WorldWideScience

Sample records for health action planning

  1. Environmental health action plan for Europe

    International Nuclear Information System (INIS)

    1994-06-01

    This Environmental Health Action Plan for Europe was endorsed by the second European Conference on Environment and Health, held in Helsinki, 20 to 22 June 1994. It sets out directions for the attainment of long term environment and health policy objectives define in the European Charter on Environment and Health. The Action Plan is primarily addressed at the public health and environmental protection sectors. 10 refs, 4 figs, 2 tabs

  2. 77 FR 38296 - Draft Public Health Action Plan-A National Public Health Action Plan for the Detection...

    Science.gov (United States)

    2012-06-27

    ... Prevention and Health Promotion, Division of Reproductive Health, Attn: National Public Health Action Plan... Disease Prevention and Health Promotion, Division of Reproductive Health, 4770 Buford Highway NE... topic's public health importance, existing challenges, and opportunities for action to decrease the...

  3. K basins interim remedial action health and safety plan

    Energy Technology Data Exchange (ETDEWEB)

    DAY, P.T.

    1999-09-14

    The K Basins Interim Remedial Action Health and Safety Plan addresses the requirements of the Comprehensive Environmental Response, Compensation and Liability Act (CERCLA), as they apply to the CERCLA work that will take place at the K East and K West Basins. The provisions of this plan become effective on the date the US Environmental Protection Agency issues the Record of Decision for the K Basins Interim Remedial Action, currently planned in late August 1999.

  4. to the National Mental Health Action Plan

    African Journals Online (AJOL)

    strategic planning meeting, held from 30 March to 1 April 2012 in. Windhoek .... psychiatrists to be incorporated at all the levels of decision-making: facility .... of a recovery-focused model. .... Suicide risk assessment must be made a core competency of all .... and auditing of mental healthcare programmes to be established in.

  5. A national action plan for workforce development in behavioral health.

    Science.gov (United States)

    Hoge, Michael A; Morris, John A; Stuart, Gail W; Huey, Leighton Y; Bergeson, Sue; Flaherty, Michael T; Morgan, Oscar; Peterson, Janice; Daniels, Allen S; Paris, Manuel; Madenwald, Kappy

    2009-07-01

    Across all sectors of the behavioral health field there has been growing concern about a workforce crisis. Difficulties encompass the recruitment and retention of staff and the delivery of accessible and effective training in both initial, preservice training and continuing education settings. Concern about the crisis led to a multiphased, cross-sector collaboration known as the Annapolis Coalition on the Behavioral Health Workforce. With support from the Substance Abuse and Mental Health Services Administration, this public-private partnership crafted An Action Plan for Behavioral Health Workforce Development. Created with input from a dozen expert panels, the action plan outlines seven core strategic goals that are relevant to all sectors of the behavioral health field: expand the role of consumers and their families in the workforce, expand the role of communities in promoting behavioral health and wellness, use systematic recruitment and retention strategies, improve training and education, foster leadership development, enhance infrastructure to support workforce development, and implement a national research and evaluation agenda. Detailed implementation tables identify the action steps for diverse groups and organizations to take in order to achieve these goals. The action plan serves as a call to action and is being used to guide workforce initiatives across the nation.

  6. Assessing and Planning Health Actions During a Crisis

    Directory of Open Access Journals (Sweden)

    Selim SUNER

    2015-10-01

    Full Text Available SUMMARY: Initial stage of a disaster is managed with existing resources. The following stages of disaster response often involve assistance from outside of the disaster zone. This may consist of mutual aid from neighboring communities for small-scale incidents but in major disasters, the response is from federal or international agencies or often both. Rapid needs assessment after an incident is a collaborative effort between responding agencies and local emergency preparedness and health authorities. Ideally, a team from responding agencies with intimate knowledge and experience regarding the capabilities and assets of the responding entity along with local authorities, with decision making capacity, who have knowledge of the community, the limitations of the responding agencies and can obtain near real-time information about the incident and subject matter experts (engineering, medical, law enforcement, etc. comprise the needs assessment team. Keywords: Crisis, health action, disaster planning

  7. World Health Organization Global Disability Action Plan: The Mongolian Perspective

    Directory of Open Access Journals (Sweden)

    Fary Khan

    2017-01-01

    Full Text Available Objective: To provide an update on disability and rehabilitation in Mongolia, and to identify potential barriers and facilitators for implementation of the World Health Organization (WHO Global Disability Action Plan (GDAP. Methods: A 4-member rehabilitation team from the Royal Melbourne Hospital conducted an intensive 6-day workshop at the Mongolian National University of Medical Sciences, for local healthcare professionals (n = 77 from medical rehabilitation facilities (urban/rural, public/private and non-governmental organizations. A modified Delphi method (interactive sessions, consensus agreement identified challenges for rehabilitation service provision and disability education and attitudes, using GDAP objectives. Results: The GDAP summary actions were considered useful for clinicians, policy-makers, government and persons with disabilities. The main challenges identified were: limited knowledge of disability services and rehabilitation within healthcare sectors; lack of coordination between sectors; geo-topographical issues; limited skilled workforces; lack of disability data, guidelines and accreditation standards; poor legislation and political commitment. The facilitators were: strong leadership; advocacy of disability-inclusive development; investment in local infrastructure/human resources; opportunities for coordination and partnerships between the healthcare sector and other stakeholders; research opportunities; and dissemination of information. Conclusion: Disability and rehabilitation is an emerging priority in Mongolia to address the rights and needs of persons with disabilities. The GDAP provides guidance to facilitate access and strengthen rehabilitation services.

  8. 77 FR 28883 - Draft Public Health Action Plan-A National Public Health Action Plan for the Detection...

    Science.gov (United States)

    2012-05-16

    ... Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion... Promotion, Division of Reproductive Health, 4770 Buford Highway NE., Mailstop K-34, Atlanta, Georgia 30341... health importance, existing challenges, and opportunities for action to decrease the impact of...

  9. What's an Asthma Action Plan?

    Science.gov (United States)

    ... Educators Search English Español What's an Asthma Action Plan? KidsHealth / For Parents / What's an Asthma Action Plan? ... acción contra el asma? What's an Asthma Action Plan? An asthma action plan (or management plan) is ...

  10. PTTSA Action Plan Report

    International Nuclear Information System (INIS)

    1991-02-01

    The Pre-Tiger Team Self-Assessment (PTTSA) Report identified findings with respect to the way Sandia National Laboratories (SNL), Albuquerque, (including Tonopah Test Range (TTR) and Kauai Test Facility (KTF)) conducts its environment, safety, and health (ES ampersand H) activities. It presented Action Plan Requirements (APR) addressing these findings. The purpose of this PTTSA Action Plan Report is to assist in managing these action plan requirements by collecting, prioritizing, and estimating required resources. The specific objectives addressed by this report include: collection of requirements for the resolution of the findings presented in the PTTSA Report; consolidation of proposed Action Plan Requirements into logical Action Plan groupings for efficiency of resolution; categorization of Action Plans according to severity of the hazards represented by the findings; provision of a basis for long-range planning and issues management; documentation of the status of the proposed corrective actions; establishment of traceability of the corrective action to the original problem or issue; and integration of these plans into the existing ES ampersand H structure. The Action Plans in this report are an intermediate step between the identification of a problem or a finding in the PTTSA Report and the execution of the solution. They consist of requirements for solution, proposed actions, and an estimate of the time and (where applicable) resources required to develop the solution. This report is an input to the process of planning, resource commitment, development, testing, implementation, and maintenance of problem resolution. 2 figs

  11. PLAN Bicol, Philippines: health manpower development program in action.

    Science.gov (United States)

    Lind, K

    1994-06-01

    PLAN Bicol in the Philippines is a community based Health Manpower Development Program (HMDP) geared toward training and mobilization of indigenous health practitioners, providing infrastructural and logistical support to individual families, and educating the community about health, nutrition, and the environment. The field officer recommends at the initiation of a project that program staff have roles that are well defined. New programs should be introduced to the community first and should involve the community in the planning stages. The HMDP program is directed to 38 villages located around national parks that have suffered from deforestation. Community health issues are malnutrition, low immunization, and lack of access to health services. HMDP established a training program for auxiliary health workers (AHWs), who make a commitment to return to their villages after training. Midwives are being trained at local schools. Village houses are being built and repaired; water systems and sanitary toilet facilities are being installed. Village health stations have been constructed and equipped with basic medicines, supplies, and equipment, and are open 5 days a week. Health education classes inform the community about nutrition and health. The problems at inception were the unwillingness of field staff to participate in the program and a high drop out rate among AHWs. Problems were worked out as the program progressed. Facilitative factors are the close coordination with the provincial health office, community acceptance, and the availability of qualified people.

  12. Review and action plan for oral health improvement in Sheffield special schools.

    Science.gov (United States)

    Worsley, D J; Jones, K; Harris, J C; Charlesworth, J; Marshman, Z

    2018-03-01

    A description of the process of a review of oral health improvement in special schools in Sheffield and the implementation of an action plan for these activities. Public health competencies encompassed: assessing the evidence on oral health and dental interventions, programmes and services; strategic leadership and collaborative working for health; oral health improvement. Copyright© 2018 Dennis Barber Ltd.

  13. The joint action on health workforce planning and forecasting: results of a European programme to improve health workforce policies.

    NARCIS (Netherlands)

    Kroezen, M.; Hoegaerden, M. van; Batenburg, R.

    2017-01-01

    Health workforce (HWF) planning and forecasting is faced with a number of challenges, most notably a lack of consistent terminology, a lack of data, limited model-, demand-based- and future-based planning, and limited inter-country collaboration. The Joint Action on Health Workforce Planning and

  14. The Search Conference as a Method in Planning Community Health Promotion Actions

    Science.gov (United States)

    Magnus, Eva; Knudtsen, Margunn Skjei; Wist, Guri; Weiss, Daniel; Lillefjell, Monica

    2016-01-01

    Aims: The aim of this article is to describe and discuss how the search conference can be used as a method for planning health promotion actions in local communities. Design and methods: The article draws on experiences with using the method for an innovative project in health promotion in three Norwegian municipalities. The method is described both in general and how it was specifically adopted for the project. Results and conclusions: The search conference as a method was used to develop evidence-based health promotion action plans. With its use of both bottom-up and top-down approaches, this method is a relevant strategy for involving a community in the planning stages of health promotion actions in line with political expectations of participation, ownership, and evidence-based initiatives. Significance for public health This article describe and discuss how the Search conference can be used as a method when working with knowledge based health promotion actions in local communities. The article describe the sequences of the conference and shows how this have been adapted when planning and prioritizing health promotion actions in three Norwegian municipalities. The significance of the article is that it shows how central elements in the planning of health promotion actions, as participation and involvements as well as evidence was a fundamental thinking in how the conference were accomplished. The article continue discussing how the method function as both a top-down and a bottom-up strategy, and in what way working evidence based can be in conflict with a bottom-up strategy. The experiences described can be used as guidance planning knowledge based health promotion actions in communities. PMID:27747199

  15. Action planning as predictor of health protective and health risk behavior: an investigation of fruit and snack consumption

    Directory of Open Access Journals (Sweden)

    Candel Math

    2009-10-01

    Full Text Available Abstract Background Large discrepancies between people's intention to eat a healthy diet and actual dietary behavior indicate that motivation is not a sufficient instigator for healthy behavior. Research efforts to decrease this 'intention - behavior gap' have centered on aspects of self-regulation, most importantly self-regulatory planning. Most studies on the impact of self-regulatory planning in health and dietary behavior focus on the promotion of health protective behaviors. This study investigates and compares the predictive value of action planning in health protective behavior and the restriction of health risk behavior. Methods Two longitudinal observational studies were performed simultaneously, one focusing on fruit consumption (N = 572 and one on high-caloric snack consumption (N = 585 in Dutch adults. Structural equation modeling was used to investigate and compare the predictive value of action planning in both behaviors, correcting for demographics and the influence of motivational factors and past behavior. The nature of the influence of action planning was investigated by testing mediating and moderating effects. Results Action planning was a significant predictor of fruit consumption and restricted snack consumption beyond the influence of motivational factors and past behavior. The strength of the predictive value of action planning did not differ between the two behaviors. Evidence for mediation of the intention - behavior relationship was found for both behaviors. Positive moderating effects of action planning were demonstrated for fruit consumption, indicating that individuals who report high levels of action planning are significantly more likely to translate their intentions into actual behavior. Conclusion The results indicate that the planning of specific preparatory actions predicts the performance of healthy dietary behavior and support the application of self-regulatory planning in both health protective and health

  16. Action planning as predictor of health protective and health risk behavior: an investigation of fruit and snack consumption.

    Science.gov (United States)

    van Osch, Liesbeth; Beenackers, Mariëlle; Reubsaet, Astrid; Lechner, Lilian; Candel, Math; de Vries, Hein

    2009-10-13

    Large discrepancies between people's intention to eat a healthy diet and actual dietary behavior indicate that motivation is not a sufficient instigator for healthy behavior. Research efforts to decrease this 'intention - behavior gap' have centered on aspects of self-regulation, most importantly self-regulatory planning. Most studies on the impact of self-regulatory planning in health and dietary behavior focus on the promotion of health protective behaviors. This study investigates and compares the predictive value of action planning in health protective behavior and the restriction of health risk behavior. Two longitudinal observational studies were performed simultaneously, one focusing on fruit consumption (N = 572) and one on high-caloric snack consumption (N = 585) in Dutch adults. Structural equation modeling was used to investigate and compare the predictive value of action planning in both behaviors, correcting for demographics and the influence of motivational factors and past behavior. The nature of the influence of action planning was investigated by testing mediating and moderating effects. Action planning was a significant predictor of fruit consumption and restricted snack consumption beyond the influence of motivational factors and past behavior. The strength of the predictive value of action planning did not differ between the two behaviors. Evidence for mediation of the intention - behavior relationship was found for both behaviors. Positive moderating effects of action planning were demonstrated for fruit consumption, indicating that individuals who report high levels of action planning are significantly more likely to translate their intentions into actual behavior. The results indicate that the planning of specific preparatory actions predicts the performance of healthy dietary behavior and support the application of self-regulatory planning in both health protective and health risk behaviors. Future interventions in dietary modification may

  17. The search conference as a method in planning community health promotion actions

    Directory of Open Access Journals (Sweden)

    Eva Magnus

    2016-08-01

    Full Text Available Aims: The aim of this article is to describe and discuss how the search conference can be used as a method for planning health promotion actions in local communities. Design and methods: The article draws on experiences with using the method for an innovative project in health promotion in three Norwegian municipalities. The method is described both in general and how it was specifically adopted for the project. Results and conclusions: The search conference as a method was used to develop evidence-based health promotion action plans. With its use of both bottom-up and top-down approaches, this method is a relevant strategy for involving a community in the planning stages of health promotion actions in line with political expectations of participation, ownership, and evidence-based initiatives.

  18. Phase II -- Photovoltaics for Utility Scale Applications (PVUSA): Safety and health action plan

    Energy Technology Data Exchange (ETDEWEB)

    Berg, K.

    1994-09-01

    To establish guidelines for the implementation and administration of an injury and illness prevention program for PVUSA and to assign specific responsibilities for the execution of the program. To provide a basic Safety and Health Action Plan (hereinafter referred to as Plan) that assists management, supervision, and project personnel in the recognition, evaluation, and control of hazardous activities and/or conditions within their respective areas of responsibility.

  19. Responding to the World Health Organization Gobal Disability Action Plan in Ukraine: Developing a National Disability, Health and Rehabilitation Plan

    Directory of Open Access Journals (Sweden)

    Christoph Gutenbrunner

    2017-11-01

    Full Text Available In order to support the development of a National Disability, Health and Rehabilitation Plan (NDHRP for Ukraine, a technical consultation was carried out by a Rehabilitation Advisory Team (RAT of the International Society of Physical and Rehabilitation Medicine (ISPRM in 2015. The consultation was based on assessment of the situation of persons with disabilities and the rehabilitation system in Ukraine. Recommendations for activities and projects to improve rehabilitation services within the healthcare system were developed and proposed. In order to reach consensus on the recommendations, dialogues were held with different stakeholders, including the Ministry of Public Health. The recommendations included: coordination of disability and rehabilitation policies within the Ministry of Public Health and among other involved ministries; translation and adaptation of international definitions of functioning, disability, and assessment tools into Ukrainian; data collection on the epidemiology of disability and the need for rehabilitation; implementation of health-related rehabilitation services; and implementation of international definitions and curricula of rehabilitation professions. The mission was regarded as successful and one year later a few changes had been adopted by the Ukrainian government. Further action based on this research is necessary. It will be important to track the changes and evaluate the results after an appropriate period of time.

  20. Overview criteria for the environmental, safety and health evaluation of remedial action project planning

    International Nuclear Information System (INIS)

    Stenner, R.D.; Denham, D.H.

    1984-10-01

    Overview criteria (i.e., subject areas requiring review) for evaluating remedial action project plans with respect to environmental, safety and health issues were developed as part of a Department of Energy, Office of Operational Safety, technical support project. Nineteen elements were identified as criteria that should be addressed during the planning process of a remedial action (decontamination and decommissioning) project. The scope was interpreted broadly enough to include such environmental, safety and health issues as public image, legal obligation and quality assurance, as well as more obvious concerns such as those involving the direct protection of public and worker health. The nineteen elements are discussed along with suggested ways to use a data management software system to organize and report results

  1. Strategic Planning in Population Health and Public Health Practice: A Call to Action for Higher Education.

    Science.gov (United States)

    Phelps, Charles; Madhavan, Guruprasad; Rappuoli, Rino; Levin, Scott; Shortliffe, Edward; Colwell, Rita

    2016-03-01

    Scarce resources, especially in population health and public health practice, underlie the importance of strategic planning. Public health agencies' current planning and priority setting efforts are often narrow, at times opaque, and focused on single metrics such as cost-effectiveness. As demonstrated by SMART Vaccines, a decision support software system developed by the Institute of Medicine and the National Academy of Engineering, new approaches to strategic planning allow the formal incorporation of multiple stakeholder views and multicriteria decision making that surpass even those sophisticated cost-effectiveness analyses widely recommended and used for public health planning. Institutions of higher education can and should respond by building on modern strategic planning tools as they teach their students how to improve population health and public health practice. Strategic planning in population health and public health practice often uses single indicators of success or, when using multiple indicators, provides no mechanism for coherently combining the assessments. Cost-effectiveness analysis, the most complex strategic planning tool commonly applied in public health, uses only a single metric to evaluate programmatic choices, even though other factors often influence actual decisions. Our work employed a multicriteria systems analysis approach--specifically, multiattribute utility theory--to assist in strategic planning and priority setting in a particular area of health care (vaccines), thereby moving beyond the traditional cost-effectiveness analysis approach. (1) Multicriteria systems analysis provides more flexibility, transparency, and clarity in decision support for public health issues compared with cost-effectiveness analysis. (2) More sophisticated systems-level analyses will become increasingly important to public health as disease burdens increase and the resources to deal with them become scarcer. The teaching of strategic planning in public

  2. Mitigation Action Plan

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-01

    This Mitigation Action Plan (MAP) focuses on mitigation commitments stated in the Supplemental Environmental Impact Statement (SEIS) and the Record of Decision (ROD) for the Naval Petroleum Reserve No. 1 (NPR-1). Specific commitments and mitigation implementation actions are listed in Appendix A-Mitigation Actions, and form the central focus of this MAP. They will be updated as needed to allow for organizational, regulatory, or policy changes. It is the intent of DOE to comply with all applicable federal, state, and local environmental, safety, and health laws and regulations. Eighty-six specific commitments were identified in the SEIS and associated ROD which pertain to continued operation of NPR-1 with petroleum production at the Maximum Efficient Rate (MER). The mitigation measures proposed are expected to reduce impacts as much as feasible, however, as experience is gained in actual implementation of these measures, some changes may be warranted.

  3. Intelligent robot action planning

    Energy Technology Data Exchange (ETDEWEB)

    Vamos, T; Siegler, A

    1982-01-01

    Action planning methods used in intelligent robot control are discussed. Planning is accomplished through environment understanding, environment representation, task understanding and planning, motion analysis and man-machine communication. These fields are analysed in detail. The frames of an intelligent motion planning system are presented. Graphic simulation of the robot's environment and motion is used to support the planning. 14 references.

  4. The U.S. National Action Plan to Improve Health Literacy: A Model for Positive Organizational Change.

    Science.gov (United States)

    Baur, Cynthia; Harris, Linda; Squire, Elizabeth

    2017-01-01

    This chapter presents the U.S. National Action Plan to Improve Health Literacy and its unique contribution to public health and health care in the U.S. The chapter details what the National Action Plan is, how it evolved, and how it has influenced priorities for health literacy improvement work. Examples of how the National Action Plan fills policy and research gaps in health care and public health are included. The first part of the chapter lays the foundation for the development of the National Action Plan, and the second part discusses how it can stimulate positive organizational change to help create health literate organizations and move the nation towards a health literate society.

  5. Regional health workforce planning through action research: lessons for commissioning health services from a case study in Far North Queensland.

    Science.gov (United States)

    Panzera, Annette June; Murray, Richard; Stewart, Ruth; Mills, Jane; Beaton, Neil; Larkins, Sarah

    2016-01-01

    Creating a stable and sustainable health workforce in regional, rural and remote Australia has long been a challenge to health workforce planners, policy makers and researchers alike. Traditional health workforce planning is often reactive and assumes continuation of current patterns of healthcare utilisation. This demonstration project in Far North Queensland exemplifies how participatory regional health workforce planning processes can accurately model current and projected local workforce requirements. The recent establishment of Primary Health Networks (PHNs) with the intent to commission health services tailored to individual healthcare needs underlines the relevance of such an approach. This study used action research methodology informed by World Health Organization (WHO) systems thinking. Four cyclical stages of health workforce planning were followed: needs assessment; health service model redesign; skills-set assessment and workforce redesign; and development of a workforce and training plan. This study demonstrated that needs-based loco-regional health workforce planning can be achieved successfully through participatory processes with stakeholders. Stronger health systems and workforce training solutions were delivered by facilitating linkages and planning processes based on community need involving healthcare professionals across all disciplines and sectors. By focusing upon extending competencies and skills sets, local health professionals form a stable and sustainable local workforce. Concrete examples of initiatives generated from this process include developing a chronic disease inter-professional teaching clinic in a rural town and renal dialysis being delivered locally to an Aboriginal community. The growing trend of policy makers decentralising health funding, planning and accountability and rising health system costs increase the future utility of this approach. This type of planning can also assist the new PHNs to commission health services

  6. The Joint Action on Health Workforce Planning and Forecasting: Results of a European programme to improve health workforce policies.

    Science.gov (United States)

    Kroezen, Marieke; Van Hoegaerden, Michel; Batenburg, Ronald

    2018-02-01

    Health workforce (HWF) planning and forecasting is faced with a number of challenges, most notably a lack of consistent terminology, a lack of data, limited model-, demand-based- and future-based planning, and limited inter-country collaboration. The Joint Action on Health Workforce Planning and Forecasting (JAHWF, 2013-2016) aimed to move forward on the HWF planning process and support countries in tackling the key challenges facing the HWF and HWF planning. This paper synthesizes and discusses the results of the JAHWF. It is shown that the JAHWF has provided important steps towards improved HWF planning and forecasting across Europe, among others through the creation of a minimum data set for HWF planning and the 'Handbook on Health Workforce Planning Methodologies across EU countries'. At the same time, the context-sensitivity of HWF planning was repeatedly noticeable in the application of the tools through pilot- and feasibility studies. Further investments should be made by all actors involved to support and stimulate countries in their HWF efforts, among others by implementing the tools developed by the JAHWF in diverse national and regional contexts. Simultaneously, investments should be made in evaluation to build a more robust evidence base for HWF planning methods. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Rehabilitation in Madagascar: Challenges in implementing the World Health Organization Disability Action Plan.

    Science.gov (United States)

    Khan, Fary; Amatya, Bhasker; Mannan, Hasheem; Burkle, Frederick M; Galea, Mary P

    2015-09-01

    To provide an update on rehabilitation in Madagascar by using local knowledge to outline the potential barriers and facilitators for implementation of the World Health Organization (WHO) Disability Action Plan (DAP). A 14-day extensive workshop programme (September-October 2014) was held at the University Hospital Antananarivo and Antsirabe, with the Department of Health Madagascar, by rehabilitation staff from Royal Melbourne Hospital, Australia. Attendees were rehabilitation professionals (n=29) from 3 main rehabilitation facilities in Madagascar, who identified various challenges faced in service provision, education and attitudes/approaches to people with disabilities. Their responses and suggested barriers/facilitators were recorded following consensus agreement, using objectives listed in the DAP. The barriers and facilitators outlined by participants in implementing the DAP objectives include: engagement of health professionals and institutions using a multi-sectoral approach, new partnerships, strategic collaboration, provision of technical assistance, future policy directions, and research and development. Other challenges for many basic policies included: access to rehabilitation services, geographical coverage, shortage of skilled work-force, limited info-technology systems; lack of care-models and facility/staff accreditation standards; limited health services infrastructure and "disconnect" between acute and community-based rehabilitation. The DAP summary actions were useful planning tools to improve access, strengthen rehabilitation services and community-based rehabilitation, and collate data for outcome research.

  8. Asthma action plan

    OpenAIRE

    Public Health Agency

    2014-01-01

    This action plans allow each child (or parent/carer) to record his or her asthma treatment to help manage their asthma when they are well, when their symptoms get worse and when they are suffering an asthma attack.

  9. Roundtable on health and climate change : Strategic plan on health and climate change : a framework for collaborative action, final report

    International Nuclear Information System (INIS)

    2001-03-01

    Climate change will have a significant impact on human health, arising from direct effects such as increased extreme weather events, and indirect effects resulting from changes in ecological systems on which humans depend. This paper is a compilation of discussions and input from the many stakeholders and representatives that contributed to the Roundtable on Health and Climate Change held in September 2000. The goal of the Roundtable was to raise the profile and inform policy makers of the health issues associated with climate change and to engage the health sector in the National Implementation Strategy on Climate Change. The strategic framework for collaborative action in addressing the health implications of climate change were presented. The strategic plan is based on the following key principles: (1) incorporating both mitigation and adaptation in all aspects of the plan, (2) maximizing co-benefits, associated with climate change and other key health priorities, (3) building on existing capacity within governments and non-governmental organizations, (4) forming multi-disciplinary alliances, (5) emphasizing collaboration and cooperation, and (6) recognizing the shared responsibility for action on climate change. The major recommendation from the Roundtable was to urge governments to place a high priority on the implementation of measures that will reduce greenhouse gas emissions in Canada, thereby improving health of Canadians. It was recommended that governments should insist that all analyses and modeling of climate change policy options include the assessment and consideration of health implications. 1 tab

  10. Flood action plans

    International Nuclear Information System (INIS)

    Slopek, R.J.

    1995-01-01

    Safe operating procedures developed by TransAlta Utilities for dealing with flooding, resulting from upstream dam failures or extreme rainfalls, were presented. Several operating curves developed by Monenco AGRA were described, among them the No Overtopping Curve (NOC), the Safe Filling Curve (SFC), the No Spill Curve (NSC) and the Guaranteed Fill Curve (GFC). The concept of an operational comfort zone was developed and defined. A flood action plan for all operating staff was created as a guide in case of a flooding incident. Staging of a flood action plan workshop was described. Dam break scenarios pertinent to the Bow River were developed for subsequent incorporation into a Flood Action Plan Manual. Evaluation of the technical presentations made during workshops were found them to have been effective in providing operating staff with a better understanding of the procedures that they would perform in an emergency. 8 figs

  11. Planning for Action: The Impact of an Asthma Action Plan Decision Support Tool Integrated into an Electronic Health Record (EHR) at a Large Health Care System.

    Science.gov (United States)

    Kuhn, Lindsay; Reeves, Kelly; Taylor, Yhenneko; Tapp, Hazel; McWilliams, Andrew; Gunter, Andrew; Cleveland, Jeffrey; Dulin, Michael

    2015-01-01

    Asthma is a chronic airway disease that can be difficult to manage, resulting in poor outcomes and high costs. Asthma action plans assist patients with self-management, but provider compliance with this recommendation is limited in part because of guideline complexity. This project aimed to embed an electronic asthma action plan decision support tool (eAAP) into the medical record to streamline evidence-based guidelines for providers at the point of care, create individualized patient handouts, and evaluate effects on disease outcomes. eAAP development occurred in 4 phases: web-based prototype creation, multidisciplinary team engagement, pilot, and system-wide dissemination. Medical record and hospital billing data compared frequencies of asthma exacerbations before and after eAAP receipt with matched controls. Between December 2012 and September 2014, 5174 patients with asthma (∼10%) received eAAPs. Results showed an association between eAAP receipt and significant reductions in pediatric asthma exacerbations, including 33% lower odds of requiring oral steroids (P < .001), compared with controls. Equivalent adult measures were not statistically significant. This study supports existing evidence that patient self-management plays an important role in reducing asthma exacerbations. We show the feasibility of leveraging technology to provide guideline-based decision support through an eAAP, addressing known challenges of implementation into routine practice. © Copyright 2015 by the American Board of Family Medicine.

  12. RPII Action Plan

    International Nuclear Information System (INIS)

    2011-03-01

    This document outlines RPII's committments under the Public Service Action Plan 2010 to 2014, otherwise known as the Croke Park Agreement. The document describes the proposed changes to the workplan, the benefits arising from the changes and the timeframe for implementing the committments

  13. The 1986 action plan

    International Nuclear Information System (INIS)

    Anon.

    1988-01-01

    Discussion covers the actions that must be taken and the standards to be met to achieve the goals of the 20 year plan. Bonneville Power Administration (BPA) has agreed to develop detailed work plans for achieving the objects of the plan, through a public process in consultation with the Council and interested parties. BPA work plans and activities are outlined. The Council's plan emphasizes the following priorities: (1) a stronger regional role for BPA; (2) development of the capability to acquire conservation on a regional basis; (3) strategies to make better use of the hydropower system; (4) building conservation capability in all sectors; (5) demonstrating the cost effectiveness of renewable resources so they are available before the region has to build new generating resources; (6) allocation of costs for two unfinished nuclear power plants and elimination of barriers to their completion; and (7) a study of electric power sales and purchases between regions

  14. Responding to the World Health Organization Global Disability Action Plan in Egypt: A Technical Consultancy to develop a National Disability, Health and Rehabilitation Plan

    Directory of Open Access Journals (Sweden)

    Christoph Gutenbrunner

    2018-01-01

    Full Text Available Objective: A technical consultation to develop a National Disability, Health and Rehabilitation Plan (NDHRP for Egypt was carried out in 2015. Its overall goal was to improve health, functioning, well-being, quality of life, and participation of persons with disability in Egypt by supporting the Ministry of Health and Population and other stakeholders to improve access to health services and strengthen health-related rehabilitation services for all persons in need. Methods: The methodological steps of the technical consultation were as follows: collecting and reviewing accessible documents and data; site visits to state institutions, health and rehabilitation services; discussions with relevant stakeholders in rehabilitation, including persons with disability; drafting recommendations based on the principles of the World Report on Disability and the World Health Organization Global Disability Action Plan and the information collected; discussion with stakeholders in a workshop; and preparation of a final report. Results and discussion: The development of a NDHRP was successful and led to recommendations with a good level of consensus among stakeholders in Egypt. The authors hope that the NDHRP will lead to improved rehabilitation service provision, and health and quality of life of persons with disability and chronic health conditions living in Egypt.

  15. Responding to the World Health Organization Global Disability Action Plan in Egypt: A Technical Consultancy to develop a National Disability, Health and Rehabilitation Plan.

    Science.gov (United States)

    Gutenbrunner, Christoph; Nugraha, Boya

    2018-04-18

    A technical consultation to develop a National Disability, Health and Rehabilitation Plan (NDHRP) for Egypt was carried out in 2015. Its overall goal was to improve health, functioning, well-being, quality of life, and participation of persons with disability in Egypt by supporting the Ministry of Health and Population and other stakeholders to improve access to health services and strengthen health-related rehabilitation services for all persons in need. The methodological steps of the technical consultation were as follows: collecting and reviewing accessible documents and data; site visits to state institutions, health and rehabilitation services; discussions with relevant stakeholders in rehabilitation, including persons with disability; drafting recommendations based on the principles of the World Report on Disability and the World Health Organization Global Disability Action Plan and the information collected; discussion with stakeholders in a workshop; and preparation of a final report. The development of a NDHRP was successful and led to recommendations with a good level of consensus among stakeholders in Egypt. The authors hope that the NDHRP will lead to improved rehabilitation service provision, and health and quality of life of persons with disability and chronic health conditions living in Egypt.

  16. Ontario's Clean Air Action Plan : protecting environmental and human health in Ontario

    International Nuclear Information System (INIS)

    2004-01-01

    Ontario's Clean Air Action Plan was launched in June 2000 in an effort to improve air quality and comply with the Canada-Wide Standards for Particulate Matter and Ozone. This paper describes Ontario's approach to reducing smog. Smog-related air pollution is linked to health problems such as premature death, respiratory and heart problems. Smog also contributes to environmental problems such as damage to forests, agricultural crops and natural vegetation. The two main ingredients of smog are ground level ozone and particulate matter. In order to reduce the incidence of smog, the following four key smog-causing pollutants must be reduced: nitrogen oxides, volatile organic compounds, sulphur dioxide and particular matter. This paper includes the 2001 estimates for Ontario's emissions inventory along with Ontario's smog reduction targets. It was noted that approximately half of all smog in Ontario comes from sources in the midwestern United States. The province of Ontario is committed to replacing coal-fired power plants with cleaner sources of energy. It is also considering emission caps for key industrial sectors. The key players in reducing smog include municipalities, industry, individuals, the federal government and programs that reduce emissions in the United States. 3 figs., 8 tabs., 1 appendix

  17. Ontario's energy action plan

    International Nuclear Information System (INIS)

    2003-07-01

    In the fall of 2002, the government of Ontario announced an action plan designed to ensure stable electricity prices while additional electricity generating capacity is built. The action plan included a strategy for encouraging major private sector investments in wind, solar and other renewable energy sources. The strategies for new renewable energy projects include: property tax incentives, business income tax incentives, and sales tax rebates. Initiatives to increase supply include: Toronto's Portland 550 megawatt, natural gas-fired generating station, Niagara Falls' Beck Tunnel Project, and Windsor's 580 megawatt natural gas-fired generating station. The government is promoting energy conservation by reducing its electricity consumption by 10 per cent, and setting a target where 20 per cent of electricity consumed in the province must be from renewable energy sources. The use of interval meters by Ontario residents is being encouraged. A provincial sales tax rebate is being offered to customers buying select energy efficient appliances. In its commitment to environmental protection, the Ontario government is phasing out coal, offering rebates for solar energy systems, implementing measures to reduce acid rain, and investing $3.25 billion over ten years to renew and expand public transit. In Chatham, Ontario, a plant producing ethanol from corn was built, and others are planned for other parts of the province. Tax incentives are also offered for alternative fuel users. 1 ref., 1 tab

  18. Guam Energy Action Plan

    Energy Technology Data Exchange (ETDEWEB)

    Conrad, M. D.; Ness, J. E.

    2013-07-01

    Describes the four near-term strategies selected by the Guam Energy Task Force during action planning workshops conducted in March 2013, and outlines the steps being taken to implement those strategies. Each strategy addresses one of the energy sectors identified in the earlier Guam strategic energy plan as being an essential component of diversifying Guam's fuel sources and reducing fossil energy consumption 20% by 2020. The four energy strategies selected are: (1) expanding public outreach on energy efficiency and conservation, (2) establishing a demand-side management revolving loan program, (3) exploring waste-to-energy options, and (4) influencing the transportation sector via anti-idling legislation, vehicle registration fees, and electric vehicles.

  19. The Second Physical Therapy Summit on Global Health: developing an action plan to promote health in daily practice and reduce the burden of non-communicable diseases

    DEFF Research Database (Denmark)

    Meyer, Erna Rosenlund; Dean,, Elizabeth

    2013-01-01

    . Working questions were: (1) how well is health promotion implemented within physical therapy practice; and (2) how might this be improved across five target audiences (i.e. physical therapist practitioners, educators, researchers, professional body representatives, and government liaisons......-focused physical therapy as a clinical competency across regions and within target audiences. Participants agreed that healthfocused practice is a professional priority, and a strategic action plan was needed to develop it as a clinical competency. The action plan and recommendations largely paralleled...

  20. Essential levels of health information in Europe: an action plan for a coherent and sustainable infrastructure.

    Science.gov (United States)

    Carinci, Fabrizio

    2015-04-01

    The European Union needs a common health information infrastructure to support policy and governance on a routine basis. A stream of initiatives conducted in Europe during the last decade resulted into several success stories, but did not specify a unified framework that could be broadly implemented on a continental level. The recent debate raised a potential controversy on the different roles and responsibilities of policy makers vs the public health community in the construction of such a pan-European health information system. While institutional bodies shall clarify the statutory conditions under which such an endeavour is to be carried out, researchers should define a common framework for optimal cross-border information exchange. This paper conceptualizes a general solution emerging from past experiences, introducing a governance structure and overarching framework that can be realized through four main action lines, underpinned by the key principle of "Essential Levels of Health Information" for Europe. The proposed information model is amenable to be applied in a consistent manner at both national and EU level. If realized, the four action lines outlined here will allow developing a EU health information infrastructure that would effectively integrate best practices emerging from EU public health initiatives, including projects and joint actions carried out during the last ten years. The proposed approach adds new content to the ongoing debate on the future activity of the European Commission in the area of health information. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  1. Partnering With Community-Dwelling Individuals With Diabetes for Health Behavior Change Using Action Plans: An Innovation in Health Professionals Education and Practice.

    Science.gov (United States)

    Barry Hultquist, Teresa; Brown, Sara Goomis; Geske, Jenenne; Kaiser, Katherine Laux; Waibel-Rycek, Denise

    2015-11-01

    Health care practitioners support or hinder an individual's attempts to self-manage health behavior. Practitioners must understand an individual's health needs and goals to effectively partner for behavior change. Self-management support (SMS) promote efforts toward positive health behavior change. Practitioners need training to provide effective SMS, beginning with their formal education. The purpose of this educational practice project was to integrate an evidence-based intervention (SMS using action plans) into a nursing curriculum. Three sequential steps included (1) providing foundational SMS education, (2) SMS application with students' personal action plans, and (3) implementing SMS with community-dwelling individuals with diabetes. Students (n = 130) partnered with participants (n = 85), developing short- (n = 240) and long-term (n = 99) action plans during home visits. The average baseline Diabetes Empowerment Scale score measuring participant's perceived psychosocial diabetes management self-efficacy was 4.3 (1-5 scale, SD = 0.51, n = 83). Most common short-term actions related to physical activity (n = 100, 42%) and healthy eating (n = 61, 25%). Average participant confidence level was 7.7 (SD = 1.9, 0-10 scale). Short-term goal evaluation (n = 209) revealed 66% (n = 137) were met more than 50% of the time. Both participants (99%) and students (99%) expressed satisfaction with home visit and action plan experiences. This teaching-learning experience is replicable and applicable to any professional health care student. © 2015 Society for Public Health Education.

  2. Business planning: can the health service move from strategy into action?

    Science.gov (United States)

    Bennett, A R

    1994-01-01

    Advances the case for the use of one particular business planning technique within a National Health Service Trust. At the present time, NHS trusts are required to write strategic direction statements. Evidence suggests that these documents provide an accurate account of past performance and present position of the trust, but do not express the future position intended to be achieved. These documents also tend to be lengthy and lack strategic focus, which means that they are not helpful to managers who want clear organizational goals and objectives to which to work. Attempts to address the difficulties associated with determining how existing skills and resources can be used as the platform for future growth strategies by using the Ansoff Matrix and SWOT Analysis planning tools, given the external changes in the marketplace. Also attempts to shed light on some of the important links between busines strategy and management development by extending planning theory into practice.

  3. Clean air plans and action plans: perspectives from the viewpoint of environmental and public health; Luftreinhalteplaene und Aktionsplaene - eine Bewertung aus umweltmedizinischer Sicht

    Energy Technology Data Exchange (ETDEWEB)

    Eikmann, T.; Herr, C. [Inst. fuer Hygiene und Umweltmedizin, Universitaetsklinikum Giessen und Marburg, Justus-Liebig-Univ. Giessen, Giessen (Germany); [Technische Univ. Dreden, Pirna (Germany). Inst. fuer Abfallwirtschaft und Altlasten; Koeckler, H. [Center for Environmental Systems Research (CESR), Univ. Kassel (Germany); [Mentec GmbH, Aue/Sa. (Germany); Nieden, A. zur [Inst. fuer Hygiene und Umweltmedizin, Universitaetsklinikum Giessen und Marburg, Justus-Liebig-Univ. Giessen, Giessen (Germany); FG Stadtklimatologie, Univ. Kassel (Germany); Katzschner, L. [FG Stadtklimatologie, Univ. Kassel (Germany); [INTECUS Dresden GmbH (Germany); Schimmelpfennig, M. [Gesundheitsamt der Stadt Kassel (Germany); Eikmann, S. [GUK - Gesellschaft fuer Umwelttoxikologie und Krankenhaushygiene mbH, Wetzlar (Germany)

    2005-07-01

    The present discussion on the health effects associated with airborne fine particulate matter has lead to an increased public interest in the general framework of compilation and evaluation of clean air plans and actions plans. While the surveys of the ''old'' clean air plans of the 80ies and 90ies of the last century relied on assessment of direct and indirect effects of air pollution on human health (and ecology), theses surveys are not part of the ''new'' clean air plans according to European law. This reduction of surveys and actions directed at threshold compliance only, abandons assessing, i.e., documentation and evaluation the health status and quality of life of populations. Assessment of individual and focus group specific sensibility and vulnerability becomes possible once health related, sociodemographic and environmental data are combined. By this, unequal life chance, i.e., unimpaired health as well as reasonable strategies towards minimizing environmental injustice can be identified. As of yet it is unclear, to what extend quality of life and quality of environment of populations living in air polluted areas are attributable to socioeconomic factors. Likewise, it is not known to which degree the environmental quality of individuals and families is self determined. This has to be considered especially for children, immigrants and women. These issues i.e., environmental justice/injustice should be considered in future projects on the development of clean air plans and especially actions plans derived thereof. Scientists, government officials and physicians working in field of preventive or environmental medicine cannot agree to a limitation of the cautionary principle to the bare compliance with thresholds. (orig.)

  4. Strengthening government health and family planning programs: findings from an action research project in rural Bangladesh.

    Science.gov (United States)

    Simmons, R; Phillips, J F; Rahman, M

    1984-01-01

    An ongoing study at the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) is based on the premise that public sector health and family planning programs can be improved through an assessment of the dysfunctional aspects of their operations, the development of problem-solving capabilities, and the transfer of strategies successfully tested in a small-scale pilot project. This paper reports findings from a field trial implemented in a subunit of the project area at an early stage of the project. Operational barriers to public sector program implementation are discussed with regard to the quantity of work, the quality of work, supplies and facilities, integration of health and family planning, and leadership, supervision, and decision making. Initial results of the ICDDR,B intervention on these managerial processes are also indicated.

  5. Implementation intention and action planning interventions in health contexts: state of the research and proposals for the way forward.

    Science.gov (United States)

    Hagger, Martin S; Luszczynska, Aleksandra

    2014-03-01

    The purpose of this paper is to provide an overview of the literature on two planning intervention techniques in health behaviour research, implementation intentions and action planning, and to develop evidence-based recommendations for effective future interventions and highlight priority areas for future research. We focused our review on four key areas: (1) definition and conceptualisation; (2) format and measurement; (3) mechanisms and processes; and (4) design issues. Overall, evidence supports the effectiveness of planning interventions in health behaviour with advantages including low cost and response burden. There is, however, considerable heterogeneity in the effects across studies and relatively few registered randomised trials that include objective behavioural measures. Optimally effective planning interventions should adopt "if-then" plans, account for salient and relevant cues, include examples of cues, be guided rather than user-defined, and include boosters. Future studies should adopt randomised controlled designs, report study protocols, include fidelity checks and relevant comparison groups, and adopt long-term behavioural follow-up measures. Priority areas for future research include the identification of the moderators and mediators of planning intervention effects. Future research also needs to adopt "best practice" components of planning interventions more consistently to elucidate the mechanisms and processes involved. © 2013 The International Association of Applied Psychology.

  6. Health impacts of climate change in Vanuatu: an assessment and adaptation action plan.

    Science.gov (United States)

    Spickett, Jeffery T; Katscherian, Dianne; McIver, Lachlan

    2013-01-30

    Climate change is one of the greatest global challenges and Pacific island countries are particularly vulnerable due to, among other factors, their geography, demography and level of economic development. A Health Impact Assessment (HIA) framework was used as a basis for the consideration of the potential health impacts of changes in the climate on the population of Vanuatu, to assess the risks and propose a range of potential adaptive responses appropriate for Vanuatu. The HIA process involved the participation of a broad range of stakeholders including expert sector representatives in the areas of bio-physical, socio-economic, infrastructure, environmental diseases and food, who provided informed comment and input into the understanding of the potential health impacts and development of adaptation strategies. The risk associated with each of these impacts was assessed with the application of a qualitative process that considered both the consequences and the likelihood of each of the potential health impacts occurring. Potential adaptation strategies and actions were developed which could be used to mitigate the identified health impacts and provide responses which could be used by the various sectors in Vanuatu to contribute to future decision making processes associated with the health impacts of climate change.

  7. Climate Action Planning Tool | NREL

    Science.gov (United States)

    NREL's Climate Action Planning Tool provides a quick, basic estimate of how various technology options can contribute to an overall climate action plan for your research campus. Use the tool to Tool Calculation Formulas and Assumptions Climate Neutral Research Campuses Website Climate Neutral

  8. St. Lawrence action plan meter

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1992-12-31

    The purpose of this bulletin is to report on the progress achieved under the St. Lawrence Action Plan. Under each of the Action Plan`s five objectives, it outlines environmental management indicators which identify actions taken and shows the results. This report presents the data collected in late August 1992 on the activities carried out by all partners of both governments involved in SLAP. The objectives examined in the bulletin are: to reduce by 90% the liquid toxic waste discharged by the 50 plants targeted for priority action; to prepare remediation plans for contaminated federal sites and restore wetlands; to conserve 5000 additional hectares of habitat and create a marine park; to develop and implement recovery plans for mammals, fish, birds, amphibians, reptiles, and plants; and to determine the state of the St. Lawrence River.

  9. 'Action 2016': AREVA's strategic action plan

    International Nuclear Information System (INIS)

    Marie, Patricia; Briand, Pauline; Floquet-Daubigeon, Fleur; Michaut, Maxime; De Scorbiac, Marie; Du Repaire, Philippine

    2011-01-01

    On December 13, 2011, Luc Oursel, CEO, and Pierre Aubouin, Chief Financial Officer presented the group's strategic plan for the period 2012-2016. The plan has been drawn up collectively and is based on a thorough-going analysis and a realistic assessment of perspectives for all group activities and associated resources. Development of nuclear and renewable energies: the fundamentals are unchanged. In this context, the German decision remains an isolated case and the great majority of nuclear programs around the world have been confirmed. More conservative in its projections than the International Energy Agency, the group expects growth of 2.2% annually, reaching 583 GW of installed nuclear capacity by 2030, against 378 GW today. However, the Fukushima accident will lead to delays in launching new programs. 'Action 2016' plan aims to consolidate AREVA's leadership in nuclear energy and become a leading player in renewable energy. The group's strategic action plan 'Action 2016' is based on the following strategic choices: - commercial priority given to value creation, - selectivity in investments, - strengthening of the financial structure. These demand an improvement in the group's performance by 2015. This plan makes nuclear safety a strategic priority for the industrial and commercial performance of the group. This ambitious performance plan for the period 2012-2016 will give the group the wherewithal to withstand a temporary slowdown in the market resulting from the Fukushima accident and to deliver safe and sustainable growth of the business. The plan sets out the strategic direction for the group's employees for the years ahead: taking advantage of the expected growth in nuclear and renewable energies, targeted investment programs, and return to self-financing as of 2014

  10. Towards an adaptation action plan : climate change and health in the Toronto-Niagara region : summary for policy makers

    International Nuclear Information System (INIS)

    Chiotti, Q.; Morton, I.; Maarouf, A.

    2002-10-01

    The current science regarding climate change and its potential health effects was assessed in an effort to provide information to decision-makers dealing with health infrastructure in the Toronto-Niagara region. This report also presents an assessment of how the health care system can adapt to handle the increased demand for services resulting from the projected negative human health effects of climate change. The first part of the report presents some background information on climate change and health issues and demonstrates how the current health care infrastructure cannot deal effectively with the full range of health effects that may occur in heavily populated areas such as the Toronto-Niagara region. The second part of the report summarizes the scientific knowledge about the expected impacts of climate change and associated health effects, such as heat stress, extreme weather events, poor air quality, vector-borne diseases, food and water-borne diseases, and increased exposure to ultra-violet radiation. It was noted that children and the elderly are most vulnerable. The final part of the report outlines an adaptation action plan to improve the health care infrastructure through public education and communication, surveillance and monitoring, ecosystem intervention, infrastructure development, technical engineering, and medical intervention. 100 refs., 1 fig

  11. Health Workforce Planning

    Science.gov (United States)

    Al-Sawai, Abdulaziz; Al-Shishtawy, Moeness M.

    2015-01-01

    In most countries, the lack of explicit health workforce planning has resulted in imbalances that threaten the capacity of healthcare systems to attain their objectives. This has directed attention towards the prospect of developing healthcare systems that are more responsive to the needs and expectations of the population by providing health planners with a systematic method to effectively manage human resources in this sector. This review analyses various approaches to health workforce planning and presents the Six-Step Methodology to Integrated Workforce Planning which highlights essential elements in workforce planning to ensure the quality of services. The purpose, scope and ownership of the approach is defined. Furthermore, developing an action plan for managing a health workforce is emphasised and a reviewing and monitoring process to guide corrective actions is suggested. PMID:25685381

  12. Role of health education and self-action plan in improving the drug compliance in bronchial asthma.

    Science.gov (United States)

    Gaude, Gajanan S; Hattiholi, Jyothi; Chaudhury, Alisha

    2014-01-01

    Considering the prevalence and associated burden of disease due to bronchial asthma, it is mandatory to obtain an optimal control of the disease and to improve outcomes for these patients. But it has been observed that there is very poor adherence to the inhalational therapy which leads to the suboptimal control of the disease. To study the adherence for aerosol therapy in bronchial asthma patients and to assess the impact of health education and self-action plan in improving the compliance to the therapy. A prospective study was done in a total of 500 bronchial asthma patients over a period of 2 years. Once included in the study, the patients were followed-up for a total of 12 weeks for calculation of nonadherence to the aerosol therapy. In nonadherent patients, we employed various health education strategies to improve the compliance in these cases. A total of 500 patients of bronchial asthma who were started on aerosol therapy over duration of 2 years were included in the study. At the end of 12 weeks, it was observed that, only 193 patients (38.6%) had regular compliance and 307 patients (61.4%) were noncompliant to aerosol therapy as prescribed for bronchial asthma. Factors that were associated with poor compliance were: Lower educational level status, poor socioeconomic status, cumbersome regimens, dislike of medication, and distant pharmacies. Nondrug factors that reduced the compliance were: Fears about side effects, anger about condition or its treatment, forgetfulness or complacency, and patient's ill attitudes toward health. After employing the various strategies for improving the compliance in these patients, the compliance increased in 176 patients (57.3%) among the earlier defaulted patients, while the remaining 131 patients (42.7%) were found to be noncompliant even after various educational techniques. Noncompliance in asthma management is a fact of life and no single compliance improving strategy probably will be as effective as a good physician

  13. American Samoa: Energy Action Plan

    Energy Technology Data Exchange (ETDEWEB)

    Ness, J. Erik [National Renewable Energy Lab. (NREL), Golden, CO (United States); Haase, Scott [National Renewable Energy Lab. (NREL), Golden, CO (United States); Conrad, Misty [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-09-01

    This document outlines actions being taken to reduce American Samoa's petroleum consumption. It describes the four near-term strategies selected by the American Samoa Renewable Energy Committee during action-planning workshops conducted in May 2016, and describes the steps that will need to be taken to implement those strategies.

  14. Final Action Plan to Tiger Team

    International Nuclear Information System (INIS)

    1992-01-01

    This document presents planned actions, and their associated costs, for addressing the findings in the Environmental, Safety and Health Tiger Team Assessment of the Sandia National Laboratories, Albuquerque, May 1991, hereafter called the Assessment. This Final Action Plan should be read in conjunction with the Assessment to ensure full understanding of the findings addressed herein. The Assessment presented 353 findings in four general categories: (1)Environmental (82 findings); (2) Safety and Health (243 findings); (3) Management and Organization (18 findings); and (4) Self-Assessment (10 findings). Additionally, 436 noncompliance items with Occupational Safety and Health Administration (OSHA) standards were addressed during and immediately after the Tiger Team visit

  15. Planning an action.

    Science.gov (United States)

    Gentilucci, M; Negrotti, A; Gangitano, M

    1997-06-01

    The motor control of a sequence of two motor acts forming an action was studied in the present experiment. The two analysed motor acts were reaching-grasping an object (first target) and placing it on a second target of the same shape and size (experiment 1). The aim was to determine whether extrinsic properties of the second target (i.e. target distance) could selectively influence the kinematics of reaching and grasping. Distance, position and size of both targets were randomly varied across the experimental session. The kinematics of the initial phase of the first motor act, that is, velocity of reaching and hand shaping of grasping, were influenced by distance of the second target. No kinematic difference was found between movements executed with and without visual control of both hand and targets. These results could be due to computation of the general program of an action that takes into account extrinsic properties of the final target. Conversely, they could depend on a visual interference effect produced by the near second target on the control of the first motor act. In order to dissociate the effects due to second target distance from those due to visual interference, two control experiments were carried out. In the first control experiment (experiment 2) subjects executed movements directed towards spatial locations at different distances from the first target, as in experiment 1. However, the near second target was not presented and subjects were required to place the object on an arbitrary near position. Distance of the second (either real or arbitrary) target affected the reaching component of the first motor act, as in experiment 1, but not the grasp component. In the second control experiment (experiment 3), the pure visual interference effect was tested. Subjects were required to reach and grasp the object and to lift it in either presence or absence of a second near stimulus. No effect on the initial phase of the first motor act was observed. The

  16. American Samoa Energy Action Plan

    Energy Technology Data Exchange (ETDEWEB)

    Haase, Scott [National Renewable Energy Lab. (NREL), Golden, CO (United States); Esterly, Sean [National Renewable Energy Lab. (NREL), Golden, CO (United States); Herdrich, David [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bodell, Tim [National Renewable Energy Lab. (NREL), Golden, CO (United States); Visser, Charles [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2013-08-01

    Describes the five near-term strategies selected by the American Samoa Renewable Energy Committee (ASREC) during action planning workshops conducted in May 2013, and outlines the actions being taken to implement those strategies. Each option is tied to a priority identified in the earlier draft American Samoa Strategic Energy Plan as being an essential component of reducing American Samoa'spetroleum energy consumption. The actions described for each strategy provide a roadmap to facilitate the implementation of each strategy. This document is intended to evolve along with the advancement of the projects, and will be updated to reflect progress.

  17. The Canadian Heart Health Strategy and Action Plan: Cardiac rehabilitation as an exemplar of chronic disease management.

    Science.gov (United States)

    Arthur, H M; Suskin, N; Bayley, M; Fortin, M; Howlett, J; Heckman, G; Lewanczuk, R

    2010-01-01

    In October 2006, federal funding was announced for the development of a national strategy to fight cardiovascular disease (CVD) in Canada. The comprehensive, independent, stakeholder-driven Canadian Heart Health Strategy and Action Plan (CHHS-AP) was delivered to the Minister of Health on February 24, 2009. The mandate of CHHS-AP Theme Working Group (TWG) 6 was to identify the optimal chronic disease management model that incorporated timely access to rehabilitation services and end-of-life planning and care. The purpose of the present paper was to provide an overview of worldwide approaches to CVD and cardiac rehabilitation (CR) strategies and recommendations for CR care in Canada, within the context of the well-known Chronic Care Model (CCM). A separate paper will address end-of-life issues in CVD. TWG 6 was composed of content representatives, primary care representatives and patients. Input in the area of Aboriginal and indigenous cardiovascular health was obtained through individual expert consultation. Information germane to the present paper was gathered from international literature and best practice guidelines. The CCM principles were discussed and agreed on by all. Prioritization of recommendations and overall messaging was discussed and decided on within the entire TWG. The full TWG report was presented to the CHHS-AP Steering Committee and was used to inform the recommendations of the CHHS-AP. Specific actionable recommendations for CR are made in accordance with the key principles of the CCM. The present CR blueprint, as part of the CHHS-AP, will be a first step toward reducing the health care burden of CVD in Canada.

  18. 29 CFR 1910.38 - Emergency action plans.

    Science.gov (United States)

    2010-07-01

    ... OCCUPATIONAL SAFETY AND HEALTH STANDARDS Means of Egress § 1910.38 Emergency action plans. (a) Application. An... plans. An emergency action plan must be in writing, kept in the workplace, and available to employees... information about the plan or an explanation of their duties under the plan. (d) Employee alarm system. An...

  19. Applying the World Health Organization Mental Health Action Plan to evaluate policy on addressing co-occurrence of physical and mental illnesses in Australia.

    Science.gov (United States)

    Happell, Brenda; Platania-Phung, Chris; Webster, Stephanie; McKenna, Brian; Millar, Freyja; Stanton, Robert; Galletly, Cherrie; Castle, David; Furness, Trentham; Liu, Dennis; Scott, David

    2015-09-01

    The aim of the present study was to document Australian policies on the physical health of people with mental illness and evaluate the capacity of policy to support health needs. A search of state and federal policies on mental and physical illness was conducted, as well as detailed analysis of policy content and the relationships between policies, by applying the World Health Organization Mental Health Action Plan 2013-2020 as an evaluative framework. National policy attention to the physical health of people with mental illness has grown, but there is little interconnection at the national and state levels. State policies across the country are inconsistent, and there is little evidence of consistent policy implementation. A coherent national health policy framework on addressing co-occurring physical and mental illnesses that includes healthcare system reforms and ensuring the interconnectedness of other relevant services should be prioritised.

  20. Plan of Action for Real-World Translation of LGBTQ Health and Aging Research.

    Science.gov (United States)

    Fredriksen-Goldsen, Karen I; Kim, Hyun-Jun; McKenzie, Glenise L; Krinsky, Lisa; Emlet, Charles A

    2017-12-01

    Despite accumulating evidence of health disparities, there exists limited translational research to enhance optimal health and aging of lesbian, gay, bisexual, transgender, and queer-identified * (LGBTQ) older adults. Based on the Health Equity Promotion Model that addresses the distinct needs and strengths of LGBTQ older adults, we underscore the important role of collaborations among researchers, practitioners, and communities to build community capacity. Given the rapidly shifting context, we advance principles to guide future work that will enhance translational research and the development of evidence-based practice so that LGBTQ older adults can reach their full health potential.

  1. Prevention and control of mental illnesses and mental health: National Action Plan for NCD Prevention, Control and Health Promotion in Pakistan.

    Science.gov (United States)

    Nishtar, Sania; Minhas, Fareed A; Ahmed, Ashfaq; Badar, Asma; Mohamud, Khalif Bile

    2004-12-01

    As part of the National Action Plan for Non-communicable Disease Prevention, Control and Health Promotion in Pakistan (NAP-NCD), mental illnesses have been grouped alongside non-communicable diseases (NCD) within a combined strategic framework in order to synchronize public health actions. The systematic approach for mental illnesses is centred on safeguarding the rights of the mentally ill, reducing stigma and discrimination, and de-institutionalisation and rehabilitation of the mentally ill in the community outlining roles of healthcare providers, the community, legislators and policy makers. The approach has implications for support functions in a number of areas including policy building, manpower and material development and research. Priority action areas for mental health as part of NAP-NCD include the integration of surveillance of mental illnesses in a comprehensive population-based NCD surveillance system; creating awareness about mental health as part of an integrated NCD behavioural change communication strategy; integration of mental health with primary healthcare; the development of sustainable public health infrastructure to support community mental health initiatives; building capacity of the health system in support of prevention and control activities; effective implementation of existing legislation and harmonizing working relationships with law enforcing agencies. NAP-NCD also stresses on the need to integrate mental health into health services as part of a sustainable and integrated medical education programme for all categories of healthcare providers and the availability of essential psychotropic drugs at all healthcare levels. It lays emphasis on protecting the interests of special groups such as prisoners, refugees and displaced persons, women, children and individuals with disabilities. Furthermore, it promotes need-based research for contemporary mental health issues.

  2. Implementing the global plan of action. IAEA's programme for improving children's health and nutrition

    International Nuclear Information System (INIS)

    2003-01-01

    The International Atomic Energy Agency is working to ensure improved health for all, particularly children and women, in partnership with its 132 Member States, other United Nations organizations, and donors. Its programme of technical activities is fully supportive of the recommendations adopted in 1990 by the international community during the World Summit for Children, particularly the statement 'enhancement of children's health and nutrition is a first duty'. (IAEA)

  3. Implementing the global plan of action. IAEA's programme for improving children's health and nutrition

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    The International Atomic Energy Agency is working to ensure improved health for all, particularly children and women, in partnership with its 132 Member States, other United Nations organizations, and donors. Its programme of technical activities is fully supportive of the recommendations adopted in 1990 by the international community during the World Summit for Children, particularly the statement 'enhancement of children's health and nutrition is a first duty'. (IAEA)

  4. Making sense of big data in health research: Towards an EU action plan.

    Science.gov (United States)

    Auffray, Charles; Balling, Rudi; Barroso, Inês; Bencze, László; Benson, Mikael; Bergeron, Jay; Bernal-Delgado, Enrique; Blomberg, Niklas; Bock, Christoph; Conesa, Ana; Del Signore, Susanna; Delogne, Christophe; Devilee, Peter; Di Meglio, Alberto; Eijkemans, Marinus; Flicek, Paul; Graf, Norbert; Grimm, Vera; Guchelaar, Henk-Jan; Guo, Yi-Ke; Gut, Ivo Glynne; Hanbury, Allan; Hanif, Shahid; Hilgers, Ralf-Dieter; Honrado, Ángel; Hose, D Rod; Houwing-Duistermaat, Jeanine; Hubbard, Tim; Janacek, Sophie Helen; Karanikas, Haralampos; Kievits, Tim; Kohler, Manfred; Kremer, Andreas; Lanfear, Jerry; Lengauer, Thomas; Maes, Edith; Meert, Theo; Müller, Werner; Nickel, Dörthe; Oledzki, Peter; Pedersen, Bertrand; Petkovic, Milan; Pliakos, Konstantinos; Rattray, Magnus; I Màs, Josep Redón; Schneider, Reinhard; Sengstag, Thierry; Serra-Picamal, Xavier; Spek, Wouter; Vaas, Lea A I; van Batenburg, Okker; Vandelaer, Marc; Varnai, Peter; Villoslada, Pablo; Vizcaíno, Juan Antonio; Wubbe, John Peter Mary; Zanetti, Gianluigi

    2016-06-23

    Medicine and healthcare are undergoing profound changes. Whole-genome sequencing and high-resolution imaging technologies are key drivers of this rapid and crucial transformation. Technological innovation combined with automation and miniaturization has triggered an explosion in data production that will soon reach exabyte proportions. How are we going to deal with this exponential increase in data production? The potential of "big data" for improving health is enormous but, at the same time, we face a wide range of challenges to overcome urgently. Europe is very proud of its cultural diversity; however, exploitation of the data made available through advances in genomic medicine, imaging, and a wide range of mobile health applications or connected devices is hampered by numerous historical, technical, legal, and political barriers. European health systems and databases are diverse and fragmented. There is a lack of harmonization of data formats, processing, analysis, and data transfer, which leads to incompatibilities and lost opportunities. Legal frameworks for data sharing are evolving. Clinicians, researchers, and citizens need improved methods, tools, and training to generate, analyze, and query data effectively. Addressing these barriers will contribute to creating the European Single Market for health, which will improve health and healthcare for all Europeans.

  5. Making sense of big data in health research: Towards an EU action plan

    CERN Document Server

    Auffray, Charles; Barroso, Inês; Bencze, László; Benson, Mikael; Bergeron, Jay; Bernal-Delgado, Enrique; Blomberg, Niklas; Bock, Christoph; Conesa, Ana; Del Signore, Susanna; Delogne, Christophe; Devilee, Peter; Di Meglio, Alberto; Eijkemans, Marinus; Flicek, Paul; Graf, Norbert; Grimm, Vera; Guchelaar, Henk-Jan; Guo, Yi-Ke; Gut, Ivo Glynne; Hanbury, Allan; Hanif, Shahid; Hilgers, Ralf-Dieter; Honrado, Ángel; Hose, D. Rod; Houwing-Duistermaat, Jeanine; Hubbard, Tim; Janacek, Sophie Helen; Karanikas, Haralampos; Kievits, Tim; Kohler, Manfred; Kremer, Andreas; Lanfear, Jerry; Lengauer, Thomas; Maes, Edith; Meert, Theo; Müller, Werner; Nickel, Dörthe; Oledzki, Peter; Pedersen, Bertrand; Petkovic, Milan; Pliakos, Konstantinos; Rattray, Magnus; i Màs, Josep Redón; Schneider, Reinhard; Sengstag, Thierry; Serra-Picamal, Xavier; Spek, Wouter; Vaas, Lea A. I.; van Batenburg, Okker; Vandelaer, Marc; Varnai, Peter; Villoslada, Pablo; Vizcaíno, Juan Antonio; Wubbe, John Peter Mary; Zanetti, Gianluigi

    2016-01-01

    Medicine and healthcare are undergoing profound changes. Whole-genome sequencing and high-resolution imaging technologies are key drivers of this rapid and crucial transformation. Technological innovation combined with automation and miniaturization has triggered an explosion in data production that will soon reach exabyte proportions. How are we going to deal with this exponential increase in data production? The potential of “big data” for improving health is enormous but, at the same time, we face a wide range of challenges to overcome urgently. Europe is very proud of its cultural diversity; however, exploitation of the data made available through advances in genomic medicine, imaging, and a wide range of mobile health applications or connected devices is hampered by numerous historical, technical, legal, and political barriers. European health systems and databases are diverse and fragmented. There is a lack of harmonization of data formats, processing, analysis, and data transfer, which leads to inc...

  6. Cognitive-Motivational Determinants of Residents’ Civic Engagement and Health (Inequities in the Context of Noise Action Planning: A Conceptual Model

    Directory of Open Access Journals (Sweden)

    Natalie Riedel

    2017-05-01

    Full Text Available The Environmental Noise Directive expects residents to be actively involved in localising and selecting noise abatement interventions during the noise action planning process. Its intervention impact is meant to be homogeneous across population groups. Against the background of social heterogeneity and environmental disparities, however, the impact of noise action planning on exposure to traffic-related noise and its health effects is unlikely to follow homogenous distributions. Until now, there has been no study evaluating the impact of noise action measures on the social distribution of traffic-related noise exposure and health outcomes. We develop a conceptual (logic model on cognitive-motivational determinants of residents’ civic engagement and health (inequities by integrating arguments from the Model on household’s Vulnerability to the local Environment, the learned helplessness model in environmental psychology, the Cognitive Activation Theory of Stress, and the reserve capacity model. Specifically, we derive four hypothetical patterns of cognitive-motivational determinants yielding different levels of sustained physiological activation and expectancies of civic engagement. These patterns may help us understand why health inequities arise in the context of noise action planning and learn how to transform noise action planning into an instrument conducive to health equity. While building on existing frameworks, our conceptual model will be tested empirically in the next stage of our research process.

  7. Cognitive-Motivational Determinants of Residents' Civic Engagement and Health (Inequities) in the Context of Noise Action Planning: A Conceptual Model.

    Science.gov (United States)

    Riedel, Natalie; van Kamp, Irene; Köckler, Heike; Scheiner, Joachim; Loerbroks, Adrian; Claßen, Thomas; Bolte, Gabriele

    2017-05-30

    The Environmental Noise Directive expects residents to be actively involved in localising and selecting noise abatement interventions during the noise action planning process. Its intervention impact is meant to be homogeneous across population groups. Against the background of social heterogeneity and environmental disparities, however, the impact of noise action planning on exposure to traffic-related noise and its health effects is unlikely to follow homogenous distributions. Until now, there has been no study evaluating the impact of noise action measures on the social distribution of traffic-related noise exposure and health outcomes. We develop a conceptual (logic) model on cognitive-motivational determinants of residents' civic engagement and health (inequities) by integrating arguments from the Model on household's Vulnerability to the local Environment, the learned helplessness model in environmental psychology, the Cognitive Activation Theory of Stress, and the reserve capacity model. Specifically, we derive four hypothetical patterns of cognitive-motivational determinants yielding different levels of sustained physiological activation and expectancies of civic engagement. These patterns may help us understand why health inequities arise in the context of noise action planning and learn how to transform noise action planning into an instrument conducive to health equity. While building on existing frameworks, our conceptual model will be tested empirically in the next stage of our research process.

  8. Toward a research and action agenda on urban planning/design and health equity in cities in low and middle-income countries.

    Science.gov (United States)

    Smit, Warren; Hancock, Trevor; Kumaresen, Jacob; Santos-Burgoa, Carlos; Sánchez-Kobashi Meneses, Raúl; Friel, Sharon

    2011-10-01

    The importance of reestablishing the link between urban planning and public health has been recognized in recent decades; this paper focuses on the relationship between urban planning/design and health equity, especially in cities in low and middle-income countries (LMICs). The physical urban environment can be shaped through various planning and design processes including urban planning, urban design, landscape architecture, infrastructure design, architecture, and transport planning. The resultant urban environment has important impacts on the health of the people who live and work there. Urban planning and design processes can also affect health equity through shaping the extent to which the physical urban environments of different parts of cities facilitate the availability of adequate housing and basic infrastructure, equitable access to the other benefits of urban life, a safe living environment, a healthy natural environment, food security and healthy nutrition, and an urban environment conducive to outdoor physical activity. A new research and action agenda for the urban environment and health equity in LMICs should consist of four main components. We need to better understand intra-urban health inequities in LMICs; we need to better understand how changes in the built environment in LMICs affect health equity; we need to explore ways of successfully planning, designing, and implementing improved health/health equity; and we need to develop evidence-based recommendations for healthy urban planning/design in LMICs.

  9. Action understanding as inverse planning.

    Science.gov (United States)

    Baker, Chris L; Saxe, Rebecca; Tenenbaum, Joshua B

    2009-12-01

    Humans are adept at inferring the mental states underlying other agents' actions, such as goals, beliefs, desires, emotions and other thoughts. We propose a computational framework based on Bayesian inverse planning for modeling human action understanding. The framework represents an intuitive theory of intentional agents' behavior based on the principle of rationality: the expectation that agents will plan approximately rationally to achieve their goals, given their beliefs about the world. The mental states that caused an agent's behavior are inferred by inverting this model of rational planning using Bayesian inference, integrating the likelihood of the observed actions with the prior over mental states. This approach formalizes in precise probabilistic terms the essence of previous qualitative approaches to action understanding based on an "intentional stance" [Dennett, D. C. (1987). The intentional stance. Cambridge, MA: MIT Press] or a "teleological stance" [Gergely, G., Nádasdy, Z., Csibra, G., & Biró, S. (1995). Taking the intentional stance at 12 months of age. Cognition, 56, 165-193]. In three psychophysical experiments using animated stimuli of agents moving in simple mazes, we assess how well different inverse planning models based on different goal priors can predict human goal inferences. The results provide quantitative evidence for an approximately rational inference mechanism in human goal inference within our simplified stimulus paradigm, and for the flexible nature of goal representations that human observers can adopt. We discuss the implications of our experimental results for human action understanding in real-world contexts, and suggest how our framework might be extended to capture other kinds of mental state inferences, such as inferences about beliefs, or inferring whether an entity is an intentional agent.

  10. A Decade Lost: Primary Healthcare Performance Reporting across Canada under the Action Plan for Health System Renewal.

    Science.gov (United States)

    Johnston, Sharon; Hogel, Matthew

    2016-05-01

    In 2004, Canada's First Ministers committed to reforms that would shape the future of the Canadian healthcare landscape. These agreements included commitments to improved performance reporting within the primary healthcare system. The aim of this paper was to review the state of primary healthcare performance reporting after the public reporting mandate agreed to a decade ago in the Action Plan for Health System Renewal of 2003 expired. A grey literature search was performed to identify reports released by the governmental and independent reporting bodies across Canada. No province, or the federal government, met their performance reporting obligations from the 2004 accords. Although the indicators required to report on in the 2004 Accord no longer reflect the priorities of patients, policy makers and physicians, provinces are also failing to report on these priorities. Canada needs better primary healthcare performance reporting to enable accountability and improvement within and across provinces. Despite the national mandate to improve public health system reporting, an opportunity to learn from the diverse primary healthcare reforms, underway across Canada for the past decade, has already been lost. Copyright © 2016 Longwoods Publishing.

  11. Hungarian climate change action plan

    Energy Technology Data Exchange (ETDEWEB)

    Molnar, S.; Takacs, T. [Systemexpert Consulting Ltd., Budapest (Hungary); Arpasi, M. [MOL, Budapest (Hungary); Farago, T.; Palvoelgyi, T. [Ministry for Environment and Regional Policy, Budapest (Hungary); Harnos, Z. [Univ. of Horticulture, Budapest (Hungary); Lontay, Z. [EGI-Contracting Engineering Co. Ltd., Budapest (Hungary); Somogyi, Z. [Forest Research Inst., Budapest (Hungary); Tajthy, T. [Univ. of Technology, Budapest (Hungary)

    1998-12-31

    In 1994--1996, within the framework of the US Country Studies Program, the Hungarian Country Study Team developed the national greenhouse gas emission inventory, and elaborated the mitigation options for the different sectors of the economy. In 1997, the development of a National Action Plan was begun as the continuation of this work. Results of the inventory study showed that greenhouse gas emissions decreased from the selected base level (i.e., from the yearly average emissions of 1985--1987) until 1994 by cca. 25%. However, this decrease was primarily caused by the deep economic recession. Therefore the policy makers have to face the problem of economic recovery without a relevant increase of greenhouse gas emissions in the near future. This is the main focus of the mitigation analysis and the National Action Plan.

  12. Action plan for photovoltaic standards

    Energy Technology Data Exchange (ETDEWEB)

    Oldach, R.

    1999-07-01

    This report examines the present situation regarding international standards governing photovoltaic (PV) systems and components, and seeks to identify barriers to the commercialisation of PV systems in the UK due to the absence of standards and codes of practice, and develop an action plan to overcome these barriers. An overview of standardisation bodies and standard generation mechanisms is presented, and the PV cells and modules, stand-alone PV systems, utility interconnection with PV systems, and building integration of PV are reviewed.

  13. Developing pictorial asthma action plans to promote self-management and health in rural youth with asthma: A qualitative study.

    Science.gov (United States)

    Duncan, Christina L; Walker, Heather A; Brabson, Laurel; Williford, Desireé N; Hynes, Lisa; Hogan, Mary Beth

    2017-09-21

    Asthma action plans (AAPs) provide asthma management instructions to families; however, AAPs typically are written at a 7th-9th grade reading level, making them less useful in lower literacy families. There is a need to develop simpler AAP formats and content to optimize their utility across all families, including those who are rural and may be at a risk for literacy concerns. Because using pictures can simplify and enhance health education, our study's aim was to develop a pictorial AAP through a series of focus groups with key stakeholders - youth with asthma, caregivers, and physicians. Fourteen caregiver/youth dyads and four physicians participated in separate focus groups where their preferences for pictorial AAP structure and content were obtained. Focus groups were audio recorded, transcribed, coded with ATLAS.ti, and analyzed for themes. Youth and their caregivers prefer that the AAPs include simple, cartoon-like pictures customized to the patient. Physicians emphasized AAP's capability to display pictures of controller medication given its importance in preventing asthma exacerbations. A stoplight format, currently used in most written AAPs, received positive reviews. Specific suggestions for pictures showing symptoms, medications, and how to take medication were suggested. Words and short phrases accompanying the pictures were thought to add clarity. Key stakeholders viewed pictorial AAPs as positive and potentially effective alternatives to standard written AAPs. It is expected that low literacy youth and caregivers would more easily understand a pictorial AAP presentation, which should facilitate better medication adherence and asthma outcomes in these children.

  14. Challenges and barriers for implementation of the World Health Organization Global Disability Action Plan in low- and middle- income countries

    Directory of Open Access Journals (Sweden)

    Fary Khan

    2017-09-01

    Full Text Available Objective: To identify potential barriers and facilitators for implementation of the World Health Organization Global Disability Action Plan (GDAP in Nigeria and compare these with other low- and middle-income countries. Methods: A rehabilitation team from the Royal Melbourne Hospital, Parkville, Australia, conducted intensive workshops at medical/academic institutions in Nigeria for healthcare professionals from various local Physical Medicine and Rehabilitation facilities. A modified Delphi method identified challenges for person with disability, using 3 GDAP objectives. Findings were compared with similar exercises in Madagascar, Pakistan and Mongolia. Results: Despite differences in the healthcare system and practice, the challenges reported in Nigeria were similar to those in other 3 low- and middle-income countries, at both macro (governmental/policymakers and micro levels (community/social/individual. Common challenges identified were: limited knowledge of disability services, limited Physical Medicine and Rehabilitation workforce, guidelines and accreditation standards; coordination amongst healthcare sectors; social issues; data and research; legislation and political commitment. Common potential facilitators included: need for strong leadership; advocacy of disability-inclusive development; investment in infrastructure/human resources; coordination/partnerships in healthcare sector; and research. Conclusion: Disability care is an emerging priority in low- and middle-income countries to address the needs of people with disability. The challenges identified in Nigeria are common to most low- and middle-income countries. The GDAP framework can facilitate access and strengthen Physical Medicine and Rehabilitation services.

  15. Health and safety plan for the removal action at the former YS-860 Firing Ranges, Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-03-24

    This health and safety plan sets forth the requirements and procedures to protect the personnel involved in the removal action project at the former YS-860 Firing Ranges. This project will be conducted in a manner that ensures the protection of the safety and health of workers, the public, and the environment. The purpose of this removal action is to address lead-contaminated soil and reduce a potential risk to human health and the environment. This site is an operable unit within the Upper East Fork Poplar Creek watershed. The removal action will contribute to early source actions within the watershed. The project will accomplish this through the removal of lead-contaminated soil in the target areas of the two small arms firing ranges. The primary hazards include temperature extremes, equipment operation, noise, potential lead exposure, uneven and slippery working surfaces, and insects.

  16. Health and safety plan for the removal action at the former YS-860 Firing Ranges, Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

    International Nuclear Information System (INIS)

    1998-01-01

    This health and safety plan sets forth the requirements and procedures to protect the personnel involved in the removal action project at the former YS-860 Firing Ranges. This project will be conducted in a manner that ensures the protection of the safety and health of workers, the public, and the environment. The purpose of this removal action is to address lead-contaminated soil and reduce a potential risk to human health and the environment. This site is an operable unit within the Upper East Fork Poplar Creek watershed. The removal action will contribute to early source actions within the watershed. The project will accomplish this through the removal of lead-contaminated soil in the target areas of the two small arms firing ranges. The primary hazards include temperature extremes, equipment operation, noise, potential lead exposure, uneven and slippery working surfaces, and insects

  17. Partial Meal Replacement Plan and Quality of the Diet at 1 Year: Action for Health in Diabetes (Look AHEAD) Trial.

    Science.gov (United States)

    Raynor, Hollie A; Anderson, Andrea M; Miller, Gary D; Reeves, Rebecca; Delahanty, Linda M; Vitolins, Mara Z; Harper, Patricia; Mobley, Connie; Konersman, Kati; Mayer-Davis, Elizabeth

    2015-05-01

    Little is known about diet quality with a reduced-energy, low-fat, partial meal replacement plan, especially in individuals with type 2 diabetes. The Action for Health in Diabetes (Look AHEAD) trial implemented a partial meal replacement plan in the Intensive Lifestyle Intervention. To compare dietary intake and percent meeting fat-related and food group dietary recommendations in Intensive Lifestyle Intervention and Diabetes Support and Education groups at 12 months. A randomized controlled trial comparing Intensive Lifestyle Intervention with Diabetes Support and Education at 0 and 12 months. From 16 US sites, the first 50% of participants (aged 45 to 76 years, overweight or obese, with type 2 diabetes) were invited to complete dietary assessments. Complete 0- and 12-month dietary assessments (collected between 2001 and 2004) were available for 2,397 participants (46.6% of total participants), with 1,186 randomized to Diabetes Support and Education group and 1,211 randomized to Intensive Lifestyle Intervention group. A food frequency questionnaire assessed intake: energy; percent energy from protein, fat, carbohydrate, polyunsaturated fatty acids, and saturated fats; trans-fatty acids; cholesterol; fiber; weekly meal replacements; and daily servings from food groups from the Food Guide Pyramid. Mixed-factor analyses of covariance, using Proc MIXED with a repeated statement, with age, sex, race/ethnicity, education, and income controlled. Unadjusted χ² tests compared percent meeting fat-related and food group recommendations at 12 months. At 12 months, Intensive Lifestyle Intervention participants had a significantly lower fat and cholesterol intake and greater fiber intake than Diabetes Support and Education participants. Intensive Lifestyle Intervention participants consumed more servings per day of fruits; vegetables; and milk, yogurt, and cheese; and fewer servings per day of fats, oils, and sweets than Diabetes Support and Education participants. A greater

  18. Emergency planning. Can the cost of remedial actions be compared to the value of the health effects they save

    International Nuclear Information System (INIS)

    Frittelli, L.; Tamburrano, A.

    1981-01-01

    When an accidental release of radioactive material occurs the exposure of the people concerned can be reduced only by remedial actions, applied to individuals (evacuation) or their environment (e.g. by land interdiction, by impoundment of contaminated products). The adoption of remedial actions should be based on a balance between the damage they cause and the reduction in health effects they can achieve. In this paper a 'cost-effectiveness' analysis is attempted by comparing the costs of remedial actions with the monetary value of the collective dose avoided by them. Remedial actions are undertaken to prevent non-stochastic effects in the exposed population and to limit stochastic effects therein. The damage caused by the remedial actions is evaluated by taking into account the loss of value of interdicted property, the costs for decontaminating land and structures, the loss of income of evacuated people. The options in remedial actions (interdiction, decontamination, goods removal) which minimize the total costs are supposed to be adopted at every location. The collective effective dose equivalent avoided by the remedial actions is computed by taking into account the external exposure from the cloud and from the contaminated ground, and the internal exposure from material inhaled from the passing cloud or inhaled from matter resuspended after deposition on the ground. The extent of the resulting total damage (both economic and health aspects) is partly determined by the intervention level chosen for defining the time and space features of remedial actions. As a result, the total damage has a lower value for an intervention level of about 0.1 Sv for large and medium releases from a nuclear power plant in a not very highly developed site. For a contained release no value of the intervention level optimizes the balance between health and economic consequences. (author)

  19. Understanding health insurance plans

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000879.htm Understanding health insurance plans To use the sharing features on this ... plan for you and your family. Types of Health Insurance Plans Depending on how you get your health ...

  20. Development and Implementation of South Asia’s First Heat-Health Action Plan in Ahmedabad (Gujarat, India

    Directory of Open Access Journals (Sweden)

    Kim Knowlton

    2014-03-01

    Full Text Available Recurrent heat waves, already a concern in rapidly growing and urbanizing South Asia, will very likely worsen in a warming world. Coordinated adaptation efforts can reduce heat’s adverse health impacts, however. To address this concern in Ahmedabad (Gujarat, India, a coalition has been formed to develop an evidence-based heat preparedness plan and early warning system. This paper describes the group and initial steps in the plan’s development and implementation. Evidence accumulation included extensive literature review, analysis of local temperature and mortality data, surveys with heat-vulnerable populations, focus groups with health care professionals, and expert consultation. The findings and recommendations were encapsulated in policy briefs for key government agencies, health care professionals, outdoor workers, and slum communities, and synthesized in the heat preparedness plan. A 7-day probabilistic weather forecast was also developed and is used to trigger the plan in advance of dangerous heat waves. The pilot plan was implemented in 2013, and public outreach was done through training workshops, hoardings/billboards, pamphlets, and print advertisements. Evaluation activities and continuous improvement efforts are ongoing, along with plans to explore the program’s scalability to other Indian cities, as Ahmedabad is the first South Asian city to address heat-health threats comprehensively.

  1. Health and safety plan for the removal action at the former YS-860 Firing Ranges, Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-28

    This health and safety plan sets forth the requirements and procedures to protect the personnel involved in the Lead Source Removal Project at the Former YS-86O Firing Ranges. This project will be conducted in a manner that ensures the protection of the safety and health of workers, the public, and the environment. The purpose of this removal action is to address lead contaminated soil and reduce a potential risk to human health and the environment. This site is an operable unit within the Upper East Fork Poplar Creek watershed. The removal action will contribute to early source actions within the watershed. The project will accomplish this through the removal of lead-contaminated soil in the target areas of the two small arms firing ranges. This plan covers the removal actions at the Former YS-86O Firing Ranges. These actions involve the excavation of lead-contaminated soils, the removal of the concrete trench and macadam (asphalt) paths, verification/confirmation sampling, grading and revegetation. The primary hazards include temperature extremes, equipment operation, noise, potential lead exposure, uneven and slippery working surfaces, and insects.

  2. Health and safety plan for the removal action at the former YS-860 Firing Ranges, Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

    International Nuclear Information System (INIS)

    1998-01-01

    This health and safety plan sets forth the requirements and procedures to protect the personnel involved in the Lead Source Removal Project at the Former YS-86O Firing Ranges. This project will be conducted in a manner that ensures the protection of the safety and health of workers, the public, and the environment. The purpose of this removal action is to address lead contaminated soil and reduce a potential risk to human health and the environment. This site is an operable unit within the Upper East Fork Poplar Creek watershed. The removal action will contribute to early source actions within the watershed. The project will accomplish this through the removal of lead-contaminated soil in the target areas of the two small arms firing ranges. This plan covers the removal actions at the Former YS-86O Firing Ranges. These actions involve the excavation of lead-contaminated soils, the removal of the concrete trench and macadam (asphalt) paths, verification/confirmation sampling, grading and revegetation. The primary hazards include temperature extremes, equipment operation, noise, potential lead exposure, uneven and slippery working surfaces, and insects

  3. ECOWindS Joint Action Plan

    DEFF Research Database (Denmark)

    2014-01-01

    The Joint Action Plan (JAP) is a deliverable of the ECOWindS project Work Package 4 (WP4) “Joint Action Plan”. It presents a plan of action or a roadmap for research, development, and innovation (RDI) for the Offshore Wind Service (OWS) industry. The objective of the JAP is to be an international...

  4. Plan Generation and Evaluation Using Action Networks

    National Research Council Canada - National Science Library

    Peot, Mark

    2003-01-01

    ... from potential actions of the plan. Methods used to accomplish these results included the use of Action Networks, and development of a suite of analysis tools in support of the AFRL Campaign Assessment Tool...

  5. Friends Partnership Mentoring Program Action Plan

    Data.gov (United States)

    Department of the Interior — This Action Plan has been prepared to support Recommendation 11 of the U.S. Fish and Wildlife Service Refuge System’s “Conserving the Future”. The plan outlines a...

  6. Solar heating action plan; Solvarme handlingsplan

    Energy Technology Data Exchange (ETDEWEB)

    Nielsen, Jan Erik

    2011-10-15

    This solar action plan should be seen as a follow-up to the Danish Energy Agency's solar heating strategy from 2007, which showed great potential and opportunities for exploitation and use of solar heat in Denmark. In relation to the strategy from 2007, this action plan adjusted the distribution of solar heat from district heating plants and individual plants, but it is still the objective of this action plan to achieve the strategy's overall goal for 2030. With the implementation of the Action Plan in early 2012, it is estimated that in 2030 there will be about. 10 million m2 of solar collectors in operation, 8 million m2 for district heating and 2 million m2 for individual heating, equivalent to an installed capacity totaling 7 GW. The budget for actions in the Action Plan is about 80 million DKK annually over the next 5 years to initiate and ensure this development. (LN)

  7. Targeted Health Assessment for Wastes Contained at the Niagara Falls Storage Site to Guide Planning for Remedial Action Alternatives - 13428

    Energy Technology Data Exchange (ETDEWEB)

    Busse, John; Keil, Karen; Staten, Jane; Miller, Neil; Barker, Michelle [U.S. Army Corps of Engineers, Buffalo District, 1776 Niagara Street, Buffalo, NY (United States); MacDonell, Margaret; Peterson, John; Chang, Young-Soo; Durham, Lisa [Argonne National Laboratory, Environmental Science Division, 9700 S. Cass Ave., Argonne, IL 60439 (United States)

    2013-07-01

    The U.S. Army Corps of Engineers (USACE) is evaluating potential remedial alternatives at the 191-acre Niagara Falls Storage Site (NFSS) in Lewiston, New York, under the Formerly Utilized Sites Remedial Action Program (FUSRAP). The Manhattan Engineer District (MED) and Atomic Energy Commission (AEC) brought radioactive wastes to the site during the 1940's and 1950's, and the U.S. Department of Energy (US DOE) consolidated these wastes into a 10-acre interim waste containment structure (IWCS) in the southwest portion of the site during the 1980's. The USACE is evaluating remedial alternatives for radioactive waste contained within the IWCS at the NFSS under the Feasibility Study phase of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) process. A preliminary evaluation of the IWCS has been conducted to assess potential airborne releases associated with uncovered wastes, particularly during waste excavation, as well as direct exposures to uncovered wastes. Key technical issues for this assessment include: (1) limitations in waste characterization data; (2) representative receptors and exposure routes; (3) estimates of contaminant emissions at an early stage of the evaluation process; (4) consideration of candidate meteorological data and air dispersion modeling approaches; and (5) estimates of health effects from potential exposures to both radionuclides and chemicals that account for recent updates of exposure and toxicity factors. Results of this preliminary health risk assessment indicate if the wastes were uncovered and someone stayed at the IWCS for a number of days to weeks, substantial doses and serious health effects could be incurred. Current controls prevent such exposures, and the controls that would be applied to protect onsite workers during remedial action at the IWCS would also effectively protect the public nearby. This evaluation provides framing context for the upcoming development and detailed

  8. Failed fuel action plan guidelines: Special report

    International Nuclear Information System (INIS)

    1987-11-01

    The objective of this document is to provide a generic guideline that can be used to formulate a failed fuel action plan (FFAP) for specific application by a utility. This document is intended to be part of a comprehensive fuel reliability monitoring, management, and improvement program. The utilities may utilize this document as one resource in developing a failed fuel action plan. This document is not intended to be used as a failed fuel action plan standard. This document is intended to provide guidance on: management responsibilities; fuel performance parameters; cost/benefit analysis; action levels; long-term improvement methods; and data collection, analysis, and trending. 3 refs., 4 figs., 6 tabs

  9. 'Action 2016': AREVA's strategic action plan to improve performance

    International Nuclear Information System (INIS)

    Marie, Patricia; Floquet-Daubigeon, Fleur; Michaut, Maxime; De Scorbiac, Marie; Du Repaire, Philippine

    2011-01-01

    On December 12, 2011, Luc Oursel, Executive Officer of AREVA, and Pierre Aubouin, Chief Financial Executive Officer, presented the group's 'Action 2016' strategic action plan based on an in-depth analysis of the market's outlook. This document makes, first, a Detailed presentation of the 'Action 2016' plan and then presents the group's financial outlook: - Full-year 2011 immediate accounting consequences of the new market environment: operating losses expected in 2011; - 2012-2013 transition period Objective: self-finance capex in cumulative terms; - 2014-2016: safe growth and cash generation, free operating cash flow at break-even beginning in 2013, above euro 1 bn per year beginning in 2015

  10. SADC establishes a regional action plan.

    Science.gov (United States)

    Klouda, T

    1997-02-01

    The regional meeting held on AIDS strategy in Lilongwe, Malawi, in December, 1996, made important advances. The 12 countries of the SADC (Southern Africa Development Community) joined the European Union to institute a regional action plan for the reduction of susceptibility of people to HIV because of social, cultural, and environmental factors; the vulnerability of people with HIV infection to social and other difficulties; and the vulnerability of institutions because of the foregoing impacts. At the conference the issues explored were employment, mining, medical drugs, education, and tourism. An employment charter was seen as crucial for the success of AIDS and workplace activities. Facilitation of travel across borders was important for the reduction of susceptibility to HIV infection. Enhancement of regional policies for essential drugs was vital for drugs for the treatment of AIDS. The clarification of the regional role was critical for regional support of national action (strengthening technical and institutional capacities) and for regional joint action such as studies on research, harmonization of data collection on HIV/AIDS; organization of training; development of information and education on HIV/AIDS; facilitation of manufacturing of drugs and condoms; and the development of a regional information and education program about HIV/AIDS. The conference also clarified HIV/AIDS programs in relation to other health and socioeconomic problems.

  11. Incorporating gender, equity, and human rights into the action planning process: moving from rhetoric to action

    Directory of Open Access Journals (Sweden)

    Sanjeev Sridharan

    2016-09-01

    Full Text Available Background: Mainstreaming of gender, equity, and human rights (GER is an important focus of the World Health Organization (WHO and other UN organizations. This paper explores the role of action plans in mainstreaming GER. This paper is informed by a theory-driven evaluation lens. Design: A theory of change framework explored the following seven dimensions of how action plans can implement mainstreaming of GER: awareness of the foundations of GER; understanding of context; planning to impact GER; implementation for GER; monitoring, evaluation, and learning; planning for sustainability; agenda setting and buy-in. The seven dimensions were used to analyze the action plans. Reviewers also explored innovations within each of the action plans for the seven dimensions. Results: GER mainstreaming is more prominent in the foundation, background, and planning components of the plan but becomes less so along the theory of change including implementation; monitoring and evaluation; sustainability; and agenda setting and buy-in. Conclusions: Our analysis demonstrates that much more can be done to incorporate GER considerations into the action planning process. Nine specific recommendations are identified for WHO and other organizations. A theory-driven approach as described in the paper is potentially helpful for developing clarity by which action plans can help with mainstreaming GER considerations.

  12. Toward a Research and Action Agenda on Urban Planning/Design and Health Equity in Cities in Low and Middle-Income Countries

    OpenAIRE

    Smit, Warren; Hancock, Trevor; Kumaresen, Jacob; Santos-Burgoa, Carlos; Sánchez-Kobashi Meneses, Raúl; Friel, Sharon

    2011-01-01

    The importance of reestablishing the link between urban planning and public health has been recognized in recent decades; this paper focuses on the relationship between urban planning/design and health equity, especially in cities in low and middle-income countries (LMICs). The physical urban environment can be shaped through various planning and design processes including urban planning, urban design, landscape architecture, infrastructure design, architecture, and transport planning. The re...

  13. Remedial action planning for Trench 1

    International Nuclear Information System (INIS)

    Primrose, A.; Sproles, W.; Burmeister, M.; Wagner, R.; Law, J.; Greengard, T.; Castaneda, N.

    1998-01-01

    The accelerated action to remove the depleted uranium chips and associated soils and wastes from Trench 1 at the Rocky Flats Environmental Technology Site (RFETS) will begin in June 1998. To ensure that the remedial action is conducted safely, a rigorous and disciplined planning process was followed that incorporates the principles of Integrated Safety Management and Enhanced Work Planning. Critical to the success of the planning was early involvement of project staff (salaried and hourly) and associated technical support groups and disciplines. Feedback was and will continue to be solicited, and lessons learned incorporated to ensure the safe remediation of this site

  14. Experience of Wellness Recovery Action Planning in Self-Help and Mutual Support Groups for People with Lived Experience of Mental Health Difficulties

    Directory of Open Access Journals (Sweden)

    Rebekah Pratt

    2013-01-01

    Full Text Available The main aim of this research was to assess the relevance and impact of wellness recovery action planning (WRAP as a tool for self-management and wellness planning by individuals with mental health problems from pre-existing and newly formed groups, where the possibilities for continued mutual support in the development of WRAPs could be explored. Interviews and focus groups were conducted and pre-post recovery outcome measures completed (Recovery Assessment Scale and Warwick Edinburgh Mental Well Being Scale. 21 WRAP group participants took part in the research. The WRAP approach, used in groups and delivered by trained facilitators who could also share their lived experience, was very relevant and appeared to have a positive impact on many of the participants. The impact on participants varied from learning more about recovery and developing improved self-awareness to integrating a WRAP approach into daily life. The apparent positive impact of WRAP delivered in the context of mutual support groups indicates that it should be given serious consideration as a unique and worthwhile option for improving mental health. WRAP groups could make a significant contribution to the range of self-management options that are available for improving mental health and well-being.

  15. Implementing the Climate Action Plan | Climate Neutral Research Campuses |

    Science.gov (United States)

    considerations for building a portfolio, including: Compatibility with organizational mission: All climate NREL Implementing the Climate Action Plan Implementing the Climate Action Plan When implementing climate action plans on research campuses, two important and related questions must be answered

  16. Process evaluation of an environmental health risk audit and action plan intervention to reduce alcohol related violence in licensed premises

    Directory of Open Access Journals (Sweden)

    Annie Williams

    2016-05-01

    Full Text Available Abstract Background Alcohol-related violence is associated with licensed premise environments and their management. There is a lack of evidence for effective interventions to address these, and there are significant barriers to implementation. This study aims to understand how development and implementation processes can facilitate intervention reach, fidelity and receipt and therefore provides key process data necessary to interpret the results of the randomised controlled trial conducted in parallel. Methods A process evaluation, embedded within a randomised controlled trial. Intervention development and implementation were assessed via focus groups (n = 2 and semi-structured interviews (n = 22 with Environmental Health Practitioners (EHPs. Reach and fidelity were assessed via routinely collected intervention data, which was was collected from 276 licenced premises across Wales, UK. Case study semi-structured interviews with licensed premises proprietors (n = 30 explored intervention receipt. Results Intervention co-production with senior EHPs facilitated organisational adoption and implementation. Training events for EHPs played an important role in addressing wider organisational concerns regarding partnership working and the contextual integration of the intervention. EHPs delivered the intervention to 98 % of intervention premises; 35 % of premises should have received a follow up enforcement visit, however EHP confidence in dealing with alcohol risk factors meant only 7 % of premises received one. Premises therefore received a similar intervention dose regardless of baseline risk. Intervention receipt appeared to be greatest in premises with an existing commitment to prevention and those in urban environments. Conclusions The study suggests that a collaborative approach to the development and diffusion of interventions is associated with high levels of organisational adoption, implementation and reach. However, the lack

  17. Putting Action Back into Action Planning: Experiences of Career Clients

    Science.gov (United States)

    Borgen, William A.; Maglio, Asa-Sophia T.

    2007-01-01

    This study used the critical incident technique to investigate what helped and hindered unemployed and career-changing people in implementing the action plans they developed while participating in career or employment counseling. Information from interviews with 23 women and 16 men generated 9 categories of helping incidents and 9 categories of…

  18. Cognitive-Motivational Determinants of Residents' Civic Engagement and Health (Inequities) in the Context of Noise Action Planning: A Conceptual Model.

    NARCIS (Netherlands)

    Riedel, Natalie; van Kamp, Irene; Köckler, Heike; Scheiner, Joachim; Loerbroks, Adrian; Claßen, Thomas; Bolte, Gabriele

    2017-01-01

    The Environmental Noise Directive expects residents to be actively involved in localising and selecting noise abatement interventions during the noise action planning process. Its intervention impact is meant to be homogeneous across population groups. Against the background of social heterogeneity

  19. Climate Action Benefits: Health

    Science.gov (United States)

    This page provides background on the relationship between human health and climate change and describes what the CIRA Health analyses cover. It provides links to the subsectors Air Quality, Extreme Temperature, Labor, and Water Quality.

  20. Climate Action Planning Process | Climate Neutral Research Campuses | NREL

    Science.gov (United States)

    Action Planning Process Climate Action Planning Process For research campuses, NREL has developed a five-step process to develop and implement climate action plans: Determine baseline energy consumption Analyze technology options Prepare a plan and set priorities Implement the climate action plan Measure and

  1. The Danish Organic Action Plan 2020

    DEFF Research Database (Denmark)

    Sørensen, Nina Nørgaard; Lassen, Anne Dahl; Løje, Hanne

    2015-01-01

    Objective With political support from the Danish Organic Action Plan 2020, organic public procurement in Denmark is expected to increase. In order to evaluate changes in organic food procurement in Danish public kitchens, reliable methods are needed. The present study aimed to compare organic food...... procurement measurements by two methods and to collect and discuss baseline organic food procurement measurements from public kitchens participating in the Danish Organic Action Plan 2020. Design Comparison study measuring organic food procurement by applying two different methods, one based on the use...... organic food conversion projects funded by the Danish Organic Action Plan 2020 during 2012 and 2013. Subjects Twenty-six public kitchens (comparison study) and 345 public kitchens (baseline organic food procurement status). Results A high significant correlation coefficient was found between the two...

  2. ICDF Complex Remedial Action Work Plan

    Energy Technology Data Exchange (ETDEWEB)

    W. M. Heileson

    2006-12-01

    This Remedial Action Work Plan provides the framework for operation of the Idaho Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) Disposal Facility Complex (ICDF). This facility includes (a) an engineered landfill that meets the substantial requirements of DOE Order 435.1, Resource Conservation and Recovery Act Subtitle C, Idaho Hazardous Waste Management Act, and Toxic Substances Control Act polychlorinated biphenyl landfill requirements; (b) centralized receiving, inspections, administration, storage/staging, and treatment facilities necessary for CERCLA investigation-derived, remedial, and removal waste at the Idaho National Laboratory (INL) prior to final disposition in the disposal facility or shipment off-Site; and (c) an evaporation pond that has been designated as a corrective action management unit. The ICDF Complex, including a buffer zone, will cover approximately 40 acres, with a landfill disposal capacity of approximately 510,000 yd3. The ICDF Complex is designed and authorized to accept INL CERCLA-generated wastes, and includes the necessary subsystems and support facilities to provide a complete waste management system. This Remedial Action Work Plan presents the operational approach and requirements for the various components that are part of the ICDF Complex. Summaries of the remedial action work elements are presented herein, with supporting information and documents provided as appendixes to this work plan that contain specific detail about the operation of the ICDF Complex. This document presents the planned operational process based upon an evaluation of the remedial action requirements set forth in the Operable Unit 3-13 Final Record of Decision.

  3. Who plans for health improvement? SEA, HIA and the separation of spatial planning and health planning

    International Nuclear Information System (INIS)

    Bond, Alan; Cave, Ben; Ballantyne, Rob

    2013-01-01

    This study examines whether there is active planning for health improvement in the English spatial planning system and how this varies across two regions using a combination of telephone surveys and focus group interviews in 2005 and 2010. The spatial planning profession was found to be ill-equipped to consider the health and well-being implications of its actions, whilst health professionals are rarely engaged and have limited understanding and aspirations when it comes to influencing spatial planning. Strategic Environmental Assessment was not considered to be successful in integrating health into spatial plans, given it was the responsibility of planners lacking the capacity to do so. For their part, health professionals have insufficient knowledge and understanding of planning and how to engage with it to be able to plan for health gains rather than simply respond to health impacts. HIA practice is patchy and generally undertaken by health professionals outside the statutory planning framework. Thus, whilst appropriate assessment tools exist, they currently lack a coherent context within which they can function effectively and the implementation of the Kiev protocol requiring the engagement of health professionals in SEA is not to likely improve the consideration of health in planning while there continues to be separation of functions between professions and lack of understanding of the other profession. -- Highlights: ► Health professionals have limited aspirations for health improvement through the planning system. ► Spatial planners are ill-equipped to understand the health and well-being implications of their activities. ► SEA and HIA currently do not embed health consideration in planning decisions. ► The separation of health and planning functions is problematic for the effective conduct of SEA and/or HIA

  4. Who plans for health improvement? SEA, HIA and the separation of spatial planning and health planning

    Energy Technology Data Exchange (ETDEWEB)

    Bond, Alan, E-mail: alan.bond@uea.ac.uk [InteREAM (Interdisciplinary Research in Environmental Assessment and Management), School of Environmental Sciences, University of East Anglia, Norwich, NR4 7TJ (United Kingdom); Cave, Ben, E-mail: ben.cave@bcahealth.co.uk [Ben Cave Associates Ltd., Leeds (United Kingdom); Ballantyne, Rob, E-mail: robdballantyne@gmail.com [Planning and Health Consultant, Oxfordshire (United Kingdom)

    2013-09-15

    This study examines whether there is active planning for health improvement in the English spatial planning system and how this varies across two regions using a combination of telephone surveys and focus group interviews in 2005 and 2010. The spatial planning profession was found to be ill-equipped to consider the health and well-being implications of its actions, whilst health professionals are rarely engaged and have limited understanding and aspirations when it comes to influencing spatial planning. Strategic Environmental Assessment was not considered to be successful in integrating health into spatial plans, given it was the responsibility of planners lacking the capacity to do so. For their part, health professionals have insufficient knowledge and understanding of planning and how to engage with it to be able to plan for health gains rather than simply respond to health impacts. HIA practice is patchy and generally undertaken by health professionals outside the statutory planning framework. Thus, whilst appropriate assessment tools exist, they currently lack a coherent context within which they can function effectively and the implementation of the Kiev protocol requiring the engagement of health professionals in SEA is not to likely improve the consideration of health in planning while there continues to be separation of functions between professions and lack of understanding of the other profession. -- Highlights: ► Health professionals have limited aspirations for health improvement through the planning system. ► Spatial planners are ill-equipped to understand the health and well-being implications of their activities. ► SEA and HIA currently do not embed health consideration in planning decisions. ► The separation of health and planning functions is problematic for the effective conduct of SEA and/or HIA.

  5. Mitigation action plan for 300-FF-1 remedial action

    International Nuclear Information System (INIS)

    Weiss, S.G.

    1996-10-01

    A record of decision was issued (dated July 1996), for remediation of waste sites in the 300-FF-1 Operable Unit in the 300 Area of the Hanford Site. The selected remedies for the 300-FF-1 and 300-FF-5 waste sites include selective excavation and disposal of contaminated soil and debris from the process waste units, excavation and removal of the 618-4 Burial Ground, and institutional controls for groundwater. This mitigation action plan explains how cultural resources will be managed and how revegetation for these remedial activities will be planned

  6. NEAP - National Environmental Action Plan (Republic of Macedonia)

    International Nuclear Information System (INIS)

    Shnajder-Jakobi, Martin; Anastasovski, Vasil; Gorgievski, Kire.

    1997-01-01

    The Republic of Macedonia, like other Central and East European countries in transition, has started the process of reform towards a market economy. As a part of the economic development program, the Republic of Macedonia is shaping its environmental polices and identifying priority actions to protect human health and the environment and to utilize its natural resources in a sustainable manner. These polices and actions are consistent with the 'Environmental Action Programme for Central and Eastern Europe' (EAP), the document adopted at the Ministerial Conference in Lucerne in 1993. In meeting the goals towards protecting the environment, The Government of the Republic of Macedonia has prepared the National Environmental Action Plan (NEAP) with the support of the World Bank group. The Ministry of Urban Planning, Construction and Environment was the key agency involved in the preparation of the NEAP. The NEAP highlights the environmental problems and recommends actions related to policy, institutions and priority investments. (author)

  7. What contributes to action plan enactment? Examining characteristics of physical activity plans.

    Science.gov (United States)

    Fleig, Lena; Gardner, Benjamin; Keller, Jan; Lippke, Sonia; Pomp, Sarah; Wiedemann, Amelie U

    2017-11-01

    Individuals with chronic conditions can benefit from formulating action plans to engage in regular physical activity. However, the content and the successful translation of plans into action, so-called plan enactment, are rarely adequately evaluated. The aim of this study was to describe the content of user-specified plans and to examine whether participants were more likely to enact their plans if these plans were highly specific, viable, and instrumental. The study presents secondary analyses from a larger behavioural intervention in cardiac and orthopaedic rehabilitation. The content of 619 action plans from 229 participants was evaluated by two independent raters (i.e., qualitative analyses and ratings of specificity) and by participants themselves (i.e., instrumentality and viability). Plan enactment was also measured via self-reports. Multilevel analyses examined the relationship between these plan characteristics and subsequent plan enactment, and between plan enactment and aggregated physical activity. Participants preferred to plan leisure-time physical activities anchored around time-based cues. Specificity of occasion cues (i.e., when to act) and highly instrumental plans were positively associated with plan enactment. Interestingly, individuals who planned less specific behavioural responses (i.e., what to do) were more likely to enact their plans. Plan enactment was positively associated with aggregated behaviour. Interventions should not only emphasize the importance of planning, but also the benefits of formulating specific contextual cues. Planning of the behavioural response seems to require less precision. Allowing for some flexibility in executing the anticipated target behaviour seems to aid successful plan enactment. Statement of Contribution What is already known on this subject? Action planning interventions are efficacious in promoting health behaviour. Characteristics of plan content (i.e., specificity) matter for unconditional behaviour

  8. 42 CFR 457.160 - Notice and timing of CMS action on State plan material.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Notice and timing of CMS action on State plan... § 457.160 Notice and timing of CMS action on State plan material. (a) Notice of final determination. The... amendment. (b) Timing. (1) A State plan or plan amendment will be considered approved unless CMS, within 90...

  9. EM Health and Safety Plan Guidelines

    Energy Technology Data Exchange (ETDEWEB)

    1994-12-01

    This document contains information about the Health and Safety Plan Guidelines. Topics discussed include: Regulatory framework; key personnel; hazard assessment; training requirements; personal protective equipment; extreme temperature disorders or conditions; medical surveillance; exposure monitoring/air sampling; site control; decontamination; emergency response/contingency plan; emergency action plan; confined space entry; and spill containment.

  10. Heart Truth for Women: An Action Plan

    Science.gov (United States)

    ... only treatment that some people need. Kick the Smoking Habit There is nothing easy about giving up cigarettes, but with a plan of action, you can do it. Become aware of your personal smoking “triggers”—the situations that typically bring on the ...

  11. The ANSTO waste management action plan

    International Nuclear Information System (INIS)

    Levins, D.

    1997-01-01

    ANSTO's Waste Management Action Plan is a five-year program which addresses legacy issues that have arisen from the accumulation of radioactive wastes at Lucas Heights over the last forty years. Following an extensive review of waste management practices, a detailed Action Plan was prepared involving seventeen projects in the areas of solid wastes, liquid wastes, control of effluents and emissions, spent reactor fuel and organisational issues. The first year of the Waste Management Action Plan has resulted in significant achievements, especially in the areas of improved storage of solid wastes, stabilisation of uranium scrap, commissioning and operation of a scanning system for low-level waste drums, treatment of intermediate-level liquid wastes and improvements in the methods for monitoring of spent fuel storage facilities. The main goal of the Waste Management Action Plan is to achieve consistency, by the year 2000, with best practice as identified in the Radioactive Waste Safety Standards and Guidelines currently under development by the IAEA

  12. Driving change : sustainable development action plans Guidance

    OpenAIRE

    Sustainable Development Commission

    2008-01-01

    This guidance builds upon the Sustainable Development Commission’s previous guidance, Getting Started (August 2005), which set out the basic elements that the Sustainable Development Commission would expect to see in a good Sustainable Development Action Plan. Publisher PDF Original published August 2005.

  13. 24 CFR 91.220 - Action plan.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Action plan. 91.220 Section 91.220 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development..., evaluate and reduce lead-based paint hazards, reduce the number of poverty-level families, develop...

  14. 24 CFR 91.320 - Action plan.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Action plan. 91.320 Section 91.320 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development...), evaluate and reduce lead-based paint hazards, reduce the number of poverty level families, develop...

  15. 36 CFR 72.13 - Action plan.

    Science.gov (United States)

    2010-07-01

    ... objectives, priorities and implementation strategies in relation to the intent of the Urban Park and... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Action plan. 72.13 Section 72.13 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR URBAN PARK...

  16. Structural priming, action planning, and grammar.

    Science.gov (United States)

    MacDonald, Maryellen C; Weiss, Daniel J

    2017-01-01

    Structural priming is poorly understood and cannot inform accounts of grammar for two reasons. First, those who view performance as grammar + processing will always be able to attribute psycholinguistic data to processing rather than grammar. Second, structural priming may be simply an example of hysteresis effects in general action planning. If so, then priming offers no special insight into grammar.

  17. 7 CFR 275.16 - Corrective action planning.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false Corrective action planning. 275.16 Section 275.16... Corrective action planning. (a) Corrective action planning is the process by which State agencies shall...)/management unit(s) in the planning, development, and implementation of corrective action are those which: (1...

  18. Housekeeping category corrective action unit work plan

    International Nuclear Information System (INIS)

    1996-08-01

    The purpose of this Corrective Action Unit (CAU) Work Plan is to provide a strategy to be used by the US Department of Energy Nevada Operations Office (DOE/NV), the US Department of Defense (DoD) Defense Special Weapons Agency (DSWA) (formerly the Defense Nuclear Agency), and contractor personnel for conducting corrective actions at the Nevada Test Site (NTS) and Nevada off-site locations including the Tonopah Test Range (TTR), the Project Shoal Area, and the Central Nevada Test Area. This Work Plan applies to housekeeping category CAUs already listed in the Federal Facility Agreement and Consent Order (FFACO) Appendices (FFACO, 1996) as well as newly identified Corrective Action Sites (CASs) that will follow the housekeeping process

  19. Evaluating the impact of method bias in health behaviour research: a meta-analytic examination of studies utilising the theories of reasoned action and planned behaviour.

    Science.gov (United States)

    McDermott, Máirtín S; Sharma, Rajeev

    2017-12-01

    The methods employed to measure behaviour in research testing the theories of reasoned action/planned behaviour (TRA/TPB) within the context of health behaviours have the potential to significantly bias findings. One bias yet to be examined in that literature is that due to common method variance (CMV). CMV introduces a variance in scores attributable to the method used to measure a construct, rather than the construct it represents. The primary aim of this study was to evaluate the impact of method bias on the associations of health behaviours with TRA/TPB variables. Data were sourced from four meta-analyses (177 studies). The method used to measure behaviour for each effect size was coded for susceptibility to bias. The moderating impact of method type was assessed using meta-regression. Method type significantly moderated the associations of intentions, attitudes and social norms with behaviour, but not that between perceived behavioural control and behaviour. The magnitude of the moderating effect of method type appeared consistent between cross-sectional and prospective studies, but varied across behaviours. The current findings strongly suggest that method bias significantly inflates associations in TRA/TPB research, and poses a potentially serious validity threat to the cumulative findings reported in that field.

  20. Yukon Government climate change action plan

    International Nuclear Information System (INIS)

    2009-02-01

    This Climate Change Action Plan described the measures that are being taken by the Yukon Government to adapt to, understand, and reduce contributions to climate change. The action plan is the result of input received from more than 100 individuals and organizations and provides clear direction for a strategy that will minimize the negative impacts of climate change and provide economic, social and other environmental benefits through climate change mitigation. The Yukon government has already taken many actions that respond to climate change, such as: developing the Yukon Cold Climate Innovation Centre; supporting the Northern Climate Exchange for public education and outreach; funding community recycling depots and other groups that reduce waste generation, promote public awareness and divert solid waste; and working with provincial and territorial counterparts to enhance national building standards. The main objectives of the climate change actions are to enhance knowledge and understanding of climate change; adapt to climate change; reduce greenhouse gas emissions; and lead Yukon action in response to climate change. tabs., figs.

  1. Wetland Resources Action Planning (WRAP) toolkit

    DEFF Research Database (Denmark)

    Bunting, Stuart W.; Smith, Kevin G.; Lund, Søren

    2013-01-01

    The Wetland Resources Action Planning (WRAP) toolkit is a toolkit of research methods and better management practices used in HighARCS (Highland Aquatic Resources Conservation and Sustainable Development), an EU-funded project with field experiences in China, Vietnam and India. It aims to communi......The Wetland Resources Action Planning (WRAP) toolkit is a toolkit of research methods and better management practices used in HighARCS (Highland Aquatic Resources Conservation and Sustainable Development), an EU-funded project with field experiences in China, Vietnam and India. It aims...... to communicate best practices in conserving biodiversity and sustaining ecosystem services to potential users and to promote the wise-use of aquatic resources, improve livelihoods and enhance policy information....

  2. Multistate Health Plans

    Directory of Open Access Journals (Sweden)

    Robert E. Moffit PhD

    2015-09-01

    Full Text Available We discuss and evaluate the Multi-State Plan (MSP Program, a provision of the Affordable Care Act that has not been the subject of much debate as yet. The MSP Program provides the Office of Personnel Management with new authority to negotiate and implement multistate insurance plans on all health insurance exchanges within the United States. We raise the concern that the MSP Program may lead to further consolidation of the health insurance industry despite the program’s stated goal of increasing competition by means of health insurance exchanges. The MSP Program arguably gives a competitive advantage to large insurers, which already dominate health insurance markets. We also contend that the MSP Program’s failure to produce increased competition may motivate a new effort for a public health insurance option.

  3. National Biofuels Action Plan, October 2008

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2008-10-01

    To help industry achieve the aggressive national goals, Federal agencies will need to continue to enhance their collaboration. The Biomass Research and Development (R&D) Board was created by Congress in the Biomass Research and Development Act of 2000. The National Biofuels Action Plan outlines areas where interagency cooperation will help to evolve bio-based fuel production technologies from promising ideas to competitive solutions.

  4. Remedial action plan for the inactive uranium processing site at Naturita, Colorado. DOE responses to comments from U.S. Nuclear Regulatory Commission and Colorado Department of Public Health and Environment

    International Nuclear Information System (INIS)

    1998-01-01

    This report contains responses by the US Department of Energy to comments from the US Nuclear Regulatory Commission and the Colorado Department of Public Health and Environment on the Naturita remedial action plan. This was done in an attempt to clarify information. The site is an inactive uranium processing site at Naturita, Colorado

  5. Predicting Plan Failure by Monitoring Action Sequences and Duration

    Directory of Open Access Journals (Sweden)

    Giovani Parente FARIAS

    2017-07-01

    Full Text Available An agent can attempt to achieve multiple goals and each goal can be achieved by applying various different plans. Anticipating failures in agent plan execution is important to enable an agent to develop strategies to avoid or circumvent such failures, allowing the agent to achieve its goal. Plan recognition can be used to infer which plans are being executed from observations of sequences of activities being performed by an agent. Symbolic Plan Recognition is an algorithm that represents knowledge about the agents under observation in the form of a plan library. In this work, we use this symbolic algorithm to find out which plan the agent is performing and we develop a failure prediction system, based on information available in the plan library and in a simplified calendar which manages the goals the agent has to achieve. This failure predictor is able to monitor the sequence of agent actions and detects if an action is taking too long or does not match the plan that the agent was expected to be performing. We have successfully employed this approach in a health-care prototype system.

  6. NPP Krsko Periodic Safety Review action plan

    International Nuclear Information System (INIS)

    Bilic Zabric, T.

    2006-01-01

    In the current, internationally accepted, safety philosophy Periodic Safety Reviews (PSRs) are comprehensive reviews aimed at the verification that an operating NPP remains safe when judged against current safety objectives and practices and that adequate arrangements are in place to maintain an acceptable level of safety. These reviews are complementary to the routine and special safety reviews. They are long time-scale reviews intended to deal with the cumulative effects of plant ageing, modifications, operating experience and technical developments, which are not so easily comprehended over the shorter time-scale routine of safety reviews. The review was completed in 2005 and the next period will see the implementation of the action plan including some plant upgrades. The action plan lists issues that should be implemented at NPP Krsko together with associated milestones. The milestones were assumed based on best estimate resource availability and their ends can be potentially floated. In some cases, multiple corrective measures may be postulated to provide resolution for a given safety issue. The Slovenian Nuclear Safety Administration by decree approved the first periodic safety review and the implementation plan of activities arising from it. The entire implementation plan must be carried out by 15 October 2010. Report on the second periodic safety review must be submitted by the NEK not later than 15 December 2013. (author)

  7. Environmental health and health planning

    International Nuclear Information System (INIS)

    1975-07-01

    Areas of environmental concern are identified and recommendations for improving environmental health are proposed by the Environmental Health Task Force of the Western Massachusetts Health Planning Council. Environmental health concerns in Western Massachusetts are in the areas of: air pollution; dental health and the specific problem of water flouridation; housing; injury control, including accidental death and disability; land use, and the specific problem of critical receptors; noise pollution; occupational hazards, specifically occupational accidents; pesticides; radiological exposure, particularly medical X-ray exposure and nuclear exposure; rural health care; sanitation; solid waste; and water quality including private and public water supplies, road salting, and rural sewerages. Each area of concern and specific problem are broken down into sections: background information; comments which incorporate recommendations for general problem-solving activities; and resources, including lists of key organization, individuals, laws and regulations, and publications relevant to the area of concern. Recommendations are presented based on long-term and short-term environmental goals. An inventory of environmental health organizations in Western Massachusetts is included. Appendices contain the charge to the Task Force, a definition of environmental health, sources of drinking water, the sanitation and sanitary codes, and housing and sanitation standards. Portions of this document are not fully legible

  8. Action plan for renewable energy sources

    International Nuclear Information System (INIS)

    2000-03-01

    In the Finnish Energy Strategy, approved by the Finnish Government in 1997, the emphasis is laid on the importance of bioenergy and other renewable energy sources for the creation of such prerequisites for the Finnish energy economy that the supply of energy can be secured, the price on energy is competitive and the emissions from energy generation are within the limits set by the international commitments made by Finland. In 1998, the European Union Meeting of the Ministers of Energy adopted a resolution taking a positive attitude to the Communication from the Commission 'Energy for the future: Renewable sources of energy' - White Paper for a Community Strategy and Action Plan. National measures play a key role in the achievement of the objectives set in the White Paper. This Action Plan for Renewable Energy Sources is a national programme in line with the EU's White Paper. It comprises all renewable sources of energy available in Finland. It encompasses even peat, which in Finland has traditionally been considered to be a solid biofuel but is internationally classified as one of the non-renewable sources of energy. In the Action Plan, objectives are set for the volume of renewable energy sources used in the year 2010 including a prognosis on the development by the year 2025. The goal is that by the year 2010 the volume of energy generated using renewable energy sources has increased by 50% compared with the year 1995. This would mean an increase by 3 Mtoe, which is about 1 Mtoe more than anticipated in the outlook based on the Finnish Energy Strategy. A further goal is to double the use of renewable energy sources by the year 2025. The aggregate use of renewable energy sources depends to a large extent both on the development of the price on energy produced using other energy sources and on possible changes in the production volume of the Finnish forest industry. The most important objective stated in the Action Plan is to improve the competitiveness of renewable

  9. An action plan for radioactive substances regulation

    International Nuclear Information System (INIS)

    1998-01-01

    This document sets out an action plan for the Agency's Radioactive Substances Regulation function. Our vision is to secure continuous improvement in the protection of the public and the environment from the harmful effects of radioactive substances. Radioactive Substances Regulation will work with others to realise this vision and contribute to the Agency's role in achieving sustainable development. We will also work to ensure that the Agency achieves its objectives in an efficient, consistent and integrated way. The main elements of our Action Plan are as follows: establishing indicators of sustainability and the means and methods of monitoring them; establishing performance indicators and a programme of targets and objectives to be achieved; establishing a database of all premises subject to RSA93 and to use it for work planning, resource targeting, and improvement to radioactive waste management; provision of systems of procedures and technical guidance to ensure nationally consistent and cost- effective regulation; establishing systems to audit the implementation of the procedures and guidance; ensuring quality of regulation by defining technical competencies of inspectors and the training programmes to secure them; an R and D programme targeted on improving radioactive waste management and radioactive substances regulation; and full and effective participation in development of national policy

  10. An investigation into the relevance of action planning, theory of planned behaviour concepts, and automaticity for fruit intake action control.

    Science.gov (United States)

    de Bruijn, Gert-Jan; Wiedemann, Amelie; Rhodes, Ryan E

    2014-09-01

    In the action control framework, intention-behaviour discordance is studied around public health guidelines. Although this framework has been applied to physical activity behaviours, it has only seen very limited attention regarding fruit intake. The purpose of this study was therefore to investigate distributions and predictors of fruit intake intention-behaviour discordance. Prospective correlational design. Data were obtained from undergraduate students (n = 413) using validated questionnaires. Variables from the theory of planned behaviour, automaticity, and action planning were assessed at baseline, and fruit intake was assessed 2 weeks later. Data were analysed using discriminant function analyses and analyses of variance. The proportion of unsuccessful intenders ranged from 39.2% to 80.8%. There was a larger proportion of fruit intake intenders amongst those who reported strong automatic fruit intake. Action control was predicted by fruit intake automaticity and affective attitudes, but the strongest predictor was perceived behavioural control. No action planning items were related to fruit intake action control. There is considerable asymmetry in the intention-fruit intake relationship. An application of the action control framework may stimulate debate on the applicability of intention-based models at the public health level. What is already known on this subject? Intention is theorized to be a key construct in fruit intake. Studies in the physical activity domain indicate that nearly half of the people with positive intentions fail to subsequently act. What does this study add? The proportion of unsuccessful intenders ranged from 39.2% to 80.8%. Holding positive intentions is not sufficient to consume fruit at suggested public health guidelines. Perceived behavioural control is the most important predictor of fruit intake action control. © 2013 The British Psychological Society.

  11. Implementation of local climate action plans

    DEFF Research Database (Denmark)

    Damsø, Tue Noa Jacques; Kjær, Tyge; Christensen, Thomas Budde

    2017-01-01

    The purpose of this article is to improve understanding of local climate action plans and their implementation and evaluation. It explores how goal definition and the choice of assessment metrics frame goal attainment and influence implementation behaviour. Using the Danish capital of Copenhagen...... a high overall implementation performance, both in terms of changes in energy supply and emission reductions, these metrics are only partially linked. It also shows that inconsistencies between the system scope of the base year emissions and goal attainment, due to the use of offsetting, may lead...

  12. Affirmative Action Plan, October 1991--September 1992

    Energy Technology Data Exchange (ETDEWEB)

    1991-10-01

    This report documents Reynolds Electrical Engineering Co., Inc., analysis of all major job groups with explanations if minorities and females are underutilized in any one or more job group. Goals and timetables have been developed and good faith efforts are directed to correct any deficiencies. In addition, Affirmative Action Plans for the Handicapped, Vietnam Era Veterans, and Disabled Veterans are included which set forth policies, practices, and procedures in accordance with Department of Labor regulations. All personnel decisions are made at the Company level. Decisions regarding the General Manager or Deputy General Manager are made at the corporate level.

  13. A model for analysis, systemic planning and strategic synthesis for health science teaching in the Democratic Republic of the Congo: a vision for action

    Directory of Open Access Journals (Sweden)

    Levêque Alain

    2004-12-01

    Full Text Available Abstract Background The problem of training human resources in health is a real concern in public health in Central Africa. What can be changed in order to train more competent health professionals? This is of utmost importance in primary health care. Methods Taking into account the level of training of secondary-level nurses in the Democratic Republic of the Congo (DRC, a systemic approach, based on the PRECEDE PROCEED model of analysis, led to a better understanding of the educational determinants and of the factors favourable to a better match between training in health sciences and the expected competences of the health professionals. This article must be read on two complementary levels: one reading, focused on the methodological process, should allow our findings to be transferred to other problems (adaptation of a health promotion model to the educational sphere. The other reading, revolving around the specific theme and results, should provide a frame of reference and specific avenues for action to improve human resources in the health field (using the results of its application in health science teaching in the DRC. Results The results show that it is important to start this training with a global and integrated approach shared by all the actors. The strategies of action entail the need for an approach taking into account all the aspects, i.e. sociological, educational, medical and public health. Conclusions The analysis of the results shows that one cannot bring any change without integrated strategies of action and a multidisciplinary approach that includes all the complex determinants of health behaviour, and to do it within the organization of local structures and institutions in the ministry of health in the DRC.

  14. A model for analysis, systemic planning and strategic synthesis for health science teaching in the Democratic Republic of the Congo: a vision for action.

    Science.gov (United States)

    Parent, Florence; Kahombo, Gérard; Bapitani, Josué; Garant, Michèle; Coppieters, Yves; Levêque, Alain; Piette, Danielle

    2004-12-07

    BACKGROUND: The problem of training human resources in health is a real concern in public health in Central Africa. What can be changed in order to train more competent health professionals? This is of utmost importance in primary health care. METHODS: Taking into account the level of training of secondary-level nurses in the Democratic Republic of the Congo (DRC), a systemic approach, based on the PRECEDE PROCEED model of analysis, led to a better understanding of the educational determinants and of the factors favourable to a better match between training in health sciences and the expected competences of the health professionals. This article must be read on two complementary levels: one reading, focused on the methodological process, should allow our findings to be transferred to other problems (adaptation of a health promotion model to the educational sphere). The other reading, revolving around the specific theme and results, should provide a frame of reference and specific avenues for action to improve human resources in the health field (using the results of its application in health science teaching in the DRC). RESULTS: The results show that it is important to start this training with a global and integrated approach shared by all the actors. The strategies of action entail the need for an approach taking into account all the aspects, i.e. sociological, educational, medical and public health. CONCLUSIONS: The analysis of the results shows that one cannot bring any change without integrated strategies of action and a multidisciplinary approach that includes all the complex determinants of health behaviour, and to do it within the organization of local structures and institutions in the ministry of health in the DRC.

  15. ERISA and health plans.

    Science.gov (United States)

    Schmidt, P; Mazo, J; Ladenheim, K

    1995-11-01

    This Issue Brief is designed to provide a basic understanding of the relationship of the Employee Retirement Income Security Act of 1974 (ERISA) to health plans. It is based, in part, on an Employee Benefit Research Institute-Education and Research Fund (EBRI-ERF) educational briefing held in March 1995. This report includes a section by Peter Schmidt of Arnold & Porter, a section about multiemployer plans written by Judy Mazo of The Segal Company; and a section about ERISA and state health reform written by Kala Ladenheim of the Intergovernmental Health Policy Project. Starting in the late 1980s, three trends converged to make ERISA a critical factor in state health reforms: increasingly comprehensive state health policy experimentation; changes in the makeup of the insurance market (including the rise in self-insurance and the growth of managed care); and increasingly expansive interpretations of ERISA by federal courts. The changing interpretations of ERISA's relationship to three categories of state health initiatives--insurance mandates, medical high risk pools, and uncompensated care pools--illustrate how these forces are playing out today. ERISA does have a very broad preemptive effect. Federal statutes do not need to say anything about preemption in order to preempt state law. For example, if there is a direct conflict, it would be quite clear under the Supremacy Clause [of the U.S. Constitution] that ERISA, or any federal statue, would preempt a directly conflicting state statute. States can indirectly regulate health care plans that provide benefits through insurance contracts by establishing the terms of the contract. And they also raise money by imposing premium taxes. But they cannot do the same with respect to self-funded plans. That is one of the factors that has caused a great rise in the number of self-funded plans. State regulation [of employee benefits] can create three kinds of problems: cost of taxes, fees, or other charges; cost of dealing

  16. A reasoned action approach to health promotion.

    Science.gov (United States)

    Fishbein, Martin

    2008-01-01

    This article describes the integrative model of behavioral prediction (IM), the latest formulation of a reasoned action approach. The IM attempts to identify a limited set of variables that can account for a considerable proportion of the variance in any given behavior. More specifically, consistent with the original theory of reasoned action, the IM assumes that intentions are the immediate antecedents of behavior, but in addition, the IM recognizes that environmental factors and skills and abilities can moderate the intention-behavior relationship. Similar to the theory of planned behavior, the IM also assumes that intentions are a function of attitudes, perceived normative pressure and self-efficacy, but it views perceived normative pressure as a function of descriptive as well as of injunctive (i.e., subjective) norms. After describing the theory and addressing some of the criticisms directed at a reasoned action approach, the paper illustrates how the theory can be applied to understanding and changing health related behaviors.

  17. Effects of action planning and coping planning within the theory of planned behaviour

    DEFF Research Database (Denmark)

    Pakpour, Amir H.; Zedi, Isa mohammadi; Chatzisarantis, Nikos

    2011-01-01

    Objective: Patients on dialysis have low physical activity levels. The aim of the study was to examine the validity of action planning and coping planning within the theory of planned behaviour framework, for predicting physical activity behaviour of patients on hemodialysis. Methods: One hundred...... and forty four patients who were undergoing emodialysis were selected from dialysis centers. The mean age of the patients was 56.61 (SD= 11.38) years. The patients completed a questionnaire including variables from the theory of planned behaviour, action planning and coping planning. Physical activity...... was prospectively assessed at 4-weeks with the validated International Physical Activity Questionnaire self-report measure. A hierarchical regression analysis was performed to examine the effects of action planning and coping planning on physical activity behaviour. Results: There was a main effect for coping...

  18. Clean slate corrective action investigation plan

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-05-01

    The Clean Slate sites discussed in this report are situated in the central portion of the Tonopah Test Range (TTR), north of the Nevada Test Site (NTS) on the northwest portion of the Nellis Air Force Range (NAFR) which is approximately 390 kilometers (km) (240 miles [mi]) northwest of Las Vegas, Nevada. These sites were the locations for three of the four Operation Roller Coaster experiments. These experiments evaluated the dispersal of plutonium in the environment from the chemical explosion of a plutonium-bearing device. Although it was not a nuclear explosion, Operation Roller Coaster created some surface contamination which is now the subject of a corrective action strategy being implemented by the Nevada Environmental Restoration Project (NV ERP) for the U.S. Department of Energy (DOE). Corrective Action Investigation (CAI) activities will be conducted at three of the Operation Roller Coaster sites. These are Clean Slate 1 (CS-1), Clean Slate 2 (CS-2), and Clean Slate 3 (CS-3) sites, which are located on the TTR. The document that provides or references all of the specific information relative to the various investigative processes is called the Corrective Action Investigation Plan (CAIP). This CAIP has been prepared for the DOE Nevada Operations Office (DOE/NV) by IT Corporation (IT).

  19. Clean slate corrective action investigation plan

    International Nuclear Information System (INIS)

    1996-05-01

    The Clean Slate sites discussed in this report are situated in the central portion of the Tonopah Test Range (TTR), north of the Nevada Test Site (NTS) on the northwest portion of the Nellis Air Force Range (NAFR) which is approximately 390 kilometers (km) (240 miles [mi]) northwest of Las Vegas, Nevada. These sites were the locations for three of the four Operation Roller Coaster experiments. These experiments evaluated the dispersal of plutonium in the environment from the chemical explosion of a plutonium-bearing device. Although it was not a nuclear explosion, Operation Roller Coaster created some surface contamination which is now the subject of a corrective action strategy being implemented by the Nevada Environmental Restoration Project (NV ERP) for the U.S. Department of Energy (DOE). Corrective Action Investigation (CAI) activities will be conducted at three of the Operation Roller Coaster sites. These are Clean Slate 1 (CS-1), Clean Slate 2 (CS-2), and Clean Slate 3 (CS-3) sites, which are located on the TTR. The document that provides or references all of the specific information relative to the various investigative processes is called the Corrective Action Investigation Plan (CAIP). This CAIP has been prepared for the DOE Nevada Operations Office (DOE/NV) by IT Corporation (IT)

  20. Qualified Health Plan (QHP) Landscape

    Data.gov (United States)

    U.S. Department of Health & Human Services — QHP Landscape Files present basic information about certified Qualified Health Plans and Stand-alone Dental Plans for individuals-families and small businesses...

  1. Westcoast Energy Inc. VCR action plan

    International Nuclear Information System (INIS)

    1998-01-01

    Westcoast Energy Inc. comprises a group of 14 major natural gas and petroleum companies from Canada and the United States. Climate change is a key strategic issue for the group. This paper represents their first consolidated Voluntary Challenge and Registry (VCR) action plan and includes updated information for the seven Westcoast companies which have previously filed individual action plans with the VCR office. Westcoast is involved in gathering and distribution of natural gas to more than one million consumers in Canada, and strongly supports a voluntary approach to meet Canada's commitment to reduce greenhouse gas emissions. Westcoast believes that market-based measures are the most effective and least-expensive way of addressing climate change issues. Key actions undertaken by Westcoast in 1996 were: (1) the creation of a climate change employee awareness program, (2) the development of greenhouse gas emissions inventories, (3) the use of new technologies and methods to reduce greenhouse gas emissions, (4) the development and use of end-user energy efficiency programs, and (5) support for research and pilot scale projects aimed at market-based approaches. In 1996, Westcoast emission from operational sources were 8,201 kt CO 2 equivalent. Emissions from operational sources represent an increase of 42 per cent over 1990 emissions. The main reason for these higher emissions is the increased market demand for natural gas which has resulted in the expansion of Westcoast operations. The demand for natural gas is expected to remain high because natural gas offers low carbon intensity compared to other fossil fuels. Future actions to reduce greenhouse gas emissions include gas storage in abandoned pipelines, a corporation-wide greenhouse gas emission reduction workshop, use of dry low NO x turbine combustion technology, advanced pipeline technology, acid gas reinjection, improvements in data tracking and capture, co-generation, recovery of landfill methane, and support

  2. UMTRA Project environmental, health, and safety plan

    International Nuclear Information System (INIS)

    1989-02-01

    The basic health and safety requirements established in this plan are designed to provide guidelines to be applied at all Uranium Mill Tailings Remedial Action (UMTRA) Project sites. Specific restrictions are given where necessary. However, an attempt has been made to provide guidelines which are generic in nature, and will allow for evaluation of site-specific conditions. Health and safety personnel are expected to exercise professional judgment when interpreting these guidelines to ensure the health and safety of project personnel and the general population. This UMTRA Project Environmental, Health, and Safety (EH ampersand S) Plan specifies the basic Federal health and safety standards and special DOE requirements applicable to this program. In addition, responsibilities in carrying out this plan are delineated. Some guidance on program requirements and radiation control and monitoring is also included. An Environmental, Health, and Safety Plan shall be developed as part of the remedial action plan for each mill site and associated disposal site. Special conditions at the site which may present potential health hazards will be described, and special areas that should should be addressed by the Remedial Action Contractor (RAC) will be indicated. Site-specific EH ampersand S concerns will be addressed by special contract conditions in RAC subcontracts. 2 tabs

  3. ECOWindS Joint Action Plan - Guidelines for Implementation

    DEFF Research Database (Denmark)

    2015-01-01

    The Joint Action Plan (JAP) is a deliverable of the European Clusters for Offshore Wind Servicing (ECOWindS) project Work Package 4 (WP4) “Joint Action Plan”. It presents a plan of action or a roadmap for research, development, and innovation (RDI) for the Offshore Wind Service (OWS) industry. Th...

  4. Radiation protection challenges into the 21st century. Action planning

    International Nuclear Information System (INIS)

    Bandle, A.M.

    2000-01-01

    Building on the work undertaken by the UK Health and Safety Executive in liaison with the wider health and safety community to examine emerging technological trends and their implications for occupational health and safety, a paper was produced for the Southport '99 International Symposium which looked at the likely impact on radiation protection. This paper reports on the next phase of the work which is designed to set the agenda for regulators, duty holders, qualified experts and other key stakeholders and intermediaries. Broad trends and themes determined by phase 1 of the work are translated into action plans aimed at anticipating the key challenges and exploiting the opportunities offered by technological developments for radiation protection purposes. These might equally be to achieve improved risk assessment and exposure characterisations of uncertain or novel practices (or interventions), to promote improved design of equipment and systems of work and adoption of inherently safer processes or procedures, to raise standards of competence in key workers and managers, or to encourage greater collaboration and joined up working between different groups of stakeholders and across national boundaries. The principle purpose of sharing this vision of the future is to encourage radiation protection professionals and others with an interest in radiation and nuclear technologies, to register an interest. It will only be by engagement that the priorities and activities proposed in the action plan can be refined and only by a team effort that the implementation plan can be fully realised. And then there is the next action plan to build and tackle....(author)

  5. Who formulates self-regulatory action plans regarding fruit consumption? An application of the big five personality theory.

    NARCIS (Netherlands)

    de Bruijn, G.-J.

    2013-01-01

    Objective: Action planning is regarded as an important correlate and predictor of health behaviour, but little is known about antecedents of action planning. Because personality constructs have been shown to moderate the effect of action planning interventions, the present study tested associations

  6. 42 CFR 447.256 - Procedures for CMS action on assurances and State plan amendments.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Procedures for CMS action on assurances and State... for Inpatient Hospital and Long-Term Care Facility Services Payment Rates § 447.256 Procedures for CMS action on assurances and State plan amendments. (a) Criteria for approval. (1) CMS approval action on...

  7. Texas strategic action plan for motorcycles : 2013-2018.

    Science.gov (United States)

    2013-06-01

    The Texas Strategic Action Plan for Motorcycles: 2013-2018 provides an integrated : approach to identify implementable strategies and action steps to make the : road environment and infrastructure safer for motorcyclists and other powered : two- and ...

  8. ORD Strategic Action Plan for Information Management / Information Technology 2011

    Science.gov (United States)

    ORD's Strategic Action Plan for IM/IT (2011) was collaboratively developed with input from ORD research and administrative personnel. It identifies actions necessary to support ORD's priority IM and IT needs.

  9. Health Maintenance Organization (HMO) Plan

    Science.gov (United States)

    ... Find & compare doctors, hospitals, & other providers Health Maintenance Organization (HMO) Plan In most HMO Plans, you generally ... certain service when needed. Related Resources Preferred Provider Organization (PPO) Private Fee-for-Service (PFFS) Special Needs ...

  10. Uranium Mill Tailings Remedial Action Project environmental protection implementation plan

    International Nuclear Information System (INIS)

    1994-10-01

    The Uranium Mill Tailings Remedial Action (UMTRA) Project Environmental Protection Implementation Plan (EPIP) has been prepared in accordance with the requirements of the U.S. Department of Energy (DOE) Order 5400.1. The UMTRA EPIP is updated annually. This version covers the time period of 9 November 1994, through 8 November 1995. Its purpose is to provide management direction to ensure that the UMTRA Project is operated and managed in a manner that will protect, maintain, and where necessary, restore environmental quality, minimize potential threats to public health and the environment, and comply with environmental regulations and DOE policies

  11. Uranium Mill Tailings Remedial Action Project environmental protection implementation plan

    Energy Technology Data Exchange (ETDEWEB)

    1994-10-01

    The Uranium Mill Tailings Remedial Action (UMTRA) Project Environmental Protection Implementation Plan (EPIP) has been prepared in accordance with the requirements of the U.S. Department of Energy (DOE) Order 5400.1. The UMTRA EPIP is updated annually. This version covers the time period of 9 November 1994, through 8 November 1995. Its purpose is to provide management direction to ensure that the UMTRA Project is operated and managed in a manner that will protect, maintain, and where necessary, restore environmental quality, minimize potential threats to public health and the environment, and comply with environmental regulations and DOE policies.

  12. Corrective Action Investigation Plan for Corrective Action Unit 137: Waste Disposal Sites, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    Wickline, Alfred

    2005-01-01

    This Corrective Action Investigation Plan (CAIP) contains project-specific information including facility descriptions, environmental sample collection objectives, and criteria for conducting site investigation activities at Corrective Action Unit (CAU) 137: Waste Disposal Sites. This CAIP has been developed in accordance with the ''Federal Facility Agreement and Consent Order'' (FFACO) (1996) that was agreed to by the State of Nevada, the U.S. Department of Energy (DOE), and the U.S. Department of Defense. Corrective Action Unit 137 contains sites that are located in Areas 1, 3, 7, 9, and 12 of the Nevada Test Site (NTS), which is approximately 65 miles (mi) northwest of Las Vegas, Nevada (Figure 1-1). Corrective Action Unit 137 is comprised of the eight corrective action sites (CASs) shown on Figure 1-1 and listed below: (1) CAS 01-08-01, Waste Disposal Site; (2) CAS 03-23-01, Waste Disposal Site; (3) CAS 03-23-07, Radioactive Waste Disposal Site; (4) CAS 03-99-15, Waste Disposal Site; (5) CAS 07-23-02, Radioactive Waste Disposal Site; (6) CAS 09-23-07, Radioactive Waste Disposal Site; (7) CAS 12-08-01, Waste Disposal Site; and (8) CAS 12-23-07, Waste Disposal Site. The Corrective Action Investigation (CAI) will include field inspections, radiological surveys, geophysical surveys, sampling of environmental media, analysis of samples, and assessment of investigation results, where appropriate. Data will be obtained to support corrective action alternative evaluations and waste management decisions. The CASs in CAU 137 are being investigated because hazardous and/or radioactive constituents may be present in concentrations that could potentially pose a threat to human health and the environment. Existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives for the CASs. Additional information will be generated by conducting a CAI before evaluating and selecting corrective action

  13. Developing and Implementing a Citywide Asthma Action Plan: A Community Collaborative Partnership.

    Science.gov (United States)

    Staudt, Amanda Marie; Alamgir, Hasanat; Long, Debra Lynn; Inscore, Stephen Curtis; Wood, Pamela Runge

    2015-12-01

    Asthma affects 1 in 10 children in the United States, with higher prevalence among children living in poverty. Organizations in San Antonio, Texas, partnered to design and implement a uniform, citywide asthma action plan to improve asthma management capacity in schools. The asthma action plan template was modified from that of the Global Initiative for Asthma. School personnel were trained in symptom recognition, actions to take, and use of equipment before the asthma action plan implementation. The annual Asthma Action Plan Summit was organized as a forum for school nurses, healthcare providers, and members of the community to exchange ideas and strategies on implementation, as well as to revise the plan. The asthma action plan was implemented in all 16 local school districts. Feedback received from school nurses suggests that the citywide asthma action plan resulted in improved asthma management and student health at schools. The evidence in this study suggests that community organizations can successfully collaborate to implement a citywide health initiative similar to the asthma action plan.

  14. Usability testing of Avoiding Diabetes Thru Action Plan Targeting (ADAPT) decision support for integrating care-based counseling of pre-diabetes in an electronic health record.

    Science.gov (United States)

    Chrimes, Dillon; Kitos, Nicole R; Kushniruk, Andre; Mann, Devin M

    2014-09-01

    Usability testing can be used to evaluate human-computer interaction (HCI) and communication in shared decision making (SDM) for patient-provider behavioral change and behavioral contracting. Traditional evaluations of usability using scripted or mock patient scenarios with think-aloud protocol analysis provide a way to identify HCI issues. In this paper we describe the application of these methods in the evaluation of the Avoiding Diabetes Thru Action Plan Targeting (ADAPT) tool, and test the usability of the tool to support the ADAPT framework for integrated care counseling of pre-diabetes. The think-aloud protocol analysis typically does not provide an assessment of how patient-provider interactions are effected in "live" clinical workflow or whether a tool is successful. Therefore, "Near-live" clinical simulations involving applied simulation methods were used to compliment the think-aloud results. This complementary usability technique was used to test the end-user HCI and tool performance by more closely mimicking the clinical workflow and capturing interaction sequences along with assessing the functionality of computer module prototypes on clinician workflow. We expected this method to further complement and provide different usability findings as compared to think-aloud analysis. Together, this mixed method evaluation provided comprehensive and realistic feedback for iterative refinement of the ADAPT system prior to implementation. The study employed two phases of testing of a new interactive ADAPT tool that embedded an evidence-based shared goal setting component into primary care workflow for dealing with pre-diabetes counseling within a commercial physician office electronic health record (EHR). Phase I applied usability testing that involved "think-aloud" protocol analysis of eight primary care providers interacting with several scripted clinical scenarios. Phase II used "near-live" clinical simulations of five providers interacting with standardized

  15. Smart Buildings: Business Case and Action Plan

    Energy Technology Data Exchange (ETDEWEB)

    Ehrlich, Paul; Diamond, Rick

    2009-04-01

    General Services Administration (GSA) has been a pioneer in using Smart Building technologies but it has yet to achieve the full benefits of an integrated, enterprise-wide Smart Building strategy. In July 2008, GSA developed an initial briefing memorandum that identified five actions for a Smart Buildings feasibility study: (1) Identify and cluster the major building systems under consideration for a Smart Buildings initiative; (2) Identify GSA priorities for these clusters; (3) Plan for future adoption of Smart Building strategies by identifying compatible hardware; (4) Develop a framework for implementing and testing Smart Building strategies and converged networks; and (5) Document relevant GSA and industry initiatives in this arena. Based on this briefing memorandum, PBS and FAS retained consultants from Lawrence Berkeley National Laboratory, Noblis, and the Building Intelligence Group to evaluate the potential for Smart Buildings within GSA, and to develop this report. The project has included extensive interviews with GSA staff (See Appendix A), a review of existing GSA standards and documents, and an examination of relevant GSA and industry initiatives. Based on interviews with GSA staff and a review of GSA standards and documents, the project team focused on four goals for evaluating how Smart Building technology can benefit GSA: (1) Achieve Energy Efficiency Mandates--Use Smart Building technology as a tool to meet EISA 2007 and EO 13423 goals for energy efficiency. (2) Enhance Property Management--Deploy enterprise tools for improved Operations and Maintenance (O&M) performance and verification. (3) Implement Network as the Fourth Utility--Utilize a converged broadband network to support Smart Building systems and provide GSA clients with connectivity for voice, data and video. (4) Enhance Safety and Security--Harmonize Physical Access Control Systems (PACS) with Smart Building Systems.

  16. BEPS Action Plan: Global Tax Cooperation

    Directory of Open Access Journals (Sweden)

    Andrei Shelepov

    2016-12-01

    Full Text Available Given the dynamics of economic and financial globalization, national tax authorities often do not have adequate tools to effectively combat tax avoidance practices that exploit gaps in the existing tax rules. To address the global problem of tax base erosion and profit shifting (BEPS, the Organisation for Economic Co-operation and Development (OECD and the Group of 20 (G20 have consolidated their efforts on an equal footing. Their joint BEPS Action Plan allowed to involve more than 100 countries, both developing and advanced, in designing and implementing rules aimed at aligning the generation of profits and their taxation and increasing the predictability, transparency and flexibility of the international tax environment for business. This article examines the history of the BEPS project, emphasizing the mode of OECD-G20 engagement in global tax governance, describes the key recommendations made by international institutions to tackle BEPS and forecasts further developments in the area. The author pays special attention to the mechanisms designed to stimulate participation by non-OECD and non-G20 members in the BEPS project and the stance of business on the proposed reforms. He concludes that the work on BEPS is far from finished. Different interpretations of standards, risks of strengthening tax competition between countries and potentially excessive tax burdens on businesses should be addressed. In this regard, OECD and G20 should strengthen their efforts to ensure the participation of developing countries and the private sector, which would stimulate other reforms in international taxation to support global growth and development.

  17. Fukushima action plan 2014; Aktionsplan Fukushima 2014

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2014-02-15

    analyses of the EU stress tests new points were added. The list of the identified points is continually verified on the basis of newest findings and updated if necessary. In 2014 it was decided to definitively shut down the KKM reactor in 2019. The decision to withdraw the long term operation of KKM influences the application of the improvements planned and imposed as a consequence of Fukushima.The Fukushima action plans are an instrument for the evaluation of new findings from the Fukushima accident and for planning improvements. The advancement of the treatment of the identified points is documented and published.

  18. Proceedings of the Radon national action plan workshop

    International Nuclear Information System (INIS)

    Chevet, Pierre-Franck; Godet, Jean-Luc; Tirmarche, Margot; Strand, Per; Mrdakovic Popic, Jelena; Dysvik, Solveig; Skjold, Anne Marit; Vallet, Benoit; Van Deventer, Emilie; Colgan, Tony; ); Mundigl, Stefan; ); Magnusson, S.; Long, Bill; McBurney, Ruth; Thompson, P.A; Pollard, David; Fenton, David; Long, Stephanie; Dehandschutter, Boris; Murith, Christophe; Skeppstroem, Kirlna; Petrova, Karla; Davidkova, Jana; Pravdova, Eva; Kiselev, Sergey; Mc Coll, Neil; Vallet, Jeremie; Rannou, Alain; Kurttio, Paivi; Martinsen, Finn; Roulet, Claude-Alain; Goyette, Joelle; Frutos, Borja; Olaya, Manuel; Linares Alemparte, Pilar; Marinko, Janez; Garcia-Talavera, Marta; Pedrazzi, Lisa; Mc Laughlin, James; Gutierrez-Villanueva, Jose-Luis; Janssens, Augustin

    2015-01-01

    Following the publication of the new European Basic Safety Standards Directive (the Council Directive 2013/59/EURATOM ), published in January 2014, Member States of the European Union have 4 years to incorporate it and to prepare or update their strategy for reducing radon concentration and the associated national radon action plan. Under a joint initiative from ASN and NRPA, 20 European countries, represented by authorities in charge of Radiation Protection, Health, Labour and Housing and Landscaping were brought together during a workshop on national radon action plans. The objective of the workshop, held in ASN's premises, was to share the views and experiences concerning national strategies for reducing radon exposure of the population and associated lung cancer risk. The radon workshop was supported by the World Health Organisation (WHO), the International Atomic Energy Agency (IAEA), the Heads of European Radiation protection Control Authorities (HERCA) and the European Commission (EC). Authorities from USA (EPA, CRCPD), Canada (CNSC) and Russia (FMBA) and the European Radon Association (ERA) also participated in the workshop. This radon workshop has offered the opportunity to compare the actions in place or in preparation in different countries aiming at reducing radon exposure in home and dwellings, in buildings with public access (i.e. schools) and in workplaces. Preventive and corrective solutions, associated with incentives and communication to increase the public awareness, as well as education and training actions for different actors concerned, have been presented and discussed. The question about the relative place of regulation in the national strategy has been considered as an important key point. This document brings together the presentations (slides) given at the workshop. The main conclusions of the workshop are presented at the end of the document

  19. Uranium Mill Tailings Remedial Action Project Environmental Protection Implementation Plan

    International Nuclear Information System (INIS)

    Vollmer, A.T.

    1993-10-01

    The Uranium Mill Tailings Remedial Action (UMTRA) Project Environmental Protection Implementation Plan (EPIP) has been prepared in accordance with the requirements of the US Department of Energy (DOE) Order 5400.1. The UMTRA EPIP covers the time period of November 9, 1993, through November 8, 1994. It will be updated annually. Its purpose is to provide management direction to ensure that the UMTRA Project is operated and managed in a manner that will protect, maintain, and where necessary, restore environmental quality, minimize potential threats to public health and the environment, and comply with environmental regulations and DOE policies. Contents of this report are: (1) general description of the UMTRA project environmental protection program; (2) notifications; (3) planning and reporting; (4) special programs; (5) environmental monitoring programs; (6) quality assurance and data verification; and (7) references

  20. Uranium Mill Tailings Remedial Action Project Environmental Protection Implementation Plan

    Energy Technology Data Exchange (ETDEWEB)

    Vollmer, A.T.

    1993-10-01

    The Uranium Mill Tailings Remedial Action (UMTRA) Project Environmental Protection Implementation Plan (EPIP) has been prepared in accordance with the requirements of the US Department of Energy (DOE) Order 5400.1. The UMTRA EPIP covers the time period of November 9, 1993, through November 8, 1994. It will be updated annually. Its purpose is to provide management direction to ensure that the UMTRA Project is operated and managed in a manner that will protect, maintain, and where necessary, restore environmental quality, minimize potential threats to public health and the environment, and comply with environmental regulations and DOE policies. Contents of this report are: (1) general description of the UMTRA project environmental protection program; (2) notifications; (3) planning and reporting; (4) special programs; (5) environmental monitoring programs; (6) quality assurance and data verification; and (7) references.

  1. Overview of IAEA Action Plan on Nuclear Safety

    International Nuclear Information System (INIS)

    Monti, Stefano

    2012-01-01

    The IAEA Action Plan represents a work programme to strengthen and improve nuclear safety world wide. The plan identifies actions for Member States and the IAEA. Success depends upon: • Cooperation between IAEA, Member States, and other stakeholders; • Availability of appropriate financial resources (MS voluntary contributions)

  2. Assessment of the 2004 Danish National Action Plan for Emplyment

    DEFF Research Database (Denmark)

    Emerek, Ruth

    The report gives the economic, employment and policy context for the National Action Plan for employment, and assess the NAP from a gender persepctive......The report gives the economic, employment and policy context for the National Action Plan for employment, and assess the NAP from a gender persepctive...

  3. Prairie Conservation in Canada: The Prairie Conservation Action Plan Experience

    Science.gov (United States)

    Dean Nernberg; David Ingstrup

    2005-01-01

    In Canada, grassland conservation has been mobilized and directed through the development of Prairie Conservation Action Plans and Action Plan Committees in the three prairie provinces of Alberta (45 partner agencies and organizations), Saskatchewan (26 partners), and Manitoba (26 partners). In Alberta, 43 percent of the native prairie remains; in Saskatchewan and...

  4. 29 CFR 1918.100 - Emergency action plans.

    Science.gov (United States)

    2010-07-01

    ... action plans. (a) Scope and application. This section requires all employers to develop and implement an... departments that can be contacted for further information or explanation of duties under the plan. (c) Alarm... emergency action or for reaction time for safe escape of employees from the workplace or the immediate work...

  5. 76 FR 63927 - Interagency Task Force on Antimicrobial Resistance (ITFAR): An Update on A Public Health Action...

    Science.gov (United States)

    2011-10-14

    ... Task Force on Antimicrobial Resistance (ITFAR): An Update on A Public Health Action Plan to Combat... outlined in A Public Health Action Plan to Combat Antimicrobial Resistance (Action Plan) and solicit... (AR) in recognition of the increasing importance of AR as a public health threat. The Task Force is co...

  6. Fukushima action plan 2015; Aktionsplan Fukushima 2015

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2015-02-15

    stress tests new points were added. The list of the identified points is continually verified on the basis of newest findings and updated if necessary. The Fukushima action plans are an instrument for the evaluation of new findings from the Fukushima accident and for planning improvements. The advancement of the treatment of the identified points is documented and published.

  7. Action plan for electric mobility in Canada

    International Nuclear Information System (INIS)

    Gilbert, R.; Cormier, A.; Lavallee, P.

    2005-01-01

    Electric mobility is an important emerging industry in Canada, where there is significant expertise in electric and hybrid vehicles, batteries, hybrid technologies, grid-connected technologies and fuel cell vehicles. This paper presented a case for the formation of Electric Mobility Canada, a proposed network of private companies and public sector agencies that aims to stimulate industry and provide support to government agencies involved with meeting Canada's obligations under the Kyoto Protocol, as well as in new industry sectors. The environmental, health, economic and industrial benefits of electric mobility were outlined. Current programs for electric mobility were reviewed, and details of financial incentives and initiatives were presented. An overview of electric mobility programs in the United States and Europe was provided. Research and development needs were evaluated. The former Electric Vehicle Association of Canada was discussed. An organizational structure for the proposed network was presented, along with a mission statement and outline of future goals. Recommendations for the future of the network included identifying short and long-term market opportunities for electric mobility technologies for all surface transport modes in Canada; determining research and development needs and appropriate funding and investment opportunities; determining other actions necessary to allow the electric mobility industry to play a growing role in meeting Canada's transport needs; and raising public awareness of the importance of electric mobility trends. It was concluded that the federal government should be approached for start-up funds for the network, which will be followed by further investment from provincial and business interests once the network is in place and functioning. 84 refs

  8. [Development of human resources and the Plan of Action].

    Science.gov (United States)

    Vidal, C

    1984-01-01

    This article (whose first part was published in the previous issue of Educación Médica y Salud) concludes an exhaustive review of manpower development in the Americas. This part considers the specific measures in this field enunciated in the Plan of Action; these measures pertain to four main areas: planning and programming of human resources, training in priority areas, utilization of human resources, and educational technology. The author discusses the present and future possibilities and obstacles of each of these activities and the steps to be taken to bring needs into line with real situations. It is of paramount importance that the national health authorities clearly spell out their policies for the development of human resources in the health field within the framework of general development policies. Another point to be insisted upon is the multiprofessional and multidisciplinary training of the health team and the importance of the education-service-supervision function, which usually results in permanent and continuing education, which in turn optimizes the utilization of personnel. However, none of this will be possible without an appropriate education technology with which to innovate, analyze and refine the entire education process and so meet the needs of both society and the health services.

  9. Readability, suitability, and characteristics of asthma action plans: examination of factors that may impair understanding.

    Science.gov (United States)

    Yin, H Shonna; Gupta, Ruchi S; Tomopoulos, Suzy; Wolf, Michael S; Mendelsohn, Alan L; Antler, Lauren; Sanchez, Dayana C; Lau, Claudia Hillam; Dreyer, Benard P

    2013-01-01

    Recognition of the complexity of asthma management has led to the development of asthma treatment guidelines that include the recommendation that all pediatric asthma patients receive a written asthma action plan. We assessed the readability, suitability, and characteristics of asthma action plans, elements that contribute to the effectiveness of action plan use, particularly for those with limited literacy. This was a descriptive study of 30 asthma action plans (27 state Department of Health (DOH)-endorsed, 3 national action plans endorsed by 6 states). (1) readability (as assessed by Flesch Reading Ease, Flesch-Kincaid, Gunning Fog, Simple Measure of Gobbledygook, Forcast), (2) suitability (Suitability Assessment of Materials [SAM], adequate: ≥ 0.4; unsuitable: typography (30.0%), learning stimulation/motivation (26.7%), and graphics (13.3%). There were no statistically significant differences between the average grade level or SAM score of state DOH developed action plans and those from or adapted from national organizations. Plans varied with respect to terms used, symptoms included, and recommended actions. Specific improvements in asthma action plans could maximize patient and parent understanding of appropriate asthma management and could particularly benefit individuals with limited literacy skills.

  10. National Action Plan for Energy Efficiency Report

    Energy Technology Data Exchange (ETDEWEB)

    National Action Plan for Energy Efficiency

    2006-07-01

    Summarizes recommendations, key barriers, and methods for energy efficiency in utility ratemaking as well as revenue requirements, resource planning processes, rate design, and program best practices.

  11. Participatory Action Research in Health Systems: Empowering ...

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

    2014-12-02

    Dec 2, 2014 ... Home · Resources · Publications ... A new publication, Participatory Action Research in Health Systems: a methods ... organizations, most African countries adopted direct payment for health services as the primary means.

  12. [World plan for reproductive autonomy and health].

    Science.gov (United States)

    Ospina, P

    1994-06-01

    The principal objective of the Third International Conference on Population and Development to be held in Cairo in 1994 is to achieve consensus on a Plan of Action to reinforce reproductive rights of individuals, who bear ultimate responsibility for slowing population growth. The Plan of Action should be adopted by all the peoples of the world in order to stabilize population growth during the next twenty years by means of programs to provide family planning and reproductive health services. The preliminary conference document incorporated recommendations and proposals of two preparatory committees, five regional conferences, six expert meetings, 109 countries, and over 400 nongovernmental organizations from around the world. At current rates of growth, the world's 5.7 billion inhabitants will increase to 9.1 billion by the year 2025, vastly increasing pressure on already limited resources and ecosystems. The central theme of the first World Population Conference in Bucharest in 1974 was the close relationship between population growth and socioeconomic development. The 1974 World Population Plan of Action stressed development of strategies to achieve a better quality of life and rapid socioeconomic development. Recommendations of the 1984 World Population Conference in Mexico remained centered on implementation of the Bucharest Plan of Action with a few additions. Although progress has been achieved in meeting the goals of the Bucharest Plan of Action, growth rates of some developing countries have actually increased. Poverty, unemployment, illiteracy, and discrimination against women are still obstacles to socioeconomic development, and contraceptive usage has not reached optimal levels. Urban migration remains excessive. Progress for many countries over the past decade has been directly related to increasing the access of women to health care and family planning. Themes related to women's status and rights will be incorporated in the 1994 Cairo Conference. The

  13. Electric driving accelerated. Action Plan 2011-2015. Annex 2

    International Nuclear Information System (INIS)

    2011-10-01

    The Dutch Action Plan for Electric Driving gives form and substance to the ambition of the Dutch government to accelerate the market introduction of electric cars in the Netherlands. This plan is not only focused on the electric passenger car. To promote the electrification of transport, also electric garbage trucks, buses, scooters and possibly pleasure boats are included in the plan. [nl

  14. Developing Effective Corrective Action Plan in Krsko NPP

    International Nuclear Information System (INIS)

    Bach, Bruno; Cizmek, Rudi; Bozin, Bojan

    2014-01-01

    Experience shows that many events could have been prevented if lessons had been learned from previous incidents. Event reporting thus has become an increasingly important aspect of the operation and regulation of all safety-related and public health industries. Different industries such as aeronautics, chemicals, transport and of course nuclear depend on Operating Experience (OE) feedback programs to provide lessons learned about safety. The information available under an OE programme for these organizations comprises internal event reports and analysis and external operating experience including reports on low level events and near misses and other relevant operating performance information. The worldwide OE programme (such as WANO OE) in nuclear power plants provides opportunity to learn from events at other plants. In particular, it alerts plants to mistakes or events that have occurred at other nuclear power plants and enables them to take corrective actions to prevent similar occurrences at their own plant. The intent of the effective and efficient OE program is therefore to improve personnel/plant safety, reliability and commercial performance of the operating nuclear power plants. Such a programme ensures that operating experience is analysed, events important to safety are reviewed in depth, lessons learned are disseminated to the staff and to the relevant national and international organizations and corrective actions are effectively implemented. Learning and applying the lessons from operating experience is an integral part of station safety culture and is encouraged by managers throughout the top plant administrative programs and procedures. Krsko NPP is developed its own OE program by using the most relevant INPO/WANO/IAEA guidelines as well as its own knowledge, skills an operating practice. The OE is a part of the Corrective Action Program (CAP), which is among top management programs. The purpose of this article is to present a part of the Krško NPP

  15. Turning strategy into action: implementing a conservation action plan in the Cape Floristic Region

    CSIR Research Space (South Africa)

    Gelderblom, CM

    2003-07-01

    Full Text Available for conservation. These pressures are predicted to intensify, as the region acts as a magnet for settlement and development. This paper thus describes the development of a conservation action plan for the region, arising from the Cape Action Plan...

  16. 78 FR 42071 - Updates to Protective Action Guides Manual: Protective Action Guides (PAGs) and Planning Guidance...

    Science.gov (United States)

    2013-07-15

    ... Guides Manual: Protective Action Guides (PAGs) and Planning Guidance for Radiological Incidents AGENCY... guidance ``PAG Manual: Protective Action Guides (PAGs) and Planning Guidance for Radiological Incidents... ``anonymous access'' system, which means the EPA will not know your identity or contact information unless you...

  17. Indonesia and the BRICS: Implementing the BEPS Action Plan

    Directory of Open Access Journals (Sweden)

    Andrey Shelepov

    2017-12-01

    Full Text Available Tax base erosion and profit shifting (BEPS is a global problem. Finding solutions is a challenge for most countries. The global economic crisis led to a new environment and requirements for doing business. These requirements have been developed by two key international institutions: the Organisation for Economic Cooperation and Development (OECD and the Group of 20 (G20. This approach has engaged the developed and developing countries that are members of these institutions, as well as a significant number of partner countries. As a result, more than 100 countries have confirmed their commitment to the BEPS Action Plan. This article assesses the level of implementation of the BEPS Plan in Indonesia and in the BRICS countries of Brazil, Russia, India, China and South Africa. The author monitored their activities for 13 of the 15 actions (excluding Actions 11 and 15 and identifies several best practices that can be used by Russia. Monitoring considered implemented and planned actions, primarily amendments to and new norms in relevant national legislation, as well as the expected implementation time for all BEPS actions. In addition, the author assessed institutional environments created to implement the provisions of the Action Plan, consultation processes and mechanisms for informing stakeholders. Analysis shows that approaches to implementing the BEPS Action Plan differ among the six countries. Although several lag behind in terms of their implementation schedule, each country has demonstrated some efforts that can be considered best practices. Russia has succeeded the most in implementing the Action Plan

  18. Environmental Restoration Remedial Action Program records management plan

    International Nuclear Information System (INIS)

    Michael, L.E.

    1991-07-01

    The US Department of Energy-Richland Operations Office (DOE-RL) Environmental Restoration Field Office Management Plan [(FOMP) DOE-RL 1989] describes the plans, organization, and control systems to be used for management of the Hanford Site environmental restoration remedial action program. The FOMP, in conjunction with the Environmental Restoration Remedial Action Quality Assurance Requirements document [(QARD) DOE-RL 1991], provides all the environmental restoration remedial action program requirements governing environmental restoration work on the Hanford Site. The FOMP requires a records management plan be written. The Westinghouse Hanford Company (Westinghouse Hanford) Environmental Restoration Remedial Action (ERRA) Program Office has developed this ERRA Records Management Plan to fulfill the requirements of the FOMP. This records management plan will enable the program office to identify, control, and maintain the quality assurance, decisional, or regulatory prescribed records generated and used in support of the ERRA Program. 8 refs., 1 fig

  19. Joint action without and beyond planning

    DEFF Research Database (Denmark)

    Blomberg, Olle

    2013-01-01

    ” that one must have in order to be a party to a shared intention (consider, for example, the social play of young children or the cooperative hunting of non-human primates or social carnivores). The second lacuna concerns how participants (including adult human agents) are able to coordinate their actions......, to make sense of the idea that joint activities are non-accidentally coordinated. In chapter 3, I offer an account of a kind of joint activity in which agents such as young children and some non-human primates could participate, given what we know about their socio-cognitive capacities. In chapter 4, I...... to perform “our” joint action. I reject this constraint and argue that some joint actions (such as a joint manoeuvre performed by two figure skaters) are joint in virtue of each participant having what I call ‘socially extended intention-in-action’ that overlap. In chapter 5, I review empirical work...

  20. Brazilian union actions for workers' health protection

    Directory of Open Access Journals (Sweden)

    Rodolpho Repullo Junior

    Full Text Available CONTEXT: Many authors have emphasized the importance of worker strength through unionized organizations, in relation to the improvement of working procedures, and have reported on the decisiveness of labor movement actions in achieving modifications within the field of work and health. OBJECTIVE: To describe the ways in which Brazilian unions have tried to intervene in health-illness and work processes, identifying the existence of commonality in union actions in this field. TYPE OF STUDY: Qualitative study. SETTING: Postgraduate Program, Environmental Health Department, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brazil. METHODS: Union health advisers and directors were interviewed. Documents relating to union action towards protecting workers' health were collected and analyzed. RESULTS: Unions articulate actions regarding workers' health of a technical and political nature that involve many aspects and high complexity. These have been divided into thematic categories for better analysis. DISCUSSION: Union actions regarding workers' health in Brazil are restricted to some unions, located mainly in the southern, southeastern and northeastern regions of the country. Nonetheless, the unions undertaking such actions represent many professions of great economic and political importance. CONCLUSIONS: The recent changes in health and safety at work regulations, recognition of professional diseases, creation of workers' health services and programs within the unified health system, and operational improvements in companies' specialized safety and occupational medicine services, all basically result from union action. There is commonality of union action in this field in its seeking of technical and political strengthening for all workers and their general and local representation. This has the objective of benefiting collective bargaining between employers and workers. Inter-institutional action on behalf of workers' rights

  1. Government of Canada Action Plan 2000 on Climate Change

    International Nuclear Information System (INIS)

    2000-01-01

    In this first National Climate Change Business Plan the Government of Canada affirms its intention to invest up to $500 million over five years on specific actions to reduce greenhouse gas emissions. This sum is in addition to the action plans being put forward by the provincial and territorial governments and in addition to the $625 million investment over five years announced in Budget 2000. Action Plan 2000 targets key sectors, and the measures announced are expected to take Canada one third of the way to achieving the target established in the Kyoto Protocol by reducing Canada's GHG emissions by 65 megatonnes per year during the 2008-2012 commitment period. The key sectors targeted include the areas of transportation, oil, gas and electricity production, industry, buildings, forestry and agriculture, i. e. sectors that together account for over 90 per cent of Canada's GHG emissions.The Action Plan focuses on reducing GHG emissions in a cost effective way; draws extensively on the best ideas put forward by the provinces, territories and other stakeholders; encourages action by industry and consumers; complements measures and actions by the provinces and territories to address regional issues; and sets the stage for long-term behavioural, technological and economic changes. The remainder of Canada's Kyoto commitments will be addressed by actions in future plans which are currently in the process of being developed, together with the development of further details of this first National Climate Change Business Plan

  2. IAEA Sets Up Team to Drive Nuclear Safety Action Plan

    International Nuclear Information System (INIS)

    2011-01-01

    Full text: The International Atomic Energy Agency is setting up a Nuclear Safety Action Team to oversee prompt implementation of the IAEA Action Plan on Nuclear Safety and ensure proper coordination among all stakeholders. The 12-point Action Plan, drawn up in the wake of the Fukushima Daiichi accident, was approved by the Agency's Board of Governors on 13 September and endorsed by all 151 Member States at its General Conference last week. The team will work within the Agency's Department of Nuclear Safety and Security, headed by Deputy Director General Denis Flory, and will coordinate closely with the Director General's Office for Policy. ''The Action Plan requires immediate follow-up,'' Director General Yukiya Amano said. ''This compact, dedicated team will assist Deputy Director General Flory in implementing the measures agreed in the Action Plan.'' Gustavo Caruso, Head of the Regulatory Activities Section in the IAEA's Division of Installation Safety, has been designated as the team's Special Coordinator for the implementation of the Action Plan. The IAEA has already started implementing its responsibilities under the Action Plan, including development of an IAEA methodology for stress tests for nuclear power plants. The methodology will be ready in October. (IAEA)

  3. Developing Action Plans Based on Strategy

    DEFF Research Database (Denmark)

    Carstensen, Peter H.; Vinter, Otto

    2018-01-01

    The authors have performed a thorough study of the change strategy literature that is the foundation for the 10 overall change strategies defined in ISO/IEC 33014. Then the authors identified eight aspects that should be considered when developing the concrete actions for executing the strategy....

  4. O Papel da epidemiologia no planejamento das ações de saúde bucal do trabalhador Epidemiology role in worker oral health actions planning

    Directory of Open Access Journals (Sweden)

    Tatiana Frederico de Almeida

    2005-12-01

    Full Text Available Este é um estudo de revisão que sistematiza achados de pesquisas sobre exposições ocupacionais e seus efeitos na saúde bucal, destacando a importância dos dados epidemiológicos no planejamento de programas de saúde bucal do trabalhador. Existem relatos de associação potencial entre exposições ocupacionais e alterações bucais; entretanto, são escassos os estudos sobre as condições de saúde bucal dos trabalhadores em países em desenvolvimento como o Brasil. Entre as exposições ocupacionais presentes na literatura odontológica, observa-se uma predominância de estudos sobre substâncias ácidas e também exposições relacionadas com o açúcar, como a poeira de açúcar. As alterações bucais podem manifestar-se tanto nos tecidos duros (cárie, erosão dental, etc. como nos tecidos moles (lesões da mucosa oral, doenças periodontais, etc. Por outro lado, observa-se que os programas de saúde bucal do trabalhador, quando existem, muitas vezes não consideram as especificidades dessa parcela da população que, além de exposta aos fatores de risco mais conhecidos das principais doenças bucais, está submetida a outros fatores relacionados ao ambiente de trabalho. Assim, considera-se relevante a discussão sobre a necessidade de maior produção de conhecimento nessa área, de capacitação de recursos humanos e de implementação de programas mais efetivos, baseados nos princípios da vigilância em saúde do trabalhador.This study is a review of published research findings in occupational exposures and their impact on oral health, emphasizing the relevance of epidemiological studies in the planning of workers' oral health programs. There are some studies reporting potential association between occupational exposures and oral diseases; nevertheless, there are few studies concerning workers oral health conditions in developing countries, as Brazil. In current dental literature related to occupational exposures, there are

  5. Remedial Action Plan for Expanded Bioventing System Facility 6454

    National Research Council Canada - National Science Library

    1996-01-01

    This draft remedial action plan (RAP) presents the scope for an expanded bioventing system for in situ treatment of fuel-contaminated soils at Site 6454 at Vandenberg Air Force Base (AFB), California...

  6. 29 CFR 1608.4 - Establishing affirmative action plans.

    Science.gov (United States)

    2010-07-01

    ... taken pursuant to an affirmative action plan or program must be reasonable in relation to the problems... remedy the situation. Such steps, which in design and execution may be race, color, sex or ethnic...

  7. Transit green building action plan : report to congress

    Science.gov (United States)

    2009-06-04

    The explanatory statement accompanying the fiscal year 2009 Omnibus appropriations : act1 directed the Federal Transit Administration (FTA) to submit a transit facility green : building action plan to the House and Senate Committees on Appropriati...

  8. Learning through Participatory Action Research for Community Ecotourism Planning.

    Science.gov (United States)

    Guevara, Jose Roberto Q.

    1996-01-01

    Ecologically sound tourism planning and policy require an empowering community participation. The participatory action research model helps a community gain understanding of its social reality, learn how to learn, initiate dialog, and discover new possibilities for addressing its situation. (SK)

  9. 24 Command Fire Improvement Action Program Plan

    International Nuclear Information System (INIS)

    GRIFFIN, G.B.

    2000-01-01

    Fluor Hanford (FH) is responsible for providing support to the Department of Energy Richland Operations Office (RL) in the implementation of the Hanford Emergency Preparedness (EP) program. During fiscal year 2000, a number of program improvements were identified from various sources including a major range fire (24 Command Fire). Evaluations of the emergency preparedness program have confirmed that it currently meets all requirements and that performance of personnel involved is good, however the desire to effect continuous improvement resulted in the development of this improvement program plan. This program plan defines the activities that will be performed in order to achieve the desired performance improvements

  10. 75 FR 34537 - Interim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status as a...

    Science.gov (United States)

    2010-06-17

    ... 45 CFR Part 147 Group Health Plans and Health Insurance Coverage Relating to Status as a... for Group Health Plans and Health Insurance Coverage Relating to Status as a Grandfathered Health Plan... and Insurance Oversight, Department of Health and Human Services. ACTION: Interim final rules with...

  11. Strategic Research Action Plans 2016-2019

    Science.gov (United States)

    EPA's six research priorities: Air, Climate, Energy; Chemical Safety for Sustainability, Homeland Security, Human Health Risk Assessment, Sustainable and Healthy Communities, Safe and Sustainable Water Resources.

  12. The Norwegian Plan of Action for nuclear safety issues

    International Nuclear Information System (INIS)

    1997-07-01

    The Plan of Action underlies Norwegian activities in the field of international co-operation to enhance nuclear safety and prevent radioactive contamination from activities in Eastern Europe and the former Soviet Union. Geographically the highest priority has been given to support for safety measures in north-west Russia. This information brochure outlines the main content of the Plan of Action for nuclear safety issues and lists a number of associated measures and projects

  13. The Norwegian Plan of Action for nuclear safety issues

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-07-01

    The Plan of Action underlies Norwegian activities in the field of international co-operation to enhance nuclear safety and prevent radioactive contamination from activities in Eastern Europe and the former Soviet Union. Geographically the highest priority has been given to support for safety measures in north-west Russia. This information brochure outlines the main content of the Plan of Action for nuclear safety issues and lists a number of associated measures and projects.

  14. Dynamics in self-regulation : Plan execution self-efficacy and mastery of action plans

    OpenAIRE

    Scholz, Urte; Sniehotta, Falco F.; Schüz, Benjamin; Oeberst, Andries

    2007-01-01

    This study investigated whether an individual's plan execution self-efficacy precedes mastery of the respective action plan or vice versa. Study participants were 122 cardiac rehabilitation patients. Plan execution self-efficacy and mastery of a personal action plan on physical activity were assessed each week for 6 weeks after discharge from rehabilitation. Physical exercise was assessed 2 months after discharge. Multilevel cross-lagged panel analyses resulted in a positive effect of mastery...

  15. 29 CFR 1917.30 - Emergency action plans.

    Science.gov (United States)

    2010-07-01

    ... action plans—(1) Scope and application. This paragraph (a) requires all employers to develop and... departments that can be contacted for further information or explanation of duties under the plan. (3) Alarm... emergency action and for reaction time for safe escape of employees from the workplace or the immediate work...

  16. Health Plan Finder Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Affordable Care Act requires that HHS establish a mechanism, including an internet website, through which a resident of, or small business in, any State may...

  17. Health Plans - Trend Reports

    Data.gov (United States)

    U.S. Department of Health & Human Services — This page contains several useful trend and competition indicators. Certain files will be updated monthly while others will be updated quarterly. The files are the...

  18. North Slope (Wahluke Slope) expedited response action cleanup plan

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-01

    The purpose of this action is to mitigate any threat to public health and the environment from hazards on the North Slope and meet the expedited response action (ERA) objective of cleanup to a degree requiring no further action. The ERA may be the final remediation of the 100-I-3 Operable Unit. A No Action record of decision (ROD) may be issued after remediation completion. The US Department of Energy (DOE) currently owns or administers approximately 140 mi{sup 2} (about 90,000 acres) of land north and east of the Columbia River (referred to as the North Slope) that is part of the Hanford Site. The North Slope, also commonly known as the Wahluke Slope, was not used for plutonium production or support facilities; it was used for military air defense of the Hanford Site and vicinity. The North Slope contained seven antiaircraft gun emplacements and three Nike-Ajax missile positions. These military positions were vacated in 1960--1961 as the defense requirements at Hanford changed. They were demolished in 1974. Prior to government control in 1943, the North Slope was homesteaded. Since the initiation of this ERA in the summer of 1992, DOE signed the modified Hanford Federal Agreement and Consent Order (Tri-Party Agreement) with the Washington Department of Ecology (Ecology) and the US Environmental Protection Agency (EPA), in which a milestone was set to complete remediation activities and a draft closeout report by October 1994. Remediation activities will make the North Slope area available for future non-DOE uses. Thirty-nine sites have undergone limited characterization to determine if significant environmental hazards exist. This plan documents the results of that characterization and evaluates the potential remediation alternatives.

  19. North Slope (Wahluke Slope) expedited response action cleanup plan

    International Nuclear Information System (INIS)

    1994-02-01

    The purpose of this action is to mitigate any threat to public health and the environment from hazards on the North Slope and meet the expedited response action (ERA) objective of cleanup to a degree requiring no further action. The ERA may be the final remediation of the 100-I-3 Operable Unit. A No Action record of decision (ROD) may be issued after remediation completion. The US Department of Energy (DOE) currently owns or administers approximately 140 mi 2 (about 90,000 acres) of land north and east of the Columbia River (referred to as the North Slope) that is part of the Hanford Site. The North Slope, also commonly known as the Wahluke Slope, was not used for plutonium production or support facilities; it was used for military air defense of the Hanford Site and vicinity. The North Slope contained seven antiaircraft gun emplacements and three Nike-Ajax missile positions. These military positions were vacated in 1960--1961 as the defense requirements at Hanford changed. They were demolished in 1974. Prior to government control in 1943, the North Slope was homesteaded. Since the initiation of this ERA in the summer of 1992, DOE signed the modified Hanford Federal Agreement and Consent Order (Tri-Party Agreement) with the Washington Department of Ecology (Ecology) and the US Environmental Protection Agency (EPA), in which a milestone was set to complete remediation activities and a draft closeout report by October 1994. Remediation activities will make the North Slope area available for future non-DOE uses. Thirty-nine sites have undergone limited characterization to determine if significant environmental hazards exist. This plan documents the results of that characterization and evaluates the potential remediation alternatives

  20. Agenda for action on air and health

    Energy Technology Data Exchange (ETDEWEB)

    Yaffe, B.; Perrotta, K.; Campbell, M.; Li-Muller, A.; Macfarlane, R.; Gingrich, S. [Toronto Public Health, ON (Canada)

    2004-07-01

    Toronto's acting medical officer of health estimates that five common air pollutants contribute to thousands of premature deaths and even more hospital admissions in Toronto every year. This report includes information from studies around the world which show that air pollution causes reduced lung function, asthma attacks, emergency room visits, lung cancer, high blood pressure and reduced life expectancy. The medical officer of health calls for action on air quality. The transportation sector was identified as the most significant source of air pollutants within the city, followed by the industrial sector and fuel consumption for power generation and home heating. Air quality in Toronto is also affected by coal-fired power plants that are upwind in southwestern Ontario and mid-western United States. This report was divided into 4 priority areas: (1) reduce use of, and emissions from, the transportation sector by increasing ridership on public transit and curbing urban sprawl, (2) reducing emissions from fuel consumption for home heating and power generation by phasing out coal-fired power plants and promoting energy efficiency, (3) reducing emissions from point sources that contribute to local and regional air quality concerns, and (4) improving the support systems needed to promote air quality improvements. Some of the recommendations were to develop a regional air quality plan that mandates significant reductions in smog-forming precursors from the industrial sector. 95 refs., 6 tabs., 1 fig., 2 appendices.

  1. Identifying and Prioritizing Gaps in Neuroendocrine Tumor Research: A Modified Delphi Process With Patients and Health Care Providers to Set the Research Action Plan for the Newly Formed Commonwealth Neuroendocrine Tumor Collaboration.

    Science.gov (United States)

    Segelov, Eva; Chan, David; Lawrence, Ben; Pavlakis, Nick; Kennecke, Hagen F; Jackson, Christopher; Law, Calvin; Singh, Simron

    2017-08-01

    Neuroendocrine tumors (NETs) are a diverse group of malignancies that pose challenges common to all rare tumors. The Commonwealth Neuroendocrine Tumor Collaboration (CommNETS) was established in 2015 to enhance outcomes for patients with NETs in Canada, Australia, and New Zealand. A modified Delphi process was undertaken involving patients, clinicians, and researchers to identify gaps in NETs research to produce a comprehensive and defensible research action plan. A three-round modified Delphi process was undertaken with larger representation than usual for medical consensus processes. Patient/advocate and health care provider/researcher expert panels undertook Round 1, which canvassed 17 research priorities and 42 potential topics; in Round 2, these priorities were ranked. Round 3 comprised a face-to-face meeting to generate final consensus rankings and formulate the research action plan. The Delphi groups consisted of 203 participants in Round 1 (64% health care providers/researchers, 36% patient/advocates; 52% Canadian, 32% Australian, and 17% New Zealander), of whom 132 participated in Round 2. The top eight priorities were biomarker development; peptide receptor radionuclide therapy optimization; trials of new agents in advanced NETs; functional imaging; sequencing therapies for metastatic NETs, including development of validated surrogate end points for studies; pathologic classification; early diagnosis; interventional therapeutics; and curative surgery. Two major areas were ranked significantly higher by patients/advocates: early diagnosis and curative surgery. Six CommNETS working parties were established. This modified Delphi process resulted in a well-founded set of research priorities for the newly formed CommNETS collaboration by involving a large, diverse group of stakeholders. This approach to setting a research agenda for a new collaborative group should be adopted to ensure that research plans reflect unmet needs and priorities in the field.

  2. Identifying and Prioritizing Gaps in Neuroendocrine Tumor Research: A Modified Delphi Process With Patients and Health Care Providers to Set the Research Action Plan for the Newly Formed Commonwealth Neuroendocrine Tumor Collaboration

    Directory of Open Access Journals (Sweden)

    Eva Segelov

    2017-08-01

    Full Text Available Purpose: Neuroendocrine tumors (NETs are a diverse group of malignancies that pose challenges common to all rare tumors. The Commonwealth Neuroendocrine Tumor Collaboration (CommNETS was established in 2015 to enhance outcomes for patients with NETs in Canada, Australia, and New Zealand. A modified Delphi process was undertaken involving patients, clinicians, and researchers to identify gaps in NETs research to produce a comprehensive and defensible research action plan. Methods: A three-round modified Delphi process was undertaken with larger representation than usual for medical consensus processes. Patient/advocate and health care provider/researcher expert panels undertook Round 1, which canvassed 17 research priorities and 42 potential topics; in Round 2, these priorities were ranked. Round 3 comprised a face-to-face meeting to generate final consensus rankings and formulate the research action plan. Results: The Delphi groups consisted of 203 participants in Round 1 (64% health care providers/researchers, 36% patient/advocates; 52% Canadian, 32% Australian, and 17% New Zealander, of whom 132 participated in Round 2. The top eight priorities were biomarker development; peptide receptor radionuclide therapy optimization; trials of new agents in advanced NETs; functional imaging; sequencing therapies for metastatic NETs, including development of validated surrogate end points for studies; pathologic classification; early diagnosis; interventional therapeutics; and curative surgery. Two major areas were ranked significantly higher by patients/advocates: early diagnosis and curative surgery. Six CommNETS working parties were established. Conclusion: This modified Delphi process resulted in a well-founded set of research priorities for the newly formed CommNETS collaboration by involving a large, diverse group of stakeholders. This approach to setting a research agenda for a new collaborative group should be adopted to ensure that research plans

  3. Planning for Action: Campaign Concepts and Tools

    Science.gov (United States)

    2012-08-01

    painting that gets the creative juices flowing. Campaign planning is an art, but some of the science of tactics, techniques, and practices (TTP) can help...Designation of the reserve, including its location and composition .  Reconnaissance and security operations.  Essential stability tasks...measurable, collectable, and relevant to a specific time. Examples of indicators include bushels of apples sold in a specific market in the past

  4. 29 CFR 1926.35 - Employee emergency action plans.

    Science.gov (United States)

    2010-07-01

    ... Provisions § 1926.35 Employee emergency action plans. (a) Scope and application. This section applies to all...) Names or regular job titles of persons or departments who can be contacted for further information or... the employee in the event of an emergency. The written plan shall be kept at the workplace and made...

  5. Uranium Mill Tailings Remedial Action Project surface project management plan

    International Nuclear Information System (INIS)

    1994-09-01

    This Project Management Plan describes the planning, systems, and organization that shall be used to manage the Uranium Mill Tailings Remedial Action Project (UMTRA). US DOE is authorized to stabilize and control surface tailings and ground water contamination at 24 inactive uranium processing sites and associated vicinity properties containing uranium mill tailings and related residual radioactive materials

  6. HEALTH SECTOR ACTIONS TO IMPROVE NUTRITION ...

    African Journals Online (AJOL)

    Reducing malnutrition-related maternal and childhood morbidity and mortality in Africa requires a systematic and coordinated strategy. This paper discusses a health sector strategy which includes: i) advocating for action in nutrition at all levels; ii) integration of the essential nutrition actions into six key contact points ...

  7. Application of action planning to PES systems

    OpenAIRE

    Paredes Cuervo, Diego; Arango Ramírez, Alejandro

    2008-01-01

    Buscando aportar una de las primeras aproximaciones metodológicas al tema del pago por servicios ambientales (PSA) en la cuenca del río Otún (Risaralda, Colombia) se propuso un plan de acción para la instalación de un sistema de PSA en la zona. El resultado principal de este proceso fue la definición de las actividades, responsabilidades y recursos para la implementación de un proyecto piloto de PSA enfocado en la calidad hídrica y la conservación de la biodiversidad y que incluirá como p...

  8. NIH Launches National COPD Action Plan | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... COPD Action Plan Follow us NIH Launches National COPD Action Plan Photo: National Heart, Lung, and Blood ... questions for NIH MedlinePlus magazine. Why was the COPD National Action Plan created? The staggering numbers associated ...

  9. Task Action Plans for generic activities: Category A

    International Nuclear Information System (INIS)

    1978-10-01

    The document contains listings of generic technical activities as identified and placed in priority categories by the Office of Nuclear Reactor Regulation (NRR). In addition, it contains definitions of Priority Categories A, B, C, and D and copies of forty approved Task Action Plans for Category A activites. Problem Descriptions for the Category B, C and D tasks are contained in NUREG--0471. This material was developed within the context of NRR's Program for the Resolution of Generic Issues Related to Nuclear Power Plants. As part of this program, the assignment of identified issues to priority categories and the approval of Task Action Plans were made by NRR's Technical Activities Steering Committee, chaired by the Deputy Director, NRR. The original document was published in November 1977. In December 1977 it was updated to add the Task Action Plan for Task No. A-17, Systems Interactions in Nuclear Power Plants. This update adds Task Action Plans for Tasks A-13, A-18, A-21, A-22, A-32, A-37, A-38 and A-40. Task A-41 has been included in Task A-40. In addition, as part of this update, the following changes were made to each Task Action Plan (with the exception of the Task Action Plan for Task A-9): (1) a title page was added that includes information such as Lead NRR Organization, Lead Supervisor, Task Manager, Applicability, and Projected Completion Date; (2) detailed schedule information was deleted; and (3) a new Section 3 entitled Basis for Continued Plant Operation and Licensing Pending Completion of Task was added. These changes represent general reformatting and the addition or deletion of certain general types of information. Some substantive revisions were made to several of the plans, however, a general revision of all of the plans was not undertaken at this time

  10. The neural basis of predicting the outcomes of planned actions

    Directory of Open Access Journals (Sweden)

    Andrew eJahn

    2011-11-01

    Full Text Available A key feature of human intelligence is the ability to predict the outcomes of one’s own actions prior to executing them. Action values are thought to be represented in part in the dorsal and ventral medial prefrontal cortex, yet current studies have focused on the value of executed actions rather than the anticipated value of a planned action. Thus, little is known about the neural basis of how individuals think (or fail to think about their actions and the potential consequences before they act. We scanned individuals with fMRI while they thought about performing actions that they knew would likely be correct or incorrect. Here we show that merely imagining an error, as opposed to imagining a correct outcome, increases activity in the dorsal anterior cingulate cortex, independently of subsequent actions. This activity overlaps with regions that respond to actual error commission. The findings show a distinct network that signals the prospective outcomes of one’s planned actions. A number of clinical disorders such as schizophrenia and drug abuse involve a failure to take the potential consequences of an action into account prior to acting. Our results thus suggest how dysfunctions of the medial prefrontal cortex may contribute to such failures.

  11. Remedial action and waste disposal project: 100-B/C remedial action readiness evaluation plan

    International Nuclear Information System (INIS)

    April, J.G.; Bryant, D.L.; Cislo, G.B.

    1996-06-01

    The Readiness Evaluation Plan presents the methodology used to assess the readiness of the 100-B/C Remedial Action Project. The 100 Areas Remedial Action Project will remediate the 100 Areas liquid waste site identified in the Interim Action Record of Decision for the 100- BC-1, 100-DR-1, and 100-HR-1 Operable Units. These sites are located in the 100 Area of the Hanford Site in Richland, Washington

  12. Assessment of Evacuation Protective Action Strategies For Emergency Preparedness Plan

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Joomyung; Jae, Moosung [Hanyang Univ., Seoul (Korea, Republic of); Ahn, Kwangil [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2013-10-15

    This report which studies about evacuation formation suggests some considerable factors to reduce damage of radiological accidents. Additional details would be required to study in depth and more elements should be considered for updating emergency preparedness. However, this methodology with sensitivity analysis could adapt to specific plant which has total information such as geological data, weather data and population data. In this point of view the evacuation study could be contribute to set up emergency preparedness plan and propose the direction to enhance protective action strategies. In radiological emergency, residents nearby nuclear power plant should perform protective action that is suggested by emergency preparedness plan. The objective of emergency preparedness plan is that damages, such as casualties and environmental damages, due to radioactive accident should be minimized. The recent PAR study includes a number of subjects to improve the quality of protective action strategies. For enhancing protective action strategies, researches that evaluate many factors related with emergency response scenario are essential parts to update emergency preparedness plan. Evacuation is very important response action as protective action strategy.

  13. Assessment of Evacuation Protective Action Strategies For Emergency Preparedness Plan

    International Nuclear Information System (INIS)

    Lee, Joomyung; Jae, Moosung; Ahn, Kwangil

    2013-01-01

    This report which studies about evacuation formation suggests some considerable factors to reduce damage of radiological accidents. Additional details would be required to study in depth and more elements should be considered for updating emergency preparedness. However, this methodology with sensitivity analysis could adapt to specific plant which has total information such as geological data, weather data and population data. In this point of view the evacuation study could be contribute to set up emergency preparedness plan and propose the direction to enhance protective action strategies. In radiological emergency, residents nearby nuclear power plant should perform protective action that is suggested by emergency preparedness plan. The objective of emergency preparedness plan is that damages, such as casualties and environmental damages, due to radioactive accident should be minimized. The recent PAR study includes a number of subjects to improve the quality of protective action strategies. For enhancing protective action strategies, researches that evaluate many factors related with emergency response scenario are essential parts to update emergency preparedness plan. Evacuation is very important response action as protective action strategy

  14. Action plan to reduce perinatal mortality.

    Science.gov (United States)

    Bhakoo, O N; Kumar, R

    1990-01-01

    The government of India has set a goal of reducing perinatal mortality from its current rate of 48/1000 to 30-35/1000 by the year 2000. Perinatal deaths result from maternal malnutrition, inadequate prenatal care, complications of delivery, and infections in the postpartum period. Since reductions in perinatal mortality require attention to social, economic, and behavioral factors, as well as improvements in the health care delivery system, a comprehensive strategy is required. Social measures, such as raising the age at marriage to 18 years for females, improving the nutritional status of adolescent girls, reducing the strenuousness of work during pregnancy, improving female literacy, raising women's status in the society and thus in the family, and poverty alleviation programs, would all help eliminate the extent of complications of pregnancy. Measures required to enhance infant survival include improved prenatal care, prenatal tetanus toxoid immunization, use of sterile disposable cord care kits, the provision of mucus extractors and resuscitation materials to birth attendants, the creation of neonatal care units in health facilities, and more efficient referral of high-risk newborns and mothers. Since 90% of births in rural India take place at home priority must be given to training traditional birth attendants in the identification of high risk factors during pregnancy, delivery, and the newborn period.

  15. Future Earth Health Knowledge-Action Network.

    Science.gov (United States)

    Shrivastava, Paul; Raivio, Kari; Kasuga, Fumiko; Tewksbury, Joshua; Haines, Andy; Daszak, Peter

    Future Earth is an international research platform providing the knowledge and support to accelerate our transformations to a sustainable world. Future Earth 2025 Vision identified eight key focal challenges, and challenge #6 is to "Improve human health by elucidating, and finding responses to, the complex interactions amongst environmental change, pollution, pathogens, disease vectors, ecosystem services, and people's livelihoods, nutrition and well-being." Several studies, including the Rockefeller Foundation/Lancet Planetary Health Commission Report of 2015, the World Health Organization/Convention on Biological Diversity report and those by oneHEALTH (former ecoHEALTH), have been conducted over the last 30 years. Knowledge-Action Networks (KANs) are the frameworks to apply Future Earth principles of research to related activities that respond to societal challenges. Future Earth Health Knowledge-Action Network will connect health researchers with other natural and social scientists, health and environmental policy professionals and leaders in government, the private sector and civil society to provide research-based solutions based on better, integrated understanding of the complex interactions between a changing global environment and human health. It will build regional capacity to enhance resilience, protect the environment and avert serious threats to health and will also contribute to achieving Sustainable Development Goals. In addition to the initial partners, Future Earth Health Knowledge-Action Network will further nourish collaboration with other on-going, leading research programmes outside Future Earth, by encouraging them in active participation.

  16. Action plans can interact to hinder or facilitate reach performance.

    Science.gov (United States)

    Fournier, Lisa R; Wiediger, Matthew D; Taddese, Ezana F

    2015-11-01

    Executing a reach action can be delayed while retaining another action in working memory (WM) if the two action plans partly overlap rather than do not overlap. This delay (partial repetition cost) occurs when reach responses are under cognitive control. In this study, we investigated whether facilitation (a partial repetition benefit) occurs when reach responses are automatic. We also examined whether the hemisphere controlling the limb or selection of the preferred limb (based on a free-reach task) influences reach performance when the actions partly overlap. Left- and right-handers reached to different stimulus locations to the left and right of body midline with their ipsilateral hand while maintaining an action plan in WM that required the same or the different hand. The results showed a partial repetition benefit for spatially compatible reaches to left and right stimulus locations far from the body midline, but not for those near the body midline. Also, no partial repetition cost was found at any of the stimulus-reach locations. This indicates that automatic reach responses that partly overlap with an action plan maintained in WM are not delayed, but instead can be facilitated (partial repetition benefit). The roles of hemisphere and reach-hand preference in action control and the importance of the degree of feature overlap in obtaining a partial repetition benefit (and cost) are discussed.

  17. Task Group on Safety Margins Action Plan (SMAP). Safety Margins Action Plan - Final Report

    International Nuclear Information System (INIS)

    Hrehor, Miroslav; Gavrilas, Mirela; Belac, Josef; Sairanen, Risto; Bruna, Giovanni; Reocreux, Michel; Touboul, Francoise; Krzykacz-Hausmann, B.; Park, Jong Seuk; Prosek, Andrej; Hortal, Javier; Sandervaag, Odbjoern; Zimmerman, Martin

    2007-01-01

    The international nuclear community has expressed concern that some changes in existing plants could challenge safety margins while fulfilling all the regulatory requirements. In 1998, NEA published a report by the Committee on Nuclear Regulatory Activities on Future Nuclear Regulatory Challenges. The report recognized 'Safety margins during more exacting operating modes' as a technical issue with potential regulatory impact. Examples of plant changes that can cause such exacting operating modes include power up-rates, life extension or increased fuel burnup. In addition, the community recognized that the cumulative effects of simultaneous changes in a plant could be larger than the accumulation of the individual effects of each change. In response to these concerns, CSNI constituted the safety margins action plan (SMAP) task group with the following objectives: 'To agree on a framework for integrated assessments of the changes to the overall safety of the plant as a result of simultaneous changes in plant operation / condition; To develop a CSNI document which can be used by member countries to assess the effect of plant change on the overall safety of the plant; To share information and experience.' The two approaches to safety analysis, deterministic and probabilistic, use different methods and have been developed mostly independently of each other. This makes it difficult to assure consistency between them. As the trend to use information on risk (where the term risk means results of the PSA/PRA analysis) to support regulatory decisions is growing in many countries, it is necessary to develop a method of evaluating safety margin sufficiency that is applicable to both approaches and, whenever possible, integrated in a consistent way. Chapter 2 elaborates on the traditional view of safety margins and the means by which they are currently treated in deterministic analyses. This chapter also discusses the technical basis for safety limits as they are used today

  18. From action planning and plan enactment to fruit consumption: moderated mediation effects.

    Science.gov (United States)

    Kasten, Stefanie; van Osch, Liesbeth; Eggers, Sander Matthijs; de Vries, Hein

    2017-10-23

    Sufficient fruit consumption is beneficial for a healthy live. While many Dutch adults intent to eat the recommended amount of fruit, only 5-10% of the population actually adheres to the recommendation. One mechanism that can help to narrow this gap between intention and actual fruit consumption is action planning. However, action planning is only assumed to be effective if plans are enacted. This study assessed which action plans are made and enacted, and further aimed to investigate two main hypotheses: 1. the effect of action planning (at T1) on fruit consumption (at T2) is mediated by plan enactment (at T3); 2. positive intentions (2a), high self-efficacy (2b) and a strong habit to eat fruit (2c) enhance the mediation of plan enactment, whereas a strong habit to eat snacks (2d) hinders the mediation of plan enactment. This study was a self-reported longitudinal online survey study. A total of 428 participants filled in a survey, measuring demographic factors (e.g. gender, age, education level), several socio-cognitive constructs (i.e. attitudes, self-efficacy, habit, action planning, plan enactment), and fruit consumption, at three points in time (baseline, after 1 month, and after 3 months). Mediation and moderated mediation analyses were used to investigate the planning-plan enactment- fruit consumption relationship. Up to 70% of the participants reported to have enacted their T1 action plans at T2. Action planning on fruit consumption was fully mediated by plan enactment (Hypothesis 1). All four proposed moderators (i.e. intention, self-efficacy, habit to consume fruit, and habit to consume snacks) significantly influenced the mediation (Hypotheses 2a-2d). Mediation of plan enactment was only present with high levels of intention, high levels of self-efficacy, strong habits to eat fruit, and weak habits to eat snacks. The study suggests the importance of plan enactment for fruit consumption. Furthermore, it emphasizes the necessity of facilitating factors

  19. Oak Ridge National Laboratory Corrective Action Plan in response to Tiger Team assessment

    International Nuclear Information System (INIS)

    1991-01-01

    This report presents a complete response to the Tiger Team assessment that was conducted to Oak Ridge National Laboratory (ORNL) and at the US Department of Energy (DOE) Oak Ridge Operations Office (ORO) from October 2, 1990, through November 30, 1990. The action plans have undergone both a discipline review and a cross-cutting review with respect to root cause. In addition, the action plans have been integrated with initiatives being pursued across Martin Marietta Energy Systems, Inc., in response to Tiger Team findings at other DOE facilities operated by Energy Systems. The root cause section is complete and describes how ORNL intends to address the root cause of the findings identified during the assessment. This report is concerned with reactors safety and health findings, responses, and planned actions. Specific areas include: organization and administration; quality verification; operations; maintenance; training and certification; auxiliary systems; emergency preparedness; technical support; nuclear criticality safety; security/safety interface; experimental activities; site/facility safety review; radiological protection; personnel protection; fire protection; management findings, responses, and planned actions; self-assessment findings, responses, and planned actions; and summary of planned actions, schedules, and costs

  20. Preparing US community greenhouse gas inventories for climate action plans

    International Nuclear Information System (INIS)

    Blackhurst, Michael; Scott Matthews, H; Hendrickson, Chris T; Sharrard, Aurora L; Azevedo, Ines Lima

    2011-01-01

    This study illustrates how alternative and supplemental community-level greenhouse gas (GHG) inventory techniques could improve climate action planning. Eighteen US community GHG inventories are reviewed for current practice. Inventory techniques could be improved by disaggregating the sectors reported, reporting inventory uncertainty and variability, and aligning inventories with local organizations that could facilitate emissions reductions. The potential advantages and challenges of supplementing inventories with comparative benchmarks are also discussed. While GHG inventorying and climate action planning are nascent fields, these techniques can improve CAP design, help communities set more meaningful emission reduction targets, and facilitate CAP implementation and progress monitoring.

  1. Preparing US community greenhouse gas inventories for climate action plans

    Energy Technology Data Exchange (ETDEWEB)

    Blackhurst, Michael [Department of Civil, Architectural and Environmental Engineering, The University of Texas at Austin, 1 University Station C1752, Austin, TX 78712-0276 (United States); Scott Matthews, H; Hendrickson, Chris T [Department of Civil and Environmental Engineering, Carnegie Mellon University, 119 Porter Hall, Pittsburgh, PA 15213 (United States); Sharrard, Aurora L [Green Building Alliance, 333 East Carson Street, Suite 331, Pittsburgh, PA 15219 (United States); Azevedo, Ines Lima, E-mail: mblackhurst@gmail.com, E-mail: hsm@cmu.edu, E-mail: auroras@gbapgh.org, E-mail: cth@andrew.cmu.edu, E-mail: iazevedo@cmu.edu [Department of Engineering and Public Policy, Carnegie Mellon University, 119 Porter Hall, Pittsburgh, PA 15213 (United States)

    2011-07-15

    This study illustrates how alternative and supplemental community-level greenhouse gas (GHG) inventory techniques could improve climate action planning. Eighteen US community GHG inventories are reviewed for current practice. Inventory techniques could be improved by disaggregating the sectors reported, reporting inventory uncertainty and variability, and aligning inventories with local organizations that could facilitate emissions reductions. The potential advantages and challenges of supplementing inventories with comparative benchmarks are also discussed. While GHG inventorying and climate action planning are nascent fields, these techniques can improve CAP design, help communities set more meaningful emission reduction targets, and facilitate CAP implementation and progress monitoring.

  2. Transformation of a virtual action plan into a motor plan in the premotor cortex.

    Science.gov (United States)

    Nakayama, Yoshihisa; Yamagata, Tomoko; Tanji, Jun; Hoshi, Eiji

    2008-10-08

    Before preparing to initiate a forthcoming motion, we often acquire information about the future action without specifying actual motor parameters. The information for planning an action at this conceptual level can be provided with verbal commands or nonverbal signals even before the associated motor targets are visible. Under these conditions, the information signifying a virtual action plan must be transformed to information that can be used for constructing a motor plan to initiate specific movements. To determine whether the premotor cortex is involved in this process, we examined neuronal activity in the dorsal premotor cortex (PMd) of monkeys performing a behavioral task designed to isolate the behavioral stages of the acquisition of information for a future action and the construction of a motor plan. We trained the animals to receive a symbolic instruction (color and shape of an instruction cue) to determine whether to select the right or left of targets to reach, despite the physical absence of targets. Subsequently, two targets appeared on a screen at different locations. The animals then determined the correct target (left or right) based on the previous instruction and prepared to initiate a reaching movement to an actual target. The experimental design dissociated the selection of the right/left at an abstract level (action plan) from the physical motor plan. Here, we show that activity of individual PMd neurons initially reflects a virtual action plan transcending motor specifics, before these neurons contribute to a transformation process that leads to activity encoding a motor plan.

  3. Removal Action Plan for the Accelerated Retrieval Project for a Described Area within Pit 4

    International Nuclear Information System (INIS)

    A. M. Tyson

    2006-01-01

    This Removal Action Plan documents the plan for implementation of the Comprehensive Environmental Response, Compensation, and Liability Act non-time-critical removal action to be performed by the Accelerated Retrieval Project. The focus of the action is the limited excavation and retrieval of selected waste streams from a designated portion of the Radioactive Waste Management Complex Subsurface Disposal Area that are contaminated with volatile organic compounds, isotopes of uranium, or transuranic radionuclides. The selected retrieval area is approximately 0.2 ha (1/2 acre) and is located in the eastern portion of Pit 4. The proposed project is referred to as the Accelerated Retrieval Project. This Removal Action Plan details the major work elements, operations approach, and schedule, and summarizes the environmental, safety and health, and waste management considerations associated with the project

  4. Corrective Action Investigation Plan for Corrective Action Unit 528: Polychlorinated Biphenyls Contamination, Nevada Test Site, Nevada, Rev. 0

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office

    2003-05-08

    This Corrective Action Investigation Plan contains the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office's approach to collect the data necessary to evaluate corrective action alternatives appropriate for the closure of Corrective Action Unit (CAU) 528, Polychlorinated Biphenyls Contamination (PCBs), Nevada Test Site (NTS), Nevada, under the Federal Facility Agreement and Consent Order. Located in the southwestern portion of Area 25 on the NTS in Jackass Flats (adjacent to Test Cell C [TCC]), CAU 528 consists of Corrective Action Site 25-27-03, Polychlorinated Biphenyls Surface Contamination. Test Cell C was built to support the Nuclear Rocket Development Station (operational between 1959 and 1973) activities including conducting ground tests and static firings of nuclear engine reactors. Although CAU 528 was not considered as a direct potential source of PCBs and petroleum contamination, two potential sources of contamination have nevertheless been identified from an unknown source in concentrations that could potentially pose an unacceptable risk to human health and/or the environment. This CAU's close proximity to TCC prompted Shaw to collect surface soil samples, which have indicated the presence of PCBs extending throughout the area to the north, east, south, and even to the edge of the western boundary. Based on this information, more extensive field investigation activities are being planned, the results of which are to be used to support a defensible evaluation of corrective action alternatives in the corrective action decision document.

  5. Addressing the impact of economic sanctions on Iranian drug shortages in the joint comprehensive plan of action: promoting access to medicines and health diplomacy

    OpenAIRE

    Setayesh, Sogol; Mackey, Tim K.

    2016-01-01

    Background The U.S Congress initiated sanctions against Iran after the 1979 U.S. Embassy hostage crisis in Tehran, and since then the scope of multilateral sanctions imposed by the United States, the European Union, and the United Nations Security Council have progressively expanded throughout the intervening years. Though primarily targeted at Iran?s nuclear proliferation activities, sanctions have nevertheless resulted in negative public health outcomes for ordinary Iranian citizens. This i...

  6. IAEA supports regional seas conventions and action plans

    International Nuclear Information System (INIS)

    2000-01-01

    The document informs about the 3rd Global Meeting of Regional Seas Conventions and Action Plans held in Monaco in November 2000 at the IAEA's Marine Environmental Laboratory (IAEA-MEL). The meeting assembled a number of marine environmental experts from several UN bodies to reinforce activities to protect the marine environment

  7. 12 CFR 704.10 - Investment action plan.

    Science.gov (United States)

    2010-01-01

    ... market pricing, cash flows, and risk; (3) How the investment fits into the credit union's asset and... Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS CORPORATE CREDIT UNIONS § 704.10 Investment action plan. (a) Any corporate credit union in possession of an...

  8. Projects of Strategic Action Plan of S&T Innovation

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    @@ In July 2001, CAS decided to shift the focus of the current Knowledge Innovation Program (KIP) onto research projects designed to meet the country's strategic needs, and Iaunched the strategic action plan of innovation (SAPI). Under the SAPI, CAS organized the implementation of seven major projects in 2001.The followings are their profiles.

  9. Strategic Action Plan for ERNWACA - 2007-2011 | IDRC ...

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

    Strategic Action Plan for ERNWACA - 2007-2011. IDRC institutional support over the period 2003-2006 (project 102095) enabled the Educational Research Network for West and Central Africa (ERNWACA) to carry out research that made an important contribution to policy dialogue in the region. The work also allowed the ...

  10. Town of Canmore Energy Management Action Plan (EMAP)

    International Nuclear Information System (INIS)

    2005-03-01

    In 1999, the Town of Canmore, Alberta joined the Federation of Canadian Municipalities' Partners for Climate Protection (PCP) Program and committed to reducing greenhouse gas (GHG) emissions from municipal operations by 20 per cent and community-wide emissions by 6 per cent of 2000 levels by 2012. To date, the City has completed a baseline analysis for municipal operations and the community. It has also initiated an Energy Management Action Plan (EMAP) to identify opportunities in sustainable development through energy, GHG and air quality management. The broad community objectives include housing and transportation management, job creation and local economic development. The city has adopted The Natural Step (TNS) framework which defines sustainability and the guiding principles for decision-making. The objectives of EMAP are to define and evaluate options for a practical strategy and action plan to meet the city's GHG reduction targets; raise local awareness of the issues and opportunities of energy planning and GHG reductions and develop a local action plan outlining action items to reduce energy use and GHG emissions from municipal operations throughout the community. This report explained the methodology and framework for EMAP management and presented a community profile for the Town of Canmore. It also included an energy and emissions inventory and forecast with reference to corporate energy and emissions baseline; community energy and emissions baseline; corporate energy and emissions forecast; community energy and emissions forecast and corporate and community GHG targets. refs., tabs., figs

  11. Action Plan for the Development of Civic Morality

    Science.gov (United States)

    Chinese Education and Society, 2006

    2006-01-01

    This paper discusses the action plan for the development of civic morality. Here, the importance, substance, ideology and policy principles guiding the development of civic morality is elaborated. In order to strengthen the development of civic morality, it is a must to adapt to the requirements of the developing situation; seize good…

  12. Quantity and quality of written feedback, action plans, and student ...

    African Journals Online (AJOL)

    Background. Mini-clinical-evaluation exercise (mini-CEX) assessment forms that have been modified with the addition of specific spaces on separate sheets are expected to improve the quantity and quality of written feedback and the action plan for further learning which is agreed upon, and to encourage written reflection.

  13. Evaluation criteria for communications-related corrective action plans

    International Nuclear Information System (INIS)

    1997-02-01

    This document provides guidance and criteria for US Nuclear Regulatory Commission (NRC) personnel to use in evaluating corrective action plans for nuclear power plant communications. The document begins by describing the purpose, scope, and applicability of the evaluation criteria. Next, it presents background information concerning the communication process, root causes of communication errors, and development and implementation of corrective actions. The document then defines specific criteria for evaluating the effectiveness of the corrective action plan, interview protocols, and an observation protocol related to communication processes. This document is intended only as guidance. It is not intended to have the effect of a regulation, and it does not establish any binding requirements or interpretations of NRC regulations

  14. Energy efficiency action plan. Policy action plan for promotion of energy efficiency in the Czech Republic to 2010

    International Nuclear Information System (INIS)

    1999-08-01

    Energy efficiency and renewable energy production contribute to the three major goals of the national energy policy of the Czech Republic: overall competitiveness, security of supply and environmental protection. Therefore, the Czech government aims to promote these two sustainable options. The Energy Policy White Paper, which is being developed at the time of writing (June 1999), will provide the general framework for the future role of energy efficiency and renewable energy in the Czech Republic. In addition, it is necessary to develop specific policies. The National Energy Efficiency Study aimed to support the Czech government in the formulation of energy efficiency and renewable energy policy. The National Energy Efficiency Study has resulted in the following documents: (1) The Energy Efficiency Action Plan focuses on promotion of energy efficiency in end-use (this report); The Renewable Energy Action Plan (separate report; ECN-C--99-064) deals with policy on promotion of renewable energy production. These two Action Plans provide policy makers in the Czech government with essential information on potentials, targets, budgets and recommended policy instruments. The core of the Action Plans is the list of concrete policy actions, ready for implementation; and (2) The National Energy Efficiency Study NEES (separate report; ECN-C--99-063). This report is the background document to the two Action Plans. It contains detailed information on options and measures, potentials, barriers and policy instruments for energy efficiency and renewables. The main part is a detailed outline for a new energy efficiency and renewable policy. Also, it includes recommendations for financing schemes to overcome the investment constraints in the Czech Republic. Finally, a list of concrete projects is included to support project identification

  15. Renewable energy action plan. Policy action plan for promotion of renewable energy in the Czech Republic to 2010

    International Nuclear Information System (INIS)

    1999-08-01

    Energy efficiency and renewable energy production contribute to the three major goals of the national energy policy of the Czech Republic: overall competitiveness, security of supply; and environmental protection. Therefore, the Czech government promotes these two sustainable options. The Energy Policy White Paper, which is being developed at the time of writing (June 1999), will provide the general framework for the future role of energy efficiency and renewable energy in the Czech Republic. However, in addition, it is necessary to develop specific policies. The National Energy Efficiency Study aimed to support the Czech government in the formula tion of energy efficiency and renewable energy policy. The National Energy Efficiency Study has resulted in the following documents: (1) The Renewable Energy Action Plan (this report) addresses renewable energy production. The Energy Efficiency Action Plan focuses on the promotion of energy efficiency in end use (separate report; ECN-C--99-065). These two Action Plans provide policy makers in the Czech government with information on potentials, targets, budgets and recommended policy instruments. The core of the Action Plans is the list of concrete policy actions, ready for implementation; (2) The National Energy Efficiency Study NEES (separate report; ECN-C--99-063). This report is the background document to the two Action Plans. It contains detailed information on options and measures, potentials, barriers and policy instruments for energy efficiency and renewables. The main part is a detailed outline for a new energy efficiency and renewable policy. Also, it includes recommendations for financing schemes to overcome the invest ment constraints in the Czech Republic. Finally, a list of concrete projects is included to support project identification

  16. 76 FR 80205 - Instituting a National Action Plan On Women, Peace, And Security

    Science.gov (United States)

    2011-12-23

    ... strengthen its efforts to prevent--and protect women and children from--harm, exploitation, discrimination... systems through the integration of gender perspectives, and invest in women and girls' health, education... Instituting a National Action Plan On Women, Peace, And Security By the authority vested in me as President by...

  17. 78 FR 9028 - Notice of Availability of a Swine Brucellosis and Pseudorabies Proposed Action Plan

    Science.gov (United States)

    2013-02-07

    ... DEPARTMENT OF AGRICULTURE Animal and Plant Health Inspection Service [Docket No. APHIS-2010-0086] Notice of Availability of a Swine Brucellosis and Pseudorabies Proposed Action Plan AGENCY: Animal and... Brucella suis, causes loss of young through spontaneous abortion or birth of weak offspring, reduced...

  18. Addressing the impact of economic sanctions on Iranian drug shortages in the joint comprehensive plan of action: promoting access to medicines and health diplomacy.

    Science.gov (United States)

    Setayesh, Sogol; Mackey, Tim K

    2016-06-08

    The U.S Congress initiated sanctions against Iran after the 1979 U.S. Embassy hostage crisis in Tehran, and since then the scope of multilateral sanctions imposed by the United States, the European Union, and the United Nations Security Council have progressively expanded throughout the intervening years. Though primarily targeted at Iran's nuclear proliferation activities, sanctions have nevertheless resulted in negative public health outcomes for ordinary Iranian citizens. This includes creating vital domestic shortages to life-saving medicines, leaving an estimated 6 million Iranian patients with limited treatment access for a host of diseases. Sanctions have also crippled Iran's domestic pharmaceutical industry, leading to the disruption of generic medicines production and forcing the country to import medicines and raw materials that are of lower or questionable quality. Countries such as the United States have responded to this medical crisis by implementing export control exemptions with the aim of easing the trade of humanitarian goods (including certain pharmaceuticals and medical devices). However, despite these efforts, pharmaceutical firms and international banking institutions remain cautious about doing business with Iran, leaving the country faced with continuing shortages. We conducted a review of key characteristics of the Iranian drug shortage that identified 73 shortage drugs that closely tracked with the disease burden in the country. Additionally, 44 % of these drugs were also classified as essential medicines by the World Health Organization. A vast majority of these drugs were also covered under export control exemptions that theoretically should make them easier to procure, but nevertheless will still in shortage. Based on our review of the sanctions regulatory framework and key characteristics of the Iranian drug shortage, we propose policy intervention leveraging the recently negotiated P5 + 1 agreement that begins the process of

  19. Corrective action investigation plan: Cactus Spring Waste Trenches. Revision 2

    International Nuclear Information System (INIS)

    1997-02-01

    This Correction Action Investigation Plan (CAIP) contains environmental sample collection objectives and logic for the CAU No. 426, which includes the Cactus Spring Waste Trenches, CAS No. RG-08-001-RG-CS. The Cactus Spring Waste Trenches are located at the Tonopah Test Range (TTR) which is part of the Nellis Air Force Range, approximately 255 kilometers (km) (140 miles [mi]) northwest of Las Vegas, Nevada, by air. The purpose of this investigation is to generate sufficient data to establish the types of waste buried in the trenches, identify the presence and nature of contamination, determine the vertical extent of contaminant migration below the Cactus Spring Waste Trenches, and determine the appropriate course of action for the site. The potential courses of action for the site are clean closure, closure in place (with or without remediation), or no further action

  20. Environmental Restoration Remedial Actions Program Field Office Work Plan

    International Nuclear Information System (INIS)

    1989-02-01

    The Environmental Restoration Remedial Actions (ERRA) Program was established by DP to comply with regulations for characterization and cleanup of inactive waste sites. The program specifically includes inactive site identification and characterization, technology development and demonstration, remedial design and cleanup action, and postclosure activities of inactive radioactive, chemically hazardous, and mixed waste sites. It does not include facility decontamination and decommissioning activities; these are included in a parallel program, Environmental Restoration Decontamination and Decommissioning (ERD and D), also managed by DP. The ERRA program was formally established in fiscal year (FY) 1988 at the Hanford Site to characterize and remediate inactive waste sites at Hanford. The objectives, planned implementation activities, and management planning for the ERRA Program are contained in several planning documents. These documents include planning for the national program and for the Hanford Program. This summary describes the major documents and the role and purpose of this Field Office Work Plan (FOWP) within the overall hierarchy of planning documents. 4 refs., 7 figs., 8 tabs

  1. Action plan against declining vineyards: An innovative approach

    Directory of Open Access Journals (Sweden)

    Riou Christophe

    2016-01-01

    Full Text Available Declining vineyards are assessed by a multi-year decrease in vine productivity and/or its sudden premature or gradual death, based on multiple factors. Since 2015, the French wine sector has been working on an original study to identify new research avenues while launching an innovative action plan to combat vineyard decline. First, a statistical analysis enabled to estimate research efforts in the different countries. 70 factors susceptible to contribute to vineyard decline were then identified by analyzing more than 500 publications. These factors are biological, physical or linked to growing practices. While the role of pathogens is fairly well-known, the impact of the land plot or the soil on decline is less understood. Secondly, a prospective methodology was used to better identify viticulture system factors and levers affecting vines. It was thus demonstrated that yield and longevity are strongly linked to agronomy, economic variables and plant matter, plant physiology, disease, etc... These are the key issues and leverage actions to combat more strongly vineyard decline. The matrix analysis was then complemented by interviews and statistical data to imagine leverage actions. The strategic action plan is focused on four objectives: promoting training of good practices, improving plant production organization, developing vineyard observation networks, implementing an innovative research plan.

  2. Remedial action work plan for the Colonie site. Revision 1

    International Nuclear Information System (INIS)

    1985-08-01

    The Colonie site is a DOE Formerly Utilized Sites Remedial Action Program (FUSRAP) site located in the Town of Colonie, New York, and consisting of an interim storage site and several vicinity properties. The Colonie Interim Storage Site (CISS) is the former National Lead (NL) Industries plant located at 1130 Central Avenue. There are 11 vicinity properties that received remedial action in 1984: 7 located south of the site on Yardboro and Palmer Avenues just across the Colonie-Albany town limits in Albany, and 4 located northwest of the site along Central Avenue in Colonie. Of these properties, nine are residences and two are commercial properties. This document describes the engineering design, construction, and associated plans for remedial action on the vicinity properties and the interim storage site. These plans include both radiological and chemical work. Radiological work includes: excavating the above-guideline radioactive wastes on the vicinity properties; designing required facilities for the interim storage site; preparing the interim storage site to receive these contaminated materials; transporting the contaminated materials to the interim waste storage stockpile; and preparing necessary schedules for accomplishing the remedial actions. Chemical work involves: developing the Resource Conservation and Recovery Act (RCRA) closure plans; neutralizing chemical hazards associated with plating solutions; inventorying on-site chemicals; and disposal of chemicals and/or residues. 17 refs., 5 figs., 1 tab

  3. Action Planning Mediates Guidance of Visual Attention from Working Memory

    Directory of Open Access Journals (Sweden)

    Tobias Feldmann-Wüstefeld

    2015-01-01

    Full Text Available Visual search is impaired when a salient task-irrelevant stimulus is presented together with the target. Recent research has shown that this attentional capture effect is enhanced when the salient stimulus matches working memory (WM content, arguing in favor of attention guidance from WM. Visual attention was also shown to be closely coupled with action planning. Preparing a movement renders action-relevant perceptual dimensions more salient and thus increases search efficiency for stimuli sharing that dimension. The present study aimed at revealing common underlying mechanisms for selective attention, WM, and action planning. Participants both prepared a specific movement (grasping or pointing and memorized a color hue. Before the movement was executed towards an object of the memorized color, a visual search task (additional singleton was performed. Results showed that distraction from target was more pronounced when the additional singleton had a memorized color. This WM-guided attention deployment was more pronounced when participants prepared a grasping movement. We argue that preparing a grasping movement mediates attention guidance from WM content by enhancing representations of memory content that matches the distractor shape (i.e., circles, thus encouraging attentional capture by circle distractors of the memorized color. We conclude that templates for visual search, action planning, and WM compete for resources and thus cause interferences.

  4. Action Planning Mediates Guidance of Visual Attention from Working Memory.

    Science.gov (United States)

    Feldmann-Wüstefeld, Tobias; Schubö, Anna

    2015-01-01

    Visual search is impaired when a salient task-irrelevant stimulus is presented together with the target. Recent research has shown that this attentional capture effect is enhanced when the salient stimulus matches working memory (WM) content, arguing in favor of attention guidance from WM. Visual attention was also shown to be closely coupled with action planning. Preparing a movement renders action-relevant perceptual dimensions more salient and thus increases search efficiency for stimuli sharing that dimension. The present study aimed at revealing common underlying mechanisms for selective attention, WM, and action planning. Participants both prepared a specific movement (grasping or pointing) and memorized a color hue. Before the movement was executed towards an object of the memorized color, a visual search task (additional singleton) was performed. Results showed that distraction from target was more pronounced when the additional singleton had a memorized color. This WM-guided attention deployment was more pronounced when participants prepared a grasping movement. We argue that preparing a grasping movement mediates attention guidance from WM content by enhancing representations of memory content that matches the distractor shape (i.e., circles), thus encouraging attentional capture by circle distractors of the memorized color. We conclude that templates for visual search, action planning, and WM compete for resources and thus cause interferences.

  5. Affirmative Action Plans, January 1, 1994--December 31, 1994. Revision

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-16

    This document is the Affirmative Action Plan for January 1, 1994 through December 31, 1994 for the Lawrence Berkeley Laboratory, University of California (``LBL`` or ``the Laboratory.``) This is an official document that will be presented upon request to the Office of Federal Contract Compliance Programs, US Department of Labor. The plan is prepared in accordance with the Executive Order 11246 and 41 CFR Section 60-1 et seq. covering equal employment opportunity and will be updated during the year, if appropriate. Analyses included in this volume as required by government regulations are based on statistical comparisons. All statistical comparisons involve the use of geographic areas and various sources of statistics. The geographic areas and sources of statistics used here are in compliance with the government regulations, as interpreted. The use of any geographic area or statistic does not indicate agreement that the geographic area is the most appropriate or that the statistic is the most relevant. The use of such geographic areas and statistics is intended to have no significance outside the context of this Affirmative Action Plan, although, of course, such statistics and geographic areas will be used in good faith with respect to this Affirmative Action Plan.

  6. Community Empowerment for School Health: Action Research

    Directory of Open Access Journals (Sweden)

    Thomas Mathew

    2018-01-01

    Full Text Available Background: One of the authors living in Yelagiri Hills incidentally noticed that the one government school and two hostels there, were facing acute issues with performance and multiple student health issues. Hence the action research was undertaken to address the problem and simultaneously to empower the local community. Methods: It was a mixed-method action research study comprising of quantitative surveys (before- after design and qualitative approach (participatory intervention. At baseline survey 177 children in two residential hostels and one government school were examined using a locally adapted Global School based Student Health Survey questionnaire. The hemoglobin level was estimated using WHO hemoglobin color scale. The participatory interventions were carried out through School Health Committee. Periodic health checkup with hemoglobin levels and school performance were examined. After one year, 230 children were examined in the follow up survey using the same questionnaire. Results: There was significant improvement in the personal hygiene and reduction in related morbidity among the children. The number of students of hemoglobin level less than 12gm% decreased from 31.4% to 11.3%.The number of students of hemoglobin level more than or equal to 12gm% increased from 68.6% to 88.7%. There was significant decline in anemia from 31.4% from baseline to 11.3% at follow up survey. There was also significant decrease in the malnutrition. Conclusion: The need based participatory health promoting school initiative for tribal children at Yelagiri hills led to a significant improvement in the school performance and general health conditions of the children. The school health committee has played a vital role in the sustainability of the project. The action research could bring positive improvements in health status of school children through active participation of students, parents, teachers and community members.

  7. Action plan for 1965, Annex 2; Prilog br. 2 - Plan zadataka u 1965. godini

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1965-12-15

    Action plan presented in this annex includes tasks of the mechanics, electrical and electronic equipment services. It includes a detailed list of planned and preventive maintenance actions related to the heavy water system, technical water system, helium system, reactor core, transportation equipment, hot cells, heating and ventilation systems in the reactor building, power supply system, auxiliary systems in the RA reactor building. [Serbo-Croat] Plan zadataka obuhvata aktivnosti masinske i elektro grupe na preventivnom odrzavanju i planskom remontu sistema teske vode, sistema tehnicke vode, sistema helijuma, centralnog tela reaktora, sistema grejanja i ventilacije, sistema za snabdevanje elektricnom energijom, i ostalih pomocnih sistema u zgradi reaktora RA.

  8. Remedial action and waste disposal project: 100-DR-1 remedial action readiness evaluation plan

    International Nuclear Information System (INIS)

    April, J.G.; Bryant, D.L.; Calverley, C.

    1996-08-01

    This plan presents the method used to assess the readiness of the 100- DR-1 Remedial Action Project. Remediation of the 100-D sites (located on the Hanford Site) involves the excavation (treatment if applicable) and final disposal of contaminated soil and debris associated with the high-priority waste sites in the 100 Areas

  9. Increasing advance personal planning: the need for action at the community level.

    Science.gov (United States)

    Waller, Amy; Sanson-Fisher, Rob; Ries, Nola; Bryant, Jamie

    2018-05-09

    Advance personal planning is the process by which people consider, document and communicate their preferences for personal, financial and health matters in case they lose the ability to make decisions or express their wishes in the future. Advance personal planning is most often undertaken by individuals who are seriously ill, often in the context of a medical crisis and/or at the time of admission to hospital. However, the clinical utility and legal validity of the planning process may be compromised in these circumstances. Patients may lack sufficient capacity to meaningfully engage in advance personal planning; there may be insufficient time to adequately reflect on and discuss wishes with key others; and there may also be limited opportunity for inter-professional input and collaboration in the process. Here, we propose an agenda for research to advance the science of advance personal planning by promoting a 'whole community' approach. Adoption of advance personal planning at a community level may be achieved using a variety of strategies including public media campaigns, intervening with professionals across a range of health care and legal settings, and mobilising support from influential groups and local government. One potentially promising method for encouraging earlier adoption of advance personal planning among a broader population involves a community action approach, whereby multiple evidence-based strategies are integrated across multiple access points. Community action involves calling on community members, professionals, community and/or government organisations to work collaboratively to design and systematically implement intervention strategies with the aim of bringing about desired behaviour change. An example of a community action trial to improving uptake and quality of advance personal planning is described. While promising, there is a need for rigorous evidence to demonstrate whether a community action approach is effective in

  10. How to choose a health plan

    Science.gov (United States)

    ... patientinstructions/000861.htm How to choose a health plan To use the sharing features on this page, ... paperwork for tax purposes. How to Compare Health Plans Employers and government sites, such as the Marketplace , ...

  11. Commonwealth of the Northern Mariana Islands Energy Action Plan

    Energy Technology Data Exchange (ETDEWEB)

    Conrad, M. D.; Ness, J. E.

    2013-07-01

    This document describes the three near-term energy strategies selected by the CNMI Energy Task Force during action planning workshops conducted in March 2013, and outlines the steps being taken to implement those strategies. The three energy strategies selected by the task force are (1) designing a demand-side management program focusing on utility, residential and commercial sectors, (2) developing an outreach and education plan focused on energy conservation in government agencies and businesses, including workplace rules, and (3) exploring waste-to-energy options. The task force also discussed several other medium- and long-term energy strategies that could be explored at a future date.

  12. Empowering the child and caregiver: yellow zone Asthma Action Plan.

    Science.gov (United States)

    Dinakar, Chitra; Portnoy, Jay M

    2014-11-01

    Current guidelines, both national and international, elegantly describe evidence-based measures to attain and maintain long-term control of asthma. These strategies, typically discussed between the provider and patient, are provided in the form of written (or electronic) instructions as part of the green zone of the color-coded Asthma Action Plan. The red zone of the Asthma Action Plan has directives on when to use systemic corticosteroids and seek medical attention. The transition zone between the green zone of good control and the red zone of asthma exacerbation is the yellow zone. This zone guides the patient on self-management of exacerbations outside a medical setting. Unfortunately, the only recommendation currently available to patients per the current asthma guidelines is the repetitive use of reliever bronchodilators. This approach, while providing modest symptom relief, does not reliably prevent progression to the red zone. In this document, we present new, evidence-based, yellow zone intervention options.

  13. Clarification of TMI action plan requirements. Technical report

    International Nuclear Information System (INIS)

    1980-11-01

    This document, NUREG-0737, is a letter from D.G. Eisenhut, Director of the Division of Licensing, NRR, to licensees of operating power reactors and applicants for operating licenses forwarding post-TMI requirements which have been approved for implementation. Following the accident at Three Mile Island Unit 2, the NRC staff developed the Action Plan, NUREG-0660, to provide a comprehensive and integrated plan to improve safety at power reactors. Specific items from NUREG-0660 have been approved by the Commission for implementation at reactors. In this NRC report, these specific items comprise a single document which includes additional information about schedules, applicability, method of implementation review, submittal dates, and clarification of technical positions. It should be noted that the total set of TMI-related actions have been collected in NUREG-0660, but only those items that the Commission has approved for implementation to date are included in this document, NUREG-0737

  14. Trade and health: an agenda for action

    Science.gov (United States)

    Smith, Richard D; Lee, Kelley; Drager, Nick

    2009-01-01

    The processes of contemporary globalisation are creating ever-closer ties between individuals and populations across different countries. The health of a population, and the systems in place to deliver health care, are affected increasingly by factors beyond the population and health system. The Lancet’s Series on trade and health has provided an overview of these links between international trade, trade liberalisation, and health, and raised the key issues that face the health community. In this final paper in the Series, we call for a substantial and sustained effort by those within the health profession to engage with issues of trade, to strengthen institutional capacity in this area, and to place health higher on the agenda of trade negotiations. The rapid rise of trade agreements and treaties, as well as trade that occurs beyond these institutional boundaries, means that further action is required by a range of actors, including WHO, the World Bank, the World Trade Organization (WTO), regional agencies, foundations, national governments, civil society, non-governmental organisations, and academics. The stewardship of a domestic health system in the 21st century requires a sophisticated understanding of how trade affects, and will affect, a country’s health system and policy, to optimise opportunities to benefit health and health care while minimising the risks posed though the assertion of health goals in trade policy. To acheive this will place a premium on all those engaged in health to understand the importance of trade and to engage with their counterparts involved in trade and trade policy. We hope that this Series has prompted the reader to become involved in these efforts. PMID:19167056

  15. Trade and health: an agenda for action.

    Science.gov (United States)

    Smith, Richard D; Lee, Kelley; Drager, Nick

    2009-02-28

    The processes of contemporary globalisation are creating ever-closer ties between individuals and populations across different countries. The health of a population, and the systems in place to deliver health care, are affected increasingly by factors beyond the population and health system. The Lancet's Series on trade and health has provided an overview of these links between international trade, trade liberalisation, and health, and raised the key issues that face the health community. In this final paper in the Series, we call for a substantial and sustained effort by those within the health profession to engage with issues of trade, to strengthen institutional capacity in this area, and to place health higher on the agenda of trade negotiations. The rapid rise of trade agreements and treaties, as well as trade that occurs beyond these institutional boundaries, means that further action is required by a range of actors, including WHO, the World Bank, the World Trade Organization (WTO), regional agencies, foundations, national governments, civil society, non-governmental organisations, and academics. The stewardship of a domestic health system in the 21st century requires a sophisticated understanding of how trade affects, and will affect, a country's health system and policy, to optimise opportunities to benefit health and health care while minimising the risks posed though the assertion of health goals in trade policy. To acheive this will place a premium on all those engaged in health to understand the importance of trade and to engage with their counterparts involved in trade and trade policy. We hope that this Series has prompted the reader to become involved in these efforts.

  16. Uranium mill tailings remedial action project real estate management plan

    International Nuclear Information System (INIS)

    1994-09-01

    This plan summarizes the real estate requirements of the US Department of Energy's (DOE) Uranium Mill Tailings Action (UMTRA) Project, identifies the roles and responsibilities of project participants involved in real estate activities, and describes the approaches used for completing these requirements. This document is intended to serve as a practical guide for all project participants. It is intended to be consistent with all formal agreements, but if a conflict is identified, the formal agreements will take precedence

  17. Local climate action plans in climate change mitigation

    DEFF Research Database (Denmark)

    Damsø, Tue Noa Jacques; Kjær, Tyge; Christensen, Thomas Budde

    2016-01-01

    the extent, targets and scope of LG CAPs and find that Danish LGs are highly involved in mitigation activities with a widespread CAP adoption and an overall high degree of sectoral coverage on base year accounts and action plans, albeit with some significant shortcomings. Different approaches for target...... and scope definition are identified and assessed, and the overall contribution of LGs to the Danish energy transition is discussed....

  18. Uranium mill tailings remedial action project real estate management plan

    Energy Technology Data Exchange (ETDEWEB)

    1994-09-01

    This plan summarizes the real estate requirements of the US Department of Energy`s (DOE) Uranium Mill Tailings Action (UMTRA) Project, identifies the roles and responsibilities of project participants involved in real estate activities, and describes the approaches used for completing these requirements. This document is intended to serve as a practical guide for all project participants. It is intended to be consistent with all formal agreements, but if a conflict is identified, the formal agreements will take precedence.

  19. 7 CFR 275.18 - Project area/management unit corrective action plan.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false Project area/management unit corrective action plan... SYSTEM Corrective Action § 275.18 Project area/management unit corrective action plan. (a) The State agency shall ensure that corrective action plans are prepared at the project area/management unit level...

  20. Using management action plans to integrate program improvement efforts

    Energy Technology Data Exchange (ETDEWEB)

    Meador, S.W.; Kidwell, R.J.; Shangraw, W.R.; Cardamone, E.N. [Project Performance Corporation, Sterling, VA (United States)

    1994-12-31

    The Department of Energy`s (DOE`s) Environmental Management Program is the country`s largest and most sophisticated environmental program to date. The rapid expansion of the DOE`s environmental restoration efforts has led to increased scrutiny of its management processes and systems. As the program continues to grow and mature, maintaining adequate accountability for resources and clearly communicating progress will be essential to sustaining public confidence. The Office of Environmental Management must ensure that adequate processes and systems are in place at Headquarters, Operation Offices, and contractor organizations. These systems must provide the basis for sound management, cost control, and reporting. To meet this challenge, the Office of Environmental Restoration introduced the Management Action Plan process. This process was designed to serve three primary functions: (1) define the program`s management capabilities at Headquarters and Operations Offices; (2) describe how management initiatives address identified program deficiencies; and (3) identify any duplication of efforts or program deficiencies. The Environmental Restoration Management Action Plan is a tracking, reporting, and statusing tool, used primarily at the Headquarters level, for assessing performance in key areas of project management and control. BY DOE to communicate to oversight agencies and stakeholders a clearer picture of the current status of the environmental restoration project management system. This paper will discuss how Management Action Plans are used to provide a program-wide assessment of management capabilities.

  1. Using management action plans to integrate program improvement efforts

    International Nuclear Information System (INIS)

    Meador, S.W.; Kidwell, R.J.; Shangraw, W.R.; Cardamone, E.N.

    1994-01-01

    The Department of Energy's (DOE's) Environmental Management Program is the country's largest and most sophisticated environmental program to date. The rapid expansion of the DOE's environmental restoration efforts has led to increased scrutiny of its management processes and systems. As the program continues to grow and mature, maintaining adequate accountability for resources and clearly communicating progress will be essential to sustaining public confidence. The Office of Environmental Management must ensure that adequate processes and systems are in place at Headquarters, Operation Offices, and contractor organizations. These systems must provide the basis for sound management, cost control, and reporting. To meet this challenge, the Office of Environmental Restoration introduced the Management Action Plan process. This process was designed to serve three primary functions: (1) define the program's management capabilities at Headquarters and Operations Offices; (2) describe how management initiatives address identified program deficiencies; and (3) identify any duplication of efforts or program deficiencies. The Environmental Restoration Management Action Plan is a tracking, reporting, and statusing tool, used primarily at the Headquarters level, for assessing performance in key areas of project management and control. BY DOE to communicate to oversight agencies and stakeholders a clearer picture of the current status of the environmental restoration project management system. This paper will discuss how Management Action Plans are used to provide a program-wide assessment of management capabilities

  2. Education issues in disaster medicine: summary and action plan.

    Science.gov (United States)

    Armour, S J; Bastone, P; Birnbaum, M; Garrett, C; Greenough, P G; Manni, C; Ninomiya, N; Renderos, J; Rottman, S; Sahni, P; Shih, C L; Siegel, D; Younggren, B

    2001-01-01

    Change must begin with education. Theme 8 explored issues that need attention in Disaster Medicine education. Details of the methods used are provided in the introductory paper. The chairs moderated all presentations and produced a summary that was presented to an assembly of all of the delegates. The chairs then presided over a workshop that resulted in the generation of a set of action plans that then were reported to the collective group of all delegates. Main points developed during the presentations and discussion included: (1) formal education, (2) standardized definitions, (3) integration, (4) evaluation of programs and interventions, (5) international cooperation, (6) identifying the psychosocial consequences of disaster, (7) meaningful research, and (8) hazard, impact, risk and vulnerability analysis. Three main components of the action plans were identified as evaluation, research, and education. The action plans recommended that: (1) education on disasters should be formalized, (2) evaluation of education and interventions must be improved, and (3) meaningful research should be promulgated and published for use at multiple levels and that applied research techniques be the subject of future conferences. The one unanimous conclusion was that we need more and better education on the disaster phenomenon, both in its impacts and in our response to them. Such education must be increasingly evidence-based.

  3. Motivations for self-regulation: The clean air action plan

    International Nuclear Information System (INIS)

    Giuliano, Genevieve; Linder, Alison

    2013-01-01

    In the fall of 2006 the Ports of Long Beach and Los Angeles announced the Clean Air Action Plan (CAAP). Its intent was to greatly accelerate emissions reductions from port activities. The CAAP was unprecedented in several ways: it was a voluntary agreement between two competing ports; it was achieved with the cooperation of local, state and federal agencies; it promised large particulate emissions reductions along with continued port growth, and it had a price tag of $2.1 billion. What explains the Ports’ decision to implement the CAAP? We conduct a case study to explore alternative explanations for the CAAP. Using data from interviews, media, and the history of events leading up to the CAAP, we find that the CAAP was a strategic response to social and political pressures that had built up over the previous decade. Its intent was to respond to local concerns and reduce opposition to port growth. The CAAP represents an example of the potential of voluntary efforts to solve environmental problems. - Highlights: • We conduct a case study of self-regulation for emissions reduction at seaports in Southern California. • We examine motivations for implementing the Clean Air Action Plan. • We find that social and political pressures were the main motivators, with regulatory threats a contributing factor. • The Clean Air Action Plan is a powerful example of the potential of voluntary strategies

  4. Corrective Action Investigation Plan for Corrective Action Unit 137: Waste Disposal Sites, Nevada Test Site, Nevada, Rev. No.:0

    Energy Technology Data Exchange (ETDEWEB)

    Wickline, Alfred

    2005-12-01

    This Corrective Action Investigation Plan (CAIP) contains project-specific information including facility descriptions, environmental sample collection objectives, and criteria for conducting site investigation activities at Corrective Action Unit (CAU) 137: Waste Disposal Sites. This CAIP has been developed in accordance with the ''Federal Facility Agreement and Consent Order'' (FFACO) (1996) that was agreed to by the State of Nevada, the U.S. Department of Energy (DOE), and the U.S. Department of Defense. Corrective Action Unit 137 contains sites that are located in Areas 1, 3, 7, 9, and 12 of the Nevada Test Site (NTS), which is approximately 65 miles (mi) northwest of Las Vegas, Nevada (Figure 1-1). Corrective Action Unit 137 is comprised of the eight corrective action sites (CASs) shown on Figure 1-1 and listed below: (1) CAS 01-08-01, Waste Disposal Site; (2) CAS 03-23-01, Waste Disposal Site; (3) CAS 03-23-07, Radioactive Waste Disposal Site; (4) CAS 03-99-15, Waste Disposal Site; (5) CAS 07-23-02, Radioactive Waste Disposal Site; (6) CAS 09-23-07, Radioactive Waste Disposal Site; (7) CAS 12-08-01, Waste Disposal Site; and (8) CAS 12-23-07, Waste Disposal Site. The Corrective Action Investigation (CAI) will include field inspections, radiological surveys, geophysical surveys, sampling of environmental media, analysis of samples, and assessment of investigation results, where appropriate. Data will be obtained to support corrective action alternative evaluations and waste management decisions. The CASs in CAU 137 are being investigated because hazardous and/or radioactive constituents may be present in concentrations that could potentially pose a threat to human health and the environment. Existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives for the CASs. Additional information will be generated by conducting a CAI before evaluating and selecting

  5. Corrective Action Investigation Plan for Corrective Action Unit 551: Area 12 Muckpiles, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    Boehlecke, Robert F.

    2004-01-01

    This Corrective Action Investigation Plan (CAIP) contains project-specific information including facility descriptions, environmental sample collection objectives, and criteria for conducting site investigation activities at Corrective Action Unit (CAU) 551, Area 12 muckpiles, Nevada Test Site (NTS), Nevada. This CAIP has been developed in accordance with the 'Federal Facility Agreement and Consent Order' (FFACO) (1996) that was agreed to by the State of Nevada, the U.S. Department of Energy (DOE), and the U.S. Department of Defense. Corrective Action Unit 551 is located in Area 12 of the NTS, which is approximately 110 miles (mi) northwest of Las Vegas, Nevada (Figure 1-1). Area 12 is approximately 40 miles beyond the main gate to the NTS. Corrective Action Unit 551 is comprised of the four Corrective Action Sites (CASs) shown on Figure 1-1 and listed below: (1) 12-01-09, Aboveground Storage Tank and Stain; (2) 12-06-05, Muckpile; (3) 12-06-07, Muckpile; and (4) 12-06-08, Muckpile. Corrective Action Site 12-01-09 is located in Area 12 and consists of an above ground storage tank (AST) and associated stain. Corrective Action Site 12-06-05 is located in Area 12 and consists of a muckpile associated with the U12 B-Tunnel. Corrective Action Site 12-06-07 is located in Area 12 and consists of a muckpile associated with the U12 C-, D-, and F-Tunnels. Corrective Action Site 12-06-08 is located in Area 12 and consists of a muckpile associated with the U12 B-Tunnel. In keeping with common convention, the U12B-, C-, D-, and F-Tunnels will be referred to as the B-, C-, D-, and F-Tunnels. The corrective action investigation (CAI) will include field inspections, radiological surveys, and sampling of media, where appropriate. Data will also be obtained to support waste management decisions

  6. Conservation Action Planning: Lessons learned from the St. Marys River watershed biodiversity conservation planning process

    Science.gov (United States)

    Patterson, Tamatha A.; Grundel, Ralph

    2014-01-01

    Conservation Action Planning (CAP) is an adaptive management planning process refined by The Nature Conservancy (TNC) and embraced worldwide as the Open Standards for the Practice of Conservation. The CAP process facilitates open, multi-institutional collaboration on a common conservation agenda through organized actions and quantified results. While specifically designed for conservation efforts, the framework is adaptable and flexible to multiple scales and can be used for any collaborative planning effort. The CAP framework addresses inception; design and development of goals, measures, and strategies; and plan implementation and evaluation. The specific components of the CAP include defining the project scope and conservation targets; assessing the ecological viability; ascertaining threats and surrounding situation; identifying opportunities and designing strategies for action; and implementing actions and monitoring results. In 2007, TNC and a multidisciplinary graduate student team from the University of Michigan's School of Natural Resources and Environment initiated a CAP for the St. Marys River, the connecting channel between Lake Superior and Lake Huron, and its local watershed. The students not only gained experience in conservation planning, but also learned lessons that notably benefited the CAP process and were valuable for any successful collaborative effort—a dedicated core team improved product quality, accelerated the timeline, and provided necessary support for ongoing efforts; an academic approach in preparation for engagement in the planning process brought applicable scientific research to the forefront, enhanced workshop facilitation, and improved stakeholder participation; and early and continuous interactions with regional stakeholders improved cooperation and built a supportive network for collaboration.

  7. Corrective Action Plan for Corrective Action Unit 562: Waste Systems, Nevada National Security Site, Nevada

    International Nuclear Information System (INIS)

    2011-01-01

    This Corrective Action Plan has been prepared for Corrective Action Unit (CAU) 562, Waste Systems, in accordance with the Federal Facility Agreement and Consent Order (1996; as amended March 2010). CAU 562 consists of 13 Corrective Action Sites (CASs) located in Areas 2, 23, and 25 of the Nevada National Security Site. Site characterization activities were performed in 2009 and 2010, and the results are presented in Appendix A of the Corrective Action Decision Document for CAU 562. The scope of work required to implement the recommended closure alternatives is summarized. (1) CAS 02-26-11, Lead Shot, will be clean closed by removing shot. (2) CAS 02-44-02, Paint Spills and French Drain, will be clean closed by removing paint and contaminated soil. As a best management practice (BMP), asbestos tile will be removed. (3) CAS 02-59-01, Septic System, will be clean closed by removing septic tank contents. As a BMP, the septic tank will be removed. (4) CAS 02-60-01, Concrete Drain, contains no contaminants of concern (COCs) above action levels. No further action is required; however, as a BMP, the concrete drain will be removed. (5) CAS 02-60-02, French Drain, was clean closed. Corrective actions were completed during corrective action investigation activities. As a BMP, the drain grates and drain pipe will be removed. (6) CAS 02-60-03, Steam Cleaning Drain, will be clean closed by removing contaminated soil. As a BMP, the steam cleaning sump grate and outfall pipe will be removed. (7) CAS 02-60-04, French Drain, was clean closed. Corrective actions were completed during corrective action investigation activities. (8) CAS 02-60-05, French Drain, will be clean closed by removing contaminated soil. (9) CAS 02-60-06, French Drain, contains no COCs above action levels. No further action is required. (10) CAS 02-60-07, French Drain, requires no further action. The french drain identified in historical documentation was not located during corrective action investigation

  8. National action plan to reduce smoking during pregnancy: the National Partnership to Help Pregnant Smokers Quit.

    Science.gov (United States)

    Orleans, Tracy; Melvin, Cathy; Marx, Joseph; Maibach, Edward; Vose, Kathryn Kahler

    2004-04-01

    Although there has been remarkable progress and momentum toward achieving smoke-free pregnancies in the United States since 1990, concerted action is needed to close the remaining gaps in treatment and prevention so that we can reach the Healthy People 2010 goal for pregnant smokers: a prevalence of 1% or less. This need for action led to the formation of the National Partnership to Help Pregnant Smokers Quit, a collaboration among more than 50 organizations and agencies, public and private, that have joined forces to help pregnant smokers quit by providing proven clinical and community-based interventions to every pregnant smoker. This article summarizes the action plan developed by the partnership, the strategies it outlines, and some of the actions taken by partners over the past year to put the plan into action. Action is planned and progress is being made in five strategic areas: offering help through the health care system; using the media effectively; harnessing community and worksite resources; promoting policies known to increase smoking cessation efforts and successes; and expanding national research, surveillance, and evaluation efforts.

  9. Corrective Action Plan for Corrective Action Unit 417: Central Nevada Test Area Surface, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    K. Campbell

    2000-04-01

    This Corrective Action Plan provides methods for implementing the approved corrective action alternative as provided in the Corrective Action Decision Document for the Central Nevada Test Area (CNTA), Corrective Action Unit (CAU) 417 (DOE/NV, 1999). The CNTA is located in the Hot Creek Valley in Nye County, Nevada, approximately 137 kilometers (85 miles) northeast of Tonopah, Nevada. The CNTA consists of three separate land withdrawal areas commonly referred to as UC-1, UC-3, and UC-4, all of which are accessible to the public. CAU 417 consists of 34 Corrective Action Sites (CASs). Results of the investigation activities completed in 1998 are presented in Appendix D of the Corrective Action Decision Document (DOE/NV, 1999). According to the results, the only Constituent of Concern at the CNTA is total petroleum hydrocarbons (TPH). Of the 34 CASs, corrective action was proposed for 16 sites in 13 CASs. In fiscal year 1999, a Phase I Work Plan was prepared for the construction of a cover on the UC-4 Mud Pit C to gather information on cover constructibility and to perform site management activities. With Nevada Division of Environmental Protection concurrence, the Phase I field activities began in August 1999. A multi-layered cover using a Geosynthetic Clay Liner as an infiltration barrier was constructed over the UC-4 Mud Pit. Some TPH impacted material was relocated, concrete monuments were installed at nine sites, signs warning of site conditions were posted at seven sites, and subsidence markers were installed on the UC-4 Mud Pit C cover. Results from the field activities indicated that the UC-4 Mud Pit C cover design was constructable and could be used at the UC-1 Central Mud Pit (CMP). However, because of the size of the UC-1 CMP this design would be extremely costly. An alternative cover design, a vegetated cover, is proposed for the UC-1 CMP.

  10. Corrective Action Plan for Corrective Action Unit 139: Waste Disposal Sites, Nevada Test Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2007-07-01

    Corrective Action Unit (CAU) 139, Waste Disposal Sites, is listed in the Federal Facility Agreement and Consent Order (FFACO) of 1996 (FFACO, 1996). CAU 139 consists of seven Corrective Action Sites (CASs) located in Areas 3, 4, 6, and 9 of the Nevada Test Site (NTS), which is located approximately 65 miles (mi) northwest of Las Vegas, Nevada (Figure 1). CAU 139 consists of the following CASs: CAS 03-35-01, Burn Pit; CAS 04-08-02, Waste Disposal Site; CAS 04-99-01, Contaminated Surface Debris; CAS 06-19-02, Waste Disposal Site/Burn Pit; CAS 06-19-03, Waste Disposal Trenches; CAS 09-23-01, Area 9 Gravel Gertie; and CAS 09-34-01, Underground Detection Station. Details of the site history and site characterization results for CAU 139 are provided in the approved Corrective Action Investigation Plan (CAIP) (U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office [NNSA/NSO], 2006) and in the approved Corrective Action Decision Document (CADD) (NNSA/NSO, 2007). The purpose of this Corrective Action Plan (CAP) is to present the detailed scope of work required to implement the recommended corrective actions as specified in Section 4.0 of the approved CADD (NNSA/NSO, 2007). The approved closure activities for CAU 139 include removal of soil and debris contaminated with plutonium (Pu)-239, excavation of geophysical anomalies, removal of surface debris, construction of an engineered soil cover, and implementation of use restrictions (URs). Table 1 presents a summary of CAS-specific closure activities and contaminants of concern (COCs). Specific details of the corrective actions to be performed at each CAS are presented in Section 2.0 of this report.

  11. Corrective Action Plan for Corrective Action Unit 139: Waste Disposal Sites, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    NSTec Environmental Restoration

    2007-01-01

    Corrective Action Unit (CAU) 139, Waste Disposal Sites, is listed in the Federal Facility Agreement and Consent Order (FFACO) of 1996 (FFACO, 1996). CAU 139 consists of seven Corrective Action Sites (CASs) located in Areas 3, 4, 6, and 9 of the Nevada Test Site (NTS), which is located approximately 65 miles (mi) northwest of Las Vegas, Nevada (Figure 1). CAU 139 consists of the following CASs: CAS 03-35-01, Burn Pit; CAS 04-08-02, Waste Disposal Site; CAS 04-99-01, Contaminated Surface Debris; CAS 06-19-02, Waste Disposal Site/Burn Pit; CAS 06-19-03, Waste Disposal Trenches; CAS 09-23-01, Area 9 Gravel Gertie; and CAS 09-34-01, Underground Detection Station. Details of the site history and site characterization results for CAU 139 are provided in the approved Corrective Action Investigation Plan (CAIP) (U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office [NNSA/NSO], 2006) and in the approved Corrective Action Decision Document (CADD) (NNSA/NSO, 2007). The purpose of this Corrective Action Plan (CAP) is to present the detailed scope of work required to implement the recommended corrective actions as specified in Section 4.0 of the approved CADD (NNSA/NSO, 2007). The approved closure activities for CAU 139 include removal of soil and debris contaminated with plutonium (Pu)-239, excavation of geophysical anomalies, removal of surface debris, construction of an engineered soil cover, and implementation of use restrictions (URs). Table 1 presents a summary of CAS-specific closure activities and contaminants of concern (COCs). Specific details of the corrective actions to be performed at each CAS are presented in Section 2.0 of this report

  12. Environment, safety, and health regulatory implementation plan

    International Nuclear Information System (INIS)

    1993-01-01

    To identify, document, and maintain the Uranium Mill Tailings Remedial Action (UMTRA) Project's environment, safety, and health (ES ampersand H) regulatory requirements, the US Department of Energy (DOE) UMTRA Project Office tasked the Technical Assistance Contractor (TAC) to develop a regulatory operating envelope for the UMTRA Project. The system selected for managing the UMTRA regulatory operating envelope data bass is based on the Integrated Project Control/Regulatory Compliance System (IPC/RCS) developed by WASTREN, Inc. (WASTREN, 1993). The IPC/RCS is a tool used for identifying regulatory and institutional requirements and indexing them to hardware, personnel, and program systems on a project. The IPC/RCS will be customized for the UMTRA Project surface remedial action and groundwater restoration programs. The purpose of this plan is to establish the process for implementing and maintaining the UMTRA Project's regulatory operating envelope, which involves identifying all applicable regulatory and institutional requirements and determining compliance status. The plan describes how the Project will identify ES ampersand H regulatory requirements, analyze applicability to the UMTRA Project, and evaluate UMTRA Project compliance status

  13. Planejamento em saúde: uma possibilidade de ação participativa Planeamiento integrado de salud: una possibilitad de la acción participativa Integrated planning in health: a possibility of a participative action

    Directory of Open Access Journals (Sweden)

    Marluce Maria Araújo Assis

    1997-10-01

    Full Text Available Este trabalho pretende relatar uma experiência vivenciada com o processo de planejamento integrado em uma Unidade Básica de Saúde de Ribeirão Preto-SP. Elegemos como objeto de análise as interações e diálogos que se expressaram no âmbito do Sistema Local de Saúde. Assim procuramos levar em consideração as dinâmicas particulares desta realidade e os agentes sociais envolvidos (docentes, alunos, dirigentes, trabalhadores de saúde e membros da comunidade, na tentativa de compreender o agir comunicativo segundo HABERMAS (1989. Acreditamos ser este um espaço em aberto na perspectiva de ampliar o nível de participação integrada na administração dos serviços públicos de saúde.Este trabajo intenta narrar una experiencia vivenciada con el proceso de planeamiento integrado en una Unidad Básica de Salud de Ribeirão Preto-SP. Elegimos como objeto de análisis las interacciones y los diálogos que se manifestaron distintamente en el campo de actividad del Sistema Local de Salud. Así procuramos considerar las dinámicas particulares de esta realidad y los agentes sociales comprometidos (docentes, alumnos, dirigentes, trabajadores de salud y miembros de la comunidad en la tentativa de compreender el proceder comunicativo según HABERMAS (1989. Creemos que sea este un espacio abierto en la perspectiva de ampliar el nivel de participación integrada en la administración de los servicios públicos de salud.This paper intends to report an experience with the process of integrated planning in a Basic Health Unit at Ribeirão Preto-SP. We selected as our object of analysis the interactions and dialogues that were expressed in the scope of the local Health System. Therefore, we sought to consider the individual dynamics of this reality and the social agents involved (teachers, students, directors, health workers and community members, trying to understand the communicative action according to HABERMAS (1989. We believe that this is an open

  14. Corrective Action Investigation Plan for Corrective Action Unit 555: Septic Systems Nevada Test Site, Nevada, Rev. No.: 0 with Errata

    International Nuclear Information System (INIS)

    Pastor, Laura

    2005-01-01

    This Corrective Action Investigation Plan (CAIP) contains project-specific information including facility descriptions, environmental sample collection objectives, and criteria for conducting site investigation activities at Corrective Action Unit (CAU) 555: Septic Systems, Nevada Test Site (NTS), Nevada. This CAIP has been developed in accordance with the ''Federal Facility Agreement and Consent Order'' (FFACO) (1996) that was agreed to by the State of Nevada, the U.S. Department of Energy (DOE), and the U.S. Department of Defense. Corrective Action Unit 555 is located in Areas 1, 3 and 6 of the NTS, which is approximately 65 miles (mi) northwest of Las Vegas, Nevada, and is comprised of the five corrective action sites (CASs) shown on Figure 1-1 and listed below: (1) CAS 01-59-01, Area 1 Camp Septic System; (2) CAS 03-59-03, Core Handling Building Septic System; (3) CAS 06-20-05, Birdwell Dry Well; (4) CAS 06-59-01, Birdwell Septic System; and (5) CAS 06-59-02, National Cementers Septic System. An FFACO modification was approved on December 14, 2005, to include CAS 06-20-05, Birdwell Dry Well, as part of the scope of CAU 555. The work scope was expanded in this document to include the investigation of CAS 06-20-05. The Corrective Action Investigation (CAI) will include field inspections, radiological surveys, geophysical surveys, sampling of environmental media, analysis of samples, and assessment of investigation results, where appropriate. Data will be obtained to support corrective action alternative evaluations and waste management decisions. The CASs in CAU 555 are being investigated because hazardous and/or radioactive constituents may be present in concentrations that could potentially pose a threat to human health and the environment. Existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives for the CASs. Additional information will be generated by conducting a CAI

  15. Watershed planning, implementation and assessment: the May River Watershed Action Plan case study

    Science.gov (United States)

    Kimberly W. Jones; Christopher L. Ellis; Jeremy S. Ritchie

    2016-01-01

    Prior to exponential growth in the early to mid-2000s, the Town of Bluffton, SC was one square mile; as of 2015, it is approximately 55 square miles. Associated with this growth was a shellfish harvesting closure for nearly onethird of the May River in 2009. The Town and its partners developed and began to implement the May River Watershed Action Plan in 2011. The plan...

  16. Remedial action and waste disposal project -- 300-FF-1 remedial action readiness assessment plan

    International Nuclear Information System (INIS)

    April, J.G.; Carlson, R.A.; Greif, A.A.; Johnson, C.R.; Orewiler, R.I.; Perry, D.M.; Plastino, J.C.; Roeck, F.V.; Tuttle, B.G.

    1997-04-01

    This Readiness Assessment Plan presents the methodology used to assess the readiness of the 300-FF-1 Remedial Action Project. Remediation involves the excavation, treatment if applicable, and final disposal of contaminated soil and debris associated with the waste sites in the 300-FF-1 Operable Unit. The scope of the 300-FF-1 remediation is to excavate, transport, and dispose of contaminated solid from sites identified in the 300-FF-1 Operable Unit

  17. [Occupational health protection in business economics--business plan for health intervention].

    Science.gov (United States)

    Rydlewska-Liszkowska, Izabela

    2011-01-01

    One of the company's actions for strengthening human capital is the protection of health and safety of its employees. Its implementation needs financial resources, therefore, employers expect tangible effectiveness in terms of health and economics. Business plan as an element of company planning can be a helpful tool for new health interventions management. The aim of this work was to elaborate a business plan framework for occupational health interventions at the company level, combining occupational health practices with company management and economics. The business plan of occupational health interventions was based on the literature review, the author's own research projects and meta-analysis of research reports on economic relations between occupational health status and company productivity. The study resulted in the development of the business plan for occupational health interventions at the company level. It consists of summary and several sections that address such issues as the key elements of the intervention discussed against a background of the company economics and management, occupational health and safety status of the staff, employees' health care organization, organizational plan of providing the employees with health protection, marketing plan, including specificity of health interventions in the company marketing plan and financial plan, reflecting the economic effects of health care interventions on the overall financial management of the company. Business plan defines occupational health and safety interventions as a part of the company activities as a whole. Planning health care interventions without relating them to the statutory goals of the company may have the adverse impact on the financial balance and profitability of the company. Therefore, business plan by providing the opportunity of comparing different options of occupational health interventions to be implemented by employers is a key element of the management of employees

  18. Health care's new game changer. Thinking like a health plan.

    Science.gov (United States)

    Eggbeer, Bill; Bowers, Krista

    2014-10-01

    The transition for hospitals from having only a provider's perspective to thinking more like a health plan will require strategic alignment on four fronts: Health plan alignment. Hospital and physician alignment. Leadership alignment. Organizational alignment.

  19. Program Planning in Health Professions Education

    Science.gov (United States)

    Schmidt, Steven W.; Lawson, Luan

    2018-01-01

    In this chapter, the major concepts from program planning in adult education will be applied to health professions education (HPE). Curriculum planning and program planning will be differentiated, and program development and planning will be grounded in a systems thinking approach.

  20. Dual Axis Radiographic Hydrodynamic Test Facility mitigation action plan. Annual report for 1997

    Energy Technology Data Exchange (ETDEWEB)

    Haagenstad, H.T.

    1998-01-15

    This Mitigation Action Plan Annual Report (MAPAR) has been prepared by the US Department of Energy (DOE) as part of implementing the Dual Axis Radiographic Hydrodynamic Test Facility (DARHT) Mitigation Action Plan (MAP). This MAPAR provides a status on specific DARHT facility design- and construction-related mitigation actions that have been initiated in order to fulfill DOE`s commitments under the DARHT MAP. The functions of the DARHT MAP are to (1) document potentially adverse environmental impacts of the Phased Containment Option delineated in the Final EIS, (2) identify commitments made in the Final EIS and ROD to mitigate those potential impacts, and (3) establish Action Plans to carry out each commitment (DOE 1996). The DARHT MAP is divided into eight sections. Sections 1--5 provide background information regarding the NEPA review of the DARHT project and an introduction to the associated MAP. Section 6 references the Mitigation Action Summary Table which summaries the potential impacts and mitigation measures; indicates whether the mitigation is design-, construction-, or operational-related; the organization responsible for the mitigation measure; and the projected or actual completion data for each mitigation measure. Sections 7 and 8 discuss the Mitigation Action Plan Annual Report and Tracking System commitment and the Potential Impacts, Commitments, and Action Plans respectively. Under Section 8, potential impacts are categorized into five areas of concern: General Environment, including impacts to air and water; Soils, especially impacts affecting soil loss and contamination; Biotic Resources, especially impacts affecting threatened and endangered species; Cultural/Paleontological Resources, especially impacts affecting the archeological site known as Nake`muu; and Human Health and Safety, especially impacts pertaining to noise and radiation. Each potential impact includes a brief statement of the nature of the impact and its cause(s). The commitment

  1. Workshop on the preparation of climate change action plans. Workshop summary

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-05-24

    Over 130 participants from more than 27 countries shared experiences of developing and transition countries in preparation and development of their climate change national action plans. International experts guided countries in preparation of their climate change national action plans.

  2. Environmental Control Plan for the 300-FF-1 Operable Unit Remedial Action

    International Nuclear Information System (INIS)

    Carlson, R.A.

    2000-01-01

    This environmental control plan is for the 300-FF-1 Operable Unit Remedial Action Project. The purpose of this plan is to identify environmental requirements for the 300-FF-1 operable unit Remedial Action/Waste Disposal Project

  3. Building and measuring infrastructure and capacity for community health assessment and health improvement planning in Florida.

    Science.gov (United States)

    Abarca, Christine; Grigg, C Meade; Steele, Jo Ann; Osgood, Laurie; Keating, Heidi

    2009-01-01

    COMPASS (Comprehensive Assessment, Strategic Success) is the Florida Department of Health's community health assessment and health improvement planning initiative. Since 2002, COMPASS built state and county health department infrastructure to support a comprehensive, systematic, and integrated approach to community health assessment and planning. To assess the capacity of Florida's 67 county health departments (CHDs) to conduct community health assessment and planning and to identify training and technical assistance needs, COMPASS surveyed the CHDs using a Web-based instrument annually from 2004 through 2008. Response rate to the survey was 100 percent annually. In 2007, 96 percent of CHDs reported conducting assessment and planning within the past 3 years; 74 percent used the MAPP (Mobilizing for Action through Planning and Partnerships) framework. Progress was greater for the organizational and assessment phases of the MAPP-based work; only 10 CHDs had identified strategic priorities in 2007, and even fewer had implemented strategies for improving health. In 2007, the most frequently requested types of training were measuring success, developing goals and action plans, and using qualitative data; technical assistance was most frequently requested for program evaluation and writing community health status reports. Florida's CHDs have increased their capacity to conduct community health assessment and planning. Questions remain about sustaining these gains with limited resources.

  4. Hanford Remedial Action Environmental Impact Statement, Richland, Washington. Implementation Plan

    International Nuclear Information System (INIS)

    1995-06-01

    This implementation plan was prepared in compliance in compliance with 10 CFR 1021. It includes the following sections: introduction; purpose and need for departmental action; scope, content, and alternatives for the HRA EIS; public participation process; schedule for preparation of the HRA EIS; anticipated environmental reviews and consultations; and contractor disclosure statement. The following appendices are also included: notice of intent, federal register notice for extension of public scoping period, proposed annotated outline for the draft HRA EIS, summary of final report for the Hanford Future Site Uses Working Group, and summary of comments and responses from the public scoping process

  5. [Strategic planning: an important economic action for German hospitals].

    Science.gov (United States)

    Wiese, Christoph H R; Zink, Wolfgang; Russo, Sebastian G

    2011-11-01

    In medical systems, economic issues and means of action are in the course of dwindling human (physicians and nurses) and financial resources are more important. For this reason, physicians must understand basic economic principles. Only in this way, there may be medical autonomy from social systems and hospital administrators. The current work is an approach to present a model for strategic planning of an anesthesia department. For this, a "strengths", "weaknesses", "opportunities", and "threats" (SWOT) analysis is used. This display is an example of an exemplary anaesthetic department. © Georg Thieme Verlag Stuttgart · New York.

  6. The scaup conservation action plan: working toward coherence

    Science.gov (United States)

    Austin, Jane E.

    2010-01-01

    The last in a series of three workshops to develop a decision framework for the scaup conservation action plan was conducted in September 2009. Fifteen waterfowl biologists and managers met in Memphis, Tennessee at the Ducks Unlimited Headquarters to review and refine the decision statement, objectives, and prototype model for the continental scaup population, with a special focus on vital rate parameters that are affected during migration and winter. In a significant step toward coherence, the participants also developed models for incorporating human dimensions – hunters – into the decision framework, and to link the population of diving duck hunters with the continental scaup population.

  7. Quality Assurance Plan, N springs expedited response action

    International Nuclear Information System (INIS)

    Jackson, G.J.

    1994-01-01

    This document is the Quality Assurance Plan (QAP) to be followed during the definitive design, construction, and operational phases for activities associated with the N Springs Expedited Response Action (ERA) for the 100-NR-2 Operable Unit (OU). Westinghouse Hanford Company (WHC) will comply with the US Department of Energy (DOE) Order 5700.6C, Quality Assurance (DOE 1989), and the US Environmental Protection Agency (EPA), EPA/530-SW-86-031, Technical Guidance Document: Construction Quality Assurance for Hazardous Waste Land Disposal Facilities (EPA 1986)

  8. Action plan for the communication process in a nursing team

    Directory of Open Access Journals (Sweden)

    Priscilla Valladares Broca

    2016-06-01

    Full Text Available The objective of this study is to propose an action plan for the communication process in the nursing team. The theoretical references were: the model of a communication process proposed by Berlo and essential concepts of King´s Theory. It is a qualitative, convergent-care research. The data production technique was the semi-structured interview with 25 nurses of a public hospital. Data used the thematic content analysis technique. The elements of the communication team are: perception, self, space, time, stress, role, authority, power, status, audience, empathy and nonverbal communication. The plan proposes a dynamic, flexible, interactive and relational communication process, in order to contribute to the professional qualification and make new practices of care viable. It was concluded that its elements do not have a fixed and stable position, but throughout the process they are used according to the needs of each party.

  9. The Representation of Action Plans in Long Term Memory

    Science.gov (United States)

    Fussfeld, G. N.; Koenig, W.; Karis, D.

    1984-01-01

    A sequence of experiments conducted on a two hand chord typewriter, to compare the efficiency of different coding principles employed to associate letters with their chord productions is described. This keyboard represents an effort to identify effective alternatives to the existing typewriter. It consists of two seperate 5-key panels (one for each hand), and letters are entered by typing chords composed of one to five fingers. Each panel is capable of producing the full alphabet. One group of experiments was designed to separate between perceptual and motor factors in the acivation of single letter chords. The results underline the importance of perceptual factors in the activation of motor plans. The complexity of the patterns employed to represent letters was shown to account for 50 percent of variance in the typing speeds of single letters. The theoretical implications of these results are discussed in relation to a vision based theory of action plans.

  10. Emergency team and action plan; Brigada de emergencia y plan de accion de emergencia

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez Gorgerino, Ruben Dario [Central Hidroelectrica Itaipu, Hernandarias (Paraguay)]. E-mail: jimenez@itaipu.gov.br

    1998-07-01

    This work reports the various activities developed by a commission designated for the investigation of the fire occurred in the excitation panel of the generator unit 16, for the execution of two tasks: short term creation of plant emergency team, and a long term implementation of emergency action plan.

  11. Corrective Action Investigation Plan for Corrective Action Unit 542: Disposal Holes, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    Laura Pastor

    2006-01-01

    locate previously unidentified features at CASs 03-20-07, 03-20-09, 03-20-10, 03-20-11, and 06-20-03. (4) Perform field screening. (5) Collect and submit environmental samples for laboratory analysis to determine whether contaminants of concern (COCs) are present. (6) Collect quality control samples for laboratory analyses to evaluate the performance of measurement systems and controls based on the requirements of the data quality indicators. (7) If COCs are present at the surface/near surface (< 15 feet below ground surface), collect additional step-out samples to define the extent of the contamination. (8) If COCs are present in the subsurface (i.e., base of disposal hole), collect additional samples to define the vertical extent of contamination. A conservative use restriction will be used to encompass the lateral extent of subsurface contamination. (9) Stake or flag sample locations in the field, and record coordinates through global positioning systems surveying. (10) Collect samples of investigation-derived waste, as needed, for waste management and minimization purposes. This Corrective Action Investigation Plan has been developed in accordance with the ''Federal Facility Agreement and Consent Order'' that was agreed to by the State of Nevada, the U.S. Department of Energy, and the U.S. Department of Defense. Under the ''Federal Facility Agreement and Consent Order'', this Corrective Action Investigation Plan will be submitted to the Nevada Division of Environmental Protection for approval. Field work will be conducted following approval of the plan

  12. Primary health care to elderly people: Occupational Therapy actions perspectives

    Directory of Open Access Journals (Sweden)

    Cassio Batista Alves

    2015-09-01

    Full Text Available In Brazil, Occupational Therapy (OT was legislated in 1969, and was introduced into the Primary Health Care (PHC in the 90s. At this level of care, the OT serves various stages of human development, including aging, in a perspective of care and active aging line, seeks to optimize opportunities for health, participation and safety, using clinical reasoning in order to plan, guide, conduct and reflect their actions in producing the line of care. This career considers human activities as part of the construction of the man himself as an expertise area and seeks to understand the relationships that the active human establishes in its life and health. This study aimed to verify the actions and identify the occupational therapy line of care with the elderly in APS. This is a qualitative study that used a semi-structured interview applied during April to May 2013 with six occupational therapists that cared for older people in the APS at Uberaba-MG. The data was analyzed using the Collective Subject Discourse (CSD technique. We observed that the OT actions to produce line of care for the elderly happen according to the general public care, whether individual or group, with the team during case discussions, referrals or work management and the territory during the territorial diagnosis and networks formation, all permeated by the principles of fairness, integrity, intersectoriality and clinical reasoning in OT.

  13. Corrective Action Plan for Corrective Action Unit 407: Roller Coaster RADSAFE Area, Tonopah Test Range, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    T. M. Fitzmaurice

    2000-05-01

    This Corrective Action Plan (CAP) has been prepared for the Roller Coaster RADSAFE Area Corrective Action Unit 407 in accordance with the Federal Facility and Consent Order (Nevada Division of Environmental Protection [NDEP] et al., 1996). This CAP provides the methodology for implementing the approved Corrective Action Alternative as listed in the Corrective Action Decision Document (U.S. Department of Energy, Nevada Operations Office, 1999). The RCRSA was used during May and June of 1963 to decontaminate vehicles, equipment, and personnel from the Clean Slate tests. The Constituents of Concern (COCs) identified during the site characterization include plutonium, uranium, and americium. No other COCS were identified. The following closure actions will be implemented under this plan: (1) Remove and dispose of surface soils which are over three times background for the area. Soils identified for removal will be disposed of at an approved disposal facility. Excavated areas will be backfilled with clean borrow soil fi-om a nearby location. (2) An engineered cover will be constructed over the waste disposal pit area where subsurface COCS will remain. (3) Upon completion of the closure and approval of the Closure Report by NDEP, administrative controls, use restrictions, and site postings will be used to prevent intrusive activities at the site. Barbed wire fencing will be installed along the perimeter of this unit. Post closure monitoring will consist of site inspections to determine the condition of the engineered cover. Any identified maintenance and repair requirements will be remedied within 90 working days of discovery and documented in writing at the time of repair. Results of all inspections/repairs for a given year will be addressed in a single report submitted annually to the NDEP.

  14. Conceptual framework of public health surveillance and action and its application in health sector reform

    Directory of Open Access Journals (Sweden)

    Alemu Wondi

    2002-01-01

    Full Text Available Abstract Background Because both public health surveillance and action are crucial, the authors initiated meetings at regional and national levels to assess and reform surveillance and action systems. These meetings emphasized improved epidemic preparedness, epidemic response, and highlighted standardized assessment and reform. Methods To standardize assessments, the authors designed a conceptual framework for surveillance and action that categorized the framework into eight core and four support activities, measured with indicators. Results In application, country-level reformers measure both the presence and performance of the six core activities comprising public health surveillance (detection, registration, reporting, confirmation, analyses, and feedback and acute (epidemic-type and planned (management-type responses composing the two core activities of public health action. Four support activities – communications, supervision, training, and resource provision – enable these eight core processes. National, multiple systems can then be concurrently assessed at each level for effectiveness, technical efficiency, and cost. Conclusions This approach permits a cost analysis, highlights areas amenable to integration, and provides focused intervention. The final public health model becomes a district-focused, action-oriented integration of core and support activities with enhanced effectiveness, technical efficiency, and cost savings. This reform approach leads to sustained capacity development by an empowerment strategy defined as facilitated, process-oriented action steps transforming staff and the system.

  15. Corrective Action Plan for Corrective Action Unit 563: Septic Systems, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    2009-01-01

    This Corrective Action Plan (CAP) has been prepared for Corrective Action Unit (CAU) 563, Septic Systems, in accordance with the Federal Facility Agreement and Consent Order. CAU 563 consists of four Corrective Action Sites (CASs) located in Areas 3 and 12 of the Nevada Test Site. CAU 563 consists of the following CASs: CAS 03-04-02, Area 3 Subdock Septic Tank CAS 03-59-05, Area 3 Subdock Cesspool CAS 12-59-01, Drilling/Welding Shop Septic Tanks CAS 12-60-01, Drilling/Welding Shop Outfalls Site characterization activities were performed in 2007, and the results are presented in Appendix A of the CAU 563 Corrective Action Decision Document. The scope of work required to implement the recommended closure alternatives is summarized below. CAS 03-04-02, Area 3 Subdock Septic Tank, contains no contaminants of concern (COCs) above action levels. No further action is required for this site; however, as a best management practice (BMP), all aboveground features (e.g., riser pipes and bumper posts) will be removed, the septic tank will be removed, and all open pipe ends will be sealed with grout. CAS 03-59-05, Area 3 Subdock Cesspool, contains no COCs above action levels. No further action is required for this site; however, as a BMP, all aboveground features (e.g., riser pipes and bumper posts) will be removed, the cesspool will be abandoned by filling it with sand or native soil, and all open pipe ends will be sealed with grout. CAS 12-59-01, Drilling/Welding Shop Septic Tanks, will be clean closed by excavating approximately 4 cubic yards (yd3) of arsenic- and chromium-impacted soil. In addition, as a BMP, the liquid in the South Tank will be removed, the North Tank will be removed or filled with grout and left in place, the South Tank will be filled with grout and left in place, all open pipe ends will be sealed with grout or similar material, approximately 10 yd3 of chlordane-impacted soil will be excavated, and debris within the CAS boundary will be removed. CAS 12

  16. Geotechnical engineering considerations in the NRC's review of uranium mill tailings remedial action plans

    International Nuclear Information System (INIS)

    Gillen, D.M.

    1985-01-01

    To reduce potential health hazards associated with inactive uranium mill tailings sites, the Department of Energy (DOE) is presently investigating and implementing remedial actions at 24 sites in the Uranium Mill Tailings Remedial Action Program (UMTRAP). All remedial actions must be selected and performed with the concurrence of the Nuclear Regulatory Commission (NRC). This paper provides a discussion of geotechnical engineering considerations during the NRC's preconcurrence review of proposed remedial action plans. In order for the NRC staff to perform an adequate geotechnical engineering review, DOE documents must contain a presentation of the properties and stability of all in-situ and engineered soil and rock which may affect the ability of the remedial action plans to meet EPA standards for long-term stability and control. Site investigations, laboratory testing, and remedial action designs must be adequate in scope and technique to provide sufficient data for the NRC staff to independently evaluate static and dynamic stability, settlement, radon attenuation through the soil cover, durability of rock for erosion protection, and other geotechnical engineering factors

  17. Operable Unit 3: Proposed Plan/Environmental Assessment for interim remedial action

    International Nuclear Information System (INIS)

    1993-12-01

    This document presents a Proposed Plan and an Environmental Assessment for an interim remedial action to be undertaken by the US Department of Energy (DOE) within Operable Unit 3 (OU3) at the Fernald Environmental Management Project (FEMP). This proposed plan provides site background information, describes the remedial alternatives being considered, presents a comparative evaluation of the alternatives and a rationnale for the identification of DOE's preferred alternative, evaluates the potential environmental and public health effects associated with the alternatives, and outlines the public's role in helping DOE and the EPA to make the final decision on a remedy

  18. Biodiversity in School Grounds: Auditing, Monitoring and Managing an Action Plan

    Science.gov (United States)

    Mansell, Michelle

    2010-01-01

    The idea of using site biodiversity action plans to introduce biodiversity management initiatives into school grounds is outlined. Selected parts of a case study, involving the use of such an action plan to record, monitor and plan for biodiversity on a university campus, are described and ideas for applying a similar plan to a school setting are…

  19. Remedial Action Work Plan Amchitka Island Mud Pit Closures

    Energy Technology Data Exchange (ETDEWEB)

    DOE/NV

    2001-04-05

    This remedial action work plan presents the project organization and construction procedures developed for the performance of the remedial actions at U.S. Department of Energy (DOE's) sites on Amchitka Island, Alaska. During the late1960s and early 1970s, the U.S. Department of Defense and the U.S. Atomic Energy Commission (the predecessor agency to DOE) used Amchitka Island as a site for underground nuclear tests. A total of nine sites on the Island were considered for nuclear testing; however, tests were only conducted at three sites (i.e., Long Shot in 1965, Milrow in 1969, and Cannikin in 1971). In addition to these three sites, large diameter emplacement holes were drilled in two other locations (Sites D and F) and an exploratory hole was in a third location (Site E). It was estimated that approximately 195 acres were disturbed by drilling or preparation for drilling in conjunction with these activities. The disturbed areas include access roads, spoil-disposal areas, mud pits which have impacted the environment, and an underground storage tank at the hot mix plant which was used to support asphalt-paving operations on the island. The remedial action objective for Amchitka Island is to eliminate human and ecological exposure to contaminants by capping drilling mud pits, removing the tank contents, and closing the tank in place. The remedial actions will meet State of Alaska regulations, U.S. Fish and Wildlife Service refuge management goals, address stakeholder concerns, and address the cultural beliefs and practices of the native people. The U.S. Department of Energy, Nevada Operations Office will conduct work on Amchitka Island under the authority of the Comprehensive Emergency Response, Compensation, and Liability Act. Field activities are scheduled to take place May through September 2001. The results of these activities will be presented in a subsequent Closure Report.

  20. Corrective Action Decision Document/Corrective Action Plan for Corrective Action Unit 447: Project Shoal Area, Subsurface, Nevada, Rev. No.: 3 with Errata Sheet

    Energy Technology Data Exchange (ETDEWEB)

    Tim Echelard

    2006-03-01

    , the U.S. Department of Energy (DOE) determined that the degree of uncertainty in transport predictions for PSA remained unacceptably large. As a result, a second CAIP was developed by DOE and approved by the Nevada Division of Environmental Protection (NDEP) in December 1998 (DOE/NV, 1998a). This plan prescribed a rigorous analysis of uncertainty in the Shoal model and quantification of methods of reducing uncertainty through data collection. This analysis is termed a Data Decision Analysis (Pohll et al., 1999a) and formed the basis for a second major characterization effort at PSA (Pohll et al., 1999b). The details for this second field effort are presented in an Addendum to the CAIP, which was approved by NDEP in April 1999 (DOE/NV, 1999a). Four additional characterization wells were drilled at PSA during summer and fall of 1999; details of the drilling and well installation are in IT Corporation (2000), with testing reported in Mihevc et al. (2000). A key component of the second field program was a tracer test between two of the new wells (Carroll et al., 2000; Reimus et al., 2003). Based on the potential exposure pathways, two corrective action objectives were identified for CAU 447: Prevent or mitigate exposure to groundwater contaminants of concern at concentrations exceeding regulatory maximum contaminant levels or risk-based levels; and Reduce the risk to human health and the environment to the extent practicable. Based on the review of existing data, the results of the modeling, future use, and current operations at PSA, the following alternatives have been developed for consideration at CAU 447: Alternative 1--No Further Action; Alternative 2--Proof-of-Concept and Monitoring with Institutional Controls; and Alternative 3--Contaminant Control. The corrective action alternatives were evaluated based on the approach outlined in the ''Focused Evaluation of Selected Remedial Alternatives for the Underground Test Area'' (DOE/NV, 1998b). Each

  1. Parental supervision for their children's toothbrushing: Mediating effects of planning, self-efficacy, and action control.

    Science.gov (United States)

    Hamilton, Kyra; Cornish, Stephen; Kirkpatrick, Aaron; Kroon, Jeroen; Schwarzer, Ralf

    2018-05-01

    With 60-90% of children worldwide reportedly experiencing dental caries, poor oral health in the younger years is a major public health issue. As parents are important to children's oral hygiene practices, we examined the key self-regulatory behaviours of parents for supervising their children's toothbrushing using the health action process approach. Participants (N = 281, 197 mothers) comprised Australian parents of 2- to 5-year-olds. A longitudinal design was used to investigate the sequential mediation chain for the effect of intention (Time 1) on parental supervision for their youngest child's toothbrushing (Time 3), via self-efficacy and planning (Time 2), and action control (Time 3). A latent-variable structural equation model, controlling for baseline behaviour and habit, revealed significant indirect effects from intention via self-efficacy and action control and intention via planning and action control, on parental supervision behaviour. The model was a good fit to the data, explaining 74% of the variance in parents' supervising behaviour for their children's toothbrushing. While national recommendations are provided to guide parents in promoting good oral hygiene practices with their children, current results show the importance of going beyond simple knowledge transmission to support parents' intentions to supervise their children's toothbrushing actually materialize. Current findings make a significant contribution to the cumulative empirical evidence regarding self-regulatory components in health behaviour change and can inform intervention development to increase parents' participation in childhood oral hygiene practices, thus helping to curb rising oral health conditions and diseases. Statement of contribution What is already known on this subject? Self-regulatory skills are important to translate intentions into behaviour. Self-efficacy, planning, and action control are key self-regulatory skills for behaviour change. What does this study add

  2. Understanding what helps or hinders asthma action plan use: a systematic review and synthesis of the qualitative literature.

    Science.gov (United States)

    Ring, Nicola; Jepson, Ruth; Hoskins, Gaylor; Wilson, Caroline; Pinnock, Hilary; Sheikh, Aziz; Wyke, Sally

    2011-11-01

    To understand better what helps and/or hinders asthma action plan use from the professionals and patients/carers perspective. Systematic review and qualitative synthesis (using meta-ethnography). Nineteen studies (20 papers) were included in an analysis of patients/carers' and professionals' views. Seven main influences on action plan implementation were identified including perceived un-helpfulness and irrelevance of the plans. Translation and synthesis of the original authors' interpretations suggested that action plan promotion and use was influenced by professional and patient/carers' asthma beliefs and attitudes and patient/carer experiences of managing asthma. Action plan use is hindered because professionals and patients/carers have different explanatory models of asthma, its management and their respective roles in the management process. Patients/carers, based on their experiential knowledge of their condition, perceive themselves as capable, effective in managing their asthma, but health professionals do not always share this view. Professionally provided medically focused action plans that do not 'fit' with and incorporate the patients'/carers' views of asthma, and their management strategies, will continue to be under-utilised. Professionals need to develop a more patient-centred, partnership-based, approach to the joint development and review of action plans, recognising the experiential asthma knowledge of patients/carers. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  3. 77 FR 58143 - Interagency Task Force on Antimicrobial Resistance (ITFAR): An Update of A Public Health Action...

    Science.gov (United States)

    2012-09-19

    ...-2012-0011] Interagency Task Force on Antimicrobial Resistance (ITFAR): An Update of A Public Health...), Department of Health and Human Services (HHS). ACTION: Notice of public meeting and request for comments... Federal agencies in accomplishing activities outlined in ``A Public Health Action Plan to Combat...

  4. 75 FR 51831 - Request for Measures of Health Plan Efforts To Address Health Plan Members' Health Literacy Needs

    Science.gov (United States)

    2010-08-23

    ... and health plans. The results of the planned survey may become an important source of information for... services and nurse advice lines, the quality and accessibility of health plan information on coverage...

  5. Stress Tests Worldwide - IAEA Nuclear Safety Action Plan

    International Nuclear Information System (INIS)

    Lyons, J.E.

    2012-01-01

    The IAEA nuclear safety action plan relies on 11 important issues. 1) Safety assessments in light of the Fukushima accident: the IAEA secretariat will develop a methodology for stress tests against specific extreme natural hazards and will provide assistance for their implementation; 2) Strengthen existing IAEA peer reviews; 3) Emergency preparedness and response; 4) National Regulatory bodies in terms of independence and adequacy of human and financial resources; 5) The development of safety culture and scientific and technical capacity in Operating Organizations; 6) The upgrading of IAEA safety standards in a more efficient way; 7) A better implementation of relevant conventions concerning nuclear safety and nuclear accidents; 8) To provide a broad assistance on safety standard for countries embarking on a nuclear power program; 9) To facilitate the use of available information, expertise and techniques concerning radiation protection; 10) To enhance the transparency of nuclear industry; and 11) To promote the cooperation between member states in nuclear safety. (A.C.)

  6. Interest Deductibility and the BEPS Action Plan: nihil novi sub sole?

    OpenAIRE

    Traversa, Edoardo

    2013-01-01

    Interest payments between affiliated companies which aim at shifting profit from high to low tax countries are a well-known and frequently used tool in international tax planning. It is therefore not surprising that in the OECD Action Plan on Base Erosion and Profit Shifting (BEPS) (Action Plan) considerable attention is given to the measures limiting the deductibility of (excessive) intra-group interest payments.1 The Action Plan does not, however, provide any clear guidance as to which, amo...

  7. Consumer-directed health plans: what happened?

    Science.gov (United States)

    Goldsmith, Jeff

    2007-08-01

    CDHPs can stabilize growth in health costs, but the health plan-subscriber relationship should be more transparent. CFOs should ensure that increased cost exposure in CDHPs is paired with broad, deep disease management and employee assistance support. Hospitals should plan for the likelihood that, one way or another, consumers will be paying more of their healthcare bill.

  8. School Health Index: A Self-Assessment and Planning Guide. Middle School/High School.

    Science.gov (United States)

    Barrios, Lisa C.; Burgeson, Charlene R.; Crossett, Linda; Harrykissoon, Samantha D.; Pritzl, Jane; Wechsler, Howell; Kuester, Sarah A.; Pederson, Linda; Graffunder, Corinne; Rainford, Neil; Sleet, David

    2004-01-01

    The "School Health Index" is a self-assessment and planning guide that will enable schools to: (1) identify the strengths and weaknesses of school policies and programs for promoting health and safety; (2) develop an action plan for improving student health and safety, and (3) involve teachers, parents, students, and the community in improving…

  9. Scales, strategies and actions for effective energy planning: A review

    International Nuclear Information System (INIS)

    Pasimeni, Maria Rita; Petrosillo, Irene; Aretano, Roberta; Semeraro, Teodoro; De Marco, Antonella; Zaccarelli, Nicola; Zurlini, Giovanni

    2014-01-01

    This paper is a review of the most recent literature on the interaction between climate change, land-use and energy, based on the analysis of papers collected through the most relevant scientific literature databases. A total of 114 papers published between 2000 and 2011 were reviewed. The aims of this review are: in general (1) to identify the different research topics that have been developed related to the interaction between climate change, land-use and energy; more specifically, (2) to analyze what are the most suitable spatial and temporal scales of investigation to focus on for actions and strategies to reduce critical issues in the field of energy and environment; (3) to identify which actions and strategies are deemed as the most appropriate to mitigate critical issues in energy and environment; and given the research gaps found in the review, (4) to propose research recommendations in the context of effective climate-energy planning. We argue that there are certain gaps and needs for a “nested” environmental governance. It is necessary to understand how different environmental policies overlap and how they can be integrated in order to verify whether there are conflicting targets that may negate each other in the long term. - Highlights: • Energy production and consumption can directly or indirectly affect climate change. • Energy sector is influenced directly and indirectly by changes in climate conditions. • Energy sector and climate change affect and limit alternative uses of land, causing land-use changes. • The most suitable spatial scale for energy planning is the municipal level requiring short-term perspectives. • Several research recommendations to deal with the complexity of energy-land-use-climate change issue are proposed

  10. MEET : project action plan for AUMA energy management program

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-11-22

    The Municipal Energy Efficiency Trust (MEET) action plan offers a framework to help municipalities in Alberta demonstrate leadership in reducing energy consumption. It sets out targets for energy reductions and the associated capital investment. As more information is compiled from energy audits, the targets will be refined. AUMA and Enmax Energy Corp have partnered to provide energy audits designed to allow all municipalities to undertake energy savings projects. The program is divided into 8 basic categories for energy savings projects including: water and sewage collection, treatment and distribution; recreation centres such as pools and skating rinks; streetlights; office buildings; garages, shops and parking lots; other and innovative projects; municipal audit evaluation support; and, direct grants applied to each project. The estimates for energy savings within each category are provided. The maximum allowable payback period for the project is assumed to be 15 years. Total municipal energy use in Alberta is estimated at 1,100,000 MWh per year. A province wide program will enable AUMA to provide centralized services such as project management and procurement services to address municipal resource constraints and provide some economies of scale for smaller municipalities. AUMA will act as the fund administrator and will set criteria for acceptable projects. The action plan focuses on the energy audit program, municipal facility data collection, municipal staff education, and the establishment of a funding pool. The target for 2002/2003 will be to identify projects with energy savings of at least 15,000 MWh for water treatment and distribution recreation centres for a total capital cost of $13,500,000. 1 tab., 3 figs.

  11. Reducing greenhouse gas emissions: Lessons from state climate action plans

    Energy Technology Data Exchange (ETDEWEB)

    Pollak, Melisa, E-mail: mpollak@umn.edu [Humphrey Institute of Public Affairs, University of Minnesota, 301 19th Avenue South, Minneapolis, MN 55455 (United States); Meyer, Bryn, E-mail: meye1058@umn.edu [Humphrey Institute of Public Affairs, University of Minnesota, 301 19th Avenue South, Minneapolis, MN 55455 (United States); Wilson, Elizabeth, E-mail: ewilson@umn.edu [Humphrey Institute of Public Affairs, University of Minnesota, 301 19th Avenue South, Minneapolis, MN 55455 (United States)

    2011-09-15

    We examine how state-level factors affect greenhouse gas (GHG) reduction policy preference across the United States by analyzing climate action plans (CAPs) developed in 11 states and surveying the CAP advisory group members. This research offers insights into how states approach the problem of choosing emissions-abatement options that maximize benefits and minimize costs, given their unique circumstances and the constellation of interest groups with power to influence state policy. The state CAPs recommended ten popular GHG reduction strategies to accomplish approximately 90% of emissions reductions, but they recommended these popular strategies in different proportions: a strategy that is heavily relied on in one state's overall portfolio may play a negligible role in another state. This suggests that any national policy to limit GHG emissions should encompass these key strategies, but with flexibility to allow states to balance their implementation for the state's unique geographic, economic, and political circumstances. Survey results strongly support the conclusion that decisions regarding GHG reductions are influenced by the mix of actors at the table. Risk perception is associated with job type for all strategies, and physical and/or geographic factors may underlie the varying reliance on certain GHG reduction strategies across states. - Highlights: > This study analyzed climate action plans from 12 states and surveyed the advisory group members. > Ten strategies supply 90% of recommended emission reductions, but states weigh them differently. > Advisory group members perceived different opportunities and risks in the top-ten strategies. > Both geographic and socio-political factors may underlie the varying reliance on certain strategies. > Cost, business practices and consumer behavior were ranked as the top barriers to reducing emissions.

  12. Reducing greenhouse gas emissions: Lessons from state climate action plans

    International Nuclear Information System (INIS)

    Pollak, Melisa; Meyer, Bryn; Wilson, Elizabeth

    2011-01-01

    We examine how state-level factors affect greenhouse gas (GHG) reduction policy preference across the United States by analyzing climate action plans (CAPs) developed in 11 states and surveying the CAP advisory group members. This research offers insights into how states approach the problem of choosing emissions-abatement options that maximize benefits and minimize costs, given their unique circumstances and the constellation of interest groups with power to influence state policy. The state CAPs recommended ten popular GHG reduction strategies to accomplish approximately 90% of emissions reductions, but they recommended these popular strategies in different proportions: a strategy that is heavily relied on in one state's overall portfolio may play a negligible role in another state. This suggests that any national policy to limit GHG emissions should encompass these key strategies, but with flexibility to allow states to balance their implementation for the state's unique geographic, economic, and political circumstances. Survey results strongly support the conclusion that decisions regarding GHG reductions are influenced by the mix of actors at the table. Risk perception is associated with job type for all strategies, and physical and/or geographic factors may underlie the varying reliance on certain GHG reduction strategies across states. - Highlights: → This study analyzed climate action plans from 12 states and surveyed the advisory group members. → Ten strategies supply 90% of recommended emission reductions, but states weigh them differently. → Advisory group members perceived different opportunities and risks in the top-ten strategies. → Both geographic and socio-political factors may underlie the varying reliance on certain strategies. → Cost, business practices and consumer behavior were ranked as the top barriers to reducing emissions.

  13. Oak Ridge National Laboratory Environmenal, Safety, and Health Management Plan

    International Nuclear Information System (INIS)

    1991-12-01

    The 1990 Tiger Team Appraisal of Oak Ridge National Laboratory (ORNL) revealed that neither Martin Marietta Energy Systems, Inc. (Energy Systems) nor ORNL had a strategic plan for Environmental, Safety, and Health (ES ampersand H) activities. There were no detailed plans describing ORNL's mission, objectives, and strategies for ES ampersand H activities. A number of plans do exist that cover various aspects of ES ampersand H. Their scope ranges from multiyear program plans to annual audit schedules to compliance plans to action plans from specific audits. However, there is not a single document that identifies the plans and the objectives they are to address. This document describes the strategic plan for ORNL and provides the linkage among existing plans. It gives a brief description of the organization and management of ES ampersand H activities at ORNL. The plan identifies the general strategies to be taken by ORNL, using the overall guidance from Energy Systems in its corporate ES ampersand H Strategic Plan. It also identifies more detailed plans for implementation of these strategies, where appropriate

  14. Is perceived motor competence a constraint in children's action planning?

    Science.gov (United States)

    Gabbard, Carl; Caçola, Priscila; Cordova, Alberto

    2009-06-01

    A form of action representation of developmental interest is reach estimation-the perceptual and cognitive judgment of whether an object is within or out of reach. A common observation among children is overestimation, which, speculatively, has been linked to perceived motor competence (PMC). The authors examined the PMC effect on reachability among 7-, 9-, and 11-year-old children. The authors predicted that with higher PMC, participants would display greater overestimation and that this outcome would show a developmental trend with younger children displaying greater overestimation complementing higher PMC scores. Results revealed no age differences in total error for reach, and all age groups overestimated. Regarding PMC, the 7-year-old childrens' scores were significantly higher than those of their older counterparts. However, relation analyses revealed no support for the idea that PMC was significantly associated with reachability. The findings suggested that a general measure of PMC is not a good predictor of childrens' action planning through reach estimation. Furthermore, if PMC in some form is a psychological constraint, future studies should be tied to context-specific measures of perceived abilities in relation to the specificity of the task.

  15. Wider action plan and multidisciplinar approach could be a wining idea in creation of friendly environment.

    Science.gov (United States)

    Gojkovic-Bukvic, Natasa; Bukvic, Nenad

    2012-01-01

    Herein, we proposed planning of wide transdisciplinary actions, which bring a solution for economic activity such as transportation, strongly related to pollution output with possible repercussions on climate change and public health. To solve logistics problem by introduction of common intermodal policy, and creation of more friendly transport solution, it is possible to obtain sustainable development, climate change prevention, government policy, and regulation which are all related to human health and creation of health-supportive environment. This approach permits environmental and biological monitoring same as economic results measurement by key performance indicators. This approach implementing emerging scientific knowledge in environmental health science such as genetic epidemiology aimed at understanding how genomic variation impacts phenotypic expression and how genes interact with the environment at the population level with subsequent translation into practical information for clinicians as well as for public health policy creation.

  16. Wider Action Plan and Multidisciplinary Approach Could Be a Wining Idea in Creation of Friendly Environment

    International Nuclear Information System (INIS)

    Gojkovic-Bukvic, N.; Gojkovic-Bukvic, N.; Bukvic, N.

    2012-01-01

    Herein, we proposed planning of wide trans disciplinary actions, which bring a solution for economic activity such as transportation, strongly related to pollution output with possible repercussions on climate change and public health. To solve logistics problem by introduction of common inter modal policy, and creation of more friendly transport solution, it is possible to obtain sustainable development, climate change prevention, government policy, and regulation which are all related to human health and creation of health-supportive environment. This approach permits environmental and biological monitoring same as economic results measurement by key performance indicators. This approach implementing emerging scientific knowledge in environmental health science such as genetic epidemiology aimed at understanding how genomic variation impacts phenotypic expression and how genes interact with the environment at the population level with subsequent translation into practical information for clinicians as well as for public health policy creation

  17. Water Planning and Climate Change: Actionable Intelligence Yet?

    Science.gov (United States)

    Milly, P.

    2008-05-01

    alternative. What is to be done? Is climate-change information of sufficient strength to justify making decisions that differ from those that would be optimal under stationarity? I.e., does climate science provide "actionable intelligence" to water planners? A conservative approach to planning in the presence of climate change would begin with stationarity as a base and then superpose, with quantitative estimates of uncertainties, those model-projected changes that appear to be qualitatively robust. The current state of science suggests that the following changes could be considered robust: (1) reduction in the fraction of precipitation falling as snow and earlier seasonal melting of snow, with consequent seasonal redistribution of runoff and streamflow; (2) gradual sea-level rise with heightened risk of encroachment of saline water into coastal surface- and ground-water-supply sources; and (3) global redistribution of precipitation and resultant runoff, with regional focal points ("hot spots") of desiccation and moistening. Even considering the attendant uncertainties, the available information about these changes can significantly affect the cost-benefit-risk tradeoffs of existing and prospective water projects and, therefore, can rationally inform decisions about future courses of action or inaction.

  18. Corrective Action Investigation Plan for Corrective Action Unit 410: Waste Disposal Trenches, Tonopah Test Range, Nevada, Revision No.:0

    International Nuclear Information System (INIS)

    2002-01-01

    This Corrective Action Investigation Plan contains the U.S. Department of Energy, National Nuclear Security Administration Nevada Operations Office's approach to collect the data necessary to evaluate corrective action alternatives appropriate for the closure of Corrective Action Unit (CAU) 410 under the Federal Facility Agreement and Consent Order. Corrective Action Unit 410 is located on the Tonopah Test Range (TTR), which is included in the Nevada Test and Training Range (formerly the Nellis Air Force Range) approximately 140 miles northwest of Las Vegas, Nevada. This CAU is comprised of five Corrective Action Sites (CASs): TA-19-002-TAB2, Debris Mound; TA-21-003-TANL, Disposal Trench; TA-21-002-TAAL, Disposal Trench; 09-21-001-TA09, Disposal Trenches; 03-19-001, Waste Disposal Site. This CAU is being investigated because contaminants may be present in concentrations that could potentially pose a threat to human health and/or the environment, and waste may have been disposed of with out appropriate controls. Four out of five of these CASs are the result of weapons testing and disposal activities at the TTR, and they are grouped together for site closure based on the similarity of the sites (waste disposal sites and trenches). The fifth CAS, CAS 03-19-001, is a hydrocarbon spill related to activities in the area. This site is grouped with this CAU because of the location (TTR). Based on historical documentation and process know-ledge, vertical and lateral migration routes are possible for all CASs. Migration of contaminants may have occurred through transport by infiltration of precipitation through surface soil which serves as a driving force for downward migration of contaminants. Land-use scenarios limit future use of these CASs to industrial activities. The suspected contaminants of potential concern which have been identified are volatile organic compounds; semivolatile organic compounds; high explosives; radiological constituents including depleted uranium

  19. Corrective Action Investigation Plan for Corrective Action Unit 555: Septic Systems Nevada Test Site, Nevada, Rev. No.: 0 with Errata

    Energy Technology Data Exchange (ETDEWEB)

    Pastor, Laura

    2005-12-01

    This Corrective Action Investigation Plan (CAIP) contains project-specific information including facility descriptions, environmental sample collection objectives, and criteria for conducting site investigation activities at Corrective Action Unit (CAU) 555: Septic Systems, Nevada Test Site (NTS), Nevada. This CAIP has been developed in accordance with the ''Federal Facility Agreement and Consent Order'' (FFACO) (1996) that was agreed to by the State of Nevada, the U.S. Department of Energy (DOE), and the U.S. Department of Defense. Corrective Action Unit 555 is located in Areas 1, 3 and 6 of the NTS, which is approximately 65 miles (mi) northwest of Las Vegas, Nevada, and is comprised of the five corrective action sites (CASs) shown on Figure 1-1 and listed below: (1) CAS 01-59-01, Area 1 Camp Septic System; (2) CAS 03-59-03, Core Handling Building Septic System; (3) CAS 06-20-05, Birdwell Dry Well; (4) CAS 06-59-01, Birdwell Septic System; and (5) CAS 06-59-02, National Cementers Septic System. An FFACO modification was approved on December 14, 2005, to include CAS 06-20-05, Birdwell Dry Well, as part of the scope of CAU 555. The work scope was expanded in this document to include the investigation of CAS 06-20-05. The Corrective Action Investigation (CAI) will include field inspections, radiological surveys, geophysical surveys, sampling of environmental media, analysis of samples, and assessment of investigation results, where appropriate. Data will be obtained to support corrective action alternative evaluations and waste management decisions. The CASs in CAU 555 are being investigated because hazardous and/or radioactive constituents may be present in concentrations that could potentially pose a threat to human health and the environment. Existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives for the CASs. Additional information will be generated by

  20. Corrective Action Plan in response to the March 1992 Tiger Team Assessment of the Ames Laboratory

    International Nuclear Information System (INIS)

    1992-01-01

    On March 5, 1992, a Department of Energy (DOE) Tiger Team completed an assessment of the Ames Laboratory, located in Ames, Iowa. The purpose of the assessment was to provide the Secretary of Energy with a report on the status and performance of Environment, Safety and Health (ES ampersand H) programs at Ames Laboratory. Detailed findings of the assessment are presented in the report, DOE/EH-0237, Tiger Team Assessment of the Ames Laboratory. This document, the Ames Laboratory Corrective Action Plan (ALCAP), presents corrective actions to overcome deficiencies cited in the Tiger Team Assessment. The Tiger Team identified 53 Environmental findings, from which the Team derived four key findings. In the Safety and Health (S ampersand H) area, 126 concerns were identified, eight of which were designated Category 11 (there were no Category I concerns). Seven key concerns were derived from the 126 concerns. The Management Subteam developed 19 findings which have been summarized in four key findings. The eight S ampersand H Category 11 concerns identified in the Tiger Team Assessment were given prompt management attention. Actions to address these deficiencies have been described in individual corrective action plans, which were submitted to DOE Headquarters on March 20, 1992. The ALCAP includes actions described in this early response, as well as a long term strategy and framework for correcting all remaining deficiencies. Accordingly, the ALCAP presents the organizational structure, management systems, and specific responses that are being developed to implement corrective actions and to resolve root causes identified in the Tiger Team Assessment. The Chicago Field Office (CH), IowaState University (ISU), the Institute for Physical Research and Technology (IPRT), and Ames Laboratory prepared the ALCAP with input from the DOE Headquarters, Office of Energy Research (ER)

  1. [Local health promotion plans: intersetoralities created in the territory].

    Science.gov (United States)

    Moysés, Simone Tetu; Franco de Sá, Ronice

    2014-11-01

    The article highlights the importance of considering the specificities of spaces/territories/ locations of individual and collective life in creating health promotion actions. It explores how this approach has conceptually consolidated respect for territoriality and territorial actions as a principle and an operational health promotion strategy. Based on the literature, the article also points to the need to envision the territory occupied as a locus to put intersetorialities into practice, giving a voice to people who live there, seek to and solve their complex problems, to existing and emerging social networks. It also presents a nationally and internationally validated strategy/method (Bamboo Method) for the development of local health promotion plans, which enables the prioritization of actions by listening to the people and to the managers.

  2. Removal action work plan for the YS-860 Firing Ranges, Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

    International Nuclear Information System (INIS)

    1998-03-01

    The US Department of Energy is conducting environmental restoration activities at the Y-12 Plant in Oak Ridge, Tennessee. As part of these efforts, a removal action is planned for the former YS-860 Firing Ranges as described in the Action Memorandum for the project. This removal action work plan (RmAWP) is focused on the former YS-860 Firing Ranges, located outside the primary fenceline at the eastern end of the plant. This RmAWP defines the technical approach, procedures, and requirements for the removal of lead-contaminated soil and site restoration of the former YS-860 Firing Ranges at the Y-12 Plant. This RmAWP describes excavation, verification/confirmatory sampling, and reporting requirements for the project. Lower tier plans associated with the RmAWP, which are submitted as separate stand-alone documents, include a field sampling and analysis plan, a health and safety plan, a quality assurance project plan, a waste management plan, a data management implementation plan, and a best management practices plan. A site evaluation of the YS-86O Firing Ranges conducted in 1996 by Lockheed Martin Energy Systems, Inc., determined that elevated lead levels were present in the Firing Ranges target berm soils. The results of this sampling event form the basis for the removal action recommendation as described in the Action Memorandum for this project. This RmAWP contains a brief history and description of the Former YS-860 Firing Ranges Project, along with the current project schedule and milestones. This RmAWP also provides an overview of the technical requirements of the project, including a summary of the approach for the removal activities. Finally, the RmAWP identifies the regulatory requirements and the appropriate removal action responses to address applicable or relevant and appropriate requirements to achieve the project goals of substantially reducing the risk to human health and the environment

  3. Smoking Cessation in Cardiac Patients: The Influence of Action Plans, Coping Plans and Self-Efficacy on Quitting Smoking

    Science.gov (United States)

    de Hoog, Natascha; Bolman, Catherine; Berndt, Nadine; Kers, Esther; Mudde, Aart; de Vries, Hein; Lechner, Lilian

    2016-01-01

    Smoking cessation is the most effective action for cardiac patients who smoke to improve their prognosis, yet more than one-half of cardiac patients continue to smoke after hospital admission. This study examined the influence of action plans, coping plans and self-efficacy on intention to quit and smoking cessation in cardiac patients. Cardiac…

  4. Corrective Action Investigation Plan for Corrective Action Unit 232: Area 25 Sewage Lagoons, Nevada Test Site, Nevada, Revision 0

    International Nuclear Information System (INIS)

    1999-01-01

    The Corrective Action Investigation Plan for Corrective Action Unit 232, Area 25 Sewage Lagoons, has been developed in accordance with the Federal Facility Agreement and Consent Order that was agreed to by the U.S. Department of Energy, Nevada Operations Office; the State of Nevada Division of Environmental Protection; and the U. S. Department of Defense. Corrective Action Unit 232 consists of Corrective Action Site 25-03-01, Sewage Lagoon. Corrective Action Unit 232, Area 25 Sewage Lagoons, received sanitary effluent from four buildings within the Test Cell ''C'' Facility from the mid-1960s through approximately 1996. The Test Cell ''C'' Facility was used to develop nuclear propulsion technology by conducting nuclear test reactor studies. Based on the site history collected to support the Data Quality Objectives process, contaminants of potential concern include volatile organic compounds, semivolatile organic compounds, Resource Conservation and Recovery Act metals, petroleum hydrocarbons, polychlorinated biphenyls, pesticides, herbicides, gamma emitting radionuclides, isotopic plutonium, isotopic uranium, and strontium-90. A detailed conceptual site model is presented in Section 3.0 and Appendix A of this Corrective Action Investigation Plan. The conceptual model serves as the basis for the sampling strategy. Under the Federal Facility Agreement and Consent Order, the Corrective Action Investigation Plan will be submitted to the Nevada Division of Environmental Protection for approval. Field work will be conducted following approval of the plan. The results of the field investigation will support a defensible evaluation of corrective action alternatives in the Corrective Action Decision Document

  5. Plan d'action pour la conservation des espèces d'oiseaux inscrites ...

    African Journals Online (AJOL)

    This List includes fifteen species of bird, and at the thirteenth Conference of the Parties in Catania, Sicily in November 2003, an Action Plan for the conservation of these species was adopted, following similar plans on monk seal, marine turtles, cetaceans and marine vegetation. The Action Plan for Birds notes initiatives ...

  6. Family planning and health: the Narangwal experiment.

    Science.gov (United States)

    Faruqee, R

    1983-06-01

    The findings of a 7-year field experiment conducted in the Indian Punjab show that integrating family planning with health services is more effective and efficient than providing family planning separately. The field experiment was conducted between 1968 and 1974 at Narangwal in the Indian State of Punjab. It involved 26 villages, with a total population of 35,000 in 1971-72. The demographic characteristics of the villages were found to be typical of the area. 5 groups of villages were provided with different combinations of services for health, nutrition and family planning. A control group received no project services. A population study was made of the effects of integrating family planning with maternal and child health services. A nutritional study looked at the results of integrating nutritional care and health services. The effectiveness of integration was evaluated by identifying it both with increased use of family planning and improved health. Efficiency was judged by relating effectiveness to input costs. Distribution of the benefits was also examined. The effectiveness of these different combinations of services on the use of family planning was measured: 1) by all changes in the use of modern methods of family planning, 2) by the number of new acceptors, 3) by the changes in the proportion of eligible women using contraceptives, and 4) by how many people started to use the more effective methods. Results showed the use of family planning increased substantially in the experimental groups, whereas the control group remained constant. It was also found that, though the services combining family planning with maternal health care stimulated more use of family planning, they were more costly than the more integrated srevices. The Narangwal experiment provides significant evidence in favor of combining the provision of family planning and health services, but its potential for replication on a large scale needs to be studied.

  7. Action-Dependent Photobiomodulation on Health, Suboptimal Health, and Disease

    Directory of Open Access Journals (Sweden)

    Timon Cheng-Yi Liu

    2014-01-01

    Full Text Available The global photobiomodulation (PBM on an organism was studied in terms of function-specific homeostasis (FSH and scale-free functional network in this paper. A function can be classified into a normal function in its FSH and a dysfunctional function far from its FSH. An FSH-specific stress (FSS disrupting an FSH can also be classified into a successful stress in its FSS-specific homeostasis (FSSH and a chronic stress far from its FSSH. The internal functions of an organism can be divided into essential, special nonessential, and general nonessential functions. Health may be defined as a state of an organism in which all the essential and special nonessential functions are normal or their stresses are successful. Suboptimal health may be defined as a state of a disease-free organism in which only some special nonessential functions are dysfunctional in comparison with its healthy state. Disease may be defined as a state of an organism which is not in both health and suboptimal health. The global PBM of health, suboptimal health, or disease suggested that the PBM may depend on the organism action.

  8. Health contribution to local government planning

    International Nuclear Information System (INIS)

    France, Cheryl

    2004-01-01

    When local government considers future land-use plans, the local health authorities are not always included as a key partner. In Cambridgeshire, England, the former Cambridgeshire Health Authority formed a partnership with local government to address this issue. The relationship that developed and the subsequent health impact review provided an opportunity to influence strategic policy and ensure that health objectives are taken into account. Through partnership working, lessons were learned about how to incorporate health issues into a strategic land-use planning document to the overall benefit of the community

  9. Applying the reasoned action approach to understanding health protection and health risk behaviors.

    Science.gov (United States)

    Conner, Mark; McEachan, Rosemary; Lawton, Rebecca; Gardner, Peter

    2017-12-01

    The Reasoned Action Approach (RAA) developed out of the Theory of Reasoned Action and Theory of Planned Behavior but has not yet been widely applied to understanding health behaviors. The present research employed the RAA in a prospective design to test predictions of intention and action for groups of protection and risk behaviors separately in the same sample. To test the RAA for health protection and risk behaviors. Measures of RAA components plus past behavior were taken in relation to eight protection and six risk behaviors in 385 adults. Self-reported behavior was assessed one month later. Multi-level modelling showed instrumental attitude, experiential attitude, descriptive norms, capacity and past behavior were significant positive predictors of intentions to engage in protection or risk behaviors. Injunctive norms were only significant predictors of intention in protection behaviors. Autonomy was a significant positive predictor of intentions in protection behaviors and a negative predictor in risk behaviors (the latter relationship became non-significant when controlling for past behavior). Multi-level modelling showed that intention, capacity, and past behavior were significant positive predictors of action for both protection and risk behaviors. Experiential attitude and descriptive norm were additional significant positive predictors of risk behaviors. The RAA has utility in predicting both protection and risk health behaviors although the power of predictors may vary across these types of health behavior. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Joining up health and planning: how Joint Strategic Needs Assessment (JSNA) can inform health and wellbeing strategies and spatial planning.

    Science.gov (United States)

    Tomlinson, Paul; Hewitt, Stephen; Blackshaw, Neil

    2013-09-01

    There has been a welcome joining up of the rhetoric around health, the environment and land use or spatial planning in both the English public health white paper and the National Planning Policy Framework. However, this paper highlights a real concern that this is not being followed through into practical guidance needed by local authorities (LAs), health bodies and developers about how to deliver this at the local level. The role of Joint Strategic Needs Assessments (JSNAs) and Health and Wellbeing Strategies (HWSs) have the potential to provide a strong basis for integrated local policies for health improvement, to address the wider determinants of health and to reduce inequities. However, the draft JSNA guidance from the Department of Health falls short of providing a robust, comprehensive and practical guide to meeting these very significant challenges. The paper identifies some examples of good practice. It recommends that action should be taken to raise the standards of all JSNAs to meet the new challenges and that HWSs should be aligned spatially and temporally with local plans and other LA strategies. HWSs should also identify spatially targeted interventions that can be delivered through spatial planning or transport planning. Steps need to be taken to ensure that district councils are brought into the process.

  11. DOUBLE TRACKS Test Site interim corrective action plan

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-06-01

    The DOUBLE TRACKS site is located on Range 71 north of the Nellis Air Force Range, northwest of the Nevada Test Site (NTS). DOUBLE TRACKS was the first of four experiments that constituted Operation ROLLER COASTER. On May 15, 1963, weapons-grade plutonium and depleted uranium were dispersed using 54 kilograms of trinitrotoluene (TNT) explosive. The explosion occurred in the open, 0.3 m above the steel plate. No fission yield was detected from the test, and the total amount of plutonium deposited on the ground surface was estimated to be between 980 and 1,600 grams. The test device was composed primarily of uranium-238 and plutonium-239. The mass ratio of uranium to plutonium was 4.35. The objective of the corrective action is to reduce the potential risk to human health and the environment and to demonstrate technically viable and cost-effective excavation, transportation, and disposal. To achieve these objectives, Bechtel Nevada (BN) will remove soil with a total transuranic activity greater then 200 pCI/g, containerize the soil in ``supersacks,`` transport the filled ``supersacks`` to the NTS, and dispose of them in the Area 3 Radioactive Waste Management Site. During this interim corrective action, BN will also conduct a limited demonstration of an alternative method for excavation of radioactive near-surface soil contamination.

  12. [The Health Plan for Catalonia: an instrument to transform the health system].

    Science.gov (United States)

    Constante i Beitia, Carles

    2015-11-01

    The Department of Health of the Generalitat in Catalonia periodically draws up the Health Plan, which is the strategic document that brings together the reference framework for initiatives concerning public health in terms of the Catalan health administration. The 2011-2015 version of the Health Plan incorporates key care and system governance-related elements, which, in conjunction with health goals, make up the complete picture of what the health system in Catalonia should look like until 2015. The Plan was drawn up at a time when the environmental conditions were extremely particular, given the major economic crisis that began in 2007. This has meant that the system has been forced to address public health problems using a significant reduction in the economic resources available, while aiming to maintain the level of care provided, both quantitatively and qualitatively, and preserve the sustainability of the system whose defining traits are its universality, equity and the wide range of services on offer. The Health Plan focuses on three areas of action, 9 major courses of action and 32 strategic projects designed to respond to new social needs: addressing the most common health issues, comprehensive care for chronic patients and organizational modernization. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  13. Eliciting consumer preferences for health plans.

    Science.gov (United States)

    Booske, B C; Sainfort, F; Hundt, A S

    1999-10-01

    To examine (1) what people say is important to them in choosing a health plan; (2) the effect, if any, that giving health plan information has on what people say is important to them; and (3) the effect of preference elicitation methods on what people say is important. A random sample of 201 Wisconsin state employees who participated in a health plan choice experiment during the 1995 open enrollment period. We designed a computer system to guide subjects through the review of information about health plan options. The system began by eliciting the stated preferences of the subjects before they viewed the information, at time 0. Subjects were given an opportunity to revise their preference structures first after viewing summary information about four health plans (time 1) and then after viewing more extensive, detailed information about the same options (time 2). At time 2, these individuals were also asked to rate the relative importance of a predefined list of health plan features presented to them. Data were collected on the number of attributes listed at each point in time and the importance weightings assigned to each attribute. In addition, each item on the attribute list was content analyzed. The provision of information changes the preference structures of individuals. Costs (price) and coverage dominated the attributes cited both before and after looking at health plan information. When presented with information on costs, quality, and how plans work, many of these relatively well educated consumers revised their preference structures; yet coverage and costs remained the primary cited attributes. Although efforts to provide health plan information should continue, decisions on the information to provide and on making it available are not enough. Individuals need help in understanding, processing, and using the information to construct their preferences and make better decisions.

  14. Deliberate and Crisis Action Planning and Execution Segments Increment 2A (DCAPES Inc 2A)

    Science.gov (United States)

    2016-03-01

    2016 Major Automated Information System Annual Report Deliberate and Crisis Action Planning and Execution Segments Increment 2A (DCAPES Inc 2A...Program Name Deliberate and Crisis Action Planning and Execution Segments Increment 2A (DCAPES Inc 2A) DoD Component Air Force Responsible Office Program...APB) dated March 9, 2015 DCAPES Inc 2A 2016 MAR UNCLASSIFIED 4 Program Description Deliberate and Crisis Action Planning and Execution Segments

  15. Deliberate and Crisis Action Planning and Execution Segments Increment 2B (DCAPES Inc 2B)

    Science.gov (United States)

    2016-03-01

    2016 Major Automated Information System Annual Report Deliberate and Crisis Action Planning and Execution Segments Increment 2B (DCAPES Inc 2B...Information Program Name Deliberate and Crisis Action Planning and Execution Segments Increment 2B (DCAPES Inc 2B) DoD Component Air Force Responsible Office...been established. DCAPES Inc 2B 2016 MAR UNCLASSIFIED 4 Program Description Deliberate and Crisis Action Planning and Execution Segments (DCAPES) is

  16. Robustness in practice--the regional planning of health services.

    Science.gov (United States)

    Best, G; Parston, G; Rosenhead, J

    1986-05-01

    Earlier work has criticized the dominant tendencies in operational research contributions to health services planning as characterized by optimization, implausible demands for data, depoliticization, hierarchy and inflexibility. This paper describes an effort which avoids at least some of these pitfalls. The project was to construct a planning system for a regional health council in Ontario, Canada, which would take account of the possible alternative future states of the health-care system's environment and would aim to keep options for future development open. The planning system devised is described in the paper. It is based on robustness analysis, which evaluates alternative initial action sets in terms of the useful flexibility they preserve. Other features include the explicit incorporation of pressures for change generated outside the health-care system, and a satisficing approach to the identification of both initial action sets and alternative future configurations of the health-care system. It was found possible to borrow and radically 're-use' techniques or formulations from the mainstream of O.R. contributions. Thus the 'reference projection' method was used to identify inadequacies in performance which future health-care system configurations must repair. And Delphi analysis, normally a method for generating consensus, was used in conjunction with cluster analysis of responses to generate meaningfully different alternative futures.

  17. Transport Canada's sustainable development action plan

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-09-30

    Transport Canada's sustainable development strategy, tabled in the House of Commons in December 1997, sets out the direction for the Department to integrate environmental concerns with safety and efficiency in developing policies and programs and in carrying out its day-to-day activities. While recognizing that moving towards sustainable development is a long-term undertaking, the department is determined to turn 'words' into 'work'. The action plan outlined in this document is organized according to the challenges laid out in the original Sustainable Development Strategy document. Accordingly, the department shall endeavour to minimize risk of environmental damage from transportation accidents; promote greening of operations in the transportation sector; reduce emissions of hazardous substances from transportation sources; promote education and awareness on sustainable transportation; refine sustainable performance indicators; and develop and promote the application of cleaner transportation systems and transportation technologies. The bulk of the report is devoted to brief summaries of progress achieved in each of these areas to date.

  18. Nuclear energy and global governance to 2030 : an action plan

    International Nuclear Information System (INIS)

    Frechette, L.; Findlay, T.; Brem, M.; Hanson, J.; Bunch, M.; McCausland, T.

    2010-01-01

    This document presented the key findings of the Nuclear Energy Futures project that was initiated in May 2006 to consider global governance of nuclear energy. The five-point action plan presented in this document included: (1) nuclear safety whereby all nuclear states are committed to and capable of implementing the highest nuclear safety standards, (2) nuclear security whereby all nuclear material and facilities are secure from unauthorized access or terrorist seizure or attack, (3) nuclear nonproliferation whereby a nuclear revival does not contribute to the proliferation of nuclear weapons, (4) the re-enforcement of the International Atomic Energy Agency's centrality through increased funding, modernization and reform, and (5) stakeholder involvement whereby all partners, especially industry, participate in judiciously managing a nuclear revival. This document suggested that despite some powerful drivers, the revival of nuclear energy faces too many barriers compared to other means of electricity production. These barriers include high costs; fewer subsidies; too slow for meeting the threat of climate change; inadequate power grids; unresolved nuclear waste issue; and fears about safety, security and nuclear weapons.

  19. LEAP: local environmental action plan. Municipality of Sopishte

    International Nuclear Information System (INIS)

    2004-01-01

    The establishment of the Municipality of Sopishte was preceded by the development of a kind of suburban settlement of Skopje, basically composed of illegally constructed individual houses for living. As a result from economic activities in the Municipality and the impacts from human factor, there are problems related to the disturbance of the quality of the basic environmental quality factors (water, air and soil), as well as threat to biological diversity and natural values and rarities. The Municipality of Sopishte is situated in hilly-mountain area. Significant sources of air pollution have not been recorded (in terms of industrial facilities) caused by the household neglectible air pollution caused by traffic. The Municipality is very poor in water resources. Almost 90% of the Municipality's territory are without river or stream. A potential source of water supply in this area is the river of Patishka, which is currently not used for water supply purposes. The solid waste, generated basically by the households, is not properly disposed (most frequently dumped on illegal dumping sites on the territory of the Municipality) and represents a serious problem making impacts on the quality of the environment. On the basis of the evaluation of identified environmental problems, priority activities required to be undertaken in short and medium term have been set up. Financial constrains have been taken into account in this regard. The proposed Action Plan reflects the observed needs of the population of the Municipality of Sopishte and the perception of the key problems

  20. Nuclear energy and global governance to 2030 : an action plan

    Energy Technology Data Exchange (ETDEWEB)

    Frechette, L.; Findlay, T. (comps.); Brem, M.; Hanson, J.; Bunch, M.; McCausland, T. (eds.)

    2010-07-01

    This document presented the key findings of the Nuclear Energy Futures project that was initiated in May 2006 to consider global governance of nuclear energy. The five-point action plan presented in this document included: (1) nuclear safety whereby all nuclear states are committed to and capable of implementing the highest nuclear safety standards, (2) nuclear security whereby all nuclear material and facilities are secure from unauthorized access or terrorist seizure or attack, (3) nuclear nonproliferation whereby a nuclear revival does not contribute to the proliferation of nuclear weapons, (4) the re-enforcement of the International Atomic Energy Agency's centrality through increased funding, modernization and reform, and (5) stakeholder involvement whereby all partners, especially industry, participate in judiciously managing a nuclear revival. This document suggested that despite some powerful drivers, the revival of nuclear energy faces too many barriers compared to other means of electricity production. These barriers include high costs; fewer subsidies; too slow for meeting the threat of climate change; inadequate power grids; unresolved nuclear waste issue; and fears about safety, security and nuclear weapons.

  1. Strategic Teleconference Planning in Rural Health Education.

    Science.gov (United States)

    Nagel, Liza; Boswell, Judy

    1997-01-01

    An introduction to planning interactive health education teleconferences via satellite discusses participant recruitment, satellite transmission coordination, scheduling considerations, format design, and use of site facilitators. Teleconference training of community service providers and community leaders should combine passive delivery of…

  2. Health Plan Performance Measurement within Medicare Subvention.

    Science.gov (United States)

    1998-06-01

    the causes of poor performance (Siren & Laffel, 1996). Although outcomes measures such as nosocomial infection rates, admission rates for select...defined. Traditional outcomes measures include infection rates, morbidity, and mortality. The problem with these traditional measures is... Maternal /Child Care Indicators Nursing Staffing Indicators Outcome Indicators Technical Outcomes Plan Performance Stability of Health Plan

  3. Health Insurance: Understanding Your Health Plan's Rules

    Science.gov (United States)

    ... to know what your insurance company is paying…Health Insurance: Understanding What It CoversRead Article >>Insurance & BillsHealth Insurance: Understanding What It CoversYour insurance policy lists a package of medical benefits such as tests, drugs, and treatment services. These ...

  4. Factors shaping intersectoral action in primary health care services.

    Science.gov (United States)

    Anaf, Julia; Baum, Fran; Freeman, Toby; Labonte, Ron; Javanparast, Sara; Jolley, Gwyn; Lawless, Angela; Bentley, Michael

    2014-12-01

    To examine case studies of good practice in intersectoral action for health as one part of evaluating comprehensive primary health care in six sites in South Australia and the Northern Territory. Interviews with primary health care workers, collaborating agency staff and service users (Total N=33); augmented by relevant documents from the services and collaborating partners. The value of intersectoral action for health and the importance of partner relationships to primary health care services were both strongly endorsed. Factors facilitating intersectoral action included sufficient human and financial resources, diverse backgrounds and skills and the personal rewards that sustain commitment. Key constraining factors were financial and time limitations, and a political and policy context which has become less supportive of intersectoral action; including changes to primary health care. While intersectoral action is an effective way for primary health care services to address social determinants of health, commitment to social justice and to adopting a social view of health are constrained by a broader health service now largely reinforcing a biomedical model. Effective organisational practices and policies are needed to address social determinants of health in primary health care and to provide a supportive context for workers engaging in intersectoral action. © 2014 Public Health Association of Australia.

  5. Corrective Action Plan for Corrective Action Unit 543: Liquid Disposal Units, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    NSTec Environmental Restoration

    2007-01-01

    6-605, 6-606, and 6-607, which consists of septic tanks, sumps, piping, floor drains, drain trenches, cleanouts, and a concrete foundation. Additional details of the site history are provided in the CAU 543 Corrective Action Investigation Plan (CAIP) (U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office [NNSA/NSO], 2004a), and the CAU 543 Corrective Action Decision Document (CADD) (NNSA/NSO, 2005)

  6. Standard review plan for the review of environmental restoration remedial action quality assurance program plans

    International Nuclear Information System (INIS)

    1991-09-01

    This plan establishes both the scope of the review and the acceptance criteria to be utilized for the review of Quality Assurance Program Plans (QAPPs) developed in accordance with the requirements of DOE/RL-90-28. DOE/RL-90-28, the Environmental Restoration Remedial Action Quality Assurance Requirements Document (QARD) defines all quality assurance (QA) requirements governing activities that affect the quality of the Environmental Restoration Remedial Action (ERRA) program at the Hanford Site. These requirements are defined in three parts, Part 1 of Quality Management and Administration tasks, Part 2 for Environmental Data Operations, and Part 3 of the Design and Construction of items, systems, and facilities. The purpose of this document is to identify the scope of the review by the DOE Field Office, Richland staff, and establish the acceptance criteria (Parts 1, 2, and 3) that the DOE Field Office, Richland staff will utilize to evaluate the participant QAPPs. Use of the standard review plan will (1) help ensure that participant QAPPs contain the information required by DOE/RL-90-28, (2) aid program participant and DOE Field Office, Richland staff is ensuring that the information describing the participant's QAPP is complete, (3) help persons regarding DOE/RL- 90-28 to locate information, and (4) contribute to decreasing the time needed for the review process. In addition, the Standard Review Plan (SRP) ensures the quality and uniformity of the staff reviews and presents a well-defined base from which to evaluate compliance of participant quality programs against DOE/RL-90-28

  7. LEAP: local environmental action plan. Municipality of Dolneni

    International Nuclear Information System (INIS)

    2004-01-01

    The Municipality of Dolneni is situated in the northern part of the Pelagonia Valley, at about 600 meters above the sea level. It is surrounded on three sides (north, northeast, east and northwest) by the mountain massifs of Dautica, Babuna and Busova Planina. The assesment of the state of the environment in the Municipality of Dolneni presented in this document is based on several principles, including, before all, human health, as well as impacts from human activities on urban and natural environment, social and economic development, etc. The impacts from environmental pollution on human health in the Municipality of Dolneni are evident. Major problem is the lack of sewerage system to collect wastewater and absence of organized landfill(s) for solid waste disposal. In addition, the improper drinking water supply in most of the settlements contributes to the increased human health risk in the Municipality. The absence of urban planning has lead to developments and uncontrolled use of natural resources that cause degradation of the environment and consequently decrease in quality of living for the population. The above problems affect the quality of living conditions and human health both directly and indirectly. In recent years, incidence of epidemics of communicable hepatitis was recovered (Debreste, Desovo), and there is a concern for a high risk of appearance of intestinal and other infectious diseases. There are no indicators of the soil quality of surface running water resources with regard to pollution. In any case, on the basis of the manner of land use and specific human activities on the territory of the Municipality, as well as on the basis of the above mentioned solid waste and waste water related problems, it may be concluded that these resources are in a rather poor condition. Other aspects of determining the quality of the environment (atmosphere, noise, natural ecosystems and biodiversity in general) are not under serious human pressure at present

  8. Clean Water Action Plan: Restoring and protecting America`s waters

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-02-01

    On October 18, 1997, the 25th anniversary of the enactment of the Clean Water Act, the Vice President called for a renewed effort to restore and protect water quality. The Vice President asked that the Secretary of Agriculture and the Administrator of the Environmental Protection Agency (EPA), working with other affected agencies, develop a Clean Water Action Plan that builds on clean water successes and addresses three major goals: (1) enhanced protection from public health threats posed by water pollution; (2) more effective control of polluted runoff; and (3) promotion of water quality protection on a watershed basis.

  9. Site Maintenance Plan: Part 2, Site Maintenance Action Plan for FY 1994

    Energy Technology Data Exchange (ETDEWEB)

    Fisk, E.L.

    1994-06-01

    This Fiscal Year (FY) 1994 Site Maintenance Action Plan (SMAP) is Part II of the Site Maintenance Plan, and has been written by Westinghouse Hanford Company (WHC) to outline the requirements stated in DOE Order 4330.4B, Maintenance Management Program, Chapter 1, Paragraph 3.3.1. The SMAP provides an annual status of maintenance initiatives completed and planned, a summary of performance indicators, a summary of maintenance backlog, a listing of real property and capital equipment maintenance cost estimates that were used to create the FY 1996 infrastructure and maintenance budget input, and a listing of proposed line item and general plant projects. Additionally, assumptions for various Site programs are listed to bring the Site Maintenance Plan into focus with overall Site activities. The primary mission at Hanford is to clean up the Site. In this cleanup process WHC will provide scientific and technological expertise to meet global needs, and partnership with stakeholders in the region to develop regional economic diversification. Other missions at the Hanford Site include energy research and development, and waste management and disposal activities. Their primary mission has a 30-year projected life span and will direct the shutting down and cleanup of defense production facilities and the Fast Flux Test Facility. This long-term mission requires continuous maintenance and in many instances, replacement of existing basic infrastructure, support facilities, and utilities. Without adequate maintenance and capital funding these infrastructure, support facilities, and utilities will continue to deteriorate causing an increase in backlogged work.

  10. Site Maintenance Plan: Part 2, Site Maintenance Action Plan for FY 1994

    International Nuclear Information System (INIS)

    Fisk, E.L.

    1994-06-01

    This Fiscal Year (FY) 1994 Site Maintenance Action Plan (SMAP) is Part II of the Site Maintenance Plan, and has been written by Westinghouse Hanford Company (WHC) to outline the requirements stated in DOE Order 4330.4B, Maintenance Management Program, Chapter 1, Paragraph 3.3.1. The SMAP provides an annual status of maintenance initiatives completed and planned, a summary of performance indicators, a summary of maintenance backlog, a listing of real property and capital equipment maintenance cost estimates that were used to create the FY 1996 infrastructure and maintenance budget input, and a listing of proposed line item and general plant projects. Additionally, assumptions for various Site programs are listed to bring the Site Maintenance Plan into focus with overall Site activities. The primary mission at Hanford is to clean up the Site. In this cleanup process WHC will provide scientific and technological expertise to meet global needs, and partnership with stakeholders in the region to develop regional economic diversification. Other missions at the Hanford Site include energy research and development, and waste management and disposal activities. Their primary mission has a 30-year projected life span and will direct the shutting down and cleanup of defense production facilities and the Fast Flux Test Facility. This long-term mission requires continuous maintenance and in many instances, replacement of existing basic infrastructure, support facilities, and utilities. Without adequate maintenance and capital funding these infrastructure, support facilities, and utilities will continue to deteriorate causing an increase in backlogged work

  11. Corrective Action Decision Document/Corrective Action Plan for Corrective Action Unit 547: Miscellaneous Contaminated Waste Sites, Nevada National Security Site, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Mark Krauss

    2011-09-01

    The purpose of this CADD/CAP is to present the corrective action alternatives (CAAs) evaluated for CAU 547, provide justification for selection of the recommended alternative, and describe the plan for implementing the selected alternative. Corrective Action Unit 547 consists of the following three corrective action sites (CASs): (1) CAS 02-37-02, Gas Sampling Assembly; (2) CAS 03-99-19, Gas Sampling Assembly; and(3) CAS 09-99-06, Gas Sampling Assembly. The gas sampling assemblies consist of inactive process piping, equipment, and instrumentation that were left in place after completion of underground safety experiments. The purpose of these safety experiments was to confirm that a nuclear explosion would not occur in the case of an accidental detonation of the high-explosive component of the device. The gas sampling assemblies allowed for the direct sampling of the gases and particulates produced by the safety experiments. Corrective Action Site 02-37-02 is located in Area 2 of the Nevada National Security Site (NNSS) and is associated with the Mullet safety experiment conducted in emplacement borehole U2ag on October 17, 1963. Corrective Action Site 03-99-19 is located in Area 3 of the NNSS and is associated with the Tejon safety experiment conducted in emplacement borehole U3cg on May 17, 1963. Corrective Action Site 09-99-06 is located in Area 9 of the NNSS and is associated with the Player safety experiment conducted in emplacement borehole U9cc on August 27, 1964. The CAU 547 CASs were investigated in accordance with the data quality objectives (DQOs) developed by representatives of the Nevada Division of Environmental Protection (NDEP) and the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office. The DQO process was used to identify and define the type, amount, and quality of data needed to determine and implement appropriate corrective actions for CAU 547. Existing radiological survey data and historical knowledge of

  12. The Application of the Theory of Reasoned Action and Planned Behavior to Prevention Science in Counseling Psychology

    Science.gov (United States)

    Romano, John L.; Netland, Jason D.

    2008-01-01

    The theory of reasoned action and planned behavior (TRA/PB) is a model of behavior change that has been extensively studied in the health sciences but has had limited exposure in the counseling psychology literature. The model offers counseling psychologists a framework to conceptualize prevention research and practice. The model is important to…

  13. Aspects you should consider in your action plan when implementing an improvement strategy

    DEFF Research Database (Denmark)

    Carstensen, Peter; Vinter, Otto

    2017-01-01

    Both ISO/IEC 15504 (SPICE) and ISO/IEC 33014 include a step in their improvement process called: Develop action plan. But which actions should you include, and are you sure that these actions cover all aspects? We have performed a thorough study of the change strategy literature that is the found......Both ISO/IEC 15504 (SPICE) and ISO/IEC 33014 include a step in their improvement process called: Develop action plan. But which actions should you include, and are you sure that these actions cover all aspects? We have performed a thorough study of the change strategy literature...

  14. Health workforce governance and integration: the fit between planning and system.

    NARCIS (Netherlands)

    Batenburg, R.

    2014-01-01

    Background: The EU Joint Action on Health Workforce Planning and Forecasting has taken up the challenge to let countries share and exchange practices in health workforce planning. It appears however, that not many countries actually apply (needs-based forecasting) models to support this. But does

  15. A Reasoned Action Approach to Health Promotion

    OpenAIRE

    Fishbein, Martin

    2008-01-01

    This article describes the integrative model of behavioral prediction (IM), the latest formulation of a reasoned action approach. The IM attempts to identify a limited set of variables that can account for a considerable proportion of the variance in any given behavior. More specifically, consistent with the original theory of reasoned action, the IM assumes that intentions are the immediate antecedents of behavior, but in addition, the IM recognizes that environmental factors and skills and ...

  16. Actions on social determinants and interventions in primary health to improve mother and child health and health equity in Morocco.

    Science.gov (United States)

    Boutayeb, Wiam; Lamlili, Mohamed; Maamri, Abdellatif; Ben El Mostafa, Souad; Boutayeb, Abdesslam

    2016-02-02

    Over the last two decades, Moroccan authorities launched a number of actions and strategies to enhance access to health services and improve health outcomes for the whole population in general and for mother and child in particular. The Ministry of Health launched the action plans 2008-2012 and 2012-2016 and created the maternal mortality surveillance system. The Moroccan government opted for national health coverage through a mandatory health insurance and a scheme of health assistance to the poorest households. Other initiatives were devoted indirectly to health by acting on social determinants of health and poverty reduction. In this paper, we present results of an evaluation of interventions and programmes and their impact on health inequity in Morocco. We used data provided by national surveys over the last decades, information released on the website of the Ministry of Health, documentation published by the Moroccan government and international reports and studies related to Morocco and published by international bodies like the World Health Organisation, United Nations Development Programme, United Nations Population Fund, UNICEF, UNESCO and the World Bank. A short review of scientific publications was also carried out in order to select papers published on health equity, social determinants, health system and interventions in primary health in Morocco. Inferential and descriptive statistics (including principal component analysis) were carried out using software SPSS version 18. The findings indicate that substantial achievements were obtained in terms of access to health care and health outcomes for the whole Moroccan population in general and for mothers and children in particular. However, achievements are unfairly distributed between advantaged and less advantaged regions, literate and illiterate women, rural and urban areas, and rich and poor segments of the Moroccan population. Studies have shown that it is difficult to trace the effect of a primary

  17. Corrective action investigation plan for CAU No. 424: Area 3 Landfill Complex, Tonopah Test Range, Nevada

    International Nuclear Information System (INIS)

    1997-04-01

    This Correction Action Investigation Plan contains the environmental sample collection objectives and the criteria for conducting site investigation activities at the Area 3 Landfill Complex, CAU No. 424, which is located at the Tonopah Test Range (TTR). The TTR, included in the Nellis Air Force Range, is approximately 255 kilometers (140 miles) northwest of Las Vegas, nevada. The CAU 424 is comprised of eight individual landfill sites that are located around and within the perimeter of the Area 3 Compound. Due to the unregulated disposal activities commonly associated with early landfill operations, an investigation will be conducted at each CAS to complete the following tasks: identify the presence and nature of possible contaminant migration from the landfills; determine the vertical and lateral extent of possible contaminant migration; ascertain the potential impact to human health and the environment; and provide sufficient information and data to develop and evaluate appropriate corrective action strategies for each CAS

  18. Integrated action planning for biodiversity conservation and sustainable use of highland aquatic resources

    DEFF Research Database (Denmark)

    Bunting, Stuart W.; Luo, S.; Cai, K.

    2016-01-01

    The need for enhanced environmental planning and management for highland aquatic resources is described and rationale for integrated action planning presented. Past action planning initiatives for biodiversity conservation and wetland management are reviewed. A reflective account is given...... of integrated action planning from five sites in China, India and Vietnam. Eight planning phases are described encompassing: stakeholder assessment and partner selection; rapport building and agreement on collaboration; integrated biodiversity, ecosystem services, livelihoods and policy assessment; problem...... analysis and target setting; strategic planning; planning and organisation of activities; coordinated implementation and monitoring; evaluation and revised target-setting. The scope and targeting of actions was evaluated using the DPSIR framework and compatibility with biodiversity conservation and socio...

  19. Declaration on action for environment and health in Europe

    International Nuclear Information System (INIS)

    1994-06-01

    The Ministers of the Environment and the Ministers of Health of the European Member States of the World Health Organization (WHO) and the Members of the European Commission have met in Helsinki, Finland, and issued this declaration on Action for Environment and Health in Europe. The declaration primarily deals with environmental pollution protection, public health

  20. Intersectoral action on SDH and equity in Australian health policy.

    Science.gov (United States)

    Fisher, Matthew; Baum, Frances E; MacDougall, Colin; Newman, Lareen; McDermott, Dennis; Phillips, Clare

    2017-12-01

    Intersectoral action between public agencies across policy sectors, and between levels of government, is seen as essential for effective action by governments to address social determinants of health (SDH) and to reduce health inequities. The health sector has been identified as having a crucial stewardship role, to engage other policy sectors in action to address the impacts of their policies on health. This article reports on research to investigate intersectoral action on SDH and health inequities in Australian health policy. We gathered and individually analysed 266 policy documents, being all of the published, strategic health policies of the national Australian government and eight State/Territory governments, current at the time of sampling in late 2012-early 2013. Our analysis showed that strategies for intersectoral action were common in Australian health policy, but predominantly concerned with extending access to individualized medical or behavioural interventions to client groups in other policy sectors. Where intersectoral strategies did propose action on SDH (other than access to health-care), they were mostly limited to addressing proximal factors, rather than policy settings affecting the distribution of socioeconomic resources. There was little evidence of engagement between the health sector and those policy sectors most able to influence systemic socioeconomic inequalities in Australia. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  1. Nuclear power: Accidental releases - practical guidance for public health action

    International Nuclear Information System (INIS)

    1987-01-01

    The disaster at Chernobyl, USSR, has caused a major crisis of confidence in nuclear safety, and highlighted the need for comprehensive contingency planning for - and emergency response to - such accidents. This report gives practical guidance on how the authorities should deal with an accident in any type of nuclear installation, whether it involves accidental releases to the air or into water. It is based on principles developed in a previous WHO report published in 1984. It summarizes the range of accidents for which plans need to be made to protect the public, the measures to be taken and the levels of dose at which they should be applied. It indicates how to measure the levels of exposure and what are the most likely routes of exposure. It then outlines the problems faced by public health authorities and medical practitioners, and the administrative arrangements that will have to be made. The example used is of a standard pressurized light water reactor of the type currently used for electricity generation, but many of the features will be common to other nuclear installations as well. This report is addressed to those organizations and individuals responsible for public health in the event of a nuclear accident. It will also be of use to those medical practitioners who are not administratively responsible in an accident, but who may need to be aware of the consequences and of the action to be taken in the aftermath of an accident. Coordination is vital between the public health administration and the organizations with direct responsibilities in the event of an accident, and this report is essential reading for them all. 29 refs, 2 figs, 7 tabs

  2. Dual Axis Radiographic Hydrodynamic Test Facility mitigation action plan. Annual report for 1998

    Energy Technology Data Exchange (ETDEWEB)

    Haagenstad, T.

    1999-01-15

    This Mitigation Action Plan Annual Report (MAPAR) has been prepared as part of implementing the Dual Axis Radiographic Hydrodynamic Test Facility (DARHT) Mitigation Action Plan (MAP) to protect workers, soils, water, and biotic and cultural resources in and around the facility.

  3. Dual Axis Radiographic Hydrodynamic Test Facility mitigation action plan. Annual report for 1998

    International Nuclear Information System (INIS)

    Haagenstad, T.

    1999-01-01

    This Mitigation Action Plan Annual Report (MAPAR) has been prepared as part of implementing the Dual Axis Radiographic Hydrodynamic Test Facility (DARHT) Mitigation Action Plan (MAP) to protect workers, soils, water, and biotic and cultural resources in and around the facility

  4. Action planning and position sense in children with Developmental Coordination Disorder

    NARCIS (Netherlands)

    Adams, I.L.; Ferguson, G.D.; Lust, J.M.; Steenbergen, B.; Smits-Engelsman, B.C.M.

    2016-01-01

    The present study examined action planning and position sense in children with Developmental Coordination Disorder (DCD). Participants performed two action planning tasks, the sword task and the bar grasping task, and an active elbow matching task to examine position sense. Thirty children were

  5. Using Action Plans to Support Communication Programming for Children Who Are Deafblind

    Science.gov (United States)

    Bruce, Susan M.

    2008-01-01

    The author describes the use of action plans to support 2 teachers' post-in-service implementation of communication strategies with 3 children who are deafblind. In the action plans, the teachers recorded changes in thinking and instructional practices under the 4 aspects of communication: form, function, content, and context. They also recorded…

  6. Joint action on mental health at the workplace : situation analysis and recommendation for action

    NARCIS (Netherlands)

    Fine, A.; Griffiths, J.; Breucker, G.; Sochert, R.; Knoche, K.; Zabrocki, H.; Heigi, C.; Radonic, E.; Mattila-Holappa, P.; Buffet, M.A.; Houtman, I.L.D.; Gründemann, R.; Hulleman, J.; Nijland, B.; Kramberger, B.; Betlehem, J.; Pék, E..; Ingudottir, J.; Bjarnadottir, S.; Murray, P.; Xerri, R.

    2015-01-01

    The thematic “Mental Health at Workplaces” is part of the “Joint Action on Mental Health and Well-being”, an initiative which sits within the framework of the 2 nd European Health Programme of the European Commission and the Member States of the EU in the period 2013 to 2016. The main aim of this

  7. Corrective Action Investigation Plan for Corrective Action Unit 232: Area 25 Sewage Lagoons, Nevada Test Site, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    USDOE/NV

    1999-05-01

    The Corrective Action Investigation Plan for Corrective Action Unit 232, Area 25 Sewage Lagoons, has been developed in accordance with the Federal Facility Agreement and Consent Order that was agreed to by the U.S. Department of Energy, Nevada Operations Office; the State of Nevada Division of Environmental Protection; and the U. S. Department of Defense. Corrective Action Unit 232 consists of Corrective Action Site 25-03-01, Sewage Lagoon. Corrective Action Unit 232, Area 25 Sewage Lagoons, received sanitary effluent from four buildings within the Test Cell ''C'' Facility from the mid-1960s through approximately 1996. The Test Cell ''C'' Facility was used to develop nuclear propulsion technology by conducting nuclear test reactor studies. Based on the site history collected to support the Data Quality Objectives process, contaminants of potential concern include volatile organic compounds, semivolatile organic compounds, Resource Conservation and Recovery Act metals, petroleum hydrocarbons, polychlorinated biphenyls, pesticides, herbicides, gamma emitting radionuclides, isotopic plutonium, isotopic uranium, and strontium-90. A detailed conceptual site model is presented in Section 3.0 and Appendix A of this Corrective Action Investigation Plan. The conceptual model serves as the basis for the sampling strategy. Under the Federal Facility Agreement and Consent Order, the Corrective Action Investigation Plan will be submitted to the Nevada Division of Environmental Protection for approval. Field work will be conducted following approval of the plan. The results of the field investigation will support a defensible evaluation of corrective action alternatives in the Corrective Action Decision Document.

  8. The Theory of Reasoned Action as Parallel Constraint Satisfaction: Towards a Dynamic Computational Model of Health Behavior

    OpenAIRE

    Orr, Mark G.; Thrush, Roxanne; Plaut, David C.

    2013-01-01

    The reasoned action approach, although ubiquitous in health behavior theory (e.g., Theory of Reasoned Action/Planned Behavior), does not adequately address two key dynamical aspects of health behavior: learning and the effect of immediate social context (i.e., social influence). To remedy this, we put forth a computational implementation of the Theory of Reasoned Action (TRA) using artificial-neural networks. Our model re-conceptualized behavioral intention as arising from a dynamic constrain...

  9. Health policies planning: methodological standards, boundaries and possibilities

    Directory of Open Access Journals (Sweden)

    Cassius Guimarães Chai

    2016-12-01

    Full Text Available Before the health right recognition and expansion brought about by the Federal Constitution of 1988,the impact on public accounts and the need to rationalize the system, now bound to the universalisation matrix, place “planning” as fundamental for the operationalization of actions and services of health accessing. The objective of this article is to carry out an integrative literature review in order to know the factors related to the methodological frameworks, challenges and possibilities for structuring a Municipal Health Plan (Administration. The following databases were searched: Lilacs, Library Digital Thesis and Dissertation (BDTD, in Google Scholar, the Coordination of Improvement of Higher Education Personnel (CAPES Thesis Bank. For the composition of the sample, the following descriptors were associated: Health Policy, Decentralization and Municipalization with Health Planning. In addition, papers were selected among dissertations, theses and scientific articles, as well as institutional handbooks of the Ministry of Health-MS Publics of PlanejaSUS, adopting scientific works published between 2005 and 2015 as a time cut. The results found synthesize the scenario of the intersectoral and tripartite arrangement of health management, contributing to a critical and evaluative exercise of experience, challenges and possibility Of advances in the understanding of the importance of SUS municipal planning.

  10. Building Energy Benchmarking in India: an Action Plan for Advancing the State-of-the-Art

    Energy Technology Data Exchange (ETDEWEB)

    Sarraf, Saket [Centre for Environmental Planning and Technology (CEPT) Univ., Ahmedabad (India); Anand, Shilpi [Centre for Environmental Planning and Technology (CEPT) Univ., Ahmedabad (India); Shukla, Yash [Centre for Environmental Planning and Technology (CEPT) Univ., Ahmedabad (India); Mathew, Paul [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Singh, Reshma [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2014-06-01

    This document describes an action plan for advancing the state of the art of commercial building energy benchmarking in the Indian context. The document is primarily intended for two audiences: (a) Research and development (R&D) sponsors and researchers can use the action plan to frame, plan, prioritize and scope new energy benchmarking R&D in order to ensure that their research is market relevant; (b) Policy makers and program implementers engaged in the deployment of benchmarking and building efficiency rating programmes can use the action plan for policy formulation and enforcement .

  11. Participatory Action Research in Health Systems: Empowering ...

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

    2 déc. 2014 ... For example, when staff at TARSC asked people in participatory ... The reader includes several examples of successful participatory action research. ... au forum « Think Big: Women in Business » à Delhi, le 9 octobre 2015.

  12. Planning-in-Action: An Innovative Approach to Human Development. The Hunger Project.

    Science.gov (United States)

    Community Development Journal, 1991

    1991-01-01

    The Hunger Project in India used a strategic planning-in-action approach that involved (1) reaching a common understanding; (2) creating a strategic intent; (3) choosing social indicators; (4) identifying strategic objectives; (5) empowering leadership; (6) identifying immediate action steps; and (7) sustaining the action. (SK)

  13. Aspects you should consider in your action plan when implementing an improvement strategy

    DEFF Research Database (Denmark)

    Carstensen, Peter; Vinter, Otto

    2017-01-01

    Both ISO/IEC 15504 (SPICE) and ISO/IEC 33014 include a step in their improvement process called: Develop action plan. But which actions should you include, and are you sure that these actions cover all aspects? We have performed a thorough study of the change strategy literature that is the found...

  14. Interim Action Proposed Plan for the Chemicals, Metals, and Pesticides (CMP) Pits Operable Unit; FINAL

    International Nuclear Information System (INIS)

    Bradley, J.

    2002-01-01

    The purpose of this Interim Action Proposed Plan (IAPP) is to describe the preferred interim remedial action for addressing the Chemicals, Metals, and Pesticides (CMP) Pits Operable Unit and to provide an opportunity for public input into the remedial action selection process

  15. A soil plan of action to awaken society beyond 2015

    Science.gov (United States)

    Jones, Arwyn; Bampa, Francesca; Towers, Willie; Broll, Gabrielle; Vargas, Ronald

    2014-05-01

    suite of positive examples offered by soil enthusiasts is to provide a common platform appropriate to all parts of the world, with a common consensus on soil issues to be covered and be brought to the table of consumers. The Global Soil Partnership (GSP) is an interactive, responsive and voluntary partnership, open to governments, regional organizations, institutions and other stakeholders. One of the pillars of action aims to "Encourage investment, technical cooperation, policy, education awareness and extension in soil". In order to achieve this goal, a small regionally balanced committee was formed following the 3rd European Network on Soil Awareness conference in Aberdeen and the 2nd Global Soil Week in Berlin. This group produced a draft plan of action that will be submitted to the Intergovernmental technical Panel on Soils (ITPS) of the GSP. Some key points that we need to address are: finding new soil communicators to awake and engage the society and the political arena (e.g. actors, poets, artists, etc.); focusing on a harmonised public perception of soil and their importance for environment and society; re-introducing soil science into the school curricula as a cross-cutting discipline designing a coherent but flexible structure and ensuring a proper and logical constructive transition between each learning stage (e.g. training teachers, web-based courses/ web-based platform, etc.). REFERENCES Bouma J, Broll G, Crane TA, Dewitte O, Gardi C, Schulte RPO, Towers W (2012) Soil information in support of policy making and awareness raising. Current Opinion in Environmental Sustainability, 4, 552-558. EC (2006) (COM(2006)231 final) Communication from the Commission to the Council, the European Parliament, the European Economic and Social Committee of the Regions, Thematic Strategy for Soil Protection. (ed Commission E), Brussels, Belgium.

  16. Corrective action investigation plan: Area 2 Photo Skid 16 Wastewater Pit, Corrective Action Unit 332. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-01-01

    This Corrective Action Investigation Plan (CAIP) contains a detailed description and plan for an environmental investigation of the Area 2 Photo Skid 16 Wastewater Pit. The site is located in Area 2 of the Nevada Test Site. The Photo Skid Wastewater Pit was used for disposal of photochemical process waste, and there is a concern that such disposal may have released photochemicals and metals to the soil beneath the pit and adjacent to it. The purpose of this investigation is to identify the presence and nature of contamination present in and adjacent to the wastewater pit and to determine the appropriate course of environmental response action for the site. The potential courses of action for the site are clean closure through remediation, closure in place (with or without remediation), or no further action.

  17. Alternatives/action plan report for outfall 17

    International Nuclear Information System (INIS)

    1994-11-01

    This Document contains information pertaining to alternatives/action associated with controlling ammonia entering through outfall 17. This document identifies the location of contaminate source, the ammonia concentration levels entering East Fork Poplar Creek, and the action taken to reduce/eliminate the toxicity problem

  18. Alternatives/action plan report for outfall 17

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-11-01

    This Document contains information pertaining to alternatives/action associated with controlling ammonia entering through outfall 17. This document identifies the location of contaminate source, the ammonia concentration levels entering East Fork Poplar Creek, and the action taken to reduce/eliminate the toxicity problem.

  19. Climatic Action Plan Project for the state of Veracruz (Mexico)

    Science.gov (United States)

    Tejeda, A.; Ochoa, C.

    2007-05-01

    With financing of the British Government and support of the National Institute of Ecology, from April of 2006 to March of 2008 an action plan which intends variability effects and climatic change for the state of Veracruz will be made. This plan will be taken to the state government and will be spread out to manufacturers, industrialists and population. Throughout the Gulf of Mexico, the state of Veracruz is a 745 km coast in length with a width that goes from 156 km in the center to 47 km in the north. The state has large mountains, forests, plains, rivers, cascades, lagoons and coasts. Veracruz is the 10th largest state in Mexico with a 72,420 km2 surface, it is located between 17°00' and 22°28' north latitude and between 93°95' and 98°38' west longitude. Because of the orographic effect, the Sierra Madre Oriental causes the existence of many types of climate, from dry to tropical forest, going through snow on the top of the Pico de Orizaba (5747m of altitude). The wind affects the coasts by not allowing to fish during a hundred days a year (particularly in winter), and on summer tropical waves and occasionally hurricanes affect rivers causing overflow and urban floods in fields. These phenomena do not have a regular affectation; they are subject to climate variability effects. Veracruz is the third state with most population in the country (7.1 million people in 2005), only surpassed by the state of Mexico and Mexico City. Although it occupies 3.7% of the national territory, Veracruz has 6.9% of human population in the country, and is the 6th state of PIB national contribution (240 thousands of millions pesos approximately). Of the possible effects of the climatic change the following can be expected: , , : Most of the coasts of the Gulf of Mexico, low and sandy, less of a meter on the sea level, represent the most vulnerable territory of Veracruz. Towns will be affected, the saline water will infiltrate until the phreatic mantles and the coast electrical

  20. A tool for enhancing strategic health planning: a modeled use of the International Classification of Functioning, Disability and Health.

    Science.gov (United States)

    Sinclair, Lisa Bundara; Fox, Michael H; Betts, Donald R

    2013-01-01

    This article describes use of the International Classification of Functioning, Disability and Health (ICF) as a tool for strategic planning. The ICF is the international classification system for factors that influence health, including Body Structures, Body Functions, Activities and Participation and Environmental Factors. An overview of strategic planning and the ICF are provided. Selected ICF concepts and nomenclature are used to demonstrate its utility in helping develop a classic planning framework, objectives, measures and actions. Some issues and resolutions for applying the ICF are described. Applying the ICF for strategic health planning is an innovative approach that fosters the inclusion of social ecological health determinants and broad populations. If employed from the onset of planning, the ICF can help public health organizations systematically conceptualize, organize and communicate a strategic health plan. Published 2012. This article is a US Government work and is in the public domain in the USA.

  1. Revised action plan of the Maintenance division for 1965, Annex 4

    International Nuclear Information System (INIS)

    Nikolic, M.

    1965-01-01

    The action plan presented in this annex is a revised version of the plan adopted in January 1965. It includes tasks of the mechanics, electrical and electronic equipment services. It includes a detailed list of planned and preventive maintenance actions related to the heavy water system, technical water system, helium system, reactor core, transportation equipment, hot cells, heating and ventilation systems in the reactor building, power supply system, auxiliary systems in the RA reactor building [sr

  2. Can action research strengthen district health management and improve health workforce performance? A research protocol.

    Science.gov (United States)

    Mshelia, C; Huss, R; Mirzoev, T; Elsey, H; Baine, S O; Aikins, M; Kamuzora, P; Bosch-Capblanch, X; Raven, J; Wyss, K; Green, A; Martineau, T

    2013-08-30

    The single biggest barrier for countries in sub-Saharan Africa (SSA) to scale up the necessary health services for addressing the three health-related Millennium Development Goals and achieving Universal Health Coverage is the lack of an adequate and well-performing health workforce. This deficit needs to be addressed both by training more new health personnel and by improving the performance of the existing and future health workforce. However, efforts have mostly been focused on training new staff and less on improving the performance of the existing health workforce. The purpose of this paper is to disseminate the protocol for the PERFORM project and reflect on the key challenges encountered during the development of this methodology and how they are being overcome. The overall aim of the PERFORM project is to identify ways of strengthening district management in order to address health workforce inadequacies by improving health workforce performance in SSA. The study will take place in three districts each in Ghana, Tanzania and Uganda using an action research approach. With the support of the country research teams, the district health management teams (DHMTs) will lead on planning, implementation, observation, reflection and redefinition of the activities in the study. Taking into account the national and local human resource (HR) and health systems (HS) policies and practices already in place, 'bundles' of HR/HS strategies that are feasible within the context and affordable within the districts' budget will be developed by the DHMTs to strengthen priority areas of health workforce performance. A comparative analysis of the findings from the three districts in each country will add new knowledge on the effects of these HR/HS bundles on DHMT management and workforce performance and the impact of an action research approach on improving the effectiveness of the DHMTs in implementing these interventions. Different challenges were faced during the development of

  3. FAMILY HEALTH STRATEGY OF PARTICIPATION IN MUNICIPAL HEALTH PLAN CONSTRUCTION: AN EXPERIENCE REPOR

    Directory of Open Access Journals (Sweden)

    Adilson Ribeiro dos Santos

    2015-08-01

    Full Text Available The Municipal Health Plan is an important planning tool in the management at the Unified Health System and at the same time, a mechanism for popular participation. This study aims to report the experience of the Municipal Health Plan’s workshop conducted by a Family Health Program team in a municipality in the south of Bahia Construção do Plano Municipal de Saúde. in the year 2014. This is an experience report that consolidates itself as a descriptive research tool that presents a reflection about an action that addresses a situation experienced in the professional interest of the scientific community. The workshop included the team and community members’ participation. The population's health problems follow a national trend, highlighting problems like diabetes, hypertension, worms, abuse of alcohol and other drugs inaddition to viruses. The health system problems reveal the weaknesses in local management of the Unified Health System by the insufficiency and/or lack of resources such as drugs, tests, equipment maintenance and others. Therefore, we emphasize the importance of the Municipal Health Plan as a management tool of the Unified Health System that allows closeness between users, workers and managers, as well as being a space for policy vocalization, contributing to the real effectiveness of the Unified Health System, based on participatory planning in accordance with the needs of users.

  4. Action of personal planning in the mining firm

    Directory of Open Access Journals (Sweden)

    Antošová Mária

    2004-06-01

    Full Text Available Planning in the personal area is systematically performed by the way of forcasting of future needs and reserves in human resources in every organization. By evaluating the number and the kind of employees, the organization will need, the department of human resources management can plan their obtaining, education and development, or the working process.The paper is dealing with the neccessity for the personal planning in every organization, irrespective of to its volume or tasks and area of planning. Planning of human resources demand a valuable, detailed and actural information, without that it cannot formulate real goals and predict the development of indexes influencing for achievement of such goals. To such information belong external factors (the prognosis of state economy development, competition, work market, etc., as well as the internal information that have an influence on the obtaining and forming of working power. In the next part I deal with the process of personal planning and methods of evaluation for workers needs. The process of one method - based on the analysis of development trends is used as an example of the calculation of planning the number of workers in 2004 in mining organization.Personal planning is very demanding for time, human and financial sources. When their creators will sufficiently understand every internal and external factors in a process of personal planning, they can very effectively predict tactical and strategical needs of their organization.

  5. Succession planning: a call to action for nurse executives.

    Science.gov (United States)

    Trepanier, Sylvain; Crenshaw, Jeannette T

    2013-10-01

    To discuss the organisational benefits of strategic succession planning in acute care hospital settings as a responsibility of chief nurse executives. A formal succession planning process is crucial to the financial and operational viability and sustainability of acute care hospitals. A succession plan is an essential business strategy that promotes effective leadership transition and continuity while maintaining productivity. Nursing and business literature were reviewed; reports contrasting institutions with and without succession plans were examined; and, operational implications were considered. It is imperative that chief nurse executives respond to the business benefits of an effective succession planning programme, identify common barriers and solutions, and implement best practices for a successful strategic succession planning programme. A strategic succession planning programme may offer many benefits to an acute care hospital, including improved retention rates, increased staff engagement and enhanced financial performance. Considering the ageing nursing workforce and the potential increase in demand for nursing services in the near future, nurse executives and other nurse leaders must actively engage in a formal succession planning process. A formal succession planning programme will help to provide strategic leadership continuity, operational effectiveness and improved quality of care. © 2013 John Wiley & Sons Ltd.

  6. SOCAP: Lessons learned in applying SIPE-2 to the military operations crisis action planning domain

    Science.gov (United States)

    Desimone, Roberto

    1992-01-01

    This report describes work funded under the DARPA Planning and Scheduling Initiative that led to the development of SOCAP (System for Operations Crisis Action Planning). In particular, it describes lessons learned in applying SIPE-2, the underlying AI planning technology within SOCAP, to the domain of military operations deliberate and crisis action planning. SOCAP was demonstrated at the U.S. Central Command and at the Pentagon in early 1992. A more detailed report about the lessons learned is currently being prepared. This report was presented during one of the panel discussions on 'The Relevance of Scheduling to AI Planning Systems.'

  7. Uranium Mill Tailings Remedial Action Project Environmental Line Management Audit Action Plan. Final report. Audit, October 26, 1992--November 6, 1992

    International Nuclear Information System (INIS)

    1993-07-01

    This Action Plan contains responses, planned actions, and estimated costs for addressing the findings discovered in the Environmental Management Audit conducted for the U.S. Department of Energy (DOE) Uranium Mill Tailings Remedial Action Project (UMTRA), October 26 through November 6, 1992. This document should be read in conjunction with the Audit Report to ensure the findings addressed in this document are fully understood. The scope of the UMTRA Environmental Management Audit was comprehensive and encompassed all areas of environmental management except environmental programs pertaining to the National Environmental Policy Act (NEPA) compliance. The Audit Report listed 18 findings: 11 were identified as compliance findings, and the remaining 7 were best management practice findings. Root cause analysis was performed on all the findings. The results of the analysis as well as planned corrective actions are summarized in Section 5.0. All planned actions were prioritized using the Tiger Team Assessment Corrective Action Plan system. Based on assigned priorities, all planned actions were costed by fiscal year. This Action Plan contains a description of the organizational and management structures to be used to implement the Action Plan, a brief discussion of root cause analysis and funding, followed by the responses and planned actions for each finding. A member of the UMTRA Project Office (PO) has been assigned responsibility for tracking the progress on each of the findings. The UMTRA PO staff wrote and/or approved all of the corrective actions recorded in this Action Plan

  8. Connecting the Dots--From Planning to Implementation: Translating Commitments into Action in a Strategic Planning Process

    Science.gov (United States)

    Mieso, Rob Roba

    2010-01-01

    This study examines the implementation of the Commitments to Action (CTAs) that were developed for the Outreach Institutional Initiative (OII) as part of the 2006 strategic planning process at De Anza College. Although the strategic planning process identified four Institutional Initiatives (IIs) [Outreach, Individualized Attention to Student…

  9. Motor planning is facilitated by adopting an action's goal posture: An fMRI study

    NARCIS (Netherlands)

    Zimmermann, M.; Meulenbroek, R.G.J.; Lange, F.P. de

    2012-01-01

    Abstract: Motor planning is a hierarchical process that is typically organized around an action's goal (e.g., drinking from a cup). However, the motor plan depends not only on the goal but also on the current body state. Here, we investigated how one's own body posture interacts with planning of

  10. Corrective Action Investigation Plan for Corrective Action Unit 573: Alpha Contaminated Sites, Nevada National Security Site, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick

    2014-05-01

    Corrective Action Unit (CAU) 573 is located in Area 5 of the Nevada National Security Site, which is approximately 65 miles northwest of Las Vegas, Nevada. CAU 573 is a grouping of sites where there has been a suspected release of contamination associated with non-nuclear experiments and nuclear testing. This document describes the planned investigation of CAU 573, which comprises the following corrective action sites (CASs): • 05-23-02, GMX Alpha Contaminated Area • 05-45-01, Atmospheric Test Site - Hamilton These sites are being investigated because existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives.

  11. RA reactor action plan for 1977 - Annex VI; Prilog VI - Plan rada reaktora RA za 1977. godinu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1976-12-15

    In the RA reactor action plan for 1977 it is foreseen that the reactor would be operated for 181 days, mostly at nominal power of 6.5 MW. It is planned to produce 28236 MWh in total. Five reactor core exchanges (refuelling) are planned. The plan includes time for repair of components as well as for cooling. [Serbo-Croat] Plan rada reaktora RA predvidja rad tokom 181 dana, vecim delom na nominalnoj snazi od 6,5 MW tokom 1977. godine. Planirano je da ukupni rad iznosi 28236 MWh. Planom je predvidjeno i pet izmena goriva kao i vreme potrebno za remont opreme i hladjenje.

  12. A framework for health care planning and control

    NARCIS (Netherlands)

    Hans, Elias W.; van Houdenhoven, Mark; Hulshof, P.J.H.

    Rising expenditures spur health care organizations to organize their processes more efficiently and effectively. Unfortunately, health care planning and control lags far behind manufacturing planning and control. Successful manufacturing planning and control concepts can not be directly copied,

  13. Corrective Action Plan for Corrective Action Unit 261: Area 25 Test Cell A Leachfield System, Nevada Test Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    T. M. Fitzmaurice

    2000-08-01

    This Corrective Action Plan (CAP) has been prepared for the Corrective Action Unit (CAU)261 Area 25 Test Cell A Leachfield System in accordance with the Federal Facility and Consent Order (Nevada Division of Environmental Protection [NDEP] et al., 1996). This CAP provides the methodology for implementing the approved corrective action alternative as listed in the Corrective Action Decision Document (U.S. Department of Energy, Nevada Operations Office, 1999). Investigation of CAU 261 was conducted from February through May of 1999. There were no Constituents of Concern (COCs) identified at Corrective Action Site (CAS) 25-05-07 Acid Waste Leach Pit (AWLP). COCs identified at CAS 25-05-01 included diesel-range organics and radionuclides. The following closure actions will be implemented under this plan: Because COCs were not found at CAS 25-05-07 AWLP, no action is required; Removal of septage from the septic tank (CAS 25-05-01), the distribution box and the septic tank will be filled with grout; Removal of impacted soils identified near the initial outfall area; and Upon completion of this closure activity and approval of the Closure Report by NDEP, administrative controls, use restrictions, and site postings will be used to prevent intrusive activities at the site.

  14. Corrective Action Plan for Corrective Action Unit 261: Area 25 Test Cell A Leachfield System, Nevada Test Site, Nevada; TOPICAL

    International Nuclear Information System (INIS)

    T. M. Fitzmaurice

    2000-01-01

    This Corrective Action Plan (CAP) has been prepared for the Corrective Action Unit (CAU)261 Area 25 Test Cell A Leachfield System in accordance with the Federal Facility and Consent Order (Nevada Division of Environmental Protection[NDEP] et al., 1996). This CAP provides the methodology for implementing the approved corrective action alternative as listed in the Corrective Action Decision Document (U.S. Department of Energy, Nevada Operations Office, 1999). Investigation of CAU 261 was conducted from February through May of 1999. There were no Constituents of Concern (COCs) identified at Corrective Action Site (CAS) 25-05-07 Acid Waste Leach Pit (AWLP). COCs identified at CAS 25-05-01 included diesel-range organics and radionuclides. The following closure actions will be implemented under this plan: Because COCs were not found at CAS 25-05-07 AWLP, no action is required; Removal of septage from the septic tank (CAS 25-05-01), the distribution box and the septic tank will be filled with grout; Removal of impacted soils identified near the initial outfall area; and Upon completion of this closure activity and approval of the Closure Report by NDEP, administrative controls, use restrictions, and site postings will be used to prevent intrusive activities at the site

  15. Participatory action research in the training of primary health care ...

    African Journals Online (AJOL)

    Participatory action research in the training of primary health care nurses in Venda. ... who had been part of the nurse training programme with clinic attenders. ... enough access to financial decision making and were therefore powerless to ...

  16. Corrective Action Investigation Plan for Corrective Action Unit 552: Area 12 Muckpile and Ponds, Nevada Test Site, Nevada: Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office

    2004-04-06

    This Corrective Action Investigation Plan contains the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office's approach for collecting the data necessary to evaluate corrective action alternatives appropriate for the closure of Corrective Action Unit (CAU) 552: Area 12 Muckpile and Ponds, Nevada Test Site (NTS), Nevada, under the Federal Facility Agreement and Consent Order. Located in Area 12 on the NTS, CAU 552 consists of two Corrective Action Sites (CASs): 12-06-04, Muckpile; 12-23-05, Ponds. Corrective Action Site 12-06-04 in Area 12 consists of the G-Tunnel muckpile, which is the result of tunneling activities. Corrective Action Site 12-23-05 consists of three dry ponds adjacent to the muckpile. The toe of the muckpile extends into one of the ponds creating an overlap of two CASs. The purpose of the investigation is to ensure that adequate data are collected to provide sufficient and reliable information to identify, evaluate, and select technic ally viable corrective actions. The results of the field investigation will support a defensible evaluation of corrective action alternatives in the corrective action decision document.

  17. Planning, preparation, execution, and imagery of volitional action.

    Science.gov (United States)

    Deecke, L

    1996-03-01

    There are different motor sets, which a human subject can be in or act from: he or she can be in a self-initiated voluntary movement set (action) or in a response set (re-action). Also, imagery sets are available that are necessary for the acquisition and practice of skill. Most important are such imagery sets for rehearsal in theatre, dance, music, sports, combat, etc.

  18. 78 FR 22257 - Updates to Protective Action Guides Manual: Protective Action Guides (PAGs) and Planning Guidance...

    Science.gov (United States)

    2013-04-15

    ... Blocking Agent in Radiation Emergencies, FDA (66 FR 64046, Dec. 11, 2001). Provide basic planning guidance... decision making. Chapter 4--Late Phase: A brief planning guidance on the cleanup process is included... PAG Manual. Basic planning guidance on approaching radioactive waste disposal is included. Please...

  19. Corrective Action Investigation Plan for Corrective Action Unit 554: Area 23 Release Site, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    Boehlecke, Robert F.

    2004-01-01

    This Corrective Action Investigation Plan (CAIP) contains project-specific information for conducting site investigation activities at Corrective Action Unit (CAU) 554: Area 23 Release Site, Nevada Test Site, Nevada. Information presented in this CAIP includes facility descriptions, environmental sample collection objectives, and criteria for the selection and evaluation of environmental samples. Corrective Action Unit 554 is located in Area 23 of the Nevada Test Site, which is 65 miles northwest of Las Vegas, Nevada. Corrective Action Unit 554 is comprised of one Corrective Action Site (CAS), which is: 23-02-08, USTs 23-115-1, 2, 3/Spill 530-90-002. This site consists of soil contamination resulting from a fuel release from underground storage tanks (USTs). Corrective Action Site 23-02-08 is being investigated because existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives. Additional information will be obtained by conducting a corrective action investigation prior to evaluating corrective action alternatives and selecting the appropriate corrective action for this CAS. The results of the field investigation will support a defensible evaluation of viable corrective action alternatives that will be presented in the Corrective Action Decision Document for CAU 554. Corrective Action Site 23-02-08 will be investigated based on the data quality objectives (DQOs) developed on July 15, 2004, by representatives of the Nevada Division of Environmental Protection; U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office; and contractor personnel. The DQO process was used to identify and define the type, amount, and quality of data needed to develop and evaluate appropriate corrective actions for CAU 554. Appendix A provides a detailed discussion of the DQO methodology and the DQOs specific to CAS 23-02-08. The scope of the corrective action investigation

  20. Corrective Action Investigation Plan for Corrective Action Unit 145: Wells and Storage Holes, Nevada Test Site, Nevada, Rev. No.: 0

    Energy Technology Data Exchange (ETDEWEB)

    David A. Strand

    2004-09-01

    This Corrective Action Investigation Plan (CAIP) contains project-specific information for conducting site investigation activities at Corrective Action Unit (CAU) 145: Wells and Storage Holes. Information presented in this CAIP includes facility descriptions, environmental sample collection objectives, and criteria for the selection and evaluation of environmental samples. Corrective Action Unit 145 is located in Area 3 of the Nevada Test Site, which is 65 miles northwest of Las Vegas, Nevada. Corrective Action Unit 145 is comprised of the six Corrective Action Sites (CASs) listed below: (1) 03-20-01, Core Storage Holes; (2) 03-20-02, Decon Pad and Sump; (3) 03-20-04, Injection Wells; (4) 03-20-08, Injection Well; (5) 03-25-01, Oil Spills; and (6) 03-99-13, Drain and Injection Well. These sites are being investigated because existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives. Additional information will be obtained by conducting a corrective action investigation (CAI) prior to evaluating corrective action alternatives and selecting the appropriate corrective action for each CAS. The results of the field investigation will support a defensible evaluation of viable corrective action alternatives that will be presented in the Corrective Action Decision Document. One conceptual site model with three release scenario components was developed for the six CASs to address all releases associated with the site. The sites will be investigated based on data quality objectives (DQOs) developed on June 24, 2004, by representatives of the Nevada Division of Environmental Protection; U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office; Stoller-Navarro Joint Venture; and Bechtel Nevada. The DQOs process was used to identify and define the type, amount, and quality of data needed to develop and evaluate appropriate corrective actions for CAU 145.

  1. [General aspects of planning and care in mental health].

    Science.gov (United States)

    Saforcada, E

    1976-09-01

    This paper reviews some general concepts on Planning, especially in public and welfare sectors, stressing those concerning the major flaws in the argentine system of mental health. The author considers the definition of planning levels, and sets forth three: general plan, program and project. The correlative implementation is also considered. The importance of feed-back from adequate evaluation is stressed, emphasizing three aspects: a) evaluation of dynamics, rate and extent of decrease, increase or stagnation; b) assessment of efficacity of factors involved; c) control and stabilization of goals already attained. The necessity to develop a human ecology, encompassing socio-cultural and psycho-social factors is stressed, together with fostering theoretical research and the use of its results by implementation agents. Several differences among prevailing mental health actions are pointed out which allow a distinction between two typical models: clinical and sanitarist. The main differences between them lye on: standard location of working sites, nature of basic actions, field of action, hypothesis for working, including ethiological and ecological assumptions, theoretical and methodological framework. A series of criteria for evaluating sanitary techniques and strategies are set forth, among which: operative procedures, length of treatments, degree of therapeutic concentration, and general pragmatic criteria. The indicators reviewed are: degree of efficacity, covering, degree of perseverance in treatments, cultural barriers between patient and therapist, delegation of functions into special, first-rate sanitary agents, needs for the training of mental health workers. An attempt is made at developping general evaluation criteria for mental health planning, and several indicators are proposed, among which: a) cost/efficacity ratio, including in costs the use of economical, human and physical resources; b) preventive capacities of the community; c) capacities for the

  2. Corrective Action Decision Document/Corrective Action Plan for Corrective Action Unit 97: Yucca Flat/Climax Mine Nevada National Security Site, Nevada, Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Farnham, Irene [Navarro, Las Vegas, NV (United States)

    2017-08-01

    This corrective action decision document (CADD)/corrective action plan (CAP) has been prepared for Corrective Action Unit (CAU) 97, Yucca Flat/Climax Mine, Nevada National Security Site (NNSS), Nevada. The Yucca Flat/Climax Mine CAU is located in the northeastern portion of the NNSS and comprises 720 corrective action sites. A total of 747 underground nuclear detonations took place within this CAU between 1957 and 1992 and resulted in the release of radionuclides (RNs) in the subsurface in the vicinity of the test cavities. The CADD portion describes the Yucca Flat/Climax Mine CAU data-collection and modeling activities completed during the corrective action investigation (CAI) stage, presents the corrective action objectives, and describes the actions recommended to meet the objectives. The CAP portion describes the corrective action implementation plan. The CAP presents CAU regulatory boundary objectives and initial use-restriction boundaries identified and negotiated by DOE and the Nevada Division of Environmental Protection (NDEP). The CAP also presents the model evaluation process designed to build confidence that the groundwater flow and contaminant transport modeling results can be used for the regulatory decisions required for CAU closure. The UGTA strategy assumes that active remediation of subsurface RN contamination is not feasible with current technology. As a result, the corrective action is based on a combination of characterization and modeling studies, monitoring, and institutional controls. The strategy is implemented through a four-stage approach that comprises the following: (1) corrective action investigation plan (CAIP), (2) CAI, (3) CADD/CAP, and (4) closure report (CR) stages.

  3. The Action Plan Against Repetitive Work - An Industrial Relation Strategy for Improving the Working Environment

    DEFF Research Database (Denmark)

    Hasle, Peter; Møller, Niels

    2001-01-01

    The Danish Action Plan against Repetitive Work is presented and discussed as a possible new strategy for regulating repetitive work as well as other complicated working environment problems. The article is based on an empirical evaluation ot the Action Plan. The asseessment of the Action Plan...... indicates that a measurable reduction of repetitive work has been achieved, while recognizing the the new management strategies focusing on human resources development have also played an important role. These results are used to suggest that - under certain conditions - a combination of state regulation...... and industrial relation agreements can be used to regulate other working environment problems....

  4. Health and equity impacts of climate change in Aotearoa-New Zealand, and health gains from climate action.

    Science.gov (United States)

    Bennett, Hayley; Jones, Rhys; Keating, Gay; Woodward, Alistair; Hales, Simon; Metcalfe, Scott

    2014-11-28

    Human-caused climate change poses an increasingly serious and urgent threat to health and health equity. Under all the climate projections reported in the recent Intergovernmental Panel on Climate Change assessment, New Zealand will experience direct impacts, biologically mediated impacts, and socially mediated impacts on health. These will disproportionately affect populations that already experience disadvantage and poorer health. Without rapid global action to reduce greenhouse gas emissions (particularly from fossil fuels), the world will breach its carbon budget and may experience high levels of warming (land temperatures on average 4-7 degrees Celsius higher by 2100). This level of climate change would threaten the habitability of some parts of the world because of extreme weather, limits on working outdoors, and severely reduced food production. However, well-planned action to reduce greenhouse gas emissions could bring about substantial benefits to health, and help New Zealand tackle its costly burden of health inequity and chronic disease.

  5. Call to action for Scottish health care.

    Science.gov (United States)

    2001-03-07

    SCOTLAND'S NEWLY published strategy for nursing and midwifery, Caring for Scotland, is a reminder of how different professional life can be for nurses across the UK. For example, while developments in telehealth and telemedicine facilities are certainly not unique to the remote rural areas of Scotland, there can be few nurses who can claim to be the sole health professional on a non-doctor island. One such district nurse looks forward with optimism to seeing the effect of the World Health Organization pilot family health nursing programme on her professional credibility. Perhaps not surprisingly, there is a fair bit of emphasis on helping nurses who work in remote and rural areas to develop their practice.

  6. Implementation of a safety action plan: reduction of the dose limits in a research centre

    International Nuclear Information System (INIS)

    Deworm, J.P.

    1992-01-01

    The Belgian Regulations require an annual Action Plan to improve the Safety and health conditions of works. Taking into consideration the preliminary versions of the new ICRP-recommendations, the 1990 Action Plan of the Belgian research Centre aimed to reduce the personal dose limit to 20 mSv/year and the annual collective dose by 10%. Major means used in the campaign were sensibility through information, consultation between hierarchy and executors and the application of a policy of discouragement at certain limits. As a result, the maximum level reaches was 16.5 mSv, while only 7 people received a dose above 10 mSv (of 219 who received a measurable dose, mean value 3,4 mSv). This success is due to the commitment at all levels of responsibilities. In 1991, the 20 mSv-limit is imposed as an obligation by the management, and a feasibility study to impose 10 mSv in near future is being undertaken. (author)

  7. UMTRA Project: Environment, Safety, and Health Plan

    International Nuclear Information System (INIS)

    1995-02-01

    The US Department of Energy has prepared this UMTRA Project Environment, Safety, and Health (ES and H) Plan to establish the policy, implementing requirements, and guidance for the UMTRA Project. The requirements and guidance identified in this plan are designed to provide technical direction to UMTRA Project contractors to assist in the development and implementation of their ES and H plans and programs for UMTRA Project work activities. Specific requirements set forth in this UMTRA Project ES and H Plan are intended to provide uniformity to the UMTRA Project's ES and H programs for processing sites, disposal sites, and vicinity properties. In all cases, this UMTRA Project ES and H Plan is intended to be consistent with applicable standards and regulations and to provide guidance that is generic in nature and will allow for contractors' evaluation of site or contract-specific ES and H conditions. This plan specifies the basic ES and H requirements applicable to UMTRA Project ES and H programs and delineates responsibilities for carrying out this plan. DOE and contractor ES and H personnel are expected to exercise professional judgment and apply a graded approach when interpreting these guidelines, based on the risk of operations

  8. Evaluating Courses of Actions at the Strategic Planning Level

    Science.gov (United States)

    2013-03-01

    Normann and Ramirez 1993). • American business historian, Alfred D. Chandler in 1962, defines strategy as “the determination of the basic long...goals” ( Chandler 1962). The planning makes us prepare a better future. It helps to formulate methods or means to achieve a desired objective or goal in...Jossey-Bass, 1995. Chandler , A.D. Strategy and Structure. Cambridge, MA: MIT Press, 1962. Evered, Roger. "So What is Strategy?" Long Range Planning 16

  9. Measuring progress of collaborative action in a community health effort

    OpenAIRE

    Vicki L. Collie-Akers; Stephen B. Fawcett; Jerry A. Schultz

    2013-01-01

    OBJECTIVE: To measure the progress made by the collaborative actions of multisectorial partners in a community health effort using a systematic method to document and evaluate community/system changes over time. METHODS: This was a community-based participatory research project engaging community partners of the Latino Health for All Coalition, which based on the Health for All model, addresses health inequity in a low-income neighborhood in Kansas City, Kansas, United States of America. Guid...

  10. Public health - threats, concerns and key actions

    DEFF Research Database (Denmark)

    Czeskleba-Dupont, Rolf

    Public health is discussed departing from priorities related to the precautionary principle with special reference to air pollution from wood burning in individual stoves and the susceptibility of vulnerable groups, i.a. people with genetic predispositions for a lack of detoxifying capacity....

  11. Corrective Action Investigation Plan for Corrective Action Unit 139: Waste Disposal Sites, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    Grant Evenson

    2006-01-01

    Corrective Action Unit (CAU) 139 is located in Areas 3, 4, 6, and 9 of the Nevada Test Site, which is 65 miles northwest of Las Vegas, Nevada. Corrective Action Unit 139 is comprised of the seven corrective action sites (CASs) listed below: (1) 03-35-01, Burn Pit; (2) 04-08-02, Waste Disposal Site; (3) 04-99-01, Contaminated Surface Debris; (4) 06-19-02, Waste Disposal Site/Burn Pit; (5) 06-19-03, Waste Disposal Trenches; (6) 09-23-01, Area 9 Gravel Gertie; and (7) 09-34-01, Underground Detection Station. These sites are being investigated because existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives with the exception of CASs 09-23-01 and 09-34-01. Regarding these two CASs, CAS 09-23-01 is a gravel gertie where a zero-yield test was conducted with all contamination confined to below ground within the area of the structure, and CAS 09-34-01 is an underground detection station where no contaminants are present. Additional information will be obtained by conducting a corrective action investigation (CAI) before evaluating corrective action alternatives and selecting the appropriate corrective action for the other five CASs where information is insufficient. The results of the field investigation will support a defensible evaluation of viable corrective action alternatives that will be presented in the Corrective Action Decision Document. The sites will be investigated based on the data quality objectives (DQOs) developed on January 4, 2006, by representatives of the Nevada Division of Environmental Protection; U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office; Stoller-Navarro Joint Venture; and Bechtel Nevada. The DQO process was used to identify and define the type, amount, and quality of data needed to develop and evaluate appropriate corrective actions for CAU 139

  12. 42 CFR 56.105 - Accord with health planning.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Accord with health planning. 56.105 Section 56.105... HEALTH SERVICES General Provisions § 56.105 Accord with health planning. A grant may be made under this... appropriate health planning agencies have been met. ...

  13. 42 CFR 51c.105 - Accord with health planning.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Accord with health planning. 51c.105 Section 51c... COMMUNITY HEALTH SERVICES General Provisions § 51c.105 Accord with health planning. A grant may be made... approval by the appropriate health planning agencies have been met. ...

  14. Interim Action Proposed Plan for the old radioactive waste burial ground (643-E)

    International Nuclear Information System (INIS)

    McFalls, S.

    1995-12-01

    This Interim Action Proposed (IAPP) is issued by the U.S. Department of Energy (DOE), which functions as the lead agency for SRS remedial activities, and with concurrence by the U.S. Environmental Protection Agency (EPA) and the South Carolina Department of Health and Environmental Control (SCDHEC). The purpose of this IAPP is to describe the preferred interim remedial action for addressing the Old Radioactive Waste Burial Ground (ORWBG) unit located in the Burial Ground Complex (BGC) at the Savannah River Site (SRS) in Aiken, South Carolina. On December 21, 1989, SRS was included on the National Priorities List (NPL). In accordance with Section 120 of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), DOE has negotiated a Federal Facility Agreement (FFA, 1993) with EPA and SCDHEC to coordinate remedial activities at SRS. Public participation requirements are listed in Sections 113 and 117 of CERCLA. These requirements include establishment of an Administrative Record File that documents the selection of remedial alternatives and allows for review and comment by the public regarding those alternatives. The SRS Public Involvement Plan (PIP) (DOE, 1994) is designed to facilitate public involvement in the decision-making process for permitting closure, and the selection of remedial alternatives. Section 117(a) of CERCLA, 1980, as amended, requires publication of a notice of any proposed remedial action

  15. Public Health Agency Business plan 2010-2011

    OpenAIRE

    Public Health Agency

    2010-01-01

    This second corporate business plan explains the purpose of the PHA and focuses on health improvement, health protection and addressing health inequalities. The business plan is available to download below.

  16. SUBSTANTIATION OF THE PRIORITIES OF NATIONAL ACTION PLAN TO END PREVENTABLE DEATHS OF NEWBORNS WITHIN THE GLOBAL STRATEGY OF THE UN «EVERY WOMAN EVERY CHILD»

    OpenAIRE

    Znamenska, T. K.; Shun’ko, E.; Kovaliova, O.; Pohylko, V.; Mavropulo, T.

    2016-01-01

    To substantiate the priorities of the national action plan to end the preventable deaths of newborns in Ukraine. Spend a content analysis of the UN advisory basis, the Council of Europe in the field of health and WHO to terminate preventable neonatal deaths, as well as the analysis of the database «MATRIX - BABIES» and unified forms of regional neonatologists statements for 2014.The main priorities of the National Plan of Action for cessation of preventable neonatal deaths are: adequate finan...

  17. Health Education to Strengthen Breastfeeding Actions

    Directory of Open Access Journals (Sweden)

    Raul Rodrigues Cipriano Sousa

    2017-05-01

    Full Text Available Introduction: Breast milk is, without a doubt, the food that provides all the nutrients essential for the healthy growth and development of children. Through effective breastfeeding practices, it is possible to prevent several chronic noncommunicable diseases in childhood, adolescence, and adulthood. Objective: To investigate the relevance of using an educational strategy in breastfeeding promotion. Methods: It was a descriptive study with uncontrolled analytical approach conducted with 36 mothers of children under 2 years of age about breastfeeding, through an educational intervention using the booklet “Breastfeeding: an act of love”. Data collection took place in two moments (pre-test and post-test. Ethics Committee approved the project under protocol No. 058657. Results: Data analysis revealed that 41.6% of the interviewees stated that they did not receive guidance about breast problems from any professional during prenatal care, and 22% reported having presented nipple fissures. Regarding the initiation of breastfeeding, 11.1% of the women interviewed did not knowthe importance of colostrum, and 30.6% did not know its benefits. Assessment of the mothers’ knowledge before and after the intervention obtained a percentage of correctness of 50.7% and 70%, respectively. Conclusion: The educational activity to encourage breastfeeding was able to increase the mothers’ knowledge about breastfeeding and its health benefits for women and children. It is imperative to carry out activities such as the one proposed in this study, which enables the prevention of several problems that directly affect the health of families, acting effectively to promote a solid knowledge for the population. Keywords: Breast Feeding. Child Health. Health Education. Infant Nutrition. Food and Nutrition Education.

  18. Health, Traffic, and Environmental Justice: Collaborative Research and Community Action in San Francisco, California

    Science.gov (United States)

    Sciammas, Charlie; Seto, Edmund; Bhatia, Rajiv; Rivard, Tom

    2009-01-01

    Health impacts on neighborhood residents from transportation systems can be an environmental justice issue. To assess the effects of transportation planning decisions, including the construction of an intraurban freeway, on residents of the Excelsior neighborhood in southeast San Francisco, PODER (People Organizing to Demand Environmental and Economic Rights), a local grassroots environmental justice organization; the San Francisco Department of Public Health; and the University of California, Berkeley, collaborated on participatory research. We used our findings regarding traffic-related exposures and health hazards in the area to facilitate community education and action to address transportation-related health burdens on neighborhood residents. PMID:19890147

  19. Training Effectiveness Assessment of Red Cape: Crisis Action Planning and Execution

    National Research Council Canada - National Science Library

    Schaefer, Peter S; Shadrick, Scott B; Beaubien, Jeff; Crabb, Brian T

    2008-01-01

    The crisis response training program Red Cape: Crisis Action Planning and Execution uses theme-based training and multimedia scenarios to instill expert thinking patterns in crisis response personnel...

  20. Initial Remedial Action Plan for Expanded Bioventing System BX Service Station, Patrick Air Force Base, Florida

    National Research Council Canada - National Science Library

    1995-01-01

    This initial remedial action plan presents the scope for an expanded bioventing system for in situ treatment of fuel-contaminated soils at the BX Service Station at Patrick Air Force Base (AFB), Florida...

  1. Remedial Action Plan for Expanded Bioventing System Buildings 2034/2035, Fairchild Air Force Base, Washington

    National Research Council Canada - National Science Library

    1996-01-01

    This remedial action plan (RAP) presents the scope for an expanded bioventing system for in situ treatment of fuel-contaminated soils in the vicinity of Buildings 2034 and 2035 at Fairchild Air Force Base (AFB), Washington...

  2. NRC action plan developed as a result of the TMI-2 accident. Volume 2

    International Nuclear Information System (INIS)

    1980-05-01

    The Action Plan provides a comprehensive and integrated plan for all actions judged necessary by the Nuclear Regulatory Commission to correct or improve the regulation and operation of nuclear facilities based on the experience from the accident at the Three Mile Island, Unit 2, nuclear facility and the official studies and investigations of the accident. The tables included in this volume list the recommendations from the various organizations and task forces investigating the accident at Three Mile Island. The tables are annotated to provide easy references to the associated parts of the Action Plan in Volume 1. The tables are also annotated to provide a shorthand indication of how the various recommendations are treated in the Action Plan

  3. Health Activities Project (HAP): Heart Fitness and Action Module.

    Science.gov (United States)

    Buller, Dave; And Others

    Contained within this Health Activities Project (HAP) learning packet are activities for children in grades 5-8. Design of the activities centers around the idea that students can control their own health and safety. Within the Heart Fitness and Action Module are teacher and student folios describing five activities which involve students in…

  4. National action plan 2016-2019 for the management of the radon-related risk

    International Nuclear Information System (INIS)

    Mortureux, Marc; Vallet, Benoit; Struillou, Yves; Girometti, Laurent

    2017-01-01

    After a brief presentation of the context, and a presentation of aspects related to the plan governance and strategies (plan steering, actors in the radon risk management, synthesis of main actions in France, regulatory evolutions and new strategies), this report presents the three axes of the national action plan for 2016-2019. The first one consists in the implementation of a global strategy of information and in developing tools to collect and share information. The second one consists in a continuous knowledge improvement. The third one consists in a better taking into account of radon risk management in buildings. Sheets are then proposed which describe the various actions associated with these axes (5 actions for the first one, 10 for the second, and 5 for the third one). Each sheet comprises the action title, its objectives, methods and tools, its coordinator and actors, its agenda and current status

  5. Obesity, stigma and public health planning.

    Science.gov (United States)

    MacLean, Lynne; Edwards, Nancy; Garrard, Michael; Sims-Jones, Nicki; Clinton, Kathryn; Ashley, Lisa

    2009-03-01

    Given the rise in obesity rates in North America, concerns about obesity-related costs to the health care system are being stressed in both the popular media and the scientific literature. With such constant calls to action, care must be taken not to increase stigmatization of obese people, particularly of children. While there is much written about stigma and how it is exacerbated, there are few guidelines for public health managers and practitioners who are attempting to design and implement obesity prevention programs that minimize stigma. We examine stigmatization of obese people and the consequences of this social process, and discuss how stigma is manifest in health service provision. We give suggestions for designing non-stigmatizing obesity prevention public health programs. Implications for practice and policy are discussed.

  6. Corrective Action Investigation Plan for Corrective Action Unit 166: Storage Yards and Contaminated Materials, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    David Strand

    2006-01-01

    contaminants of concern are present. (5) If contaminants of concern are present, collect additional step-out samples to define the extent of the contamination. (6) Collect samples of investigation-derived waste, as needed, for waste management and minimization purposes. This Corrective Action Investigation Plan has been developed in accordance with the ''Federal Facility Agreement and Consent Order'' that was agreed to by the State of Nevada, the U.S. Department of Energy, and the U.S. Department of Defense. Under the ''Federal Facility Agreement and Consent Order'', this Corrective Action Investigation Plan will be submitted to the Nevada Division of Environmental Protection, and field work will commence following approval

  7. Corrective Action Plan for Corrective Action Unit 143: Area 25 Contaminated Waste Dumps, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    Gustafason, D.L.

    2001-01-01

    This Corrective Action Plan (CAP) has been prepared for Corrective Action Unit (CAU) 143: Area 25 Contaminated Waste Dumps, Nevada Test Site, Nevada, in accordance with the Federal Facility Agreement and Consent Order of 1996. This CAP provides the methodology for implementing the approved corrective action alternative as listed in the Corrective Action Decision Document (U.S. Department of Energy, Nevada Operations Office, 2000). The CAU includes two Corrective Action Sites (CASs): 25-23-09, Contaminated Waste Dump Number 1; and 25-23-03, Contaminated Waste Dump Number 2. Investigation of CAU 143 was conducted in 1999. Analytes detected during the corrective action investigation were evaluated against preliminary action levels to determine constituents of concern for CAU 143. Radionuclide concentrations in disposal pit soil samples associated with the Reactor Maintenance, Assembly, and Disassembly Facility West Trenches, the Reactor Maintenance, Assembly, and Disassembly Facility East Trestle Pit, and the Engine Maintenance, Assembly, and Disassembly Facility Trench are greater than normal background concentrations. These constituents are identified as constituents of concern for their respective CASs. Closure-in-place with administrative controls involves use restrictions to minimize access and prevent unauthorized intrusive activities, earthwork to fill depressions to original grade, placing additional clean cover material over the previously filled portion of some of the trenches, and placing secondary or diversion berm around pertinent areas to divert storm water run-on potential

  8. Restructuring: A School-Based Plan of Action.

    Science.gov (United States)

    Rothberg, Robert A.; Bozeman, William C.

    The processes by which school leaders can institutionalize staff and organizational development, with a focus on initiating school restructuring through team development, are described. Three features are necessary for implementing school restructuring through team development: a deliberate plan for staff involvement, a positive work environment,…

  9. Uranium Mill Tailings Remedial Action Project Environmental Monitoring Plan

    International Nuclear Information System (INIS)

    1992-11-01

    The Department of Energy (DOE) has issued requirements for complying with DOLE and other Federal agency environmental regulations. DOE Order 5400.1 requires environmental monitoring plans for each DOE operation that uses, generates, releases, or manages pollutants of radioactive and hazardous materials

  10. Qualitative Investigation of the Wellness Recovery Action Plan in a UK NHS Crisis Care Setting.

    Science.gov (United States)

    Ashman, Michael; Halliday, Vanessa; Cunnane, Joseph G

    2017-07-01

    Crisis theory suggests that in addition to presenting a threat to mental well-being, crises are also opportunities where successful interventions can lead to successful outcomes. UK mental health crisis teams aim to reduce hospital admission by treating people at home and by building resilience and supporting learning from crisis, yet data on repeat crisis episodes suggest this could be improved. This qualitative study sought to explore the Wellness Recovery Action Plan (WRAP) as a means of supporting resilience-building and maximising the opportunity potential of crisis. The following themes emerged: The meaning of crisis; Engaging with the WRAP process; WRAP and self-management; and Changes and transformations. This research suggests that WRAP has potential in supporting recovery from crisis, revealing insights into the nature of crisis which can inform the further development of crisis services.

  11. The strategic planning of health management information systems.

    Science.gov (United States)

    Smith, J

    1995-01-01

    This paper discusses the roles and functions of strategic planning of information systems in health services. It selects four specialised methodologies of strategic planning for analysis with respect to their applicability in the health field. It then examines the utilisation of information planning in case studies of three health organisations (two State departments of health and community services and one acute care institution). Issues arising from the analysis concern the planning process, the use to which plans are put, and implications for management.

  12. Participatory action as a research method with public health nurses.

    Science.gov (United States)

    Cusack, Cheryl; Cohen, Benita; Mignone, Javier; Chartier, Mariette J; Lutfiyya, Zana

    2018-02-28

    This article explores and describes participatory action research (PAR) as a preferred method in addressing nursing practice issues. This is the first study that used PAR with public health nurses (PHNs) in Canada to develop a professional practice model. Participatory action research is a sub-category of action research that incorporates feminist and critical theory with foundations in the field of social psychology. For nurses, critical analysis of long-established beliefs and practices through PAR contributes to emancipatory knowledge regarding the impact of traditional hierarchies on their practice. This study used participatory action, a non-traditional but systematic research method, which assisted participants to develop a solution to a long-standing organizational issue. The stages of generating concerns, participatory action, acting on concerns, reflection and evaluation were implemented from 2012 - 2013 in an urban Canadian city, to develop a professional practice model for PHNs. Four sub-themes specific to PAR are discussed. These are "participatory action research engaged PHNs in development of a professional practice model;" "the participatory action research cycles of "Look, Think, Act" expanded participants' views;" "participatory action research increased awareness of organizational barriers;" and "participatory action research promoted individual empowerment and system transformation." This study resulted in individual and system change that may not have been possible without the use of PAR. The focus was engagement of participants and recognition of their lived experience, which facilitated PHNs' empowerment, leadership and consciousness-raising. © 2018 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd.

  13. Measuring the quality of Patients’ goals and action plans: development and validation of a novel tool

    Directory of Open Access Journals (Sweden)

    Teal Cayla R

    2012-12-01

    Full Text Available Abstract Background The purpose of this study is to develop and test reliability, validity, and utility of the Goal-Setting Evaluation Tool for Diabetes (GET-D. The effectiveness of diabetes self-management is predicated on goal-setting and action planning strategies. Evaluation of self-management interventions is hampered by the absence of tools to assess quality of goals and action plans. To address this gap, we developed the GET-D, a criteria-based, observer rating scale that measures the quality of patients’ diabetes goals and action plans. Methods We conducted 3-stage development of GET-D, including identification of criteria for observer ratings of goals and action plans, rater training and pilot testing; and then performed psychometric testing of the GET-D. Results Trained raters could effectively rate the quality of patient-generated goals and action plans using the GET-D. Ratings performed by trained evaluators demonstrated good raw agreement (94.4% and inter-rater reliability (Kappa = 0.66. Scores on the GET-D correlated well with measures theoretically associated with goal-setting, including patient activation (r=.252, P Conclusions The GET-D can reliably and validly rate the quality of goals and action plans. It holds promise as a measure of intervention fidelity for clinical interventions that promote diabetes self-management behaviors to improve clinical outcomes. Trial registration Clinicaltrials.gov Identifier: NCT00481286

  14. The Ontario Osteoporosis Strategy: implementation of a population-based osteoporosis action plan in Canada.

    Science.gov (United States)

    Jaglal, S B; Hawker, G; Cameron, C; Canavan, J; Beaton, D; Bogoch, E; Jain, R; Papaioannou, A

    2010-06-01

    In the last decade, there have been a number of action plans published to highlight the importance of preventing osteoporosis and related fractures. In the province of Ontario Canada, the Ministry of Health provided funding for the Ontario Osteoporosis Strategy. The goal is to reduce morbidity, mortality, and costs from osteoporosis and related fractures through an integrated and comprehensive approach aimed at health promotion and disease management. This paper describes the components of the Ontario Osteoporosis Strategy and progress on implementation efforts as of March 2009. There are five main components: health promotion; bone mineral density testing, access, and quality; postfracture care; professional education; and research and evaluation. Responsibility for implementation of the initiatives within the components is shared across a number of professional and patient organizations and academic teaching hospitals with osteoporosis researchers. The lessons learned from each phase of the development, implementation, and evaluation of the Ontario Osteoporosis Strategy provides a tremendous opportunity to inform other jurisdictions embarking on implementing similar large-scale bone health initiatives.

  15. How institutional forces, ideas and actors shaped population health planning in Australian regional primary health care organisations.

    Science.gov (United States)

    Javanparast, Sara; Freeman, Toby; Baum, Fran; Labonté, Ronald; Ziersch, Anna; Mackean, Tamara; Reed, Richard; Sanders, David

    2018-03-20

    Worldwide, there are competing norms driving health system changes and reorganisation. One such norm is that of health systems' responsibilities for population health as distinct from a focus on clinical services. In this paper we report on a case study of population health planning in Australian primary health care (PHC) organisations (Medicare Locals, 2011-2015). Drawing on institutional theory, we describe how institutional forces, ideas and actors shaped such planning. We reviewed the planning documents of the 61 Medicare Locals and rated population health activities in each Medicare Local. We also conducted an online survey and 50 interviews with Medicare Local senior staff, and an interview and focus group with Federal Department of Health staff. Despite policy emphasis on population health, Medicare Locals reported higher levels of effort and capacity in providing clinical services. Health promotion and social determinants of health activities were undertaken on an ad hoc basis. Regulatory conditions imposed by the federal government including funding priorities and time schedules, were the predominant forces constraining population health planning. In some Medicare Locals, this was in conflict with the normative values and what Medicare Locals felt ought to be done. The alignment between the governmental and the cultural-cognitive forces of a narrow biomedical approach privileged clinical practice and ascribed less legitimacy to action on social determinants of health. Our study also shed light on the range of PHC actors and how their agency influenced Medicare Locals' performance in population health. The presence of senior staff or community boards with a strong commitment to population health were important in directing action towards population health and equity. There are numerous institutional, normative and cultural factors influencing population health planning. The experience of Australian Medicare Locals highlights the difficulties of planning in

  16. Using action research to develop midwives' skills to support women with perinatal mental health needs.

    Science.gov (United States)

    Madden, Deirdre; Sliney, Annmarie; O'Friel, Aoife; McMackin, Barbara; O'Callaghan, Bernie; Casey, Kate; Courtney, Lisa; Fleming, Valerie; Brady, Vivienne

    2018-02-01

    The aim of the research was to identify and develop midwives' skills to support women with mental health needs during pregnancy, using an action research approach. A review of perinatal mental health services in a large Dublin maternity unit revealed a high number of referred women who 'did not attend' the perinatal mental health service with few guidelines in place to support midwives in identifying and referring women for specialist help. Action research using cooperative inquiry involved a mental health nurse specialist and a team of midwives, who were drawn to each other in mutual concern about an area of practice. Data were gathered from three Cooperative Inquiry meetings, which incorporated one main Action Research Cycle of constructing, planning, taking and evaluating action. Data were analysed using a thematic content analysis framework. Participants experienced varying levels of uncertainty about how to support women with perinatal mental health needs. Cooperative inquiry supported participants in making sense of how they understood perinatal mental health and how they managed challenges experienced when caring for women with perinatal mental health issues. Participants developed a referral pathway, highlighted the significance of education to support women with perinatal mental health issues and identified the value of using open questions to promote conversation with pregnant women about mental health. Midwives value education and support to identify and refer women at risk of perinatal mental health issues. Cooperative inquiry, with a focus on action and shared reflection, facilitated the drawing together of two professional groups with diverse knowledge bases to work together to develop practice in an area of mutual concern. Perinatal mental health is a significant public health issue and midwives need support to make psychosocial assessments and to negotiate access to specialist services where available and when required. © 2017 John Wiley & Sons

  17. Action Plan on Base Erosion and Profit Shifting: An Indian Perspective.

    OpenAIRE

    Rao, R. Kavita; Sengupta, D.P.

    2014-01-01

    The discussion in this paper highlights some evidence to support the notion that there is base erosion in India. On the specific action points listed in the OECD's Action Plan, a perspective from India's stand point has been presented along with a brief discussion on the steps needed to prepare for complying with likely proposed measures.

  18. Pre-Planning Civic Action: An Analysis of Civic Leaders' Problem Solving Strategies

    Science.gov (United States)

    Fitzgerald, Jason

    2016-01-01

    This study explores the civic thinking heuristics that civic leaders use when pre-planning action. Across eight think-aloud protocols, findings suggest that three heuristics are employed. "Frame alignment" refers to the process of harmonizing personal beliefs and interests with the particulars of a civic action issue to find personal…

  19. The impact of participation in strategic planning and action planning on management control effectiveness: An analysis of independent and joint effects

    OpenAIRE

    Bedford, David S.; Bednark, Piotr; Dossi, Andrea; Ditillo, Angelo; Gosselin, Maurice; Madsen, Dag Øivind

    2016-01-01

    This research paper examines the independent and joint effects of participation in strategic planning and action planning. There is extensive research about employee participation in both the fields of strategic planning and budgeting. However, there is a lack of research about the interaction between participation in strategic planning and budgeting. Drawing on the research on participation in decision-making processes, the hypothesis is that strategic planning and action plan...

  20. Efficiency in Rule- vs. Plan-Based Movements Is Modulated by Action-Mode.

    Science.gov (United States)

    Scheib, Jean P P; Stoll, Sarah; Thürmer, J Lukas; Randerath, Jennifer

    2018-01-01

    The rule/plan motor cognition (RPMC) paradigm elicits visually indistinguishable motor outputs, resulting from either plan- or rule-based action-selection, using a combination of essentially interchangeable stimuli. Previous implementations of the RPMC paradigm have used pantomimed movements to compare plan- vs. rule-based action-selection. In the present work we attempt to determine the generalizability of previous RPMC findings to real object interaction by use of a grasp-to-rotate task. In the plan task, participants had to use prospective planning to achieve a comfortable post-handle rotation hand posture. The rule task used implementation intentions (if-then rules) leading to the same comfortable end-state. In Experiment A, we compare RPMC performance of 16 healthy participants in pantomime and real object conditions of the experiment, within-subjects. Higher processing efficiency of rule- vs. plan-based action-selection was supported by diffusion model analysis. Results show a significant response-time increase in the pantomime condition compared to the real object condition and a greater response-time advantage of rule-based vs. plan-based actions in the pantomime compared to the real object condition. In Experiment B, 24 healthy participants performed the real object RPMC task in a task switching vs. a blocked condition. Results indicate that plan-based action-selection leads to longer response-times and less efficient information processing than rule-based action-selection in line with previous RPMC findings derived from the pantomime action-mode. Particularly in the task switching mode, responses were faster in the rule compared to the plan task suggesting a modulating influence of cognitive load. Overall, results suggest an advantage of rule-based action-selection over plan-based action-selection; whereby differential mechanisms appear to be involved depending on the action-mode. We propose that cognitive load is a factor that modulates the advantageous

  1. Playing Multi-Action Adversarial Games: Online Evolutionary Planning versus Tree Search

    OpenAIRE

    Justesen, Niels; Mahlmann, Tobias; Risi, Sebastian; Togelius, Julian

    2017-01-01

    We address the problem of playing turn-based multi-action adversarial games, which include many strategy games with extremely high branching factors as players take multiple actions each turn. This leads to the breakdown of standard tree search methods, including Monte Carlo Tree Search (MCTS), as they become unable to reach a sufficient depth in the game tree. In this paper, we introduce Online Evolutionary Planning (OEP) to address this challenge, which searches for combinations of actions ...

  2. National climate change action plans: Interim report for developing and transition countries

    Energy Technology Data Exchange (ETDEWEB)

    Benioff, R.; Ness, E.; Hirst, J. [eds.

    1997-10-01

    Under its Support for National Action Plans (SNAP) initiative, the U.S. Country Studies Program is providing financial and technical assistance to 18 countries for the development of climate change action plans. Although most of the countries have not yet completed their plans, the important lessons learned thus far are valuable and should be shared with other countries and international institutions that have an interest in the process of action plan development. This interim report describes the experience of 11 countries that are the furthest along in their planning activity and who have offered to share their results to date with the larger community of interested nations. These action plans delineate specific mitigation and adaptation measures that the countries will implement and integrate into their ongoing development programs. This report focuses on the measures the countries have selected and the methods they used to prepare their action plans. This executive summary presents key lessons and common themes using a structure similar to that used in the individual country chapters.

  3. Corrective Action Plan for Corrective Action Unit 543: Liquid Disposal Units, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    NSTec Environmental Restoration

    2006-01-01

    Corrective Action Unit (CAU) 543, Liquid Disposal Units, is listed in Appendix III of the Federal Facility Agreement and Consent Order of 1996. CAU 543 consists of seven Corrective Action Sites (CASs) located in Areas 6 and 15 of the Nevada Test Site, which is approximately 65 miles northwest of Las Vegas, Nevada. CAU 543 consists of the following seven CASs: (sm b ullet) CAS 06-07-01, Decon Pad (sm b ullet) CAS 15-01-03, Aboveground Storage Tank (sm b ullet) CAS 15-04-01, Septic Tank (sm b ullet) CAS 15-05-01, Leachfield (sm b ullet) CAS 15-08-01, Liquid Manure Tank (sm b ullet) CAS 15-23-01, Underground Radioactive Material Area (sm b ullet) CAS 15-23-03, Contaminated Sump, Piping From January 24, 2005 through April 14, 2005, CAU 543 site characterization activities were conducted, and are reported in Appendix A of the CAU 543 Corrective Action Decision Document (CADD) (U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office [NNSA/NSO], 2005). The recommended corrective action as stated in the approved CADD is No Further Action for five of the CAU 543 CASs, and Closure In Place for the remaining two CASs

  4. Record of Technical Change No.2 for ''Corrective Action Investigation Plan for Corrective Action Unit 143: Area 25 Contaminated Waste Dumps, Nevada Test Site, Nevada''

    International Nuclear Information System (INIS)

    1999-01-01

    This Record of Technical Change provides updates to the technical information included in ''Corrective Action Investigation Plan for Corrective Action Unit 143: Area 25 Contaminated Waste Dumps, Nevada Test Site, Nevada.''

  5. 48 CFR 1602.170-9 - Health benefits plan.

    Science.gov (United States)

    2010-10-01

    ... EMPLOYEES HEALTH BENEFITS ACQUISITION REGULATION GENERAL DEFINITIONS OF WORDS AND TERMS Definitions of FEHBP Terms 1602.170-9 Health benefits plan. Health benefits plan means a group insurance policy, contract... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Health benefits plan. 1602...

  6. Remedial action and waste disposal project - ERDF readiness evaluation plan

    International Nuclear Information System (INIS)

    Casbon, M.A.

    1996-06-01

    This Readiness Evaluation Report presents the results of the project readiness evaluation to assess the readiness of the Environmental Restoration and Disposal Facility. The evaluation was conducted at the conclusion of a series of readiness activities that began in January 1996. These activities included completion of the physical plant; preparation, review, and approval of operating procedures; definition and assembly of the necessary project and operational organizations; and activities leading to regulatory approval of the plant and operating plans

  7. Corrective Action Investigation Plan for Corrective Action Unit 543: Liquid Disposal Units, Nevada Test Site, Nevada: Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office

    2004-05-03

    The general purpose of this Corrective Action Investigation Plan is to ensure that adequate data are collected to provide sufficient and reliable information to identify, evaluate, and select technically viable corrective action alternatives (CAAs) for Corrective Action Unit (CAU) 543: Liquid Disposal Units, Nevada Test Site (NTS), Nevada. Located in Areas 6 and 15 on the NTS, CAU 543 is comprised of a total of seven corrective action sites (CASs), one in Area 6 and six in Area 15. The CAS in Area 6 consists of a Decontamination Facility and its components which are associated with decontamination of equipment, vehicles, and materials related to nuclear testing. The six CASs in Area 15 are located at the U.S. Environmental Protection Agency Farm and are related to waste disposal activities at the farm. Sources of possible contamination at Area 6 include potentially contaminated process waste effluent discharged through a process waste system, a sanitary waste stream generated within buildings of the Decon Facility, and radiologically contaminated materials stored within a portion of the facility yard. At Area 15, sources of potential contamination are associated with the dairy operations and the animal tests and experiments involving radionuclide uptake. Identified contaminants of potential concern include volatile organic compounds, semivolatile organic compounds, petroleum hydrocarbons, pesticides, herbicides, polychlorinated biphenyls, metals, and radionuclides. Three corrective action closure alternatives - No Further Action, Close in Place, or Clean Closure - will be recommended for CAU 543 based on an evaluation of all the data quality objective-related data. Field work will be conducted following approval of the plan. The results of the field investigation will support a defensible evaluation of CAAs that will be presented in the Corrective Action Decision Document.

  8. Organisational travel plans for improving health.

    Science.gov (United States)

    Hosking, Jamie; Macmillan, Alexandra; Connor, Jennie; Bullen, Chris; Ameratunga, Shanthi

    2010-03-17

    Dependence on car use has a number of broad health implications, including contributing to physical inactivity, road traffic injury, air pollution and social severance, as well as entrenching lifestyles that require environmentally unsustainable energy use. Travel plans are interventions that aim to reduce single-occupant car use and increase the use of alternatives such as walking, cycling and public transport, with a variety of behavioural and structural components. This review focuses on organisational travel plans for schools, tertiary institutes and workplaces. These plans are closely aligned in their aims and intervention design, having emerged from a shared theoretical base. To assess the effects of organisational travel plans on health, either directly measured, or through changes in travel mode. We searched the following electronic databases; Transport (1988 to June 2008), MEDLINE (1950 to June 2008), EMBASE (1947 to June 2008), CINAHL (1982 to June 2008), ERIC (1966 to June 2008), PSYCINFO (1806 to June 2008), Sociological Abstracts (1952 to June 2008), BUILD (1989 to 2002), Social Sciences Citation Index (1900 to June 2008), Science Citation Index (1900 to June 2008), Arts & Humanities Index (1975 to June 2008), Cochrane Database of Systematic Reviews (to August 2008), CENTRAL (to August 2008), Cochrane Injuries Group Register (to December 2009), C2-RIPE (to July 2008), C2-SPECTR (to July 2008), ProQuest Dissertations & Theses (1861 to June 2008). We also searched the reference lists of relevant articles, conference proceedings and Internet sources. We did not restrict the search by date, language or publication status. We included randomised controlled trials and controlled before-after studies of travel behaviour change programmes conducted in an organisational setting, where the measured outcome was change in travel mode or health. Both positive and negative health effects were included. Two authors independently assessed eligibility, assessed trial

  9. 42 CFR 495.336 - Health information technology planning advance planning document requirements (HIT PAPD).

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Health information technology planning advance... STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE PROGRAM Requirements Specific to the Medicaid Program § 495.336 Health information technology planning advance planning document requirements...

  10. Corrective Action Plan for Corrective Action Unit 490: Station 44 Burn Area, Tonopah Test Range, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    K. B. Campbell

    2002-04-01

    Corrective Action Unit (CAU) 490, Station 44 Burn Area is located on the Tonopah Test Range (TTR). CAU 490 is listed in the Federal Facility Agreement and Consent Order (FFACO, 1996) and includes for Corrective Action Sites (CASs): (1) Fire Training Area (CAS 03-56-001-03BA); (2) Station 44 Burn Area (CAS RG-56-001-RGBA); (3) Sandia Service Yard (CAS 03-58-001-03FN); and (4) Gun Propellant Burn Area (CAS 09-54-001-09L2).

  11. [A framework to support action in population mental health].

    Science.gov (United States)

    Mantoura, Pascale; Roberge, Marie-Claude; Fournier, Louise

    In Quebec, like elsewhere in the world, we are witnessing a growing concern for the population's mental health and for the importance of concentrating efforts on prevention and promotion. In this context, public health actors are invited to adopt a leadership role in advancing mental health promotion and mental disorder prevention goals, and establish the required partnerships with actors from the health and social services and from other sectors who are indispensable to the population mental health agenda. In Canada, public heath actors are not yet sufficiently supported in this role. They express the need to access structuring frameworks which can clarify their action in mental health. This article first presents the momentum for change at the policy level within the field of mental health. A framework to support population mental health action is then presented. The framework identifies the various dimensions underlying the promotion of population mental health as well as the reduction of mental health inequalities. The article finally illustrates how the application of a populational (the application of a populational responsibility perspective) responsibility perspective, as it is defined in the context of Quebec, facilitates the implementation of the various elements of this framework. In the end, public health actors are better equipped to situate their practice in favour of the population's mental health.

  12. Visual information for action planning in left and right congenital hemiparesis

    NARCIS (Netherlands)

    Craje, C.; van der Kamp, J.; Steenbergen, B.

    2009-01-01

    Converging evidence suggests that compromised motor abilities in hemiparetic cerebral palsy are not solely due to impairments in motor execution, but are also related to deficits in action planning. The present study had two aims. First, we compared grip planning in a sequential task between

  13. 49 CFR 1106.3 - Actions for which Safety Integration Plan is required.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Actions for which Safety Integration Plan is required. 1106.3 Section 1106.3 Transportation Other Regulations Relating to Transportation (Continued... TRANSPORTATION BOARD CONSIDERATION OF SAFETY INTEGRATION PLANS IN CASES INVOLVING RAILROAD CONSOLIDATIONS...

  14. Assessing Changes in Job Behavior Due to Training: A Guide to the Participant Action Plan Approach.

    Science.gov (United States)

    Office of Personnel Management, Washington, DC.

    This guide provides a brief introduction to the Participant Action Plan Approach (PAPA) and a user's handbook. Part I outlines five steps of PAPA which determine how job behavior is changed by training course or program participation. Part II, the manual, is arranged by the five steps of the PAPA approach. Planning for PAPA discusses making…

  15. State of emergency preparedness for US health insurance plans.

    Science.gov (United States)

    Merchant, Raina M; Finne, Kristen; Lardy, Barbara; Veselovskiy, German; Korba, Caey; Margolis, Gregg S; Lurie, Nicole

    2015-01-01

    Health insurance plans serve a critical role in public health emergencies, yet little has been published about their collective emergency preparedness practices and policies. We evaluated, on a national scale, the state of health insurance plans' emergency preparedness and policies. A survey of health insurance plans. We queried members of America's Health Insurance Plans, the national trade association representing the health insurance industry, about issues related to emergency preparedness issues: infrastructure, adaptability, connectedness, and best practices. Of 137 health insurance plans queried, 63% responded, representing 190.6 million members and 81% of US plan enrollment. All respondents had emergency plans for business continuity, and most (85%) had infrastructure for emergency teams. Some health plans also have established benchmarks for preparedness (eg, response time). Regarding adaptability, 85% had protocols to extend claim filing time and 71% could temporarily suspend prior medical authorization rules. Regarding connectedness, many plans shared their contingency plans with health officials, but often cited challenges in identifying regulatory agency contacts. Some health insurance plans had specific policies for assisting individuals dependent on durable medical equipment or home healthcare. Many plans (60%) expressed interest in sharing best practices. Health insurance plans are prioritizing emergency preparedness. We identified 6 policy modifications that health insurance plans could undertake to potentially improve healthcare system preparedness: establishing metrics and benchmarks for emergency preparedness; identifying disaster-specific policy modifications, enhancing stakeholder connectedness, considering digital strategies to enhance communication, improving support and access for special-needs individuals, and developing regular forums for knowledge exchange about emergency preparedness.

  16. Corrective Action Investigation Plan for Corrective Action Unit 428: Area 3 Septic Waste Systems 1 and 5, Tonopah Test Range, Nevada

    International Nuclear Information System (INIS)

    ITLV

    1999-01-01

    The Corrective Action Investigation Plan for Corrective Action Unit 428, Area 3 Septic Waste Systems 1 and 5, has been developed in accordance with the Federal Facility Agreement and Consent Order that was agreed to by the U. S. Department of Energy, Nevada Operations Office; the State of Nevada Division of Environmental Protection; and the U. S. Department of Defense. Corrective Action Unit 428 consists of Corrective Action Sites 03- 05- 002- SW01 and 03- 05- 002- SW05, respectively known as Area 3 Septic Waste System 1 and Septic Waste System 5. This Corrective Action Investigation Plan is used in combination with the Work Plan for Leachfield Corrective Action Units: Nevada Test Site and Tonopah Test Range, Nevada , Rev. 1 (DOE/ NV, 1998c). The Leachfield Work Plan was developed to streamline investigations at leachfield Corrective Action Units by incorporating management, technical, quality assurance, health and safety, public involvement, field sampling, and waste management information common to a set of Corrective Action Units with similar site histories and characteristics into a single document that can be referenced. This Corrective Action Investigation Plan provides investigative details specific to Corrective Action Unit 428. A system of leachfields and associated collection systems was used for wastewater disposal at Area 3 of the Tonopah Test Range until a consolidated sewer system was installed in 1990 to replace the discrete septic waste systems. Operations within various buildings at Area 3 generated sanitary and industrial wastewaters potentially contaminated with contaminants of potential concern and disposed of in septic tanks and leachfields. Corrective Action Unit 428 is composed of two leachfield systems in the northern portion of Area 3. Based on site history collected to support the Data Quality Objectives process, contaminants of potential concern for the site include oil/ diesel range total petroleum hydrocarbons, and Resource Conservation

  17. 300-FF-1 remedial design report/remedial action work plan

    International Nuclear Information System (INIS)

    Gustafson, F.W.

    1997-02-01

    The 300 Area has been divided into three operable units 300-FF-1, 300-FF-2, and 300-FF-5 all of which are in various stages of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA) process. The 300-FF-1 Operable Unit, the subject of this report, includes liquid waste disposal sites, landfills, and a burial ground. This Remedial Design Report/Remedial Action Work Plan (RDR/RAWP) provides a summary description of each waste site included in the 300-FF-1 Operable Unit, the basis for remedial actions to be taken, and the remedial action approach and management process for implementing these actions. The remedial action approach and management sections provide a description of the remedial action process description, the project schedule, the project team, required planning documentation, the remedial action change process, the process for verifying attainment of the remedial action goals, and the required CERCLA and RCRA closeout documentation. Appendix A provides additional details on each waste site. In addition to remediation of the waste sites, waste generated during the remedial investigation/feasibility study portions of the project will also be disposed at the Environmental Restoration Disposal Facility (ERDF). Appendix B provides a summary of the modeling performed in the 300-FF-1 Phase 3 FS and a description of the modeling effort to be used to show attainment of the remedial action goals. Appendix C provides the sampling and analysis plan (SAP) for all sampling and field-screening activities performed during remediation and for verification of attainment with the remedial action goals. Appendix D provides the public involvement plan, prepared to ensure information is provided to the public during remedial design and remedial action processes

  18. 300-FF-1 remedial design report/remedial action work plan

    Energy Technology Data Exchange (ETDEWEB)

    Gustafson, F.W.

    1997-02-01

    The 300 Area has been divided into three operable units 300-FF-1, 300-FF-2, and 300-FF-5 all of which are in various stages of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA) process. The 300-FF-1 Operable Unit, the subject of this report, includes liquid waste disposal sites, landfills, and a burial ground. This Remedial Design Report/Remedial Action Work Plan (RDR/RAWP) provides a summary description of each waste site included in the 300-FF-1 Operable Unit, the basis for remedial actions to be taken, and the remedial action approach and management process for implementing these actions. The remedial action approach and management sections provide a description of the remedial action process description, the project schedule, the project team, required planning documentation, the remedial action change process, the process for verifying attainment of the remedial action goals, and the required CERCLA and RCRA closeout documentation. Appendix A provides additional details on each waste site. In addition to remediation of the waste sites, waste generated during the remedial investigation/feasibility study portions of the project will also be disposed at the Environmental Restoration Disposal Facility (ERDF). Appendix B provides a summary of the modeling performed in the 300-FF-1 Phase 3 FS and a description of the modeling effort to be used to show attainment of the remedial action goals. Appendix C provides the sampling and analysis plan (SAP) for all sampling and field-screening activities performed during remediation and for verification of attainment with the remedial action goals. Appendix D provides the public involvement plan, prepared to ensure information is provided to the public during remedial design and remedial action processes.

  19. Developing health and social care planning in collaboration.

    Science.gov (United States)

    Rämgård, Margareta; Blomqvist, Kerstin; Petersson, Pia

    2015-01-01

    Collaboration between different professions in community care for older people is often both difficult and complex. In this project, a participatory action research (PAR) was conducted in order to support the professions involved in the care for older people to develop individualized health and social care plans. Cases from daily work were discussed in different professional groups over a period of one year. A key finding was that lack of knowledge regarding the other professions' field of expertise and their underlying professional culture and values was a barrier in their collaboration. However, as the continuous reflective dialogue process progressed, the participants began to reflect more about the importance of collaboration as a prerequisite to achieve the best possible care for the recipient. This process of reflection led to the often complex needs of the care recipients being given a more central position and thus care plans being better tailored to each person's needs.

  20. Uranium Mill Tailings remedial action project waste minimization and pollution prevention awareness program plan

    International Nuclear Information System (INIS)

    1994-07-01

    The purpose of this plan is to establish a waste minimization and pollution prevention awareness (WM/PPA) program for the U.S. Department of Energy's (DOE) Uranium Mill Tailings Remedial Action (UMTRA) Project. The program satisfies DOE requirements mandated by DOE Order 5400.1. This plan establishes planning objectives and strategies for conserving resources and reducing the quantity and toxicity of wastes and other environmental releases

  1. Federal Research Action Plan on Recycled Tire Crumb Used ...

    Science.gov (United States)

    Over the past several years, parents, athletes, schools, and communities have raised concerns about the safety of recycled tire crumb rubber used as infill for playing fields and playgrounds in the United States. The public has expressed concerns that the use of these fields could potentially be related to certain health effects. Studies to date have not shown an elevated health risk from playing on fields with tire crumb rubber, but these studies have limitations and do not comprehensively evaluate the concerns about health risks from exposure to tire crumb rubber. This status report provides a summary of activities to date, including: (1) stakeholder outreach, (2) the tire crumb rubber manufacturing industry, (3) the final peer-reviewed Literature Review/Gaps Analysis (LRGA), (4) progress on the research activities, and (5) next steps and a timeline for completion of the final report. The status report does not include research findings.

  2. Federal Employees Health Benefits Program (FEHBP) Plan Information

    Data.gov (United States)

    Office of Personnel Management — A list of all Federal Employees Health Benefits Program (FEHBP) plans available in each state, as well as links to the plan brochures, changes for each plan from the...

  3. Oak Ridge National Laboratory Corrective Action Plan in response to Tiger Team assessment

    International Nuclear Information System (INIS)

    1991-01-01

    This report presents a complete response to the Tiger Team assessment that was conducted at Oak Ridge National Laboratory (ORNL) and at the US Department of Energy (DOE) Oak Ridge Operations Office (ORO) from October 22, 1990, through November 30, 1990. The action plans have undergone both a discipline review and a cross-cutting review with respect to root cause. In addition, the action plans have been integrated with initiatives being pursued across Martin Marietta Energy Systems, Inc., in response to Tiger Team findings at other DOE facilities operated by Energy Systems. The root cause section is complete and describes how ORNL intends to address the root causes of the findings identified during the assessment. The action plan has benefited from a complete review by various offices at DOE Headquarters as well as review by the Tiger Team that conducted the assessment to ensure that the described actions are responsive to the observed problems

  4. Oak Ridge National Laboratory Corrective Action Plan in response to Tiger Team assessment

    Energy Technology Data Exchange (ETDEWEB)

    Kuliasha, Michael A.

    1991-08-23

    This report presents a complete response to the Tiger Team assessment that was conducted at Oak Ridge National Laboratory (ORNL) and at the US Department of Energy (DOE) Oak Ridge Operations Office (ORO) from October 22, 1990, through November 30, 1990. The action plans have undergone both a discipline review and a cross-cutting review with respect to root cause. In addition, the action plans have been integrated with initiatives being pursued across Martin Marietta Energy Systems, Inc., in response to Tiger Team findings at other DOE facilities operated by Energy Systems. The root cause section is complete and describes how ORNL intends to address the root causes of the findings identified during the assessment. The action plan has benefited from a complete review by various offices at DOE Headquarters as well as review by the Tiger Team that conducted the assessment to ensure that the described actions are responsive to the observed problems.

  5. Office of River Protection Integrated Safety Management System Phase 1 Verification Corrective Action Plan; FINAL

    International Nuclear Information System (INIS)

    CLARK, D.L.

    1999-01-01

    The purpose of this Corrective Action Plan is to demonstrate the OW planned and/or completed actions to implement ISMS as well as prepare for the RPP ISMS Phase II Verification scheduled for August, 1999. This Plan collates implied or explicit ORP actions identified in several key ISMS documents and aligns those actions and responsibilities perceived necessary to appropriately disposition all ISM Phase II preparation activities specific to the ORP. The objective will be to complete or disposition the corrective actions prior to the commencement of the ISMS Phase II Verification. Improvement products/tasks not slated for completion prior to the RPP Phase II verification will be incorporated as corrective actions into the Strategic System Execution Plan (SSEP) Gap Analysis. Many of the business and management systems that were reviewed in the ISMS Phase I verification are being modified to support the ORP transition and are being assessed through the SSEP. The actions and processes identified in the SSEP will support the development of the ORP and continued ISMS implementation as committed to be complete by end of FY-2000

  6. Office of River Protection Integrated Safety Management System Phase 1 Verification Corrective Action Plan

    International Nuclear Information System (INIS)

    CLARK, D.L.

    1999-01-01

    The purpose of this Corrective Action Plan is to demonstrate the OW planned and/or completed actions to implement ISMS as well as prepare for the RPP ISMS Phase II Verification scheduled for August, 1999. This Plan collates implied or explicit ORP actions identified in several key ISMS documents and aligns those actions and responsibilities perceived necessary to appropriately disposition all ISM Phase II preparation activities specific to the ORP. The objective will be to complete or disposition the corrective actions prior to the commencement of the ISMS Phase II Verification. Improvement products/tasks not slated for completion prior to the RPP Phase II verification will be incorporated as corrective actions into the Strategic System Execution Plan (SSEP) Gap Analysis. Many of the business and management systems that were reviewed in the ISMS Phase I verification are being modified to support the ORP transition and are being assessed through the SSEP. The actions and processes identified in the SSEP will support the development of the ORP and continued ISMS implementation as committed to be complete by end of FY-2000

  7. N Springs expedited response action performance monitoring plan. Revision 1

    International Nuclear Information System (INIS)

    1995-08-01

    Groundwater contained in the 100-NR-2 Operable Unit is contaminated with various radionuclides derived from waste water disposal practices and spills associated with 100-N Reactor operations. Of primary concern is the presence of high levels of 90 Sr in the groundwater and the discharge of 90 Sr-contaminated groundwater to the nearby Columbia River through historic river bank seeps known as ''N Springs.'' A pump-and-treat system is being installed to remove 90 Sr contamination from the groundwater as part of the N Springs expedited response action (ERA). The groundwater extraction system will consist of four extraction and two injection wells with a proposed initial treatment capacity of 50 gal/min. The proposed location of the groundwater extraction system relative to the 90 Sr groundwater plume is presented

  8. Climate Change and Health: Nurses as Drivers of Climate Action

    Directory of Open Access Journals (Sweden)

    Cara Cook

    2018-02-01

    Full Text Available Changes to Earth’s climate are occurring globally at unprecedented rates with significant impacts to human and population health, including increased likelihood of mental health illnesses, food and water insecurity, insect-borne and heat-related illnesses, and respiratory diseases. Those in the health sector are seeing the challenges patients and community members are experiencing as a result of current and projected climate threats. Health professionals, including nurses, have an opportunity to lead the charge to significantly improve society’s response to climate change and foster the strategies needed to promote health. This article highlights the current work of the Alliance of Nurses for Healthy Environments, a national nursing organization focused solely on environmental health concerns, in inspiring and empowering nurses across the country to engage in action to reduce their climate impact, move climate solutions forward, and improve the ability of health care institutions and communities to respond to the health impacts of climate change.

  9. Corrective action investigation plan for the Roller Coaster RADSAFE Area, Corrective Action Unit 407, Tonopah Test Range, Nevada

    International Nuclear Information System (INIS)

    1998-04-01

    This Corrective Action Investigation Plan (CAIP) has been developed in accordance with the Federal Facility Agreement and Consent Order (FFACO) that was agreed to by the US Department of Energy, Nevada Operations Office (DOE/NV); the State of Nevada Division of Environmental Protection (NDEP); and the US Department of Defense (FFACO, 1996). The CAIP is a document that provides or references all of the specific information for investigation activities associated with Corrective Action Units (CAUs) or Corrective Action Sites (CASs). According to the FFACO (1996), CASs are sites potentially requiring corrective action(s) and may include solid waste management units or individual disposal or release sites. CAUs consist of one or more CASs grouped together based on geography, technical similarity, or agency responsibility for the purpose of determining corrective actions. This CAIP contains the environmental sample collection objectives and the criteria for conducting site investigation activities at CAU No. 407, the Roller Coaster RADSAFE Area (RCRSA) which is located on the Tonopah Test Range (TTR). The TTR, included in the Nellis Air Force Range Complex, is approximately 255 km (140 mi) northwest of Las Vegas, Nevada. CAU No. 407 is comprised of only one CAS (TA-23-001-TARC). The RCRSA was used during May and June 1963 to decontaminate vehicles, equipment, and personnel from the Clean Slate tests. The surface and subsurface soils are likely to have been impacted by plutonium and other contaminants of potential concern (COPCs) associated with decontamination activities at this site. The purpose of the corrective action investigation described in this CAIP is to: identify the presence and nature of COPCs; determine the vertical and lateral extent of COPCs; and provide sufficient information and data to develop and evaluate appropriate corrective actions for the CAS

  10. Corrective action investigation plan for Corrective Action Unit 342: Area 23 Mercury Fire Training Pit, Nevada Test Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-03-01

    This Corrective Action Investigation Plan (CAIP) has been developed in accordance with the Federal Facility Agreement and Consent Order (FFACO) that was agreed to by the US Department of Energy, Nevada Operations Office (DOE/NV); the State of Nevada Division of Environmental Protection (NDEP); and the US Department of Defense (FFACO, 1996). The CAIP is a document that provides or references all of the specific information for investigation activities associated with Corrective Action Units (CAUs) or Corrective Action Sites (CASs). According to the FFACO, CASs are sites potentially requiring corrective action(s) and may include solid waste management units or individual disposal or release sites (FFACO, 1996). Corrective Action Units consist of one or more CASs grouped together based on geography, technical similarity, or agency responsibility for the purpose of determining corrective actions. This CAIP contains the environmental sample collection objectives and the criteria for conducting site investigation activities at CAU 342, the Area 23 Mercury Fire Training Pit (FTP), which is located in Area 23 at the Nevada Test Site (NTS). The NTS is approximately 88 km (55 mi) northwest of Las Vegas, Nevada. Corrective Action Unit 342 is comprised of CAS 23-56-01. The FTP is an area approximately 100 m by 140 m (350 ft by 450 ft) located west of the town of Mercury, Nevada, which was used between approximately 1965 and 1990 to train fire-fighting personnel (REECo, 1991; Jacobson, 1991). The surface and subsurface soils in the FTP have likely been impacted by hydrocarbons and other contaminants of potential concern (COPC) associated with burn activities and training exercises in the area.

  11. Action plan for Nordic energy co-operation 2006-2009

    International Nuclear Information System (INIS)

    2005-01-01

    The Action Plan for Nordic Energy Co-operation 2006-2009 is targeted at creating a visible and sustainable contribution to solving the most important and politically most relevant energy policy challenges faced by the Nordic region. The plan concentrates on three main areas: Energy markets; Sustainable energy system; and Nordic impact on the international agenda. The Action Plan is the energy sector's contribution to the implementation of the Nordic strategy 'Sustainable Development - New Bearing for the Nordic Countries' and to a number of the Nordic Council's recommendations for the development of the Nordic energy sector. An important element of the implementation of the action plan is on-going contact and information sharing between the Nordic Energy Policy co-operation and the Nordic Energy Research. The continues dialogue between the Nordic Council of Energy Ministers and The Nordic Council on future energy policy challenges will likewise be an important part of the political process. (BA)

  12. Differential beta-band event-related desynchronization during categorical action sequence planning.

    Directory of Open Access Journals (Sweden)

    Hame Park

    Full Text Available A primate study reported the existence of neurons from the dorso-lateral prefrontal cortex which fired prior to executing categorical action sequences. The authors suggested these activities may represent abstract level information. Here, we aimed to find the neurophysiological representation of planning categorical action sequences at the population level in healthy humans. Previous human studies have shown beta-band event-related desynchronization (ERD during action planning in humans. Some of these studies showed different levels of ERD according to different types of action preparation. Especially, the literature suggests that variations in cognitive factors rather than physical factors (force, direction, etc modulate the level of beta-ERD. We hypothesized that the level of beta-band power will differ according to planning of different categorical sequences. We measured magnetoencephalography (MEG from 22 subjects performing 11 four-sequence actions--each consisting of one or two of three simple actions--in 3 categories; 'Paired (ooxx', 'Alternative (oxox' and 'Repetitive (oooo' ('o' and 'x' each denoting one of three simple actions. Time-frequency representations were calculated for each category during the planning period, and the corresponding beta-power time-courses were compared. We found beta-ERD during the planning period for all subjects, mostly in the contralateral fronto-parietal areas shortly after visual cue onset. Power increase (transient rebound followed ERD in 20 out of 22 subjects. Amplitudes differed among categories in 20 subjects for both ERD and transient rebound. In 18 out of 20 subjects 'Repetitive' category showed the largest ERD and rebound. The current result suggests that beta-ERD in the contralateral frontal/motor/parietal areas during planning is differentiated by the category of action sequences.

  13. Schools for health, education and development: a call for action.

    Science.gov (United States)

    Tang, Kwok-Cho; Nutbeam, Don; Aldinger, Carmen; St Leger, Lawrence; Bundy, Donald; Hoffmann, Anna Maria; Yankah, Ekua; McCall, Doug; Buijs, Goof; Arnaout, Said; Morales, Sofialeticia; Robinson, Faye; Torranin, Charuaypon; Drake, Lesley; Abolfotouh, Mostafa; Whitman, Cheryl Vince; Meresman, Sergio; Odete, Cossa; Joukhadar, Abdul-Halim; Avison, Claire; Wright, Cream; Huerta, Franscico; Munodawafa, Davison; Nyamwaya, David; Heckert, Karen

    2009-03-01

    In 2007, the World Health Organization, together with United Nations and international organization as well as experts, met to draw upon existing evidence and practical experience from regions, countries and individual schools in promoting health through schools. The goal of the meeting was to identify current and emerging global factors affecting schools, and to help them respond more effectively to health, education and development opportunities. At the meeting, a Statement was developed describing effective approaches and strategies that can be adopted by schools to promote health, education and development. Five key challenges were identified. These described the need to continue building evidence and capturing practical experience in school health; the importance of improving implementation processes to ensure optimal transfer of evidence into practice; the need to alleviating social and economic disadvantage in access to and successful completion of school education; the opportunity to harness media influences for positive benefit, and the continuing challenge to improve partnerships among different sectors and organizations. The participants also identified a range of actions needed to respond to these challenges, highlighting the need for action by local school communities, governments and international organizations to invest in quality education, and to increase participation of children and young people in school education. This paper describes the rationale for and process of the meeting and the development of the Statement and outlines some of the most immediate efforts made to implement the actions identified in the Statement. It also suggests further joint actions required for the implementation of the Statement.

  14. 76 FR 21907 - Draft Action Plan-A Public Health Action Plan To Combat Antimicrobial Resistance

    Science.gov (United States)

    2011-04-19

    ... Infectious Diseases, Division of Healthcare Quality Promotion, Office of Antimicrobial Resistance, Attn... Promotion, Office of Antimicrobial Resistance; 1600 Clifton Road, NE., Mailstop A-07, Atlanta, Georgia 30333... agencies in addressing antimicrobial resistance (AR) in recognition of the increasing importance of AR as a...

  15. 76 FR 14402 - Draft Action Plan-A Public Health Action Plan To Combat Antimicrobial Resistance

    Science.gov (United States)

    2011-03-16

    ... Infectious Diseases, Division of Healthcare Quality Promotion, Office of Antimicrobial Resistance, Attn... Promotion, Office of Antimicrobial Resistance; 1600 Clifton Road, NE., Mailstop A-07, Atlanta, Georgia 30333... agencies in addressing antimicrobial resistance (AR) in recognition of the increasing importance of AR as a...

  16. Implementation of an action plan in radiological protection of the patient in Argentina

    International Nuclear Information System (INIS)

    Michelin, S.; Perez, M.R.; Dubner, D.

    2006-01-01

    The medical irradiations constitute the main contribution to the human exposure to ionizing radiations of artificial character. The growing quantity of practices, facilities and human resources dedicated to such ends, it has increased the concern of regulator organisms and scientific societies by the radiological protection of the patient (PRP). Besides completing it regulatory function in the domains of the medical practices that its concern it, the Nuclear Regulatory Authority (ARN) of Argentina, decided to install an active discussion in order to promoting an action plan in PRP in the national environment. To such end, the ARN organized the First National Day on PRP in December, 2004, with the attendance of professionals of the fields of the Radiodiagnostic, the Nuclear Medicine and the Radiotherapy as well as of representatives of professional associations and authorities of health. In this day the conclusions of the International Conference on PRP (Malaga, 2001) and the approaches of the Directive 97/43/EURATOM adopted in European countries were presented. It was discussed about: practices justification, responsibility of the prescriber doctor, quality systems, dose optimization, reference levels, dosimetry, training of human resources, especially for certain practices (pregnant woman, pediatric radiology and interventionist, PR/118 tomography for the correct application of diagnostic practices and an expert presented in teleconference form the experience of France for the adoption of these guides. During the Second National Day on PRP organized by the ARN (June 2005), received opinions were debated in the different environments in relation to the PR/118 guide and it potential adaptation to the national conditions. Also it was presented the state of advance of the activities developed in relation to the proposed tasks. As a result of this meeting, it was conformed a national net of PRP to which intended to incorporate academic institutions, in order to

  17. The South African fruit fly action plan: area-wide suppression and exotic species surveillance

    Energy Technology Data Exchange (ETDEWEB)

    Barnes, Brian N., E-mail: barnesb@arc.agric.z [ARC Infruitec-Nietvoorbij Institute for Fruit, Vine and Wine, Stellenbosch (South Africa); Venter, Jan-Hendrik, E-mail: janhendrikv@nda.agric.z [Directorate Plant Health, Pretoria (South Africa)

    2006-07-01

    Two species of tephritid fruit flies of economic importance, Mediterranean fruit fly (Medfly, Ceratitis capitata [Wiedemann]) and Natal fruit fly (C. rosa Karsch) cause economic losses in the South African deciduous fruit industry of approximately US$3 million per annum. A third species, marula fruit fly, C. cosyra (Walker), causes damage to citrus and sub-tropical fruits in the north-eastern part of the country. In 1999 a sterile insect technique (SIT) programme against Medfly was initiated over 10,000 ha of table grapes with a goal of cost-effective, ecologically compatible suppression of Medfly. The SIT programme was extended to two other fruit production areas in 2004. Although results in all three SIT areas have been mixed, populations of wild Medflies, as well as associated pesticide usage and control costs, have been reduced since the start of sterile fly releases. Reasons for the partial degree of success and the relatively slow expansion of Medfly SIT to other areas include economic, operational and cultural factors, as well as certain fruit production practices. Before fruit fly-free areas can be created, deficiencies in the ability to mass-rear Natal fruit fly need to be overcome so that an SIT programme against this species can be initiated. Any fruit fly suppression or eradication campaign will be severely compromised by any introductions into South Africa of exotic fruit fly species. The risk of such introductions is increasing as trade with and travel to the country increases. A Plant Health Early Warning Systems Division has been initiated to formulate fruit fly detection and action plans. Melon fly (Bactrocera cucurbitae [Coquillett]), Asian fruit fly (B. invadens Drew, Tsurutu and White) and peach fruit fly (B. zonata [Saunders]), which are all well established in parts of Africa and/or Indian Ocean islands, have been identified as presenting the highest risk for entering and becoming established in South Africa. An exotic fruit fly surveillance

  18. The South African fruit fly action plan: area-wide suppression and exotic species surveillance

    International Nuclear Information System (INIS)

    Barnes, Brian N.; Venter, Jan-Hendrik

    2006-01-01

    Two species of tephritid fruit flies of economic importance, Mediterranean fruit fly (Medfly, Ceratitis capitata [Wiedemann]) and Natal fruit fly (C. rosa Karsch) cause economic losses in the South African deciduous fruit industry of approximately US$3 million per annum. A third species, marula fruit fly, C. cosyra (Walker), causes damage to citrus and sub-tropical fruits in the north-eastern part of the country. In 1999 a sterile insect technique (SIT) programme against Medfly was initiated over 10,000 ha of table grapes with a goal of cost-effective, ecologically compatible suppression of Medfly. The SIT programme was extended to two other fruit production areas in 2004. Although results in all three SIT areas have been mixed, populations of wild Medflies, as well as associated pesticide usage and control costs, have been reduced since the start of sterile fly releases. Reasons for the partial degree of success and the relatively slow expansion of Medfly SIT to other areas include economic, operational and cultural factors, as well as certain fruit production practices. Before fruit fly-free areas can be created, deficiencies in the ability to mass-rear Natal fruit fly need to be overcome so that an SIT programme against this species can be initiated. Any fruit fly suppression or eradication campaign will be severely compromised by any introductions into South Africa of exotic fruit fly species. The risk of such introductions is increasing as trade with and travel to the country increases. A Plant Health Early Warning Systems Division has been initiated to formulate fruit fly detection and action plans. Melon fly (Bactrocera cucurbitae [Coquillett]), Asian fruit fly (B. invadens Drew, Tsurutu and White) and peach fruit fly (B. zonata [Saunders]), which are all well established in parts of Africa and/or Indian Ocean islands, have been identified as presenting the highest risk for entering and becoming established in South Africa. An exotic fruit fly surveillance

  19. Financial Performance of Health Plans in Medicaid Mana...

    Data.gov (United States)

    U.S. Department of Health & Human Services — This study assesses the financial performance of health plans that enroll Medicaid members across the key plan traits, specifically Medicaid dominant, publicly...

  20. Corrective Action Decision Document/Corrective Action Plan for Corrective Action Unit 413: Clean Slate II Plutonium Dispersion (TTR) Tonopah Test Range, Nevada. Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick [Navarro, Las Vegas, NV (United States)

    2017-05-01

    This Corrective Action Decision Document/Corrective Action Plan provides the rationale and supporting information for the selection and implementation of corrective actions at Corrective Action Unit (CAU) 413, Clean Slate II Plutonium Dispersion (TTR). CAU 413 is located on the Tonopah Test Range and includes one corrective action site, TA-23-02CS. CAU 413 consists of the release of radionuclides to the surface and shallow subsurface from the Clean Slate II (CSII) storage–transportation test conducted on May 31, 1963. The CSII test was a non-nuclear detonation of a nuclear device located inside a concrete bunker covered with 2 feet of soil. To facilitate site investigation and the evaluation of data quality objectives decisions, the releases at CAU 413 were divided into seven study groups: 1 Undisturbed Areas 2 Disturbed Areas 3 Sedimentation Areas 4 Former Staging Area 5 Buried Debris 6 Potential Source Material 7 Soil Mounds Corrective action investigation (CAI) activities, as set forth in the CAU 413 Corrective Action Investigation Plan, were performed from June 2015 through May 2016. Radionuclides detected in samples collected during the CAI were used to estimate total effective dose using the Construction Worker exposure scenario. Corrective action was required for areas where total effective dose exceeded, or was assumed to exceed, the radiological final action level (FAL) of 25 millirem per year. The results of the CAI and the assumptions made in the data quality objectives resulted in the following conclusions: The FAL is exceeded in surface soil in SG1, Undisturbed Areas; The FAL is assumed to be exceeded in SG5, Buried Debris, where contaminated debris and soil were buried after the CSII test; The FAL is not exceeded at SG2, SG3, SG4, SG6, or SG7. Because the FAL is exceeded at CAU 413, corrective action is required and corrective action alternatives (CAAs) must be evaluated. For CAU 413, three CAAs were evaluated: no further action, clean closure, and

  1. Renewable energy plan of action for American Samoa

    Energy Technology Data Exchange (ETDEWEB)

    Shupe, J.W. (USDOE San Francisco Operations Office, Honolulu, HI (USA). Pacific Site Office); Stevens, J.W. (Sandia National Labs., Albuquerque, NM (USA))

    1990-11-01

    American Samoa has no indigenous fossil fuels and is almost totally dependent for energy on seaborne petroleum. However, the seven Pacific Islands located at 14 degrees south latitude that constitute American Samoa have a wide variety of renewable resources with the potential for substituting for imported oil. Included as possible renewable energy conversion technologies are solar thermal, photovoltaics, wind, geothermal, ocean thermal, and waste-to-energy recovery. This report evaluates the potential of each of these renewable energy alternatives and establishes recommended priorities for their development in American Samoa. Rough cost estimates are also included. Although renewable energy planning is highly site specific, information in this report should find some general application to other tropical insular areas.

  2. Hydro Tasmania - renewable energy drivers, action and plans

    International Nuclear Information System (INIS)

    Gill, R.; Andrews, H.

    2005-01-01

    In Tasmania, the island state of Australia, the generator, Hydro Tasmania, is pushing technical, environmental and business boundaries in its plans to integrate a relatively high proportion (up to 20 percent) of large wind generators into its current complex mix of large and small hydropower plants. Its plans include projects to increase the efficiency of its older hydropower equipment as it prepares to supply much needed peaking capacity to the market in southern Australia via the groundbreaking Basslink undersea cable, which is due for completion in November 2005. Taken as a package these developments are creating a globally significant reference site for renewable energy systems. The paper will describe what is happening, and more importantly what is underpinning the developments, including: the harnessing of Tasmania's world-class wind resource, where recently constructed 1.75 MW wind turbines are achieving capacity factors of over 45 percent - some of the best productivity in the world today; the application of leading environmental science measures to ensure the sustainability of both the new wind farm developments and the transformation of the hydropower system to meet peak capacity demands; the relevance of the existing large hydropower storages that can operate in synergy with the wind resource; the contribution of Australia's renewable energy certificate scheme, which is effectively doubling the value of new renewable energy developments compared with existing generation sources; the application of the latest technology in hydropower turbines, combined with power system expertise from the world's leading manufacturers, to increase the efficiency of older hydropower generators, thereby more effectively harnessing the existing environmental footprint; and the transformation of Hydro Tasmania's business into a significant supplier and trader of premium value peak energy into the sophisticated Australian National Electricity Market. (author)

  3. Environment, Safety, Health and Waste Management Plan

    International Nuclear Information System (INIS)

    1988-01-01

    The mission of the Feed Materials Production Center (FMPC) is the production of high qaulity uranium metal for use by the US Department of Energy (DOE) in Defense Programs. In order to accomplish this mission and to maintain the FMPC as a viable facility in the DOE production complex, the facility must be brought into full compliance with all federal and state regulations and industry standards for environmental protection and worker safety. Where past practices have resulted in environmental insult, a comprehensive program of remediation must be implemented. The purpose of this combined Environment, Safety, Health and Waste Management Plan is to provide a road map for achieving needed improvements. The plan is structured to provide a comprehensive projection from the current fiscal year (FY) through FY 1994 of the programs, projects and funding required to achieve compliance. To do this, the plan is subdivided into chapters which discuss the applicable regulations;project schedules and funding requirements;details of the various programs for environment, safety, health and waste management;details of the ongoing National Environmental Policy Act (NEPA);the quality assurance program and the environmental monitoring program. 14 refs., 30 figs., 29 tabs

  4. Challenging behaviour: an action plan for education and training.

    Science.gov (United States)

    Farrell, Gerald A; Salmon, Peter

    Nurses and other health care staff frequently encounter a range of aggressive and other 'challenging behaviours' at work from clients and colleagues. In response to staff concerns, an abundance of state and national policies are now available but it is left up to individual employers to decide how best to implement them at a local level. In this paper we offer an education and training model which is conceptually sound, practical in application, and suitable for health care staff at different levels in the organisation. The importance of understanding challenging behaviour from an interactional perspective, and the educational principles on which training should be founded, are discussed. Finally, the cost of training and the need for program evaluation are considered.

  5. RA reactor Action plan for 1978 - Annex VI; Prilog VI - Plan rada reaktora RA za 1978. godinu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1977-12-15

    This annex include a detailed monthly action plan of the RA reactor for 1978. It was planned that the reactor will operate at nominal and lower power levels for 158 days. The plan is made with the aim to achieve same annual neutron flux as in 1977, which is somewhat higher then the annual production in the period from 1968-1975. [Serbo-Croat] Ovaj prilog sadrzi detaljan plan rada reaktora RA za 1978. godinu. Planirano je da reaktor radi na nominalnoj snazi of 6,5 MW i na manjim snagama ukupno 158 dana. Plan je napravljen tako da se ostvari godisnja proizvodnja neutronskog fluksa u obimu koji je relaizovan 1977. godine sto je nesto vise od godisnje proizvodnje u periodu 1968-1975.

  6. Space Weather Action Plan Ionizing Radiation Benchmarks: Phase 1 update and plans for Phase 2

    Science.gov (United States)

    Talaat, E. R.; Kozyra, J.; Onsager, T. G.; Posner, A.; Allen, J. E., Jr.; Black, C.; Christian, E. R.; Copeland, K.; Fry, D. J.; Johnston, W. R.; Kanekal, S. G.; Mertens, C. J.; Minow, J. I.; Pierson, J.; Rutledge, R.; Semones, E.; Sibeck, D. G.; St Cyr, O. C.; Xapsos, M.

    2017-12-01

    Changes in the near-Earth radiation environment can affect satellite operations, astronauts in space, commercial space activities, and the radiation environment on aircraft at relevant latitudes or altitudes. Understanding the diverse effects of increased radiation is challenging, but producing ionizing radiation benchmarks will help address these effects. The following areas have been considered in addressing the near-Earth radiation environment: the Earth's trapped radiation belts, the galactic cosmic ray background, and solar energetic-particle events. The radiation benchmarks attempt to account for any change in the near-Earth radiation environment, which, under extreme cases, could present a significant risk to critical infrastructure operations or human health. The goal of these ionizing radiation benchmarks and associated confidence levels will define at least the radiation intensity as a function of time, particle type, and energy for an occurrence frequency of 1 in 100 years and an intensity level at the theoretical maximum for the event. In this paper, we present the benchmarks that address radiation levels at all applicable altitudes and latitudes in the near-Earth environment, the assumptions made and the associated uncertainties, and the next steps planned for updating the benchmarks.

  7. Care management actions in the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Marcelo Costa Fernandes

    2015-11-01

    Full Text Available Objective: to identify, from nurses’ speeches, the actions that enable care management in the Family Health Strategy.Methods: descriptive study with a qualitative approach conducted with 32 nurses of primary care. It was used a semistructuredinterview as the data collection technique. The methodological process of the collective subject discourse wasused to organize the data Results: from the nurses’ speeches one identified the categories: complementary relationshipbetween care and management; meeting with community health agents, a care management strategy in nurses’ work;health education activities such as a care management action and a health information system as an essential tool forcare Conclusion: it was possible to observe that nurses understood the importance of coordination and complementaritybetween the activities of the working process of care and management.

  8. Predicting children's sunscreen use: application of the theories of reasoned action and planned behavior.

    Science.gov (United States)

    Martin, S C; Jacobsen, P B; Lucas, D J; Branch, K A; Ferron, J M

    1999-07-01

    Skin cancer remains the most common form of cancer in the United States despite the fact that most cases can be prevented by limiting sun exposure. Childhood and adolescence are periods of life during which prolonged sun exposure is particularly common. Accordingly, promoting sun-protective behaviors during these formative years can be of critical importance in preventing skin cancer. The present study applied the theories of reasoned action and planned behavior to the understanding of children's sunscreen use. Based on these theories, it was hypothesized that attitudes, subjective norms, and perceived behavioral control would be related to intentions to use sunscreen, which, in turn, would be related to actual sunscreen use. Questionnaires measuring sun-related attitudes, beliefs, perceived control, and intentions were administered to 199 fourth graders (ages 9 to 13, mean = 10.3) attending public schools in Florida. Self-report measures of sun-related behavior were administered to the same subjects 1 month later. Results of correlational analyses were consistent with study hypotheses. Higher rates of sunscreen use at follow-up were predicted by stronger intentions to use sunscreen assessed 1 month previously. In addition, stronger intentions to use sunscreen were found to be related to more favorable attitudes toward sunscreen use, stronger beliefs that peers and parents favored sunscreen use, and greater perceptions of personal control in using sunscreen. Path and multiple regression analyses identified direct and indirect relationships among study variables that partially confirmed those predicted by the theories and provided support for the use of an expanded model that included perceived behavioral control. The present study confirmed hypotheses derived from the theories of reasoned action and planned behavior regarding the relation of attitudes, subjective norms, and perceived behavioral control to sunscreen use among fourth graders. In addition to their

  9. Developing a vision and strategic action plan for future community-based residency training.

    Science.gov (United States)

    Skelton, Jann B; Owen, James A

    2016-01-01

    The Community Pharmacy Residency Program (CPRP) Planning Committee convened to develop a vision and a strategic action plan for the advancement of community pharmacy residency training. Aligned with the profession's efforts to achieve provider status and expand access to care, the Future Vision and Action Plan for Community-based Residency Training will provide guidance, direction, and a strategic action plan for community-based residency training to ensure that the future needs of community-based pharmacist practitioners are met. National thought leaders, selected because of their leadership in pharmacy practice, academia, and residency training, served on the planning committee. The committee conducted a series of conference calls and an in-person strategic planning meeting held on January 13-14, 2015. Outcomes from the discussions were supplemented with related information from the literature. Results of a survey of CPRP directors and preceptors also informed the planning process. The vision and strategic action plan for community-based residency training is intended to advance training to meet the emerging needs of patients in communities that are served by the pharmacy profession. The group anticipated the advanced skills required of pharmacists serving as community-based pharmacist practitioners and the likely education, training and competencies required by future residency graduates in order to deliver these services. The vision reflects a transformation of community residency training, from CPRPs to community-based residency training, and embodies the concept that residency training should be primarily focused on training the individual pharmacist practitioner based on the needs of patients served within the community, and not on the physical location where pharmacy services are provided. The development of a vision statement, core values statements, and strategic action plan will provide support, guidance, and direction to the profession of pharmacy to

  10. Transierra social action plan; Plano de acao social de Transierra: responsabilidade social e satisfacao comunitaria

    Energy Technology Data Exchange (ETDEWEB)

    Chavez Alba, Rafael [TRANSIERRA S.A., Santa Cruz (Bolivia)

    2005-07-01

    The design and the execution of the social - environmental compensation's plan of Transierra, or Plan of Social Action (PAS), are based on the implementation of programs and projects with 8 organizations belonging to 2 Indigenous Villages and with 6 Municipal Governments, for which jurisdictions crosses the Gas pipeline Yacuiba Rio Grande (GASYRG). The PAS is allowing the company to support tight links of good vicinity, and at the same time that is generating local employment and public and private concurrent investments, contributing this way to the sustainable development and to the improvement of the quality of life of the region and the country. Transierra's PAS is implemented by the principal social actors of the influence area who have institutional, legal and social - politics responsibilities with the development of more than 30.000 families, the same ones that have expressed a high degree of satisfaction for being beneficiaries of more than 600 projects of health, education, culture, basic sanitation, infrastructure and productive development. The present work tries to summarize the current advances and the results of the implementation of the PAS, as well as to demonstrate that the levels of satisfaction of the beneficiaries are happily coincidental with the institutional intentions of Social Corporate Responsibility. (author)

  11. Transierra social action plan; Plano de acao social de Transierra: responsabilidade social e satisfacao comunitaria

    Energy Technology Data Exchange (ETDEWEB)

    Chavez Alba, Rafael [TRANSIERRA S.A., Santa Cruz (Bolivia)

    2005-07-01

    The design and the execution of the social - environmental compensation's plan of Transierra, or Plan of Social Action (PAS), are based on the implementation of programs and projects with 8 organizations belonging to 2 Indigenous Villages and with 6 Municipal Governments, for which jurisdictions crosses the Gas pipeline Yacuiba Rio Grande (GASYRG). The PAS is allowing the company to support tight links of good vicinity, and at the same time that is generating local employment and public and private concurrent investments, contributing this way to the sustainable development and to the improvement of the quality of life of the region and the country. Transierra's PAS is implemented by the principal social actors of the influence area who have institutional, legal and social - politics responsibilities with the development of more than 30.000 families, the same ones that have expressed a high degree of satisfaction for being beneficiaries of more than 600 projects of health, education, culture, basic sanitation, infrastructure and productive development. The present work tries to summarize the current advances and the results of the implementation of the PAS, as well as to demonstrate that the levels of satisfaction of the beneficiaries are happily coincidental with the institutional intentions of Social Corporate Responsibility. (author)

  12. How to inject consumerism into your existing health plans.

    Science.gov (United States)

    Havlin, Linda J; McAllister, Michael F; Slavney, David H

    2003-09-01

    Consumerism seeks to create a behavior change on the part of consumers so that they become accountable, knowledgeable and actively engaged in managing their health. It can be used in any existing health plan through targeted plan design changes and consumer education efforts. Employers have many options in addition to consumer-directed health plans (CDHPs).

  13. Engagement of Sectors Other than Health in Integrated Health Governance, Policy, and Action.

    Science.gov (United States)

    de Leeuw, Evelyne

    2017-03-20

    Health is created largely outside the health sector. Engagement in health governance, policy, and intervention development and implementation by sectors other than health is therefore important. Recent calls for building and implementing Health in All Policies, and continued arguments for intersectoral action, may strengthen the potential that other sectors have for health. This review clarifies the conceptual foundations for integral health governance, policy, and action, delineates the different sectors and their possible engagement, and provides an overview of a continuum of methods of engagement with other sectors to secure integration. This continuum ranges from institutional (re)design to value-based narratives. Depending on the lens applied, different elements can be identified within the continuum. This review is built on insights from political science, leadership studies, public health, empirical Health in All Policy research, knowledge and evidence nexus approaches, and community perspectives. Successful integration of health governance, policy, and action depends on integration of the elements on the continuum.

  14. Corrective Action Investigation Plan for Corrective Action Unit 214: Bunkers and Storage Areas Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    2003-01-01

    This Corrective Action Investigation Plan contains the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office's approach to collect the data necessary to evaluate corrective action alternatives appropriate for the closure of Corrective Action Unit (CAU) 214 under the Federal Facility Agreement and Consent Order. Located in Areas 5, 11, and 25 of the Nevada Test Site, CAU 214 consists of nine Corrective Action Sites (CASs): 05-99-01, Fallout Shelters; 11-22-03, Drum; 25-99-12, Fly Ash Storage; 25-23-01, Contaminated Materials; 25-23-19, Radioactive Material Storage; 25-99-18, Storage Area; 25-34-03, Motor Dr/Gr Assembly (Bunker); 25-34-04, Motor Dr/Gr Assembly (Bunker); and 25-34-05, Motor Dr/Gr Assembly (Bunker). These sites are being investigated because existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives (CAAs). The suspected contaminants and critical analyte s for CAU 214 include oil (total petroleum hydrocarbons-diesel-range organics [TPH-DRO], polychlorinated biphenyls [PCBs]), pesticides (chlordane, heptachlor, 4,4-DDT), barium, cadmium, chronium, lubricants (TPH-DRO, TPH-gasoline-range organics [GRO]), and fly ash (arsenic). The land-use zones where CAU 214 CASs are located dictate that future land uses will be limited to nonresidential (i.e., industrial) activities. The results of this field investigation will support a defensible evaluation of viable corrective action alternatives that will be presented in the corrective action decision document

  15. Corrective Action Investigation Plan for Corrective Action Unit 232: Area 25 Sewage Lagoons Nevada Test Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    DOE/NV Operations Office

    1999-05-01

    This Corrective Action Investigation Plan (CAIP) has been developed in accordance with the Federal Facility Agreement and Consent Order (FFACO) (1996) that was agreed to by the US Department of Energy, Nevada Operations Office (DOE/NV); the State of Nevada Division of Environmental Protection (NDEP); and the US Department of Defense. The CAIP is a document that provides or references all of the specific information for investigation activities associated with Corrective Action Units (CAUs) or Corrective Action Sites (CASs). According to the FFACO, CASs are sites potentially requiring corrective action(s) and may include solid waste management units or individual disposal or release sites. A CAU consists of one or more CASs grouped together based on geography, technical similarity, or agency responsibility for the purpose of determining corrective actions. This CAIP contains the environmental sample collection objectives and criteria for conducting site investigation activities at CAU 232, Area 25 Sewage Lagoons. Corrective Action Unit 232 consists of CAS 25-03-01, Sewage Lagoon, located in Area 25 of the Nevada Test Site (NTS). The NTS is approximately 65 miles (mi) northwest of Las Vegas, Nevada (Figure 1-1) (DOE/NV, 1996a). The Area 25 Sewage Lagoons (Figure 1-2) (IT, 1999b) are located approximately 0.3 mi south of the Test Cell 'C' (TCC) Facility and were used for the discharge of sanitary effluent from the TCC facility. For purposes of this discussion, this site will be referred to as either CAU 232 or the sewage lagoons.

  16. Corrective Action Plan for Corrective Action Unit 135: Area 25 Underground Storage Tanks, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    Cox, D. H.

    2000-01-01

    The Area 25 Underground Storage Tanks site Corrective Action Unit (CAU) 135 will be closed by unrestricted release decontamination and verification survey, in accordance with the Federal Facility Agreement and Consert Order (FFACO, 1996). The CAU includes one Corrective Action Site (CAS). The Area 25 Underground Storage Tanks, (CAS 25-02-01), referred to as the Engine-Maintenance Assembly and Disassembly (E-MAD) Waste Holdup Tanks and Vault, were used to receive liquid waste from all of the radioactive drains at the E-MAD Facility. Based on the results of the Corrective Action Investigation conducted in June 1999 discussed in the Corrective Action Investigation Plan for Corrective Action Unit 135: Area 25 Underground Storage Tanks, Nevada Test Site, Nevada (DOE/NV,1999a), one sample from the radiological survey of the concrete vault interior exceeded radionuclide preliminary action levels. The analytes from the sediment samples that exceeded the preliminary action levels are polychlorinated biphenyls, Resource Conservation and Recovery Act metals, total petroleum hydrocarbons as diesel-range organics, and radionuclides. Unrestricted release decontamination and verification involves removal of concrete and the cement-lined pump sump from the vault. After verification that the contamination has been removed, the vault will be repaired with concrete, as necessary. The radiological- and chemical-contaminated pump sump and concrete removed from the vault would be disposed of at the Area 5 Radioactive Waste Management Site. The vault interior will be field surveyed following removal of contaminated material to verify that unrestricted release criteria have been achieved

  17. Corrective Action Plan for Corrective Action Unit 135: Area 25 Underground Storage Tanks, Nevada Test Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    D. H. Cox

    2000-07-01

    The Area 25 Underground Storage Tanks site Corrective Action Unit (CAU) 135 will be closed by unrestricted release decontamination and verification survey, in accordance with the Federal Facility Agreement and Consert Order (FFACO, 1996). The CAU includes one Corrective Action Site (CAS). The Area 25 Underground Storage Tanks, (CAS 25-02-01), referred to as the Engine-Maintenance Assembly and Disassembly (E-MAD) Waste Holdup Tanks and Vault, were used to receive liquid waste from all of the radioactive drains at the E-MAD Facility. Based on the results of the Corrective Action Investigation conducted in June 1999 discussed in the Corrective Action Investigation Plan for Corrective Action Unit 135: Area 25 Underground Storage Tanks, Nevada Test Site, Nevada (DOE/NV,1999a), one sample from the radiological survey of the concrete vault interior exceeded radionuclide preliminary action levels. The analytes from the sediment samples that exceeded the preliminary action levels are polychlorinated biphenyls, Resource Conservation and Recovery Act metals, total petroleum hydrocarbons as diesel-range organics, and radionuclides. Unrestricted release decontamination and verification involves removal of concrete and the cement-lined pump sump from the vault. After verification that the contamination has been removed, the vault will be repaired with concrete, as necessary. The radiological- and chemical-contaminated pump sump and concrete removed from the vault would be disposed of at the Area 5 Radioactive Waste Management Site. The vault interior will be field surveyed following removal of contaminated material to verify that unrestricted release criteria have been achieved.

  18. Participatory action research in the training of primary health care ...

    African Journals Online (AJOL)

    Background: The aim of this study was to understand and be part of a process of change in the training of primary health care nurses in Venda. Methods:Because participatory action research (PAR), which is an emancipatory-critical paradigm, to a great extent shares the same worldview as adult education and sustainable ...

  19. Action plan in response to March 1981 report to NFPQT Committee

    International Nuclear Information System (INIS)

    1981-03-01

    This plan of action has been prepared at the direction of the Acting Under Secretary in response to the report of the Nuclear Facilities Personnel Qualifications and Training (NFPQT) Committee on A Safety Assessment of Department of Energy Nuclear Reactors. Senior Department officials with Headquarters responsibilities for the safety of nuclear facilities owned by and operated for the Department have developed this plan with input from the operations office managers having operational responsibility for such facilities. A summary of the plan's objectives and a cross-reference to the findings of the NFPQT Committee Report is attached to the plan. Appendix A contains implementing actions and Appendix B contains a summary of actions responsive to lessons learned from the TMI accident that have been completed or are well underway. Although the plan is written in definitive language, the specific actions (such as organization realignments and proposals) will be subject to appropriate review and approval. Also, other adjustments may be required as the actions are implemented

  20. Climate change in Nova Scotia : a background paper to guide Nova Scotia's climate change action plan

    International Nuclear Information System (INIS)

    2007-10-01

    Climate change causes changes in the temperature of the earth, the level of the sea, and the frequency of extreme weather conditions. The province of Nova Scotia recently released an act related to environmental goals and sustainable prosperity. Addressing climate change is a key element in achieving Nova Scotia's sustainable prosperity goals outlined in the act. The Nova Scotia Department of Energy is working towards developing both policy and action, to help meet its target of a 10 per cent reduction in greenhouse gases from 1990 levels by the year 2020. Two major plans are underway, notably a climate change action plan and a renewed energy strategy. This report provided background information on Nova Scotia's climate change action plan. It discussed climate change issues affecting Nova Scotia, air pollutants, energy sources in Nova Scotia, energy consumers in the province, and Nova Scotia's approach to climate change. The report also discussed actions underway and funding sources. It was concluded that in order for the climate change action plan to be successful, Nova Scotians must use energy more efficiently; use renewable energy; use cleaner energy; and plan for change. 13 refs., 2 tabs., 6 figs., 4 appendices