

  13. 75 FR 18651 - Mandatory Reporting of Greenhouse Gases: Additional Sources of Fluorinated GHGs

    Science.gov (United States)

    2010-04-12

    ... Manufacturing......... 334111 Microcomputers manufacturing facilities. 334413 Semiconductor, photovoltaic (solid... oxide NACAA National Association of Clean Air Agencies NAICS North American Industry Classification... Deterioration PV photovoltaic cells QA quality assurance QA/QC quality assurance/quality control R&D research...

  14. 76 FR 36339 - Mandatory Reporting of Greenhouse Gases: Additional Sources of Fluorinated GHGs: Extension of...

    Science.gov (United States)

    2011-06-22

    ... taking no action at this time on issues raised by 3M Company in their January 28, 2011 Petition for... intellectual property, and would hamper innovation. SIA also stated its member companies' ``strong desire to...

  15. Resilience in the Context of Child Maltreatment: Connections to the Practice of Mandatory Reporting

    Science.gov (United States)

    Wekerle, Christine

    2013-01-01

    A human rights perspective places the care for children in the obligation sphere. The duty to protect from violence is an outcome of having a declaration confirming inalienable human rights. Nationally, rights may be reflected in constitutions, charters, and criminal codes. Transnationally, the United Nation's (UN) Convention on the Rights of the…

  16. Mandatory Genres: The case of European Public Assessment Report (EPAR) summaries

    DEFF Research Database (Denmark)

    Askehave, Inger; Zethsen, Karen K.

    2008-01-01

    summaries live up to their declared purpose. The article concludes that the majority of the respondents do not think the EPAR summary fulfils its communicative purposes of providing information about The Committee for Medicinal Products for Human Use's review and recommendation of the product and providing...

  17. 77 FR 48072 - Final Confidentiality Determinations for Regulations Under the Mandatory Reporting of Greenhouse...

    Science.gov (United States)

    2012-08-13

    ...... 562212 Solid waste 322110 landfills. Pulp mills. 322121 Paper mills. 322122 Newsprint mills. 322130... treatment facilities, underground coal mines, and industrial waste landfills. Affected categories and... manufacturing facilities. 334413 Semiconductor, photovoltaic (solid-state) device manufacturing facilities...

  18. 77 FR 1434 - Proposed Confidentiality Determinations for Data Elements Under the Mandatory Reporting of...

    Science.gov (United States)

    2012-01-10

    ... refineries. Industrial Waste Landfills....... 562212 Solid waste landfills. 322110 Pulp mills. 322121 Paper... waste landfills. Affected categories and entities include those listed in Table 1 of this preamble... coal mining operations. 212112 Underground bituminous coal mining operations. Industrial Wastewater...

  19. 76 FR 59533 - Mandatory Reporting of Greenhouse Gases: Petroleum and Natural Gas Systems: Revisions to Best...

    Science.gov (United States)

    2011-09-27

    ... Petition for Reconsideration to the Office of the Administrator, Environmental Protection Agency, Room 3000.... ISO International Organization for Standardization. INGAA Interstate Natural Gas Association...

  20. The Correlated Factors of Mandatory Social Reporting by Islamic Banks in Indonesia

    OpenAIRE

    Dodik Siswantoro

    2012-01-01

    Objective – Islamic Banking is closely related to the real sector. Then, its operation should reflect the real sector which is expected to contribute to the sustainable economic growth. Nevertheless, Islamic banks are still benchmarking the price of their products (profit sharing and sales) on interest rate. This is as an implication of the implementation of the dual banking system. Moreover, the small portion of Islamic banking compared to the total national banks causes the competitiveness ...

  1. The Company’s Internal Characteristics and Mandatory Disclosure Size of Web-Based Financial Reporting

    Directory of Open Access Journals (Sweden)

    Weli Weli

    2017-03-01

    Full Text Available The new regulation on the Indonesian Capital Market (XK6-Bapepam-LK No. KEP-431/BL/ 2012, related to the disclosure of financial information on the company's website is the main motivation of this study, which is to analyze the extent to which issuers responded to the new regulation. The study was conducted on 50 companies included in the list of 50 companies with the highest score of corporate governance version IICD in 2013 - 2014 and 57 companies in the same industry as a control companies, with the total number of samples is 107 companies. The study was conducted by analyzing the factors (size, listing period, industry, the quality of corporate governance that affect the level of disclosure by the company on their website. The results showed that not all sample companies do a full disclosure and the average disclosure is only 77%. Further, the factor of disclosure size was also influenced by the company's internal characteristics such as company size, type of industry and good corporate governance.

  2. Poor performance of mandatory nutritional screening of in-hospital patients

    DEFF Research Database (Denmark)

    Geiker, Nina Rica Wium; Larsen, Sisse Marie Hørup; Stender, Steen

    2012-01-01

    , the most common error being underestimation of nutritional status. Forty-six percent of patients required a secondary nutritional risk screening and 30% were found to be nutritionally at risk. Conclusion: Only 8% of patients received the mandatory nutritional risk screening without procedural errors. We......Background & aims: Since 2006 it has been mandatory at Copenhagen University Hospital Gentofte to screen all patients for nutritional risk within 24 h of admittance. Audits conducted by department staff estimate that 70-80% of assessments are correctly executed, but the validity of this estimate...... is unknown. The aim of the present study was to discover the true proportion of hospitalized patients receiving nutritional risk screening within the stipulated time limit and to evaluate the validity of the screening by comparison with medical records. Methods: Retrospective examination of medical records...

  3. Mandatory labels, taxes and market forces: An empirical evaluation of fat policies.

    Science.gov (United States)

    Allais, Olivier; Etilé, Fabrice; Lecocq, Sébastien

    2015-09-01

    The public-health community views mandatory Front-of-Pack (FOP) nutrition labels and nutritional taxes as promising tools to control the growth of food-related chronic diseases. This paper uses household scanner data to propose an ex-ante evaluation and comparison of these two policy options for the fromage blanc and dessert yogurt market. In most markets, labelling is voluntary and firms display fat labels only on the FOP of low-fat products to target consumers who do not want to eat fat. We here separately identify consumer preferences for fat and for FOP fat labels by exploiting an exogenous difference in legal labelling requirements between these two product categories. Estimates of demand curves are combined with a supply model of oligopolistic price competition to simulate policies. We find that a feasible ad valorem fat tax dominates a mandatory FOP-label policy from an economic perspective, but both are equally effective in reducing average fat purchases.

  4. Mandatory requirement of social health service in Peru: discriminatory and unconstitutional

    OpenAIRE

    Mayta-Tristán, Percy; Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.; Poterico, Julio A.; Puesto de salud Santa Cruz de Ratacocha, Ministerio de Salud, Huánuco, Perú.; Galán-Rodas, Edén; Escuela de Medicina y Cirugía, Universidad Hispanoamericana, San José, Costa Rica.; Raa-Ortiz, Daniel; Estudio Trujillo Amorós, Lima, Perú. Facultad de Derecho, Universidad del Rosario, Rosario, Argentina.

    2014-01-01

    The rural and urban-edge health service (SERUMS) is an activity that only health professionals perform for the Peruvian government, as it is a mandatory requirement to qualify for a second specialty or to work in public hospitals and public health care facilities, and obtain government scholarships for future training. The few legal changes in the rules of this social program and the focus of “service” restricted to health professionals lead to a perception of this policy as discriminatory an...

  5. Launch of a National Mandatory Chronic Disease Prevention Program in Japan

    OpenAIRE

    Atsushi Kobayashi

    2008-01-01

    Japan introduced the National Mandatory Chronic Disease Prevention Program in April 2008, based on the new health reform law enacted in 2006. All payors (insurers) in the public health insurance system, which covers the entire population of 128 million, are required by law to implement the program. In Japan, payors are financed by health insurance premiums and government-subsidized public funds. However, Japan is facing an unprecedented rate of aging of its population, the national medical ca...

  6. PRESENTATION OF MANDATORY POLICY OF ACCESS CONTROL VIA THE HARRISONRUSSO-WILLIAM’S MODEL

    Directory of Open Access Journals (Sweden)

    Korolev I. D.

    2015-03-01

    Full Text Available The accepted model of the access control is realized with the monitor of safety in the protected automated information system. Models of safety are considered, as a rule, as a system which is a single whole and has the uniform monitor of safety. Nevertheless, the architecture of the real automated information systems and processes of their functioning can be characterized by distribution. The distributed automated information system consists more than of one local segment representing isolated set of subjects and objects of access. In the distributed system local segments can be realized both on the basis of discretionary, and on the basis of mandatory models of safety (i.e. to be diverse. One of directions of a safety in this case is realization of the general monitor of the safety providing the uniform (coordinated policy of access control. For safe interaction of patchwork systems it’s necessary to bring them to a single model. Hence, while the integration of information systems the problem of their interaction becomes persistent. Thus in the systems processing the information of a various level of confidentiality, it is necessary to realize mandatory access control. In given clause the mandatory policy of the safety presented by classical model of Bell-LaPadula, is described by the elements of classical model of Harrison-Russo-William. Using the mechanisms of change of a matrix access the opportunity of assignment and change of confidentiality marks is described and the observance of safe practices within the limits of mandatory access control is analyzed. The safety of application of the given approach has been proved. The perspective direction of research has been defined

  7. Dietary Iodine Intake of the Australian Population after Introduction of a Mandatory Iodine Fortification Programme

    OpenAIRE

    Karen Charlton; Yasmine Probst; Gabriella Kiene

    2016-01-01

    To address mild iodine deficiency in Australia, a mandatory fortification program of iodised salt in bread was implemented in 2009. This study aimed to determine factors associated with achieving an adequate dietary iodine intake in the Australian population post-fortification, and to assess whether bread consumption patterns affect iodine intake in high-risk groups. Using nationally representative data of repeated 24-h dietary recalls from the 2011–2012 Australian National Nutrition and Phys...

  8. Mandatory seat belt laws in the states. A study of fatal and severe occupant injuries.

    Science.gov (United States)

    Houston, D J; Richardson, L E; Neeley, G W

    1996-04-01

    This study examines the impact of mandatory seat belt laws on fatal and incapacitating injury rates in the states. Annual data for all 50 states for the period 1975-1991 are used. Pooled time series analysis is employed. The general conclusion that emerges from this analysis is that seat belt laws significantly impact state fatal injury rates. Primary enforcement and all-seat coverage provisions appear to be particularly effective in reducing fatality rates.

  9. Opportunities, threats and barriers to enacting mandatory child car restraint laws in Iran.

    Science.gov (United States)

    Soori, Hamid; Ainy, Elaheh; Bazargan-Hejazi, Shahrzad

    2015-01-01

    Approximately one-third of Iranian children's deaths are caused by injuries. Of these, 36% result from road traffic injuries (RTIs). Both RTIs and fatalities could be reduced by using child car restraints (CCRs). Despite their demonstrated effectiveness, CCRs are not mandatory in Iran. This study was conducted to assess opportunities and barriers in enacting mandatory CCR laws in that country. Using mixed method research, a phenomenological approach was used to explore the experiences and perspectives of road safety stakeholders in regard to opportunities and threats in enacting mandatory CCR laws in Iran. The themes derived from group discussions were used to first develop a structured questionnaire, which was later distributed to and completed by study participants. The study analysis was conducted using scores and rankings from the responses to these questions. Twenty-eight stakeholders participated in the study. Most were male, aged 36.7 ± 5.6 (range 25-59). In terms of identifying the organization that should establish mandatory CCR laws, the Traffic Police Department achieved the highest score of 90 (range 0-100). The participants also thought that the Traffic Police department is responsible to monitor compliance and conduct follow-up investigations (score = 100). In regard to existing barriers in enacting CCR laws, the lack of positive Publicity by mass media and the lack of related laws received scores of 85 and 70, respectively. Enabling factors and opportunities included 'positive regards or attitude of families towards their child's health,' 'officials' commitment to support such laws' and 'having adequate resources to raise community awareness of the importance of CCR use. These received scores of 83, 69 and 68, respectively. The results suggest that cooperation and collaboration among stakeholders including the Traffic Police, families and local communities are needed to maximize the likelihood of mandating CCR laws.

  10. Understanding Patients’ Perspectives on Opt-Out, Incentivized, and Mandatory HIV Testing

    Science.gov (United States)

    Noland, Carey M; Vaughn, Nicole A; Sun, Sirena; Schlecht, Hans P

    2015-01-01

    Background Currently, widespread HIV testing is the best preventive action against further spread of the HIV epidemic. However, over 40% of the U.S. population has never been tested for HIV and 25% of those with HIV have never been tested. To increase testing rates, in 2006 the CDC advised healthcare settings to conduct testing on an opt-out basis. Methods Qualitative, semi-structured interviews with ten seropositive patients and ten seronegative were conducted to address the lack of studies investigating patients’ acceptance of and attitude towards this and more novel testing models, e.g. incentivized or anonymous mandatory testing. Participants were asked about their HIV testing history and attitudes towards opt-out, incentivized, and mandatory anonymous HIV testing. Results Major themes were identified using grounded theory data analysis. All participants were receptive to opt-out testing, and saw the removal of separate written consent as beneficial as long as patients were given the opportunity to consent in some form. Conclusion Ultimately, both mandatory and opt-out testing were equally indicated by participants as being the most effective testing model at increasing testing rates. A firm understanding of patients’ perspectives allows for development of effective HIV testing initiatives that are patient-sensitive and can substantially reduce HIV infection rates. PMID:26609294

  11. The Legal Practice of Corporate Takeover and Mandatory Tender Offer (MTO in the Indonesian Capital Market

    Directory of Open Access Journals (Sweden)

    Yozua Makes

    2014-08-01

    Full Text Available The number of takeover transactions is relatively less compared to other corporate actions bypublicly-listed companies, (e.g. IPOs, rights issues, or material transactions. There is no researchthat explains or contextualizes this fact, but one may speculate that this may be due to (a the existenceof block-holders in Indonesia’s corporate structure profile (structural barrier or (b because itis costly to carry out a takeover in light of the existing Mandatory Tender Offer (MTO requirements(legal barrier. This article focuses on the latter problem, aiming to address the practical and legalissues pertaining to takeover transactions in Indonesia with respect to the existence of the MTO.Pursuant to the prevailing rule, in a takeover of publicly-listed companies that results in a change ofcontrol, a MTO/mandatory bid requirement must be followed with the potential acquirer making anoffer to purchase all of the remaining shares of the target company according to a certain minimumprice formula. Specifically the article discusses practical and creative strategies that prospectivecontrollers employ to avoid the mandatory bid/MTO requirement, and how these strategies impactthe principle of minority shareholders’ protection.

  12. Preparation by mandatory E-modules improves learning of practical skills : A quasi-experimental comparison of skill examination results

    NARCIS (Netherlands)

    Kwant, Kelly J.; Custers, Eugene J F M; Jongen-Hermus, Femke J.; Kluijtmans, Manon

    2015-01-01

    Background: Until recently, students at UMC Utrecht Faculty of Medicine prepared for practical skills training sessions by studying recommended literature and making written assignments, which was considered unsatisfactory. Therefore, mandatory e-modules were gradually introduced as substitute for t

  13. Preparation by mandatory E-modules improves learning of practical skills : A quasi-experimental comparison of skill examination results

    NARCIS (Netherlands)

    Kwant, Kelly J.; Custers, Eugene J F M|info:eu-repo/dai/nl/137104081; Jongen-Hermus, Femke J.; Kluijtmans, Manon

    2015-01-01

    Background: Until recently, students at UMC Utrecht Faculty of Medicine prepared for practical skills training sessions by studying recommended literature and making written assignments, which was considered unsatisfactory. Therefore, mandatory e-modules were gradually introduced as substitute for t

  14. Why do they keep calling? Single parents’ Domestication of mandatory e-government self-service channels

    DEFF Research Database (Denmark)

    Østergaard Madsen, Christian

    2016-01-01

    The Danish Digitization strategy 2011-2015 made e-government channels mandatory within multiple areas, including public benefits. Although most Danes have adopted the e-government channels, many keep using traditional channels. Moreover, some have their own ways of interpreting and using the e......-government channels, or getting around the mandatory requirements. This thesis explores citizens’ interactions with public authorities following the deployment of mandatory self-service applications. It presents a mixed-method longitudinal case study of single parents, who interact with public authorities and each...... other, to claim economic benefits. The thesis positions itself within channel choice studies in the e-government research field. It contributes to this literature by studying citizens’ actual use of e-government and traditional channels in a post-adoption and mandatory setting. It applies Domestication...

  15. Mandatory and voluntary disclosures of Serbian listed companies: Achieved level and some recommendation for improving their relevance

    OpenAIRE

    Denčić-Mihajlov, Ksenija; Spasić, Dejan

    2016-01-01

    Purpose - This paper investigates mandatory and voluntary disclosure practices of non-financial listed companies on the Belgrade Stock Exchange. The results help in determining the level of transparency of Serbian s listed companies and in formulating recommendations for improving the quality and relevance of disclosed information. Design/methodology/approach - We focus on modeling both mandatory and voluntary disclosure indices for financial and non-financial information in order to evaluate...

  16. Welfare Measures and Mandatory Regulation for Transgenic Food in the European Union: A Theoretical Framework for the Analysis

    OpenAIRE

    Diez, Maria Del Carmen Fernandez

    2005-01-01

    This paper presents an analytical framework for studying the impact of mandatory labelling regulation for transgenic food. We compare Genetically Modified (GM) and conventional crop markets and identify gains for food processors prior to mandatory labelling and losses after this measure for the GM market. Nevertheless, food processors could obtain gains for conventional products after market disgregation. Finally, consumers will be worse off both for conventional and GM foods unless qualities...

  17. Consumer Perceptions of Climate Changes and WTP for Mandatory Implementation of Low Carbon Labels: The Case of South Korea

    OpenAIRE

    Kim, Hyeyoung; House, Lisa; KIM, TAE-KYUN

    2014-01-01

    Voluntarily implemented carbon labels have shown that there is a lack of motivation by companies to develop technology to reduce carbon emissions. This study examined consumer values for mandatory carbon labels in South Korea. Considering the altruistic nature of carbon labels, we asked about individuals’ perceptions about the impact of climate change on their personal lives to measure consumer preference for carbon labels. Significant preference for mandatory carbon labels reflected Koreans’...

  18. Mandatory Closure Versus Nonintervention for Patent Ductus Arteriosus in Very Preterm Infants.

    Science.gov (United States)

    Sung, Se In; Chang, Yun Sil; Chun, Ji Young; Yoon, Shin Ae; Yoo, Hye Soo; Ahn, So Yoon; Park, Won Soon

    2016-10-01

    To determine whether a nonintervention approach for treating hemodynamically significant patent ductus arteriosus (PDA) is associated with decreased mortality and/or morbidity compared with a mandatory closure approach in extremely low birth weight infants. We reviewed the medical records of 178 infants of 23-26 weeks' gestational age with PDA, requiring ventilator treatment, and with hemodynamically significant PDA ≥2 mm in size. Mandatory closure was used during period I (July 2009 to December 2011, n = 81), and nonintervention was used during period II (January 2012 to June 2014, n = 97). During period I, 64% of infants were first treated with indomethacin, and 82% were ultimately ligated surgically. During period II, no infant was treated with indomethacin and/or ligation. The average postnatal day of PDA closure was day 13 and day 44 during periods I and II, respectively. There was significantly more use of diuretics and fluid restriction during period II compared with period I. There was no difference in mortality or morbidities such as necrotizing enterocolitis or intraventricular hemorrhage. The incidence of bronchopulmonary dysplasia (BPD) and the propensity score adjusted OR of BPD were significantly lower during period II compared with period I. Despite longer PDA exposure, nonintervention was associated with significantly less BPD compared with mandatory closure. Additional study is warranted to determine the benefits and risks of non-intervention for the hemodynamically significant PDA in extremely low birth weight infants. Copyright © 2016 The Author(s). Published by Elsevier Inc. All rights reserved.

  19. Mandatory adherence to diagnostic protocol increases the yield of CTPA for pulmonary embolism

    Directory of Open Access Journals (Sweden)

    Stefan Walen

    2016-07-01

    Full Text Available Abstract Objectives To determine if mandatory adherence to a diagnostic protocol increases the rate of computed tomography pulmonary angiographies (CTPAs positive for pulmonary embolism (PE—the so-called diagnostic yield. Further, we aim to identify factors associated with this diagnostic yield. Methods We included all patients with suspected PE requiring CTPA from 9 January 2014 t0 3 June 2014. The requesting physicians were forced to follow diagnostic workup for PE by calculating a Wells score and, if necessary, determining D-dimer level. The percentage of positive CTPA scans was calculated and compared with our previous cohort (Walen et al. Insights Imaging 2014;5(2:231–236. Odds ratios were calculated as a measure of association between dichotomous variables and CTPA findings. Results Of 250 scans, 74 were positive (29.6 % [95 % CI, 24.3-35.5 %] and 175 were negative (70 %. The percentage positive scans increased with 6.6 % and the percentage negative scans decreased with 3.1 %. This change was statistically significant (p = 0.001. Independent clinical predictors of diagnostic yield were previous deep venous thrombosis (DVT (OR, 3.22; p = 0.013 and clinical signs of DVT (OR, 2.71; p = 0.012. Chronic obstructive pulmonary disease (COPD was negatively associated with PE (OR, 0.33; p = 0.045. Conclusions This study shows that mandatory adherence to a diagnostic protocol increases the yield of CTPA for PE in our centre. Main Messages • Mandatory adherence to diagnostic protocol increases the yield of CTPA for PE • Previous DVT and signs of DVT were associated with a higher yield • No patients with a low Wells score and a low D-dimer had PE

  20. Examining Perceptions about Mandatory Influenza Vaccination of Healthcare Workers through Online Comments on News Stories.

    Directory of Open Access Journals (Sweden)

    Yang Lei

    Full Text Available The aim of this study was to understand online public perceptions of the debate surrounding the choice of annual influenza vaccinations or wearing masks as a condition of employment for healthcare workers, such as the one enacted in British Columbia in August 2012.Four national and 82 local (British Columbia Canadian online news sites were searched for articles posted between August 2012 and May 2013 containing the words "healthcare workers" and "mandatory influenza vaccinations/immunizations" or "mandatory flu shots and healthcare workers." We included articles from sources that predominantly concerned our topic of interest and that generated reader comments. Two researchers coded the unedited comments using thematic analysis, categorizing codes to allow themes to emerge. In addition to themes, the comments were categorized by: 1 sentiment towards influenza vaccines; 2 support for mandatory vaccination policies; 3 citing of reference materials or statistics; 4 self-identified health-care worker status; and 5 sharing of a personal story.1163 comments made by 648 commenters responding to 36 articles were analyzed. Popular themes included concerns about freedom of choice, vaccine effectiveness, patient safety, and distrust in government, public health, and the pharmaceutical industry. Almost half (48% of commenters expressed a negative sentiment toward the influenza vaccine, 28% were positive, 20% were neutral, and 4% expressed mixed sentiment. Of those who commented on the policy, 75% did not support the condition to work policy, while 25% were in favour. Of the commenters, 11% self-identified as healthcare workers, 13% shared personal stories, and 18% cited a reference or statistic.The perception of the influenza vaccine in the comment sections of online news sites is fairly poor. Public health agencies should consider including online forums, comment sections, and social media sites as part of their communication channels to correct

  1. Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory

    Directory of Open Access Journals (Sweden)

    Alessio Arrivi

    2012-01-01

    Full Text Available Coronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory. A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction. Two pathophysiologic mechanisms are discussed: either thrombosis migrating from a previously treated giant aneurism of proximal left anterior descending or a local arterial complication due to left main stenting. Recognition of these occurrences in the catheterization laboratory is important to look immediately for surgery.

  2. Is active management of mandatory pension funds in Croatia creating value for second pillar fund members?

    Directory of Open Access Journals (Sweden)

    Petar-Pierre Matek

    2015-09-01

    Full Text Available This paper analyses Croatian mandatory pension funds’ investment returns during the 2005-2014 period using performance attribution methodology. Results from active investment management are compared to a long-term policy return. Such analysis is essential to shed light on the contribution of active portfolio management in the second pillar pension scheme. Evidence suggests that in the period analysed portfolio managers have added value through active management decisions. In addition, we determined the sources of portfolio return by breaking down active return into policy, tactical asset allocation and security selection effect.

  3. Experiences gained from implementing mandatory buffer strips in Denmark: how can we enhance their ecosystem services?

    DEFF Research Database (Denmark)

    Kronvang, Brian; Hoffmann, Carl Christian; Baatrup-Pedersen, Annette

    the eutrophication effects in lakes and coastal waters. Buffer strips are among the most well studied and frequently adapted mitigation measure for reducing sediment and P losses to surface waters via surface runoff. It has, however, been questioned if BSs can also reduce N losses. The international literature gives......The Danish Parliament adopted in June 2012 a Buffer Strip Act that required 10 m mandatory buffer strips (BSs) to be established along all watercourses and lakes with a surface area greater than 100 m2 from 1st September 2012. The main reasons for deploying BSs was to reduce nitrate-N leaching...

  4. Reevaluation of the effect of mandatory interpreter legislation on use of professional interpreters for ED patients with language barriers.

    Science.gov (United States)

    Ginde, Adit A; Sullivan, Ashley F; Corel, Blanka; Caceres, J Alfredo; Camargo, Carlos A

    2010-11-01

    We sought to compare emergency department (ED) use of professional interpreters in 2008 to previously reported 2002 data. We surveyed consecutive adult patients for two 24-h periods at 4 Boston EDs in 2008. We used identical questions as in our 2002 study to assess English language barriers and to measure use and type of interpreter for those with language barriers. We enrolled 498 patients (66% of eligible). Of these, 8% had a significant English language barrier, but any interpreter was used for only 69% of these patients; the corresponding data for 2002 were 11% and 89%, respectively. In 2008, compared to 2002, professional interpreter use was similar (18% vs. 15%; p = 0.70), but a friend or family member interpreted more often (59% vs. 24%; planguage barriers remained low, despite publicity of the state mandatory interpreter law. However, a majority were comfortable with a friend or family member serving as the interpreter for the clinical encounter, a finding that may contribute to the limited usage of professional interpreters. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  5. 33 CFR 169.140 - What information must be included in the report?

    Science.gov (United States)

    2010-07-01

    ... Mandatory Ship Reporting Systems for the Protection of Northern Right Whales § 169.140 What information must be included in the report? Each ship report made to the shore-based authority must follow...

  6. Transparency of Mandatory Information Disclosure and Concerns of Health Services Providers and Consumers

    Directory of Open Access Journals (Sweden)

    Yu-Hua Yan

    2017-01-01

    Full Text Available Background: This study analyzed differences between transparency of information disclosure and related demands from the health service consumer’s perspective. It also compared how health service providers and consumers are associated by different levels of mandatory information disclosure. Methods: We obtained our research data using a questionnaire survey (health services providers, n = 201; health service consumers, n = 384. Results: Health service consumers do not have major concerns regarding mandatory information disclosure. However, they are concerned about complaint channels and settlement results, results of patient satisfaction surveys, and disclosure of hospital financial statements (p < 0.001. We identified significant differences in health service providers’ and consumers’ awareness regarding the transparency of information disclosure (p < 0.001. Conclusions: It may not be possible for outsiders to properly interpret the information provided by hospitals. Thus, when a hospital discloses information, it is necessary for the government to consider the information’s applicability. Toward improving medical expertise and information asymmetry, the government has to reduce the burden among health service consumers in dealing with this information, and it has to use the information effectively.

  7. Dietary Iodine Intake of the Australian Population after Introduction of a Mandatory Iodine Fortification Programme.

    Science.gov (United States)

    Charlton, Karen; Probst, Yasmine; Kiene, Gabriella

    2016-11-04

    To address mild iodine deficiency in Australia, a mandatory fortification program of iodised salt in bread was implemented in 2009. This study aimed to determine factors associated with achieving an adequate dietary iodine intake in the Australian population post-fortification, and to assess whether bread consumption patterns affect iodine intake in high-risk groups. Using nationally representative data of repeated 24-h dietary recalls from the 2011-2012 Australian National Nutrition and Physical Activity Survey, dietary iodine intakes and food group contributions were compared by age, socioeconomic status (SES), and geographical remoteness (N = 7735). The association between fortified bread intake and adequacy of iodine intake (meeting age and sex-specific Estimated Average Requirements) was investigated using logistic regression models in women of childbearing age 14-50 years (n = 3496) and children aged 2-18 years (n = 1772). The effect of SES on bread consumption was further investigated in a sub group of children aged 5-9 years (n = 488). Main sources of iodine intake at the time of the survey were cereal and cereal products, followed by milk products and dishes. Differences in iodine intake and dietary iodine habits according to age, SES and location were found (p iodine intake (OR 5.0, 95% CI 4.96-5.13; p iodine intake exist within sectors of the Australian population, even after mandatory fortification of a staple food. On-going monitoring and surveillance of iodine status is required.

  8. USER ADOPTION OF MANDATORY E-GOVERNMENT SYSTEMS: NOTARIAL SYSTEM IN ALBANIA, AN EMPIRICAL ANALYSE

    Directory of Open Access Journals (Sweden)

    Agim Kasaj

    2016-09-01

    Full Text Available E-Government has high priority for governments worldwide, with much effort and money being invested into government digital initiatives. For such efforts to be worthy, a high rate of adoption of e-government is needed. Technology adoption is one of the most mature areas in information technology (IT research and many adoption models have been developed for this purpose. Most studies in this field have been focused on voluntary use of systems and mainly from a business context, with minor emphasize on an e-government. A major distinction between technologies of e-government and other online technologies, is that the use of certain e-government technologies is mandatory, rather than voluntary. This paper provides a short introduction of e-government, followed by a review of the most well-known information technology (IT adoption models at the individual level. Using previous research results, the study will identify the determinant constructs and their relationship for adoption of the digital notarial system of Albania. Finally, the paper proposes a theoretical framework for private professional adoption of mandatory e-government information systems.

  9. Mandatory internal mobility in French hospitals: the results of imposed management practices.

    Science.gov (United States)

    van Schingen, Edith; Dariel, Odessa; Lefebvre, Hélène; Challier, Marie-Pierre; Rothan-Tondeur, Monique

    2017-01-01

    To describe the impact of a mandatory internal mobility policy on nurses working in French state-funded health establishments. Public hospitals in France rely on the internal mobility of nursing staff to respond to organisational needs, to reduce costs and to increase productivity. However, there is very little data on the impact of such management practices on the nurses themselves. A cross-sectional study, including 3077 nurses from 35 hospitals in the region of Paris, was conducted. Data were collected using a validated self-assessment questionnaire. Forty per cent of French nurses are required to work in different units. This mobility differs according to individual characteristics [age (P = 0.04), length of service (P = 0.017)] and type of environment [hospital (P organised the day before or the day of the change. Overall, while nurses are dissatisfied with all types of mandatory unit changes, this dissatisfaction is primarily a result of the irregular mobility events. This study demonstrates the importance of implementing a planned inter-unit mobility event and proposes recommendations for this type of implementation. © 2016 John Wiley & Sons Ltd.

  10. Mandatory communication skills training for cancer and palliative care staff: does one size fit all?

    Science.gov (United States)

    Turner, Mary; Payne, Sheila; O'Brien, Terri

    2011-12-01

    There is increasing recognition of the importance of good communication between healthcare professionals and patients facing cancer or end of life. In England, a new national 3-day training programme called 'Connected' has been developed and is now mandatory for all cancer and palliative care professionals. This study aimed to explore the attitudes of staff in one region to undertaking this training. A survey questionnaire was developed through a series of discussions with experts and semi-structured interviews with five healthcare professionals. The questionnaire was distributed to 200 cancer and palliative care staff; 109 were completed and returned. There were significant differences between doctors' and nurses' attitudes to communication skills training, with doctors demonstrating more negative attitudes. More nurses than doctors felt that communication skills training should be mandatory for cancer and palliative care professionals (p ≤ 0.001), whilst more doctors felt that these staff should already be skilled communicators and not require further training (p ≤ 0.001). Nurses also self-rated their communication skills more highly than doctors. The current 'one size fits all' approach being taken nationally to advanced communication skills training does not meet the training preferences of all healthcare professionals, and it is recommended that tailoring courses to individuals' needs should be considered. Copyright © 2010 Elsevier Ltd. All rights reserved.

  11. Human rights consequences of mandatory HIV screening policy of newcomers to Canada.

    Science.gov (United States)

    Bisaillon, Laura M

    2010-12-15

    This paper focuses on the key human rights consequences of the HIV screening policy that applies to all permanent and some temporary resident applicants to Canada. This mandatory policy was introduced in early 2002 by Citizenship and Immigration Canada after consultation with Health Canada. The policy has yet to be evaluated and, until recently, the actualities of the medical encounters where testing occurs in domestic and international settings have not been researched. There is no systematic documentation of the policy's implications on either the lives of persons who submit to mandatory testing or on health systems. This article argues that there are sound options for responding to the human rights challenges posed by the screening policy. Data were obtained from secondary literature and findings from empirical fieldwork and research among immigrants living with HIV/AIDS in Canada. This paper adds to theoretical and applied health services and interventions work by focusing attention on avenues for addressing key human rights concerns posed by the policy. These are identified and critically explored through the framework that Lawrence Gostin and the late Jonathan Mann developed in 1999, which was later extended by Barry Hoffmaster and Ted Schrecker in 2000. The article concludes with four recommendations for addressing the central human rights consequences of the policy.

  12. Mandatory Pension System and Redistribution: The Comparative Analysis of Institutions in Baltic States

    Directory of Open Access Journals (Sweden)

    Dunajevas Eugenijus

    2016-12-01

    Full Text Available Mandatory pension systems occupy a central role in the system of social security because of the share of social expenditure in national economies. One of the goals of pension system is to redistribute incomes among individuals. However, it is not clear how the intentions to redistribute incomes coincide with the outcomes. In this paper, we will study the difference between the intentions as they are articulated within institutions, with the outcomes that are generated by them. We use the method of comparative institutional analysis in order to find out the differences. Our comparative institutional analysis is based on the grammar of institutions that is proposed by Crawford and Ostrom. Also, in order to understand the differences, we will compare the institutions in relatively similar cases – the Baltic States. The results show that there is a gap between the intentions and outcomes to redistribute incomes among individuals. The findings from the comparative institutional analysis suggest that the most redistributive old age pension system is in Estonia. However, according to the factual information from Eurostat, the greatest distributive effect is produced by the mandatory pension system of Lithuania.

  13. 76 FR 53057 - Change to the Reporting Date for Certain Data Elements Required Under the Mandatory Reporting of...

    Science.gov (United States)

    2011-08-25

    .... Iron and Steel Production...... 331111 Integrated iron and steel mills, steel companies, sinter plants... Production.... 325188 Titanium dioxide manufacturing facilities. Underground Coal Mines......... 212113.... Chapter 5, generally provides that rules may not take effect earlier than 30 days after they are published...

  14. 75 FR 81349 - Change to the Reporting Date for Certain Data Elements Required Under the Mandatory Reporting of...

    Science.gov (United States)

    2010-12-27

    .... Aluminum Production F 74 FR 56260, Revised 11-24- 2010. Ammonia Manufacturing......... G 74 FR 56260... gas NTTAA National Technology Transfer and Advancement Act of 1995 RFA Regulatory Flexibility Act UMRA... That Significantly Affect Energy Supply, Distribution, or Use I. National Technology Transfer and...

  15. 77 FR 34386 - Implementation of Federal Financial Report-Upcoming Mandatory Use of the Federal Financial Report...

    Science.gov (United States)

    2012-06-11

    .... Unless the Grants Management Officer (GMO) of the awarding Institute or Center approves an extension.../ . (Preferred method of contact). Toll-free: 1-866-504-9552 Phone: 301-402-7469 TTY: 301-451-5939 Hours: Mon-Fri...

  16. Methods of Identification of Efficiency of Action of the System of Mandatory Social Medical Insurance in Ukraine

    Directory of Open Access Journals (Sweden)

    Molozina Natalia A.

    2014-02-01

    Full Text Available The article develops and offers the author’s vision of methods of analysis of efficiency of action of the system of mandatory social medical insurance by categories and indicators. These methods are required for being used when making managerial decisions when developing directions of increase of efficiency and also when further adjusting activity of state bodies of administration of the mandatory social medical insurance. In the result of the conducted study the article establishes that the project of investing into the mandatory social medical insurance by the number of revealed benefits from its adoption could be economically and socially efficient both for the state and enterprises (employers and for an individual citizen of Ukraine. We note the following benefits: growth of the level of labour productivity, saving funds of the State Budget and enterprises for social payments, reduction of the level of morbidity and improvement of the financial state of the healthcare branch. The proposed method of assessment of efficiency of investing funds into the mandatory social medical insurance by indicators of prevented losses, saving funds of the State Budget, employer and insured person and also social indicators of the state of health of citizens and quality of their medical servicing could be used during operative and strategic planning and also state regulation of activity of the system of mandatory social medical insurance.

  17. Should Lecture Recordings Be Mandated in Dental Schools? Two Viewpoints: Viewpoint 1: Lecture Recordings Should Be Mandatory in U.S. Dental Schools and Viewpoint 2: Lecture Recordings Should Not Be Mandatory in U.S. Dental Schools.

    Science.gov (United States)

    Zandona, Andrea Ferreira; Kinney, Janet; Seong, WookJin; Kumar, Vandana; Bendayan, Alexander; Hewlett, Edmond

    2016-12-01

    Transcription or recording of lectures has been in use for many years, and with the availability of high-fidelity recording, the practice is now ubiquitous in higher education. Since technology has permeated education and today's tech-savvy students have expectations for on-demand learning, dental schools are motivated to record lectures, albeit with positive and negative implications. This Point/Counterpoint article addresses the question of whether lecture recording should be mandatory in U.S. dental schools. Viewpoint 1 supports the statement that lecture recording should be mandatory. Proponents of this viewpoint argue that the benefits-notably, student satisfaction and potential for improvement in student performance-outweigh concerns. Viewpoint 2 takes the opposite position, arguing that lecture recording decreases students' classroom attendance and adversely affects the morale of educators. Additional arguments against mandatory lecture recordings involve the expense of incorporating technology that requires ongoing support.

  18. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program.

    Science.gov (United States)

    Jenkins, Randall C; Smillov, Arlene E; Goodwin, Matthew A

    2014-01-01

    The Florida Patient Safety and Presuit Mediation Program (FLPSMP) is a mandatory mediation program designed to provide deserving patients with fast, fair compensation while limiting the healthcare provider expenses incurred during traditional litigation. Mediation occurs before litigation begins; therefore, patients with meritorious claims receive compensation often years earlier than they would with extended litigation. This early mediation fosters confidential and candid communication between doctors and patients, which promotes early fact-finding and candid discussion. The program went into effect across the University of Florida (UF) Health system on January 1, 2008. In an article previously published in this journal, we discussed the positive trend observed 2 years after the implementation of the FLPSMP. This article incorporates 5 years of data, which includes new benchmarks with state and national data, to demonstrate that the program can be used successfully as a medical malpractice solution.

  19. Study on Mandatory Access Control in a Secure Database Management System

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    This paper proposes a security policy model for mandatory access control in class B1 database management system whose level of labeling is tuple. The relation-hierarchical data model is extended to multilevel relation-hierarchical data model. Based on the multilevel relation-hierarchical data model, the concept of upper-lower layer relational integrity is presented after we analyze and eliminate the covert channels caused by the database integrity. Two SQL statements are extended to process polyinstantiation in the multilevel secure environment. The system is based on the multilevel relation-hierarchical data model and is capable of integratively storing and manipulating multilevel complicated objects (e. g., multilevel spatial data) and multilevel conventional data ( e. g., integer. real number and character string).

  20. Mandatory food labeling of trans fat acids: qualitative analysis of the public consultation

    Directory of Open Access Journals (Sweden)

    Vanessa Fernandes Davies

    Full Text Available The objective of this paper is to identify the stakeholders and their contributions to the public consultation carried out with regard to the mandatory trans fat acids food labeling proposal in Brazil. Methodology thematic analysis of the documents. Results 25 stakeholders made suggestions regarding the proposed law, and the majority belonged to the food industry sector. The following issues were raised: lack of knowledge among the consumers about trans fat acids; lack of information about trans fat acids in food composition tables and infrastructure to analyse the trans fat content of foods; voluntary trans fat labelling. Conclusions The stakeholders addressed important issues, such as improving nutritional knowledge among the population. However, few stakeholders linked to consumers took part in the public consultation, which might lead to disproportionate influence of the food industry on the development of future food policies.

  1. [The value of mandatory seminars in the education of pre-registration house officers

    DEFF Research Database (Denmark)

    Henriksen, A.H.; Ringsted, C.; Pedersen-Reng, S.

    2008-01-01

    INTRODUCTION: There are advantages and disadvantages of general mandatory seminars in the education of pre-registration house officers. The seminars are highly rated by the pre-registration house officers, but we do not know what value they represent for the pre-registration house officers. The aim...... of this study was to explore this further. MATERIALS AND METHODS: Four focus group interviews with five junior doctors were conducted. Three themes were discussed: the advantages of the seminars, the disadvantages of the seminars and the needs or wishes concerning both the seminars and education generally...... and require feedback and supervision. CONCLUSION: The results reflect the pre-registration house officers' social needs and need for tools to manage complex situations and their need for recognition. The value of the seminars must be seen in terms of facilitating and supporting the development of both...

  2. Legal considerations surrounding mandatory influenza vaccination for healthcare workers in the United States.

    Science.gov (United States)

    Randall, Lisa H; Curran, Eileen A; Omer, Saad B

    2013-04-03

    Recent years have brought increased focus on the desirability of vaccinating more healthcare workers against influenza. The concern that novel 2009 H1N1 influenza A would spark a particularly severe influenza season in 2009-2010 spurred several institutions and one state to institute mandatory vaccination policies for healthcare workers, and several new mandates have been introduced since then. Some healthcare workers, however, have voiced objections in the media and in legal proceedings. This paper reviews the characteristics of influenza and how it is transmitted in the healthcare setting; surveys possible constitutional, administrative, and common law arguments against mandates; assesses the viability of those arguments; and identifies potential new legal strategies to support influenza vaccine mandates. It is intended to assist those involved in the regulation and administration of public and private healthcare institutions who may be considering approaches to mandates but have concerns about legal challenges. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. Management earnings forecasts and analyst forecasts:Evidence from mandatory disclosure system

    Institute of Scientific and Technical Information of China (English)

    Yutao; Wang; Yunsen; Chen; Juxian; Wang

    2015-01-01

    Distinct from the literature on the effects that management earnings forecasts(MEFs) properties, such as point, range and qualitative estimations, have on analyst forecasts, this study explores the effects of selective disclosure of MEFs.Under China’s mandatory disclosure system, this study proposes that managers issue frequent forecasts to take advantage of opportune changes in predicted earnings. The argument herein is that this selective disclosure of MEFs increases information asymmetry and uncertainty, negatively influencing analyst earnings forecasts. Empirical evidence shows that firms that issue more frequent forecasts and make significant changes in MEFs are less likely to attract an analyst following, which can lead to less accurate analyst forecasts. The results imply that the selective disclosure of MEFs damages information transmission and market efficiency, which can enlighten regulators seeking to further enhance disclosure policies.

  4. Experiences gained from implementing mandatory buffer strips in Denmark: how can we enhance their ecosystem services?

    Science.gov (United States)

    Kronvang, Brian; Hoffmann, Carl Christian; Baattrup-Pedersen, Annette; Hille, Sandra; Rubæk, Gitte; Heckrath, Goswin; Gertz, Flemming; Jensen, Henning; Feuerback, Peter; Strand, John; Stutter, Marc

    2015-04-01

    The Danish Parliament adopted in June 2012 a Buffer Strip Act that required 10 m mandatory buffer strips (BSs) to be established along all watercourses and lakes with a surface area greater than 100 m2 from 1st September 2012. The main reasons for deploying BSs was to reduce nitrate-N leaching and phosphorus (P) loss via surface runoff from adjoining fields from the approximately 50,000 ha of BSs as no farming activities were allowed in the BS concerning use of fertilizer, spreading of manure, spraying with pesticides, etc. Reductions in nutrient losses to watercourses are needed for minimizing the eutrophication effects in lakes and coastal waters. Buffer strips are among the most well studied and frequently adapted mitigation measure for reducing sediment and P losses to surface waters via surface runoff. It has, however, been questioned if BSs can also reduce N losses. The international literature gives an overwhelming support to their functioning for reduction in sediment and especially particulate P losses. However, their functioning for dissolved P and nitrogen is more questionable when comparing studies from the international literature. In Denmark, many farmers were against the introduction of BSs as a general mitigation measure for several reasons. The most used argument in the public debate was that BSs in general are not very efficient for reducing N and P losses to surface waters which was originally the argument behind the BS Act from the Ministries of Environment and Food and Agriculture. A desk study had been made prior to the adaptation of the law that showed 10 m BSs to be able to reduce the N loading with 40-50 kg N ha-1 of BS and 0.04-0.4 kg P ha-1 BS. The total reduction from the BSs established in Denmark in 2012 would then amount to 2,000-2,500 tonnes N and 2-20 tonnes P. The intense public debate in Denmark made the Parliament to adopt a new BS law in June 2014 to be implemented in August 2014 that reduced the total areas with mandatory BSs

  5. Mandatory fortification of bread with iodised salt modestly improves iodine status in schoolchildren.

    Science.gov (United States)

    Skeaff, Sheila A; Lonsdale-Cooper, Emily

    2013-03-28

    Iodine deficiency has re-emerged in many parts of the world including the UK, Australia and New Zealand (NZ). In 2009, the NZ government introduced the mandatory fortification of bread with iodised salt as a strategy to improve iodine intakes. The aim of the present study was to assess the impact of fortification on the iodine status of NZ schoolchildren. A school-based cluster survey was used to randomly select schools from two NZ cities. Children aged 8-10 years were administered a general questionnaire, and asked to provide a casual urine and finger-prick blood sample. The median urinary iodine concentration (UIC) of the children (n 147) was 113 μg/l, which falls between 100 and 199 μg/l indicating adequate iodine status; 12 % of children had a UIC staple foods, in addition to bread, should be considered to ensure good iodine status in NZ children.

  6. [Mandatory requirement of social health service in Peru: discriminatory and unconstitutional].

    Science.gov (United States)

    Mayta-Tristán, Percy; Poterico, Julio A; Galán-Rodas, Edén; Raa-Ortiz, Daniel

    2014-01-01

    The rural and urban-edge health service (SERUMS) is an activity that only health professionals perform for the Peruvian government, as it is a mandatory requirement to qualify for a second specialty or to work in public hospitals and public health care facilities, and obtain government scholarships for future training. The few legal changes in the rules of this social program and the focus of “service” restricted to health professionals lead to a perception of this policy as discriminatory and unconstitutional because it violates the right to education and work. There is no scientific evidence that supports the usefulness and effectiveness of this program in terms of quality of service and health indicator improvement, as well as in adequate distribution and retention of health professionals. We suggest to abolish the compulsory requirement and to reformulate a political strategy to help attract and retain health professionals in vulnerable areas of Peru.

  7. A Mandatory Uniform Policy in Urban Schools: Findings from the School Survey on Crime and Safety: 2003-04

    Directory of Open Access Journals (Sweden)

    Seunghee Han

    2010-01-01

    Full Text Available The main purpose of the study is to examine the relations between a mandatory school uniform policy and student problem behavior. The study is based on the School Survey on Crime and Safety (SSOCS 2003-04 data. Analyzing data from 421 urban schools, the study found that schools adopting a mandatory uniform policy are negatively associated with rates of student problem behaviors except at the high school level. As with other school safety initiatives, parental involvement at the elementary school level, and teacher training and community efforts at the high school level were revealed as negative predictors of student problem behavior.

  8. Influence of mandatory generic substitution on pharmaceutical sales patterns: a national study over five years

    Directory of Open Access Journals (Sweden)

    Allebeck Peter

    2008-02-01

    Full Text Available Abstract Background Mandatory generic substitution was introduced in Sweden in October 2002 in order to try to curb escalating pharmaceutical expenditure. The aim of this study was to investigate how sales patterns for substitutable and non-substitutable pharmaceuticals have developed since the introduction of mandatory generic substitution; furthermore, to compare sales patterns in different groups of the population, based on patients' age and gender. Methods Five therapeutic groups comprising both substitutable and non-substitutable pharmaceuticals were included. The study period was from January 2000 to June 2005. National sales data were used, covering volumes of dispensed prescription medicines (expressed in defined daily doses per 1000 inhabitants and day of each pharmacological substance in the therapeutic groups for each age and gender group. Sales patterns for substitutable and non-substitutable pharmaceuticals were compared using a descriptive approach. Results In most therapeutic groups there has been an increase in the volumes of substitutable pharmaceuticals sold since the introduction of the reform, ranging from one third to three times the initial volume; whereas the volumes of non-substitutable pharmaceuticals have levelled out or declined. There were few gender differences in sales patterns of substitutable and non-substitutable drugs. In three therapeutic groups, sales patterns differed across different age groups, and there was a tendency for volumes of recently introduced non-substitutable pharmaceuticals to be proportionally higher in the youngest age groups. Conclusion Since the introduction of the reform, there has been a proportionally larger increase in sales of substitutable pharmaceuticals compared with sales of non-substitutable pharmaceuticals. This indicates that the reform might have contributed to larger sales of less expensive pharmaceuticals.

  9. Dietary Iodine Intake of the Australian Population after Introduction of a Mandatory Iodine Fortification Programme

    Directory of Open Access Journals (Sweden)

    Karen Charlton

    2016-11-01

    Full Text Available To address mild iodine deficiency in Australia, a mandatory fortification program of iodised salt in bread was implemented in 2009. This study aimed to determine factors associated with achieving an adequate dietary iodine intake in the Australian population post-fortification, and to assess whether bread consumption patterns affect iodine intake in high-risk groups. Using nationally representative data of repeated 24-h dietary recalls from the 2011–2012 Australian National Nutrition and Physical Activity Survey, dietary iodine intakes and food group contributions were compared by age, socioeconomic status (SES, and geographical remoteness (N = 7735. The association between fortified bread intake and adequacy of iodine intake (meeting age and sex-specific Estimated Average Requirements was investigated using logistic regression models in women of childbearing age 14–50 years (n = 3496 and children aged 2–18 years (n = 1772. The effect of SES on bread consumption was further investigated in a sub group of children aged 5–9 years (n = 488. Main sources of iodine intake at the time of the survey were cereal and cereal products, followed by milk products and dishes. Differences in iodine intake and dietary iodine habits according to age, SES and location were found (p < 0.001 for women of child-bearing age. Fortified bread consumption at ≥100 g/day was associated with five times greater odds of achieving an adequate iodine intake (OR 5.0, 95% CI 4.96–5.13; p < 0.001 compared to lower bread consumption in women and 12 times in children (OR 12.34, 95% CI 1.71–89.26; p < 0.001. Disparities in dietary iodine intake exist within sectors of the Australian population, even after mandatory fortification of a staple food. On-going monitoring and surveillance of iodine status is required.

  10. Poly-substance use and antisocial personality traits at admission predict cumulative retention in a buprenorphine programme with mandatory work and high compliance profile

    DEFF Research Database (Denmark)

    Öhlin, Leif; Hesse, Morten; Fridell, Mats

    2011-01-01

    . In this study the structure was reinforced by the addition of supervised urine samples three times a week and mandatory daily work/structured education activities as a prerequisite of inclusion in the program. Methods Of 128 patients consecutively admitted to buprenorphine maintenance treatment five patients......-IV-TR, and the Symptoms Checklist 90 (SCL-90), the Alcohol Use Disorder Identification Test (AUDIT), the Swedish universities Scales of Personality (SSP) and the Sense of Coherence Scale (SOC), all self-report measures. Some measures were repeated every third month in addition to interviews. Results Of 123 patients...... for the first 12 months with continuous abstinence and daily work. Poly-substance use before intake into treatment, high levels of conduct disorder on SCID screen and younger age at intake had a negative impact on retention and abstinence....

  11. The impact of mandatory helmet law on the outcome of maxillo facial trauma: a comparative study in kerala.

    Science.gov (United States)

    Usha, M; Ravindran, V; Soumithran, C S; Ravindran Nair, K S

    2014-06-01

    Motorcyclists comprise the majority of road-traffic victims in low and middle income countries,and consequently, the majority of the road-traffic victims globally. Simple measures can be taken to make safer on the roads, which include enforcement of safety measures like seat belt and helmets. The compulsory Helmet law was enforced in Kerala on 18/06/07. Resistance to legislation on motorcycle helmets still coexists world wide with debate on the effectiveness of helmets. In an attempt to analyze the protective effect of helmets on facial injuries a comparative study was conducted in Government Dental College, Calicut, which is a major trauma centre in northern Kerala. Data for the present study was obtained from the patients who have reported to the Emergency Department of Oral and Maxillofacial Surgery, Government Dental College, Calicut, for a period of 6 months immediately after the implementation of strict helmet rule in Kerala. For the study all patients with a history of nonfatal motor cycle accident sustaining facial injuries were included. The results were compared with the study conducted in the same institution in the pre law period. The study demonstrates the protective effect of motorcycle helmets in decreasing the morbidity of maxillofacial trauma.There was a marked decrease in incidence of motorcycle-related injuries, remarkable increase in helmet usage and better outcome in helmeted individuals in the post law period. Road traffic injury control is a public health problem. Health and medical professionals have an ethical responsibility to educate and arrange for the safety of individuals. Helmets are effective in preventing or reducing the severity of motorcycle-related injuries and in a developing country like India, enforced mandatory motor cycle helmet law is potentially one of the most cost effective interventions available.

  12. What's public? What's private? Policy trade-offs and the debate over mandatory annual influenza vaccination for health care workers.

    Science.gov (United States)

    Mah, Catherine L

    2008-01-01

    Policy decisions about public health services differ from those for personal health services. Both require trade-offs between such policy goals as liberty, security, efficiency, and equity. In public health, however, decisions about who will approve, pay for, and deliver services are often accompanied by decisions on when and how to compel individual behaviour. Policy becomes complex because different stakeholders interpret evidence differently: stakeholders may assign different weights to policy goals and may even define the same goals differently. In the debate over mandatory annual influenza vaccination for health care workers, for example, proponents as well as opponents of mandatory vaccination may convey arguments in security terms. Those in favour of mandatory vaccination emphasize subclinical infections and duty of care (public security) while those opposed emphasize risk of adverse events (personal security). Proponents assert less worker absenteeism (efficiency) while opponents stress coercion and alternate personal infection control measures (liberty and individual rights/responsibilities). Consequently, stakeholders talk past each other. Determining the place of mandatory influenza vaccination for health care workers thus demands reconciling policy trade-offs and clarifying the underlying disputes hidden in the language of the policy debate.

  13. Beliefs on Mandatory Influenza Vaccination of Health Care Workers in Nursing Homes : A Questionnaire Study from the Netherlands

    NARCIS (Netherlands)

    Looijmans-van den Akker, Ingrid; Marsaoui, Badyr; Hak, Eelko; van Delden, Johannes J. M.

    2009-01-01

    OBJECTIVES: To assess whether nursing homes (NHs) made organizational improvements to increase influenza vaccination rates in healthcare workers (HCWs) and to quantify the beliefs of NH administrators on the arguments used in favor of implementation of mandatory influenza vaccination of HCWs. DESIGN

  14. Mandatory Accreditation for Special Educational Needs Co-Ordinators: Biopolitics, Neoliberal Managerialism and the Deleuzo-Guattarian "War Machine"

    Science.gov (United States)

    Done, Elizabeth J.; Murphy, Mike; Knowler, Helen

    2015-01-01

    Recent changes to policy directives now require newly appointed Special Educational Needs Coordinators (SENCOs) in UK mainstream schools to be qualified teachers. Training and accreditation through a nationally approved postgraduate award is now mandatory. Concepts drawn from poststructuralist biopolitics and critiques of neoliberal educational…

  15. Folic acid: to fortify or not to fortify? An examination of selected national policies towards mandatory folic acid fortification

    Science.gov (United States)

    Many national authorities are reviewing their policy towards mandatory folic acid fortification of staple foods in response to epidemiological evidence of the relationship between folic acid and neural tube defects (NTDs). However, there are scientific, ethical and technical challenges associated wi...

  16. 14 CFR Special Federal Aviation... - Process for Requesting Waiver of Mandatory Separation Age for a Federal Aviation Administration...

    Science.gov (United States)

    2010-01-01

    ... Separation Age for a Federal Aviation Administration Air Traffic Control Specialist In Flight Service... Federal Special Federal Aviation Regulation No. 103 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION..., SFAR 103 Special Federal Aviation Regulation No. 103—Process for Requesting Waiver of Mandatory...

  17. 77 FR 71773 - Mandatory Country of Origin Labeling of Covered Commodities: Notice of Request for Revision of a...

    Science.gov (United States)

    2012-12-04

    ... Agricultural Marketing Service Mandatory Country of Origin Labeling of Covered Commodities: Notice of Request for Revision of a Currently Approved Information Collection AGENCY: Agricultural Marketing Service... of 1995 (44 U.S.C. Chapter 35), this notice announces the Agricultural Marketing Service's...

  18. 33 CFR 151.2040 - What are the mandatory ballast water management requirements for vessels equipped with ballast...

    Science.gov (United States)

    2010-07-01

    ... water management requirements for vessels equipped with ballast tanks that operate in the waters of the... Water Management for Control of Nonindigenous Species in Waters of the United States § 151.2040 What are the mandatory ballast water management requirements for vessels equipped with ballast tanks...

  19. 77 FR 10358 - Acceptance of ASTM F963-11 as a Mandatory Consumer Product Safety Standard

    Science.gov (United States)

    2012-02-22

    ... COMMISSION 16 CFR Chapter II Acceptance of ASTM F963-11 as a Mandatory Consumer Product Safety Standard... ASTM F963-11 standard titled, Standard Consumer Safety Specifications for Toy Safety. Pursuant to section 106 of the Consumer Product Safety Improvement Act of 2008, ASTM F963-11 will become a...

  20. Should Bible Studies Remain in Israeli Public Schools? Teachers' Attitudes toward Bible Teaching as a Mandatory Subject

    Science.gov (United States)

    Idalovichi, Israel

    2003-01-01

    The purpose of this article is to provide an overview and analysis of attitudes of Israeli K-12 educators and bible teachers toward religious studies. Teachers' attitudes toward bible teaching as a mandatory subject are, on the whole, positive throughout the country. The present study addresses the absence of systematic research into the opinions…

  1. The Mandatory Introduction of IFRS as a Single Accounting Standard in the European Union and the Effect on Earnings Management

    NARCIS (Netherlands)

    M.B.W. Lippens (Mark)

    2010-01-01

    textabstractExecutive summary In this study, it was investigated whether the mandatory adoption of IFRS from 1 January 2005 by all listed companies in the European Union led to significantly lower levels of earnings management. I found that, despite the stricter character of IFRS compared to

  2. Beliefs on Mandatory Influenza Vaccination of Health Care Workers in Nursing Homes : A Questionnaire Study from the Netherlands

    NARCIS (Netherlands)

    Looijmans-van den Akker, Ingrid; Marsaoui, Badyr; Hak, Eelko; van Delden, Johannes J. M.

    2009-01-01

    OBJECTIVES: To assess whether nursing homes (NHs) made organizational improvements to increase influenza vaccination rates in healthcare workers (HCWs) and to quantify the beliefs of NH administrators on the arguments used in favor of implementation of mandatory influenza vaccination of HCWs.

  3. 75 FR 63213 - Atomic Safety and Licensing Board; Notice of Opportunity To Participate in Uncontested/Mandatory...

    Science.gov (United States)

    2010-10-14

    ... uncontested/mandatory hearing process associated with the AES application and the staff's safety review of... statement (EIS), the Board anticipates establishing a schedule to govern IGE participation in the... no position at all, with respect to the AES application or the staff's associated safety review,...

  4. The Mandatory Introduction of IFRS as a Single Accounting Standard in the European Union and the Effect on Earnings Management

    NARCIS (Netherlands)

    M.B.W. Lippens (Mark)

    2010-01-01

    textabstractExecutive summary In this study, it was investigated whether the mandatory adoption of IFRS from 1 January 2005 by all listed companies in the European Union led to significantly lower levels of earnings management. I found that, despite the stricter character of IFRS compared to nationa

  5. Record completeness and data concordance in an anesthesia information management system using context-sensitive mandatory data-entry fields.

    Science.gov (United States)

    Avidan, Alexander; Weissman, Charles

    2012-03-01

    Use of an anesthesia information management system (AIMS) does not insure record completeness and data accuracy. Mandatory data-entry fields can be used to assure data completeness. However, they are not suited for data that is mandatory depending on the clinical situation (context sensitive). For example, information on equal breath sounds should be mandatory with tracheal intubation, but not with mask ventilation. It was hypothesized that employing context-sensitive mandatory data-entry fields can insure high data-completeness and accuracy while maintaining usability. A commercial off-the-shelf AIMS was enhanced using its built-in VBScript programming tool to build event-driven forms with context-sensitive mandatory data-entry fields. One year after introduction of the system, all anesthesia records were reviewed for data completeness. Data concordance, used as a proxy for accuracy, was evaluated using verifiable age-related data. Additionally, an anonymous satisfaction survey on general acceptance and usability of the AIMS was performed. During the initial 12 months of AIMS use, 12,241 (99.6%) of 12,290 anesthesia records had complete data. Concordances of entered data (weight, size of tracheal tubes, laryngoscopy blades and intravenous catheters) with patients' ages were 98.7-99.9%. The AIMS implementation was deemed successful by 98% of the anesthesiologists. Users rated the AIMS usability in general as very good and the data-entry forms in particular as comfortable. Due to the complexity and the high costs of implementation of an anesthesia information management system it was not possible to compare various system designs (for example with or without context-sensitive mandatory data entry-fields). Therefore, it is possible that a different or simpler design would have yielded the same or even better results. This refers also to the evaluation of usability, since users did not have the opportunity to work with different design approaches or even different

  6. Acceptability of Parental Financial Incentives and Quasi-Mandatory Interventions for Preschool Vaccinations: Triangulation of Findings from Three Linked Studies.

    Directory of Open Access Journals (Sweden)

    Jean Adams

    Full Text Available Childhood vaccinations are a core component of public health programmes globally. Recent measles outbreaks in the UK and USA have prompted debates about new ways to increase uptake of childhood vaccinations. Parental financial incentives and quasi-mandatory interventions (e.g. restricting entry to educational settings to fully vaccinated children have been successfully used to increase uptake of childhood vaccinations in developing countries, but there is limited evidence of effectiveness in developed countries. Even if confirmed to be effective, widespread implementation of these interventions is dependent on acceptability to parents, professionals and other stakeholders.We conducted a systematic review (n = 11 studies included, a qualitative study with parents (n = 91 and relevant professionals (n = 24, and an on-line survey with embedded discrete choice experiment with parents (n = 521 exploring acceptability of parental financial incentives and quasi-mandatory interventions for preschool vaccinations. Here we use Triangulation Protocol to synthesise findings from the three studies.There was a consistent recognition that incentives and quasi-mandatory interventions could be effective, particularly in more disadvantaged groups. Universal incentives were consistently preferred to targeted ones, but relative preferences for quasi-mandatory interventions and universal incentives varied between studies. The qualitative work revealed a consistent belief that financial incentives were not considered an appropriate motivation for vaccinating children. The costs of financial incentive interventions appeared particularly salient and there were consistent concerns in the qualitative work that incentives did not represent the best use of resources for promoting preschool vaccinations. Various suggestions for improving delivery of the current UK vaccination programme as an alternative to incentives and quasi-mandates were made.Parental financial

  7. Acceptability of Parental Financial Incentives and Quasi-Mandatory Interventions for Preschool Vaccinations: Triangulation of Findings from Three Linked Studies.

    Science.gov (United States)

    Adams, Jean; McNaughton, Rebekah J; Wigham, Sarah; Flynn, Darren; Ternent, Laura; Shucksmith, Janet

    2016-01-01

    Childhood vaccinations are a core component of public health programmes globally. Recent measles outbreaks in the UK and USA have prompted debates about new ways to increase uptake of childhood vaccinations. Parental financial incentives and quasi-mandatory interventions (e.g. restricting entry to educational settings to fully vaccinated children) have been successfully used to increase uptake of childhood vaccinations in developing countries, but there is limited evidence of effectiveness in developed countries. Even if confirmed to be effective, widespread implementation of these interventions is dependent on acceptability to parents, professionals and other stakeholders. We conducted a systematic review (n = 11 studies included), a qualitative study with parents (n = 91) and relevant professionals (n = 24), and an on-line survey with embedded discrete choice experiment with parents (n = 521) exploring acceptability of parental financial incentives and quasi-mandatory interventions for preschool vaccinations. Here we use Triangulation Protocol to synthesise findings from the three studies. There was a consistent recognition that incentives and quasi-mandatory interventions could be effective, particularly in more disadvantaged groups. Universal incentives were consistently preferred to targeted ones, but relative preferences for quasi-mandatory interventions and universal incentives varied between studies. The qualitative work revealed a consistent belief that financial incentives were not considered an appropriate motivation for vaccinating children. The costs of financial incentive interventions appeared particularly salient and there were consistent concerns in the qualitative work that incentives did not represent the best use of resources for promoting preschool vaccinations. Various suggestions for improving delivery of the current UK vaccination programme as an alternative to incentives and quasi-mandates were made. Parental financial incentives and quasi-mandatory

  8. 41 CFR 301-70.704 - What expenses and/or classes of employees are exempt from the mandatory use of the Government...

    Science.gov (United States)

    2010-07-01

    ... contractor-issued travel charge card is not accepted); (h) Phone calls (when a Government calling card is... classes of employees are exempt from the mandatory use of the Government contractor-issued travel charge... REQUIREMENTS Policies and Procedures Relating to Mandatory Use of the Government Contractor-Issued...

  9. 40 CFR 98.401 - Reporting threshold.

    Science.gov (United States)

    2010-07-01

    ...) MANDATORY GREENHOUSE GAS REPORTING Suppliers of Natural Gas and Natural Gas Liquids § 98.401 Reporting threshold. Any supplier of natural gas and natural gas liquids that meets the requirements of § 98.2(a)(4) must report GHG emissions....

  10. 10 CFR 205.351 - Reporting requirements.

    Science.gov (United States)

    2010-01-01

    ... in paragraphs (a) through (d) of this section. These reporting procedures are mandatory. Entities... system operating condition(s) or other event(s) which in the judgment of the reporting entity could or... 10 Energy 3 2010-01-01 2010-01-01 false Reporting requirements. 205.351 Section 205.351...

  11. Model of managing pension assets of the defined contribution mandatory state pension system

    Directory of Open Access Journals (Sweden)

    Rudensky Roman A.

    2014-01-01

    Full Text Available Introduction of the defined contribution mandatory state pension system in Ukraine actualises the issue of efficient management of its pension assets. The goals of the article are development of theoretical and methodical provisions and development of the economic and mathematical model of management of pension assets of the defined contribution pension system on the basis of the fuzzy set approach. The necessity to refer to the theory of fuzzy sets when modelling this process is caused by, firstly, absence of rather complete consistent “a priori” information, secondly, uncertainty of flows of insurance contributions and pension payments and, thirdly, significant influence of the instable market environment upon investment processes. The proposed fuzzy set economic and mathematical model of the task of optimal management of pension assets of the defined contribution system is a target function of minimisation of the investment risk as the risk of insufficiency of net pension assets and system of restrictions that reflect restriction of the investment activity with pension assets of the defined contribution pension system, determined by the current pension legislation.

  12. COMPARISON OF HIGH-FREQUENCY OSCILLATION VENTILATION WITH CONVENTIONAL MANDATORY VENTILATION IN ANIMAL ARDS MODEL

    Institute of Scientific and Technical Information of China (English)

    SHI Guo-chao; HUANG Shao-guang; LI Min; DENG Wei-wu; WAN Huan-ying

    2005-01-01

    Objective To compare effect of high-frequency oscillation ventilation (HFOV) and conventional mandatory ventilation (CMV) on lung injury development in rabbit with acute respiratory distress syndrome (ARDS). Methods Animals that underwent saline lung lavage to produce lung injury were randomized to one of the two treatment groups (HFOV or CMV, n=6). PaCO2 was maintained between 35-45mmHg and arterial oxygen saturation (SaO2) was maintain >88% by adjusting corresponding ventilator parameters. Ventilation period was 6h. Lung fluids were aspirated before and at the end of ventilation for cell analysis. Then the animals were euthanized, lung tissue was removed for wet/dry weight measurement, light and electron microscopic examination.Results The difference of artery blood gas analyses(pH, PaO2, PaCO2) between HFOV and CMV was insignificant. The difference between HFOV and CMV in cytological examination of lung fluids, wet/dry weight measurement was also insignificant. But compared with CMV,HFOV not only reduced the area of lung injury, but also reduced lung injury score in light and electron microscopic examination. Conclusion When same artery blood gas analysis was obtained, HFOV significantly reduced lung injury development in ARDS animal than CMV. As a lung protection strategy, HFOV can be used in the treatment of ARDS.

  13. The E1 protein is mandatory for pore formation by Semliki Forest virus spikes.

    Science.gov (United States)

    Dick, M; Barth, B U; Kempf, C

    1996-06-01

    Insect cells (Aedes albopictus, clone C6/36) were infected with various variants of Semliki Forest virus including the wild type using the SFV replicon system. The variants included deletion mutants lacking one of the structural proteins and a mutant with a point mutation in p62 (SQL). The latter mutation results in a failure to process p62 to E2 and E3. After infection of the cells with different variant viruses and subsequent expression of viral proteins in the host cell plasma membrane low pH-induced pore formation was detected by measuring the efflux of a radiolabeled compound. The results of these experiments clearly showed that the E1 protein is mandatory for the acid-induced pore formation. A participation of the 6K or C-protein could be excluded. Furthermore, results obtained with the SQL mutant suggest that dissociation of the E1/E2 heterodimer and subsequent homooligomerization of E1 are required for pore formation.

  14. Voluntary or Mandatory? The Valence Framing Effect of Attitudes Regarding HPV Vaccination.

    Science.gov (United States)

    Gesser-Edelsburg, Anat; Walter, Nathan; Shir-Raz, Yaffa; Green, Manfred S

    2015-01-01

    This study addresses the issue of valence framing effect in the context of immunization, a preventive behavior often addressed by the equation of benefit versus risk. The authors examined how framing (support vs. oppose) the issue of HPV vaccination in Israel's immunization routine affects attitudes regarding vaccine regulations. The study also examined issue involvement as a moderator of valence framing effect. The results demonstrate that participants in the positive framing condition tended to express greater support for voluntary immunization than participants in the negative framing condition (77.5% and 48.5%, respectively). Among those who supported the mandatory HPV immunization policy, the negative framing condition was more prominent than the positive condition (51.5% and 22.5%, respectively). The analysis of interaction between valence framing and issue involvement showed that the latter tends to moderate the direct effect of framing on attitudes towards vaccination. Findings indicate that even attitudes towards such consequential preventive behaviors as vaccination could be affected by different framing of the issue, especially for those who are less involved. Implications of predilection for freedom of choice regarding vaccination are also discussed.

  15. Knowledge and Attitudes Toward Mandatory Premarital Screening Among University Students in North Jordan.

    Science.gov (United States)

    Alkhaldi, Sireen M; Khatatbeh, Moawia M; Berggren, Vanja E M; Taha, Hana A

    2016-01-01

    A mandatory National Premarital Thalassemia Screening Program was implemented in Jordan in 2004. This cross-sectional study aimed to assess the knowledge and attitudes of university students in North Jordan toward this program. Data was collected from 542 students from four universities (two public and two private universities) located in North Jordan, using a structured questionnaire. Results of t-test and analysis of variance (ANOVA) showed that while respondents had adequate knowledge of and positive attitudes toward the premarital screening program, there was still a lack of knowledge about the disease itself. Nearly half the respondents were under the impression that β-thalassemia (β-thal) is a disease that can be treated simply. One-third of the respondents believed that if both partners were carriers of β-thal they should proceed with marriage. Negative attitude was revealed when many respondents believed that diagnosing a family member as a carrier affects other family members' future marriage opportunities. Significant associations were detected between the knowledge scores and gender, urban/rural residence, and the university where the students were enrolled. Students in private universities showed significantly lower attitude scores. Consideration of prenatal diagnostic services as part of a β-thal prevention program is necessary. It would also be helpful to include information about β-thal as a preventable inherited illness with a severe debilitating impact on the family in the high school curriculum. There is also a need for social marketing of the program.

  16. Changes in fat contents of US snack foods in response to mandatory trans fat labelling.

    Science.gov (United States)

    Van Camp, Debra; Hooker, Neal H; Lin, Chung-Tung Jordan

    2012-06-01

    Impact of mandatory trans fat labelling on US snack food introductions is examined. Using label information, lipid ingredients and fat profiles are compared pre- and post-labelling. Key products in the US snack food industry contribute significant amounts of artificial trans fat. Industry efforts to reformulate products to lower trans fat may alter the overall fat profile, in particular saturates. Composition data for more than 5000 chip and cookie products introduced for sale between 2001 (pre-labelling) and 2009 (post-labelling) were analysed. One-way ANOVA was used to test for significant changes in saturated fat content per serving and the ratio of saturated to total fat. The shares of chip and cookie introductions containing partially hydrogenated vegetable oil declined by 45 and 42 percentage points, respectively. In cookies, there was an increase of 0·49 (98 % CI 0·01, 0·98) g in the average saturated fat content per 30 g serving and an increase of 9 (98 % CI 3, 15) % in the average ratio of saturated to total fat. No statistically significant changes in fat content were observed in chips. This research suggests that, holding other factors constant, the policy has resulted in a decreased use of partially hydrogenated vegetable oil in chip products without a corresponding increase in saturated fat content, but led to significantly higher levels of saturated fat and ratio of saturated fat to total fat in cookie products.

  17. Linearized texture of three-dimensional extracellular matrix is mandatory for bladder cancer cell invasion

    Science.gov (United States)

    Alfano, Massimo; Nebuloni, Manuela; Allevi, Raffaele; Zerbi, Pietro; Longhi, Erika; Lucianò, Roberta; Locatelli, Irene; Pecoraro, Angela; Indrieri, Marco; Speziali, Chantal; Doglioni, Claudio; Milani, Paolo; Montorsi, Francesco; Salonia, Andrea

    2016-01-01

    In the fields of biomaterials and tissue engineering simulating the native microenvironment is of utmost importance. As a major component of the microenvironment, the extracellular matrix (ECM) contributes to tissue homeostasis, whereas modifications of native features are associated with pathological conditions. Furthermore, three-dimensional (3D) geometry is an important feature of synthetic scaffolds favoring cell stemness, maintenance and differentiation. We analyzed the 3D structure, geometrical measurements and anisotropy of the ECM isolated from (i) human bladder mucosa (basal lamina and lamina propria) and muscularis propria; and, (ii) bladder carcinoma (BC). Next, binding and invasion of bladder metastatic cell line was observed on synthetic scaffold recapitulating anisotropy of tumoral ECM, but not on scaffold with disorganized texture typical of non-neoplastic lamina propria. This study provided information regarding the ultrastructure and geometry of healthy human bladder and BC ECMs. Likewise, using synthetic scaffolds we identified linearization of the texture as a mandatory feature for BC cell invasion. Integrating microstructure and geometry with biochemical and mechanical factors could support the development of an innovative synthetic bladder substitute or a tumoral scaffold predictive of chemotherapy outcomes. PMID:27779205

  18. Mandatory palliative care education for surgical residents: initial focus on teaching pain management.

    Science.gov (United States)

    Oya, Hisaharu; Matoba, Motohiro; Murakami, Satoshi; Ohshiro, Taihei; Kishino, Takayoshi; Satoh, Yuya; Tsukahara, Tetsuo; Hori, Syutarou; Maeda, Masahiro; Makino, Takashi; Maeda, Takashi

    2013-02-01

    Knowledge concerning palliative care and the associated skills, including effective pain control, is essential for surgeons who treat cancer patients in daily practice. This study focuses on a palliative care training course that has been mandatorily conducted for all surgical residents of our hospital since 2009. We evaluated the effectiveness of our mandatory palliative care training course by conducting a retrospective study of the patients' medical records and participants' questionnaire results and discussed the importance of palliative care education for surgical residents. All 12 surgical residents who participated in the course in 2009 had graduated 4-9 years back. They were assigned to look after a total of 92 cases (average, 7.66 cases per resident) during the course. The purpose of care in most cases (92.3%) was to mitigate pain. Introducing analgesic adjuvants such as gabapentin or amitriptyline accounted for the largest part of initial interventions (23.9%) aimed at controlling cancer pain, followed by changes in route of administration or doses of prior opioid analgesics (21.7%). Interventions with opioid analgesics were conducted most frequently (47.7%). The overall pain improvement rate was 89.1%. We used a questionnaire after the course to evaluate its effectiveness. The surgical residents stated that it was a meaningful course through which they gained practical knowledge on palliative care and that the experience would change their approach to home care.

  19. Is postoperative imaging mandatory after meningioma removal? Results of a prospective study.

    Directory of Open Access Journals (Sweden)

    Florian Geßler

    Full Text Available Routine postoperative imaging (PI following surgery for intracranial meningiomas is common practice in most neurosurgical departments. The purpose of this study was to determine the role of routine PI and its impact on clinical decision making after resection of meningioma.Patient and tumor characteristics, details of radiographic scans, symptoms and alteration of treatment courses were prospectively collected for patients undergoing removal of a supratentorial meningioma of the convexity, falx, tentorium, or lateral sphenoid wing at the authors' institution between January 1st, 2010 and March 31st, 2012. Patients with infratentorial manifestations or meningiomas of the skull base known to be surgically difficult (e.g. olfactory groove, petroclival, medial sphenoid wing were not included. Maximum tumor diameter was divided into groups of 6 cm (large.206 patients with meningiomas were operated between January 2010 and March 2012. Of these, 113 patients met the inclusion criteria and were analyzed in this study. 83 patients (73.5% did not present new neurological deficits, whereas 30 patients (26.5% became clinically symptomatic. Symptomatic patients had a change in treatment after PI in 21 cases (70%, while PI was without consequence in 9 patients (30%. PI did not result in a change of treatment in all asymptomatic patients (p<0.001 irrespective of tumor size (p<0.001 or localization (p<0.001.PI is mandatory for clinically symptomatic patients but it is safe to waive it in clinically asymptomatic patients, even if the meningioma was large in size.

  20. On the issue of a mandatory forensic comprehensive psychological and psychiatric examination of capacity: pro arguments

    Directory of Open Access Journals (Sweden)

    Kantor P.Y.

    2016-03-01

    Full Text Available The article again addresses the issue of forensic examinations of incapacity or limited capacity due to the mental disorder in the Code of Civil Procedure of the Russian Federation. The article critically discusses the common objections to establishing a mandatory appointment for a comprehensive forensic psychological and psychiatric examination in this category of cases. The author observes how this proposed requirement is connected with earlier legislation updates. The new rule logically follows from the need to consider, in according to law, a person’s ability for decision making and social communication. Currently, a comprehensive forensic psychological and psychiatric examination is appointed too rarely in these cases, which leads to the insufficient comprehension of these significant factors by the courts. Organizational and technical hurdles, which are considered to be main arguments against the discussed rule, shouldn’t prevent the long overdue legislation innovations. Statistical data presented by the opponents relates to different categories of cases and, therefore, cannot be a basis for the conclusions about the issue discussed.

  1. A critique of criteria for evaluating vaccines for inclusion in mandatory school immunization programs.

    Science.gov (United States)

    Opel, Douglas J; Diekema, Douglas S; Marcuse, Edgar K

    2008-08-01

    Several new vaccines for children and young adults have been introduced recently and now appear on the Advisory Committee on Immunization Practices' recommended childhood and adolescent immunization schedule (meningococcal, rotavirus, human papillomavirus). As new vaccines are introduced, states face complex decisions regarding which vaccines to fund and which vaccines to require for school or child care entry. This complexity is evidenced by the current debate surrounding the human papillomavirus vaccine. We present a critique to the approach and criteria for evaluating vaccines for inclusion in mandatory school immunization programs that have been adopted by the Washington State Board of Health by illustrating how these criteria might be applied to the human papillomavirus vaccine. We conclude that these 9 criteria can help ensure a deliberate and informed approach to important public policy decisions, but we argue that several clarifications of the review process are needed along with the addition of a 10th criterion that ensures that a new vaccine mandate relates in some manner to increasing safety in the school environment.

  2. Can behavioral research advance mandatory law, information duties, standard terms and withdrawal rights?

    Directory of Open Access Journals (Sweden)

    Eva Maria Tscherner

    2015-11-01

    Full Text Available ENGLISH: Current European consumer law mainly acts on the assumption that people behave in line with the ‘rational man’ (homo oeconomicus, who has stable preferences and can absorb all available information and process as well as integrate it into her consumer decisions. This assumption has been challenged by findings of behavioral sciences such as behavioral economics, psychology and neurosciences. This article examines if and how findings from behavioral research are in a position to advance European consumer contract law (mandatory law in general as well as information duties, standard terms and rights to withdraw in specific. DEUTSCH: Das Europäische Verbraucherschutzrecht stützt sich in weiten Teilen auf das ökonomische Menschenbild des homo oeconomicus. Dieser verfügt über stabile Präferenzen und kann unbegrenzt Informationen aufnehmen sowie diese in seinen Entscheidungsprozess integrieren. Dieses Menschenbild wurde durch Forschungsergebnisse in Verhaltensökonomik, Psychologie und Gehirnforschung in Frage gestellt. De r Aufsatz geht der Frage nach, inwieweit das Verbrauchervertragsrecht (in Form von zwingendem Recht, vor - vertraglichen Informationspflichten, Fairnesskontrolle Allgemeiner Geschäftsbedingungen und Widerrufsrechten von Erkenntnissen dieser sog Verhaltensforschung profitieren kann.

  3. Pharmaceutical industry funding of educational events for pharmacists in Australia: an analysis of data from the first 6 months of a mandatory disclosure programme.

    Science.gov (United States)

    Robertson, Jane; Walkom, Emily; Moynihan, Ray; Bero, Lisa; Henry, David

    2010-04-01

    The aim of the study was to assess the extent of pharmacist participation in pharmaceutical industry-sponsored educational events in Australia. A descriptive analysis was performed of 14 649 educational events provided by 43 companies between July and December 2007, using publicly available reports posted on the Medicines Australia website. Pharmacist participation was assessed according to duration and type of event, whether continuing professional education credits were awarded, type of venue, hospitality provided and cost of hospitality. Most of the 14 649 industry-sponsored events reported in this mandatory reporting programme were targeted at doctors (specialists and general practitioners). Pharmacists were present at 621 events (4.2%); 209 events were pharmacist-only events. Of pharmacist-only events, 68% were held in hospitals and professional rooms and 13% in restaurants. In contrast, 32% of events involving doctors were held in restaurants (difference in proportions 18.9%; 95% confidence interval 13.5-22.9%) Sixty-six per cent of pharmacist-only events were 1 h or less in duration; 81% were 2 h or less. Almost 40% were reported as training or in-service activities, generally conducted in hospitals. Only three events had continuing professional education credits assigned. The most common topics discussed were oncology, diabetes, haematology, cardiology and gastroenterology; a specific medicine was mentioned in the descriptor for 23 of the 209 (11%) events. Hospitality provided was generally modest, averaging AU$36.24 per pharmacist across all pharmacist-only events, and lower in hospital (AU$9.21 per head) than those held in restaurants (AU$51.42). The data from this first report suggest pharmacists were not a major target for industry-funded educational events. Exposure to such events will likely increase as pharmacists take on enhanced prescribing roles and it is important that this is captured under the mandatory disclosure requirements that have been

  4. Automatic Certification or Mandatory Representation Votes? How the Choice of Union Recognition Procedure Affects Union Certification Success

    OpenAIRE

    1999-01-01

    Union recognition procedures are about to be reformed in the U.K. Current legislative reform proposes automatic certification. Business prefers mandatory representation votes. Will the choice of union recognition procedure affect certification success? This paper provides empirical evidence on the impact of the choice of recognition procedure on certification success. Cross-section time-series analysis of nine Canadian jurisdictions over nineteen years is used to identify the effect of mandat...

  5. What is the effect of mandatory pasteurisation on the biogas transformation of solid slaughterhouse wastes?

    Science.gov (United States)

    Ware, Aidan; Power, Niamh

    2016-02-01

    The effect of mandatory pasteurisation on Category 3 offals, according to the Animal By-Products Regulation (ABPR 1069/2009/EC), was determined using Biochemical Methane Potential (BMP) assays as well as kinetic and statistical analysis. Pasteurised and unpasteurised offals sampled from cattle, pig and chicken slaughterhouses were characterised and their specific methane yields (SMYs) and their bioavailability was assessed. The resultant SMYs were high (465-650mLCH4gVS(-1)) with no statistically significant increase in methane production identified due to pasteurisation. However, the kinetics of the biogas transformation processes highlighted increased bioavailability of the organics due to pasteurisation. This was brought to light by the change in maximum daily SMY from day 22 to day 1 for the cattle offal (p=0.001), day 17 to day 1 for chicken offal (p=0.025) and an increase of 18.8% in the maximum daily SMY of the pig offal on day 1 (p=0.003). The increased bioavailability of the offals manifested itself in two ways with the determining factor being identified as the physical characteristics of the fats i.e. particle size. Firstly reducing the hydrolytic lag phase for the cattle offal, λ=7.46-1.52days (p=0.013). Secondly, causing increased accumulation of Long Chain Fatty Acids to acute inhibitory levels in the chicken and pig offal indicated by increased lag phases λ=5.05-21.91days (p=0.012), λ=15.54-23.04days (p=0.007) respectively.

  6. Folate knowledge and consumer behaviour among pregnant New Zealand women prior to the potential introduction of mandatory fortification.

    Science.gov (United States)

    Mallard, Simonette R; Houghton, Lisa A

    2012-01-01

    To reduce the risk of neural tube defects, the New Zealand Ministry of Health recommends women take supplemental folic acid from at least one month preconception until the end of the twelfth week of pregnancy, as well as consume folate-rich foods. A postpartum survey was conducted to describe folate knowledge and consumer behaviour among pregnant New Zealand women prior to the potential implementation of mandatory folic acid fortification of bread in May 2012. Increasing knowledge of folic acid recommendations was associated with higher supplement uptake among women who planned their pregnancies (p=0.001 for linear trend). Folic acid information failed to adequately reach some socio-demographic subgroups before conception, even when pregnancy was planned, including: indigenous Maori, Pacific and Asian women, younger women, women with large families, and women with lower educational attainment and income. Only half of all women surveyed knew some bread contained added folic acid, and among these women, less than 2% consistently chose voluntarily fortified bread during the periconceptional period by inspecting labels. Sixty-one percent of women indicated they were either in favour of mandatory fortification, or held no opinion on the matter, while 4% were opposed to the addition of folic acid to bread. Approximately one-third (35%) of women agreed with voluntary fortification. Future health promotion initiatives should be tailored toward women who are younger, less educated, with lower income, multiparous or of minority ethnicity status. Nonetheless, mandatory folic acid fortification may be required to attain the desired degree of equity.

  7. 40 CFR 98.426 - Data reporting requirements.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Data reporting requirements. 98.426... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Suppliers of Carbon Dioxide § 98.426 Data reporting... use Equation PP-4 of this subpart, report at the corporate level the annual mass of CO2 in metric...

  8. 40 CFR 98.222 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Nitric Acid Production § 98.222 GHGs to report. (a) You must report N2O process emissions from each nitric acid production train as required by this subpart. (b) You must report...

  9. 40 CFR 98.312 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Titanium Dioxide Production § 98.312 GHGs to report. (a) You must report CO2 process emissions from each chloride process line as required in this subpart. (b) You must report CO2, CH4, and...

  10. 40 CFR 98.52 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Adipic Acid Production § 98.52 GHGs to report. (a) You must report N2O process emissions at the facility level. (b) You must report under subpart C of this part (General Stationary...

  11. 40 CFR 98.262 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Phosphoric Acid Production § 98.262 GHGs to report. (a) You must report CO2 process emissions from each wet-process phosphoric acid process line. (b) You must report under subpart C of...

  12. 40 CFR 98.342 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Municipal Solid Waste Landfills § 98.342 GHGs to report. (a) You must report CH4 generation and CH4 emissions from landfills. (b) You must report CH4 destruction resulting from landfill...

  13. 40 CFR 98.332 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Zinc Production § 98.332 GHGs to report. You must report: (a) CO2 process emissions... combustion emissions from each Waelz kiln. You must calculate and report these emissions under subpart C...

  14. Training and Mandated Reporters' Confidence Levels: A Correlational Study

    Science.gov (United States)

    Eichelberger, Cathy S.

    2011-01-01

    Child maltreatment is a costly social issue, both financially and in terms of children's well-being. All 50 states and many countries have enacted mandatory reporting laws, but not all of them require mandated reporter training. A multitude of studies have shown that many mandated reporters do not report all of the cases of suspected child abuse…

  15. 40 CFR 98.146 - Data reporting requirements.

    Science.gov (United States)

    2010-07-01

    ...). (8) Total number of continuous glass melting furnaces. (9) The number of times in the reporting year... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Data reporting requirements. 98.146... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Glass Production § 98.146 Data reporting requirements. In...

  16. Greenhouse Gas Reporting Requirements Related to Stationary Refrigeration and Air Conditioning

    Science.gov (United States)

    Provides links to information about parts of the 2009 Mandatory Reporting of Greenhouse Gases Rule that are relevant to owners and importers of stationary refrigeration and air-conditioning equipment.

  17. Mandatory reporting of violated rights according to the Information System for Childhood and Adolescence (SIPIA in Brazilian Northeast

    Directory of Open Access Journals (Sweden)

    Augediva Maria Jucá Pordeus

    2011-12-01

    Full Text Available Objective: To analyze allegations of violated rights of children and adolescents, received by child protection councils in the Northeast of Brazil in a time series of six years (2002 - 2007, through the Information System for Childhood and Adolescence (SIPIA. Methods: Adescriptive study with quantitative approach, in a time series for the period 2002 to 2007, to identify information pertaining to violence against children and adolescents in the Northeast,through official secondary data. We studied 82,175 complaints, which allowed the analysis of the characteristics of the offender, the victims and location of the violation of such rights in the studied group. Results: Data indicate that 52.5% (n=43,203 of victims were male,57.7% (n=47,437 comprised the age group 0-11 years, 70.3% (n=57,781 of cases of rights violations against children and adolescents registered in this period were committed by family members and relatives. Parents stood out as those that most violated rights of their children, with 55.4% (n=45,557. Conclusion: These results confirm the underreporting of notifications in SIPIA in some states of this region, although the study has shown that the violation of rights of children and adolescents is a present fact in the Northeast region of Brazil.

  18. 40 CFR 98.402 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Suppliers of Natural Gas and Natural Gas Liquids § 98.402 GHGs to report. (a) NGL fractionators must report the CO2 emissions that would result from the complete combustion or oxidation of...

  19. 40 CFR 98.182 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Lead Production § 98.182 GHGs to report. You must report: (a) Process CO2 emissions from each smelting furnace used for lead production. (b) CO2 combustion emissions from each...

  20. 40 CFR 98.32 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING General Stationary Fuel Combustion Sources § 98.32 GHGs to report. You must report CO2, CH4, and N2O mass emissions from each stationary fuel combustion unit....

  1. 40 CFR 98.282 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Silicon Carbide Production § 98.282 GHGs to report. You must report: (a) CO2 and CH4 process emissions from all silicon carbide process units or furnaces combined. (b) CO2, CH4, and...

  2. 40 CFR 98.166 - Data reporting requirements.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Hydrogen Production § 98.166 Data reporting requirements. In... emissions, then you must report the relevant information required under § 98.36 for the Tier 4 Calculation... process emissions. (2) Annual quantity of hydrogen produced (metric tons) for each process unit and...

  3. 40 CFR 98.112 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Ferroalloy Production § 98.112 GHGs to report. You must report: (a) Process CO2 emissions from each electric arc furnace (EAF) used for the production of any ferroalloy listed in §...

  4. 40 CFR 98.412 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Suppliers of Industrial Greenhouse Gases § 98.412 GHGs to report. You must report the GHG emissions that would result from the release of the nitrous oxide and each fluorinated...

  5. 40 CFR 98.242 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Petrochemical Production § 98.242 GHGs to report. You must report the information in paragraphs (a) through (c) of this section: (a) CO2 CH4, and N2O process emissions from each...

  6. 40 CFR 98.62 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Aluminum Production § 98.62 GHGs to report. You must report: (a) Perfluoromethane (CF4), and perfluoroethane (C2F6) emissions from anode effects in all prebake and Sderberg...

  7. 40 CFR 98.272 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Pulp and Paper Manufacturing § 98.272 GHGs to report. You must report the emissions listed in paragraphs (a) through (f) of this section: (a) CO2, biogenic CO2, CH4, and N2O emissions...

  8. 40 CFR 98.162 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Hydrogen Production § 98.162 GHGs to report. You must report: (a) CO2 process emissions from each hydrogen production process unit. (b) CO2, CH4 and N2O combustion emissions from...

  9. 40 CFR 98.362 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Manure Management § 98.362 GHGs to report. (a) Livestock facilities must report annual aggregate CH4 and N2O emissions for the following MMS components at the facility: (1)...

  10. 40 CFR 98.392 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Suppliers of Petroleum Products § 98.392 GHGs to report. Suppliers of petroleum products must report the CO2 emissions that would result from the complete combustion or oxidation of...

  11. 40 CFR 98.212 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Miscellaneous Uses of Carbonate § 98.212 GHGs to report. You must report CO2 process emissions from all miscellaneous carbonate use at your facility as specified in this subpart....

  12. 40 CFR 98.152 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING HCFC-22 Production and HFC-23 Destruction § 98.152 GHGs to report. (a) You must report under subpart C of this part (General Stationary Fuel Combustion Sources) the emissions of...

  13. 40 CFR 98.142 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Glass Production § 98.142 GHGs to report. You must report: (a) CO2 process emissions from each continuous glass melting furnace. (b) CO2 combustion emissions from each continuous...

  14. 40 CFR 98.292 - GHGs to report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Soda Ash Manufacturing § 98.292 GHGs to report. You must report: (a) CO2 process emissions from each soda ash manufacturing line combined. (b) CO2 combustion emissions from each soda...

  15. 40 CFR 98.382 - GHGs To report.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Suppliers of Coal-based Liquid Fuels § 98.382 GHGs To report. You must report the CO2 emissions that would result from the complete combustion or oxidation of fossil-fuel...

  16. 7 CFR 1170.9 - Price reporting exemptions.

    Science.gov (United States)

    2010-01-01

    ... Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE DAIRY PRODUCT MANDATORY REPORTING § 1170.9 Price... markets less than 1 million pounds of dry whey per calendar year is exempt from reporting dry whey sales... pounds of nonfat dry milk per calendar year is exempt from reporting nonfat dry milk sales as...

  17. Report

    Directory of Open Access Journals (Sweden)

    Akin Aydogan

    2012-01-01

    Full Text Available Introduction. Gossypiboma (GP is a term used to express the mass resulting from forgotten cotton sponge in operations. Rarely, a transmural migration may occur into the gastrointestinal lumen without creating any defect by GP. Laparotomy or endoscopic removal may be required, by the way it can be taken out of the body itself by intestinal ways. In this study, we reported a case of mechanical intestinal obstruction causing GP. Case. The fifty-one-year-old female patient admitted to the emergency department with the complaints of mechanical intestinal obstruction and had a history of open cholecystectomy 20 years ago. There were the findings of intestinal obstruction in abdominal plain radiography and computerized tomography. The sponge that obstructed the lumen completely 40 cm proximal to the ileocecal valve was identified in the laparotomy with the diagnosis of brid ileus. The small intestine was closed over double-fold after removal of sponge. Transmural migration of abdominal-remained sponge was thought to be occurred without creating a defect after cholecystectomy. Postoperatively, the patient was discharged without having any problems at 4th day of hospitalization. Conclusion. Although it is a rare situation in routine clinical practice, GP should be considered as a differential diagnosis in the patients who had a diagnosis of mechanical intestinal obstruction, and laparotomy was applied before. As GP may lead to situations which cause mortality, all precautions should be taken to prevent it.

  18. Vaccination coverage in French 17-year-old young adults: an assessment of mandatory and recommended vaccination statuses.

    Science.gov (United States)

    Roblot, F; Robin, S; Chubilleau, C; Giraud, J; Bouffard, B; Ingrand, P

    2016-02-01

    We aimed to assess vaccination coverage (VC) in 17-year-old French young adults (YAs) participating in one mandatory Day of Defence and Citizenship (DDC). Between June 2010 and May 2011, YAs participating in 43 randomly selected mandatory sessions of the DDC programme in Poitou-Charentes (France) were asked to provide their personal vaccination record. Tetanus, diphtheria, polio, hepatitis B, Haemophilus influenzae b, pertussis, measles, mumps and rubella vaccination status were assessed at ages 2, 6, 13 and 17 years. Of 2610 participants, 2111 (81%) supplied documents for evaluation. Of these, 1838 (87%, M:F sex ratio 0·96) were aged 17 years (9% of the global population of this age in the area). The assessment of the 17-year-olds demonstrated the following rates of complete vaccination: diphtheria-tetanus-polio 83%; measles, mumps and rubella 83%; pertussis 69%; H. influenzae b 61%; human papillomavirus 47%; and hepatitis B 40%. At age 6 years, only 46% had received two doses of the vaccine against measles. The YAs were not aware of their status but were in favour of vaccination. VC in YAs is insufficient, particularly for hepatitis B, pertussis and measles. Combined vaccines and the simplification of vaccination schedules should improve VC. Preventive messages should focus on YAs.

  19. Iodine status of postpartum women and their infants in Australia after the introduction of mandatory iodine fortification.

    Science.gov (United States)

    Huynh, Dao; Condo, Dominique; Gibson, Robert; Muhlhausler, Beverly; Ryan, Philip; Skeaff, Sheila; Makrides, Maria; Zhou, Shao J

    2017-06-01

    Mandatory I fortification in bread was introduced in Australia in 2009 in response to the re-emergence of biochemical I deficiency based on median urinary I concentration (UIC)Australia are scarce. The primary aim of this study was to assess the I status, determined by UIC and breast milk I concentration (BMIC), of breast-feeding mothers in South Australia and UIC of their infants. The secondary aim was to assess the relationship between the I status of mothers and their infants. The median UIC of the mothers (n 686) was 125 (interquartile range (IQR) 76-200) µg/l and median BMIC (n 538) was 127 (IQR 84-184) µg/l. In all, 38 and 36 % of the mothers had a UIC and BMIC below 100 µg/l, respectively. The median UIC of infants (n 628) was 198 (IQR 121-296) µg/l, and 17 % had UICAustralia, following mandatory I fortification, is indicative of I sufficiency. BMIC<100 µg/l increased the risk of biochemical I deficiency in breast-fed infants.

  20. Building a Generation of Physician Advocates: The Case for Including Mandatory Training in Advocacy in Canadian Medical School Curricula.

    Science.gov (United States)

    Bhate, Tahara D; Loh, Lawrence C

    2015-12-01

    There is an increasing focus on the social accountability of physicians as individuals, and of medicine itself. This has led to increasing emphasis on physician advocacy from a wide variety of institutions. The physician advocacy concept is now part of the Health Advocacy competency mandated by the Royal College of Physicians and Surgeons of Canada. Despite its growing prominence, physician advocacy remains poorly integrated into current medical undergraduate curricula. The authors recommend how and why curricular reform should proceed; they focus on Canadian medical education, although they hope their views will be useful in other countries as well.The authors discuss conflicting definitions of physician advocacy, which have previously hampered curriculum development efforts, and suggest a way of reconciling the conflicts. They review current gaps in advocacy-related curricula, suggest that these can be addressed by incorporating practice-based and skills acquisition elements into current didactic teaching, and offer several strategies by which an advocacy curriculum could be implemented, ranging from small modifications to current curriculum to developing new competencies in medical education nationally.The authors present a case for making an advocacy curriculum mandatory for every Canadian medical trainee; they argue that teaching trainees how to fulfill their professional responsibility to advocate may also help them meet the social accountability mandate of medical school education. Finally, the authors explain why making the development and implementation of a mandatory, skill-based curriculum in advocacy should be a priority.

  1. The effects of mandatory HACCP implementation on microbiological indicators of process hygiene in meat processing and retail establishments in Serbia.

    Science.gov (United States)

    Tomasevic, Igor; Kuzmanović, Jelena; Anđelković, Aleksandra; Saračević, Miroslava; Stojanović, Marija M; Djekic, Ilija

    2016-04-01

    A total of 48,246 microbiological test results were collected from 130 meat processing plants and 220 meat retail facilities over a seven year period: 41 months before and 43 months after HACCP implementation. Our results confirm a strong positive effect of mandatory HACCP implementation on process hygiene indicators in meat establishments. Significant reductions were observed in the number of hygiene indicator organisms on all types of surfaces examined and types of meat establishments investigated. The improvement of process hygiene was articulated as aerobic colony count reduction of at least 1.0 log10 CFU/cm(2) for food contact surfaces and over 2 log10 CFU/cm(2) for cooling facilities (refrigerators, freezers and other meat cooling devices). Meat handlers' hands hygiene was least positively affected. The period after mandatory HACCP implementation was also marked by a steady decline of positive Enterobacteriaceae and Staphylococcus samples. Process hygiene advances for meat processing plants and meat retail facilities were similar. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. Estimates of Total Dietary Folic Acid Intake in the Australian Population Following Mandatory Folic Acid Fortification of Bread

    Directory of Open Access Journals (Sweden)

    Jacinta Dugbaza

    2012-01-01

    Full Text Available Mandatory folic acid fortification of wheat flour for making bread was implemented in Australia in September 2009, to improve the dietary folate status of women of child-bearing age, and help reduce the incidence of neural tube defects in the population. This paper presents estimates of folic acid intake in the target population and other subgroups of the Australian population following implementation of the mandatory folic acid fortification standard. In June/July 2010 one hundred samples from seven bread categories were purchased from around the country and individually analysed for the amount of folic acid they contained. A modification to the triple enzyme microbiological method was used to measure folic acid in the individual bread samples. The folic acid analytical values together with national food consumption data were used to generate estimates of the population’s folic acid intake from fortified foods. Food Standards Australia New Zealand’s (FSANZ custom-built dietary modelling program (DIAMOND was used for the estimates. The mean amount of folic acid found in white bread was 200 μg/100 g which demonstrated that folic-acid-fortified wheat flour was used to bake the bread. The intake estimates indicated an increase in mean folic acid intake of 159 μg per day for the target group. Other sub-groups of the population also showed increases in estimated mean daily intake of folic acid.

  3. Mandatory appearances of forensic examiner for cross-examination in court and related systemic improvement under china's criminal procedure

    Directory of Open Access Journals (Sweden)

    Jianye Qu

    2017-01-01

    Full Text Available In China's criminal procedure system, forensic advice is one of the key types of evidence. These advices play an important part in discovering the facts of a case, convictions, and sentencing, and they cannot be ignored in assessments of guilt and the death penalty. However, due to broad and flexible criminal laws, in actual litigation, the nonappearance of forensic examiner or mere provision of documentation of advice read in court has become the norm. This has led to the existence in name only of cross-examination rights, which directly damages the legitimate rights and interests of the parties and the objective and impartial rulings of referees. At present, there is no legal clarity in criminal proceedings that examiner should or should not be examined in court. In my opinion, the entire court system should require an appearance in court, which must be a clear mandatory appearance with specific exceptions. The system should guarantee the forensic examiner' mandatory appearances, which would inevitably improve the rules of evidence.

  4. Air quality in Europe - 2012 report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-09-15

    This report presents an overview and analysis of the status and trends of air quality in Europe based on concentration measurements in ambient air and data on anthropogenic emissions and trends from 2001 - when mandatory monitoring of ambient air concentrations of selected pollutants first produced reliable air quality information - to 2010. (Author)

  5. 10 CFR 490.205 - Reporting requirements.

    Science.gov (United States)

    2010-01-01

    ... DEPARTMENT OF ENERGY ENERGY CONSERVATION ALTERNATIVE FUEL TRANSPORTATION PROGRAM Mandatory State Fleet... file an annual report for each State fleet on or before the December 31 after the close of the model... of new light duty motor vehicles acquired for the fleet by a State during the model year; (2)...

  6. High efficacy and students' satisfaction after voluntary vs mandatory use of an e-learning program in traumatology and orthopedics--a follow-up study.

    Science.gov (United States)

    Back, David Alexander; Haberstroh, Nicole; Sostmann, Kai; Schmidmaier, Gerhard; Putzier, Michael; Perka, Carsten; Hoff, Eike

    2014-01-01

    Within the last decade, e-learning has gained a consistent place in surgical teaching. However, as the use of new programs is often voluntary, more information on the implications of the data regarding user acceptance and knowledge with mandatory use is desirable, especially in the context of the long-term developments of courses. Starting in 2009, the e-learning program Network for Students in Traumatology and Orthopedics was offered in a voluntary blended learning context. Students' satisfaction and increase in knowledge were evaluated using questionnaires and written tests. With proven effectiveness, the program became a mandatory part of the curriculum, and students' attitudes and gain of knowledge were re-evaluated in 2010 and 2011 to detect differences in voluntary vs mandatory use. In the evaluation questionnaires (n = 108 voluntary vs n = 361 mandatory), the overall appreciation regarding the offerings remained high. Significantly more students felt better prepared for clinical situations (p orthopedics and traumatology. Data can support the assumption that even if the voluntary evaluation of e-learning offerings might be subject to a selection bias, the results can serve as a representative impression for the students' overall mood and their gain in knowledge. However, as changes would have to be anticipated when shifting to mandatory use, users' perceptions should be constantly evaluated. © 2013 Published by Association of Program Directors in Surgery on behalf of Association of Program Directors in Surgery.

  7. The Quality of Colonoscopy Reporting in Usual Practice: Are Endoscopists Reporting Key Data Elements?

    Directory of Open Access Journals (Sweden)

    S. D. Hadlock

    2016-01-01

    Full Text Available Background. High quality reporting of endoscopic procedures is critical to the implementation of colonoscopy quality assurance programs. Objective. The aim of our research was to (1 determine the quality of colonoscopy (CS reporting in “usual practice,” (2 identify factors associated with good quality reporting, and (3 compare CS reporting in open-access and non-open-access procedures. Methods. 557 CS reports were randomly selected and assigned a score based on the number of mandatory data elements included in the report. Reports documenting greater than 70% of the mandatory data elements were considered to be of good quality. Physician and procedure factors associated with good quality CS reporting were identified. Results. Variables that were consistently well documented included date of the procedure (99.6%, procedure indication (88.9%, a description of the most proximal anatomical segment reached (98.6%, and documentation of polyp location (97.8%. Approximately 79.4% of the reports were considered to be of good quality. Gastroenterology specialty, lower annual CS volume, and fewer years in practice were associated with good quality reporting. Discussion. CS reporting in usual practice in Ontario lacks quality in several areas. Almost 1 in 5 reports was of poor quality in our study. Conclusions. Targeted interventions and/or use of mandatory fields in synoptic reports should be considered to improve CS reporting.

  8. Exploring the Effectiveness of Mandatory Premarital Screening and Genetic Counselling Programmes for β-Thalassaemia in the Middle East: A Scoping Review.

    Science.gov (United States)

    Saffi, Marwa; Howard, Natasha

    2015-01-01

    β-Thalassaemia is a common genetic blood disorder in the Middle Eastern region. Mandatory premarital screening and genetic counselling (PMSGC) programmes are implemented in 8 Middle East countries to reduce at-risk marriages and thus disease prevalence. A scoping review was conducted to explore the effectiveness of these programmes. The 6-stage scoping framework of Arksey and O'Malley [Int J Soc Res Methodol 2005;8:19-32] was used. Reported outcomes were analysed per country, with success defined as achieving a 65% reduction in at-risk marriages and/or thalassaemia-affected births. Emergent enablers and barriers were analysed thematically. Twenty-one sources were included from the 1,348 identified, discussing 7 country programmes, with 95% (20/21) published during 2003-2013. Five publications each were included for Iran and Saudi Arabia, 3 for Turkey, 2 each for Bahrain and Iraq (Kurdistan), and 1 for the United Arab Emirates, plus 2 multi-country evaluations. No programme achieved a 65% at-risk marriage cancellation rate. Though data on thalassaemia-affected birth reductions were minimal, programmes in Iran, Turkey and Iraq reported at least 65% reductions. A thematic analysis found that screening timing, access to prenatal detection and abortion, socio-religious issues, awareness and counselling affected decisions. This review found that PMSGC programmes were unsuccessful in discouraging at-risk marriages but successful in reducing the prevalence of affected births in countries providing prenatal detection and therapeutic abortion. A life cycle approach to prevention, incorporation of school screening, awareness campaigns, reconsideration of therapeutic abortion, and screening and counselling of couples married prior to programme inception are likely to improve the effectiveness of such programmes in the Middle Eastern region. © 2015 S. Karger AG, Basel.

  9. Evaluation of a mandatory quality assurance data capture in anesthesia: a secure electronic system to capture quality assurance information linked to an automated anesthesia record.

    Science.gov (United States)

    Peterfreund, Robert A; Driscoll, William D; Walsh, John L; Subramanian, Aparna; Anupama, Shaji; Weaver, Melissa; Morris, Theresa; Arnholz, Sarah; Zheng, Hui; Pierce, Eric T; Spring, Stephen F

    2011-05-01

    Efforts to assure high-quality, safe, clinical care depend upon capturing information about near-miss and adverse outcome events. Inconsistent or unreliable information capture, especially for infrequent events, compromises attempts to analyze events in quantitative terms, understand their implications, and assess corrective efforts. To enhance reporting, we developed a secure, electronic, mandatory system for reporting quality assurance data linked to our electronic anesthesia record. We used the capabilities of our anesthesia information management system (AIMS) in conjunction with internally developed, secure, intranet-based, Web application software. The application is implemented with a backend allowing robust data storage, retrieval, data analysis, and reporting capabilities. We customized a feature within the AIMS software to create a hard stop in the documentation workflow before the end of anesthesia care time stamp for every case. The software forces the anesthesia provider to access the separate quality assurance data collection program, which provides a checklist for targeted clinical events and a free text option. After completing the event collection program, the software automatically returns the clinician to the AIMS to finalize the anesthesia record. The number of events captured by the departmental quality assurance office increased by 92% (95% confidence interval [CI] 60.4%-130%) after system implementation. The major contributor to this increase was the new electronic system. This increase has been sustained over the initial 12 full months after implementation. Under our reporting criteria, the overall rate of clinical events reported by any method was 471 events out of 55,382 cases or 0.85% (95% CI 0.78% to 0.93%). The new system collected 67% of these events (95% confidence interval 63%-71%). We demonstrate the implementation in an academic anesthesia department of a secure clinical event reporting system linked to an AIMS. The system enforces

  10. Periconceptional bread intakes indicate New Zealand's proposed mandatory folic acid fortification program may be outdated: results from a postpartum survey

    Science.gov (United States)

    2012-01-01

    Background In September 2009, a folic acid fortification mandate (135 μg/100 g bread) was to be implemented in New Zealand. However, due to political and manufacturer objection, fortification was deferred until May 2012. Based on estimates of bread consumption derived from a 1997 nationally representative survey, this program was intended to deliver a mean additional intake of 140 μg folic acid/d to women of childbearing age. Little is known about current bread consumption patterns in this target group. The aim of this study was to assess bread consumption among women prior to and during pregnancy with the intent to estimate periconceptional folic acid intakes that would be derived from bread if mandatory fortification were implemented as currently proposed. Methods A retrospective survey of 723 postpartum women in hospitals and birthing centres across New Zealand was conducted using a self-administered questionnaire on bread intake prior to and during pregnancy and maternal socio-demographic and obstetric characteristics. Results Median bread intake before conception (2 slices/d) was below that of previous data upon which the current fortification proposal was modeled (3-4 slices/d). If mandatory fortification is implemented as proposed, only 31% (95% CI = 24%-37%) of childbearing-age women would attain an additional folic acid intake of ≥ 140 μg/d, with a mean of 119 μg/d (95% CI = 107 μg/d-130 μg/d). Based on these data, a fortification level of 160 μg/100 g bread is required to achieve the targeted mean of 140 μg folic acid/d. Nonetheless, under the current proposal additional folic acid intakes would be greatest among the least advantaged segments of the target population: Pacific and indigenous Māori ethnic groups; those with increased parity, lower income and education; younger and single mothers; and women with unplanned pregnancies. Subgroups predicted to derive less than adequate folic acid intakes from the proposed policy were women of Asian

  11. Periconceptional bread intakes indicate New Zealand's proposed mandatory folic acid fortification program may be outdated: results from a postpartum survey

    Directory of Open Access Journals (Sweden)

    Mallard Simonette R

    2012-02-01

    Full Text Available Abstract Background In September 2009, a folic acid fortification mandate (135 μg/100 g bread was to be implemented in New Zealand. However, due to political and manufacturer objection, fortification was deferred until May 2012. Based on estimates of bread consumption derived from a 1997 nationally representative survey, this program was intended to deliver a mean additional intake of 140 μg folic acid/d to women of childbearing age. Little is known about current bread consumption patterns in this target group. The aim of this study was to assess bread consumption among women prior to and during pregnancy with the intent to estimate periconceptional folic acid intakes that would be derived from bread if mandatory fortification were implemented as currently proposed. Methods A retrospective survey of 723 postpartum women in hospitals and birthing centres across New Zealand was conducted using a self-administered questionnaire on bread intake prior to and during pregnancy and maternal socio-demographic and obstetric characteristics. Results Median bread intake before conception (2 slices/d was below that of previous data upon which the current fortification proposal was modeled (3-4 slices/d. If mandatory fortification is implemented as proposed, only 31% (95% CI = 24%-37% of childbearing-age women would attain an additional folic acid intake of ≥ 140 μg/d, with a mean of 119 μg/d (95% CI = 107 μg/d-130 μg/d. Based on these data, a fortification level of 160 μg/100 g bread is required to achieve the targeted mean of 140 μg folic acid/d. Nonetheless, under the current proposal additional folic acid intakes would be greatest among the least advantaged segments of the target population: Pacific and indigenous Māori ethnic groups; those with increased parity, lower income and education; younger and single mothers; and women with unplanned pregnancies. Subgroups predicted to derive less than adequate folic acid intakes from the proposed

  12. MENINGKATKAN KEMAMPUAN BERBICARA BAHASA INGGRIS DENGAN STRATEGI MANDATORY PARTICIPATION MELALUI VARIASI PUBLIC SPEAKING PERFORMANCES PADA MAHASISWA SEMESTER III DI STAIN\tPAMEKASAN

    Directory of Open Access Journals (Sweden)

    Nina Khayatul Virdyna

    2015-05-01

    Full Text Available English role as foreign language in Indonesia is extremely significant. Students’ participation in learning process is very important to create active, creative and enjoyable learning process. Researcher endeavours to increase students’ participation in speaking class by Mandatory Participation Strategy through public speaking performance variation. This strategy can force students to be fully participating in the speaking class. Furthermore, research focus of this research is; “How Mandatory Participation Strategy through public speaking performance variation increase speaking English ability of students at Semester III in STAIN Pamekasan? This research is designed classroom action research namely Practical Action Research. Researcher endeavours to increase students’ participation in speaking class by mandatory participation strategy through public speaking performance variation.This research conducted in two cycles, those are cycle I and cycles II. Every cycle consists of 4 meeting. In every meeting, it will be conducted mandatory participation strategy through public speaking performance variation. There is significant increasing from speaking pre test score which is conducted in initial research with after applying mandatory participation in public speaking performance in cycle I. 60% students in cycle I fulfil passing grade standard.In the result of cycle II, there is significant increasing from the score of cycle I after applying mandatory participation in public speaking performance revision version. 77% students in cycle II fulfil passing grade standard. The strategy in cycle II is more successful in increasing students’ speaking skill. Students are more actively speak if they think they express freely. In conclusion, there is 10% upgrading till 17% in cycle II. 

  13. Almost half of the Danish general practitioners have negative a priori attitudes towards a mandatory accreditation programme

    DEFF Research Database (Denmark)

    Waldorff, Frans Boch; Nicolaisdottir, Dagny Ros; Kousgaard, Marius Brostrøm

    2016-01-01

    : A total of 1,906 (56%) GPs completed the questionnaire. In all, 861 (45%) had a negative attitude towards accreditation, whereas 429 (21%) were very positive or posi-tive. The negative attitudes towards accreditation were associated with being older, male and with working in a singlehanded practice......INTRODUCTION: The objective of this study was to analyse Danish general practitioners' (GPs) a priori attitudes and expectations towards a nationwide mandatory accreditation programme. METHODS: This study is based on a nationwide electronic survey comprising all Danish GPs (n = 3,403). RESULTS.......018 (95% CI: 0.013-0.025)), more likely to agree that it would affect job satisfaction negatively (OR = 21.88 (95% CI: 16.10-29.72)), and they were generally less satisfied with their present job situation (OR = 2.51 (95% CI: 1.85-3.41)). CONCLUSION: Almost half of the GPs had negative attitudes towards...

  14. Parallel imports and a mandatory substitution reform: a kick or a muff for price competition in pharmaceuticals?

    Science.gov (United States)

    Granlund, David; Koksal-Ayhan, Miyase Yesim

    2015-12-01

    What has been the effect of competition from parallel imports on prices of locally sourced on-patent drugs? Did the 2002 Swedish mandatory substitution reform increase this competition? To answer these questions, we carried out difference-in-differences estimation on monthly data for a panel of all locally sourced on-patent prescription drugs sold in Sweden during the 40 months from January 2001 to April 2004. On average, facing competition from parallel imports caused a 15-17% fall in price. While the reform increased the effect of competition from parallel imports, it was only by 0.9%. The reform, however, did increase the effect of therapeutic competition by 1.6%.

  15. Policy Brief: Enhancing water-use efficiency of thermal power plants in India: need for mandatory water audits

    Energy Technology Data Exchange (ETDEWEB)

    Batra, R.K. (ed.)

    2012-12-15

    This policy brief discusses the challenges of water availability and opportunity to improve the water use efficiency in industries specially the thermal power plants. It presents TERI’s experience from comprehensive water audits conducted for thermal power plants in India. The findings indicate that there is a significant scope for saving water in the waste water discharge, cooling towers, ash handling systems, and the township water supply. Interventions like recycling wastewater, curbing leakages, increasing CoC (Cycles of concentration) in cooling towers, using dry ash handling etc., can significantly reduce the specific water consumption in power plants. However, the first step towards this is undertaking regular water audits. The policy brief highlights the need of mandatory water audits necessary to understand the current water use and losses as well as identify opportunities for water conservation, reduction in specific water consumption, and an overall improvement in water use efficiency in industries.

  16. Balancing auditor choices during the transition from a mandatory to a voluntary joint audit system in Denmark

    DEFF Research Database (Denmark)

    Holm, Claus; Thinggaard, Frank

    more frequent rotation when single auditor are appointed, more equal audit fee share in the year before the voluntary joint audit system took effect and higher propensity to choose non-BigN auditor (absence of dominance) when joint audits are chosen, and lower NAS increases when joint audits......This paper examines agency explanations for choice of auditor in the context of the transition from a mandatory to a voluntary joint audit system in Denmark. Our findings suggest that companies do use auditor choices as a balancing mechanism against independence threats.More specifically, we find...... are involved. We also find that the length of relationship with prime BigN auditors are longer than for non-BigN, thus suggesting potential problem with independence in appearance consistent with the EC green paper issues raised concerning audit firm concentration. However, we do not find differences between...

  17. Analysis of Medical Equipment Management in Relation to the Mandatory Medical Equipment Safety Manager (MESM in Japan

    Directory of Open Access Journals (Sweden)

    Kai Ishida

    2014-01-01

    Full Text Available Half a decade has passed since the fifth revision of the medical law and mandatory appointment of a medical equipment safety manager (MESM in hospitals in Japan. During this period, circumstances have changed regarding maintenance of medical equipment (ME. We conducted a survey to examine these changes and the current situation in ME management. Maintenance of ME and related work were found to have increased in many hospitals, but the number of clinical engineering technologists (CETs has only slightly increased. The appointed MESM was a CET or physician in most hospitals. In hospitals where physicians were appointed as the MESM, 81% had operation managers. Many respondents commented that it was difficult for one person to cover all the tasks required by the MESM, due to a lack of knowledge, too much work, or other reasons. This suggests the importance of an operation manager for ME to work under the MESM.

  18. Almost half of the Danish general practitioners have negative a priori attitudes towards a mandatory accreditation programme

    DEFF Research Database (Denmark)

    Waldorff, Frans Boch; Nicolaisdottir, Dagny Ros; Kousgaard, Marius Brostrøm;

    2016-01-01

    INTRODUCTION: The objective of this study was to analyse Danish general practitioners' (GPs) a priori attitudes and expectations towards a nationwide mandatory accreditation programme. METHODS: This study is based on a nationwide electronic survey comprising all Danish GPs (n = 3,403). RESULTS....... A regional difference was observed as well. GPs with negative expectations were more likely to agree that accreditation was a tool meant for external control (odds ratio (OR) = 1.87 (95% confidence interval (CI): 1.18-2.95)), less likely to agree that accreditation was a tool for quality improvement (OR = 0.......018 (95% CI: 0.013-0.025)), more likely to agree that it would affect job satisfaction negatively (OR = 21.88 (95% CI: 16.10-29.72)), and they were generally less satisfied with their present job situation (OR = 2.51 (95% CI: 1.85-3.41)). CONCLUSION: Almost half of the GPs had negative attitudes towards...

  19. Mandatory Open Access Publishing for Electronic Theses and Dissertations: Ethics and Enthusiasm

    Science.gov (United States)

    Hawkins, Ann R.; Kimball, Miles A.; Ives, Maura

    2013-01-01

    This article argues against policies that require students to submit theses and dissertations to electronic institutional repositories. The article counters a variety of arguments often used to justify this practice. In addition, the article reports on the results of an examination of electronic thesis and dissertation policies at more than 150…

  20. Mandatory Disclosure of Blockholders and Related Party Transactions : Stringent Versus Flexible Rules

    NARCIS (Netherlands)

    McCahery, J.A.; Vermeulen, E.P.M.

    2011-01-01

    Investor confidence in financial markets depends in large part on the existence of an accurate disclosure and reporting regime that provides transparency in the beneficial ownership and control structures of publicly listed companies. Today, a common post-financial crisis regulatory reform theme is

  1. 40 CFR 98.316 - Data reporting requirements.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Titanium Dioxide Production § 98.316 Data reporting... information specified in paragraphs (a) or (b) of this section, as applicable for each titanium dioxide... calcined petroleum coke (tons). (3) Annual production of titanium dioxide (tons). (4) Annual...

  2. 40 CFR 98.366 - Data reporting requirements.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Manure Management § 98.366 Data reporting requirements. (a) In...) Typical animal mass (for each animal type). (7) Total facility emissions (results of Equation JJ-15). (8) CH4 emissions from manure management system components listed in § 98.360(b), except...

  3. 40 CFR 98.216 - Data reporting requirements.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Miscellaneous Uses of Carbonate § 98.216 Data reporting...) Annual CO2 emissions from miscellaneous carbonate use (metric tons). (b) Annual mass of each carbonate... to calculate emissions. (e) If you followed the calculation method of § 98.213(b)(1)(i), you...

  4. 40 CFR 98.296 - Data reporting requirements.

    Science.gov (United States)

    2010-07-01

    ... capacity of soda ash for each manufacturing line (tons). (5) Monthly consumption of trona or liquid... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Soda Ash Manufacturing § 98.296 Data reporting requirements... specified in paragraphs (a) or (b) of this section, as appropriate for each soda ash manufacturing...

  5. Iodine intake is still inadequate among pregnant women eight years after mandatory iodination of salt in Turkey.

    Science.gov (United States)

    Kut, A; Gursoy, A; Senbayram, S; Bayraktar, N; Budakoğlu, I Irem; Akgün, H S

    2010-01-01

    A recent study showed first sign of reduction in goiter prevalence and elimination of iodine deficiency state among school-age children in Turkey after a decade of mandatory iodination of table salt. However, iodine status among pregnant women is a still debated issue in our country. To investigate iodine status, iodized salt consumption rate, and goiter prevalence in 1st trimester pregnant women 8 yr after the mandatory iodination. MATERIAL/ SUBJECTS AND METHODS: One hundred and forty-one 1sttrimester pregnant women who had been followed-up between January and October 2006 in the obstetric outpatient clinics in Turkey were included. Besides a physical examination, subjects underwent laboratory investigations for free T(3), free T(4), and urinary iodine concentration (UIC). All subjects completed a questionnaire regarding sociodemographic parameters, use of iodized salt, and pregnancy history. Goiter status was revealed by a palpation method according to World Health Organization (WHO) guidelines. In this study, we found that the median UIC of pregnant women was 149.7 microg/l (range 20.9-275.1 microg/l). Almost half of the subjects were below the WHO, United Nations Children's Fund, and International Council for the Control of Iodine Deficiency Disorders lower median reference limits of 150 microg/l. Total goiter prevalence was 24.8%, of which 9.2% were visible goiters. Among the study patients, 2.1% had subclinical hypothyroidism, and 0.7% had overt hypothyroidism. The rate for iodized salt use among the pregnant women was 95%. Our study revealed that iodine deficiency still remains a serious problem for pregnant women. Based on our results, antenatal follow-up protocols in the primary care setting in Turkey must include iodine supplementation.

  6. Poly-substance use and antisocial personality traits at admission predict cumulative retention in a buprenorphine programme with mandatory work and high compliance profile.

    Science.gov (United States)

    Öhlin, Leif; Hesse, Morten; Fridell, Mats; Tätting, Per

    2011-05-12

    Continuous abstinence and retention in treatment for alcohol and drug use disorders are central challenges for the treatment providers. The literature has failed to show consistent, strong predictors of retention. Predictors and treatment structure may differ across treatment modalities. In this study the structure was reinforced by the addition of supervised urine samples three times a week and mandatory daily work/structured education activities as a prerequisite of inclusion in the program. Of 128 patients consecutively admitted to buprenorphine maintenance treatment five patients dropped out within the first week. Of the remaining 123 demographic data and psychiatric assessment were used to predict involuntary discharge from treatment and corresponding cumulative abstinence probability. All subjects were administered the Structured Clinical Interview for DSM-IV-TR, and the Symptom Checklist 90 (SCL-90), the Alcohol Use Disorder Identification Test (AUDIT), the Swedish universities Scales of Personality (SSP) and the Sense of Coherence Scale (SOC), all self-report measures. Some measures were repeated every third month in addition to interviews. Of 123 patients admitted, 86 (70%) remained in treatment after six months and 61 (50%) remained in treatment after 12 months. Of those discharged involuntarily, 34/62 individuals were readmitted after a suspension period of three months. Younger age at intake, poly-substance abuse at intake (number of drugs in urine), and number of conduct disorder criteria on the SCID Screen were independently associated with an increased risk of involuntary discharge. There were no significant differences between dropouts and completers on SCL-90, SSP, SOC or AUDIT. Of the patients admitted to the programme 50% stayed for the first 12 months with continuous abstinence and daily work. Poly-substance use before intake into treatment, high levels of conduct disorder on SCID screen and younger age at intake had a negative impact on

  7. Poly-substance use and antisocial personality traits at admission predict cumulative retention in a buprenorphine programme with mandatory work and high compliance profile

    Directory of Open Access Journals (Sweden)

    Fridell Mats

    2011-05-01

    Full Text Available Abstract Background Continuous abstinence and retention in treatment for alcohol and drug use disorders are central challenges for the treatment providers. The literature has failed to show consistent, strong predictors of retention. Predictors and treatment structure may differ across treatment modalities. In this study the structure was reinforced by the addition of supervised urine samples three times a week and mandatory daily work/structured education activities as a prerequisite of inclusion in the program. Methods Of 128 patients consecutively admitted to buprenorphine maintenance treatment five patients dropped out within the first week. Of the remaining 123 demographic data and psychiatric assessment were used to predict involuntary discharge from treatment and corresponding cumulative abstinence probability. All subjects were administered the Structured Clinical Interview for DSM-IV-TR, and the Symptom Checklist 90 (SCL-90, the Alcohol Use Disorder Identification Test (AUDIT, the Swedish universities Scales of Personality (SSP and the Sense of Coherence Scale (SOC, all self-report measures. Some measures were repeated every third month in addition to interviews. Results Of 123 patients admitted, 86 (70% remained in treatment after six months and 61 (50% remained in treatment after 12 months. Of those discharged involuntarily, 34/62 individuals were readmitted after a suspension period of three months. Younger age at intake, poly-substance abuse at intake (number of drugs in urine, and number of conduct disorder criteria on the SCID Screen were independently associated with an increased risk of involuntary discharge. There were no significant differences between dropouts and completers on SCL-90, SSP, SOC or AUDIT. Conclusion Of the patients admitted to the programme 50% stayed for the first 12 months with continuous abstinence and daily work. Poly-substance use before intake into treatment, high levels of conduct disorder on SCID

  8. Communication skills: a mandatory competence for ground and airplane crew to reduce tension in extreme situations

    Directory of Open Access Journals (Sweden)

    Isabel Cristina dos Santos

    2010-09-01

    Full Text Available Communication skills have been considered a strategic asset for any kind of organization. However, technical-oriented enterprises usually emphasize the virtues of a cluster of technical competences and technological resources availability. So, this paper aimed to discuss communication skills development beyond technical communication in a high technology and technical-based operation, such as ground and flight operations. To do so, this article describes some tragic-ending cases in commercial aviation in which the poor quality of interpersonal communication was identified as the one of the most influential causes of the aircraft, or at least that was seen as a compelling force for creating the perfect backdrop for a disaster involving civilian aircrafts. Methodological procedures were basically addressed to a qualitative approach, supported by a documental research considering some of the most documented cases of aircraft accidents reported by the Aviation System Safety Report, issued by Federal Aviation Administration (FAA, USA, as well as reports of accidents provided by The National Transportation Safety Board (NTSB, USA, and by the Center for Aircraft Research and Prevention (Cenipa, Brasil.

  9. Clozapine-Induced Myocarditis: Is Mandatory Monitoring Warranted for Its Early Recognition?

    Directory of Open Access Journals (Sweden)

    T. A. Munshi

    2014-01-01

    Full Text Available Clozapine is an atypical antipsychotic used for treatment resistant schizophrenia. Its potential to induce agranulocytosis is well known but it can also cause myocarditis. Clozapine is the only antipsychotic known to induce this side effect, typically early in the treatment, and literature is scarce on this condition. We are presenting a case report of a 21-year-old schizophrenic male who developed myocarditis within 3 weeks of starting on clozapine for his treatment resistant psychosis. We then aim to review some of the available literature and raise awareness among physicians as this condition can potentially be fatal if not detected early.

  10. The Impact of School Accountability Laws on Measures of Trust between Indiana Public School Superintendents and Teacher Union Leaders within the Forum of Mandatory Discussion

    Science.gov (United States)

    Downs, Philip G.

    2012-01-01

    This study examines the impact of the school accountability laws "No Child Left Behind" and Indiana's Public Law 221 on Superintendents' perception of their relationship with the Teachers' Union Leader in their mandatory discussion meetings. Both school accountability laws contain provisions for the Indiana's Department of Education to…

  11. 41 CFR 301-51.2 - What official travel expenses and/or classes of employees are exempt from the mandatory use of...

    Science.gov (United States)

    2010-07-01

    ...., group meals or the Government contractor-issued travel charge card is not accepted); (h) Phone calls (when a Government calling card is available for use in accordance with agency policy); (i) An employee... expenses and/or classes of employees are exempt from the mandatory use of the Government...

  12. To Withdraw Or Not To Withdraw? Evaluation of the Mandatory Right of Withdrawal in Consumer Distance Selling Contracts Taking Into Account Its Behavioural Effects on Consumers

    NARCIS (Netherlands)

    J.A. Luzak

    2014-01-01

    The right of withdrawal was introduced to European consumer law as an exception to the general contractual principle of pacta sunt servanda. It has recently been upheld in the Consumer Rights Directive as a mandatory right for consumers concluding distance selling contracts. Among various assessment

  13. Effect of a mandatory iodization program on thyroid gland volume based on individuals' age, gender, and preceding severity of dietary iodine deficiency: A prospective, population-based study

    DEFF Research Database (Denmark)

    Vejbjerg, Pernille; Knudsen, Nils; Perrild, Hans

    2007-01-01

    Objective: We aimed to evaluate prospectively the effect of 4 yr of mandatory iodization of salt (13 ppm iodine) on thyroid volume in two regional areas with respectively mild and moderate iodine deficiency. Methods: Two separate cross-sectional studies were performed before (n = 4649) and after ...

  14. Mandatory, Preferred, or Discretionary: How the Classification of Domestic Violence Warrantless Arrest Laws Impacts Their Estimated Effects on Intimate Partner Homicide

    Science.gov (United States)

    Zeoli, April M.; Norris, Alexis; Brenner, Hannah

    2011-01-01

    Warrantless arrest laws for domestic violence (DV) are generally classified as discretionary, preferred, or mandatory, based on the level of power accorded to police in deciding whether to arrest. However, there is a lack of consensus in the literature regarding how each state's law should be categorized. Using three classification schemes, this…

  15. Data-Based School Improvement: The Role of Principals and School Supervisory Authorities within the Context of Low-Stakes Mandatory Proficiency Testing in Four German States

    Science.gov (United States)

    Ramsteck, Carolin; Muslic, Barbara; Graf, Tanja; Maier, Uwe; Kuper, Harm

    2015-01-01

    Purpose: The purpose of this paper is to investigate how principals and school supervisory authorities understand and use feedback from mandatory proficiency tests (VERA) in the low-stakes context of Germany. For the analysis, the authors refer to a theoretical model of schools that differentiates between Autonomous and Managed Professional…

  16. 29 CFR Appendix F to Subpart R of... - Perimeter Columns: Non-Mandatory Guidelines for Complying With § 1926.756(e) To Protect the...

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 8 2010-07-01 2010-07-01 false Perimeter Columns: Non-Mandatory Guidelines for Complying With § 1926.756(e) To Protect the Unprotected Side or Edge of a Walking/Working Surface F Appendix F... Steel Erection Pt. 1926, Subpt. R, App. F Appendix F to Subpart R of Part 1926—Perimeter Columns:...

  17. 自诉案件强制处分的经济分析%Economic Analysis on Mandatory Punishment of Private Prosecution

    Institute of Scientific and Technical Information of China (English)

    贺小军

    2012-01-01

    The limitation of mandatory punishment between public and private prosecutions should be different.The model of economic analysis on mandatory punishment of private prosecution can be compared with the costs and benefits among all mandatory punishments,ensure to maximize the utilization efficiency,and make up the defect of the principle of proportionality.It is useful for applying the mandatory punishment of private prosecution justifiably that the principle of proportionality and the economic principles reinforce each other mutually.%公诉与自诉案件强制处分的限度应有所不同。自诉案件强制处分的经济分析模式,可比较各强制处分的成本与收益,确保其适用效益的最大化,可弥补比例原则的缺陷。比例原则与经济原则的相互补强,有助于自诉案件强制处分的正当化运用。

  18. Evaluating the impact of a mandatory pre-abortion ultrasound viewing law: A mixed methods study

    Science.gov (United States)

    Kimport, Katrina; Belusa, Elise K. O.; Johns, Nicole E.; Laube, Douglas W.; Roberts, Sarah C. M.

    2017-01-01

    Background Since mid-2013, Wisconsin abortion providers have been legally required to display and describe pre-abortion ultrasound images. We aimed to understand the impact of this law. Methods We used a mixed-methods study design at an abortion facility in Wisconsin. We abstracted data from medical charts one year before the law to one year after and used multivariable models, mediation/moderation analysis, and interrupted time series to assess the impact of the law, viewing, and decision certainty on likelihood of continuing the pregnancy. We conducted in-depth interviews with women in the post-law period about their ultrasound experience and analyzed them using elaborative and modified grounded theory. Results A total of 5342 charts were abstracted; 8.7% continued their pregnancies pre-law and 11.2% post-law (p = 0.002). A multivariable model confirmed the law was associated with higher odds of continuing pregnancy (aOR = 1.23, 95% CI: 1.01–1.50). Decision certainty (aOR = 6.39, 95% CI: 4.72–8.64) and having to pay fully out of pocket (aOR = 4.98, 95% CI: 3.86–6.41) were most strongly associated with continuing pregnancy. Ultrasound viewing fully mediated the relationship between the law and continuing pregnancy. Interrupted time series analyses found no significant effect of the law but may have been underpowered to detect such a small effect. Nineteen of twenty-three women interviewed viewed their ultrasound image. Most reported no impact on their abortion decision; five reported a temporary emotional impact or increased certainty about choosing abortion. Two women reported that viewing helped them decide to continue the pregnancy; both also described preexisting decision uncertainty. Conclusions This law caused an increase in viewing rates and a statistically significant but small increase in continuing pregnancy rates. However, the majority of women were certain of their abortion decision and the law did not change their decision. Other factors were

  19. Evaluating the impact of a mandatory pre-abortion ultrasound viewing law: A mixed methods study.

    Science.gov (United States)

    Upadhyay, Ushma D; Kimport, Katrina; Belusa, Elise K O; Johns, Nicole E; Laube, Douglas W; Roberts, Sarah C M

    2017-01-01

    Since mid-2013, Wisconsin abortion providers have been legally required to display and describe pre-abortion ultrasound images. We aimed to understand the impact of this law. We used a mixed-methods study design at an abortion facility in Wisconsin. We abstracted data from medical charts one year before the law to one year after and used multivariable models, mediation/moderation analysis, and interrupted time series to assess the impact of the law, viewing, and decision certainty on likelihood of continuing the pregnancy. We conducted in-depth interviews with women in the post-law period about their ultrasound experience and analyzed them using elaborative and modified grounded theory. A total of 5342 charts were abstracted; 8.7% continued their pregnancies pre-law and 11.2% post-law (p = 0.002). A multivariable model confirmed the law was associated with higher odds of continuing pregnancy (aOR = 1.23, 95% CI: 1.01-1.50). Decision certainty (aOR = 6.39, 95% CI: 4.72-8.64) and having to pay fully out of pocket (aOR = 4.98, 95% CI: 3.86-6.41) were most strongly associated with continuing pregnancy. Ultrasound viewing fully mediated the relationship between the law and continuing pregnancy. Interrupted time series analyses found no significant effect of the law but may have been underpowered to detect such a small effect. Nineteen of twenty-three women interviewed viewed their ultrasound image. Most reported no impact on their abortion decision; five reported a temporary emotional impact or increased certainty about choosing abortion. Two women reported that viewing helped them decide to continue the pregnancy; both also described preexisting decision uncertainty. This law caused an increase in viewing rates and a statistically significant but small increase in continuing pregnancy rates. However, the majority of women were certain of their abortion decision and the law did not change their decision. Other factors were more significant in women's decision

  20. Mandatory physical exercise for the prevention of mental illness in medical students

    Directory of Open Access Journals (Sweden)

    Robert A. Bitonte

    2014-09-01

    Full Text Available Medical students experience higher rates of mental illness than the general population. With competition rising for success in medical school, and residency, increasing incidence of distress are leading this population to experience higher rates of thoughts of dropping out of school, and even suicide. Since many stigmas deter medical students from receiving mental health counseling, such as the perceived inability to handle the stresses of medical school, and the potential lack of competitiveness for residencies if reported, prevention of mental illness may be a better course to take in reducing prevalence in this population. Regular exercise has demonstrated a positive effect on not only promoting physical health, but also mental health. Exercise encourages a healthy mood, positive self esteem, and better cognition, while decreasing the chances of depression, anxiety, and burnout. Implementing exercise time into medical school curriculums, just like the basic sciences, albeit for less time in the day, could provide a feasible way to ensure that all students are taking time to partake in this important activity for their well being. Though medical schools are rigid with attempts to make changes in their curriculum, thirty minutes a day, three to five times a week of exercise of the students’ choice not only is more cost effective than counseling, but it also reduces the chances that they will experience burnout, which if left untreated could transcend into a compromised training experience.

  1. Work-related acute injuries from mandatory fitness training in the Swedish Police Force.

    Science.gov (United States)

    de Loës, M; Jansson, B

    2002-04-01

    Acute injuries in the Swedish Police Force from on-duty fitness training were selected retrospectively from the Information System of Occupational Injuries (ISA) at the National Board of Occupational Safety and Health and, if having caused a sick-leave exceeding 2 weeks, to the Labour Market Insurance (AMF Insurance). The latter included injuries from 1995 only. During the seven-year period 1992 to 1998, 920 injuries (80 % in males) from fitness training involving police officers were reported to the ISA-register. The total incidence was 1.6 for policemen per 10 000 hours of exposure and 2.2 for policewomen, which is 1.4 times higher than in men. Around 50 % of the injuries occurred in team and contact sports, with a slightly higher percentage for males, 54 % versus 49 % in females. The percentage of injuries from self-defense training was twice as high as in women than in men, 29 % versus 15 %. In 1995, 42 of the 72 injuries in males and 6 of the 21 injuries in females caused more than 14 days of sick-leave and were announced to the Occupational No Fault Liability Insurance. The major part, 32 of 48 injuries, came from team or contact sports (mainly floorball and soccer). Six policemen incurred injuries that were classified with a degree of disability ranging from 2 to 5 %. The total cost for medical treatment and production loss for the 48 injuries was Euro 248 448 and 99 336, respectively. Team and contact sports accounted for 89 % of the costs and 77 % of the production loss through sick-leave.

  2. Impact of state mandatory insurance coverage on the use of diabetes preventive care

    Directory of Open Access Journals (Sweden)

    Barker Lawrence

    2010-05-01

    Full Text Available Abstract Background 46 U.S. states and the District of Columbia have passed laws and regulations mandating that health insurance plans cover diabetes treatment and preventive care. Previous research on state mandates suggested that these policies had little impact, since many health plans already covered the benefits. Here, we analyze the contents of and model the effect of state mandates. We examined how state mandates impacted the likelihood of using three types of diabetes preventive care: annual eye exams, annual foot exams, and performing daily self-monitoring of blood glucose (SMBG. Methods We collected information on diabetes benefits specified in state mandates and time the mandates were enacted. To assess impact, we used data that the Behavioral Risk Factor Surveillance System gathered between 1996 and 2000. 4,797 individuals with self-reported diabetes and covered by private insurance were included; 3,195 of these resided in the 16 states that passed state mandates between 1997 and 1999; 1,602 resided in the 8 states or the District of Columbia without state mandates by 2000. Multivariate logistic regression models (with state fixed effect, controlling for patient demographic characteristics and socio-economic status, state characteristics, and time trend were used to model the association between passing state mandates and the usage of the forms of diabetes preventive care, both individually and collectively. Results All 16 states that passed mandates between 1997 and 1999 required coverage of diabetic monitors and strips, while 15 states required coverage of diabetes self management education. Only 1 state required coverage of periodic eye and foot exams. State mandates were positively associated with a 6.3 (P = 0.04 and a 5.8 (P = 0.03 percentage point increase in the probability of privately insured diabetic patient's performing SMBG and simultaneous receiving all three preventive care, respectively; state mandates were not

  3. From mandatory to voluntary testing: balancing human rights, religious and cultural values, and HIV/AIDS prevention in Ghana.

    Science.gov (United States)

    Luginaah, Isaac N; Yiridoe, Emmanuel K; Taabazuing, Mary-Margaret

    2005-10-01

    This paper examines efforts by some churches in Ghana to reduce the spread of HIV/AIDS. The analysis is based on focus group discussions with two groups of men and two groups of women, along with in-depth interviews with 13 pastors and marriage counsellors in the churches studied. In response to government and public criticisms about human rights violations, churches that previously imposed mandatory HIV testing on members planning to marry now have voluntary testing programmes. However, the results suggest that what the churches refer to as voluntary testing may not be truly voluntary. Cultural values and traditional practices, including traditional courtship and marriage rites (which are performed before church weddings), not only clash with considerations about pre-marital HIV testing but also complicate the contentious issue of confidentiality of information on HIV testing. Associated with these complexities and issues of confidentiality is a reluctance among participants, particularly those from northern Ghana, to test for HIV. The results reveal how broader social impacts of HIV testing for those planning to marry may extend beyond individuals or couples in different cultural contexts. The findings also support the general view that there are no perfect or easy solutions to combating the HIV/AIDS pandemic. Practical solutions and programs for Ghana cannot be neutral to cultural values and need to be tailored for particular (ethnic) populations.

  4. From mandatory icebreaker guiding to a permission regime:changes to the new Russian legislation of the Northern Sea Route

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xia; ZOU Leilei; TU Jingfang; QIAN Zongqi; WANG Zeming; YANG Huigen

    2014-01-01

    This article focuses on two issues. The first concerns definitions of the Northern Sea Route (NSR) in old and new Russian legislation, and the second relates to Russian rules on icebreaker guiding. Based on a comprehensive comparative analysis of relevant Russian legal provisions enacted in 2013 and previous laws in this area, we offer the following conclusions. (1) Our legal analysis indicates that Russia’s view of the NSR as a historical national transportation route has not changed. However, the new law redefines the scope and coverage of the NSR, which now comprises the internal waters, territorial sea, adjacent zone, and the exclusive economic zone of the Russian Federation. In fact, the new law resolves previous ambiguity regarding extension of the NSR boundary to the high seas. (2) Based on an analysis of the new rules on icebreaker guiding, the article concludes that NSR is transitioning from a mandatory icebreaker guiding regime into a permit regime. This is particularly evident in its provision of a concrete, practical, and predictable clause on permissible or impermissible conditions relating to independent navigation. According to the new rules, it is possible for foreign ships to undertake independent navigation in the NSR. The Russian NSR policy, therefore, appears to have changed significantly, and has future potential for opening the NSR up to the international community.

  5. International commercial Arbitration and the challenge of mandatory rules of law: the case of arbitration in antitrust claims

    Directory of Open Access Journals (Sweden)

    Seyed Mohammad Tabatabaei Nejad

    2015-05-01

    Full Text Available For decades, the approach of legal systems towards private arbitration in competition law has been characterized by a certain mistrust or suspicion. Initially, this attitude may somehow have been linked to the uncertainty as to the arbitrability of competition law issues, in view of the fact that, in competition law matters generally, public interests are heavily at stake. In fact arbitration is a mechanism for pursuing a balance between the conflicts of parties’ demands. However during the time, more gates have been opened for arbitration and it got not only a private means but a way in which both private and public interests are secured. The public interests so are factors that shall be precisely considered to prevent the situation in which courts rejecting award in reviewing stage due to the fact that the public policy aspects of the case are not complied. In this article we scrutinize the challenges arbitration may encounter especially in respect of competition law in an international environment in respect of application of mandatory laws.

  6. Patient-Reported Safety Information : A Renaissance of Pharmacovigilance?

    NARCIS (Netherlands)

    Härmark, Linda; Raine, June; Leufkens, Bert|info:eu-repo/dai/nl/075255049; Edwards, I Ralph; Moretti, Ugo; Sarinic, Viola Macolic; Kant, Agnes

    2016-01-01

    The role of patients as key contributors in pharmacovigilance was acknowledged in the new EU pharmacovigilance legislation. This contains several efforts to increase the involvement of the general public, including making patient adverse drug reaction (ADR) reporting systems mandatory. Three years

  7. Female genital mutilation and reporting duties for all clinical personnel.

    Science.gov (United States)

    Cropp, Gabrielle; Armstrong, Jane

    2016-07-01

    Female genital mutilation is illegal. It is now mandatory for health-care professionals to report female genital mutilation to the police. Professionals caring for women and girls of all ages must understand how female genital mutilation presents, and what action to take.

  8. 40 CFR 98.416 - Data reporting requirements.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Suppliers of Industrial Greenhouse Gases § 98.416 Data... producer in practice measures the mass of fluorinated GHGs produced, including the instrumentation used... process, including the instrumentation used (Coriolis flowmeter, other flowmeter, weigh scale, etc.)...

  9. How to Integrate International Financial Reporting Standards into Accounting Programs

    Science.gov (United States)

    Singer, Robert A.

    2012-01-01

    It is expected the SEC will require U.S. domestic companies to prepare and file their annual 10Ks in accordance with international financial reporting standards (IFRS) by 2016. Given the probability that the FASB-IASB convergence project (i.e., Norwalk Agreement) will continue subsequent to mandatory adoption, US accounting programs will be…

  10. Eine obligatorische longitudinale Ausbildung von Studierenden in 530 Grundversorgerpraxen [The new undergraduate mentoring program in 530 General Practioner's offices - A Mandatory Longitudinal Curriculum in Primary Care

    Directory of Open Access Journals (Sweden)

    Frey, Peter

    2009-05-01

    Full Text Available [english] In autumn of 2007, the Medical Faculty of the University of Berne implemented an undergraduate program in primary care medicine. The clerkships, which are mandatory for all students of human medicine, permit students in the first four years of their studies to maintain contact to a supervising general practitioner. Students in the Bachelor’s degree program complete eight half-day visits in a GP’s office each year, whereas Master’s students complete a three-week block. The program promotes clinical and communicational skills and aims to awaken the interest of medical students in primary care medicine. It also allows students to develop a long-term relationship to a general practitioner as a mentor. Early contact to patients should help to motivate students in their academic studies and future profession, as well as improve their professional demeanor. It was possible to provide the required 645 training places within two years, thanks to the overwhelming commitment of 530 general practitioners. The development, concept, implementation, and assessment of the clerkships are presented in this report. [german] An der Medizinischen Fakultät der Universität Bern wurden im Herbst 2007 neue Ausbildungsmodule in Hausarztmedizin implementiert. Diese obligatorischen Praktika ermöglichen allen Studierenden der Humanmedizin während der ersten vier Studienjahre einen kontinuierlichen Kontakt zu einem Lehrarzt in der Grundversorgung. Die Studierenden absolvieren im Bachelor-Studium acht halbtägige Praktika pro Jahr, im Masterstudium einen dreiwöchigen Praktikumsblock. Die Praktika sollen das Ausbildungsspektrum erweitern, das Interesse der Studierenden an der Grundversorgung wecken und den Aufbau einer Mentorbeziehung zu einem Hausarzt ermöglichen. Mit dem frühen Patientenkontakt soll die Motivation der Studierenden für das Studium und den Beruf gefördert und die professionelle Haltung verbessert werden. Dank dem enormen Engagement der

  11. Lower prevalence of mild hyperthyroidism related to a higher iodine intake in the population: prospective study of a mandatory iodization programme

    DEFF Research Database (Denmark)

    Vejbjerg, Pernille; Knudsen, Nils; Perrild, Hans

    2009-01-01

    -2 center dot 66) before iodization. The difference was found in both regions and across age groups. There was a lower prevalence of mild hyperthyroidism and a tendency towards a lower prevalence of overt hyperthyroidism. The prevalence of mild hypothyroidism increased, most pronounced among young women...... of thyroid dysfunction was seen in relation to mandatory iodization of salt. There was no rise in the prevalence of hyperthyroidism and the prevalence of mild hyperthyroidism was halved. Conversely, prevalence of hypothyroidism increased....

  12. California bonanza? Providers and insurers cheer mandatory health insurance law, but business interests look at legal challenge to newly signed bill.

    Science.gov (United States)

    Reilly, Patrick

    2003-10-13

    Consider it Gov. Gray Davis' going-away present to the state's hospitals, insurers and physician groups. The California Health Insurance Act of 2003 could mean increased revenue for hospitals. Doctors like Brian Johnston, left, say the bill has been a long time coming and are pleased with the legislation, but others are concerned about what effects the mandatory insurance law will have on small businesses.

  13. Suboptimal management of severe menopausal symptoms by Nigerian Gynaecologists: a call for mandatory continuing medical education for physicians

    Directory of Open Access Journals (Sweden)

    Nkwo Peter O

    2009-10-01

    Full Text Available Abstract Background Effective management of menopause is an important way to improve the quality of life of the increasing number of older women. The study sought to find out if Nigerian Gynaecologists offer effective treatment for severe menopausal symptoms. Methods 126 Nigerian Gynaecologists representing the six health zones of Nigeria were interviewed to determine the menopausal symptoms they had ever encountered in their practices, frequency of the symptoms, treatments ever offered for severe symptoms including their attitude to, and practice of hormone replacement therapy. Results A Nigerian Gynaecologist encountered an average of one patient with menopausal symptoms every three months (range: 0-3 patients per month. The commoner symptoms they encountered were hot flushes (88%, insomnia (75.4%, depression (58.0%, irritability (56.3%, night sweats (55.6% and muscle pains (54.8% while urinary symptoms (16.7% and fracture (1.6% were less common. Treatments ever offered for severe symptoms were reassurance (90.5%, anxiolytics (68.3%, analgesics (14.3, HRT (7.9%, Vitamins (4%, Beta-blockers (3.2% and Danazol (2.4%. These treatments were offered as a matter of institutional traditions rather than being based on any evidence of their efficacy. Conclusion The result revealed that most Nigerian Gynaecologists prefer reassurance and anxiolytics for managing severe menopausal symptoms instead of evidence-based effective therapies. A policy of mandatory continuing medical education for Nigerian physicians is recommended to ensure evidence-based management of gynaecological problems, including menopause.

  14. Teaching students how to read and write science: a mandatory course on scientific research and communication in medicine.

    Science.gov (United States)

    Marusić, Ana; Marusić, Matko

    2003-12-01

    The authors describe the development and introduction of a course on scientific methodology and communication into the medical curriculum in a country outside of the mainstream scientific world. As editors of a general medical journal in Croatia, they learned that their colleagues had important and interesting data but no skills for presenting them in a scientific article. To alleviate the lack of education in research methodology and writing, the authors developed and introduced a mandatory course in scientific methodology and communication into the medical curriculum of the largest Croatian medical school. The course is structured into lectures, medium-sized-group discussions, and problem-solving small-group work, and is focused on (1) principles of scientific research; (2) access to medical literature and bibliographic databases; (3) study design and analysis and presentation of data; (4) assessing and writing a scientific article; and (5) responsible conduct of research. The course has been running since 1995-96 and is already showing results, visible in the more positive attitude of students toward scientific research and evidence-based medicine, and a significant number of students working on research projects and publishing scientific papers. The authors and colleagues also run continuing education courses for young academic physicians and an annual advanced workshop on scientific writing, involving academic physicians from all of southeastern Europe. The long-term goal is to create a critical mass of academic physicians with critical appraisal skills needed for evidence-based medicine and with skills for effectively communicating their research to the international scientific community.

  15. Goodbye, Mandatory Maternity Leaves

    Science.gov (United States)

    Nation's Schools, 1972

    1972-01-01

    In precedent-setting decrees, courts and federal and State authorities have branded compulsory maternity leaves either unconstitutional or illegal. School administrators are urged to prod boards of education to adopt more lenient maternity leave policies -- now. (Author)

  16. Computer Registration Becoming Mandatory

    CERN Multimedia

    2003-01-01

    Following the decision by the CERN Management Board (see Weekly Bulletin 38/2003), registration of all computers connected to CERN's network will be enforced and only registered computers will be allowed network access. The implementation has started with the IT buildings, continues with building 40 and the Prevessin site (as of Tuesday 4th November 2003), and will cover the whole of CERN before the end of this year. We therefore recommend strongly that you register all your computers in CERN's network database (Ethernet and wire-less cards) as soon as possible without waiting for the access restriction to take force. This will allow you accessing the network without interruption and help IT service providers to contact you in case of problems (security problems, viruses, etc.) • Users WITH a CERN computing account register at: http://cern.ch/register/ (CERN Intranet page) • Visitors WITHOUT a CERN computing account (e.g. short term visitors) register at: http://cern.ch/registerVisitorComp...

  17. Computer Registration Becoming Mandatory

    CERN Multimedia

    2003-01-01

    Following the decision by the CERN Management Board (see Weekly Bulletin 38/2003), registration of all computers connected to CERN's network will be enforced and only registered computers will be allowed network access. The implementation has started with the IT buildings, continues with building 40 and the Prevessin site (as of Tuesday 4th November 2003), and will cover the whole of CERN before the end of this year. We therefore recommend strongly that you register all your computers in CERN's network database including all network access cards (Ethernet AND wireless) as soon as possible without waiting for the access restriction to take force. This will allow you accessing the network without interruption and help IT service providers to contact you in case of problems (e.g. security problems, viruses, etc.) Users WITH a CERN computing account register at: http://cern.ch/register/ (CERN Intranet page) Visitors WITHOUT a CERN computing account (e.g. short term visitors) register at: http://cern.ch/regis...

  18. Regulatory on the corporate social responsibility in the context of sustainable development by mandatory in the world trade organization law perspective (case study in Indonesia

    Directory of Open Access Journals (Sweden)

    SH. M. Hum. TAUFIQURRAHMAN

    2013-12-01

    Full Text Available Regulatory on the Corporate Social Responsibility (CSR by mandatory in Indonesia as stipulated in Article 74 of Law No. 40/2007 on the Limited Liability Company (hereafter the Company Law raises a contradiction. Those who agree argue that the company is not solely for profit, but more than that are participating in social issues and the preservation of the environment within the framework of sustainable development. Conversely, those who disagree view that social issues and the environment are the full responsibility of state. The involvement of a corporation in social and environmental activities is voluntary. Verdict of the Indonesian Constitutional Court in case no. 53/PUU-VI / / 2008 dated 13 April 2009 which rejected a requesting of material test of the Article 74 paragraph (1, (2 and (3 of the Company Law confirms the existence of the CSR by mandatory in international trade traffic today. The analytical results indicates that mandatory CSR regulation in the Company Law is not a form of a state intervention to the private activities. In addition, the arrangement is not contrary to the principles of free trade within the framework of the General Agreement on Tariffs and Trade (GATT / World Trade Organization (WTO.

  19. Gonorrhoea and Syphilis Epidemiology in Flemish General Practice 2009–2013: Results from a Registry-based Retrospective Cohort Study Compared with Mandatory Notification

    Directory of Open Access Journals (Sweden)

    Christoph Schweikardt

    2016-09-01

    Full Text Available Background: The number of newly diagnosed gonorrhoea and syphilis cases has increased in Flanders in recent years. Our aim was to investigate, to which extent these diagnoses were registered by general practitioners (GPs, and to examine opportunities and limits of the Intego database in this regard. Methods: Data from a retrospective cohort study based on the Flemish Intego general practice database was analyzed for the years 2009–2013. Case definitions were applied. Due to small case numbers obtained, cases were pooled and averaged over the observation period. Frequencies were compared with those calculated from figures of mandatory notification. Results: A total of 91 gonorrhoea and 23 syphilis cases were registered. The average Intego annual frequency of gonorrhoea cases obtained was 11.9 (95% Poisson confidence interval (CI 9.6; 14.7 per 100,000 population, and for syphilis 3.0 (CI 1.9; 4.5, respectively, while mandatory notification was calculated at 14.0 (CI: 13.6, 14.4 and 7.0 (CI: 6.7, 7.3, respectively. Conclusion: In spite of limitations such as small numbers and different case definitions, comparison with mandatory notification suggests that the GP was involved in the large majority of gonorrhoea cases, while the majority of new syphilis cases did not come to the knowledge of the GP.

  20. A Taxonomy of Injuries for Public Health Monitoring and Reporting

    Science.gov (United States)

    2017-07-25

    of Injuries for Public Health Monitoring and Reporting 15 codes are required to make this distinction. Because surveillance data and field...overall burden of care required for these injuries. PHIP No. 12-01-0717, A Taxonomy of Injuries for Public Health Monitoring and Reporting...is no mandatory reporting requirement in the military health system or the civilian sector for providers and coders to use cause codes. Many medical

  1. Primary osteosarcoma of the breast: case report

    OpenAIRE

    Saber, Boutayeb; Nawal, Ahbeddou; Mohamed, Fetohi; Hassan, Errihani

    2008-01-01

    Mammary sarcomas are very uncommon and make up less than 1% of all primary breast malignancies. Primary osteosarcoma of the breast is extremely rare and represents 12.5% of mammary sarcomas. A secondary lesion from a primary osteosarcoma of the bone should be considered in the differential diagnosis. In addition, the absence of a direct connection between the tumour and the underlying skeleton is mandatory for the diagnosis. We report a case of primary osteosarcoma of the breast occurring in ...

  2. Oral lacerations during motocross: A case report.

    Science.gov (United States)

    Hino, Shunsuke; Takeda, Akio; Kaneko, Takahiro; Horie, Norio; Shimoyama, Tetsuo

    2017-07-21

    Motocross is a high-risk sport that can cause serious injuries including oral injuries. However, mouthguard use is not mandatory in motocross. This report describes a case of an oral laceration with exposure of bilateral inferior alveolar nerves as a result of a motocross accident in which the patient was not wearing a mouthguard. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  3. Primary rectal melanoma - a case report

    Directory of Open Access Journals (Sweden)

    Somak Das

    2015-01-01

    Full Text Available The most common site for malignant melanoma is skin, then eye and third is anorectal region. Primary anorectal malignant melanoma is still very uncommon. It is usually very aggressive and presents with altered bowel habit and rectal bleeding. Proctoscopy shows non-pigmented or lightly pigmented polypoid lesion. Histopathology is confirmatory. Early radical excision is mandatory. A 56 year-old female was presented with malignant melanoma of the lower third of rectum. We report this case for its rarity.

  4. Recognizing and reporting domestic violence: attitudes, experiences and behavior of Dutch dentists

    NARCIS (Netherlands)

    B.A.F.M. van Dam; W.J.M. van der Sanden; J.J.M. Bruers

    2015-01-01

    Background On July 1st 2013 the Mandatory Reporting Code Act came into force in the Netherlands, making it compulsory for health professionals to adhere to a reporting code when they suspect patients to be victims of domestic violence (DV) or child abuse (CA). The Royal Dutch Dental Association (KNM

  5. Recognizing and reporting domestic violence: attitudes, experiences and behavior of Dutch dentists

    NARCIS (Netherlands)

    van Dam, B.A.F.M.; van der Sanden, W.J.M.; Bruers, J.J.M.

    2015-01-01

    Background On July 1st 2013 the Mandatory Reporting Code Act came into force in the Netherlands, making it compulsory for health professionals to adhere to a reporting code when they suspect patients to be victims of domestic violence (DV) or child abuse (CA). The Royal Dutch Dental Association

  6. 75 FR 20269 - Regulatory Reporting Requirements for the Indian Community Development Block Grant Program

    Science.gov (United States)

    2010-04-19

    ... Indian Community Development Block Grants (ICDBG) program. First, the rule provides for submission of a... reporting requirements for the Indian Community Development Block Grant (ICDBG) program. The purpose of the... HUD-96010 a mandatory reporting requirement for ICDBG grant funding. As more fully described in...

  7. 78 FR 62967 - Irish Potatoes Grown in Washington; Temporary Change to the Handling Regulations and Reporting...

    Science.gov (United States)

    2013-10-23

    ... quality of Washington potatoes may be outweighed by the current cost of mandatory inspections. After much... also modifies current reporting requirements to require handlers to submit reports to provide... potatoes. The temporary exemption was recommended for the duration of the current fiscal period so that...

  8. The grave necessity to make eye bank specular microscopy mandatory in all eye banks in the subcontinent to improve utilization of scarce donor corneas

    Directory of Open Access Journals (Sweden)

    Jagruti N Jadeja

    2013-01-01

    Full Text Available Context: Donor tissue scarcity, Eye Bank Specular Microscopy as yet not made mandatory and tissue utilization often based on clinical judgment only. Aims: Prospectively analyze alteration in clinical grading of donor corneas and hence utilization, based on Eye Bank Specular Microscopy (EBSM and to infer if EBSM should be mandatory in all eye banks. Materials and Methods: 200 consecutive otherwise ′suitable for surgery′ donor eyes were graded clinically. On quantitative and qualitative analysis of endothelial cells by EBSM, final grading was adjusted. Impact on subsequent utilization for various surgeries was analyzed with regard to Age of Donor, Death to Enucleation Time, Death to Preservation Time and Lens Status of Donor Eye. Results: 76 eyes (38% (P 60 years showed CD >= 2500. From donor >=81 years, 2/13 (15.3% eyes showed CD between 2501-3000 and 1 (7.6% eye showed CD > 3000. Owing to better grading after EBSM, 13/14 (92.85% tissues with DTET >6 hours and 5/5 (100% tissues with DTPT > 16 hours were transplanted. Out of 45 (22.5% pseudo-phakic tissues, 21 (46.67% tissues were used for Therapeutic/Tectonic Penetrating Keratoplasty (PKP while 24 (53.33% tissues were used for Optical PKP. Conclusions: EBSM significantly alters final grading of tissues and its subsequent utilization. Acquiring huge importance in areas where adequate supply of corneas is lacking, EBSM becomes an indispensable tool for optimizing availability of qualified tissues for surgery. EBSM should be made a mandatory analysis.

  9. [Does the amendment of the rules of Criminal Code referring to mandatory treatment mean paradigm change in the judgement of mentally ill criminals?].

    Science.gov (United States)

    Kalapos, Miklós Péter

    2011-01-01

    Talking of the Act LXXX. of 2009, the amendment of the Act IV. of 1978 on Criminal Code, the author reviews the Hungarian history of the changes of regulations referring to mentally ill criminals. He discusses the treatment regulations referring to criminals identified as insane, too. From historical and legal philosophical points of view, those parts of the modification of Criminal Code are analyzed that deal with mandatory treatment and took effect in he May 2010. The changes are judged as paradigm changing in a negative course that represents a doubtful step from the direction of perpetrator based criminal law to criminal act based criminal law.

  10. Unilateral Lumbosacral Dislocation: Case Report and a Comprehensive Review

    OpenAIRE

    2012-01-01

    Lumbosacral fracture-dislocation is a rare occurrence. There are more than 73 cases reported in the English literature. We report on the imaging findings and surgical treatment in a patient suffered of unilateral traumatic L5-S1 dislocation associated with severe disruption of the posterior ligamentous complex. The patient underwent open reduction and stabilization of L4-S1 vertebrae with posterior instrumentation system. Open reduction and internal fixation was mandatory as post-traumatic li...

  11. Progress in increasing affordability of medicines for non-communicable diseases since the introduction of mandatory health insurance in the Republic of Moldova.

    Science.gov (United States)

    Ferrario, Alessandra; Chitan, Elena; Seicas, Rita; Sautenkova, Nina; Bezverhni, Zinaida; Kluge, Hans; Habicht, Jarno

    2016-07-01

    To assess progress in improving affordability of medicines since the introduction of mandatory health insurance in the Republic of Moldova. Using data from national health insurance, we estimate affordability of partially reimbursed medicines for the treatment of non-communicable diseases, and analyse which factors contributed to changes in affordability. Affordability of subsidized medicines improved over time. In 2013, it took a median of 0.84 days of income for the lowest income quintile (ranging from 0 to 3.32 days) to purchase 1 month of treatment for cardiovascular conditions in comparison to 1.85 days in 2006. This improvement however was mainly driven by higher incomes rather than deeper coverage through the reimbursement list. If mandatory health insurance is to improve affordability of medicines for the Moldovan population, more funds need to be (re-)allocated to enable higher percentage coverage of essential medicines and efficiencies need to be generated within the health system. These should include a budget reallocation between secondary and primary care, strengthening primary care to manage chronic conditions and raise population awareness, implementation of evidence-based selection and quality use of medicines in both outpatient and inpatient settings, improving monitoring and regulation of prices and the supply chain; and alignment of national treatment guidelines and clinical practice with international best practices and evidence-based medicine. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

  12. Is antibiotic prophylaxis mandatory after the insertion of levonorgestrel-releasing intrauterine systemin order to decrease the risk of pelvic inflammatory disease?

    Science.gov (United States)

    Munteanu, O; Radulescu, L; Bodean, O; Cirstoiu, C; Secara, D; Cirstoiu, M

    2013-01-01

    This study was undertaken in order to determine if antibiotic prophylaxis is mandatory, after the insertion of levonorgestrel-releasing intrauterine system in order to decrease the risk of pelvic inflammatory disease. We prospectively evaluated 44 patients, admitted in the Bucharest Emergency Hospital between the 1ⁱ of February 2012 and the 1ⁱ of October 2012, in whom the levonorgestrel-releasing intrauterine system was inserted. The patients enrolled were divided into two groups. In group A, a number of 22 patients, received, after the insertion of levonorgestrel-releasing intrauterine system, 875mg Amoxicillin Trihydrate + 125 mg Potassium Clavulanate, a dose every 12 hours for 5 days. Group B was represented by the other 22 patients who did not receive antibiotic prophylaxis. All patients were reevaluated at 4 and 12 weeks after the insertion of levonorgestrel-releasing intrauterine system. During the first 4 weeks after the insertion of levonorgestrel-releasing intrauterine system only two patients, one from group A and one from group B were diagnosed with pelvic inflammatory disease. At a second follow up visit - 12 weeks after the insertion of levonorgestrel-releasing intrauterine system, no other patient was diagnosed with pelvic inflammatory disease. Antibiotic prophylaxis is not mandatory, after the insertion of levonorgestrel-releasing intrauterine system in order to decrease the risk of pelvic inflammatory disease.

  13. COINTEGRATION ANALYSIS OF EUROPEAN STOCK MARKETS (ROMANIA, GERMANY, FRANCE AND POLAND FROM THE PERSPECTIVE OF THE NET ASSETS INVESTMENT OF THE ROMANIAN MANDATORY PRIVATE PENSION FUNDS

    Directory of Open Access Journals (Sweden)

    Andreea-Cristina PETRICA

    2016-12-01

    Full Text Available The goal of this paper is to investigate cointegration between Bucharest Stock Exchange and three European Stock Markets: Germany,France and Poland, respectively. The choice of the European markets is based on the net assets investment of the Romanian mandatory private pension funds. On June 30, 2016, according to the Romanian Financial Supervisory Authority 91.28% of all investments in shares of private pension funds have been performed in Romanian shares, while the rest of 8.72% (0.44 billion lei have been performed in shares issued by Germany (2.34%, France (2.23%, Poland (0.89% and other countries. Having the intention of achieving maximizing returns by managing risk, and also to capture the co-movements in the above markets,we perform the cointegration analysis to examine portfolio diversification of the Romanian mandatory private pension funds. The empirical analysis is based on daily closing prices of the BET Index, DAX 30 Index, CAC 40 Index and WIG 20 Index and covers the period from 30 January 2006 to 27 September 2016 (2713 observations.

  14. Mandatory reporting of violated rights according to the Information System for Childhood and Adolescence (SIPIA in Brazilian Northeast - doi:10.5020/18061230.2011.p313

    Directory of Open Access Journals (Sweden)

    Augediva Maria Jucá Pordeus

    2012-01-01

    Full Text Available Objective: To analyze allegations of violated rights of children and adolescents, received by child protection councils in the Northeast of Brazil in a time series of six years (2002 - 2007, through the Information System for Childhood and Adolescence (SIPIA. Methods: A descriptive study with quantitative approach, in a time series for the period 2002 to 2007, to identify information pertaining to violence against children and adolescents in the Northeast, through official secondary data. We studied 82,175 complaints, which allowed the analysis of the characteristics of the offender, the victims and location of the violation of such rights in the studied group. Results: Data indicate that 52.5% (n=43,203 of victims were male, 57.7% (n=47,437 comprised the age group 0-11 years, 70.3% (n=57,781 of cases of rights violations against children and adolescents registered in this period were committed by family members and relatives. Parents stood out as those that most violated rights of their children, with 55.4% (n=45,557. Conclusion: These results confirm the underreporting of notifications in SIPIA in some states of this region, although the study has shown that the violation of rights of children and adolescents is a present fact in the Northeast region of Brazil.

  15. Social and Environmental Reporting and Auditing in Indonesia: Maintaining Organizational Legitimacy?

    Directory of Open Access Journals (Sweden)

    Anies S. Basalamah

    2005-01-01

    Full Text Available The purpose of this study is to examine social and environmental reporting and auditing practices by companies in Indonesia. Consistent with our prediction, we found that social and environmental reporting and auditing are undertaken by management for strategic reasons, rather than on the basis of any perceived responsibilities. The results indicate that reporting and auditing social and environmental activities increases following threats to the company’s legitimacy and ongoing survival. The results also support our prediction that social and environmental reports vary across companies. This study calls for mandatory reporting and auditing of social and environmental activities through regulations and reinforcements. This mandatory requirement is particularly needed for companies with activities that are considered socially and environmentally sensitive. Furthermore, this study reveals that the social and environmental reporting and auditing are performed by organizations other than accounting profession. We propose that accountants should partake in these activities given the expertise that they could usefully bring to these areas.

  16. Keeping up independence in appearance. An examination of auditor choices during the transition from a mandatory to a voluntary joint audit system in Denmark

    DEFF Research Database (Denmark)

    Holm, Claus

    for company choices alleviating independence threats. More specifically, we find more frequent rotation when single auditor are appointed, more equal audit fee share and higher propensity to choose non-BigN auditor (absence of dominance) when joint audits are chosen, and lower NAS increases when joint audits......This paper examines agency explanations for choice of auditor in the context of the transition from a mandatory to a voluntary joint audit system in Denmark. We find support for four hypotheses supporting companys’ auditor choice as exogenous enables of independence in appearance, that is, support...... are involved. We also find that the length of relationship with prime BigN auditors are longer than for non-BigN, thus suggesting potential problem with independence in appearance consistent with the EC green paper issues raised concerning audit firm concentration. However, we do not find differences between...

  17. Increasing the general level of academic capacity in general practice: introducing mandatory research training for general practitioner trainees through a participatory research process

    DEFF Research Database (Denmark)

    Tulinius, Anne-Charlotte; Nielsen, Anni Brit Sternhagen; Hansen, Lars Jørgen

    2012-01-01

    skills, and through the development and implementation of the mandatory programme to gradually empower the GP community to achieve academic capacity by creating a link between the GP researchers and the GP training community. This was done by developing a faculty, giving teaching skills to GP academics......, and research skills to GP clinicians; and creating an awareness of the potential benefits of critical appraisal in training GP surgeries. METHODS: Development and implementation of a faculty and a programme through a participatory action research-inspired project, with process evaluation from the beginning...... of the planning phase. RESULTS: From 2006 to 2009, we built a teaching faculty of 25 teachers among clinical GPs and GP academics; developed the training programme; and delivered the programme to 95 GP trainees. Some of the GP trainees later showed an interest in more substantial research projects, and GP...

  18. 75 FR 82489 - Process for Submissions for Review of Security-Based Swaps for Mandatory Clearing and Notice...

    Science.gov (United States)

    2010-12-30

    ... functioning of such financial market utility could create, or increase, the risk of significant liquidity or... an exception applies. \\1\\ See, e.g., Report of the Senate Committee on Banking, Housing, and Urban... and to mitigate systemic risk in part by imposing new requirements with respect to clearance...

  19. Impact of the introduction of mandatory generic substitution in South Africa: private sector sales of generic and originator medicines for chronic diseases.

    Science.gov (United States)

    Gray, Andrew Lofts; Santa-Ana-Tellez, Yared; J Wirtz, Veronika

    2016-12-01

    To assess the impact of mandatory offer of generic substitution, introduced in South Africa in May 2003, on private sector sales of generic and originator medicines for chronic diseases. Private sector sales data (June 2001 to May 2005) were obtained from IMS Health for proton pump inhibitors (PPIs; ATC code A02BC), HMG-CoA reductase inhibitors (statins; C10AA), dihydropyridine calcium antagonists (C08CA), angiotensin-converting enzyme inhibitors (ACE-I; C09AA) and selective serotonin reuptake inhibitors (SSRIs; N06AB). Monthly sales were expressed as defined daily doses per 1000 insured population per month (DDD/TIM). Interrupted time-series models were used to estimate the changes in slope and level of medicines use after the policy change. ARIMA models were used to correct for autocorrelation and stationarity. Only the SSRIs saw a significant rise in level of generic utilisation (0.2 DDD/TIM; P increase in slope (0.01 DDD/TIM, P = 0.016; 0.02 DDD/TIM, P < 0.001), while the originators showed a decrease in slope (-0.003 DDD/TIM, P = 0.046; -0.01 DDD/TIM, P < 0.001). There were insufficient data on generic statin use before the policy change to allow for analysis. The mandatory offer of generic substitution appeared to have had a quantifiable effect on utilisation patterns in the 2 years after May 2003. Managed care interventions that were already in place before the intervention may have blunted the extent of the changes seen in this period. Generic policies are an important enabling provision for cost-containment efforts. However, decisions taken outside of official policy may anticipate or differ from that policy, with important consequences. © 2016 John Wiley & Sons Ltd.

  20. Mandatory imaging cuts costs and reduces the rate of unnecessary surgeries in the diagnostic work-up of patients suspected of having appendicitis

    Energy Technology Data Exchange (ETDEWEB)

    Lahaye, M.J.; Lambregts, D.M.J.; Mutsaers, E.; Beets-Tan, R.G.H. [Maastricht University Medical Centre, Department of Radiology, Maastricht (Netherlands); Essers, B.A.B. [Maastricht University Medical Centre, Department of Epidemiology and Medical Technology, Maastricht (Netherlands); Breukink, S.; Beets, G.L. [Maastricht University Medical Centre, Department of Surgery, Maastricht (Netherlands); Cappendijk, V.C. [Jeroen Bosch Hospital, Department of Radiology, ' s Hertogenbosch (Netherlands)

    2015-05-01

    To evaluate whether mandatory imaging is an effective strategy in suspected appendicitis for reducing unnecessary surgery and costs. In 2010, guidelines were implemented in The Netherlands recommending the mandatory use of preoperative imaging to confirm/refute clinically suspected appendicitis. This retrospective study included 1,556 consecutive patients with clinically suspected appendicitis in 2008-2009 (756 patients/group I) and 2011-2012 (800 patients/group II). Imaging use (none/US/CT and/or MRI) was recorded. Additional parameters were: complications, medical costs, surgical and histopathological findings. The primary study endpoint was the number of unnecessary surgeries before and after guideline implementation. After clinical examination by a surgeon, 509/756 patients in group I and 540/800 patients in group II were still suspected of having appendicitis. In group I, 58.5% received preoperative imaging (42% US/12.8% CT/3.7% both), compared with 98.7% after the guidelines (61.6% US/4.4% CT/ 32.6% both). The percentage of unnecessary surgeries before the guidelines was 22.9%. After implementation, it dropped significantly to 6.2% (p<0.001). The surgical complication rate dropped from 19.9% to 14.2%. The average cost-per-patient decreased by 594 EUR from 2,482 to 1,888 EUR (CL:-1081; -143). Increased use of imaging in the diagnostic work-up of patients with clinically suspected appendicitis reduced the rate of negative appendectomies, surgical complications and costs. (orig.)

  1. A Mandatory Access Control Model with Temporal and Spatial Constraints%具有时空约束的强制访问控制模型

    Institute of Scientific and Technical Information of China (English)

    范艳芳; 蔡英; 耿秀华

    2012-01-01

    传统的访问控制通过逻辑的方法来防止未授权的信息访问,忽略了物理位置的作用,从而容易遭受地址欺骗类攻击.将位置信息引入访问控制可以提供更好的安全性.在强制访问控制中客体的安全属性与时间密切相关,访问控制模型中应反映客体的安全属性随时间的变化.以经典的Bell-Lapadula模型为基础,提出一个具有时空约束的强制访问控制模型,综合考虑时间和空间约束,在增加访问控制模型灵活性的基础上提高访问控制模型的安全性.%Traditional access control restrains unauthorized access only by logical method, which is vulnerable to suffer from address spoofing because of ignoring physical location. It can provide better security through introducing spatial information into access control. Security properties of objects are closely related to time in mandatory access control model. Therefore, the change of object's security property over time should be reflected in access control model. Based on classic Bell-Lapadula model (BLP) , a mandatory access control model with temporal and spatial constraints is proposed, in which both time constraints and space constraints are considered. Compared to BLP model, the new model can provide better flexibility and security.

  2. Maternal education preferences moderate the effects of mandatory employment and education programs on child positive and problem behaviors

    OpenAIRE

    Gassman-Pines, Anna; Godfrey, Erin B.; Yoshikawa, Hirokazu

    2012-01-01

    Grounded in Person-Environment Fit Theory, this study examined whether low-income mothers' preferences for education moderated the effects of employment- and education-focused welfare programs on children's positive and problem behaviors. The sample included 1,365 families with children between ages 3 and 5 at study entry. Results 5 years after random assignment, when children were ages 8 to 10, indicated that mothers' education preferences did moderate program impacts on teacher-reported chi...

  3. Mandatory Use of TurnItIn: The Effect of a Policy on Reducing Unoriginal Writing in Online Classes

    Directory of Open Access Journals (Sweden)

    Peter KIRIAKIDIS

    2012-03-01

    Full Text Available An accredited online university in the United States of America implemented TurnItIn similarity index rates in online classes in order to reduce unoriginal writing of online graduate and postgraduate students. The research problem was the lack of empirical research-based findings on the implementation of TurnItIn on reducing unoriginal academic work in online classes. The purpose of this research was to examine the similarity index rates, found in each TurnItIn report of each student’s assignment submitted to www.TurnItIn.com in order to minimize unoriginal student writing. This study was grounded in the social learning theory of Vygotsky. The research question that guided this study was “What is the impact of the implementation of TurnItIn on reducing unoriginal writing in online classes of graduate and postgraduate students?” Archived data containing the similarity index rates of TurnItIn reports were collected for two cohorts of 111 graduate and 107 postgraduate students before and after the implementation of TurnItIn reports in online classes. The findings revealed that the implementation of TurnItIn reduced unoriginal writing in graduate and postgraduate online classes. A significant difference between the means of the two cohorts of similarity index rates of TurnItIn was found. The empirical evidence was that the implementation of TurnItIn has helped the online institution at the research site to reduce unoriginal writing. Education stakeholders may use these findings to improve academic integrity.

  4. Mandatory Use of TurnItIn: The Effect of a Policy on Reducing Unoriginal Writing in Online Classes

    OpenAIRE

    Peter KIRIAKIDIS

    2012-01-01

    An accredited online university in the United States of America implemented TurnItIn similarity index rates in online classes in order to reduce unoriginal writing of online graduate and postgraduate students. The research problem was the lack of empirical research-based findings on the implementation of TurnItIn on reducing unoriginal academic work in online classes. The purpose of this research was to examine the similarity index rates, found in each TurnItIn report of each student’s assign...

  5. Mandatory Use of TurnItIn: The Effect of a Policy on Reducing Unoriginal Writing in Online Classes

    OpenAIRE

    Peter KIRIAKIDIS

    2012-01-01

    An accredited online university in the United States of America implemented TurnItIn similarity index rates in online classes in order to reduce unoriginal writing of online graduate and postgraduate students. The research problem was the lack of empirical research-based findings on the implementation of TurnItIn on reducing unoriginal academic work in online classes. The purpose of this research was to examine the similarity index rates, found in each TurnItIn report of each student’s assign...

  6. IFRS自愿采纳与强制采纳之盈余质量比较——以欧盟上市公司为例%Comparison of Earnings Quality between Voluntary IFRS Adoption and Mandatory IFRS Adoption——Evidence from the Listed Companies from European Union

    Institute of Scientific and Technical Information of China (English)

    陈辉发; 蒋义宏; 陈超

    2012-01-01

    以2004年以前自愿采纳国际财务报告准则(IFR S)且具有独特制度背景的欧盟15国上市公司为研究样本,对这类公司在2005年欧盟强制所有上市公司采纳IFRS以后盈余质量是否有了进一步提高进行了研究。研究发现,2004年以前自愿采纳IFR S的公司更少地进行微利盈余管理,具有更低的截面操纵性应计利润绝对值,这说明欧盟强制采纳IFR S后显著提高了自愿采纳IFRS公司的盈余质量。上述结论表明,IFRS这一制度安排由国家法律强制执行比纯粹依靠公司自我执行效果更优,这为尚未采纳或正在考虑采纳IFRS的国家提供了一条关于IFRS采纳方式的现实路径。%Using the voluntary International Financial Reporting Standards(IFRS) adoption companies before 2004 in the European Union(EU) 15 member states that have unique institutional settings as the research sample,this study investigates whether earnings quality of voluntary IFRS adoption companies is further improved after mandatory IFRS adoption in the EU starting from Jan.1st 2005.The authors find that voluntary IFRS adoption companies have less involved in small profit management and lower magnitude of absolute discretionary accruals after mandatory IFRS adoption in the EU,which indicates that earnings quality of voluntary IFRS adoption companies is further improved after mandatory IFRS adoption in the EU.The results are robust to a number of sensitivity tests.The above result indicates that the positive IFRS adoption effect of statutory enforcement by country law is higher than just relied on self-enforcement by company.Therefore,this provides an effective path regarding IFRS adoption for the rest countries which is about to or considering adopting IFRS.

  7. Using Personnel and Financial Data for Reporting Purposes: What Are the Challenges to Using Such Data Accurately?

    Science.gov (United States)

    Valcik, Nicolas A.; Stigdon, Andrea D.

    2008-01-01

    Although institutional researchers devote a great deal of time mining and using student data to fulfill mandatory federal and state reports and analyze institutional effectiveness, financial and personnel information is also necessary for such endeavors. In this article, the authors discuss the challenges that arise from extracting data from…

  8. Maternal education preferences moderate the effects of mandatory employment and education programs on child positive and problem behaviors.

    Science.gov (United States)

    Gassman-Pines, Anna; Godfrey, Erin B; Yoshikawa, Hirokazu

    2013-01-01

    Grounded in person-environment fit theory, this study examined whether low-income mothers' preferences for education moderated the effects of employment- and education-focused welfare programs on children's positive and problem behaviors. The sample included 1,365 families with children between ages 3 and 5 years at study entry. Results 5 years after random assignment, when children were ages 8-10 years, indicated that mothers' education preferences did moderate program impacts on teacher-reported child behavior problems and positive behavior. Children whose mothers were assigned to the education program were rated by teachers to have less externalizing behavior and more positive behavior than children whose mothers were assigned to the employment program but only when mothers had strong preferences for education.

  9. Análise das práticas de evidenciação de informações obrigatórias, não-obrigatórias e avançadas nas demonstrações contábeis das sociedades anônimas no Brasil: um estudo comparativo dos exercícios de 2002 e 2005 Analysis of mandatory, non-mandatory and advanced information disclosure practices in financial statements of companies in Brazil: a comparative study between 2002 and 2005

    Directory of Open Access Journals (Sweden)

    Vera Maria Rodrigues Ponte

    2007-12-01

    Full Text Available Em todo o mundo se discute sobre a transparência e a qualidade na divulgação das informações contábeis. No sentido de contribuir para esse debate, o presente estudo procura responder à seguinte questão de pesquisa: Quais as mudanças percebidas na evidenciação de informações obrigatórias, não-obrigatórias e avançadas praticada pelas sociedades anônimas no Brasil? Trata-se de uma pesquisa exploratória-descritiva, cujas amostras são de natureza não-probabilística acidental. Foram analisadas as demonstrações contábeis de 95 empresas, referentes ao exercício de 2002, e 119 alusivas ao exercício de 2005. No tocante aos itens recomendados pelos pareceres nos 15/87, 17/89 e 19/90 da CVM, a pesquisa revela a não-ocorrência de melhoria das práticas de disclosure das companhias estudadas. Com relação às informações contábeis de natureza avançada e não-obrigatória propugnadas pelas práticas de governança corporativa, verifica-se um avanço na sua evidenciação pelas empresas analisadas, que dispensam atenção especial à divulgação de suas práticas de responsabilidade social e do Balanço Social, das Demonstrações do Fluxo de Caixa (DFC e do Valor Adicionado (DVA.All over the world, there have been discussions on transparency and quality in the disclosure of accounting information. Aiming at contributing towards this debate, this study seeks to answer the following research question: What are the perceived changes in the disclosure of mandatory, non-mandatory and advanced accounting reporting experienced by companies in Brazil? Financial statements from 95 companies were assessed, referring to corporate annual reports of 2002 and from 119 companies referring to corporate annual reports of 2005. Concerning items recommended in rules numbers 15/87, 17/89 and 19/90 by the Brazilian Securities and Exchange Commission, this research reveals that there was no improvement in the disclosure practices of the companies

  10. Primary osteosarcoma of the breast: case report

    Science.gov (United States)

    Saber, Boutayeb; Nawal, Ahbeddou; Mohamed, Fetohi; Hassan, Errihani

    2008-01-01

    Mammary sarcomas are very uncommon and make up less than 1% of all primary breast malignancies. Primary osteosarcoma of the breast is extremely rare and represents 12.5% of mammary sarcomas. A secondary lesion from a primary osteosarcoma of the bone should be considered in the differential diagnosis. In addition, the absence of a direct connection between the tumour and the underlying skeleton is mandatory for the diagnosis. We report a case of primary osteosarcoma of the breast occurring in young patient with fatal evolution. PMID:18691427

  11. Review of Best Practices for CLABSI Prevention and the Impact of Recent Legislation on CLABSI Reporting

    Directory of Open Access Journals (Sweden)

    Benjamin Woodward

    2016-11-01

    Full Text Available Central line-associated bloodstream infections (CLABSI are a very common source of healthcare-associated infection (HAI. Incidence of CLABSI has been significantly reduced through the efforts of nurses, healthcare providers, and infection preventionists. Extrinsic factors such as recently enacted legislation and mandatory reporting have not been closely examined in relation to changes in rates of HAI. The following review will examine evidence-based practices related to CLABSI and how they are reported, as well as how the Affordable Care Act, mandatory reporting, and pay-for-performance programs have affected these best practices related to CLABSI prevention. There is a disconnect in the methods and guidelines for reporting CLABSI between these programs, specifically among local monitoring agencies and the various federal oversight organizations. Future research will focus on addressing the gap in what defines a CLABSI and whether or not these programs to incentivize hospital to reduce CLABSI rates are effective.

  12. GR SUMOylation and formation of an SUMO-SMRT/NCoR1-HDAC3 repressing complex is mandatory for GC-induced IR nGRE-mediated transrepression

    Science.gov (United States)

    Hua, Guoqiang; Paulen, Laetitia; Chambon, Pierre

    2016-01-01

    Unique among the nuclear receptor superfamily, the glucocorticoid (GC) receptor (GR) can exert three distinct transcriptional regulatory functions on binding of a single natural (cortisol in human and corticosterone in mice) and synthetic [e.g., dexamethasone (Dex)] hormone. The molecular mechanisms underlying GC-induced positive GC response element [(+)GRE]-mediated activation of transcription are partially understood. In contrast, these mechanisms remain elusive for GC-induced evolutionary conserved inverted repeated negative GC response element (IR nGRE)-mediated direct transrepression and for tethered indirect transrepression that is mediated by DNA-bound NF-κB/activator protein 1 (AP1)/STAT3 activators and instrumental in GC-induced anti-inflammatory activity. We demonstrate here that SUMOylation of lysine K293 (mouse K310) located within an evolutionary conserved sequence in the human GR N-terminal domain allows the formation of a GR-small ubiquitin-related modifiers (SUMOs)-NCoR1/SMRT-HDAC3 repressing complex mandatory for GC-induced IR nGRE-mediated direct repression in vitro, but does not affect transactivation. Importantly, these results were validated in vivo: in K310R mutant mice and in mice ablated selectively for nuclear receptor corepressor 1 (NCoR1)/silencing mediator for retinoid or thyroid-hormone receptors (SMRT) corepressors in skin keratinocytes, Dex-induced direct repression and the formation of repressing complexes on IR nGREs were impaired, whereas transactivation was unaffected. In mice selectively ablated for histone deacetylase 3 (HDAC3) in skin keratinocytes, GC-induced direct repression, but not bindings of GR and of corepressors NCoR1/SMRT, was abolished, indicating that HDAC3 is instrumental in IR nGRE-mediated repression. Moreover, we demonstrate that the binding of HDAC3 to IR nGREs in vivo is mediated through interaction with SMRT/NCoR1. We also show that the GR ligand binding domain (LBD) is not required for SMRT

  13. GR SUMOylation and formation of an SUMO-SMRT/NCoR1-HDAC3 repressing complex is mandatory for GC-induced IR nGRE-mediated transrepression.

    Science.gov (United States)

    Hua, Guoqiang; Paulen, Laetitia; Chambon, Pierre

    2016-02-02

    Unique among the nuclear receptor superfamily, the glucocorticoid (GC) receptor (GR) can exert three distinct transcriptional regulatory functions on binding of a single natural (cortisol in human and corticosterone in mice) and synthetic [e.g., dexamethasone (Dex)] hormone. The molecular mechanisms underlying GC-induced positive GC response element [(+)GRE]-mediated activation of transcription are partially understood. In contrast, these mechanisms remain elusive for GC-induced evolutionary conserved inverted repeated negative GC response element (IR nGRE)-mediated direct transrepression and for tethered indirect transrepression that is mediated by DNA-bound NF-κB/activator protein 1 (AP1)/STAT3 activators and instrumental in GC-induced anti-inflammatory activity. We demonstrate here that SUMOylation of lysine K293 (mouse K310) located within an evolutionary conserved sequence in the human GR N-terminal domain allows the formation of a GR-small ubiquitin-related modifiers (SUMOs)-NCoR1/SMRT-HDAC3 repressing complex mandatory for GC-induced IR nGRE-mediated direct repression in vitro, but does not affect transactivation. Importantly, these results were validated in vivo: in K310R mutant mice and in mice ablated selectively for nuclear receptor corepressor 1 (NCoR1)/silencing mediator for retinoid or thyroid-hormone receptors (SMRT) corepressors in skin keratinocytes, Dex-induced direct repression and the formation of repressing complexes on IR nGREs were impaired, whereas transactivation was unaffected. In mice selectively ablated for histone deacetylase 3 (HDAC3) in skin keratinocytes, GC-induced direct repression, but not bindings of GR and of corepressors NCoR1/SMRT, was abolished, indicating that HDAC3 is instrumental in IR nGRE-mediated repression. Moreover, we demonstrate that the binding of HDAC3 to IR nGREs in vivo is mediated through interaction with SMRT/NCoR1. We also show that the GR ligand binding domain (LBD) is not required for SMRT

  14. Earnings announcement lag and non-mandatory disclosure impact on the cost of debt: Hong Kong empirical evidence

    Directory of Open Access Journals (Sweden)

    Achraf Guidara

    2015-02-01

    Full Text Available This paper examines the association between voluntary disclosure, earnings announcement lag and the cost of debt in Hong Kong. The research sample consists of 20 listed companies in the Hong Kong Stock exchange over the period spanning from 2008 to 2011. A disclosure checklist is used to measure the extent of voluntary disclosure in companies ‘annual reports. Earnings announcement lag is proxied by the difference between the end of fiscal year and the publication date of financial statements. Results of this study confirm that voluntary disclosure and earnings announcements lag reduce the cost of debt in Hong Kong. These findings suggest that voluntary disclosures play an essential role in reducing cost of debt in Hong Kong context, and managers tend to disclose in early manner to reduce the information asymmetry between their firm and creditors. These findings may have policy implications for managers since they demonstrate that the extent of voluntary and timely disclosures affect the cost of debt.

  15. 强制要约收购中的中小股东利益保护研究%Minority Shareholders′ Protection in Mandatory Bid Rule

    Institute of Scientific and Technical Information of China (English)

    刘佳璐

    2011-01-01

    With the introduction of Mandatory Bid Rule in China,the situation of the acquirer and its minority shareholders are becoming worse while the minority shareholders of the target company are becoming better.This paper analyzes the shortage of the system and tries to provide some solutions,such as establishing the exemption system in tender offer,regulating the agreement of shareholders′ meeting and so on.%强制要约收购制度引入我国后,在保护目标公司中小股东利益的同时,也在一定程度上损害了收购方及其中小股东的利益,阻碍了收购的进行。因此,在肯定该制度价值的同时,需要对其予以完善,主要是通过对收购方要约收购的豁免制度以及须经股东会同意通过的制度安排等,来平衡收购方与被收购方之间利益的平衡。

  16. Predictors for the uptake of recommended vaccinations in Mecca travelers who visited the Public Health Service Amsterdam for mandatory meningitis vaccination.

    Science.gov (United States)

    Keles, Havva; Sonder, Gerard J B; van den Hoek, Anneke

    2011-01-01

    Hajj, the pilgrimage to Mecca, is one of the obligatory religious duties of Islam. The travel clinic of the Public Health Service (PHS) Amsterdam administers vaccinations, including the required meningitis ACYW135 vaccine, and provides travelers with individual recommendations for all their travels. We extracted all data from the PHS database pertaining to Muslims who visited the clinic before travel to Mecca. From 2001 to 2009, the characteristics are described and trends are analyzed retrospectively. Acceptance of dTP vaccine was used as a proxy for acceptance of recommended vaccinations. For the years 2007 to 2009, predictive factors for the acceptance of advised vaccinations are analyzed. From 2001 to 2009, significantly more women and people older than 50 years of age traveled to Mecca. Since 2007, only 527 of 2,156 (24%) of those who were advised to take vaccines accepted the recommendation. Independent factors for acceptance were being female, of younger age, and being less healthy. Specifically, Mecca travelers with heart disorders and with liver or gastrointestinal disorders accepted recommended vaccinations more often than those without. Only a quarter of Mecca travelers who visit the travel clinic for their mandatory meningitis vaccination also take other, recommended, vaccinations. To improve the acceptance rate, Islamic organizations that inform Mecca travelers in preparation for their travel should be supplied with up-to-date advice, not only about the requirements but also about recommended vaccinations and health precautions. © 2011 International Society of Travel Medicine.

  17. So much to do, so little time. To accomplish the mandatory initiatives of ARRA, healthcare organizations will require significant and thoughtful planning, prioritization and execution.

    Science.gov (United States)

    Klein, Kimberly

    2010-01-01

    The American Recovery and Reinvestment Act of 2009 (ARRA) has set forth legislation for the healthcare community to achieve adoption of electronic health records (EHR), as well as form data standards, health information exchanges (HIE) and compliance with more stringent security and privacy controls under the HITECH Act. While the Office of the National Coordinator for Health Information Technology (ONCHIT) works on the definition of both "meaningful use" and "certification" of information technology systems, providers in particular must move forward with their IT initiatives to achieve the basic requirements for Medicare and Medicaid incentives starting in 2011, and avoid penalties that will reduce reimbursement beginning in 2015. In addition, providers, payors, government and non-government stakeholders will all have to balance the implementation of EHRs, working with HIEs, at the same time that they must upgrade their systems to be in compliance with ICD-10 and HIPAA 5010 code sets. Compliance deadlines for EHRs and HIEs begin in 2011, while ICD-10 diagnosis and procedure code sets compliance is required by October 2013 and HIPAA 5010 transaction sets, with one exception, is required by January 1, 2012. In order to accomplish these strategic and mandatory initiatives successfully and simultaneously, healthcare organizations will require significant and thoughtful planning, prioritization and execution.

  18. Study of Reciprocal Effects between Mandatory Pollutant Emissions Reduction Policy and Structural Change within the Manufacturing Sector in a Chinese Coastal Area.

    Science.gov (United States)

    Guo, Yang; Guo, Xianglin; Tian, Jinping; Chen, Lujun

    2015-11-01

    We develop a multicriteria decision-making model coupled with scenario analysis to quantitatively elucidate the reciprocal effect between a mandatory pollutant emissions reduction policy and industrial structure change within the manufacturing sector on the basis of an in-depth study of a well-developed coastal area in East China, Ningbo City, toward 2020. First, 18 two-digit level industries (TDLIs) in the manufacturing sector are screened out due to intensive emissions of the four pollutants (COD, NH3-N, SO2, and NOx). Second, a model is established to identify the optimal solution for the industrial structure adjustment of the 18 TDLIs under two scenarios, the "business-as-usual" scenario and the "industrial structure adjustment" scenario. Both scenarios are expanded into three subscenarios. Quantitative constraint conditions and two criteria are formulated to screen out the optimal solutions. We propose a coefficient of industrial structure adjustment, Ki, which could clearly reflect the policy preference in terms of industrial development and reallocate the quota of the four-pollutant emission among the 18 TDLIs with regards to the different expectations of economy development in 2020. The model will help local authorities make tailored policies to reduce pollution emissions effectively through industrial structure change by delicately allocating the pollutant emission quota and setting reasonable targets of emission intensity reduction among TDLIs.

  19. Merkel cell carcinoma: case report.

    Science.gov (United States)

    Sustić, Nela; Biljan, Darko; Orkić, Zelimir; Lizatović, Dario; Milas-Ahić, Jasminka

    2010-04-01

    Merkel cell carcinoma (MCC) is a rare, aggressive neuroendocrine carcinoma of the skin. Although it is 40 times less common than malignant melanoma, its mortality is much higher compared to melanoma. From 1986 to 2001 there was rapidly increasing incidence in reported cases of MCC, with a tripling in the rate over this 15-year period. The vast majority of MCC presents on sun-exposed skin. The head and neck area is the most common site of tumor occurrence. We present 70-year old female patient with painless red-colored nodule, size 2 x 2 x 2 cm on the dorsal side of mid left forearm. The surgical excision with negative margins was performed, and pathohistological analysis confirmed Merkel cell carcinoma. Sentinel lymph node biopsy was negative. In conclusion, as MCC is a very aggressive rare skin carcinoma with lethal outcome, it should be mandatory to perform biopsies of any suspected skin lesion.

  20. [Extradural spinal meningioma: case report].

    Science.gov (United States)

    Dagain, A; Dulou, R; Lahutte, M; Dutertre, G; Pouit, B; Delmas, J-M; Camparo, P; Pernot, P

    2009-12-01

    We report a case of purely extradural spinal meningioma and discuss the potential pitfalls in differential diagnosis. Spinal meningiomas account for 20-30% of all spinal neoplasms. Epidural meningiomas are infrequent intraspinal tumors that can be easily confused with malignant neoplasms or spinal schwannomas. A 62-year-old man with a previous history of malignant disease presented with back pain and weakness of the lower limbs. Magnetic resonance imaging revealed a well-enhanced T4 intraspinal lesion. The intraoperative histological examination showed a meningioma (confirmed by postoperative examination). Opening the dura mater confirmed the purely epidural location of the lesion. The postoperative course was uneventful with no recurrence 12 months after surgery. Purely extradural spinal meningiomas can mimic metastatic tumors or schwannomas. Intraoperative histology is mandatory for optimal surgical decision making.