WorldWideScience

Sample records for modeling telephone access

  1. Telephone

    CERN Document Server

    Salzmann, Mary Elizabeth

    2015-01-01

    In Telephone, young readers will learn all about the history of the telephone, from using operators to dial phones to smartphones. Beautiful design, fascinating photographs, and simple text introduce new readers to the famous invention. Aligned to Common Core standards and correlated to state standards. Applied to STEM Concepts of Learning Principles. Sandcastle is an imprint of Abdo Publishing, a division of ABDO.

  2. The implementation of a call-back system reduces the doctor's workload, and improves accessibility by telephone in general practice

    NARCIS (Netherlands)

    de Groot, R.A.; de Haan, J.; Bosveld, H.E.P.; Nijland, Albert; Meyboom-de Jong, B.

    2002-01-01

    Background. In a general practice in The Netherlands, the demand for direct telephone consultation with the doctor became extreme, which resulted in poorly managed consultations, and poor telephone access due to busy lines. A call- back telephone appointment system was therefore introduced: all

  3. The implementation of a call-back system reduces the doctor's workload, and improves accessibility by telephone in general practice

    OpenAIRE

    de Groot, R.A.; de Haan, J.; Bosveld, H.E.P.; Nijland, Albert; Meyboom-de Jong, B.

    2002-01-01

    Background. In a general practice in The Netherlands, the demand for direct telephone consultation with the doctor became extreme, which resulted in poorly managed consultations, and poor telephone access due to busy lines. A call- back telephone appointment system was therefore introduced: all calls are answered and, when possible, managed by the practice assistant. If the assistant feels incapable, or if the patient prefers to speak to the doctor, a telephone appointment is scheduled, at wh...

  4. Patient and family experiences with accessing telephone cancer treatment symptom support: a descriptive study.

    Science.gov (United States)

    Stacey, Dawn; Green, Esther; Ballantyne, Barbara; Skrutkowski, Myriam; Whynot, Angela; Tardif, Lucie; Tarasuk, Joy; Carley, Meg

    2016-02-01

    Assess patient and family member experiences with telephone cancer treatment symptom support. Descriptive study guided by the Knowledge-to-Action Framework. Patients and family members who received telephone support for a cancer treatment symptom within the last month at one of three ambulatory cancer programs (Nova Scotia, Ontario, Quebec) were eligible. An adapted Short Questionnaire for Out-of-hours Care instrument was analyzed with univariate statistics. Of 105 participants, 83 % telephoned about themselves and 17 % for a family member. Participants received advice over the telephone (90 %) and were advised to go to emergency (13 %) and/or the clinic (9 %). Two left a message and were not called back. Participants were "very satisfied" with the manner of nurse or doctor (58 %), explanation about problem (56 %), treatment/advice given (54 %), way call was handled (48 %), getting through (40 %), and wait time to speak to a nurse or doctor (38 %). The proportion "dissatisfied" or "very dissatisfied" for the above items was 4, 5, 9, 11, 10, and 14 %, respectively. Suggestions were shorter call back time, weekend access to telephone support, more knowledgeable advice on self-care strategies, more education at discharge, and shared documentation on calls to avoid repetition and improve continuity. Most patients and family members who responded to the survey were satisfied with telephone-based cancer treatment symptom support. Programs could improve telephone support services by providing an estimated time for callback, ensuring that nurses have access to and use previous call documentation, and enhancing patient education on self-care strategies for managing and triaging treatment-related symptoms.

  5. Understanding reasons for asthma outpatient (non)-attendance and exploring the role of telephone and e-consulting in facilitating access to care: exploratory qualitative study.

    NARCIS (Netherlands)

    Baar, J.D. van; Joosten, H.; Car, J.; Freeman, G.; Partridge, M.R.; Weel, C. van; Sheikh, A.

    2006-01-01

    OBJECTIVE: To understand factors influencing patients' decisions to attend for outpatient follow up consultations for asthma and to explore patients' attitudes to telephone and email consultations in facilitating access to asthma care. DESIGN: Exploratory qualitative study using in depth interviews.

  6. Testing a Model of Functional Impairment in Telephone Crisis Support Workers.

    Science.gov (United States)

    Kitchingman, Taneile A; Wilson, Coralie J; Caputi, Peter; Wilson, Ian; Woodward, Alan

    2017-11-01

    It is well known that helping professionals experience functional impairment related to elevated symptoms of psychological distress as a result of frequent empathic engagement with distressed others. Whether telephone crisis support workers are impacted in a similar way is not currently reported in the literature. The purpose of this study was to test a hypothesized model of factors contributing to functional impairment in telephone crisis support workers. A national sample of 210 telephone crisis support workers completed an online survey including measures of emotion regulation, symptoms of general psychological distress and suicidal ideation, intentions to seek help for symptoms, and functional impairment. Structural equation modeling was used to test the fit of the data to the hypothesized model. Goodness-of-fit indices were adequate and supported the interactive effects of emotion regulation, general psychological distress, suicidal ideation, and intentions to seek help for ideation on functional impairment. These results warrant the deliberate management of telephone crisis support workers' impairment through service selection, training, supervision, and professional development strategies. Future research replicating and extending this model will further inform the modification and/or development of strategies to optimize telephone crisis support workers' well-being and delivery of support to callers.

  7. Modeling Auditory-Haptic Interface Cues from an Analog Multi-line Telephone

    Science.gov (United States)

    Begault, Durand R.; Anderson, Mark R.; Bittner, Rachael M.

    2012-01-01

    The Western Electric Company produced a multi-line telephone during the 1940s-1970s using a six-button interface design that provided robust tactile, haptic and auditory cues regarding the "state" of the communication system. This multi-line telephone was used as a model for a trade study comparison of two interfaces: a touchscreen interface (iPad)) versus a pressure-sensitive strain gauge button interface (Phidget USB interface controllers). The experiment and its results are detailed in the authors' AES 133rd convention paper " Multimodal Information Management: Evaluation of Auditory and Haptic Cues for NextGen Communication Dispays". This Engineering Brief describes how the interface logic, visual indications, and auditory cues of the original telephone were synthesized using MAX/MSP, including the logic for line selection, line hold, and priority line activation.

  8. Patients evaluate accessibility and nurse telephone consultations in out-of-hours GP care: determinants of a negative evaluation

    NARCIS (Netherlands)

    Giesen, Paul; Moll van Charante, Eric; Mokkink, Henk; Bindels, Patrick; van den Bosch, Wil; Grol, Richard

    2007-01-01

    OBJECTIVE: The shift towards large-scale organization of out-of-hours primary healthcare in different western countries has created an important role for the nurse telephone consultation. We explored the association between negative patient evaluation of nurse telephone consultations and

  9. Telephone primer

    OpenAIRE

    Hovatter, Patrick J.

    1990-01-01

    Approved for public release; distribution unlimited. The telephone is the most common and widely used electronic communication device in use today. Because of this, the military is heavily reliant on the telephone system and considers it the primary voice communications medium. Furthermore, recent technological advances will dramatically change the telephone as well as we know it today. This thesis will take a comprehensive look at the telephone in today's complex telecommunications enviro...

  10. Textual information access statistical models

    CERN Document Server

    Gaussier, Eric

    2013-01-01

    This book presents statistical models that have recently been developed within several research communities to access information contained in text collections. The problems considered are linked to applications aiming at facilitating information access:- information extraction and retrieval;- text classification and clustering;- opinion mining;- comprehension aids (automatic summarization, machine translation, visualization).In order to give the reader as complete a description as possible, the focus is placed on the probability models used in the applications

  11. Impact of an easy-access telephonic interpreter program in the acute care setting: an evaluation of a quality improvement intervention.

    Science.gov (United States)

    Tuot, Delphine S; Lopez, Monica; Miller, Cecily; Karliner, Leah S

    2012-02-01

    Language barriers render interaction with the health care system difficult and lead to health disparities for patients with limited English proficiency (LEP). Despite a long-standing legal obligation for large health care organizations in the United States to try to provide free language access services for patients with LEP, professional interpretation is not always widely accessible, and even when it is, its use is often suboptimal. A dual-handset phone with 24-hour access to professional telephonic interpretation was placed at the bedside of all patients admitted to the general medicine floor of a tertiary care academic hospital. Nurses and physicians were surveyed before and after the easy-access interpretation program's implementation. Distribution of pre- and postimplementation surveys to 127 and 122 nurses, respectively, yielded a total of 163 completed surveys (overall participation rate, 65%). Distribution of surveys to 96 and 78 physicians, respectively, yielded 116 completed surveys (overall participation rate, 67%). After implementation, use of professional telephonic interpreters for communication with LEP patients increased fourfold, without a decrease in use of professional in-person interpreters. There were significant increases in professional interpreter use during brief communications with high error potential, including medication administration (odds ratio [OR] = 1.9, 95% confidence interval [CI] 1.1-3.2) and pre-rounding (OR = 3.4, 95% CI 1.2-9.8). Increasing ease of access to dual-handset interpreter telephones promotes use of professional interpreters in the acute care setting. Future hospital policy should focus on further integrating language services into the hospital environment, accompanied by an educational program to assist in shifting professional norms toward use of professional interpreters.

  12. Telephone Service

    CERN Multimedia

    2005-01-01

    As part of the upgrade of telephone services, the CERN exchange switches will be updated on Thursday 2 June between 7.00 p.m. and midnight. Telephone services may be affected and possibly even disrupted during this operation. 

  13. ENERGY STAR Certified Telephones

    Data.gov (United States)

    U.S. Environmental Protection Agency — Certified models meet all ENERGY STAR requirements as listed in the Version 3.0 ENERGY STAR Program Requirements for Telephony (cordless telephones and VoIP...

  14. TELEPHONIC ELECTROCARDIOGRAPHY

    Science.gov (United States)

    Hoffman, Irwin; Cosby, Richard S.

    1964-01-01

    Telephonic electrocardiography is a new and useful adjunct to the diagnosis and treatment of cardiovascular disease. It has already demonstrated its great value both in clinical practice and in hospital teaching. It has, however, many other possible roles, for example, in more efficient monitoring after operations on the heart, or in the office monitoring of seriously ill patients with infarction or Adams-Stokes attacks. The availability of increased data in cardiac cases leads automatically to a better understanding of cardiac disease. PMID:14165874

  15. Demographic characteristics, call details and psychosocial support needs of the family/friends of someone diagnosed with cancer who access Australian Cancer Council telephone information and support services.

    Science.gov (United States)

    Heckel, Leila; Fennell, Kate M; Mohebbi, Mohammadreza; Byrnes, Monica; Livingston, Patricia M

    2017-06-01

    Community-based cancer organizations provide telephone-based information and support services to assist people diagnosed with cancer and their family/friends. We investigated the demographic characteristics and psychosocial support needs of family/friends who contacted Australian Cancer Council 13 11 20 information and support helplines. Data collected on 42,892 family/friends who contacted a 13 11 20 service across Australia from January 2010 to December 2012 were analyzed. Chi-square analysis was used to examine associations between caller groups and reasons for calling, logistic regression to examine age and gender interaction effects. The majority of calls received were from women (81%) of middle- (40%) and high-socio-economic backgrounds (41%), aged 40-59 years (46%); 52% phoned for information on cancer diagnosis (including early detection, risk factors), 22% on treatment/disease management, and 26% phoned seeking psychological/emotional support. Information on a diagnosis was significantly more often the reason older males called, compared to female callers of any age. Overall, 32% found out about the service through Cancer Council resources or events, 20% from the media, 18% from the internet; 11% from health professionals. Family/friends of persons diagnosed with cancer have specific information and support needs. This study identifies groups of family/friends to whom the promotion of this service could be targeted. Within Australia and internationally, clinicians and oncology nurses as well as allied health professionals can provide an important role in increasing access to cancer telephone support services to ensure the needs of the family and friends of people affected by cancer are being met. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Return telephone and telegraph

    International Nuclear Information System (INIS)

    1976-12-01

    This consists of eleven chapters, which are introduction on return of telephone, modulator and demodulator, transport mode like PCM, wave power for transportation, amplifier for transportation such as transistor, impedance, input-output circuit and voice telephone amplifier, circuit for transportation of telephone, line terminal equipment, standard for transportation, various telephone transport, basic telegraph transport and problems on circuit of transport of telephone.

  17. Accessing patient-centered care using the advanced access model.

    Science.gov (United States)

    Tantau, Catherine

    2009-01-01

    Waits and delays for healthcare are legendary. These delays are not only frustrating and potentially hazardous for patients and providers but also represent significant cost to office practices. The traditional medical model that defines urgent care versus routine care is a vain and futile attempt to sort demand. This approach is at constant odds with patients' definition of urgency. Trusting patients to determine when and how they want to access care makes sense from a customer service perspective. If approached systematically using the principles of Advanced Access, patient demand patterns can be tracked to forecast demand. These demand patterns become the template for deploying the resources necessary to meet patients' needs. Although not a simple journey, the transformation to Advanced Access provides an entree to patient-centered care where patients can say, "I get exactly the care I want and need, when I want and need it."

  18. Cable telegraph and telephone

    International Nuclear Information System (INIS)

    1976-12-01

    This book introduces cable telegraph and telephone, which deals with development of cable telephone and telegraph, manual telephone switchboard, A type automatic telephone switching equipment on line switch, line finder, selector and telegraph repeater, EMD-M type automatic telephone switching equipment, DDD long distance automatic telephone switching equipment about RS and TTG/TT, automatic repeater and OTD repeater, telegraph transport and communication power system. In the end, it handles introduction of maintenance management and service method.

  19. Telephone-Based Coaching.

    Science.gov (United States)

    Boccio, Mindy; Sanna, Rashel S; Adams, Sara R; Goler, Nancy C; Brown, Susan D; Neugebauer, Romain S; Ferrara, Assiamira; Wiley, Deanne M; Bellamy, David J; Schmittdiel, Julie A

    2017-03-01

    Many Americans continue to smoke, increasing their risk of disease and premature death. Both telephone-based counseling and in-person tobacco cessation classes may improve access for smokers seeking convenient support to quit. Little research has assessed whether such programs are effective in real-world clinical populations. Retrospective cohort study comparing wellness coaching participants with two groups of controls. Kaiser Permanente Northern California, a large integrated health care delivery system. Two hundred forty-one patients who participated in telephonic tobacco cessation coaching from January 1, 2011, to March 31, 2012, and two control groups: propensity-score-matched controls, and controls who participated in a tobacco cessation class during the same period. Wellness coaching participants received an average of two motivational interviewing-based coaching sessions that engaged the patient, evoked their reason to consider quitting, and helped them establish a quit plan. Self-reported quitting of tobacco and fills of tobacco cessation medications within 12 months of follow-up. Logistic regressions adjusting for age, gender, race/ethnicity, and primary language. After adjusting for confounders, tobacco quit rates were higher among coaching participants vs. matched controls (31% vs. 23%, p Coaching participants and class attendees filled tobacco-cessation prescriptions at a higher rate (47% for both) than matched controls (6%, p coaching was as effective as in-person classes and was associated with higher rates of quitting compared to no treatment. The telephonic modality may increase convenience and scalability for health care systems looking to reduce tobacco use and improve health.

  20. Telephone Coaching in Dialectical Behavior Therapy: A Decision-Tree Model for Managing Inter-Session Contact with Clients

    Science.gov (United States)

    Ben-Porath, Denise D.; Koons, Cedar R.

    2005-01-01

    Several studies have indicated that telephone coaching can play an important role in psychological intervention (Beebe, 2001; Burgess & Chalder, 2001; Meyersberg, 1985). Less well understood, however, is the role of telephone coaching with severe, complex, multiproblem clients, such as those diagnosed with borderline personality disorder.…

  1. Telephone Medicine for Internists

    OpenAIRE

    Elnicki, D Michael; Ogden, Paul; Flannery, Michael; Hannis, Mark; Cykert, Sam

    2000-01-01

    The role of the telephone in medical practice is important, but often problematic. Mistakes in telephone diagnosis and triage can have severe consequences. An effective office system can reduce liability risks, and in some cases telephone contact can substitute for office visits. Internists feel unprepared to provide telephone care. Therefore, residency education needs to focus on documentation, consultant availability, and performance feedback. Research should focus on improving outcomes, re...

  2. Telephone Exchange Maintenance

    CERN Multimedia

    2005-01-01

    Urgent maintenance work on CERN telephone exchanges will be performed on 24 March from 6 a.m. to 8 a.m. Telephone services may be disrupted or even interrupted during this time. For more details, please contact us by email at Standard.Telephone@cern.ch.

  3. Total Telephone Tips.

    Science.gov (United States)

    Corder, Lloyd E.; And Others

    This manual of telephone behavior tips for business and sales professionals offers ways to handle the disgruntled caller and makes suggestions on topics relevant to the telephone. The manual is divided into the following sections and subsections: (1) Common Courtesy (staff tips, answering the telephone, screening calls, transferring calls, taking…

  4. A PROPOSAL FORECASTING MODEL FOR THE GROWTH OF THE MOBILE TELEPHONE MARKET IN BRAZIL

    Directory of Open Access Journals (Sweden)

    Luís Fernando Ascenção Guedes

    2009-10-01

    Full Text Available The element that characterizes the information era is the key role of communication and connectivity, broadly speaking, in social life. Among the ways in which users can enter voice or data networks, one of the most prominent is mobile telephony.Therefore, determining the number of mobile phones in operation in Brazil over the next few years is a relevant issue for the strategic planning of firms in this sector. Thus, this article aims to define a mathematical model suitable for calculating the number of mobile phones in operation in Brazil in forthcoming years, as a function of the behavior of the following variables during the course of time: GDP per capita, population and percentage GDP growth.To this end, a quantitative study was conducted, based on secondary data taken from preceding survey; then a linear and polynomial regression was employed to correlate GDP per capita with mobile phone density. The results showed high correlation (97.5% between phone density and Brazil’s GDP growth from 2004 to 2007. This correlation is also high in Russia, India and China.Moreover, we found that the limiting value of good correlation between GDP per capita and mobile phone density is roughly US$20,000.00 and that the limit of mobile telephony penetration is approximately 120%. Thus, taking into account several economic growth rates, we estimate that the penetration of mobile telephony will take 5 to 11 years to reach its upper limit in Brazil.Key words: Mobile telephony. Prediction model. Telecommunications.

  5. Stellar Atmospheric Modelling for the ACCESS Program

    Science.gov (United States)

    Morris, Matthew; Kaiser, Mary Elizabeth; Bohlin, Ralph; Kurucz, Robert; ACCESS Team

    2018-01-01

    A goal of the ACCESS program (Absolute Color Calibration Experiment for Standard Stars) is to enable greater discrimination between theoretical astrophysical models and observations, where the comparison is limited by systematic errors associated with the relative flux calibration of the targets. To achieve these goals, ACCESS has been designed as a sub-orbital rocket borne payload and ground calibration program, to establish absolute flux calibration of stellar targets at high resolution spectra in addition to the HST/CALSPEC data, we have generated stellar atmosphere models for ACCESS flight candidates, as well as a selection of A and G stars from the CALSPEC database. Stellar atmosphere models were generated using Atlas 9 and Atlas 12 Kurucz stellar atmosphere software. The effective temperature, log(g), metallicity, and redenning were varied and the chi-squared statistic was minimized to obtain a best-fit model. A comparison of these models and the results from interpolation between grids of existing models will be presented. The impact of the flexibility of the Atlas 12 input parameters (e.g. solar metallicity fraction, abundances, microturbulent velocity) is being explored.

  6. Telephone Networks Connect Caregiving Families of Alzheimer's Victims.

    Science.gov (United States)

    Goodman, Catherine Chase; Pynoos, Jon

    1988-01-01

    Describes telephone network bringing family caregivers of Alzheimer's victims together over telephone in rotating pattern of twosomes. Explains how five caregiving spouses and five adult children were matched and connected over three months. Describes program's 25 telephone-accessed audiotapes that guided networks and provided information on…

  7. Telephoning in English

    CERN Document Server

    Naterop, B Jean

    1994-01-01

    Many people have to use English on the telephone in the course of their work, either at the level of taking a simple message or involving more complex tasks such as requesting information. Telephoning in English provides an up-to-date and relevant context in which students from lower-intermediate level upwards can develop practical telephone skills. The course principally develops spoken interactive skills, but also includes reading material on telephone systems and techniques. As the material is not restricted to particular job functions, it is suitable for students in a wide range of business and administration fields.

  8. A service-oriented data access control model

    Science.gov (United States)

    Meng, Wei; Li, Fengmin; Pan, Juchen; Song, Song; Bian, Jiali

    2017-01-01

    The development of mobile computing, cloud computing and distributed computing meets the growing individual service needs. Facing with complex application system, it's an urgent problem to ensure real-time, dynamic, and fine-grained data access control. By analyzing common data access control models, on the basis of mandatory access control model, the paper proposes a service-oriented access control model. By regarding system services as subject and data of databases as object, the model defines access levels and access identification of subject and object, and ensures system services securely to access databases.

  9. Upgrade of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, work will be carried out on the CERN switching centre between Monday 23 October 8.00 p.m. and Tuesday 24 October 2.00 a.m. Telephone services may be disrupted and possibly even interrupted during this operation. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  10. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on Monday 3 July between 8.00 p.m. and 3.00 a.m. Telephone services may be disrupted and possibly even interrupted during this operation.We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  11. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on between Monday 23 October 8.00 p.m. and Tuesday 24 October 2.00 a.m. Telephone services may be disrupted and possibly even interrupted during this operation. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  12. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on Monday 3 July between 8.00 p.m. and 3.00 a.m. Telephone services may be disrupted and possibly even interrupted during this operation. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  13. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on Wednesday 14 June between 8.00 p.m. and midnight. Telephone services may be disrupted and possibly even interrupted during this operation. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  14. Thermal Index Evaluation of Local SAR in MRI-Based Head Models of Adult and Children for Portable Telephones

    Science.gov (United States)

    Fujiwara, Osamu; Miyamoto, Kayoko; Wang, Jianqing

    Biological hazards due to radio-frequency (RF) waves result mainly from the temperature rise in tissue. It should be, therefore, clarified to what extent the RF waves of portable telephones increase the temperature-rise in human brain that includes the central part governing the body-temperature regulation function. In this paper, we calculated both the specific absorption rate (SAR) and the resultant temperature-rise for 900 MHz and 2 GHz portable telephones using the finite-difference time-domain (FDTD) method for three typical use positions, i.e., the vertical position, cheek position and tilt position. As a result, we found that there was an increase for median and 1% value of the cumulative distribution of temperature-rise in children’s brains for any use positions of the portable telephones compared to that in the adult’s brain, and also that the increasing trend in children’s brains for temperature-rise is identical to the temperature-rise trend in children’s hypothalamus. In addition, we found that the ten-gram averaged peak SAR among the adult and children heads had the same trend as that of the 0.1% value of the relatively cumulative distribution of temperature-rise, which shows that the ten-gram averaged peak SAR reflects only the localized temperature-rise in the brain surface.

  15. Comparison of different mobile telephones in Combi40+ users.

    Science.gov (United States)

    Castro, A; Lassaletta, L; Bastarrica, M; Prim, M P; De Sarriá, M J; Gavilán, J

    2006-07-01

    Telephone usage is a difficult challenge for cochlear implanted patients. A significant number of cochlear implanted patients are able to carry on a land-line or mobile telephone conversation. The telephone model may be a critical factor for telephone performance. The goals of this study were to evaluate speech discrimination through land-line and mobile telephones in Combi40+ users, and to compare different mobile telephone models to find out which could be more advisable for them. Eighteen Combi40+ implantees were tested with CID sentences and bisyllabic words presented through land-line and mobile telephones, in both quiet and noisy environments. Mean scores for telephonic speech discrimination were over 85% for CID sentences and 28-59% for bisyllabic words. The Siemens M55 was superior to the other mobile telephones tested.

  16. A harm-reduction model of abortion counseling about misoprostol use in Peru with telephone and in-person follow-up: A cohort study

    Science.gov (United States)

    Baum, Sarah E.; Andjelic, Denitza; Tatum, Carrie; Torres, Guadalupe; Fuentes, Liza; Friedman, Jennifer

    2018-01-01

    Background In Peru, abortion is legal only to preserve the life and health of the woman. A non-profit clinic system in Peru implemented a harm-reduction model for women with unwanted pregnancy that included pre-abortion care with instructions about misoprostol use and post-abortion care; they started offering telephone follow-up for clients in 2011. This study aimed to evaluate the effectiveness and safety of the harm-reduction model, and to compare outcomes by type of follow-up obtained. Methods Between January 2012 and March 2013, 500 adult women seeking harm-reduction services were recruited into the study. Telephone surveys were conducted approximately four weeks after their initial harm-reduction counseling session with 262 women (response rate 52%); 9 participants were excluded. The survey focused on whether women pursued an abortion, and if so, what their experience was. Demographic and clinical data were also extracted from clinic records. Results Eighty-six percent of participants took misoprostol; among those taking misoprostol, 89% reported a complete abortion at the time of the survey. Twenty-two percent obtained an aspiration after taking misoprostol and 8% self-reported adverse events including hemorrhage without transfusion, infection, or severe pain. Among women who took misoprostol, 46% reported receiving in-person follow-up (in some cases both telephone and in-person), 34% received telephone only, and 20% did not report receiving any form of follow-up. Those who had in-person follow-up with the counselor were most likely to report a complete abortion (abortion laws is associated with improvements in health outcomes, but the process of legal reform is often lengthy. In the interim, giving women information about evidence-based regimens of misoprostol, as well as offering a range of follow-up options to ensure high quality post-abortion care, may reduce the risks associated with unsafe abortion. PMID:29320513

  17. Large Pelagics Telephone Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Large Pelagics Telephone Survey (LPTS) collects fishing effort information directly from captains holding Highly Migratory Species (HMS) permits (required by...

  18. A harm-reduction model of abortion counseling about misoprostol use in Peru with telephone and in-person follow-up: A cohort study

    OpenAIRE

    Grossman, Daniel; Baum, Sarah E.; Andjelic, Denitza; Tatum, Carrie; Torres, Guadalupe; Fuentes, Liza; Friedman, Jennifer

    2018-01-01

    Background In Peru, abortion is legal only to preserve the life and health of the woman. A non-profit clinic system in Peru implemented a harm-reduction model for women with unwanted pregnancy that included pre-abortion care with instructions about misoprostol use and post-abortion care; they started offering telephone follow-up for clients in 2011. This study aimed to evaluate the effectiveness and safety of the harm-reduction model, and to compare outcomes by type of follow-up obtained. Met...

  19. Attributes Enhanced Role-Based Access Control Model

    DEFF Research Database (Denmark)

    Mahmood Rajpoot, Qasim; Jensen, Christian D.; Krishnan, Ram

    2015-01-01

    as an important area of research. In this paper, we propose an access control model that combines the two models in a novel way in order to unify their benefits. Our approach provides a fine-grained access control mechanism that not only takes contextual information into account while making the access control...

  20. Psychotherapeutic intervention by telephone

    Directory of Open Access Journals (Sweden)

    Erika Mozer

    2008-06-01

    Full Text Available Erika Mozer1,2, Bethany Franklin1,3, Jon Rose11Department of Veterans Affairs, Palo Alto Health Care System, Palo Alto, CA, USA; 2PGSP Stanford PsyD Consortium Palo Alto, CA, USA; 3Pacific Graduate School of Psychology Palo Alto, California, USAAbstract: Psychotherapy conducted over the telephone has received increasing amounts of empirical attention given practical advantages that side-step treatment barriers encountered in traditional office-based care. The utility and efficacy of telephone therapy appears generalizable across diverse clinical populations seeking care in community-based hospital settings. Treatment barriers common to older adults suggest that telephone therapy may be an efficient and effective mental health resource for this population. This paper describes empirical studies of telehealth interventions and case examples with psychotherapy conducted via telephone on the Spinal Cord Injury Unit of the Palo Alto Veterans’ Administration. Telephone therapy as appears to be a viable intervention with the aging population.Keywords: telehealth, rural mental health, psychotherapy, healthcare delivery, telecare

  1. Mobile telephones and health

    International Nuclear Information System (INIS)

    2002-01-01

    There is at present no clear evidence that the use of mobile telephones presents any health risk, but the possibility that weak radio-frequency signals may have a negative affect cannot be ruled out. Thus it is recommended that care should be taken while waiting for the results of further research. If adverse health effects that are so far unknown should be discovered, then children may be at risk since their nervous system is developing, they stand at the beginning of a long life, and a child's head can absorb more energy than an adult's head. The article recommends that children should refrain from unnecessary use of the mobile telephone

  2. A harm-reduction model of abortion counseling about misoprostol use in Peru with telephone and in-person follow-up: A cohort study.

    Directory of Open Access Journals (Sweden)

    Daniel Grossman

    Full Text Available In Peru, abortion is legal only to preserve the life and health of the woman. A non-profit clinic system in Peru implemented a harm-reduction model for women with unwanted pregnancy that included pre-abortion care with instructions about misoprostol use and post-abortion care; they started offering telephone follow-up for clients in 2011. This study aimed to evaluate the effectiveness and safety of the harm-reduction model, and to compare outcomes by type of follow-up obtained.Between January 2012 and March 2013, 500 adult women seeking harm-reduction services were recruited into the study. Telephone surveys were conducted approximately four weeks after their initial harm-reduction counseling session with 262 women (response rate 52%; 9 participants were excluded. The survey focused on whether women pursued an abortion, and if so, what their experience was. Demographic and clinical data were also extracted from clinic records.Eighty-six percent of participants took misoprostol; among those taking misoprostol, 89% reported a complete abortion at the time of the survey. Twenty-two percent obtained an aspiration after taking misoprostol and 8% self-reported adverse events including hemorrhage without transfusion, infection, or severe pain. Among women who took misoprostol, 46% reported receiving in-person follow-up (in some cases both telephone and in-person, 34% received telephone only, and 20% did not report receiving any form of follow-up. Those who had in-person follow-up with the counselor were most likely to report a complete abortion (<0.001. Satisfaction with both types of follow-up was very high, with 81%-89% reporting being very satisfied.Liberalization of restrictive abortion laws is associated with improvements in health outcomes, but the process of legal reform is often lengthy. In the interim, giving women information about evidence-based regimens of misoprostol, as well as offering a range of follow-up options to ensure high quality

  3. A harm-reduction model of abortion counseling about misoprostol use in Peru with telephone and in-person follow-up: A cohort study.

    Science.gov (United States)

    Grossman, Daniel; Baum, Sarah E; Andjelic, Denitza; Tatum, Carrie; Torres, Guadalupe; Fuentes, Liza; Friedman, Jennifer

    2018-01-01

    In Peru, abortion is legal only to preserve the life and health of the woman. A non-profit clinic system in Peru implemented a harm-reduction model for women with unwanted pregnancy that included pre-abortion care with instructions about misoprostol use and post-abortion care; they started offering telephone follow-up for clients in 2011. This study aimed to evaluate the effectiveness and safety of the harm-reduction model, and to compare outcomes by type of follow-up obtained. Between January 2012 and March 2013, 500 adult women seeking harm-reduction services were recruited into the study. Telephone surveys were conducted approximately four weeks after their initial harm-reduction counseling session with 262 women (response rate 52%); 9 participants were excluded. The survey focused on whether women pursued an abortion, and if so, what their experience was. Demographic and clinical data were also extracted from clinic records. Eighty-six percent of participants took misoprostol; among those taking misoprostol, 89% reported a complete abortion at the time of the survey. Twenty-two percent obtained an aspiration after taking misoprostol and 8% self-reported adverse events including hemorrhage without transfusion, infection, or severe pain. Among women who took misoprostol, 46% reported receiving in-person follow-up (in some cases both telephone and in-person), 34% received telephone only, and 20% did not report receiving any form of follow-up. Those who had in-person follow-up with the counselor were most likely to report a complete abortion (<0.001). Satisfaction with both types of follow-up was very high, with 81%-89% reporting being very satisfied. Liberalization of restrictive abortion laws is associated with improvements in health outcomes, but the process of legal reform is often lengthy. In the interim, giving women information about evidence-based regimens of misoprostol, as well as offering a range of follow-up options to ensure high quality post

  4. ARCAS (ACACIA Regional Climate-data Access System) -- a Web Access System for Climate Model Data Access, Visualization and Comparison

    Science.gov (United States)

    Hakkarinen, C.; Brown, D.; Callahan, J.; hankin, S.; de Koningh, M.; Middleton-Link, D.; Wigley, T.

    2001-05-01

    A Web-based access system to climate model output data sets for intercomparison and analysis has been produced, using the NOAA-PMEL developed Live Access Server software as host server and Ferret as the data serving and visualization engine. Called ARCAS ("ACACIA Regional Climate-data Access System"), and publicly accessible at http://dataserver.ucar.edu/arcas, the site currently serves climate model outputs from runs of the NCAR Climate System Model for the 21st century, for Business as Usual and Stabilization of Greenhouse Gas Emission scenarios. Users can select, download, and graphically display single variables or comparisons of two variables from either or both of the CSM model runs, averaged for monthly, seasonal, or annual time resolutions. The time length of the averaging period, and the geographical domain for download and display, are fully selectable by the user. A variety of arithmetic operations on the data variables can be computed "on-the-fly", as defined by the user. Expansions of the user-selectable options for defining analysis options, and for accessing other DOD-compatible ("Distributed Ocean Data System-compatible") data sets, residing at locations other than the NCAR hardware server on which ARCAS operates, are planned for this year. These expansions are designed to allow users quick and easy-to-operate web-based access to the largest possible selection of climate model output data sets available throughout the world.

  5. The Next Page Access Prediction Using Makov Model

    OpenAIRE

    Deepti Razdan

    2011-01-01

    Predicting the next page to be accessed by the Webusers has attracted a large amount of research. In this paper, anew web usage mining approach is proposed to predict next pageaccess. It is proposed to identify similar access patterns from weblog using K-mean clustering and then Markov model is used forprediction for next page accesses. The tightness of clusters isimproved by setting similarity threshold while forming clusters.In traditional recommendation models, clustering by nonsequentiald...

  6. Metrics and Evaluation Models for Accessible Television

    DEFF Research Database (Denmark)

    Li, Dongxiao; Looms, Peter Olaf

    2014-01-01

    to compare. Using case studies from three emerging economies (Argentina, Brazil and China) as well as industrialized nations including Canada, Denmark, the United Kingdom and the USA), this paper examines the situation facing television accessibility. Having identified and discussed existing metrics...

  7. A telephone multiline signaling system

    Science.gov (United States)

    Toole, P. C.; Belt, J. L.; Goodloe, R.; Leiniger, D. B.

    1979-01-01

    Telephone system interconnects users of from one to eight telephone lines in network. System is useful in coordinating activities in large plants and installations. It permits spontaneous conferences, paging, and monitoring from key locations.

  8. Operating Room Telephone Microbial Flora

    National Research Council Canada - National Science Library

    Nelson, Jason; Shinn, Antoinette M; Bivens, Ava

    2005-01-01

    ...) could be found on telephones in the Operating Room (OR). A total of 26 cultures were taken from telephones within 14 operating rooms and two sub-sterile rooms at a large, teaching, medical center...

  9. Eight channel telephone telemetry system

    Science.gov (United States)

    Smith, R. E.

    1973-01-01

    A portable, indirectly coupled telephone system is reported which transmits/to a central receiving site eight channels of EEG data of sufficient fidelity for screening and/or limited diagnostic use. The system requires no electrical connection to the telephone at the transmitter or at the receiver and is compatible with common EEG recording practice for real-time recording. It accepts 8 input channels simultaneously with one telephone transmitter and one telephone receiver operates from standard power sources.

  10. Campus Telephone Systems: Managing Change.

    Science.gov (United States)

    National Association of College and University Business Officers, Washington, DC.

    Issues facing a college or university that seeks to change its telephone system are raised in seven chapters. Major topics addressed by this resource guide are: telephone deregulation and changes in the telephone industry, the new technology available, how to manage a system, consultants, financing options, and institutional case studies. Specific…

  11. Regression-Based Norms for a Bi-factor Model for Scoring the Brief Test of Adult Cognition by Telephone (BTACT).

    Science.gov (United States)

    Gurnani, Ashita S; John, Samantha E; Gavett, Brandon E

    2015-05-01

    The current study developed regression-based normative adjustments for a bi-factor model of the The Brief Test of Adult Cognition by Telephone (BTACT). Archival data from the Midlife Development in the United States-II Cognitive Project were used to develop eight separate linear regression models that predicted bi-factor BTACT scores, accounting for age, education, gender, and occupation-alone and in various combinations. All regression models provided statistically significant fit to the data. A three-predictor regression model fit best and accounted for 32.8% of the variance in the global bi-factor BTACT score. The fit of the regression models was not improved by gender. Eight different regression models are presented to allow the user flexibility in applying demographic corrections to the bi-factor BTACT scores. Occupation corrections, while not widely used, may provide useful demographic adjustments for adult populations or for those individuals who have attained an occupational status not commensurate with expected educational attainment. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  12. Modeling of Bandwidth Aggregation over Heterogeneous Wireless Access Networks

    DEFF Research Database (Denmark)

    Popovska Avramova, Andrijana; Dittmann, Lars

    2012-01-01

    Motivated by the multihomming capability of the mobile devices and the fact that the heterogeneous wireless access networks overlap in coverage, mobile operators are looking for solutions that will benefit by simultaneous use of the available multiple access interfaces. Multipath or multilink...... applications. The analysis is performed on a multipath model developed with OPNET Modeler, which is an advanced research tool that supports modeling and integration of various kinds of built-in networks....

  13. A global workspace model for phenomenal and access consciousness.

    Science.gov (United States)

    Raffone, Antonino; Pantani, Martina

    2010-06-01

    Both the global workspace theory and Block's distinction between phenomenal and access consciousness, are central in the current debates about consciousness and the neural correlates of consciousness. In this article, a unifying global workspace model for phenomenal and access consciousness is proposed. In the model, recurrent neural interactions take place in distinct yet interacting access and phenomenal brain loops. The effectiveness of feedback signaling onto sensory cortical maps is emphasized for the neural correlates of phenomenal consciousness. Two forms of top-down attention, attention for perception and attention for access, play differential roles for phenomenal and access consciousness. The model is implemented in a neural network form, with the simulation of single and multiple visual object processing, and of the attentional blink. 2010 Elsevier Inc. All rights reserved.

  14. Accessing Curriculum Through Technology Tools (ACTTT): A Model Development Project

    Science.gov (United States)

    Daytner, Katrina M.; Johanson, Joyce; Clark, Letha; Robinson, Linda

    2012-01-01

    Accessing Curriculum Through Technology Tools (ACTTT), a project funded by the U.S. Office of Special Education Programs (OSEP), developed and tested a model designed to allow children in early elementary school, including those "at risk" and with disabilities, to better access, participate in, and benefit from the general curriculum.…

  15. Asymptotic performance modelling of DCF protocol with prioritized channel access

    Science.gov (United States)

    Choi, Woo-Yong

    2017-11-01

    Recently, the modification of the DCF (Distributed Coordination Function) protocol by the prioritized channel access was proposed to resolve the problem that the DCF performance worsens exponentially as more nodes exist in IEEE 802.11 wireless LANs. In this paper, an asymptotic analytical performance model is presented to analyze the MAC performance of the DCF protocol with the prioritized channel access.

  16. CONFUSION WITH TELEPHONE NUMBERS

    CERN Multimedia

    Telecom Service

    2002-01-01

    The area code is now required for all telephone calls within Switzerland. Unfortunately this is causing some confusion. CERN has received complaints that incoming calls intended for CERN mobile phones are being directed to private subscribers. This is caused by mistakenly dialing the WRONG code (e.g. 022) in front of the mobile number. In order to avoid these problems, please inform your correspondents that the correct numbers are: 079 201 XXXX from Switzerland; 0041 79 201 XXXX from other countries. Telecom Service  

  17. CONFUSION WITH TELEPHONE NUMBERS

    CERN Multimedia

    Telecom Service

    2002-01-01

    he area code is now required for all telephone calls within Switzerland. Unfortunately this is causing some confusion. CERN has received complaints that incoming calls intended for CERN mobile phones are being directed to private subscribers. This is caused by mistakenly dialing the WRONG code (e.g. 022) in front of the mobile number. In order to avoid these problems, please inform your correspondents that the correct numbers are: 079 201 XXXX from Switzerland; 0041 79 201 XXXX from other countries. Telecom Service

  18. VHDL simulation with access to transistor models

    Science.gov (United States)

    Gibson, J.

    1991-01-01

    Hardware description languages such as VHDL have evolved to aid in the design of systems with large numbers of elements and a wide range of electronic and logical abstractions. For high performance circuits, behavioral models may not be able to efficiently include enough detail to give designers confidence in a simulation's accuracy. One option is to provide a link between the VHDL environment and a transistor level simulation environment. The coupling of the Vantage Analysis Systems VHDL simulator and the NOVA simulator provides the combination of VHDL modeling and transistor modeling.

  19. Mandarin recognition over the telephone

    Science.gov (United States)

    Kao, Yuhung

    1996-06-01

    Mandarin Chinese is the official language in China and Taiwan, it is the native language of a quarter of the world population. As the services enabled by speech recognition technology (e.g. telephone voice dialing, information query) become more popular in English, we would like to extend this capability to other languages. Mandarin is one of the major languages under research in our laboratory. This paper describes how we extend our work in English speech recognition into Mandarin. We will described the corpus: Voice Across Taiwan, the training of a complete set of Mandarin syllable models, preliminary performance results and error analysis. A fast prototyping system was built, where a user can write any context free grammar with no restriction of vocabulary, then the grammar can be compiled into recognition models. It enables user to quickly test the performance of a new vocabulary.

  20. Bring Your Own Device - Providing Reliable Model of Data Access

    Directory of Open Access Journals (Sweden)

    Stąpór Paweł

    2016-10-01

    Full Text Available The article presents a model of Bring Your Own Device (BYOD as a model network, which provides the user reliable access to network resources. BYOD is a model dynamically developing, which can be applied in many areas. Research network has been launched in order to carry out the test, in which as a service of BYOD model Work Folders service was used. This service allows the user to synchronize files between the device and the server. An access to the network is completed through the wireless communication by the 802.11n standard. Obtained results are shown and analyzed in this article.

  1. The Significance of Mobile Telephoning in Distance Learning

    Directory of Open Access Journals (Sweden)

    Nadja Dobnik

    1999-12-01

    Full Text Available The possibilities offered by the telephone for use in distance learning are well known, yet stili far too little used. Consultation by telephone means establishing a live contact between the two people who are communicating, and the opportunity for directly solving the problems. Furthermore, it ensures great rationalization in time­usage, since both the mentor and the student can carry out the consultation at any place which suits them; all that matters is that they are prepared for the discussion. Through the interlinking of the mobile telephone system with the Internet, the access to information on the Internet and to e-mail shifts from the computer to the mobile telephone, thus further increasing the advantages of the mobile telephone over other means of communication.

  2. [Speech discrimination through telephone in patients implanted with a Combi 40+].

    Science.gov (United States)

    Castro, A; Lassaletta, L; Bastarrica, M; Prim, M P; de Sarriá, M J; Gavilán, J

    2005-01-01

    To assess speech discrimination through line and mobile telephone in cochlear implanted patients. Eighteen patients implanted with a Combi 40+ went through different speech discrimination tests with a line telephone and three mobile telephones, in quiet and noisy environment. Mean scores for telephonic speech discrimination were 84-92% using CID sentences, 27-58% using bisyllabic words in quiet environment and 15-41% using bisyllabic words in noisy environment. Among the mobile telephones tested, the Siemens M55 reached the best scores. Telephonic speech discrimination is achieved by a significant number of cochlear implanted patients. Certain mobile telephone models appear to be more advisable for these patients.

  3. "Open Access" Requires Clarification: Medical Journal Publication Models Evolve.

    Science.gov (United States)

    Lubowitz, James H; Brand, Jefferson C; Rossi, Michael J; Provencher, Matthew T

    2017-03-01

    While Arthroscopy journal is a traditional subscription model journal, our companion journal Arthroscopy Techniques is "open access." We used to believe open access simply meant online and free of charge. However, while open-access journals are free to readers, in 2017 authors must make a greater sacrifice in the form of an article-processing charge (APC). Again, while this does not apply to Arthroscopy, the APC will apply to Arthroscopy Techniques. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  4. A model proposed for sustainable accessible tourism (SAT)

    OpenAIRE

    Polat, Naci; Hermans, Elke

    2016-01-01

    Accessible tourism is an under-researched area in tourism studies. There are also problems regarding its definitions and concepts because of different approaches within the scientific world. It is crucial to understand this theme using a multidisciplinary approach. This could mean bringing all stakeholders to common solutions in the future. In this study, a model of sustainable accessible tourism (SAT) will be introduced. This helps to understand how disabled people can intensively join in to...

  5. Automatic Smoker Detection from Telephone Speech Signals

    DEFF Research Database (Denmark)

    Alavijeh, Amir Hossein Poorjam; Hesaraki, Soheila; Safavi, Saeid

    2017-01-01

    This paper proposes an automatic smoking habit detection from spontaneous telephone speech signals. In this method, each utterance is modeled using i-vector and non-negative factor analysis (NFA) frameworks, which yield low-dimensional representation of utterances by applying factor analysis on G...

  6. Common data model access; a unified layer to access data from data analysis point of view

    International Nuclear Information System (INIS)

    Poirier, S.; Buteau, A.; Ounsy, M.; Rodriguez, C.; Hauser, N.; Lam, T.; Xiong, N.

    2012-01-01

    For almost 20 years, the scientific community of neutron and synchrotron institutes have been dreaming of a common data format for exchanging experimental results and applications for reducing and analyzing the data. Using HDF5 as a data container has become the standard in many facilities. The big issue is the standardization of the data organization (schema) within the HDF5 container. By introducing a new level of indirection for data access, the Common-Data-Model-Access (CDMA) framework proposes a solution and allows separation of responsibilities between data reduction developers and the institute. Data reduction developers are responsible for data reduction code; the institute provides a plug-in to access the data. The CDMA is a core API that accesses data through a data format plug-in mechanism and scientific application definitions (sets of keywords) coming from a consensus between scientists and institutes. Using a innovative 'mapping' system between application definitions and physical data organizations, the CDMA allows data reduction application development independent of the data file container AND schema. Each institute develops a data access plug-in for its own data file formats along with the mapping between application definitions and its data files. Thus data reduction applications can be developed from a strictly scientific point of view and are immediately able to process data acquired from several institutes. (authors)

  7. Psychotherapy by telephone. A therapeutic tool for cancer patients.

    Science.gov (United States)

    Mermelstein, H T; Holland, J C

    1991-01-01

    Medically ill patients who cannot come to the psychotherapist's office on a regular basis frequently are encountered in consultation-liaison settings. For these individuals the telephone becomes the only link to psychological counseling. The two cases presented in this article of successful telephone therapy with cancer patients exemplify and highlight the effect of this mode of interaction on the therapeutic process and relationship. Telephone communication also differs from face-to-face interaction in areas of therapist-patient accessibility, control, formality, and anonymity, which make it an especially effective psychotherapeutic tool for the medically ill patient.

  8. New partnerships and business models for facilitating energy access

    International Nuclear Information System (INIS)

    Chaurey, Akanksha; Krithika, P.R.; Palit, Debajit; Rakesh, Smita; Sovacool, Benjamin K.

    2012-01-01

    Twenty years since the Rio Summit, the global community is still struggling to develop a world with universal access to sustainable energy services. The discussion on energy and its linkages with sustainable development is at the heart of the debate in achieving the Millennium Development Goals (MDGs). This paper discusses the role of innovations in terms of partnerships and business models to enhance energy access, especially for those living at the so-called bottom of pyramid. The role of innovative energy options and policy choices that enable overall operationalization of energy access in developing countries as well as new forms of partnerships and innovative mechanisms that are based on established success, replicability and potential for scaling up has been examined through two case-studies, namely the Lighting a Billion Lives project and India's National Rural Electrification Programme. This paper suggests the need for new forms of public and private sector partnerships, especially the pro-poor ones that are effective in enhancing energy access. - Highlights: ► We analyze the role of new partnerships and innovations in energy access. ► Emerging context of 5Ps in delivery of energy access is used for this analysis. ► LaBL and India's Rural Electrification programme used as examples. ► We recommend the need for pro-poor PPP for enhancing energy access.

  9. A Service Access Security Control Model in Cyberspace

    Science.gov (United States)

    Qianmu, Li; Jie, Yin; Jun, Hou; Jian, Xu; Hong, Zhang; Yong, Qi

    A service access control model in cyberspace is proposed, which provides a generalized and effective mechanism of security management with some items constraint specifications. These constraint specifications are organized to form a construction, and an enact process is proposed to make it scalable and flexible to meet the need of diversified service application systems in cyberspace. The model of this paper erases the downward information flow by extended rules of read/write, which is the breakthrough of the limitations when applying the standard role-based access control in cyberspace.

  10. Empirical Memory-Access Cost Models in Multicore NUMA Architectures

    Energy Technology Data Exchange (ETDEWEB)

    McCormick, Patrick S. [Los Alamos National Laboratory; Braithwaite, Ryan Karl [Los Alamos National Laboratory; Feng, Wu-chun [Virginia Tech

    2011-01-01

    Data location is of prime importance when scheduling tasks in a non-uniform memory access (NUMA) architecture. The characteristics of the NUMA architecture must be understood so tasks can be scheduled onto processors that are close to the task's data. However, in modern NUMA architectures, such as AMD Magny-Cours and Intel Nehalem, there may be a relatively large number of memory controllers with sockets that are connected in a non-intuitive manner, leading to performance degradation due to uninformed task-scheduling decisions. In this paper, we provide a method for experimentally characterizing memory-access costs for modern NUMA architectures via memory latency and bandwidth microbenchmarks. Using the results of these benchmarks, we propose a memory-access cost model to improve task-scheduling decisions by scheduling tasks near the data they need. Simple task-scheduling experiments using the memory-access cost models validate the use of empirical memory-access cost models to significantly improve program performance.

  11. Do people with existing chronic conditions benefit from telephone coaching? A rapid review.

    Science.gov (United States)

    Dennis, Sarah M; Harris, Mark; Lloyd, Jane; Powell Davies, Gawaine; Faruqi, Nighat; Zwar, Nicholas

    2013-06-01

    To examine the effectiveness of telephone-based coaching services for the management of patients with chronic diseases. A rapid scoping review of the published peer reviewed literature, using Medline, Embase, CINAHL, PsychNet and Scopus. We included studies involving people aged 18 years or over with one or more of the following chronic conditions: type 2 diabetes, congestive cardiac failure, coronary artery disease, chronic obstructive pulmonary disease and hypertension. Patients were identified as having multi-morbidity if they had an index chronic condition plus one or more other chronic condition. To be included in this review, the telephone coaching had to involve two-way conversations by telephone or video phone between a patient and a provider. Behaviour change, goal setting and empowerment are essential features of coaching. The review found 1756 papers, which was reduced to 30 after screening and relevance checks. Most coaching services were planned, as opposed to reactive, and targeted patients with complex needs who had one or more chronic disease. Several studies reported improvements in health behaviour, self-efficacy, health status and satisfaction with the service. More than one-third of the papers targeted vulnerable people and telephone coaching was found to be effective for these people. Telephone coaching for people with chronic conditions can improve health behaviour, self-efficacy and health status. This is especially true for vulnerable populations who had difficulty accessing health services. There is less evidence for improvements in quality of life and patient satisfaction with the service. The evidence for improvements in health service use was limited. This rapid scoping review found that telephone-based coaching can enhance the management of chronic disease, especially for vulnerable groups. Further work is needed to identify what models of telephone coaching are most effective according to patients' level of risk and co-morbidity. What

  12. Access for all: the Healthy Outlook® service delivery model in Moray

    OpenAIRE

    Lorna Gail Bernard

    2012-01-01

    Moray effectively changed the way in which the Met Office?s Healthy Outlook service was being delivered in order to make it more accessible and inclusive for GPs and more importantly, their patients with Chronic Obstructive Pulmonary Disease (COPD). The Met Office?s Healthy Outlook? service supports people with COPD to take control of their own health care. The service represents a high impact, low resource Telehealth intervention which uses automated telephone prompts to alert people when th...

  13. Accessibility

    DEFF Research Database (Denmark)

    Brooks, Anthony Lewis

    2017-01-01

    This contribution is timely as it addresses accessibility in regards system hardware and software aligned with introduction of the Twenty-First Century Communications and Video Accessibility Act (CVAA) and adjoined game industry waiver that comes into force January 2017. This is an act created...... by the USA Federal Communications Commission (FCC) to increase the access of persons with disabilities to modern communications, and for other purposes. The act impacts advanced communications services and products including text messaging; e-mail; instant messaging; video communications; browsers; game...... platforms; and games software. However, the CVAA has no legal status in the EU. This text succinctly introduces and questions implications, impact, and wider adoption. By presenting the full CVAA and game industry waiver the text targets to motivate discussions and further publications on the subject...

  14. Maintaining clinical governance when giving telephone advice.

    Science.gov (United States)

    Alazawi, William; Agarwal, Kosh; Suddle, Abid; Aluvihare, Varuna; Heneghan, Michael A

    2013-10-01

    Delivering excellent healthcare depends on accurate communication between professionals who may be in different locations. Frequently, the first point of contact with the liver unit at King's College Hospital (KCH) is through a telephone call to a specialist registrar or liver fellow, for whom no case notes are available in which to record information. The aim of this study was to improve the clinical governance of telephone referrals and to generate contemporaneous records that could be easily retrieved and audited. An electronic database for telephone referrals and advice was designed and made securely available to registrars in our unit. Service development in a tertiary liver centre that receives referrals from across the UK and Europe. Demographic and clinical data were recorded prospectively and analysed retrospectively. Data from 350 calls were entered during 5 months. The information included the nature and origin of the call (200 from 75 different institutions), disease burden and severity of disease among the patients discussed with KCH, and outcome of the call. The majority of cases were discussed with consultants or arrangements were made for formal review at KCH. A telephone referrals and advice database provides clinical governance, serves as a quality indicator and forms a contemporaneous record at the referral centre. Activity data and knowledge of disease burden help to tailor services to the needs of referrers and commissioners. We recommend implementation of similar models in other centres that give extramural verbal advice.

  15. Techniques to Access Databases and Integrate Data for Hydrologic Modeling

    International Nuclear Information System (INIS)

    Whelan, Gene; Tenney, Nathan D.; Pelton, Mitchell A.; Coleman, Andre M.; Ward, Duane L.; Droppo, James G.; Meyer, Philip D.; Dorow, Kevin E.; Taira, Randal Y.

    2009-01-01

    This document addresses techniques to access and integrate data for defining site-specific conditions and behaviors associated with ground-water and surface-water radionuclide transport applicable to U.S. Nuclear Regulatory Commission reviews. Environmental models typically require input data from multiple internal and external sources that may include, but are not limited to, stream and rainfall gage data, meteorological data, hydrogeological data, habitat data, and biological data. These data may be retrieved from a variety of organizations (e.g., federal, state, and regional) and source types (e.g., HTTP, FTP, and databases). Available data sources relevant to hydrologic analyses for reactor licensing are identified and reviewed. The data sources described can be useful to define model inputs and parameters, including site features (e.g., watershed boundaries, stream locations, reservoirs, site topography), site properties (e.g., surface conditions, subsurface hydraulic properties, water quality), and site boundary conditions, input forcings, and extreme events (e.g., stream discharge, lake levels, precipitation, recharge, flood and drought characteristics). Available software tools for accessing established databases, retrieving the data, and integrating it with models were identified and reviewed. The emphasis in this review was on existing software products with minimal required modifications to enable their use with the FRAMES modeling framework. The ability of four of these tools to access and retrieve the identified data sources was reviewed. These four software tools were the Hydrologic Data Acquisition and Processing System (HDAPS), Integrated Water Resources Modeling System (IWRMS) External Data Harvester, Data for Environmental Modeling Environmental Data Download Tool (D4EM EDDT), and the FRAMES Internet Database Tools. The IWRMS External Data Harvester and the D4EM EDDT were identified as the most promising tools based on their ability to access and

  16. Techniques to Access Databases and Integrate Data for Hydrologic Modeling

    Energy Technology Data Exchange (ETDEWEB)

    Whelan, Gene; Tenney, Nathan D.; Pelton, Mitchell A.; Coleman, Andre M.; Ward, Duane L.; Droppo, James G.; Meyer, Philip D.; Dorow, Kevin E.; Taira, Randal Y.

    2009-06-17

    This document addresses techniques to access and integrate data for defining site-specific conditions and behaviors associated with ground-water and surface-water radionuclide transport applicable to U.S. Nuclear Regulatory Commission reviews. Environmental models typically require input data from multiple internal and external sources that may include, but are not limited to, stream and rainfall gage data, meteorological data, hydrogeological data, habitat data, and biological data. These data may be retrieved from a variety of organizations (e.g., federal, state, and regional) and source types (e.g., HTTP, FTP, and databases). Available data sources relevant to hydrologic analyses for reactor licensing are identified and reviewed. The data sources described can be useful to define model inputs and parameters, including site features (e.g., watershed boundaries, stream locations, reservoirs, site topography), site properties (e.g., surface conditions, subsurface hydraulic properties, water quality), and site boundary conditions, input forcings, and extreme events (e.g., stream discharge, lake levels, precipitation, recharge, flood and drought characteristics). Available software tools for accessing established databases, retrieving the data, and integrating it with models were identified and reviewed. The emphasis in this review was on existing software products with minimal required modifications to enable their use with the FRAMES modeling framework. The ability of four of these tools to access and retrieve the identified data sources was reviewed. These four software tools were the Hydrologic Data Acquisition and Processing System (HDAPS), Integrated Water Resources Modeling System (IWRMS) External Data Harvester, Data for Environmental Modeling Environmental Data Download Tool (D4EM EDDT), and the FRAMES Internet Database Tools. The IWRMS External Data Harvester and the D4EM EDDT were identified as the most promising tools based on their ability to access and

  17. A closed, digital telephone system

    Science.gov (United States)

    Monford, L. G., Jr.

    1973-01-01

    Digital system can accommodate sixteen or more telephone or data units and eight, simultaneous two-way conversations through only four interconnecting wires. It uses fewer circuit components, is not bulky or complex, and requires no central exchange control.

  18. Models of the solvent-accessible surface of biopolymers

    Energy Technology Data Exchange (ETDEWEB)

    Smith, R.E.

    1996-09-01

    Many biopolymers such as proteins, DNA, and RNA have been studied because they have important biomedical roles and may be good targets for therapeutic action in treating diseases. This report describes how plastic models of the solvent-accessible surface of biopolymers were made. Computer files containing sets of triangles were calculated, then used on a stereolithography machine to make the models. Small (2 in.) models were made to test whether the computer calculations were done correctly. Also, files of the type (.stl) required by any ISO 9001 rapid prototyping machine were written onto a CD-ROM for distribution to American companies.

  19. Automatic Smoker Detection from Telephone Speech Signals

    DEFF Research Database (Denmark)

    Alavijeh, Amir Hossein Poorjam; Hesaraki, Soheila; Safavi, Saeid

    2017-01-01

    This paper proposes an automatic smoking habit detection from spontaneous telephone speech signals. In this method, each utterance is modeled using i-vector and non-negative factor analysis (NFA) frameworks, which yield low-dimensional representation of utterances by applying factor analysis...... on Gaussian mixture model means and weights respectively. Each framework is evaluated using different classification algorithms to detect the smoker speakers. Finally, score-level fusion of the i-vector-based and the NFA-based recognizers is considered to improve the classification accuracy. The proposed...... method is evaluated on telephone speech signals of speakers whose smoking habits are known drawn from the National Institute of Standards and Technology (NIST) 2008 and 2010 Speaker Recognition Evaluation databases. Experimental results over 1194 utterances show the effectiveness of the proposed approach...

  20. SMEs Access to Finance in Croatia – Model Approach

    OpenAIRE

    Vinko Vidučić; Ljiljana Vidučić; Damir Boras

    2014-01-01

    The goals of the research include the determination of the characteristics of SMEs finance in Croatia, as well as the determination of indirect growth rates of the information model of the entrepreneurs` perception of business environment. The research results show that cost of finance and access to finance are most important constraining factor in setting up and running the business of small entrepreneurs in Croatia. Furthermore, small entrepreneurs in Croatia are significantly dissatisfied ...

  1. Access to justice within the sustainable self-governance model

    OpenAIRE

    Stephen Tully

    2004-01-01

    Little attention has been given to the development and operation of non-state models of global governance and the extent to which they conform to principles of good governance. Focusing primarily on issues of access to justice and secondarily on the independence of such bodies from the industries which they purport to regulate, this paper argues that adjudicative mechanisms established by non-governmental organisations (NGOs) and firms may not produce outcomes which are considered 'just' by t...

  2. [Telephone attendance system in a dementia unit: analysis and description].

    Science.gov (United States)

    Toribio-Díaz, M E; Morera-Guitart, J; Pérez-Cerda, I; Palao-Duarte, S; Morales-Espinosa, C

    To describe the characteristics of a telephone attendance system (TAS) implemented in our dementia unit, its relevance in the global activity and the users-themselves utility and satisfaction. We retrospectively analyzed the incoming telephone calls during a period of one year. Telephone call type, user's gender and relationship with the patient, reason for calling, who answer, class of answer and patients' Global Deterioration Scale (GDS) were systematically registered. Caregivers' satisfaction was evaluated by a semi structured telephone questionnaire checking the following variables: accessibility, difficulty in answer comprehension, utility and global satisfaction. Professionals' opinion about global impression, overcharge in daily activity, TAS satisfaction and utility were evaluated by a semi structured interview. On the period of study, 444 telephone incoming calls were registered, 58.3% of them from relatives of patients with GDS 5-6. To adjust the treatment (43.2%) or to bring forward the next appointment were the most frequent responses. Next aspects were considered as good or very good for interviewed users: accessibility (58.3%), response delay (83.3%), service utility (91.6%), global satisfaction (86.5%) and answer comprehension (93.8%). Professionals' opinion were good, but with some comments about the need for a specific appointment book, improvements aspects in initial accessibility (direct telephone line), and the establishment of a specific schedule for telephonic attendance. The TAS is a formal, structured and complementary attendance service for traditional visit, with the ability to resolve most problems. The delayed reply mode allows the clinicians to choose the best moment to reply. Furthermore, the availability of the complete chart of every patient attended improve the quality of the clinical answer.

  3. Intervention among Suicidal Men: Future Directions for Telephone Crisis Support Research.

    Science.gov (United States)

    Hunt, Tara; Wilson, Coralie J; Woodward, Alan; Caputi, Peter; Wilson, Ian

    2018-01-01

    Telephone crisis support is a confidential, accessible, and immediate service that is uniquely set up to reduce male suicide deaths through crisis intervention. However, research focusing on telephone crisis support with suicidal men is currently limited. To highlight the need to address service delivery for men experiencing suicidal crisis, this perspective article identifies key challenges facing current telephone crisis support research and proposes that understanding of the role of telephone crisis helplines in supporting suicidal men may be strengthened by careful examination of the context of telephone crisis support, together with the impact this has on help-provision for male suicidal callers. In particular, the impact of the time- and information-poor context of telephone crisis support on crisis-line staff's identification of, and response to, male callers with thoughts of suicide is examined. Future directions for research in the provision of telephone crisis support for suicidal men are discussed.

  4. Lessons learned from implementation of postdischarge telephone calls at Baylor Health Care System.

    Science.gov (United States)

    Cochran, Veronica Y; Blair, Brenda; Wissinger, Laurie; Nuss, Terri D

    2012-01-01

    Postdischarge telephone calls can enhance patient satisfaction, outcomes, and care continuity. The authors describe the Dallas-Fort Worth-based Baylor Health Care System standardized process for placing emergency department discharge telephone calls to patients. The metrics and guidelines related to the process as well as lessons learned, models of care, the future state of the postdischarge telephone calls, and findings are discussed.

  5. A Sandia telephone database system

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, S.D.; Tolendino, L.F.

    1991-08-01

    Sandia National Laboratories, Albuquerque, may soon have more responsibility for the operation of its own telephone system. The processes that constitute providing telephone service can all be improved through the use of a central data information system. We studied these processes, determined the requirements for a database system, then designed the first stages of a system that meets our needs for work order handling, trouble reporting, and ISDN hardware assignments. The design was based on an extensive set of applications that have been used for five years to manage the Sandia secure data network. The system utilizes an Ingres database management system and is programmed using the Application-By-Forms tools.

  6. Distributed data access in the sequential access model at the D0 experiment at Fermilab

    International Nuclear Information System (INIS)

    Terekhov, Igor; White, Victoria

    2000-01-01

    The authors present the Sequential Access Model (SAM), which is the data handling system for D0, one of two primary High Energy Experiments at Fermilab. During the next several years, the D0 experiment will store a total of about 1 PByte of data, including raw detector data and data processed at various levels. The design of SAM is not specific to the D0 experiment and carries few assumptions about the underlying mass storage level; its ideas are applicable to any sequential data access. By definition, in the sequential access mode a user application needs to process a stream of data, by accessing each data unit exactly once, the order of data units in the stream being irrelevant. The units of data are laid out sequentially in files. The adopted model allows for significant optimizations of system performance, decrease of user file latency and increase of overall throughput. In particular, caching is done with the knowledge of all the files needed in the near future, defined as all the files of the already running or submitted jobs. The bulk of the data is stored in files on tape in the mass storage system (MSS) called Enstore[2] and also developed at Fermilab. (The tape drives are served by an ADIC AML/2 Automated Tape Library). At any given time, SAM has a small fraction of the data cached on disk for processing. In the present paper, the authors discuss how data is delivered onto disk and how it is accessed by user applications. They will concentrate on data retrieval (consumption) from the MSS; when SAM is used for storing of data, the mechanisms are rather symmetrical. All of the data managed by SAM is cataloged in great detail in a relational database (ORACLE). The database also serves as the persistency mechanism for the SAM servers described in this paper. Any client or server in the SAM system which needs to store or retrieve information from the database does so through the interfaces of a CORBA-based database server. The users (physicists) use the

  7. Telephone versus usual care in management of acute whiplash ...

    African Journals Online (AJOL)

    Whiplash associated disorder (WAD) is a common and costly condition, and recommended management includes advice to “act as usual” and exercise. Providing this treatment through a telephonic intervention may help to improve access to care, and reduce costs. This pilot study assessed: (1) the effectiveness of a ...

  8. A semi-automated vascular access system for preclinical models

    Science.gov (United States)

    Berry-Pusey, B. N.; Chang, Y. C.; Prince, S. W.; Chu, K.; David, J.; Taschereau, R.; Silverman, R. W.; Williams, D.; Ladno, W.; Stout, D.; Tsao, T. C.; Chatziioannou, A.

    2013-08-01

    Murine models are used extensively in biological and translational research. For many of these studies it is necessary to access the vasculature for the injection of biologically active agents. Among the possible methods for accessing the mouse vasculature, tail vein injections are a routine but critical step for many experimental protocols. To perform successful tail vein injections, a high skill set and experience is required, leaving most scientists ill-suited to perform this task. This can lead to a high variability between injections, which can impact experimental results. To allow more scientists to perform tail vein injections and to decrease the variability between injections, a vascular access system (VAS) that semi-automatically inserts a needle into the tail vein of a mouse was developed. The VAS uses near infrared light, image processing techniques, computer controlled motors, and a pressure feedback system to insert the needle and to validate its proper placement within the vein. The VAS was tested by injecting a commonly used radiolabeled probe (FDG) into the tail veins of five mice. These mice were then imaged using micro-positron emission tomography to measure the percentage of the injected probe remaining in the tail. These studies showed that, on average, the VAS leaves 3.4% of the injected probe in the tail. With these preliminary results, the VAS system demonstrates the potential for improving the accuracy of tail vein injections in mice.

  9. 47 CFR 64.501 - Recording of telephone conversations with telephone companies.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Recording of telephone conversations with telephone companies. 64.501 Section 64.501 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED... Devices by Telephone Companies § 64.501 Recording of telephone conversations with telephone companies. No...

  10. Local stability of an open-access anchovy fishery model

    Directory of Open Access Journals (Sweden)

    M. N. Qureshi

    2015-03-01

    Full Text Available In this paper, we study the qualitative behavior of following open-access anchovy fishery model: xn+1=axnb-d α xvnyn, yn+1=yn(η(pαxvn-c+1, where a,b,c,d,v,p,α, η, and the initial conditions x0, y0 are positive real numbers. More precisely, we investigate the necessary and sufficient condition for local asymptotic stability of the unique positive equilibrium point of this system. Some numerical examples are given to verify our theoretical results.

  11. Maintenance of CERN telephone exchanges

    CERN Multimedia

    2005-01-01

    A maintenance of CERN telephone exchanges will be performed on 21st, 22nd, 23rd, 24th of September from 7 p.m. to 9 p.m. Disturbances or even interruptions of telephony services may occur during this lapse of time. We apology in advance for any inconveniences that this may cause.

  12. Telephone switchboard closure | 19 December

    CERN Document Server

    2014-01-01

    Exceptionally, the telephone switchboard will close at 4 p.m. on Friday, 19 December, instead of the usual time of 6 p.m., to allow time for closing all systems properly before the annual closure. Therefore, switchboard operator assistance to transfer calls from/to external lines will stop. All other phone services will run as usual.

  13. Tinamit: Making coupled system dynamics models accessible to stakeholders

    Science.gov (United States)

    Malard, Julien; Inam Baig, Azhar; Rojas Díaz, Marcela; Hassanzadeh, Elmira; Adamowski, Jan; Tuy, Héctor; Melgar-Quiñonez, Hugo

    2017-04-01

    Model coupling is increasingly used as a method of combining the best of two models when representing socio-environmental systems, though barriers to successful model adoption by stakeholders are particularly present with the use of coupled models, due to their high complexity and typically low implementation flexibility. Coupled system dynamics - physically-based modelling is a promising method to improve stakeholder participation in environmental modelling while retaining a high level of complexity for physical process representation, as the system dynamics components are readily understandable and can be built by stakeholders themselves. However, this method is not without limitations in practice, including 1) inflexible and complicated coupling methods, 2) difficult model maintenance after the end of the project, and 3) a wide variety of end-user cultures and languages. We have developed the open-source Python-language software tool Tinamit to overcome some of these limitations to the adoption of stakeholder-based coupled system dynamics - physically-based modelling. The software is unique in 1) its inclusion of both a graphical user interface (GUI) and a library of available commands (API) that allow users with little or no coding abilities to rapidly, effectively, and flexibly couple models, 2) its multilingual support for the GUI, allowing users to couple models in their preferred language (and to add new languages as necessary for their community work), and 3) its modular structure allowing for very easy model coupling and modification without the direct use of code, and to which programming-savvy users can easily add support for new types of physically-based models. We discuss how the use of Tinamit for model coupling can greatly increase the accessibility of coupled models to stakeholders, using an example of a stakeholder-built system dynamics model of soil salinity issues in Pakistan coupled with the physically-based soil salinity and water flow model

  14. Health aspects of cellular mobile telephones

    International Nuclear Information System (INIS)

    Garn, H.

    1996-01-01

    Cellular mobile telephones are one of the main topics among health aspects of electromagnetic fields. In many countries, the number of people opposing communication towers is on the rise. Lawsuits against telecommunication and power line companies have been filed. All this makes people doubt the safety of electromagnetic fields. With respect to cellular phones, there are two scenarios: * Exposure of the operators of hand-held terminals (HHT). * Exposure of the general public from base stations (BS). In the first case, the transmit antenna of the HHT is very close to the human body. For normal operation, the distance will roughly be 2 - 3 cm. The transmitter power of the HHT is comparatively low, but there is a considerable fraction of the radiated electromagnetic energy penetrating the tissue. Considering the second case, BS transmitter powers are by a factor of 100-1000 higher, but the distance between antenna and the human body is by a factor of 1000-100,000 greater, as far as areas of unrestricted public access are concerned. As the power density of an electromagnetic wave decreases inversely proportional to the square of the distance, exposure of the public is always significantly (by many orders of magnitude) lower than exposure of operators of HHTs. Some well-known interaction mechanisms of microwave radiation with the human body have been very well-established today. In some other areas, there is still a need for further research. This paper summarizes present knowledge on human safety with mobile telephone systems. (author)

  15. Telephoning

    CERN Document Server

    Bruce, Kay

    1994-01-01

    This is part of a series of books, which gives training in key business communication skills. Emphasis is placed on building awareness of language appropriateness and fluency in typical business interactions. This new edition is in full colour.

  16. Models for User Access Patterns on the Web: Semantic Content versus Access History.

    Science.gov (United States)

    Ross, Arun; Owen, Charles B.; Vailaya, Aditya

    This paper focuses on clustering a World Wide Web site (i.e., the 1998 World Cup Soccer site) into groups of documents that are predictive of future user accesses. Two approaches were developed and tested. The first approach uses semantic information inherent in the documents to facilitate the clustering process. User access history is then used…

  17. Performance analysis of quantum access network using code division multiple access model

    International Nuclear Information System (INIS)

    Hu Linxi; Yang Can; He Guangqiang

    2017-01-01

    A quantum access network has been implemented by frequency division multiple access and time division multiple access, while code division multiple access is limited for its difficulty to realize the orthogonality of the code. Recently, the chaotic phase shifters were proposed to guarantee the orthogonality by different chaotic signals and spread the spectral content of the quantum states. In this letter, we propose to implement the code division multiple access quantum network by using chaotic phase shifters and synchronization. Due to the orthogonality of the different chaotic phase shifter, every pair of users can faithfully transmit quantum information through a common channel and have little crosstalk between different users. Meanwhile, the broadband spectra of chaotic signals efficiently help the quantum states to defend against channel loss and noise. (paper)

  18. Role of telephone triage in obstetrics.

    Science.gov (United States)

    Manning, Nirvana Afsordeh; Magann, Everett F; Rhoads, Sarah J; Ivey, Tesa L; Williams, Donna J

    2012-12-01

    The telephone has become an indispensable method of communication in the practice of obstetrics. The telephone is one of the primary methods by which the patient makes her appointments and contacts her health care provider for advice, reassurance, and referrals. Current methods of telephone triage include personal at the physicians' office, telephone answering services, labor and delivery nurses, and a dedicated telephone triage system using algorithms. Limitations of telephone triage include the inability of the provider to see the patient and receive visual clues from the interaction and the challenges of obtaining a complete history over the telephone. In addition, there are potential safety and legal issues with telephone triage. To date, there is insufficient evidence to either validate or refute the use of a dedicated telephone triage system compared with a traditional system using an answering service or nurses on labor and delivery. Obstetricians and gynecologists, family physicians. After completing this CME activity, physicians should be better able to analyze the scope of variation in telephone triage across health care providers and categorize the components that go into a successful triage system, assess the current scope of research in telephone triage in obstetrics, evaluate potential safety and legal issues with telephone triage in obstetrics, and identify issues that should be addressed in any institution that is using or implementing a system of telephone triage in obstetrics.

  19. Cordless telephone use: implications for mobile phone research.

    Science.gov (United States)

    Redmayne, Mary; Inyang, Imo; Dimitriadis, Christina; Benke, Geza; Abramson, Michael J

    2010-04-01

    Cordless and mobile (cellular) telephone use has increased substantially in recent years causing concerns about possible health effects. This has led to much epidemiological research, but the usual focus is on mobile telephone radiofrequency (RF) exposure only despite cordless RF being very similar. Access to and use of cordless phones were included in the Mobile Radiofrequency Phone Exposed Users Study (MoRPhEUS) of 317 Year 7 students recruited from Melbourne, Australia. Participants completed an exposure questionnaire-87% had a cordless phone at home and 77% owned a mobile phone. There was a statistically significant positive relationship (r = 0.38, p < 0.01) between cordless and mobile phone use. Taken together, this increases total RF exposure and its ratio in high-to-low mobile users. Therefore, the design and analysis of future epidemiological telecommunication studies need to assess cordless phone exposure to accurately evaluate total RF telephone exposure effects.

  20. Notified Access: Extending Remote Memory Access Programming Models for Producer-Consumer Synchronization

    KAUST Repository

    Belli, Roberto

    2015-05-01

    Remote Memory Access (RMA) programming enables direct access to low-level hardware features to achieve high performance for distributed-memory programs. However, the design of RMA programming schemes focuses on the memory access and less on the synchronization. For example, in contemporary RMA programming systems, the widely used producer-consumer pattern can only be implemented inefficiently, incurring in an overhead of an additional round-trip message. We propose Notified Access, a scheme where the target process of an access can receive a completion notification. This scheme enables direct and efficient synchronization with a minimum number of messages. We implement our scheme in an open source MPI-3 RMA library and demonstrate lower overheads (two cache misses) than other point-to-point synchronization mechanisms for each notification. We also evaluate our implementation on three real-world benchmarks, a stencil computation, a tree computation, and a Colicky factorization implemented with tasks. Our scheme always performs better than traditional message passing and other existing RMA synchronization schemes, providing up to 50% speedup on small messages. Our analysis shows that Notified Access is a valuable primitive for any RMA system. Furthermore, we provide guidance for the design of low-level network interfaces to support Notified Access efficiently.

  1. Modeling the effect of accessibility and congestion in location choice.

    Science.gov (United States)

    2012-12-01

    This study explores the relationship between accessibility and congestion, and their impacts on property values. Three research questions are addressed: (1) What is the relation between accessibility and congestion both regional and neighborhood leve...

  2. 47 CFR 15.214 - Cordless telephones.

    Science.gov (United States)

    2010-10-01

    ... for a cordless telephone system, provided the application clearly identifies and provides data for all... certification, if appropriate, for each type of receiver included in the system. (b) A cordless telephone that... communications functions, such as providing telephone billing information. This security code system is to...

  3. A Knowledge-Constrained Access Control Model for Protecting Patient Privacy in Hospital Information Systems.

    Science.gov (United States)

    Zhang, Runtong; Chen, Donghua; Shang, Xiaopu; Zhu, Xiaomin; Liu, Kecheng

    2017-04-24

    Current access control mechanisms of the hospital information system can hardly identify the real access intention of system users. A relaxed access control increases the risk of compromise of patient privacy. To reduce unnecessary access of patient information by hospital staff, this paper proposes a Knowledge-Constrained Role-Based Access Control (KC-RBAC) model in which a variety of medical domain knowledge is considered in access control. Based on the proposed Purpose Tree and knowledge-involved algorithms, the model can dynamically define the boundary of access to the patient information according to the context, which helps protect patient privacy by controlling access. Compared with the Role-Based Access Control model, KC-RBAC can effectively protect patient information according to the results of the experiments.

  4. The Open Access Association? EAHIL's new model for sustainability.

    Science.gov (United States)

    McSean, Tony; Jakobsson, Arne

    2009-12-01

    To discover a governance structure and a business model for the European Association for Health Information and Libraries (EAHIL) which will be economically sustainable in the medium term, arresting a long-term gradual decline in membership numbers and implementing new revenue streams to sustain association activity. Reviewed survival strategies of other professional associations, investigated potential of emerging interactive web technologies, investigated alternative revenue streams based around the 'franchise' of the annual EAHIL conferences and workshops. A fully worked-through and costed alternative structure was produced, based on abolition of the subscription, web-based procedures and functions, increased income from advertising and sponsorship and a large measure of member participation and engagement. Statutes and Rules of Procedure were rewritten to reflect the changes. This plan was put through the Association's approval cycle and implemented in 2005. The new financial model has proved itself sustainable on the basis of the first 2 years' operations. The long-term gradual decline in membership was reversed, with membership numbers trebling across the EAHIL region. The software worked with minimal problems, including the online electoral process. With no identified precedent from other professional associations, the changes represented a considerable risk, which was justifiable because long-term projections made it clear that continuing the traditional model was not viable. The result is a larger, healthier association with a stronger link to its membership. Long-term risks include the high level of member commitment and expertise. There are also important questions about scalability-diseconomies of scale probably limit the applicability of the overall open access model to larger associations.

  5. Survey of Airport Access Analysis Techniques - Models, Data and a Research Program

    Science.gov (United States)

    1972-06-01

    The report points up the differences and similarities between airport access travel and general urban trip making. Models and surveys developed for, or applicable, to airport access planning are reviewed. A research program is proposed which would ge...

  6. Call Centre- Computer Telephone Integration

    Directory of Open Access Journals (Sweden)

    Dražen Kovačević

    2012-10-01

    Full Text Available Call centre largely came into being as a result of consumerneeds converging with enabling technology- and by the companiesrecognising the revenue opportunities generated by meetingthose needs thereby increasing customer satisfaction. Regardlessof the specific application or activity of a Call centre, customersatisfaction with the interaction is critical to the revenuegenerated or protected by the Call centre. Physical(v, Call centreset up is a place that includes computer, telephone and supervisorstation. Call centre can be available 24 hours a day - whenthe customer wants to make a purchase, needs information, orsimply wishes to register a complaint.

  7. Models of network access using feedback fluid queues

    NARCIS (Netherlands)

    Mandjes, M.R.H.; Mitra, D.; Scheinhardt, Willem R.W.

    2001-01-01

    At the access to networks, in contrast to the core, distances and feedback delays, as well as link capacities are small, which has network engineering implications that are investigated in this paper. We consider a single point in the access network which multiplexes several bursty users. The users

  8. Models of network access using feedback fluid queues

    NARCIS (Netherlands)

    Mandjes, M.R.H.; Mitra, Debasis; Scheinhardt, Willem R.W.

    At the access to networks, in contrast to the core, distances and feedback delays, as well as link capacities are small, which has network engineering implications that are investigated in this paper. We consider a single point in the access network which multiplexes several bursty users. The users

  9. Models of network access using feedback fluid queues

    NARCIS (Netherlands)

    M.R.H. Mandjes (Michel); D. Mitra; W.R.W. Scheinhardt (Werner)

    2002-01-01

    htmlabstractAt the access to networks, in contrast to the core, distances and feedback delay s, as well as link capacities are small, which has network engineering implications that are investigated in this paper. We consider a single point in the access network which multiplexes several bursty

  10. Access with Success: The Master Learning Community Model

    Science.gov (United States)

    McPhail, Irving Pressley; McKusick, Donna; Starr, Al

    2006-01-01

    Since their inception in the early 60s community colleges have been touted for their ability to provide access to underserved and underprepared students across the nation. Dwindling resources and competing interests increasingly challenge the open door policy. Today, colleges must provide programs that not only provide access, but also provide…

  11. Lexical access in sign language: A computational model

    Directory of Open Access Journals (Sweden)

    Naomi Kenney Caselli

    2014-05-01

    Full Text Available Psycholinguistic theories have predominantly been built upon data from spoken language, which leaves open the question: How many of the conclusions truly reflect language-general principles as opposed to modality-specific ones? We take a step toward answering this question in the domain of lexical access in recognition by asking whether a single cognitive architecture might explain diverse behavioral patterns in signed and spoken language. Chen and Mirman (2012 presented a computational model of word processing that unified opposite effects of neighborhood density in speech production, perception, and written word recognition. Neighborhood density effects in sign language also vary depending on whether the neighbors share the same handshape or location. We present a spreading activation architecture that borrows the principles proposed by Chen and Mirman (2012, and show that if this architecture is elaborated to incorporate relatively minor facts about either 1 the time course of sign perception or 2 the frequency of sub-lexical units in sign languages, it produces data that match the experimental findings from sign languages. This work serves as a proof of concept that a single cognitive architecture could underlie both sign and word recognition.

  12. Lexical access in sign language: a computational model.

    Science.gov (United States)

    Caselli, Naomi K; Cohen-Goldberg, Ariel M

    2014-01-01

    PSYCHOLINGUISTIC THEORIES HAVE PREDOMINANTLY BEEN BUILT UPON DATA FROM SPOKEN LANGUAGE, WHICH LEAVES OPEN THE QUESTION: How many of the conclusions truly reflect language-general principles as opposed to modality-specific ones? We take a step toward answering this question in the domain of lexical access in recognition by asking whether a single cognitive architecture might explain diverse behavioral patterns in signed and spoken language. Chen and Mirman (2012) presented a computational model of word processing that unified opposite effects of neighborhood density in speech production, perception, and written word recognition. Neighborhood density effects in sign language also vary depending on whether the neighbors share the same handshape or location. We present a spreading activation architecture that borrows the principles proposed by Chen and Mirman (2012), and show that if this architecture is elaborated to incorporate relatively minor facts about either (1) the time course of sign perception or (2) the frequency of sub-lexical units in sign languages, it produces data that match the experimental findings from sign languages. This work serves as a proof of concept that a single cognitive architecture could underlie both sign and word recognition.

  13. Why Doing Nothing With Your Telephone System Will Be Expensive.

    Science.gov (United States)

    Toner, Michael A.

    1986-01-01

    Telephone system acquisition by institutions of higher education is discussed. Some important areas of investigation are described and more comprehensive explorations of telephone systems are encouraged. Management of telephone systems and changing the telephone system are discussed. (Author/MLW)

  14. Switch Based Opportunistic Spectrum Access for General Primary User Traffic Model

    KAUST Repository

    Gaaloul, Fakhreddine

    2012-06-18

    This letter studies cognitive radio transceiver that can opportunistically use the available channels of primary user (PU). Specifically, we investigate and compare two different opportunistic channel access schemes. The first scheme applies when the secondary user (SU) has access to only one channel. The second scheme, based on channel switching mechanism, applies when the SU has access to multiple channels but can at a given time monitor and access only one channel. For these access schemes, we derive the exact analytical results for the novel performance metrics of average access time and average waiting time under general PU traffic models.

  15. Modelling a web service approach to secure data access ...

    African Journals Online (AJOL)

    Journal of Computer Science and Its Application. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 22, No 1 (2015) >. Log in or Register to get access to full text downloads.

  16. An intelligent trust-based access control model for affective ...

    African Journals Online (AJOL)

    Journal of Computer Science and Its Application. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 22, No 1 (2015) >. Log in or Register to get access to full text downloads.

  17. A telephone in the wind

    International Nuclear Information System (INIS)

    Anon.

    1997-01-01

    QuebecTel Mobilite, a Quebec telecommunications company, is exploring the possibility of using wind as a new source of energy to charge the batteries of their repeater stations that make mobile telephone service outside of urban areas possible. The significance of this experiment lies in the fact that in Quebec many repeater stations and antennas are located in remote areas, sometimes on the tops of mountains, making it very costly to supply them with the electrical power necessary for the stations to operate. A small demonstration wind energy project to charge the batteries of one repeater station in Pointe-au-Pere, in the Gaspe region of Quebec, is under way. The project is computer controlled; the computer monitors the production and consumption of electricity, checks and recharges the station's batteries, thus assuring the proper functioning of the cellular phone system

  18. Fuel cells for telephone networks

    International Nuclear Information System (INIS)

    Wells, J.D.; Scott, D.S.

    1993-01-01

    Critical telephone network systems are currently protected from electric utility power failures by a backup system consisting of lead-acid batteries and an engine-alternator. It is considered here an alternate power system where less expensive off-peak commercial electricity electrolyses water, while fuel cells draw continuously on the stored gas products to provide direct current for the protected equipment. The lead acid batteries are eliminated. The benefits and costs of the existing and alternate systems in scenarios with various system efficiencies, capital costs, and electric utility rates and incentives, are compared. In today's conditions, the alternate system is not economical; however, cost and performance feasibility domains are identified. 2 figs., 4 tabs., 12 refs

  19. Investigating accessibility indicators for feedback from a travel to a land use model

    OpenAIRE

    Thomas Nicolai; Kai Nagel

    2011-01-01

    Activity locations such as work locations or leisure facilities are not uniformly distributed geographically. Also, the travel access to different locations is not uniform. It is plausible to assume that locations with easier access to other activity locations are more attractive than locations with less access. In consequence, urban simulation models such as UrbanSim use accessibility measures, such as ``number of jobs with 30 minutes by car', for several of their submodels. A problem, howev...

  20. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    Maintenance work on the CERN telephone exchanges will be performed on 10 July from 8 p.m. to midnight. During this intervention, the fixed telephone services, audioconference services and GSM calls made via the 333 prefix may be disrupted. However, the CCC and the fire brigade will be reachable at all times. For more details about this maintenance work, please call the telephone switchboard on 76111 or send an e-mail. Telecom SectionIT/CS

  1. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    A maintenance of the CERN telephone exchanges will be performed on the 10th of July from 8 p.m. to midnight. During this intervention, the fixed telephone services, audioconference services, and GSM calls made via the 333 prefix may be disrupted. However, the CCC and the fire brigade will be reachable at any time. For more details about this maintenance, please contact the telephone switchboard at 76111 or by email. Telecom Section IT/CS

  2. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    TS Department

    2008-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 3 December. During this time, the fixed-line telephone and audio-conference services may be disrupted. However, the CCC and the Fire Brigade will be reachable at all times. Mobile telephone services (GSM) will not be affected by this work. For further details please contact Netops@cern.ch.

  3. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    TS Department

    2008-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 3 December. During this time, the fixed-line telephone and audio-conference services may be disrupted. However, the CCC and the Fire Brigade will be reachable at all times. Mobile telephone services (GSM) will not be affected by this work. For further details please contact mailto:Netops@cern.ch.

  4. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 20 November. Fixed-line telephone and audioconference services may be disrupted while the work is being carried out. However, the CCC and the fire brigade will be contactable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. For further details about the maintenance work, please contact the telephone switchboard on 76111 or by email to standard.telephone@cern.ch. Telecom Section IT/CS

  5. Maximising response rates in household telephone surveys

    Directory of Open Access Journals (Sweden)

    Sinclair Martha

    2008-11-01

    Full Text Available Abstract Background Epidemiological and other studies that require participants to respond by completing a questionnaire face the growing threat of non-response. Response rates to household telephone surveys are diminishing because of changes in telecommunications, marketing and culture. Accordingly, updated information is required about the rate of telephone listing in directories and optimal strategies to maximise survey participation. Methods A total of 3426 households in Sydney, Australia were approached to participate in a computer assisted telephone interview (CATI regarding their domestic (recycled and/or drinking water usage. Only randomly selected households in the suburb and postcode of interest with a telephone number listed in the Electronic White Pages (EWP that matched Australian electoral records were approached. Results The CATI response rate for eligible households contacted by telephone was 39%. The rate of matching of electoral and EWP records, a measure of telephone directory coverage, was 55%. Conclusion The use of a combination of approaches, such as an advance letter, interviewer training, establishment of researcher credentials, increasing call attempts and targeted call times, remains a good strategy to maximise telephone response rates. However, by way of preparation for future technological changes, reduced telephone number listings and people's increasing resistance to unwanted phone calls, alternatives to telephone surveys, such as internet-based approaches, should be investigated.

  6. Bandwidth Extension of Telephone Speech Aided by Data Embedding

    Directory of Open Access Journals (Sweden)

    David Malah

    2007-01-01

    Full Text Available A system for bandwidth extension of telephone speech, aided by data embedding, is presented. The proposed system uses the transmitted analog narrowband speech signal as a carrier of the side information needed to carry out the bandwidth extension. The upper band of the wideband speech is reconstructed at the receiving end from two components: a synthetic wideband excitation signal, generated from the narrowband telephone speech and a wideband spectral envelope, parametrically represented and transmitted as embedded data in the telephone speech. We propose a novel data embedding scheme, in which the scalar Costa scheme is combined with an auditory masking model allowing high rate transparent embedding, while maintaining a low bit error rate. The signal is transformed to the frequency domain via the discrete Hartley transform (DHT and is partitioned into subbands. Data is embedded in an adaptively chosen subset of subbands by modifying the DHT coefficients. In our simulations, high quality wideband speech was obtained from speech transmitted over a telephone line (characterized by spectral magnitude distortion, dispersion, and noise, in which side information data is transparently embedded at the rate of 600 information bits/second and with a bit error rate of approximately 3⋅10−4. In a listening test, the reconstructed wideband speech was preferred (at different degrees over conventional telephone speech in 92.5% of the test utterances.

  7. Bandwidth Extension of Telephone Speech Aided by Data Embedding

    Directory of Open Access Journals (Sweden)

    Sagi Ariel

    2007-01-01

    Full Text Available A system for bandwidth extension of telephone speech, aided by data embedding, is presented. The proposed system uses the transmitted analog narrowband speech signal as a carrier of the side information needed to carry out the bandwidth extension. The upper band of the wideband speech is reconstructed at the receiving end from two components: a synthetic wideband excitation signal, generated from the narrowband telephone speech and a wideband spectral envelope, parametrically represented and transmitted as embedded data in the telephone speech. We propose a novel data embedding scheme, in which the scalar Costa scheme is combined with an auditory masking model allowing high rate transparent embedding, while maintaining a low bit error rate. The signal is transformed to the frequency domain via the discrete Hartley transform (DHT and is partitioned into subbands. Data is embedded in an adaptively chosen subset of subbands by modifying the DHT coefficients. In our simulations, high quality wideband speech was obtained from speech transmitted over a telephone line (characterized by spectral magnitude distortion, dispersion, and noise, in which side information data is transparently embedded at the rate of 600 information bits/second and with a bit error rate of approximately . In a listening test, the reconstructed wideband speech was preferred (at different degrees over conventional telephone speech in of the test utterances.

  8. Teaching residents to communicate: the use of a telephone triage system in an academic ambulatory clinic.

    Science.gov (United States)

    Caralis, Panagiota

    2010-09-01

    This study evaluated the use of a telephone triage system in an academic primary care clinic and its impact on communication, patient management and satisfaction. A "telephone clinic" was created using a triage nurse to answer patients' calls to an academic primary care clinic, staffed by house staff physicians. Chart reviews were conducted of all medical records of patients who called and were referred to the telephone clinic during a six month period. A total of 1135 patient calls were monitored. Using a random selection process, 366 patient calls were studied and 42% of these patients were called back two weeks after the initial call and were interviewed. Of the 336 calls, 68% of the calls were serious enough to be referred to a house staff physician. Symptom complaints accounted for 64% of the telephone calls; 4% of patients were sent to the emergency room or admitted to the hospital directly based on the information from the call. Telephone calls enhanced patients' access to specialty care consultative services and 14% of patients who called received a new medication prescription. Patients' satisfaction with the communication and the overall care provided by the "telephone clinic" was highly rated. The telephone contact initiated by the patients resulted in expedited access for patients whose symptoms were serious enough to require immediate referral to the emergency room or direct hospital admission. In a primary care practice, the telephone can be a major source of communication for practitioners, office staff and patients. The creation of a "telephone clinic" which utilizes nurses and house staff physicians trained and dedicated to telephone communication directly with patients resulted in more efficient management and greater satisfaction for patients. Published by Elsevier Ireland Ltd.

  9. Modeling track access charge to enhance railway industry performance

    Science.gov (United States)

    Berawi, Mohammed Ali; Miraj, Perdana; Berawi, Abdur Rohim Boy; Susantono, Bambang; Leviakangas, Pekka; Radiansyah, Hendra

    2017-11-01

    Indonesia attempts to improve nation's competitiveness by increasing the quality and the availability of railway network. However, the infrastructure improperly managed by the operator in terms of the technical issue. One of the reasons for this problem is an unbalanced value of infrastructure charge. In 2000's track access charge and infrastructure maintenance and operation for Indonesia railways are equal and despite current formula of the infrastructure charge, issues of transparency and accountability still in question. This research aims to produce an alternative scheme of track access charge by considering marginal cost plus markup (MC+) approach. The research combines qualitative and quantitative method through an in-depth interview and financial analysis. The result will generate alternative formula of infrastructure charge in Indonesia's railway industry. The simulation also conducted to estimate track access charge for the operator and to forecast government support in terms of subsidy. The result is expected to enhance railway industry performance and competitiveness.

  10. Nurse-led telephone follow-up after total knee arthroplasty

    DEFF Research Database (Denmark)

    Szöts, Kirsten; Konradsen, Hanne; Solgaard, Søren

    2015-01-01

    follow-up consultations and individual interviews with 10 patients formed the data material. Content analysis was used for the analysis. RESULTS: The content of the telephone follow-ups included dialogues relating to all key subjects for nursing status except 'culture/spirituality'. The structured......AIM AND OBJECTIVES: To generate information on how telephone follow-up consultations, structured by nursing status according to the VIPS-model, functioned after total knee arthroplasty. The objectives were to unfold the content of the telephone follow-ups according to the structure for nursing...... of health problems. A clinical trial was conducted to evaluate the effect of telephone follow-up, and information on how the telephone follow-ups functioned is relevant for implementation into clinical practice. DESIGN: A qualitative design was used. METHOD: One hundred and four case reports from telephone...

  11. ARTIMIS telephone travel information service : overall public awareness : evaluation of ARTIMIS telephone information system

    Science.gov (United States)

    1999-12-01

    This report summarizes the results of a random telephone survey of households in the Greater Cincinnati and Northern Kentucky Area. The objective was to determine awareness of the traffic management center and its telephone travel information service...

  12. Accessibility Modeling for a Developing Economy: The Case of Inter ...

    African Journals Online (AJOL)

    Be it that, given the prevailing income levels and fast growing population coupled with ever rising rate of travel costs, accessibility has and will continue to be considerably reduced particularly for employment and other essential activities located principally in industrial and urban centers of the Lake Basin. Services including ...

  13. Dataflow models for shared memory access latency analysis

    NARCIS (Netherlands)

    Staschulat, Jan; Bekooij, Marco Jan Gerrit

    2009-01-01

    Performance analysis of applications in multi-core platforms is challenging because of temporal interference while accessing shared resources. Especially, memory arbiters introduce a non-constant delay which signicantly in uences the execution time of a task. In this paper, we selected a

  14. Mapping crime scenes and cellular telephone usage

    CSIR Research Space (South Africa)

    Schmitz, Peter MU

    2000-12-01

    Full Text Available the accused. The billing records of the relevant telephones are obtained through a search warrant and for each call made before, during and after the commissioning of crimes, the approximate locations of the two telephones are plotted on a map....

  15. Cellular telephone use and cancer risk

    DEFF Research Database (Denmark)

    Schüz, Joachim; Jacobsen, Rune; Olsen, Jørgen H.

    2006-01-01

    BACKGROUND: The widespread use of cellular telephones has heightened concerns about possible adverse health effects. The objective of this study was to investigate cancer risk among Danish cellular telephone users who were followed for up to 21 years. METHODS: This study is an extended follow-up ...

  16. Selecting Telephone Systems for a School District.

    Science.gov (United States)

    Paddock, Steve

    1989-01-01

    A tried and tested formula for selecting the right telephone system includes the following elements: determining telephone system needs, considering future growth, using written proposals to make comparisons, and shopping for quality products with excellent references. Flagstaff (Arizona) Uified School District's experience is used to illustrate…

  17. Eight-channel telephone telemetry system

    Science.gov (United States)

    Smith, R.; Carr, T.

    1973-01-01

    Portable telemetry system uses conventional telephone link which eliminates mailing or messenger service between physician and analyst. Transmitter is used by physician; receiver is used by analyst. Each unit is inductively coupled to its respective telephone set, transmitter converting EEG into audio frequency and receiver converting this frequency back to EEG.

  18. Upgrade of the CERN telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, maintenance work will be carried out on the CERN switching centre between 8.00 p.m. and 10.00 p.m. on Monday 9 October. Telephone services may be disrupted and possibly even interrupted during this time. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  19. Telephone Operators' Resistance to British Colonial Administration ...

    African Journals Online (AJOL)

    This paper aims to write the history of yet another form of resistance to colonial rule in British Africa with a focus on telephone operators in the erstwhile Cameroons Province. The pith and kernel of the paper therefore is to show how telephone operators resisted the colonial administration. This typology of resistance is yet to ...

  20. PRN 97-4: Consumer Access Numbers on Pesticide Labels

    Science.gov (United States)

    This notice describes EPA policy on including telephone numbers and other access numbers or internet addresses, on pesticide product labeling. It also explains how the telephone number of the National Pesticide Information Center hotline may be used.

  1. Development of a model to quantify the accessibility of a Canadian trauma system.

    Science.gov (United States)

    Tansley, Gavin; Schuurman, Nadine; Erdogan, Mete; Bowes, Matthew; Green, Robert; Asbridge, Mark; Yanchar, Natalie

    2017-07-01

    Trauma systems have been widely implemented across Canada, but access to trauma care remains a challenge for much of the population. This study aims to develop and validate a model to quantify the accessibility of definitive care within one provincial trauma system and identify populations with poor access to trauma care. A geographic information system (GIS) was used to generate models of pre-scene and post-scene intervals, respectively. Models were validated using a population-based trauma registry containing data on prehospital time intervals and injury locations for Nova Scotia (NS). Validated models were then applied to describe the population-level accessibility of trauma care for the NS population as well as a cohort of patients injured in motor vehicle collisions (MVCs). Predicted post-scene intervals were found to be highly correlated with documented post-scene intervals (β 1.05, paccess to Level III and Level I trauma care within 60 minutes of prehospital time from their residence, respectively. Access for victims of MVCs was lower, with 84.3% and 29.7% of the cohort having access to Level III and Level I trauma care within 60 minutes of the location of injury, respectively. GIS models can be used to identify populations with poor access to care and inform service planning in Canada. Although only 43% of the provincial population has access to Level I care within 60 minutes, the majority of the population of NS has access to Level III trauma care.

  2. Streamflow gaging in a remote area using cellular telephone telemetry

    International Nuclear Information System (INIS)

    Wheelock, D.C.; Hurless, R.C.

    1991-01-01

    In this paper a case study is presented describing the utilization of cellular phone technology in a remote sensing situation. Because expected annual energy estimates are vital in planning small hydroelectric projects, it is important that the flow data from river gaging stations provide reliable information to the engineer. When the project is situated in a remote area where gaging stations are unavailable. such as on an island or in emerging nations, the design engineer may need to provide the flow data himself. The problem of transmitting the flow data from a remote mountain stream away from any roads and telephone lines, to the office for computer analysis was solved by using an innovative method utilizing cellular telephones to access raw data from solar powered data loggers and pressure transducer gaging instruments

  3. Probabilistic models for access strategies to dynamic information elements

    DEFF Research Database (Denmark)

    Hansen, Martin Bøgsted; Olsen, Rasmus L.; Schwefel, Hans-Peter

    In various network services (e.g., routing and instances of context-sensitive networking) remote access to dynamically changing information elements is a required functionality. Three fundamentally different strategies for such access are investigated in this paper: (1) a reactive approach...... initiated by the requesting entity, and two versions of proactive approaches in which the entity that contains the information element actively propagates its changes to potential requesters, either (2) periodically or (3) triggered by changes of the information element. This paper develops probabilistic...... for information elements spread over a large number of network nodes are provided, which allow to draw conclusions on scalability properties. The impact of different distribution types for the network delays as well as for the time between changes of the information element on the mismatch probability...

  4. METHOD AND ABSTRACT MODEL FOR CONTROL AND ACCESS RIGHTS BY REQUESTS REDIRECTION

    Directory of Open Access Journals (Sweden)

    K. A. Shcheglov

    2015-11-01

    Full Text Available We have researched implementation problems of control and access rights of subjects to objects in modern computer systems. We have suggested access control method based on objects access requests redirection. The method possesses a distinctive feature as compared to discretional access control. In case when a subject needs to deny writing (object modification, it is not denied but redirected (access rights are not changed, but operation is performed with another object. This gives the possibility to implement access policies to system objects without breaking the system and applications operability, and share correctly access objects between subjects. This important property of suggested access control method enables to solve fundamentally new system objects securing problems like system resources virtualization aimed to protect system objects from users’ and applications attacks. We have created an abstract model, and it shows that this method (access control from subjects to objects based on requests redirection can be used as self-sufficient access control method, implementing any access control policy (from subjects to objects, thus being an alternative to discretional access control method.

  5. Safety of Mixed Model Access Control in a Multilevel System

    Science.gov (United States)

    2014-06-01

    Control Policies.” IEEE International Conference on System of Systems Engineering 2009, n.p. [16] C. R. McDaniel, and M. L . Tardy, Role-Based...read O (Object) if and only if lo ls ( l represents the security clearance) and S has discretionary read access to O [3]. The *-Property (Star...Fun 1546 uri=“dc:author”> 1547 <Ind>Randy Arvay</Ind> 1548 </Fun> 1549 </Expr> 1550

  6. An Access Control Model for the Uniframe Framework

    Science.gov (United States)

    2005-05-01

    is called active software capabilities framework ( ASCap ) that centers around the idea of a policy object, which instead of being embedded into the...access control component, is delivered by the client. The client firsts requests an ASCap (policy object) from the security server. Then the client...and the object server both must instantiate proxies. The client ASCap proxy may then request additional credentials from other servers which may

  7. Capability-based Access Control Delegation Model on the Federated IoT Network

    DEFF Research Database (Denmark)

    Anggorojati, Bayu; Mahalle, Parikshit N.; Prasad, Neeli R.

    2012-01-01

    Flexibility is an important property for general access control system and especially in the Internet of Things (IoT), which can be achieved by access or authority delegation. Delegation mechanisms in access control that have been studied until now have been intended mainly for a system that has...... no resource constraint, such as a web-based system, which is not very suitable for a highly pervasive system such as IoT. To this end, this paper presents an access delegation method with security considerations based on Capability-based Context Aware Access Control (CCAAC) model intended for federated...... machine-to-machine communication or IoT networks. The main idea of our proposed model is that the access delegation is realized by means of a capability propagation mechanism, and incorporating the context information as well as secure capability propagation under federated IoT environments. By using...

  8. A Unified Access Model for Interconnecting Heterogeneous Wireless Networks

    Science.gov (United States)

    2015-05-01

    Defined Networking, OpenFlow, WiFi , LTE 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT UU 18. NUMBER OF PAGES 18 19a. NAME OF...Bio vi 1. Introduction/Background 1 2. Experiment 2 2.1 Proof-of-Concept with WiFi and Carrier-Sense Multiple Access (CSMA) 3 2.2 Two Virtual...Machine Configurations with WiFi and LTE 4 2.3 Three Virtual Machine Configurations with WiFi and LTE 5 3. Results and Discussion 5 4. Summary and

  9. Programmatic access to logical models in the Cell Collective modeling environment via a REST API.

    Science.gov (United States)

    Kowal, Bryan M; Schreier, Travis R; Dauer, Joseph T; Helikar, Tomáš

    2016-01-01

    Cell Collective (www.cellcollective.org) is a web-based interactive environment for constructing, simulating and analyzing logical models of biological systems. Herein, we present a Web service to access models, annotations, and simulation data in the Cell Collective platform through the Representational State Transfer (REST) Application Programming Interface (API). The REST API provides a convenient method for obtaining Cell Collective data through almost any programming language. To ensure easy processing of the retrieved data, the request output from the API is available in a standard JSON format. The Cell Collective REST API is freely available at http://thecellcollective.org/tccapi. All public models in Cell Collective are available through the REST API. For users interested in creating and accessing their own models through the REST API first need to create an account in Cell Collective (http://thecellcollective.org). thelikar2@unl.edu. Technical user documentation: https://goo.gl/U52GWo. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  10. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 20 November. Fixed-line telephone and audioconference services may be disrupted while the work is being carried out. However, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. For further details about the maintenance work, please contact the telephone switchboard on 76111 or by email. Telecom Section - IT/CS

  11. Access to a Responsiveness to Intervention Model: Does Beginning Intervention in Kindergarten Matter?

    Science.gov (United States)

    O'Connor, Rollanda E.; Bocian, Kathleen M.; Sanchez, Victoria; Beach, Kristen D.

    2014-01-01

    In this study, we tested the outcomes of access to a Response to Intervention (RtI) model in kindergarten or in first grade on end-of-Grade-2 reading achievement and placement in special education. Across five schools, 214 students who began having access to Tier 2 intervention in kindergarten or first grade were compared in Grades 1 and 2 with…

  12. Capacity Estimation Model for Signalized Intersections under the Impact of Access Point.

    Science.gov (United States)

    Zhao, Jing; Li, Peng; Zhou, Xizhao

    2016-01-01

    Highway Capacity Manual 2010 provides various factors to adjust the base saturation flow rate for the capacity analysis of signalized intersections. No factors, however, is considered for the potential change of signalized intersections capacity caused by the access point closeing to the signalized intersection. This paper presented a theoretical model to estimate the lane group capacity at signalized intersections with the consideration of the effects of access points. Two scenarios of access point locations, upstream or downstream of the signalized intersection, and impacts of six types of access traffic flow are taken into account. The proposed capacity model was validated based on VISSIM simulation. Results of extensive numerical analysis reveal the substantial impact of access point on the capacity, which has an inverse correlation with both the number of major street lanes and the distance between the intersection and access point. Moreover, among the six types of access traffic flows, the access traffic flow 1 (right-turning traffic from major street), flow 4 (left-turning traffic from access point), and flow 5 (left-turning traffic from major street) cause a more significant effect on lane group capacity than others. Some guidance on the mitigation of the negative effect is provided for practitioners.

  13. Capacity Estimation Model for Signalized Intersections under the Impact of Access Point.

    Directory of Open Access Journals (Sweden)

    Jing Zhao

    Full Text Available Highway Capacity Manual 2010 provides various factors to adjust the base saturation flow rate for the capacity analysis of signalized intersections. No factors, however, is considered for the potential change of signalized intersections capacity caused by the access point closeing to the signalized intersection. This paper presented a theoretical model to estimate the lane group capacity at signalized intersections with the consideration of the effects of access points. Two scenarios of access point locations, upstream or downstream of the signalized intersection, and impacts of six types of access traffic flow are taken into account. The proposed capacity model was validated based on VISSIM simulation. Results of extensive numerical analysis reveal the substantial impact of access point on the capacity, which has an inverse correlation with both the number of major street lanes and the distance between the intersection and access point. Moreover, among the six types of access traffic flows, the access traffic flow 1 (right-turning traffic from major street, flow 4 (left-turning traffic from access point, and flow 5 (left-turning traffic from major street cause a more significant effect on lane group capacity than others. Some guidance on the mitigation of the negative effect is provided for practitioners.

  14. Psychiatric diagnosis by telephone : is it an opportunity?

    NARCIS (Netherlands)

    Muskens, Esther M. H.; Lucassen, Peter; Groenleer, Wilke; van Weel, Chris; Voshaar, Richard Oude; Speckens, Anne

    2014-01-01

    BACKGROUND: For reasons of feasibility, diagnostic telephone interviews are frequently used in research of psychiatric morbidity. However, it is unknown whether diagnostic telephone interviews are as valid as diagnostic face-to-face interviews. RESEARCH QUESTION: Are diagnostic telephone interviews

  15. Multi-model-based Access Control in Construction Projects

    Directory of Open Access Journals (Sweden)

    Frank Hilbert

    2012-04-01

    Full Text Available During the execution of large scale construction projects performed by Virtual Organizations (VO, relatively complex technical models have to be exchanged between the VO members. For linking the trade and transfer of these models, a so-called multi-model container format was developed. Considering the different skills and tasks of the involved partners, it is not necessary for them to know all the models in every technical detailing. Furthermore, the model size can lead to a delay in communication. In this paper an approach is presented for defining model cut-outs according to the current project context. Dynamic dependencies to the project context as well as static dependencies on the organizational structure are mapped in a context-sensitive rule. As a result, an approach for dynamic filtering of multi-models is obtained which ensures, together with a filtering service, that the involved VO members get a simplified view of complex multi-models as well as sufficient permissions depending on their tasks.

  16. Telephone system operations evaluation : before AOS implementation

    Science.gov (United States)

    1999-01-01

    This study provides a detailed baseline analysis of telephone system performance before AOS : implementation. By the time of the preparation of this report, the phone system component of : AOS had not been implemented.

  17. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2009-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8h30 and 17h30 on Saturday 9 May. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. IT/CS/CS

  18. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2011-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 20h00 and midnight on the 21st of February in order to apply the latest software patches. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. CS Group

  19. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2011-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 20h00 and 2h00 on the 16 November. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. IT/CS

  20. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2009-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 20h00 and midnight on the 29th of July in order to apply the latest software patches. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. IT/CS/CS

  1. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT/CS

    2014-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and 2 a.m. on 26 August.   Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the Fire Brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work.

  2. The telephone in family.practice

    African Journals Online (AJOL)

    1983-02-26

    Feb 26, 1983 ... A total of 165 telephone calls were received during the week studied (27,5 per day). Twenty-five were received at home, 29 while I was on rounds and III at my rooms. Eighty-two calls werefrom patients (13,7 per day) (Tables I and 11). Ofall patient contacts, 35,8% were telephonic (Table Ill). A total time of 5 ...

  3. Enhancing Access to Scientific Models through Standard Web Services, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose to investigate the feasibility and value of the "Software as a Service" paradigm in facilitating access to Earth Science numerical models. We envision...

  4. Assisting the visually impaired to deal with telephone interview jobs using information and commutation technology.

    Science.gov (United States)

    Yeh, Fung-Huei; Yang, Chung-Chieh

    2014-12-01

    This study proposed a new information and commutation technology assisted blind telephone interview (ICT-ABTI) system to help visually impaired people to do telephone interview jobs as normal sighted people and create more diverse employment opportunities for them. The study also used an ABAB design to assess the system with seven visually impaired people. As the results, they can accomplish 3070 effective telephone interviews per month independently. The results also show that working performance of the visually impaired can be improved effectively with appropriate design of operation working flow and accessible software. The visually impaired become productive, lucrative, and self-sufficient by using ICT-ABTI system to do telephone interview jobs. The results were also shared through the APEC Digital Opportunity Center platform to help visually impaired in Philippines, Malaysia and China. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Modeling accessibility of community facilities using GIS: case study of Depok City, Indonesia

    Directory of Open Access Journals (Sweden)

    Herika Muhamad Taki

    2017-07-01

    Full Text Available Improving community accessibility based on transport connectivity helps to address equity issues. Geographical information systems (GIS provide useful techniques for capturing, maintaining and analyzing spatial data to defining community issues. The objective of this study is to model accessibility of community facilities using GIS based on private car, bus and train in the city area of Depok, Indonesia. The study modeling the accessibility of community facilities using Geographical information systems (GIS. A geodatabase of community facilities that includes the location of the mall, schools, hospital, mosque, and lake and also supporting data such as street and road network, the number of population, density and land use. The geodatabase covers defining community facilities and modeling accessibility by car, by bus, and by train and analyzing the social pattern. The results obtained from the spatial pattern of accessibility based on the different modes of transportation using the method of network analysis and buffering operations underlines the existence of different patterns. Car transport mode is a commonly accessible mode of community-related to land use interpretation and social issues. The conclusion is that there are differences in the spatial models at the city level in terms of the use of transportation accessibility

  6. Phonological Representations in Visual Word Recognition: The Adjunct Access Model. Technical Report. No. 247.

    Science.gov (United States)

    Kleiman, Glenn M.; Humphrey, Mary M.

    While studies of college-level readers have yielded evidence both for and against the use of phonological or speech recoding in the recognition of written words, no consistent picture of when recoding occurs has yet emerged. However, one model, the adjunct access model, can account for the previous research findings. According to this model,…

  7. Accessibility of the pre-big-bang models to LIGO

    International Nuclear Information System (INIS)

    Mandic, Vuk; Buonanno, Alessandra

    2006-01-01

    The recent search for a stochastic background of gravitational waves with LIGO interferometers has produced a new upper bound on the amplitude of this background in the 100 Hz region. We investigate the implications of the current and future LIGO results on pre-big-bang models of the early Universe, determining the exclusion regions in the parameter space of the minimal pre-big-bang scenario. Although the current LIGO reach is still weaker than the indirect bound from big bang nucleosynthesis, future runs by LIGO, in the coming year, and by Advanced LIGO (∼2009) should further constrain the parameter space, and in some parts surpass the Big Bang nucleosynthesis bound. It will be more difficult to constrain the parameter space in nonminimal pre-big bang models, which are characterized by multiple cosmological phases in the yet not well understood stringy phase, and where the higher-order curvature and/or quantum-loop corrections in the string effective action should be included

  8. An investigation of an open-access model for scaling up methadone maintenance treatment.

    Science.gov (United States)

    Madden, Lynn M; Farnum, Scott O; Eggert, Kathryn F; Quanbeck, Andrew R; Freeman, Robert M; Ball, Samuel A; Schottenfeld, Richard S; Shi, Julia M; Savage, Mary Ellen; Barry, Declan T

    2018-02-17

    To examine retrospectively patient and programmatic outcomes following the development and implementation of an 'open-access' model in which prospective patients were enrolled rapidly in methadone maintenance treatment, irrespective of ability to pay, and provided real-time access to multiple voluntary treatment options. Medical and administrative records were abstracted to compare data for 1 year before and 9 years after initiating the implementation of an open-access treatment model in May 2007. Methadone maintenance treatment center in Connecticut, USA. Individuals with opioid use disorder entering treatment between July 2006 and June 2015. In June 2015, 64% (n = 2594) of the sample were men and 80% (n = 3133) reported that they were white. The Network for the Improvement of Addiction Treatment-informed open-access treatment model uses process improvement strategies to improve treatment access and capacity. Census, waiting time, retention, non-medical opioid use, patient mortality and financial sustainability (net income and state-block grants as proportions of revenue). In the 9 years following the initial implementation of the open-access model, patient census increased by 183% from 1431 to 4051, and average waiting-time days decreased from 21 to 0.3 (same day) without apparent deleterious effects on rates of retention, non-medical opioid use or mortality. Between fiscal years (FY) 06 and FY 15, net operating margin rose from 2 to 10%, while state-block grant revenues declined 14% and the proportion of total revenue from state-block grant revenue decreased from 49 to 24%. An open-access model for rapid enrolment of people with opioid use disorder in methadone treatment appears to improve treatment access, capacity, and financial sustainability without evidence of deleterious effects on treatment outcomes. © 2018 Society for the Study of Addiction.

  9. Modeling hospital infrastructure by optimizing quality, accessibility and efficiency via a mixed integer programming model.

    Science.gov (United States)

    Ikkersheim, David; Tanke, Marit; van Schooten, Gwendy; de Bresser, Niels; Fleuren, Hein

    2013-06-16

    The majority of curative health care is organized in hospitals. As in most other countries, the current 94 hospital locations in the Netherlands offer almost all treatments, ranging from rather basic to very complex care. Recent studies show that concentration of care can lead to substantial quality improvements for complex conditions and that dispersion of care for chronic conditions may increase quality of care. In previous studies on allocation of hospital infrastructure, the allocation is usually only based on accessibility and/or efficiency of hospital care. In this paper, we explore the possibilities to include a quality function in the objective function, to give global directions to how the 'optimal' hospital infrastructure would be in the Dutch context. To create optimal societal value we have used a mathematical mixed integer programming (MIP) model that balances quality, efficiency and accessibility of care for 30 ICD-9 diagnosis groups. Typical aspects that are taken into account are the volume-outcome relationship, the maximum accepted travel times for diagnosis groups that may need emergency treatment and the minimum use of facilities. The optimal number of hospital locations per diagnosis group varies from 12-14 locations for diagnosis groups which have a strong volume-outcome relationship, such as neoplasms, to 150 locations for chronic diagnosis groups such as diabetes and chronic obstructive pulmonary disease (COPD). In conclusion, our study shows a new approach for allocating hospital infrastructure over a country or certain region that includes quality of care in relation to volume per provider that can be used in various countries or regions. In addition, our model shows that within the Dutch context chronic care may be too concentrated and complex and/or acute care may be too dispersed. Our approach can relatively easily be adopted towards other countries or regions and is very suitable to perform a 'what-if' analysis.

  10. Spatiotemporal Access Model Based on Reputation for the Sensing Layer of the IoT

    Science.gov (United States)

    Guo, Yunchuan; Yin, Lihua; Li, Chao

    2014-01-01

    Access control is a key technology in providing security in the Internet of Things (IoT). The mainstream security approach proposed for the sensing layer of the IoT concentrates only on authentication while ignoring the more general models. Unreliable communications and resource constraints make the traditional access control techniques barely meet the requirements of the sensing layer of the IoT. In this paper, we propose a model that combines space and time with reputation to control access to the information within the sensing layer of the IoT. This model is called spatiotemporal access control based on reputation (STRAC). STRAC uses a lattice-based approach to decrease the size of policy bases. To solve the problem caused by unreliable communications, we propose both nondeterministic authorizations and stochastic authorizations. To more precisely manage the reputation of nodes, we propose two new mechanisms to update the reputation of nodes. These new approaches are the authority-based update mechanism (AUM) and the election-based update mechanism (EUM). We show how the model checker UPPAAL can be used to analyze the spatiotemporal access control model of an application. Finally, we also implement a prototype system to demonstrate the efficiency of our model. PMID:25177731

  11. Spatiotemporal access model based on reputation for the sensing layer of the IoT.

    Science.gov (United States)

    Guo, Yunchuan; Yin, Lihua; Li, Chao; Qian, Junyan

    2014-01-01

    Access control is a key technology in providing security in the Internet of Things (IoT). The mainstream security approach proposed for the sensing layer of the IoT concentrates only on authentication while ignoring the more general models. Unreliable communications and resource constraints make the traditional access control techniques barely meet the requirements of the sensing layer of the IoT. In this paper, we propose a model that combines space and time with reputation to control access to the information within the sensing layer of the IoT. This model is called spatiotemporal access control based on reputation (STRAC). STRAC uses a lattice-based approach to decrease the size of policy bases. To solve the problem caused by unreliable communications, we propose both nondeterministic authorizations and stochastic authorizations. To more precisely manage the reputation of nodes, we propose two new mechanisms to update the reputation of nodes. These new approaches are the authority-based update mechanism (AUM) and the election-based update mechanism (EUM). We show how the model checker UPPAAL can be used to analyze the spatiotemporal access control model of an application. Finally, we also implement a prototype system to demonstrate the efficiency of our model.

  12. Access Control Mechanism for IoT Environments Based on Modelling Communication Procedures as Resources

    Directory of Open Access Journals (Sweden)

    Luis Cruz-Piris

    2018-03-01

    Full Text Available Internet growth has generated new types of services where the use of sensors and actuators is especially remarkable. These services compose what is known as the Internet of Things (IoT. One of the biggest current challenges is obtaining a safe and easy access control scheme for the data managed in these services. We propose integrating IoT devices in an access control system designed for Web-based services by modelling certain IoT communication elements as resources. This would allow us to obtain a unified access control scheme between heterogeneous devices (IoT devices, Internet-based services, etc.. To achieve this, we have analysed the most relevant communication protocols for these kinds of environments and then we have proposed a methodology which allows the modelling of communication actions as resources. Then, we can protect these resources using access control mechanisms. The validation of our proposal has been carried out by selecting a communication protocol based on message exchange, specifically Message Queuing Telemetry Transport (MQTT. As an access control scheme, we have selected User-Managed Access (UMA, an existing Open Authorization (OAuth 2.0 profile originally developed for the protection of Internet services. We have performed tests focused on validating the proposed solution in terms of the correctness of the access control system. Finally, we have evaluated the energy consumption overhead when using our proposal.

  13. Access Control Mechanism for IoT Environments Based on Modelling Communication Procedures as Resources.

    Science.gov (United States)

    Cruz-Piris, Luis; Rivera, Diego; Marsa-Maestre, Ivan; de la Hoz, Enrique; Velasco, Juan R

    2018-03-20

    Internet growth has generated new types of services where the use of sensors and actuators is especially remarkable. These services compose what is known as the Internet of Things (IoT). One of the biggest current challenges is obtaining a safe and easy access control scheme for the data managed in these services. We propose integrating IoT devices in an access control system designed for Web-based services by modelling certain IoT communication elements as resources. This would allow us to obtain a unified access control scheme between heterogeneous devices (IoT devices, Internet-based services, etc.). To achieve this, we have analysed the most relevant communication protocols for these kinds of environments and then we have proposed a methodology which allows the modelling of communication actions as resources. Then, we can protect these resources using access control mechanisms. The validation of our proposal has been carried out by selecting a communication protocol based on message exchange, specifically Message Queuing Telemetry Transport (MQTT). As an access control scheme, we have selected User-Managed Access (UMA), an existing Open Authorization (OAuth) 2.0 profile originally developed for the protection of Internet services. We have performed tests focused on validating the proposed solution in terms of the correctness of the access control system. Finally, we have evaluated the energy consumption overhead when using our proposal.

  14. Hierarchy Bayesian model based services awareness of high-speed optical access networks

    Science.gov (United States)

    Bai, Hui-feng

    2018-03-01

    As the speed of optical access networks soars with ever increasing multiple services, the service-supporting ability of optical access networks suffers greatly from the shortage of service awareness. Aiming to solve this problem, a hierarchy Bayesian model based services awareness mechanism is proposed for high-speed optical access networks. This approach builds a so-called hierarchy Bayesian model, according to the structure of typical optical access networks. Moreover, the proposed scheme is able to conduct simple services awareness operation in each optical network unit (ONU) and to perform complex services awareness from the whole view of system in optical line terminal (OLT). Simulation results show that the proposed scheme is able to achieve better quality of services (QoS), in terms of packet loss rate and time delay.

  15. Testing the priority-of-access model in a seasonally breeding primate species

    OpenAIRE

    Dubuc, Constance; Muniz, Laura; Heistermann, Michael; Engelhardt, Antje; Widdig, Anja

    2011-01-01

    In mammals, when females are clumped in space, male access to receptive females is usually determined by a dominance hierarchy based on fighting ability. In polygynandrous primates, as opposed to most mammalian species, the strength of the relationship between male social status and reproductive success varies greatly. It has been proposed that the degree to which paternity is determined by male rank decreases with increasing female reproductive synchrony. The priority-of-access model (PoA) p...

  16. Feasibility Assessment of a Fine-Grained Access Control Model on Resource Constrained Sensors

    Directory of Open Access Journals (Sweden)

    Mikel Uriarte Itzazelaia

    2018-02-01

    Full Text Available Upcoming smart scenarios enabled by the Internet of Things (IoT envision smart objects that provide services that can adapt to user behavior or be managed to achieve greater productivity. In such environments, smart things are inexpensive and, therefore, constrained devices. However, they are also critical components because of the importance of the information that they provide. Given this, strong security is a requirement, but not all security mechanisms in general and access control models in particular are feasible. In this paper, we present the feasibility assessment of an access control model that utilizes a hybrid architecture and a policy language that provides dynamic fine-grained policy enforcement in the sensors, which requires an efficient message exchange protocol called Hidra. This experimental performance assessment includes a prototype implementation, a performance evaluation model, the measurements and related discussions, which demonstrate the feasibility and adequacy of the analyzed access control model.

  17. Feasibility Assessment of a Fine-Grained Access Control Model on Resource Constrained Sensors.

    Science.gov (United States)

    Uriarte Itzazelaia, Mikel; Astorga, Jasone; Jacob, Eduardo; Huarte, Maider; Romaña, Pedro

    2018-02-13

    Upcoming smart scenarios enabled by the Internet of Things (IoT) envision smart objects that provide services that can adapt to user behavior or be managed to achieve greater productivity. In such environments, smart things are inexpensive and, therefore, constrained devices. However, they are also critical components because of the importance of the information that they provide. Given this, strong security is a requirement, but not all security mechanisms in general and access control models in particular are feasible. In this paper, we present the feasibility assessment of an access control model that utilizes a hybrid architecture and a policy language that provides dynamic fine-grained policy enforcement in the sensors, which requires an efficient message exchange protocol called Hidra. This experimental performance assessment includes a prototype implementation, a performance evaluation model, the measurements and related discussions, which demonstrate the feasibility and adequacy of the analyzed access control model.

  18. Distant telephone transmission of CT images

    International Nuclear Information System (INIS)

    Suzuki, Masayuki; Takashima, Tsutomu; Nishijima, Hiroshi; Itoh, Hiroshi; Kitagawa, Kiyohide; Kadoya, Masumi; Wakatsuki, Toshinosuke.

    1985-01-01

    CT image transmission system using the telephone line was held between the Department of Radiology, Kanazawa University and Ushitsu General Hospital, about 95 km in distance, and was clinically evaluated. The transmission images were satisfactory and diagnostic in demonstrating both the normal anatomy and the pathological lesions. Tiny calcium shadows were often difficult to be detected. There were some cases in which the transmission images were distorted by the malfunction of the telephone line. Although the transmission time was too long (about 220 seconds), the use of multiimage display (usually four images) improved this disadvantage to some extent. The problems to be resolved have the technical and administrative aspects. The shortening of the transmission time and the development of the image storage system will be achieved in the near future. We stress that, for the popularization of this system, some administrative managements such as the reduction of the telephone charge and the introduction of the reading fee will be needed. (author)

  19. Dúplex telefónico - Duplex telephonic

    Directory of Open Access Journals (Sweden)

    Santos López, Pascual

    2006-12-01

    Full Text Available Only 19 years after a timid introduction of telephony in Spain and seven years before the founding of the National Telephonic Company of Spain, Pascual Salmerón Gómez records his two patents: "Duplex telephonic" and "Simultaneous duplex telephonic with telegraph machines". Two high technical complexity patents, registered in 1917 in the town of Arucas, province of Gran Canaria analyzed to our readers.Nephew of the inventor of the "Float Salmerón," José Salmerón Rojas and brother of Gerónimo Gómez Salmerón, inventor of "Cerealémetro" and owner of the theater Borras and with which we ended the saga Salmerón.

  20. The model of access for the continuous postal network management process

    Directory of Open Access Journals (Sweden)

    Unterberger Marija P.

    2017-01-01

    Full Text Available The paper has developed a dynamic, universal model for managing the access to the postal network that will provide greater demand for access service and the availability of postal network throughout the territory of the Republic of Serbia. A survey conducted in order to develop a methodology that will define the access model is presented by an algorithm through all five phases of the management process, which will enable systematic monitoring and control of all activities within the defined access model. The Post-DeSS methodology was proposed, the main objective of which was to analyze the requirements for access to the postal network and to explore the factors influencing access. The defined methodology represents one of the stages of the management process - planning, using the Delfi, Servqualand Scenario methods. Based on the achieved results obtained by the Post-DeSS methodology, guidelines for the further development of the postal network and further directions of postal market research are given.

  1. The TriLab, a Novel ICT Based Triple Access Mode Laboratory Education Model

    Science.gov (United States)

    Abdulwahed, Mahmoud; Nagy, Zoltan K.

    2011-01-01

    This paper introduces a novel model of laboratory education, namely the TriLab. The model is based on recent advances in ICT and implements a three access modes to the laboratory experience (virtual, hands-on and remote) in one software package. A review of the three modes is provided with highlights of advantages and disadvantages of each mode.…

  2. Elimination of HIV in South Africa through expanded access to antiretroviral therapy: a model comparison study

    NARCIS (Netherlands)

    Hontelez, J.A.; Lurie, M.N.; Barnighausen, T.; Bakker, R.; Baltussen, R.; Tanser, F.; Hallett, T.B.; Newell, M.L.; Vlas, S.J. de

    2013-01-01

    BACKGROUND: Expanded access to antiretroviral therapy (ART) using universal test and treat (UTT) has been suggested as a strategy to eliminate HIV in South Africa within 7 y based on an influential mathematical modeling study. However, the underlying deterministic model was criticized widely, and

  3. Elimination of HIV in South Africa through Expanded Access to Antiretroviral Therapy : A Model Comparison Study

    NARCIS (Netherlands)

    J.A.C. Hontelez (Jan); M.N. Lurie (Mark N.); T. Bärnighausen (Till); R. Bakker (Roel); R.M.P.M. Baltussen (Rob); F. Tanser (Frank); T.B. Hallett (Timothy); M.L. Newell (Marie Louise); S.J. de Vlas (Sake)

    2013-01-01

    textabstractBackground: Expanded access to antiretroviral therapy (ART) using universal test and treat (UTT) has been suggested as a strategy to eliminate HIV in South Africa within 7 y based on an influential mathematical modeling study. However, the underlying deterministic model was criticized

  4. Elimination of HIV in South Africa through Expanded Access to Antiretroviral Therapy: A Model Comparison Study

    NARCIS (Netherlands)

    J.A.C. Hontelez (Jan); M.N. Lurie (Mark N.); T. Bärnighausen (Till); R. Bakker (Roel); R.M.P.M. Baltussen (Rob); F. Tanser (Frank); T.B. Hallett (Timothy); M.-L. Newell (Marie-Louise); S.J. de Vlas (Sake)

    2013-01-01

    textabstractBackground:Expanded access to antiretroviral therapy (ART) using universal test and treat (UTT) has been suggested as a strategy to eliminate HIV in South Africa within 7 y based on an influential mathematical modeling study. However, the underlying deterministic model was criticized

  5. Video Modeling and Observational Learning to Teach Gaming Access to Students with ASD

    Science.gov (United States)

    Spriggs, Amy D.; Gast, David L.; Knight, Victoria F.

    2016-01-01

    The purpose of this study was to evaluate both video modeling and observational learning to teach age-appropriate recreation and leisure skills (i.e., accessing video games) to students with autism spectrum disorder. Effects of video modeling were evaluated via a multiple probe design across participants and criteria for mastery were based on…

  6. Modeling Accessibility of Screening and Treatment Facilities for Older Adults using Transportation Networks.

    Science.gov (United States)

    Zhang, Qiuyi; Northridge, Mary E; Jin, Zhu; Metcalf, Sara S

    2018-04-01

    Increased lifespans and population growth have resulted in an older U.S. society that must reckon with the complex oral health needs that arise as adults age. Understanding accessibility to screening and treatment facilities for older adults is necessary in order to provide them with preventive and restorative services. This study uses an agent-based model to examine the accessibility of screening and treatment facilities via transportation networks for older adults living in the neighborhoods of northern Manhattan, New York City. Older adults are simulated as socioeconomically distinct agents who move along a GIS-based transportation network using transportation modes that mediate their access to screening and treatment facilities. This simulation model includes four types of mobile agents as a simplifying assumption: walk, by car, by bus, or by van (i.e., a form of transportation assistance for older adults). These mobile agents follow particular routes: older adults who travel by car, bus, and van follow street roads, whereas pedestrians follow walkways. The model enables the user to focus on one neighborhood at a time for analysis. The spatial dimension of an older adult's accessibility to screening and treatment facilities is simulated through the travel costs (indicated by travel time or distance) incurred in the GIS-based model environment, where lower travel costs to screening and treatment facilities imply better access. This model provides a framework for representing health-seeking behavior that is contextualized by a transportation network in a GIS environment.

  7. An enhancement of the role-based access control model to facilitate information access management in context of team collaboration and workflow.

    Science.gov (United States)

    Le, Xuan Hung; Doll, Terry; Barbosu, Monica; Luque, Amneris; Wang, Dongwen

    2012-12-01

    Although information access control models have been developed and applied to various applications, few of the previous works have addressed the issue of managing information access in the combined context of team collaboration and workflow. To facilitate this requirement, we have enhanced the Role-Based Access Control (RBAC) model through formulating universal constraints, defining bridging entities and contributing attributes, extending access permissions to include workflow contexts, synthesizing a role-based access delegation model to target on specific objects, and developing domain ontologies as instantiations of the general model to particular applications. We have successfully applied this model to the New York State HIV Clinical Education Initiative (CEI) project to address the specific needs of information management in collaborative processes. An initial evaluation has shown this model achieved a high level of agreement with an existing system when applied to 4576 cases (kappa=0.801). Comparing to a reference standard, the sensitivity and specificity of the enhanced RBAC model were at the level of 97-100%. These results indicate that the enhanced RBAC model can be effectively used for information access management in context of team collaboration and workflow to coordinate clinical education programs. Future research is required to incrementally develop additional types of universal constraints, to further investigate how the workflow context and access delegation can be enriched to support the various needs on information access management in collaborative processes, and to examine the generalizability of the enhanced RBAC model for other applications in clinical education, biomedical research, and patient care. Copyright © 2012 Elsevier Inc. All rights reserved.

  8. Fast Keyword Spotting in Telephone Speech

    Directory of Open Access Journals (Sweden)

    J. Nouza

    2009-12-01

    Full Text Available In the paper, we present a system designed for detecting keywords in telephone speech. We focus not only on achieving high accuracy but also on very short processing time. The keyword spotting system can run in three modes: a an off-line mode requiring less than 0.1xRT, b an on-line mode with minimum (2 s latency, and c a repeated spotting mode, in which pre-computed values allow for additional acceleration. Its performance is evaluated on recordings of Czech spontaneous telephone speech using rather large and complex keyword lists.

  9. Sleep information by Telephone: Callers Indicate Positive Effects on Sleep Problems

    NARCIS (Netherlands)

    Verbeek, I.; Declerck, G.; Knuistingh Neven, A.; Coenen, A.M.L.

    2002-01-01

    There is a need to develop effective interventions for insomnia that are readily accessible and not too expensive. For the reason that earlier studies have already shown that direct contact with a sleep therapist is not always needed, telephone service may be useful to give insomnia patients

  10. 26 CFR 49.4254-2 - Payment for toll telephone service or telegraph service in coin-operated telephones.

    Science.gov (United States)

    2010-04-01

    ... service in coin-operated telephones. 49.4254-2 Section 49.4254-2 Internal Revenue INTERNAL REVENUE SERVICE... Communications § 49.4254-2 Payment for toll telephone service or telegraph service in coin-operated telephones... radio dispatch or message is paid by inserting coins in a coin-operated telephone, the tax shall be...

  11. Interactive, open source, travel time scenario modelling: tools to facilitate participation in health service access analysis.

    Science.gov (United States)

    Fisher, Rohan; Lassa, Jonatan

    2017-04-18

    Modelling travel time to services has become a common public health tool for planning service provision but the usefulness of these analyses is constrained by the availability of accurate input data and limitations inherent in the assumptions and parameterisation. This is particularly an issue in the developing world where access to basic data is limited and travel is often complex and multi-modal. Improving the accuracy and relevance in this context requires greater accessibility to, and flexibility in, travel time modelling tools to facilitate the incorporation of local knowledge and the rapid exploration of multiple travel scenarios. The aim of this work was to develop simple open source, adaptable, interactive travel time modelling tools to allow greater access to and participation in service access analysis. Described are three interconnected applications designed to reduce some of the barriers to the more wide-spread use of GIS analysis of service access and allow for complex spatial and temporal variations in service availability. These applications are an open source GIS tool-kit and two geo-simulation models. The development of these tools was guided by health service issues from a developing world context but they present a general approach to enabling greater access to and flexibility in health access modelling. The tools demonstrate a method that substantially simplifies the process for conducting travel time assessments and demonstrate a dynamic, interactive approach in an open source GIS format. In addition this paper provides examples from empirical experience where these tools have informed better policy and planning. Travel and health service access is complex and cannot be reduced to a few static modeled outputs. The approaches described in this paper use a unique set of tools to explore this complexity, promote discussion and build understanding with the goal of producing better planning outcomes. The accessible, flexible, interactive and

  12. A Generic Role Based Access Control Model for Wind Power Systems

    DEFF Research Database (Denmark)

    Nagarajan, Anand; Jensen, Christian D.

    2010-01-01

    The electrical power infrastructure is facing a transition from a largely centralised distribution infrastructure with a few large power plants to an increasingly distributed infrastructure that must incorporate privately owned and operated power generation units based on fuel cells or sustainable...... infrastructure in a software domain in a manufacturer independent manner as well as establishing secure communication and authenticating the other parties in electrical power infrastructures, but they do not address the problem of access control. We therefore propose a generic model for access control in wind...... power systems, which is based on the widely used role-based access control model. The proposed model is tested using a prototype designed in conformance with the standards that are in use in modern wind power infrastructure and the results are presented to determine the overhead in communication caused...

  13. Developing Access Control Model of Web OLAP over Trusted and Collaborative Data Warehouses

    Science.gov (United States)

    Fugkeaw, Somchart; Mitrpanont, Jarernsri L.; Manpanpanich, Piyawit; Juntapremjitt, Sekpon

    This paper proposes the design and development of Role- based Access Control (RBAC) model for the Single Sign-On (SSO) Web-OLAP query spanning over multiple data warehouses (DWs). The model is based on PKI Authentication and Privilege Management Infrastructure (PMI); it presents a binding model of RBAC authorization based on dimension privilege specified in attribute certificate (AC) and user identification. Particularly, the way of attribute mapping between DW user authentication and privilege of dimensional access is illustrated. In our approach, we apply the multi-agent system to automate flexible and effective management of user authentication, role delegation as well as system accountability. Finally, the paper culminates in the prototype system A-COLD (Access Control of web-OLAP over multiple DWs) that incorporates the OLAP features and authentication and authorization enforcement in the multi-user and multi-data warehouse environment.

  14. [Electromagnetic fields in the vicinity of DECT cordless telephones and mobile phones].

    Science.gov (United States)

    Mamrot, Paweł; Mariańska, Magda; Aniołczyk, Halina; Politański, Piotr

    2015-01-01

    Mobile telephones belong to the most frequently used personal devices. In their surroundings they produce the electromagnetic field (EMF), in which exposure range there are not only users but also nearby bystanders. The aim of the investigations and EMF measurements in the vicinity of phones was to identify the electric field levels with regard to various working modes. Twelve sets of DECT (digital enhanced cordless telecommunications) cordless phones (12 base units and 15 handsets), 21 mobile telephones produced by different manufactures, and 16 smartphones in various applications, (including multimedia) in the conditions of daily use in living rooms were measured. Measurements were taken using the point method in predetermined distances of 0.05-1 m from the devices without the presence of users. In the vicinity of DECT cordless phone handsets, electric field strength ranged from 0.26 to 2.30 V/m in the distance of 0.05 m - 0.18-0.26 V/m (1 m). In surroundings of DECT cordless telephones base units the values of EMF were from 1.78-5.44 V/m (0.05 m) to 0.19- 0.41 V/m (1 m). In the vicinity of mobile phones working in GSM mode with voice transmission, the electric field strength ranged from 2.34-9.14 V/m (0.05 m) to 0.18-0.47 V/m (1 m) while in the vicinity of mobile phones working in WCDMA (Wideband Code Division Multiple Access) mode the electric field strength ranged from 0.22-1.83 V/m (0.05 m) to 0.18-0.20 V/m (1 m). The mean values of the electric field strength for each group of devices, mobile phones and DECT wireless phones sets do not exceed the reference value of 7 V/m, adopted as the limit for general public exposure. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  15. Reintegration: The Role of Spouse Telephone Battlemind

    Science.gov (United States)

    2011-10-01

    the uses of sexually compulsive behavior to avoid the traumatic memories of combat. Sexual Addiction & Compulsivity, 14 (2), 77-94. Karney, B.R...Role of Spouse Telephone BATTLEMIND W81XWH-08-2-0195 September 2008 – September 2011 Reintegration Challenges  Marital infidelity  Marital

  16. Telephone & Self Completed Satisfaction Surveys. Training Manual.

    Science.gov (United States)

    Alberta Dept. of Education, Edmonton.

    This manual was developed to assist school jurisdiction personnel in implementing effective customer satisfaction surveys by telephone or through mailed surveys to be completed by the customer. It provides background information about market research field activities and processes and gives an overview of the entire data collection process,…

  17. Maintenance of CERN telephone exchanges - erratum

    CERN Multimedia

    2005-01-01

    The next maintenance of CERN telephone exchanges will be performed on 19th, 20th, 21st, and 22nd of September from 7 p.m. to 9 p.m. Disturbances or even interruptions of telephony services may occur during this lapse of time. We apology in advance for any inconveniences that this may cause.

  18. The telephone in family.practice

    African Journals Online (AJOL)

    1983-02-26

    Feb 26, 1983 ... sional's task on the telephone depends on the ability to ascertain the physical condition of the patient, the social and emotional tenor of the family and the competence of the person calling to describe the situation. This evaluation must be aimed at without benefit of the senses ofsmell, sight and touch, which ...

  19. Modeling and Recognizing Policy Conflicts with Resource Access Requests on Protected Health Information

    Directory of Open Access Journals (Sweden)

    Raik Kuhlisch

    2017-07-01

    Full Text Available This article discusses potential clashes between different types of security policies that regulate resource access requests on clinical patient data in hospitals by employees. Attribute-based Access Control (ABAC is proposed as a proper means for such regulation. A proper representation of ABAC policies must include a handling of policy attributes among different policy types. In this article, we propose a semantic policy model with predefined policy conflict categories. A conformance verification function detects erroneous, clashing or mutually susceptible rules early during the policy planning phase. The model and conflicts are used in a conceptual application environment and evaluated in a technical experiment during an interoperability test event.

  20. Tractable Stochastic Geometry Model for IoT Access in LTE Networks

    KAUST Repository

    Gharbieh, Mohammad

    2017-02-07

    The Internet of Things (IoT) is large-scale by nature. This is not only manifested by the large number of connected devices, but also by the high volumes of traffic that must be accommodated. Cellular networks are indeed a natural candidate for the data tsunami the IoT is expected to generate in conjunction with legacy human-type traffic. However, the random access process for scheduling request represents a major bottleneck to support IoT via LTE cellular networks. Accordingly, this paper develops a mathematical framework to model and study the random access channel (RACH) scalability to accommodate IoT traffic. The developed model is based on stochastic geometry and discrete time Markov chains (DTMC) to account for different access strategies and possible sources of inter-cell and intra-cell interferences. To this end, the developed model is utilized to assess and compare three different access strategies, which incorporate a combination of transmission persistency, back-off, and power ramping. The analysis and the results showcased herewith clearly illustrate the vulnerability of the random access procedure as the IoT intensity grows. Finally, the paper offers insights into effective scenarios for each transmission strategy in terms of IoT intensity and RACH detection thresholds.

  1. Disparities in the Use of Internet and Telephone Medication Refills among Linguistically Diverse Patients.

    Science.gov (United States)

    Moreno, Gerardo; Lin, Elizabeth H; Chang, Eva; Johnson, Ron L; Berthoud, Heidi; Solomon, Cam C; Morales, Leo S

    2016-03-01

    Health systems are increasingly implementing remote telephone and Internet refill systems to enhance patient access to medication refills. Remote refill systems may provide an effective approach for improving medication non-adherence, but more research is needed among patients with limited English proficiency with poor access to remote refill systems. To compare the use of remote medication refill systems among limited-English-proficiency (LEP) and English-proficient (EP) patients with chronic conditions. Cross-sectional survey in six languages/dialects (English, Cantonese, Mandarin, Korean, Vietnamese, and Spanish) of 509 adults with diabetes, hypertension, or hyperlipidemia. Primary study outcomes were self-reported use of 1) Internet refills, 2) telephone refills, and 3) any remote refill system. LEP was measured by patient self-identification of a primary language other than English and a claims record of use of an interpreter. Other measures were age, gender, education, years in the U.S., insurance, health status, chronic conditions, and number of prescribed medications. Analyses included multivariable logistic regression weighted for survey non-response. Overall, 33.1 % of patients refilled their medications by telephone and 31.6 % by Internet. Among LEP patients (n = 328), 31.5 % refilled by telephone and 21.2 % by Internet, compared with 36.7 % by telephone and 52.7 % by Internet among EP patients (n = 181). Internet refill by language groups were as follows: English (52.7 %), Cantonese (34.9 %), Mandarin (17.4 %), Korean (16.7 %), Vietnamese (24.4 %), and Spanish (12.6 %). Compared to EP patients, LEP patients had lower use of any remote refill system (adjusted odds ratio [AOR] 0.18; p use any remote medication refill system. Increased reliance on current systems for remote medication refills may increase disparities in health outcomes affecting LEP patients with poor access to telephone and Internet medication refills.

  2. The comparison of spatial accessibility measures between non-obstacle and obstacle oriented based on gravity model

    Science.gov (United States)

    Han, Zhi-Gang; Cui, Cai-Hui

    2009-10-01

    Spatial accessibility denotes the ease with which activities may be reached from a given location using a particular transportation system. There are a number of accessibility measures methods and models, such as time of access to city centre, mean travel costs and opportunity accessibility. But these methods or models ignore the existence of obstacles. In fact, there are many kinds of obstacles in the world, such as rivers, railways, etc. The paper reviews the progress of accessibility measures, and introduces the obstacle to the accessibility measures. Meanwhile, through the analysis of A* algorithm, the advantage of A* algorithm that could avoid obstacles is put forward. Based on the above mentioned, the obstacle oriented accessibility measures based on simple gravity model is discussed in details. Finally, a case study is fulfilled by comparison between the obstacle oriented and non-obstacle accessibility measures.

  3. A Tractable Model of the LTE Access Reservation Procedure for Machine-Type Communications

    DEFF Research Database (Denmark)

    Nielsen, Jimmy Jessen; Min Kim, Dong; Madueño, Germán Corrales

    2015-01-01

    A canonical scenario in Machine-Type Communications (MTC) is the one featuring a large number of devices, each of them with sporadic traffic. Hence, the number of served devices in a single LTE cell is not determined by the available aggregate rate, but rather by the limitations of the LTE access...... reservation protocol. Specifically, the limited number of contention preambles and the limited amount of uplink grants per random access response are crucial to consider when dimensioning LTE networks for MTC. We propose a low-complexity model that encompasses these two limitations and allows us to evaluate...... on the preamble collisions. A comparison with the simulated LTE access reservation procedure that follows the 3GPP specifications, confirms that our model provides an accurate estimation of the system outage event and the number of supported MTC devices....

  4. 78 FR 53684 - Misuse of Internet Protocol (IP) Captioned Telephone Service; Telecommunications Relay Services...

    Science.gov (United States)

    2013-08-30

    ...In this document, the Commission adopts permanent rules addressing marketing, labeling, registration and default equipment- setting requirements for internet protocol captioned telephone relay service (IP CTS). This action is necessary to ensure that persons with hearing disabilities have access to telecommunications relay services (TRS) that address their needs in an efficient manner, in furtherance of the objectives of section 225 of the Communications Act of 1934, as amended (Act), to provide relay services enabling communication that is functionally equivalent to conventional telephone voice services, while at the same time protecting the TRS Fund for all forms of TRS.

  5. Use of Telephonetics RESULTS computer-facilitated telephone system with automatic results upload.

    Science.gov (United States)

    Evans-Jones, J; Steedman, N; Newman, M; Jones, R; Milburn, A; O'Mahony, C

    2011-09-01

    Our genitourinary medicine service implemented an automated telephone results system in 2010. This system is used in other services but few are able to upload negative results automatically from laboratory software. The use of this system reduced unanswered calls to a telephone results line and also the number of calls that had to be connected to clinical staff. Patients have better access to their results in a timely manner, as per the requirements of the recent Standards for the Management of Sexually Transmitted Infections document.

  6. Online access and sharing of reality-based 3d models

    Directory of Open Access Journals (Sweden)

    Simone Minto

    2014-12-01

    Full Text Available The article presents an investigation on techniques and solutions for publishing reality-based 3D models online. The process starts from a dense point cloud and leads to a reduced textured 3D model accessible on the web with a browser. The work is divided into four phases: (i generation of a polygon mesh model, (ii 3D model segmentation, (iii simplification of the polygonal model (geometry and texture in different levels of detail (LoD and (iv publication on the web. The entire workflow is based on open source software. Comparisons with commercial solutions are also reported.

  7. Measuring Equity in Access to Pharmaceutical Services Using Concentration Curve; Model Development.

    Science.gov (United States)

    Davari, Majid; Khorasani, Elahe; Bakhshizade, Zahra; Jafarian Jazi, Marzie; Ghaffari Darab, Mohsen; Maracy, Mohammad Reza

    2015-01-01

    This paper has two objectives. First, it establishes a model for scoring the access to pharmaceutical services. Second, it develops a model for measuring socioeconomic indicators independent of the time and place of study. These two measures are used for measuring equity in access to pharmaceutical services using concentration curve. We prepared an open-ended questionnaire and distributed it to academic experts to get their ideas to form access indicators and assign score to each indicator based on the pharmaceutical system. An extensive literature review was undertaken for the selection of indicators in order to determine the socioeconomic status (SES) of individuals. Experts' opinions were also considered for scoring these indicators. These indicators were weighted by the Stepwise Adoption of Weights and were used to develop a model for measuring SES independent of the time and place of study. Nine factors were introduced for assessing the access to pharmaceutical services, based on pharmaceutical systems in middle-income countries. Five indicators were selected for determining the SES of individuals. A model for income classification based on poverty line was established. Likewise, a model for scoring home status based on national minimum wage was introduced. In summary, five important findings emerged from this study. These findings may assist researchers in measuring equity in access to pharmaceutical services and also could help them to apply a model for determining SES independent of the time and place of study. These also could provide a good opportunity for researchers to compare the results of various studies in a reasonable way; particularly in middle-income countries.

  8. Background and Theory Behind the Compensation, Accessions, and Personnel Management (CAPM) Model

    National Research Council Canada - National Science Library

    Ausink, John; Cave, Jonathan; Carrillo, Manuel

    2003-01-01

    .... This report descries the Compensation, Accession, and Personnel Management (CAPM) model, which was developed to be a relatively easy-to-use personal computer-based analytical tool that would enable decisionmakers to study the effects of changes in policy on retention behavior and future inventories of military personnel.

  9. Federated Access Control in Heterogeneous Intercloud Environment: Basic Models and Architecture Patterns

    NARCIS (Netherlands)

    Demchenko, Y.; Ngo, C.; de Laat, C.; Lee, C.

    2014-01-01

    This paper presents on-going research to define the basic models and architecture patterns for federated access control in heterogeneous (multi-provider) multi-cloud and inter-cloud environment. The proposed research contributes to the further definition of Intercloud Federation Framework (ICFF)

  10. Modeling the video distribution link in the Next Generation Optical Access Networks

    DEFF Research Database (Denmark)

    Amaya, F.; Cárdenas, A.; Tafur Monroy, Idelfonso

    2011-01-01

    In this work we present a model for the design and optimization of the video distribution link in the next generation optical access network. We analyze the video distribution performance in a SCM-WDM link, including the noise, the distortion and the fiber optic nonlinearities. Additionally, we...

  11. Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People with Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial.

    Science.gov (United States)

    Hinman, Rana S; Lawford, Belinda J; Campbell, Penny K; Briggs, Andrew M; Gale, Janette; Bills, Caroline; French, Simon D; Kasza, Jessica; Forbes, Andrew; Harris, Anthony; Bunker, Stephen J; Delany, Clare M; Bennell, Kim L

    2017-05-01

    Exercise and physical activity are a core component of knee osteoarthritis (OA) care, yet access to physical therapists is limited for many people. Telephone service delivery models may increase access. Determine the effectiveness of incorporating exercise advice and behavior change support by physical therapists into an existing Australian nurse-led musculoskeletal telephone service for adults with knee OA. Randomized controlled trial with nested qualitative studies. Community, Australia-wide. One hundred seventy-five people ≥45 years of age with knee symptoms consistent with a clinical diagnosis of knee OA. Eight musculoskeletal physical therapists will provide exercise advice and support. Random allocation to receive existing care or exercise advice in addition to existing care. Existing care is a minimum of one phone call from a nurse for advice on OA self-management. Exercise advice involves 5-10 calls over 6 months from a physical therapist trained in behavior change support to prescribe, monitor, and progress a strengthening exercise program and physical activity plan. Outcomes will be measured at baseline and at 6 and 12 months. Primary outcomes are knee pain and physical function. Secondary outcomes include other measures of knee pain, self-efficacy, physical activity and its mediators, kinesiophobia, health service usage, work productivity, participant-perceived change, and satisfaction. Additional measures include adherence, adverse events, therapeutic alliance, satisfaction with telephone-delivered therapy, and expectation of outcome. Semi-structured interviews with participants with knee OA and therapists will be conducted. Physical therapists cannot be blinded. This study will determine if incorporating exercise advice and behavior change support by physical therapists into a nurse-led musculoskeletal telephone service improves outcomes for people with knee OA. Findings will inform development and implementation of telerehabilitation services.

  12. Desigualdades no acesso e na utilização de serviços odontológicos no Brasil: análise do Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL 2009 Inequalities in access to and utilization of dental care in Brazil: an analysis of the Telephone Survey Surveillance System for Risk and Protective Factors for Chronic Diseases (VIGITEL 2009

    Directory of Open Access Journals (Sweden)

    Marco A. Peres

    2012-01-01

    Full Text Available Pretendeu-se descrever o padrão de utilização, acesso e tipo de serviço odontológico utilizado por adultos e idosos das capitais brasileiras segundo características sociodemográficas. Foram utilizados dados do Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL de 2009 (n = 54.367. Mais da metade da população revelou necessitar de tratamento odontológico no último ano e desta, 15,2% não conseguiram atendimento. O uso de serviço odontológico privado foi de 61,1%. A participação do Sistema Único de Saúde variou de 6,2% no Distrito Federal a 35,2% em Boa Vista. Análises multivariáveis de Poisson revelaram que as maiores prevalências de percepção de necessidades de tratamento ocorreram nas mulheres, nos adultos de meia idade e nos mais escolarizados. Falta de acesso aos serviços odontológicos foram mais prevalentes em mulheres, nos mais jovens, nos menos escolarizados e nos pardos. Os resultados deste estudo revelam a existência de marcantes iniquidades na utilização e acesso de serviços odontológicos nas capitais brasileiras.This study aimed to evaluate access to and utilization of various types of dental services by individuals 18 years or older in Brazil's State capitals. We gathered data from the Telephone Survey Surveillance System for Risk and Protective Factors for Chronic Diseases (VIGITEL in 2009 (n = 54,367. More than half of the target population reported the need for dental treatment in the previous year; of these, 15.2% lacked access to dental services when needed. The private sector provided 61.1% of all dental appointments. The share of services provided by the Unified National Health System (SUS ranged from 6.2% in the Federal District to 35.2% in Boa Vista, in the North. Multivariate Poisson regression models showed higher prevalence of dental treatment needs among women, middle-aged adults, and individuals with more schooling. Lack of

  13. FRAMES-2.0 Software System: Providing Password Protection and Limited Access to Models and Simulations

    International Nuclear Information System (INIS)

    Whelan, Gene; Pelton, Mitch A.

    2007-01-01

    One of the most important concerns for regulatory agencies is the concept of reproducibility (i.e., reproducibility means credibility) of an assessment. One aspect of reproducibility deals with tampering of the assessment. In other words, when multiple groups are engaged in an assessment, it is important to lock down the problem that is to be solved and/or to restrict the models that are to be used to solve the problem. The objective of this effort is to provide the U.S. Nuclear Regulatory Commission (NRC) with a means to limit user access to models and to provide a mechanism to constrain the conceptual site models (CSMs) when appropriate. The purpose is to provide the user (i.e., NRC) with the ability to ''lock down'' the CSM (i.e., picture containing linked icons), restrict access to certain models, or both.

  14. A sustainable business model for Open-Access journal publishing a proposed plan for High-Energy Physics

    CERN Document Server

    Vigen, Jens

    2007-01-01

    The High Energy Physics community over the last 15 years has achieved so-called full green Open Access through the wide dissemination of preprints via arXiv, a central subject repository managed by Cornell University. However, green Open Access does not alleviate the economic difficulties of libraries as they are still expected to offer access to versions of record of the peer-reviewed literature. For this reason the particle physics community is now addressing the issue of gold Open Access by converting a set of the existing core journals to Open Access. A Working Party has been established to bring together funding agencies, laboratories and libraries into a single consortium, called SCOAP3 (Sponsoring Consortium for Open Access Publishing in Particle Physics). This consortium will engage with publishers to build a sustainable model for Open Access publishing. In this model, subscription fees from multiple institutions are replaced by contracts with publishers of Open Access journals, where the SCOAP3 conso...

  15. Applying a mathematical model to estimate the fractional accessibility to quenching of serum albumin by risperidone

    Science.gov (United States)

    Carqueja, Marilena; Cortez, Celia Martins

    2014-10-01

    In this work we report the results from application of a mathematical model to estimate the fractional accessibility to fluorescence quenching by risperidone in human and bovine sera albumins. Risperidone is an atypical antipsychotic drug used to treat many kinds of psychiatric disorders. Results showed that but the fractional accessibility for trypyophan 134, sub domain 1B, is about 3 times higher than that to tryptophan 212, showing that the primary binding site for risperidone is close to tryptophan 134, in domain IB of BSA.

  16. Access to a Responsiveness to Intervention Model: Does Beginning Intervention in Kindergarten Matter?

    OpenAIRE

    O Connor, RE; Bocian, KM; Sanchez, V; Beach, KD

    2014-01-01

    © Hammill Institute on Disabilities 2012. In this study, we tested the outcomes of access to a response to intervention (RtI) model in kindergarten or in first grade on end-of-Grade-2 reading achievement and placement in special education. Across five schools, 214 students who began having access to Tier 2 intervention in kindergarten or first grade were compared in Grades 1 and 2 with 208 cohort peers who were average readers and 102 historical control condition second grade poor readers who...

  17. Access Control Mechanism for IoT Environments Based on Modelling Communication Procedures as Resources

    OpenAIRE

    Luis Cruz-Piris; Diego Rivera; Ivan Marsa-Maestre; Enrique de la Hoz; Juan R. Velasco

    2018-01-01

    Internet growth has generated new types of services where the use of sensors and actuators is especially remarkable. These services compose what is known as the Internet of Things (IoT). One of the biggest current challenges is obtaining a safe and easy access control scheme for the data managed in these services. We propose integrating IoT devices in an access control system designed for Web-based services by modelling certain IoT communication elements as resources. This would allow us to o...

  18. THE MODELS OF LEARNING SOFTWARE ACCESS IN THE CLOUD BASED EDUCATIONAL ENVIRONMENT

    Directory of Open Access Journals (Sweden)

    M. Shyshkina

    2015-02-01

    Full Text Available In the modern information-educational environment there are new models of learning activity based on innovative technological solutions for the organization of the environment infrastructure , which include the cloud-oriented solutions. The problems of the institution information technological infrastructure setup for the needs of users, the organization of tools and services of that environment so as to allow maximum pedagogical advantage of modern ICT to achieve improvement of learning outcomes and the processes of scientific and educational activities organization, require justification of the ways to provide access to software and electronic educational resources. The article outlines the conceptual framework of the study and review existing approaches, tools, model of a cloud-based environment, their advantages and disadvantages, experience of use. The models of environment architecture, the peculiarities of its pedagogical application are exposed. The hybrid service model of access to software for educational purposes is grounded. The aim of research is an analysis of thy modern approaches to the formation of the cloud-based learning environment of the institution on the basis of different types of service models; justification of the hybrid service model of the learning software access.

  19. Developing an Accessible Landslide Susceptibility Model Using Open-Source Resources

    Directory of Open Access Journals (Sweden)

    Kyungjin An

    2018-01-01

    Full Text Available Landslide susceptibility models are important for public safety, but often rely on inaccessible or unaffordable software and geospatial data. Thus, affordable and accessible landslide prediction systems would be especially useful in places that lack the infrastructure for acquiring and analyzing geospatial data. Current landslide susceptibility models and existing methodologies do not consider such issues; therefore, this study aimed to develop an accessible and affordable landslide susceptibility modeling application and methodology based on open-source software and geospatial data. This model used TRIGRS (asc format and QGIS (Digital Elevation Models (DEMs extracted from GeoTIFF format with widely accessible environmental parameters to identify potential landslide risks. In order to verify the suitability of the proposed application and methodology, a case study was conducted on Lantau Island, Hong Kong to assess the validity of the results, a comparison with 1999 landslide locations. The application developed in this study showed a good agreement with the four previous landslide locations marked as highly susceptible, which proves the validity of the study. Therefore, the developing model and the cost-effective approach, in this study simulated the landslide performance well and suggested the new approach of the landslide prediction system.

  20. Telephone Voice Alert :system planning and design

    OpenAIRE

    Finch, Steven W.

    1989-01-01

    The Telephone Voice Alert is divided into six parts: the ring detector, controller, voice memory, synthesizer, speaker, and power supply subsystems. These all interact together to produce a voice signal whenever a ring signal is detected. By beginning from the system function and analyzing the components as we break the system into subsystems, we find that the trade-off between system cost and system "effectiveness" minimizes to prove Configuration A (digital voice reproduction) a...

  1. Work on the CERN telephone exchanges

    CERN Multimedia

    2004-01-01

    Corrective maintenance work on the CERN telephone exchanges will be carried out on 23 September 2004, resulting in interruptions of service across the whole CERN site between 6:00 a.m. and 8:00 a.m. and from 7:00 p.m. onwards. We apologise for any inconvenience this may cause. CERN TELECOM Service Tel.: 76111 GSM: 160026- 163610 Calls between GSM mobile phones will not be affected.

  2. Assessing the model transferability for prediction of transcription factor binding sites based on chromatin accessibility.

    Science.gov (United States)

    Liu, Sheng; Zibetti, Cristina; Wan, Jun; Wang, Guohua; Blackshaw, Seth; Qian, Jiang

    2017-07-27

    Computational prediction of transcription factor (TF) binding sites in different cell types is challenging. Recent technology development allows us to determine the genome-wide chromatin accessibility in various cellular and developmental contexts. The chromatin accessibility profiles provide useful information in prediction of TF binding events in various physiological conditions. Furthermore, ChIP-Seq analysis was used to determine genome-wide binding sites for a range of different TFs in multiple cell types. Integration of these two types of genomic information can improve the prediction of TF binding events. We assessed to what extent a model built upon on other TFs and/or other cell types could be used to predict the binding sites of TFs of interest. A random forest model was built using a set of cell type-independent features such as specific sequences recognized by the TFs and evolutionary conservation, as well as cell type-specific features derived from chromatin accessibility data. Our analysis suggested that the models learned from other TFs and/or cell lines performed almost as well as the model learned from the target TF in the cell type of interest. Interestingly, models based on multiple TFs performed better than single-TF models. Finally, we proposed a universal model, BPAC, which was generated using ChIP-Seq data from multiple TFs in various cell types. Integrating chromatin accessibility information with sequence information improves prediction of TF binding.The prediction of TF binding is transferable across TFs and/or cell lines suggesting there are a set of universal "rules". A computational tool was developed to predict TF binding sites based on the universal "rules".

  3. Delivering educational programs via telephone: teleconferencing.

    Science.gov (United States)

    Anderson, P; Emerson, D; Robertson, W O

    1984-01-01

    Professionals participating in poison network programs not only need to maintain technical and scientific updatedness but also need to develop colleagual relationships between and among themselves regardless of geographic location. In an effort to achieve both objectives in a cost-effective and cost-efficient manner, we have explored the use of telephone conferencing. With the "speaker" located in Seattle, and the connecting bridge established and manned in Boise, Idaho, three one and one half hour presentations were brought to 90 sites scattered throughout rural and semi-rural Idaho; and received by more than 1,200 attendees. Hosting groups of 8-20, each location had a speaker phone enabling two-way communication to take place, i.e. they could hear the speaker and individuals could interrupt and address the speaker. Moreover, each location had a slide projector and duplicated set of slides used by the speaker in the presentation. Post presentation evaluations were obtained and the actual costs of the entire program have been determined. As a group utilizing telephones as a way of life, members of the AAPCC have an opportunity to lead the way in validating and verifying the effectiveness and potential cost savings of telephone conferences.

  4. Empirical model for the Earth's cosmic ray shadow at 400 KM: prohibited cosmic ray access

    International Nuclear Information System (INIS)

    Humble, J.E.; Smart, D.F.; Shea, M.A.

    1985-01-01

    The possibility of constructing a unit sphere of access that describes the cosmic radiation allowed to an Earth-orbiting spacecraft is discussed. It is found that it is possible to model the occluded portion of the cosmic ray sphere of access as a circular projection with a diameter bounded by the satellite-Earth horizon. Maintaining tangency at the eastern edge of the spacecraft-Earth horizon, this optically occluded area is projected downward by an angle beta which is a function of the magnetic field inclination and cosmic ray arrival direction. This projected plane, corresponding to the forbidden area of cosmic ray access, is bounded by the spacecraft-Earth horizon in easterly directions, and is rotated around the vertical axis by an angle alpha from the eastern direction, where the angle alpha is a function of the offset dipole latitude of the spacecraft

  5. Willingness to pay for rural telephone services: Implications for rural ...

    African Journals Online (AJOL)

    WTP) for rural telephone services and the implications on poverty reduction in Southeast Nigeria. The key research problem was the inability of the telephone providers or regulatory agencies to estimate the amount the people were willing to pay ...

  6. Environmental reduction of mobile telephone base station produced radiation exposures

    International Nuclear Information System (INIS)

    Vermiglio, G.; Tripepi, M.G.; Testagrossa, B.; Sansotta, C.

    2006-01-01

    In this work the authors discuss about their own proposal about a model to modify how the Wireless Telephone Base Stations (W.T.B.S.) works. The proposal, which was made having in mind the GSM technology, can be applied to all other kind of similar technologies and was pointed out as a different way of working of the W.T.B.S. without any modifications on their distribution over the territory. After a short review of the state of the art about the technology and the basis of wireless telephone base stations, the baselines and the principles of the proposed model are discussed, facing out the most significant parameters obtained from the way W.T.B.S. are working at present towards the proposed one. Then the authors illustrate the possible advantages o f the proposed model in terms of environmental, socials and energy savings aspects. It is the authors opinion that such model can be a simple and no -cost solution to apply to the existing infrastructures; more over it can be of interest either for mobile phone companies or for environmental and/or customers associations. (authors)

  7. Interpreter perspectives of in-person, telephonic, and videoconferencing medical interpretation in clinical encounters

    Science.gov (United States)

    Price, Erika Leemann; Pérez-Stable, Eliseo J.; Nickleach, Dana; López, Monica; Karliner, Leah S.

    2014-01-01

    Objective To examine professional medical interpreters’ perspectives of in-person and remote interpreting modalities. Methods Survey of interpreters at three medical centers assessing satisfaction with aspects of communication using each modality, and adequacy of videoconferencing medical interpretation (VMI) and telephonic interpretation for 21 common clinical scenarios in the hospital and ambulatory care settings. Results 52 interpreters completed the survey (73% response). All modalities were equally satisfactory for conveying information. Respondents favored in-person to telephonic interpretation for establishing rapport (95% versus 71%, p = .002) and for facilitating clinician understanding of patients’ social and cultural backgrounds (92% versus 69%, p = .002). Scenarios with substantial educational or psychosocial dimensions had no more than 70% of respondents rating telephonic interpretation as adequate (25–70%); for all of these scenarios, VMI represented an improvement (52–87%). Conclusion From the interpreter perspective, telephonic interpretation is satisfactory for information exchange, but less so for interpersonal aspects of communication. In scenarios where telephonic interpretation does not suffice, particularly those with substantial educational or psychosocial components, VMI offers improved communication. Practice implications Differences in interpreters’ perspectives of modalities based on communication needs and clinical scenario suggest mixed use of multiple modalities may be the best language access strategy. PMID:21930360

  8. Cross Talk: Evaluation of a Curriculum to Teach Medical Students How to Use Telephone Interpreter Services.

    Science.gov (United States)

    Omoruyi, Emma A; Dunkle, Jesse; Dendy, Colby; McHugh, Erin; Barratt, Michelle S

    2018-03-01

    Telephone interpretation and recent technology advances assist patients with more timely access to rare languages, but no one has examined the role of this technology in the medical setting and how medical students can be prepared for their use. We sought to determine if structured curriculum on interpretation would promote learners self-reported competency in these encounters and if proficiency would be demonstrated in actual patient encounters. Training on the principles of interpreter use with a focus on communication technology was added to medical student education. The students later voluntarily completed a retrospective pre/post training competency self-assessment. A cohort of students rotating at a clinical site had a blinded review of their telephone interpretation encounters scored on a modified validated scale and compared to scored encounters with preintervention learners. Nested ANOVA models were used for audio file analysis. A total of 176 students who completed the training reported a statistically significant improvement in all 4 interpretation competency domains. Eighty-three audio files were analyzed from students before and after intervention. These scored encounters showed no statistical difference between the scores of the 2 groups. However, plotting the mean scores over time from each encounter suggests that those who received the curriculum started their rotation with higher scores and maintained those scores. In an evaluation of learners' ability to use interpreters in actual patient encounters, focused education led to earlier proficiency of using interpreters compared to peers who received no training. Copyright © 2018 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  9. Case management models for persons who are homeless and mentally ill: the ACCESS demonstration project. Access to Community Care and Effective Services and Supports.

    Science.gov (United States)

    Johnsen, M; Samberg, L; Calsyn, R; Blasinsky, M; Landow, W; Goldman, H

    1999-08-01

    Persons who are homeless and mentally ill present unique challenges to service providers and human service systems. In vivo case management approaches such as assertive community treatment (ACT) have shown promise in engaging this population. This paper explores case management models employed within the ACCESS program, a five year, 18-site demonstration program enriching services for homeless persons with serious mental illness. We describe the implementation of case management with ACCESS programs and determine the extent of variation across sites using a measure of fidelity to ACT. While programs reported using four models, much similarity was found among programs on multiple dimensions.

  10. The telephone in family practice | Furman | South African Medical ...

    African Journals Online (AJOL)

    In a time-and-motion study in family practice it was found that 35,8% of all patient contact was per telephone. The study further revealed that 12,3% of total practice time was spent on the telephone, stressing its importance as a useful tool. in family practice. The study supports others which suggest that 'telephone medicine' ...

  11. 24 CFR 3285.704 - Telephone and cable TV.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Telephone and cable TV. 3285.704....704 Telephone and cable TV. Refer to § 3285.906 for considerations pertinent to installation of telephone and cable TV. ...

  12. 24 CFR 3285.906 - Telephone and cable TV.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Telephone and cable TV. 3285.906... Installation Instructions § 3285.906 Telephone and cable TV. It is recommended that the installation instructions explain that telephone and cable TV wiring should be installed in accordance with requirements of...

  13. 7 CFR 1737.60 - Telephone loan budget.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false Telephone loan budget. 1737.60 Section 1737.60... Cost Estimation Procedures § 1737.60 Telephone loan budget. (a) RUS shall prepare a “Telephone Loan Budget” (RUS Form 493) showing all costs for the proposed project and the amount of loan and nonloan...

  14. 7 CFR 1744.63 - The telephone loan budget.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false The telephone loan budget. 1744.63 Section 1744.63... Disbursement of Funds § 1744.63 The telephone loan budget. When the loan is made, RUS provides the borrower a Telephone Loan Budget, RUS Form 493. This budget divides the loan into budget accounts such as “Engineering...

  15. 26 CFR 49.4252-1 - General telephone service.

    Science.gov (United States)

    2010-04-01

    ... is in the form of an assessment as in the case of a mutual telephone system. Where a basic periodic... 26 Internal Revenue 16 2010-04-01 2010-04-01 true General telephone service. 49.4252-1 Section 49... EXCISE TAXES FACILITIES AND SERVICES EXCISE TAXES Communications § 49.4252-1 General telephone service...

  16. Telecommunications Policy Research Conference. Subsidies in Telephone Pricing Section. Papers.

    Science.gov (United States)

    Telecommunications Policy Research Conference, Inc., Washington, DC.

    Three papers consider the provision of telephone service to rural and/or low income customers. The first paper, "An Analysis of Telephone Penetration" (Alexander Belinfante), analyzes the relationship between telephone penetration (the proportion of households with phone service) and prices, household income, and other factors. This…

  17. Facilitated access to an integrated model of care for arthritis in an urban Aboriginal population.

    Science.gov (United States)

    Barnabe, Cheryl; Lockerbie, Stacy; Erasmus, Elizabeth; Crowshoe, Lynden

    2017-09-01

    To evaluate a model of care to improve arthritis detection and treatment in an urban Aboriginal population. Cohort study. The Elbow River Healing Lodge in Calgary, Alta. A total of 26 participants with noninflammatory arthritis and 12 with inflammatory arthritis. A monthly rheumatology clinic was embedded in the primary health care service and received referrals from primary care providers and allied health care professionals, or self-referrals. All participants had a standardized assessment to determine their diagnosis. Those with noninflammatory musculoskeletal conditions were returned to primary care management and those with inflammatory arthritis conditions were followed by the rheumatologist. Accessibility, acceptability, effectiveness, and cultural safety were evaluated as measures of quality for the model of care. Nearly all participants (87%) thought the services were very easy or easy to obtain, and overall satisfaction with the model of care was high (89% were very satisfied or satisfied). For inflammatory arthritis patients, the swollen and tender joint counts improved over time (both P care facilitated access for diagnosis and return to care of inflammatory arthritis conditions, and was acceptable to participants. This model of care removes the complexities of access to non-family physician specialty care while providing health care in a setting valued by Aboriginal patients. Copyright© the College of Family Physicians of Canada.

  18. An interaction-based access control model (IBAC) for collaborative services

    Energy Technology Data Exchange (ETDEWEB)

    Altunay, Mine; /Fermilab; Byrd, Gregory T.; Brown, Doug E.; Dean, Ralph A.; /North Carolina State U.

    2008-04-01

    A collaboration is a collection of services that work together to achieve a common goal. Although collaborations help when tackling difficult problems, they lead to security issues. First, a collaboration is often performed by services that are drawn from different security domains. Second, a service interacts with multiple peer services during the collaboration. These interactions are not isolated from one another--e.g., data may flow through a sequence of different services. As a result, a service is exposed to multiple peer services in varying degrees, leading to different security threats. We identify the types of interactions that can be present in collaborations, and discuss the security threats due to each type. We propose a model for representing the collaboration context so that a service can be made aware of the existing interactions. We provide an access control model for a service participating in a collaboration. We couple our access control model with a policy model, so that the access requirements from collaborations can be expressed and evaluated.

  19. Open Access Papers Have a Greater Citation Advantage in the Author-Pays Model

    Directory of Open Access Journals (Sweden)

    Elaine Sullo

    2016-03-01

    Full Text Available Objective – To investigate the citation performance of open access (OA and toll access (TA papers published in author-pays open access journals. Design – Longitudinal citation analysis. Setting – Publications in Springer and Elsevier’s author-pays open access journals. Subjects – 633 journals published using the author-pays model. This model encompasses both journals where the article processing charge (APC is required and journals in which authors can request open access and voluntarily pay APCs for accepted manuscripts. Methods – The authors identified APC funded journals (journals funded by mandatory author processing charges as well as those where authors voluntarily paid a fee in order to have their articles openly accessible from both Springer and Elsevier, and analyzed papers published in these journals from 2007 to 2011. The authors excluded journals that adopted the APC model later than 2007. To identify Springer titles, the authors created a search strategy to identify open access articles in SpringerLink. A total of 576 journals were identified and double checked in the Sherpa-Romeo database (a database of copyright and open access self-archiving policies of academic journals to verify their open access policies. The authors then downloaded the journal content using SpringerLink, and using Springer Author-Mapper, separated out the open access articles from the toll access articles. In order to identify the Elsevier APC funded journals, the authors referred to “Open Access Journal Directory: A-Z,” which contained 35 OA journals (p. 584. Once the authors consulted “Sponsored articles” issued by Elsevier and verified titles in Sherpa-Romeo, they identified 57 journals that fit the “author-pays” model. The bibliographic information was downloaded and OA articles were separated from TA articles. The authors confirmed that all journals were indeed OA publications by downloading the full-text from off-campus locations

  20. Connectivity and conditional models of access and abundance of species in stream networks.

    Science.gov (United States)

    Chelgren, Nathan D; Dunham, Jason B

    2015-07-01

    Barriers to passage of aquatic organisms at stream road crossings are a major cause of habitat fragmentation in stream networks. Accordingly, large investments have been made to restore passage at these crossings, but often without estimation of population-level benefits. Here, we describe a broad-scale approach to quantifying the effectiveness of passage restoration in terms interpretable at population levels, namely numbers of fish and length of stream gained through restoration, by sampling abundance in a study design that accounts for variable biogeographic species pools, variable stream and barrier configurations, and variable probabilities of capture and detectability for multiple species. We modified an existing zero-inflated negative-binomial model to estimate the probability of site access, abundance conditional on access, and capture probability of individual fish. Therein, we modeled probability of access as a function of gradient, stream road-crossing type, and downstream access by fish simultaneously with a predictive model for abundance at sites accessible to fish. Results indicated that replacement of barriers with new crossing designs intended to allow for greater movement was associated with dramatically higher probability of access for all fishes, including migratory Pacific salmon, trout, sculpin, and lamprey. Conversely, existing non-replaced crossings negatively impacted fish distributions. Assuming no downstream constraints on access, we estimated the potential length of stream restored by the program ranged between 7.33 (lamprey) and 15.28 km (small coastal cutthroat and rainbow trout). These contributions represented a fraction of the total length available upstream (187 km) of replaced crossings. When limited ranges of species were considered, the estimated contributions of culvert replacement were reduced (1.65-km range, for longnose dace to 12.31 km for small coastal cutthroat and rainbow trout). Numbers of fish contributed ranged from

  1. Modelling and Analysing Access Control Policies in XACML 3.0

    DEFF Research Database (Denmark)

    Ramli, Carroline Dewi Puspa Kencana

    and verification of properties of XACML policies. Overall, we focus into two different area. The first part focuses on the access control language. More specifically our focus is on the understanding XACML 3.0. The second part focuses on how we use Logic Programming (LP) to model access control policies. We show...... semantics is described normatively using natural language. The use of English text in standardisation leads to the risk of misinterpretation and ambiguity. In order to avoid this drawback, we define an abstract syntax of XACML 3.0 and a formal XACML semantics. Second, we propose a logic-based XACML analysis...... framework using Answer Set Programming (ASP). With ASP we model an XACML PDP that loads XACML policies and evaluates XACML requests against these policies. The expressivity of ASP and the existence of efficient implementations of the answer set semantics provide the means for declarative specification...

  2. Access to safe abortion in Uganda: Leveraging opportunities through the harm reduction model.

    Science.gov (United States)

    Mulumba, Moses; Kiggundu, Charles; Nassimbwa, Jacqueline; Nakibuuka, Noor Musisi

    2017-08-01

    Access to safe and legal abortion services is a far reach for women and girls in Uganda. Although unsafe abortion rates have fallen from 54 to 39 per 1000 women aged 15-45 years over a decade, absolute figures show a rise from 294 000 in 2003 to 314 000 women having unsafe abortions in 2013. Unfortunately, only 50% of the women who develop abortion complications are able to reach facilities for postabortion care. Despite the clinical evidence and the stories from undocumented cases, debate on access to safer and legal abortion is constricted, moralized, and stigmatized. The harm reduction model has shown evidence of benefit in reducing maternal mortality and morbidity due to unsafe abortion while addressing related stigma and discrimination and advancing women's reproductive health rights. This article presents a case for promoting the model in Uganda. © 2017 International Federation of Gynecology and Obstetrics.

  3. Estimating spatial accessibility to facilities on the regional scale: an extended commuting-based interaction potential model

    Directory of Open Access Journals (Sweden)

    Charreire Hélène

    2011-01-01

    Full Text Available Abstract Background There is growing interest in the study of the relationships between individual health-related behaviours (e.g. food intake and physical activity and measurements of spatial accessibility to the associated facilities (e.g. food outlets and sport facilities. The aim of this study is to propose measurements of spatial accessibility to facilities on the regional scale, using aggregated data. We first used a potential accessibility model that partly makes it possible to overcome the limitations of the most frequently used indices such as the count of opportunities within a given neighbourhood. We then propose an extended model in order to take into account both home and work-based accessibility for a commuting population. Results Potential accessibility estimation provides a very different picture of the accessibility levels experienced by the population than the more classical "number of opportunities per census tract" index. The extended model for commuters increases the overall accessibility levels but this increase differs according to the urbanisation level. Strongest increases are observed in some rural municipalities with initial low accessibility levels. Distance to major urban poles seems to play an essential role. Conclusions Accessibility is a multi-dimensional concept that should integrate some aspects of travel behaviour. Our work supports the evidence that the choice of appropriate accessibility indices including both residential and non-residential environmental features is necessary. Such models have potential implications for providing relevant information to policy-makers in the field of public health.

  4. Feasibility Assessment of a Fine-Grained Access Control Model on Resource Constrained Sensors

    OpenAIRE

    Mikel Uriarte Itzazelaia; Jasone Astorga; Eduardo Jacob; Maider Huarte; Pedro Romaña

    2018-01-01

    Upcoming smart scenarios enabled by the Internet of Things (IoT) envision smart objects that provide services that can adapt to user behavior or be managed to achieve greater productivity. In such environments, smart things are inexpensive and, therefore, constrained devices. However, they are also critical components because of the importance of the information that they provide. Given this, strong security is a requirement, but not all security mechanisms in general and access control model...

  5. A Collective Study on Modeling and Simulation of Resistive Random Access Memory

    Science.gov (United States)

    Panda, Debashis; Sahu, Paritosh Piyush; Tseng, Tseung Yuen

    2018-01-01

    In this work, we provide a comprehensive discussion on the various models proposed for the design and description of resistive random access memory (RRAM), being a nascent technology is heavily reliant on accurate models to develop efficient working designs and standardize its implementation across devices. This review provides detailed information regarding the various physical methodologies considered for developing models for RRAM devices. It covers all the important models reported till now and elucidates their features and limitations. Various additional effects and anomalies arising from memristive system have been addressed, and the solutions provided by the models to these problems have been shown as well. All the fundamental concepts of RRAM model development such as device operation, switching dynamics, and current-voltage relationships are covered in detail in this work. Popular models proposed by Chua, HP Labs, Yakopcic, TEAM, Stanford/ASU, Ielmini, Berco-Tseng, and many others have been compared and analyzed extensively on various parameters. The working and implementations of the window functions like Joglekar, Biolek, Prodromakis, etc. has been presented and compared as well. New well-defined modeling concepts have been discussed which increase the applicability and accuracy of the models. The use of these concepts brings forth several improvements in the existing models, which have been enumerated in this work. Following the template presented, highly accurate models would be developed which will vastly help future model developers and the modeling community.

  6. Maintenance of the telephone exchange in building 40

    CERN Multimedia

    2006-01-01

    In order to secure the power supply of the telephone exchange in Building 40, maintenance work will be done on 18th December from 7.30 am to 8 am. During this intervention, the fixed telephone services in Building 39 and 40 will be interrupted. The fixed telephone services in other CERN buildings will not be affected by this maintenance. The mobile telephone services (GSM) will not be affected. For more details, please send your questions to Standard.Telephone@cern.ch Telecom Services IT/CS

  7. INTEGRATIVE METHOD OF TEACHING INFORMATION MODELING IN PRACTICAL HEALTH SERVICE BASED ON MICROSOFT ACCESS QUERIES

    Directory of Open Access Journals (Sweden)

    Svetlana A. Firsova

    2016-06-01

    Full Text Available Introduction: this article explores the pedagogical technology employed to teach medical students foundations of work with MICROSOFT ACCESS databases. The above technology is based on integrative approach to the information modeling in public health practice, drawing upon basic didactic concepts that pertain to objects and tools databases created in MICROSOFT ACCESS. The article examines successive steps in teaching the topic “Queries in MICROSOFT ACCESS” – from simple queries to complex ones. The main attention is paid to such components of methodological system, as the principles and teaching methods classified according to the degree of learners’ active cognitive activity. The most interesting is the diagram of the relationship of learning principles, teaching methods and specific types of requests. Materials and Methods: the authors used comparative analysis of literature, syllabi, curricula in medical informatics taught at leading medical universities in Russia. Results: the original technique of training in putting queries with databases of MICROSOFT ACCESS is presented for analysis of information models in practical health care. Discussion and Conclusions: it is argued that the proposed pedagogical technology will significantly improve the effectiveness of teaching the course “Medical Informatics”, that includes development and application of models to simulate the operation of certain facilities and services of the health system which, in turn, increases the level of information culture of practitioners.

  8. A Model-driven Role-based Access Control for SQL Databases

    Directory of Open Access Journals (Sweden)

    Raimundas Matulevičius

    2015-07-01

    Full Text Available Nowadays security has become an important aspect in information systems engineering. A mainstream method for information system security is Role-based Access Control (RBAC, which restricts system access to authorised users. While the benefits of RBAC are widely acknowledged, the implementation and administration of RBAC policies remains a human intensive activity, typically postponed until the implementation and maintenance phases of system development. This deferred security engineering approach makes it difficult for security requirements to be accurately captured and for the system’s implementation to be kept aligned with these requirements as the system evolves. In this paper we propose a model-driven approach to manage SQL database access under the RBAC paradigm. The starting point of the approach is an RBAC model captured in SecureUML. This model is automatically translated to Oracle Database views and instead-of triggers code, which implements the security constraints. The approach has been fully instrumented as a prototype and its effectiveness has been validated by means of a case study.

  9. Clinician accessible tools for GUI computational models of transcranial electrical stimulation: BONSAI and SPHERES.

    Science.gov (United States)

    Truong, Dennis Q; Hüber, Mathias; Xie, Xihe; Datta, Abhishek; Rahman, Asif; Parra, Lucas C; Dmochowski, Jacek P; Bikson, Marom

    2014-01-01

    Computational models of brain current flow during transcranial electrical stimulation (tES), including transcranial direct current stimulation (tDCS) and transcranial alternating current stimulation (tACS), are increasingly used to understand and optimize clinical trials. We propose that broad dissemination requires a simple graphical user interface (GUI) software that allows users to explore and design montages in real-time, based on their own clinical/experimental experience and objectives. We introduce two complimentary open-source platforms for this purpose: BONSAI and SPHERES. BONSAI is a web (cloud) based application (available at neuralengr.com/bonsai) that can be accessed through any flash-supported browser interface. SPHERES (available at neuralengr.com/spheres) is a stand-alone GUI application that allow consideration of arbitrary montages on a concentric sphere model by leveraging an analytical solution. These open-source tES modeling platforms are designed go be upgraded and enhanced. Trade-offs between open-access approaches that balance ease of access, speed, and flexibility are discussed. Copyright © 2014 Elsevier Inc. All rights reserved.

  10. Improving Maternal Healthcare Access and Neonatal Survival through a Birthing Home Model in Rural Haiti

    Directory of Open Access Journals (Sweden)

    Elizabeth Wickstrom

    2007-10-01

    Full Text Available High neonatal mortality in Haiti is sustained by limited access to essential maternity services, particularly for Haiti’s rural population. We investigated the feasibility of a rural birthing home model to provide basic prenatal, delivery, and neonatal services for women with uncomplicated pregnancies while simultaneously providing triage and transport of women with pregnancy related complications. The model included consideration of the local context, including women’s perceptions of barriers to healthcare access and available resources to implement change. Evaluation methods included the performance of a baseline community census and collection of pregnancy histories from 791 women living in a defined area of rural Haiti. These retrospective data were compared with pregnancy outcome for 668 women subsequently receiving services at the birthing home. Of 764 reported most recent pregnancies in the baseline survey, 663(87% occurred at home with no assistance from skilled health staff. Of 668 women followed after opening of the birthing home, 514 (77% subsequently gave birth at the birthing home, 94 (14% were referred to a regional hospital for delivery, and only 60 (9% delivered at home or on the way to the birthing home. Other measures of clinical volume and patient satisfaction also indicated positive changes in health care seeking. After introduction of the birthing home, fewer neonates died than predicted by historical information or national statistics. The present experience points out the feasibility of a rural birthing home model to increase access to essential maternity services.

  11. Beyond 'flood hotspots': Modelling emergency service accessibility during flooding in York, UK

    Science.gov (United States)

    Coles, Daniel; Yu, Dapeng; Wilby, Robert L.; Green, Daniel; Herring, Zara

    2017-03-01

    This paper describes the development of a method that couples flood modelling with network analysis to evaluate the accessibility of city districts by emergency responders during flood events. We integrate numerical modelling of flood inundation with geographical analysis of service areas for the Ambulance Service and the Fire & Rescue Service. The method was demonstrated for two flood events in the City of York, UK to assess the vulnerability of care homes and sheltered accommodation. We determine the feasibility of emergency services gaining access within the statutory 8- and 10-min targets for high-priority, life-threatening incidents 75% of the time, during flood episodes. A hydrodynamic flood inundation model (FloodMap) simulates the 2014 pluvial and 2015 fluvial flood events. Predicted floods (with depth >25 cm and areas >100 m2) were overlain on the road network to identify sites with potentially restricted access. Accessibility of the city to emergency responders during flooding was quantified and mapped using; (i) spatial coverage from individual emergency nodes within the legislated timeframes, and; (ii) response times from individual emergency service nodes to vulnerable care homes and sheltered accommodation under flood and non-flood conditions. Results show that, during the 2015 fluvial flood, the area covered by two of the three Fire & Rescue Service stations reduced by 14% and 39% respectively, while the remaining station needed to increase its coverage by 39%. This amounts to an overall reduction of 6% and 20% for modelled and observed floods respectively. During the 2014 surface water flood, 7 out of 22 care homes (32%) and 15 out of 43 sheltered accommodation nodes (35%) had modelled response times above the 8-min threshold from any Ambulance station. Overall, modelled surface water flooding has a larger spatial footprint than fluvial flood events. Hence, accessibility of emergency services may be impacted differently depending on flood mechanism

  12. How to implement ‘access to medicine’ AND enhance economic performance:business model options for global access

    OpenAIRE

    Peukert, J. (Jürgen); Fuggenthaler, T. (Thomas)

    2009-01-01

    Access to medicine’ or ‘global access’ is at the core heart of corporate responsibility for pharmaceutical companies. Corporate responsibility, however, is not restricted to a philanthropic dimension (such as donations), which is often referred to as corporate citizenship. It also includes corporate social responsibility (in the narrower sense) and corporate governance and thereby paves the way for linking corporate citizenship – “to be a good corporate citizen and contribute to the communit...

  13. Barriers of access to care in a managed competition model: lessons from Colombia

    Directory of Open Access Journals (Sweden)

    Mogollón-Pérez Amparo Susana

    2010-10-01

    Full Text Available Abstract Background The health sector reform in Colombia, initiated by Law 100 (1993 that introduced a managed competition model, is generally presented as a successful experience of improving access to care through a health insurance regulated market. The study's objective is to improve our understanding of the factors influencing access to the continuum of care in the Colombian managed competition model, from the social actors' point of view. Methods An exploratory, descriptive-interpretative qualitative study was carried out, based on case studies of four healthcare networks in rural and urban areas. Individual semi-structured interviews were conducted to a three stage theoretical sample: I cases, II providers and III informants: insured and uninsured users (35, health professionals (51, administrative personnel (20, and providers' (18 and insurers' (10 managers. Narrative content analysis was conducted; segmented by cases, informant's groups and themes. Results Access, particularly to secondary care, is perceived as complex due to four groups of obstacles with synergetic effects: segmented insurance design with insufficient services covered; insurers' managed care and purchasing mechanisms; providers' networks structural and organizational limitations; and, poor living conditions. Insurers' and providers' values based on economic profit permeate all factors. Variations became apparent between the two geographical areas and insurance schemes. In the urban areas barriers related to market functioning predominate, whereas in the rural areas structural deficiencies in health services are linked to insufficient public funding. While financial obstacles are dominant in the subsidized regime, in the contributory scheme supply shortage prevails, related to insufficient private investment. Conclusions The results show how in the Colombian healthcare system structural and organizational barriers to care access, that are common in developing countries

  14. A model for increasing appreciation, accessibility and application of research in nursing.

    Science.gov (United States)

    Edward, Karen-Leigh

    2015-01-01

    The confidence and engagement of nurses (and midwives) in research are an area for continued development. The Research Appreciation, Accessibility, and Application Model (RAAAM), developed in 2011, provides a framework for enhancing research activities by nurses within the clinical setting. Unlike other models, the RAAAM does not assume a preexisting capacity or knowledge of research; however, the model incorporates the multiple research activities that comprise a research culture. Although it is acknowledged that undertaking a research project is not for everyone, using evidence-based knowledge for practice development is essential and relates to all clinical staff. The RAAAM model presents four domains-research appreciation, research accessibility, research application, and research sustainability. Research appreciation is a first step in realizing the potential beneficial impact of research in practice. Relating these activities to identified key result areas that are drawn from key stakeholders completes the loop, ensuring sustainability of research activities and processes. The model presented here offers a practical and user-friendly approach for research enhancement in nursing using the platform of a clinical and academic partnership. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Psychoanalytic Teaching by Video Link and Telephone.

    Science.gov (United States)

    Scharff, David E

    2015-06-01

    In this era of global connectedness, there is great interest in using distance video platforms such as Skype and VSee, as well as the telephone, for conducting psychoanalysis and psychotherapy across geographic distance. Little, however, has been written about the use of technology for psychoanalytic education. The International Psychotherapy Institute has extensive experience in the use of videoconference and telephone technology in the teaching of psychoanalysis and psychoanalytic psychotherapy, including didactic teaching, infant observation, and individual and group supervision, with individuals and groups across the United States and overseas. Use of this technology for tele-education has facilitated the spread of psychoanalytic ideas, recruitment of psychoanalytic and psychotherapeutic trainees, and ongoing training for members living at great distances from one another and from the institute. This work is in many ways similar to ordinary psychoanalytic teaching and supervision, and yet presents significant differences in technique, opportunity, and group dynamics. Further implementation and study of this methodology can greatly aid in the dissemination of psychoanalysis in the digital age. © 2015 by the American Psychoanalytic Association.

  16. Telephone interventions for adherence to colpocytological examination

    Directory of Open Access Journals (Sweden)

    Thais Marques Lima

    Full Text Available ABSTRACT Objective: to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. Method: quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. Results: on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283 with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p < 0.0001, with greater adherence of women participating in the behavioral group (66.8%. Conclusion: the behavioral and educational interventions by phone were effective in the adherence of women to colpocytological examination, representing important strategies for permanent health education and promotion of care for the prevention of cervical cancer.

  17. Observation Data Model Core Components, its Implementation in the Table Access Protocol Version 1.1

    Science.gov (United States)

    Louys, Mireille; Tody, Doug; Dowler, Patrick; Durand, Daniel; Michel, Laurent; Bonnarel, Francos; Micol, Alberto; IVOA DataModel Working Group; Louys, Mireille; Tody, Doug; Dowler, Patrick; Durand, Daniel

    2017-05-01

    This document defines the core components of the Observation data model that are necessary to perform data discovery when querying data centers for astronomical observations of interest. It exposes use-cases to be carried out, explains the model and provides guidelines for its implementation as a data access service based on the Table Access Protocol (TAP). It aims at providing a simple model easy to understand and to implement by data providers that wish to publish their data into the Virtual Observatory. This interface integrates data modeling and data access aspects in a single service and is named ObsTAP. It will be referenced as such in the IVOA registries. In this document, the Observation Data Model Core Components (ObsCoreDM) defines the core components of queryable metadata required for global discovery of observational data. It is meant to allow a single query to be posed to TAP services at multiple sites to perform global data discovery without having to understand the details of the services present at each site. It defines a minimal set of basic metadata and thus allows for a reasonable cost of implementation by data providers. The combination of the ObsCoreDM with TAP is referred to as an ObsTAP service. As with most of the VO Data Models, ObsCoreDM makes use of STC, Utypes, Units and UCDs. The ObsCoreDM can be serialized as a VOTable. ObsCoreDM can make reference to more complete data models such as Characterisation DM, Spectrum DM or Simple Spectral Line Data Model (SSLDM). ObsCore shares a large set of common concepts with DataSet Metadata Data Model (Cresitello-Dittmar et al. 2016) which binds together most of the data model concepts from the above models in a comprehensive and more general frame work. This current specification on the contrary provides guidelines for implementing these concepts using the TAP protocol and answering ADQL queries. It is dedicated to global discovery.

  18. Open Access Publishing in High-Energy Physics the SCOAP$^{3}$ model

    CERN Document Server

    Mele, S

    2009-01-01

    The Open Access (OA) movement is gaining an increasing momentum: its goal is to grant anyone, anywhere and anytime free access to the results of publicly funded scientific research. The High- Energy Physics (HEP) community has pioneered OA for decades, through its widespread “pre-print culture”. After almost half a century of worldwide dissemination of pre-prints, in paper first and electronically later, OA journals are becoming the natural evolution of scholarly communication in HEP. Among other OA business models, the one based on a sponsoring consortium appears as the most viable option for a transition of the HEP peer-reviewed literature to OA. The Sponsoring Consortium for Open Access Publishing in Particle Physics (SCOAP3) is proposed as a central body to remunerate publishers for their peer-review service, effectively replacing the “reader-pays” model of traditional subscriptions with an “author-side” funding, without any direct financial burden on individual authors and research groups. Su...

  19. A Generic Role Based Access Control Model for Wind Power Systems

    DEFF Research Database (Denmark)

    Nagarajan, Anand; Jensen, Christian D.

    2010-01-01

    energy sources, such as wind turbines, solar energy or wave energy. This introduces important new security challenges that are not adequately addressed by existing approaches to security in the electrical power distribution infrastructure. In this paper we examine some of the security challenges that may...... arise in the emerging energy distribution infrastructure. In particular, we examine the security problems that arise in the area of wind power communication infrastructures based on the IEC 61400-25 and IEC 62351 standards. These standards define ways of representing elements of the wind power...... infrastructure in a software domain in a manufacturer independent manner as well as establishing secure communication and authenticating the other parties in electrical power infrastructures, but they do not address the problem of access control. We therefore propose a generic model for access control in wind...

  20. A universal access layer for the Integrated Tokamak Modelling Task Force

    International Nuclear Information System (INIS)

    Manduchi, G.; Iannone, F.; Imbeaux, F.; Huysmans, G.; Lister, J.B.; Guillerminet, B.; Strand, P.; Eriksson, L.-G.; Romanelli, M.

    2008-01-01

    The Integrated Tokamak Modelling (ITM) Task Force aims at providing a suite of codes for preparing and analyzing future ITER discharges. In the framework of the ITM, the universal access layer (UAL) provides the capability of storing and retrieving data involved in simulation. The underlying data structure is hierarchical and the granularity in data access is given by the definition of a set of consistent physical objects (CPOs). To describe the data structure of the overall ITM database, the XML schema description (XSD) has been used. Originally intended to describe the structure of XML documents, XSD is used here to provide an unambiguous way of describing how data are structured, regardless of the actual implementation of the underlying database. The MDSplus-based UAL implementation is currently under test and other prototypes for investigating alternative data storage systems are foreseen

  1. Data and Model Discovery and Access Using I.D.E.A.S

    Science.gov (United States)

    Samuels, C.

    2011-12-01

    Consumers of satellite earth observational data are typically unaware of the data and models they need to solve a problem of interest to them, nor how to discover and access these data and models. We will present the Intelligent Data Exploration and Analytics System (I.D.E.A.S.), currently being developed by The SI Organization, Inc., that intends to systematically address these user problems and challenges through intelligent compute responses and guidance rather than the hunt and hope concepts offered today through numerous websites. I.D.E.A.S. consists of a web-deployed Storefront, Smart Engine and High Performance Cloud Computing backbone. It provides for data and model discovery and access to federated NASA and other U.S. agency data repositories, and available model repositories. Innovative methods for data and model discovery, learned workflows for discovery based on users' problem sets, access and management is used to provide near real-time Modeling as a Service (MaaS) services. These MaaS services provide for model set up, calibration, utilization, and product generation. Model revisions and user collaboration are also provided. I.D.E.A.S. is being developed for users to discover and use earth observational satellite (and airborne) data and models to generate value-added solutions and products for users' problem sets, focused on utilizing this data for societal benefit. In this paper, we will introduce I.D.E.A.S. and how it will be applied to provide an end-to-end capability for water management solutions for drought estimation and prediction. Drought management solutions within I.D.E.A.S.' MaaS functionality will demonstrate applicability of utilizing NASA earth observational data for drought estimation and prediction for agriculture. In particular, we will investigate drought estimation and prediction for pasture lands and the resulting effect on grazing animal mortality in arid climates (e.g., northern Kenya and southwestern U.S.). For this application

  2. Specialty Care Access Network-Extension of Community Healthcare Outcomes Model Program for Liver Disease Improves Specialty Care Access.

    Science.gov (United States)

    Glass, Lisa M; Waljee, Akbar K; McCurdy, Heather; Su, Grace L; Sales, Anne

    2017-12-01

    To improve subspecialty access, VA Ann Arbor Healthcare System (VAAAHS) implemented the first Specialty Care Access Network (SCAN)-Extension of Community Healthcare Outcomes (ECHO) in chronic liver disease. SCAN-ECHO Liver links primary care providers (PCPs) to hepatologists via secure video-teleconferencing. We aim to describe characteristics of participants (PCPs) and patients (clinical question and diagnosis) in SCAN-ECHO Liver. This is a prospective study of the VAAAHS SCAN-ECHO Liver (June 10, 2011-March 31, 2015). This evaluation was carried out as a non-research activity under the guidance furnished by VHA Handbook 1058.05. It was approved through the Medicine Service at VAAAHS as noted in the attestation document which serves as documentation of approved non-research, quality improvement activities in VHA. In total, 106 PCPs from 23 sites participated. A total of 155 SCAN-ECHO sessions discussed 519 new and 49 return patients. 29.4% of Liver Clinic requests were completed in SCAN-ECHO Liver. SCAN-ECHO Liver consults were completed an average of 10 days sooner than in conventional clinic. Potential travel saving was 250 miles round-trip (median 255 (IQR 142-316) per patient. SCAN-ECHO Liver provided specialty care with increased efficiency and convenience for chronic liver disease patients. One of three of Liver Clinic consults was diverted to SCAN-ECHO Liver, reducing consult completion time by 20%.

  3. Increasing Energy Access in Sub-Saharan Africa: Exploring Public-Private Models for Intervention

    Energy Technology Data Exchange (ETDEWEB)

    Bazilian, Morgan; Pless, Jacquelyn

    2014-01-16

    This report, by Morgan Bazilian and Jacquelyn Pless, examines ways that Energy+ could make a large impact in providing energy access to the poor, focusing on four promising models. While there remains a focus on a technology (PV), and a region (SSA) in this report, the models the authors explore are amenable to other specifications as well. Thus, the models presented provide an opportunity for stakeholders and the international community to collaborate and leverage capacities, resources, and networks. Of course, these models are only a few of the very wide range of possible mechanisms. They also are somewhat focused on engaging the private sector. The report does not provide a full context for the complex landscape of energy access and energy poverty. Rather, the paper is focused around the specifics of the interventions. It remains the case that the fundamental building blocks of capacity building, good governance and planning, and the ability to find funding for 'upfront' due diligence and analysis remain critical. Those items are, however, largely outside the scope of this short report.

  4. Access to Mobile Communication Technology and Willingness to Participate in Automated Telemedicine Calls Among Chronically Ill Patients in Honduras

    Science.gov (United States)

    Mendoza-Avelares, Milton O.; Milton, Evan C.; Lange, Ilta; Fajardo, Roosevelt

    2010-01-01

    Abstract Objectives: Patients in underdeveloped countries may be left behind by advances in telehealthcare. We surveyed chronically ill patients with low incomes in Honduras to measure their use of mobile technologies and willingness to participate in mobile disease management support. Materials and Methods: 624 chronically ill primary care patients in Honduras were surveyed. We examined variation in telephone access across groups defined by patients' sociodemographic characteristics, diagnoses, and access to care. Logistic regression was used to identify independent correlates of patients' interest in automated telephonic support for disease management. Results: Participants had limited education (mean 4.8 years), and 65% were unemployed. Eighty-four percent had telephone access, and 78% had cell phones. Most respondents had voicemail (61%) and text messaging (58%). Mobile technologies were particularly common among patients who had to forego clinic visits and medications due to cost concerns (each p 80%) reported that they would be willing to receive automated calls focused on appointment reminders, medication adherence, health status monitoring, and self-care education. Patients were more likely to be willing to participate in automated telemedicine services if they had to cancel a clinic appointment due to transportation problems or forego medication due to cost pressures. Conclusions: Even in this poor region of Honduras, most chronically ill patients have access to mobile technology, and most are willing to participate in automated telephone disease management support. Given barriers to in-person care, new models of mobile healthcare should be developed for chronically ill patients in developing countries. PMID:21062234

  5. Editors View the Continuous Publication Model as a Satisfactory Alternative for Open Access LIS Journals

    Directory of Open Access Journals (Sweden)

    Richard Hayman

    2014-09-01

    Full Text Available A Review of: Cirasella, J., & Bowdoin, S. (2013. Just roll with it? Rolling volumes vs. discrete issues in open access library and information science journals. Journal of Librarianship and Scholarly Communication, 1(4. http://dx.doi.org/10.7710/2162-3309.1086 Abstract Objective – To understand the prevalence of, motivations for, and satisfaction with using a rolling-volume publishing model, as opposed to publishing discrete issues, across open access academic journals in library and information science. Design – A 12 question survey questionnaire. Setting – English-language, open access library and information science (LIS journals published in the United States of America. Subjects – A total of 21 open access LIS journals identified via the Directory of Open Access Journals that were actively publishing, and that also met the authors’ standard of scholarliness, which they established by identifying a journal’s peer-review process or other evidence of rigorous review. Based on responses, 12 journals published using discrete issues, while 9 published as rolling volumes or as rolling volumes with some discrete issues. Methods – In late 2011, the study’s authors invited lead editors or primary journal contacts to complete the survey. Survey participants were asked to identify whether their journal published in discrete issues, rolling volumes, or rolling volumes with occasional discrete issues, with the latter two categories combined as one for ease of results analysis. Survey logic split respondents into two groups, either discrete-issue or rolling-volume. Respondents in both categories were posed similar sets of questions, with the key difference being that the questions directed at each category accounted for the publication model the journals themselves identified as using. Editors from both groups were asked about the reasons for using the publication model they identified for their journal: within the survey tool, authors

  6. Evaluation of an Enhanced Role-Based Access Control model to manage information access in collaborative processes for a statewide clinical education program.

    Science.gov (United States)

    Le, Xuan Hung; Doll, Terry; Barbosu, Monica; Luque, Amneris; Wang, Dongwen

    2014-08-01

    Managing information access in collaborative processes is a critical requirement to team-based biomedical research, clinical education, and patient care. We have previously developed a computation model, Enhanced Role-Based Access Control (EnhancedRBAC), and applied it to coordinate information access in the combined context of team collaboration and workflow for the New York State HIV Clinical Education Initiative (CEI) program. We report in this paper an evaluation study to assess the effectiveness of the EnhancedRBAC model for information access management in collaborative processes when applied to CEI. We designed a cross-sectional study and performed two sets of measurement: (1) degree of agreement between EnhancedRBAC and a control system CEIAdmin based on 9152 study cases, and (2) effectiveness of EnhancedRBAC in terms of sensitivity, specificity, and accuracy based on a gold-standard with 512 sample cases developed by a human expert panel. We applied stratified random sampling, partial factorial design, and blocked randomization to ensure a representative case sample and a high-quality gold-standard. With the kappa statistics of four comparisons in the range of 0.80-0.89, EnhancedRBAC has demonstrated a high level of agreement with CEIAdmin. When evaluated against the gold-standard, EnhancedRBAC has achieved sensitivities in the range of 97-100%, specificities at the level of 100%, and accuracies in the range of 98-100%. The initial results have shown that the EnhancedRBAC model can be effectively used to manage information access in the combined context of team collaboration and workflow for coordination of clinical education programs. Future research is required to perform longitudinal evaluation studies and to assess the effectiveness of EnhancedRBAC in other applications. Copyright © 2013 Elsevier Inc. All rights reserved.

  7. Accessing the spoken word

    OpenAIRE

    Goldman, Jerry; Renals, Steve; Bird, Steven; de Jong, Franciska; Federico, Marcello; Fleischhauer, Carl; Kornbluh, Mark; Lamel, Lori; Oard, Douglas W; Stewart, Claire; Wright, Richard

    2005-01-01

    Spoken-word audio collections cover many domains, including radio and television broadcasts, oral narratives, governmental proceedings, lectures, and telephone conversations. The collection, access, and preservation of such data is stimulated by political, economic, cultural, and educational needs. This paper outlines the major issues in the field, reviews the current state of technology, examines the rapidly changing policy issues relating to privacy and copyright, and presents issues relati...

  8. Telephone chip-cards as individual dosemeters

    International Nuclear Information System (INIS)

    Goeksu, H.Y.

    2003-01-01

    It has been observed that a certain type of telephone chip-card can be used as radiation detectors for individuals exposed to external gamma doses. The radiation dose responses of more than 200 chip-cards, produced by various companies since 1990, were investigated using infrared stimulated luminescence (IRSL). The radiation dose responses of some of the chip-cards were found to be compatible with commonly used synthetic phosphors that are used for routine occupational dose monitoring. The IRSL signal is shown to be linear with a radiation dose from 250 mGy to 5 Gy and stable at ambient temperature, which allows the use of such chip-cards for reconstruction of doses for individuals

  9. Telephone operator change: your questions answered

    CERN Multimedia

    CERN Bulletin

    2015-01-01

    CERN will be changing mobile telephone operators on 24 June. As the community prepares for the summer switchover, everyone has questions. What brought on the change? Why are we losing our old phone numbers? What kind of improvements will we see? "Just as with every contract at CERN, we issue calls for tenders every few years to ensure we are still receiving the best possible service," explains Tony Cass, from the Communication Systems group within the IT department. "As we came to the end of our contract with Sunrise, we put out a call for tenders, which was won by Swisscom. Not only is their pricing more competitive, they will also be providing better service conditions." The scope of these new service conditions is multifaceted: there will be improvements to the redundancy and reliability of the network as well as modern 4G network coverage in the LHC tunnel. "People will also see their mobile phone bills decrease," says Tony. "This will esp...

  10. Dynamic Modeling of the Human Coagulation Cascade Using Reduced Order Effective Kinetic Models (Open Access)

    Science.gov (United States)

    2015-03-16

    with logical rules to simulate an archetype biochemical network, the human coagulation cascade. The model consisted of five differential equations...coagulation system. Coagulation is an archetype proteolytic cascade involving both positive and negative feedback [10–12]. Coagulation is mediated by a...purely ODE models in the literature . We estimated the model parameters from in vitro extrinsic coagulation data sets, in the presence of ATIII, with and

  11. Analysis and modeling of resistive switching mechanisms oriented to resistive random-access memory

    International Nuclear Information System (INIS)

    Huang Da; Wu Jun-Jie; Tang Yu-Hua

    2013-01-01

    With the progress of the semiconductor industry, the resistive random-access memory (RAM) has drawn increasing attention. The discovery of the memristor has brought much attention to this study. Research has focused on the resistive switching characteristics of different materials and the analysis of resistive switching mechanisms. We discuss the resistive switching mechanisms of different materials in this paper and analyze the differences of those mechanisms from the view point of circuitry to establish their respective circuit models. Finally, simulations are presented. We give the prospect of using different materials in resistive RAM on account of their resistive switching mechanisms, which are applied to explain their resistive switchings

  12. Numbers or apologies? Customer reactions to telephone waiting time fillers.

    Science.gov (United States)

    Munichor, Nira; Rafaeli, Anat

    2007-03-01

    The authors examined the effect of time perception and sense of progress in telephone queues on caller reactions to 3 telephone waiting time fillers: music, apologies, and information about location in the queue. In Study 1, conducted on 123 real calls, call abandonment was lowest, and call evaluations were most positive with information about location in the queue as the time filler. In Study 2, conducted with 83 participants who experienced a simulated telephone wait experience, sense of progress in the queue rather than perceived waiting time mediated the relationship between telephone waiting time filler and caller reactions. The findings provide insight for the management and design of telephone queues, as well as theoretical insight into critical cognitive processes that underlie telephone waiting, opening up an important new research agenda. (c) 2007 APA, all rights reserved.

  13. Network of mobile telephone communication: necessarily of 3. Millennium

    International Nuclear Information System (INIS)

    Dejana, V.; Dragan, M.; Nebojsa, V.; Simo, S.

    2002-01-01

    Mobile telephones have transformed the telecommunications industry. These devices can be used to make telephone calls from almost anywhere. There are two types, one has the antenna mounted on the handset and the other has the antenna mounted on a separate transmitter or, if the telephone is installed in a vehicle, mounted on the roof or rear window. Communication between a mobile telephone and the nearest base station is achieved by the microwave emissions from the antenna. Concerns have been raised about the type of mobile telephone that has the antenna in the handset. In this case, the antenna is very close to the user's head during normal use of the telephone and there is concern about the level of microwave emissions to which the brain is being exposed. Those telephones that have the antenna mounted elsewhere are of no concern, since exposure levels decrease rapidly with increasing distance from the antenna. Cordless telephones, which need to be operated within about 20 metres of a base unit that is connected directly to the telephone system, do not have any health concerns associated with their use because exposure levels are very low

  14. Train station access and train use: a joint stated and revealed preference choice modelling study

    NARCIS (Netherlands)

    La Paix Puello, Lissy Cesarina; Geurs, Karst Teunis; Geurs, K.T.; Patuelli, R.; Dentinho, T.

    2016-01-01

    Public transport accessibility depends not only on the places and opportunities that can be reached by transit, but also on accessibility to public transport. The characteristics of access and egress modes influence accessibility patterns but also ridership levels of public transport modes. In

  15. Decentralized Opportunistic Spectrum Resources Access Model and Algorithm toward Cooperative Ad-Hoc Networks

    Science.gov (United States)

    Liu, Ming; Xu, Yang; Mohammed, Abdul-Wahid

    2016-01-01

    Limited communication resources have gradually become a critical factor toward efficiency of decentralized large scale multi-agent coordination when both system scales up and tasks become more complex. In current researches, due to the agent’s limited communication and observational capability, an agent in a decentralized setting can only choose a part of channels to access, but cannot perceive or share global information. Each agent’s cooperative decision is based on the partial observation of the system state, and as such, uncertainty in the communication network is unavoidable. In this situation, it is a major challenge working out cooperative decision-making under uncertainty with only a partial observation of the environment. In this paper, we propose a decentralized approach that allows agents cooperatively search and independently choose channels. The key to our design is to build an up-to-date observation for each agent’s view so that a local decision model is achievable in a large scale team coordination. We simplify the Dec-POMDP model problem, and each agent can jointly work out its communication policy in order to improve its local decision utilities for the choice of communication resources. Finally, we discuss an implicate resource competition game, and show that, there exists an approximate resources access tradeoff balance between agents. Based on this discovery, the tradeoff between real-time decision-making and the efficiency of cooperation using these channels can be well improved. PMID:26727504

  16. Model Based User's Access Requirement Analysis of E-Governance Systems

    Science.gov (United States)

    Saha, Shilpi; Jeon, Seung-Hwan; Robles, Rosslin John; Kim, Tai-Hoon; Bandyopadhyay, Samir Kumar

    The strategic and contemporary importance of e-governance has been recognized across the world. In India too, various ministries of Govt. of India and State Governments have taken e-governance initiatives to provide e-services to citizens and the business they serve. To achieve the mission objectives, and make such e-governance initiatives successful it would be necessary to improve the trust and confidence of the stakeholders. It is assumed that the delivery of government services will share the same public network information that is being used in the community at large. In particular, the Internet will be the principal means by which public access to government and government services will be achieved. To provide the security measures main aim is to identify user's access requirement for the stakeholders and then according to the models of Nath's approach. Based on this analysis, the Govt. can also make standards of security based on the e-governance models. Thus there will be less human errors and bias. This analysis leads to the security architecture of the specific G2C application.

  17. Decentralized Opportunistic Spectrum Resources Access Model and Algorithm toward Cooperative Ad-Hoc Networks.

    Directory of Open Access Journals (Sweden)

    Ming Liu

    Full Text Available Limited communication resources have gradually become a critical factor toward efficiency of decentralized large scale multi-agent coordination when both system scales up and tasks become more complex. In current researches, due to the agent's limited communication and observational capability, an agent in a decentralized setting can only choose a part of channels to access, but cannot perceive or share global information. Each agent's cooperative decision is based on the partial observation of the system state, and as such, uncertainty in the communication network is unavoidable. In this situation, it is a major challenge working out cooperative decision-making under uncertainty with only a partial observation of the environment. In this paper, we propose a decentralized approach that allows agents cooperatively search and independently choose channels. The key to our design is to build an up-to-date observation for each agent's view so that a local decision model is achievable in a large scale team coordination. We simplify the Dec-POMDP model problem, and each agent can jointly work out its communication policy in order to improve its local decision utilities for the choice of communication resources. Finally, we discuss an implicate resource competition game, and show that, there exists an approximate resources access tradeoff balance between agents. Based on this discovery, the tradeoff between real-time decision-making and the efficiency of cooperation using these channels can be well improved.

  18. Decentralized Opportunistic Spectrum Resources Access Model and Algorithm toward Cooperative Ad-Hoc Networks.

    Science.gov (United States)

    Liu, Ming; Xu, Yang; Mohammed, Abdul-Wahid

    2016-01-01

    Limited communication resources have gradually become a critical factor toward efficiency of decentralized large scale multi-agent coordination when both system scales up and tasks become more complex. In current researches, due to the agent's limited communication and observational capability, an agent in a decentralized setting can only choose a part of channels to access, but cannot perceive or share global information. Each agent's cooperative decision is based on the partial observation of the system state, and as such, uncertainty in the communication network is unavoidable. In this situation, it is a major challenge working out cooperative decision-making under uncertainty with only a partial observation of the environment. In this paper, we propose a decentralized approach that allows agents cooperatively search and independently choose channels. The key to our design is to build an up-to-date observation for each agent's view so that a local decision model is achievable in a large scale team coordination. We simplify the Dec-POMDP model problem, and each agent can jointly work out its communication policy in order to improve its local decision utilities for the choice of communication resources. Finally, we discuss an implicate resource competition game, and show that, there exists an approximate resources access tradeoff balance between agents. Based on this discovery, the tradeoff between real-time decision-making and the efficiency of cooperation using these channels can be well improved.

  19. Web-accessible molecular modeling with Rosetta: The Rosetta Online Server that Includes Everyone (ROSIE).

    Science.gov (United States)

    Moretti, Rocco; Lyskov, Sergey; Das, Rhiju; Meiler, Jens; Gray, Jeffrey J

    2018-01-01

    The Rosetta molecular modeling software package provides a large number of experimentally validated tools for modeling and designing proteins, nucleic acids, and other biopolymers, with new protocols being added continually. While freely available to academic users, external usage is limited by the need for expertise in the Unix command line environment. To make Rosetta protocols available to a wider audience, we previously created a web server called Rosetta Online Server that Includes Everyone (ROSIE), which provides a common environment for hosting web-accessible Rosetta protocols. Here we describe a simplification of the ROSIE protocol specification format, one that permits easier implementation of Rosetta protocols. Whereas the previous format required creating multiple separate files in different locations, the new format allows specification of the protocol in a single file. This new, simplified protocol specification has more than doubled the number of Rosetta protocols available under ROSIE. These new applications include pK a determination, lipid accessibility calculation, ribonucleic acid redesign, protein-protein docking, protein-small molecule docking, symmetric docking, antibody docking, cyclic toxin docking, critical binding peptide determination, and mapping small molecule binding sites. ROSIE is freely available to academic users at http://rosie.rosettacommons.org. © 2017 The Protein Society.

  20. Modeling Social Capital as Dynamic Networks to Promote Access to Oral Healthcare.

    Science.gov (United States)

    Wang, Hua; Northridge, Mary E; Kunzel, Carol; Zhang, Qiuyi; Kum, Susan S; Gilbert, Jessica L; Jin, Zhu; Metcalf, Sara S

    2016-01-01

    Social capital, as comprised of human connections in social networks and their associated benefits, is closely related to the health of individuals, communities, and societies at large. For disadvantaged population groups such as older adults and racial/ethnic minorities, social capital may play a particularly critical role in mitigating the negative effects and reinforcing the positive effects on health. In this project, we model social capital as both cause and effect by simulating dynamic networks. Informed in part by a community-based health promotion program, an agent-based model is contextualized in a GIS environment to explore the complexity of social disparities in oral and general health as experienced at the individual, interpersonal, and community scales. This study provides the foundation for future work investigating how health and healthcare accessibility may be influenced by social networks.

  1. CERN Action on Open Access : Open Meeting on Changing the Publishing Model

    CERN Document Server

    CERN. Geneva

    2005-01-01

    Leader of the discussion: Chief Scientific Officer Jos Engelen, CERN. Particle physicists are again contributing to change by Director-General Robert Aymar, CERN. A general presentation of the CERN policy and visions. Improving the impact of your research by Former Editor-in-Chief Alex Bradshaw, New Journal of Physics. Springer Open Choice by Chief executive officer Derk Haank, Springer. The JHEP experience by Scientific director Hector Rubinstein, JHEP. The impact of the J series, existing and coming journals: JHEP JCAP JSTAT JINST. National libraries ensuring long-term archiving of digital information speaker to be decided. Debate The Director-General is calling all CERN editors and authors to a meeting to contribute to the discussion on the direction that CERN should take in its experimentation with new publishing models. The current subscription-funded publishing model for journal articles (where access to a particular journal is granted upon payment of a subscription, often arranged by the institutional ...

  2. The quality, safety and governance of telephone triage and advice services - an overview of evidence from systematic reviews.

    Science.gov (United States)

    Lake, Rebecca; Georgiou, Andrew; Li, Julie; Li, Ling; Byrne, Mary; Robinson, Maureen; Westbrook, Johanna I

    2017-08-30

    Telephone triage and advice services (TTAS) are increasingly being implemented around the world. These services allow people to speak to a nurse or general practitioner over the telephone and receive assessment and healthcare advice. There is an existing body of research on the topic of TTAS, however the diffuseness of the evidence base makes it difficult to identify key lessons that are consistent across the literature. Systematic reviews represent the highest level of evidence synthesis. We aimed to undertake an overview of such reviews to determine the scope, consistency and generalisability of findings in relation to the governance, safety and quality of TTAS. We searched PubMed, MEDLINE, EMBASE, CINAHL, Web of Science and the Cochrane Library for English language systematic reviews focused on key governance, quality and safety findings related to telephone based triage and advice services, published since 1990. The search was undertaken by three researchers who reached consensus on all included systematic reviews. An appraisal of the methodological quality of the systematic reviews was independently undertaken by two researchers using A Measurement Tool to Assess Systematic Reviews. Ten systematic reviews from a potential 291 results were selected for inclusion. TTAS was examined either alone, or as part of a primary care service model or intervention designed to improve primary care. Evidence of TTAS performance was reported across nine key indicators - access, appropriateness, compliance, patient satisfaction, cost, safety, health service utilisation, physician workload and clinical outcomes. Patient satisfaction with TTAS was generally high and there is some consistency of evidence of the ability of TTAS to reduce clinical workload. Measures of the safety of TTAS tended to show that there is no major difference between TTAS and traditional care. Taken as a whole, current evidence does not provide definitive answers to questions about the quality of care

  3. A cluster randomised trial of a telephone-based intervention for parents to increase fruit and vegetable consumption in their 3- to 5-year-old children: study protocol.

    Science.gov (United States)

    Wyse, Rebecca J; Wolfenden, Luke; Campbell, Elizabeth; Brennan, Leah; Campbell, Karen J; Fletcher, Amanda; Bowman, Jenny; Heard, Todd R; Wiggers, John

    2010-04-28

    Inadequate fruit and vegetable consumption in childhood increases the risk of developing chronic disease. Despite this, a substantial proportion of children in developed nations, including Australia, do not consume sufficient quantities of fruits and vegetables. Parents are influential in the development of dietary habits of young children but often lack the necessary knowledge and skills to promote healthy eating in their children. The aim of this study is to assess the efficacy of a telephone-based intervention for parents to increase the fruit and vegetable consumption of their 3- to 5-year-old children. The study, conducted in the Hunter region of New South Wales, Australia, employs a cluster randomised controlled trial design. Two hundred parents from 15 randomly selected preschools will be randomised to receive the intervention, which consists of print resources and four weekly 30-minute telephone support calls delivered by trained telephone interviewers. The calls will assist parents to increase the availability and accessibility of fruit and vegetables in the home, create supportive family eating routines and role-model fruit and vegetable consumption. A further two hundred parents will be randomly allocated to the control group and will receive printed nutrition information only. The primary outcome of the trial will be the change in the child's consumption of fruit and vegetables as measured by the fruit and vegetable subscale of the Children's Dietary Questionnaire. Pre-intervention and post-intervention parent surveys will be administered over the telephone. Baseline surveys will occur one to two weeks prior to intervention delivery, with follow-up data collection calls occurring two, six, 12 and 18 months following baseline data collection. If effective, this telephone-based intervention may represent a promising public health strategy to increase fruit and vegetable consumption in childhood and reduce the risk of subsequent chronic disease.

  4. A cluster randomised trial of a telephone-based intervention for parents to increase fruit and vegetable consumption in their 3- to 5-year-old children: study protocol

    Directory of Open Access Journals (Sweden)

    Fletcher Amanda

    2010-04-01

    Full Text Available Abstract Background Inadequate fruit and vegetable consumption in childhood increases the risk of developing chronic disease. Despite this, a substantial proportion of children in developed nations, including Australia, do not consume sufficient quantities of fruits and vegetables. Parents are influential in the development of dietary habits of young children but often lack the necessary knowledge and skills to promote healthy eating in their children. The aim of this study is to assess the efficacy of a telephone-based intervention for parents to increase the fruit and vegetable consumption of their 3- to 5-year-old children. Methods/Design The study, conducted in the Hunter region of New South Wales, Australia, employs a cluster randomised controlled trial design. Two hundred parents from 15 randomly selected preschools will be randomised to receive the intervention, which consists of print resources and four weekly 30-minute telephone support calls delivered by trained telephone interviewers. The calls will assist parents to increase the availability and accessibility of fruit and vegetables in the home, create supportive family eating routines and role-model fruit and vegetable consumption. A further two hundred parents will be randomly allocated to the control group and will receive printed nutrition information only. The primary outcome of the trial will be the change in the child's consumption of fruit and vegetables as measured by the fruit and vegetable subscale of the Children's Dietary Questionnaire. Pre-intervention and post-intervention parent surveys will be administered over the telephone. Baseline surveys will occur one to two weeks prior to intervention delivery, with follow-up data collection calls occurring two, six, 12 and 18 months following baseline data collection. Discussion If effective, this telephone-based intervention may represent a promising public health strategy to increase fruit and vegetable consumption in

  5. Telephone interventions for adherence to colpocytological examination.

    Science.gov (United States)

    Lima, Thais Marques; Nicolau, Ana Izabel Oliveira; Carvalho, Francisco Herlânio Costa; Vasconcelos, Camila Teixeira Moreira; Aquino, Priscila de Souza; Pinheiro, Ana Karina Bezerra

    2017-02-06

    to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283) with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p Entrevista Motivacional. ao comparar antes e depois das intervenções comportamental e educativa constatou-se que houve uma mudança estatisticamente significativa (p = 0,0283) no aumento do conhecimento das mulheres que participaram da intervenção educativa; não houve mudança comprovada na atitude das mulheres de nenhum dos grupos e houve um aumento da adesão ao exame colpocitológico nos dois grupos (p Entrevista Motivacional. al comparar antes y después de la intervención comportamental y educativa se constató que hubo un cambio estadísticamente significativo (p = 0,0283) en el aumento del conocimiento de las mujeres que participaron de la intervención educativa; no hubo cambio comprobado en la actitud de las mujeres de ninguno de los grupos y hubo un aumento de la adhesión al examen de citología vaginal en los dos grupos (p < 0,0001), con mayor adhesión de las mujeres que participaron del grupo comportamental (66,8%). las intervenciones

  6. Bridging the divide between child psychiatry and primary care: the use of telephone consultation within a population-based collaborative system.

    Science.gov (United States)

    Sarvet, Barry; Gold, Joseph; Straus, John H

    2011-01-01

    The Massachusetts Child Psychiatry Access Project is a public system for improving access to care for children with mental health problems in which the provision of telephone consultation by child psychiatry teams to pediatric primary care providers (PCPs) plays a central role. In this article, the practice of telephone consultation within this system is explored through the examination of case studies, demonstrating its use in common clinical scenarios. The telephone consultations provide immediate case-based clinical education, and also serve as a gateway for the provision of as-needed direct child psychiatry evaluation and care coordination services. Most importantly, the telephone consultations build sustaining collaborative relationships, enhancing the ability of PCPs to meet the needs of children with mental health problems. Copyright © 2011 Elsevier Inc. All rights reserved.

  7. The Chinese electricity access model for rural electrification: Approach, experience and lessons for others

    International Nuclear Information System (INIS)

    Bhattacharyya, Subhes C.; Ohiare, Sanusi

    2012-01-01

    The economic and infrastructural disparities between the rural and urban communities of most developing countries in general and in terms of energy access in particular are quite glaring. China presents a good example of a developing country that has successfully embarked on rural electrification projects over the last few decades and achieved a great feat of almost 100% electrification rate (. World Energy Outlook, 2009, International Energy Agency, Paris (see IEA website at (http://www.worldenergyoutlook.org/electricity.asp).)). The purpose of this paper is to find out how China has achieved this feat; how China’s rural energy projects were financed and whether China provides lessons for other countries to follow. The above questions are examined through an extensive literature review and the paper finds that unlike many other countries following the top-down approach to rural electrification, China has preferred to use a phased development through a bottom-up approach where local resources, and village level development and empowerment played an important role. While the state provided the overall guidance and financial support, the integrated rural development approach has produced local-level solutions that are subsequently integrated to produce an alternative development pathway. Strong government commitment, active local participation, technological flexibility and diversity, strong emphasis on rural development through agricultural and industrial activities and an emphasis on capacity building and training have also played an important role in the success. However, despite achieving the universal access objective, China still faces a number of issues related to rural electricity use, especially in terms of regional use patterns, long-term sustainability of supply and commercial operation of the systems. The Chinese model could serve as an inspiration for other developing countries trying to ensure universal electricity access. - Highlights: ► It

  8. The climate4impact platform: Providing, tailoring and facilitating climate model data access

    Science.gov (United States)

    Pagé, Christian; Pagani, Andrea; Plieger, Maarten; Som de Cerff, Wim; Mihajlovski, Andrej; de Vreede, Ernst; Spinuso, Alessandro; Hutjes, Ronald; de Jong, Fokke; Bärring, Lars; Vega, Manuel; Cofiño, Antonio; d'Anca, Alessandro; Fiore, Sandro; Kolax, Michael

    2017-04-01

    One of the main objectives of climate4impact is to provide standardized web services and tools that are reusable in other portals. These services include web processing services, web coverage services and web mapping services (WPS, WCS and WMS). Tailored portals can be targeted to specific communities and/or countries/regions while making use of those services. Easier access to climate data is very important for the climate change impact communities. To fulfill this objective, the climate4impact (http://climate4impact.eu/) web portal and services has been developed, targeting climate change impact modellers, impact and adaptation consultants, as well as other experts using climate change data. It provides to users harmonized access to climate model data through tailored services. It features static and dynamic documentation, Use Cases and best practice examples, an advanced search interface, an integrated authentication and authorization system with the Earth System Grid Federation (ESGF), a visualization interface with ADAGUC web mapping tools. In the latest version, statistical downscaling services, provided by the Santander Meteorology Group Downscaling Portal, were integrated. An innovative interface to integrate statistical downscaling services will be released in the upcoming version. The latter will be a big step in bridging the gap between climate scientists and the climate change impact communities. The climate4impact portal builds on the infrastructure of an international distributed database that has been set to disseminate the results from the global climate model results of the Coupled Model Intercomparison project Phase 5 (CMIP5). This database, the ESGF, is an international collaboration that develops, deploys and maintains software infrastructure for the management, dissemination, and analysis of climate model data. The European FP7 project IS-ENES, Infrastructure for the European Network for Earth System modelling, supports the European

  9. Geographically weighted regression for modelling the accessibility to the public hospital network in Concepción Metropolitan Area, Chile.

    Science.gov (United States)

    Martínez Bascuñán, Marcela; Rojas Quezada, Carolina

    2016-11-22

    Accessibility models in transport geography based on geographic information systems have proven to be an effective method in determining spatial inequalities associated with public health. This work aims to model the spatial accessibility from populated areas within the Concepción metropolitan area (CMA), the second largest city in Chile. The city's public hospital network is taken into consideration with special reference to socio-regional inequalities. The use of geographically weighted regression (GWR) and ordinary least squares (OLS) for modelling accessibility with socioeconomic and transport variables is proposed. The explanatory variables investigated are: illiterate population, rural housing, alternative housing, homes with a motorised vehicle, public transport routes, and connectivity. Our results identify that approximately 4.1% of the population have unfavourable or very unfavourable accessibility to public hospitals, which correspond to rural areas located south of CMA. Application of a local GWR model (0.87 R2 adjusted) helped to improve the settings over the use of traditional OLS methods (multiple regression) (0.67 R2 adjusted) and to find the spatial distribution of both coefficients of the explanatory variables, demonstrating the local significance of the model. Thus, accessibility studies have enormous potential to contribute to the development of public health and transport policies in turn to achieve equality in spatial accessibility to specialised health care.

  10. Telephone helplines as a source of support for eating disorders: Service user, carer, and health professional perspectives.

    Science.gov (United States)

    Prior, Amie-Louise; Woodward, Debbie; Hoefkens, Toni; Clayton, Debbie; Thirlaway, Katie; Limbert, Caroline

    2018-01-01

    Access to care for eating disorders can be problematic for numerous reasons including lack of understanding and delays with treatment referrals. Previous research has highlighted the benefits of telephone helplines as an accessible source of support for those who may not wish to access face-to-face support or to fill a gap for those waiting for treatment. This study aimed to gain an insight into the perspectives of those who may use or refer others to a telephone helpline in order to identify the requirements of such a service. Triangulation of service user, carer and health professionals' perspectives resulted in identification of themes relating to the type of support, delivery and practicalities of a helpline. The findings indicated that telephone helplines may offer numerous benefits for individuals with an eating disorder, whether accessed as a first step, alongside treatment or as an extension of this support when in recovery. Additionally helplines may provide an opportunity for carers to access information and discuss their own experiences, while supporting their loved one. Raising awareness of these services is important to encourage those affected by an eating disorder to access and make the most of this type of support. These findings offer an insight into the key requirements for new and existing service development with regard to both the type of support and the method of communication required by individuals with eating disorders.

  11. Telemedicine in acute stroke: remote video-examination compared to simple telephone consultation.

    Science.gov (United States)

    Handschu, René; Scibor, Mateusz; Willaczek, Barbara; Nückel, Martin; Heckmann, Josef G; Asshoff, Dirk; Belohlavek, Dieter; Erbguth, Frank; Schwab, Stefan

    2008-11-01

    Telemedicine is increasingly being used in acute stroke care. Some of the first studies and network projects are already applying remote audiovisual communication for patient evaluation. Formerly the telephone was the method of choice to contact experts for case discussion. We compared remote video-examination and telephone consultation in acute stroke care. Two district hospitals were linked to stroke centers in Northern Bavaria. Patients with symptoms suggestive of an acute stroke were included. Remote video examination (RVE) was provided by live audiovisual communication and access to brain images; telephone consultation (TC) was done via standard telephone using a structured interview. There was a weekly rotation of the two methods. Demographic data and other data concerning process and quality of care as well as outcome 10 days after stroke were recorded and compared between the two groups. Within the study period 151 consultations were made in acute stroke patients (mean age 66.8 years). 77 patients were seen by RVE and 74 by TC. Total examination times were 49.8 min for RVE and 27.2 min for TC (p stroke center after TC consultation (9.1 % vs. 14.9 %, p stroke (6.8 % vs. 1.3 %, p stroke care by establishing cooperation between hospitals. Telephone consultation could be a simple method of telemedicine to support cooperation as it is easy and widely available. However, outcome parameters like mortality indicate that remote video examination is superior to TC. Therefore, full-scale audiovisual communication is recommended for remote consultation in acute stroke care.

  12. Confidential telephone in constitutions of brazil and portugal: analysis of measure in law of treatment and jurisprudential and protection limit between poor and efficient

    Directory of Open Access Journals (Sweden)

    Diego Prezzi Santos

    2016-04-01

    Full Text Available The present study aims to analyze the requirements of the wiretapping Brazil and Portugal, basing the analysis on constitutional norms and standards infra. The analysis involves the understanding of rights linked to personal intimacy and privacy and the possibility that it has investigated the target of disclosure of telephone records through telephone interception, having secured the material access to justice, and, therefore, these respected rights. Checked out the concept of access to fair legal system (material and also the formal access to make possible the understanding and presentation of the results obtained from the Brazilian courts and the Portuguese courts.

  13. Community outreach midwifery-led model improves antenatal access in a disadvantaged population.

    Science.gov (United States)

    Reeve, Carole; Banfield, Sally; Thomas, Amanda; Reeve, David; Davis, Stephanie

    2016-06-01

    This study aimed to assess the impact of a new model of antenatal care for women living in a very remote area. This is a retrospective 2-year evaluation of antenatal care. Two hundred thirteen pregnant women in Aboriginal communities in the Fitzroy Valley of Western Australia participated in this study. The implementation of a midwifery-led interdisciplinary model of antenatal outreach care. The indicators measured were numbers of antenatal visits, their location and quality care indicators (presentation in first trimester, alcohol and smoking, ultrasound and blood-borne virus screening) and outcome indicators (birth weight, prematurity, in utero deaths and mode of delivery). There was an increase in access to antenatal care and improvements in quality-of-care indicators. The proportion of visits provided in local Aboriginal communities increased from 10% to 24%. There were statistically significant increases in women presenting in the first trimester (40-58%), screening for alcohol and smoking (48-93%) and having an ultrasound in pregnancy (59-94%). There were no significant improvements in neonatal outcome indicators. There is a large disparity in maternal and child health outcomes between Aboriginal and Torres Strait Islander (Indigenous) and non-Indigenous Australians thought to be due to decreased access to antenatal care, poorer socioeconomic status and the associated risk factors. The change in model of care resulted in earlier presentation for antenatal care, increased numbers of antenatal visits and increased screening for risk factors. Regular auditing of services enables the identification of opportunity for improvement with the goal of improving health outcomes. © 2015 National Rural Health Alliance Inc.

  14. Europlanet-RI: Access to Planetary Data, Tools, Models and Support Information

    Science.gov (United States)

    Schmidt, W.; Capria, M. T.; Chanteur, G.

    2012-04-01

    During the past three years the Europlanet Research Infrastructure consortium with financial support from the EU's 7th framework program has developed a wide range of tools to support all aspects of planetary research. During the final year of the project these are being integrated into the "Integrated and Distributed Information Service IDIS" [1]. The challenge is the diversity of research fields involved in planetary research, each with its own way of collecting and archiving data and publishing its results. Nevertheless the results of one field are needed by others to be able to correctly interpret their observations, and to design new kinds of measurements to advance our knowledge of the Solar system. The IDIS team in close cooperation with the efforts of the International Planetary Data Alliance (IPDA) has developed a data model which allows the registration of a wide range of data sources including the results from modelling efforts thereby providing Virtual Observatory (IDIS-VO) [2,3] services for the community to register and access data from planetary data centres, laboratory measurements, spectral- and molecular data bases and simulations. Once a data set from any of these sources is registered with IDIS, it can be accessed, its used archive format translated into a compatible internal format and combined with other data using the visualization tools developed in connection with IDIS. Tools to calculate ephemeris data for a wide range of solar system bodies, to visualize their locations or identify them from existing images can be found as well as interactive tools to evaluate chemical reaction paths, spectral information from gas or solids or the mapping of planetary surfaces. Additionally information about ground observation possibilities, test facilities, laboratories, research institutes and scientists with detailed contact information is made available to the user. For the developers of new space instruments and operators of active missions support

  15. Design and implementation of telephone dialer based on Arduino

    Science.gov (United States)

    Ma, Zilong; Lei, Ying

    2017-03-01

    Introduces a system design scheme of the telephone dialer based on Arduino, including the design principle, hardware and software design and the experimental results in this paper. The scheme is based on the dual tone multi frequency (DTMF) dialing mode, using the Arduino UNO as the main controller, the serial port send out the telephone number to be dialed, speaker synthesize the voice.

  16. 77 FR 18258 - Government-to-Government Telephonic Consultation Meetings

    Science.gov (United States)

    2012-03-27

    ... DEPARTMENT OF THE INTERIOR National Park Service [NPS-WASO-NRNHL-0212-9515; 2280-665] Government-to-Government Telephonic Consultation Meetings AGENCY: National Park Service, Interior. SUMMARY: The National Park Service announces two telephonic government- to-government consultation meetings with Indian...

  17. 47 CFR 42.6 - Retention of telephone toll records.

    Science.gov (United States)

    2010-10-01

    ... whether it is billing its own toll service customers for toll calls or billing customers for another... Section 42.6 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES... telephone toll records. Each carrier that offers or bills toll telephone service shall retain for a period...

  18. THE EFFECTS OF MOBILE TELEPHONING ON DRIVING PERFORMANCE

    NARCIS (Netherlands)

    BROOKHUIS, KA; DEVRIES, G; DEWAARD, D

    The effects of telephoning while driving were studied in three different traffic conditions, i.e. in light traffic on a quiet motorway, in heavy traffic on a four-lane ring-road, and in city traffic. Twelve subjects, unfamiliar with mobile telephones, drove an instrumented vehicle for one hour each

  19. 47 CFR 73.1206 - Broadcast of telephone conversations.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Broadcast of telephone conversations. 73.1206 Section 73.1206 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Rules Applicable to All Broadcast Stations § 73.1206 Broadcast of telephone...

  20. 39 CFR 6.4 - Attendance by conference telephone call.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Attendance by conference telephone call. 6.4 Section 6.4 Postal Service UNITED STATES POSTAL SERVICE THE BOARD OF GOVERNORS OF THE U.S. POSTAL SERVICE MEETINGS (ARTICLE VI) § 6.4 Attendance by conference telephone call. For regularly scheduled meetings of...

  1. Openings and Closings in Telephone Conversations between Native Spanish Speakers.

    Science.gov (United States)

    Coronel-Molina, Serafin M.

    1998-01-01

    A study analyzed the opening and closing sequences of 11 dyads of native Spanish-speakers in natural telephone conversations conducted in Spanish. The objective was to determine how closely Hispanic cultural patterns of conduct for telephone conversations follow the sequences outlined in previous research. It is concluded that Spanish…

  2. Dial Up Big Savings with Your Own Telephone System.

    Science.gov (United States)

    Dunnerstick, Robert D.

    1988-01-01

    Purchase of a telephone system saved an Ohio school district $25,000 in the first year. To get the most for their telephone dollars districts should (1) determine needs; (2) write specifications; (3) ask for bids; (4) review the bids; (5) work with the company selected; and (6) inform the public. (MLF)

  3. 47 CFR 32.6351 - Public telephone terminal equipment expense.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Public telephone terminal equipment expense. 32... SERVICES UNIFORM SYSTEM OF ACCOUNTS FOR TELECOMMUNICATIONS COMPANIES Instructions for Expense Accounts § 32.6351 Public telephone terminal equipment expense. This account shall include expenses associated with...

  4. 47 CFR 32.2351 - Public telephone terminal equipment.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Public telephone terminal equipment. 32.2351... UNIFORM SYSTEM OF ACCOUNTS FOR TELECOMMUNICATIONS COMPANIES Instructions for Balance Sheet Accounts § 32.2351 Public telephone terminal equipment. (a) This account shall include the original cost of coinless...

  5. When may doctors give nurses telephonic treatment instructions?

    African Journals Online (AJOL)

    legal proxy cannot give consent, emergency treatment may be given without consent – provided it is not against a previous directive issued by a patient refusing treatment, e.g. a refusal to accept a blood transfusion for religious reasons.[8]. Before issuing telephonic instructions doctors should consider whether telephone ...

  6. 47 CFR 36.374 - Telephone operator services.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Telephone operator services. 36.374 Section 36.374 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES... Customer Operations Expenses § 36.374 Telephone operator services. (a) Expenses in this classification...

  7. 47 CFR 68.4 - Hearing aid-compatible telephones.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Hearing aid-compatible telephones. 68.4 Section... (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.4 Hearing aid-compatible... for export) or imported for use in the United States after August 16, 1989, must be hearing aid...

  8. Brain tumour risk in relation to mobile telephone use

    DEFF Research Database (Denmark)

    Johansen, Christoffer

    2010-01-01

    The rapid increase in mobile telephone use has generated concern about possible health risks related to radiofrequency electromagnetic fields from this technology.......The rapid increase in mobile telephone use has generated concern about possible health risks related to radiofrequency electromagnetic fields from this technology....

  9. Elder abuse telephone screen reliability and validity.

    Science.gov (United States)

    Buri, Hilary M; Daly, Jeanette M; Jogerst, Gerald J

    2009-01-01

    (a) To identify reliable and valid questions that identify elder abuse, (b) to assess the reliability and validity of extant self-reported elder abuse screens in a high-risk elderly population, and (c) to describe difficulties of completing and interpreting screens in a high-need elderly population. All elders referred to research-trained social workers in a community service agency were asked to participate. Of the 70 elders asked, 49 participated, 44 completed the first questionnaire, and 32 completed the duplicate second questionnaire. A research assistant administered the telephone questionnaires. Twenty-nine (42%) persons were judged abused, 12 (17%) had abuse reported, and 4 (6%) had abuse substantiated. The elder abuse screen instruments were not found to be predictive of assessed abuse or as predictors of reported abuse; the measures tended toward being inversely predictive. Two questions regarding harm and taking of belongings were significantly different for the assessed abused group. In this small group of high-need community-dwelling elders, the screens were not effective in discriminating between abused and nonabused groups. Better instruments are needed to assess for elder abuse.

  10. Editorial: Models, technologies and approaches toward widening the open access to learning and education

    Directory of Open Access Journals (Sweden)

    Rachid Benlamri

    2016-03-01

    Full Text Available This special issue is devoted to novel models and technologies as well as current methodical approaches and best practices in the field of Open Learning and Open Education as enablers of personal growth, social inclusion, open innovation, and sustainable economic development in the challenging conditions of globalization and world-wide competition in productivity and services. The Open Access to Learning and Education embraces not only various technologies, such as mobile and intelligent technologies, content and data management, user-centered design, but also diverse directions of use, such as e-learning and training, organizational development, Massive Open Online Courses, special needs education, all building an excellent basis for various educational and business arrangements that widen the learning and education opportunities for all people around the globe. Against this background, this special issue demonstrates the immense speed and relentlessness of the Open Access concept growth presenting a wide range of examples toward supporting competency and skills development to ensure highly capable human capital, and solve individual, business, urban, demographic, health as well as social inclusion issues in today’s highly demanding digital economy environment.

  11. An open-access modeled passenger flow matrix for the global air network in 2010.

    Directory of Open Access Journals (Sweden)

    Zhuojie Huang

    Full Text Available The expanding global air network provides rapid and wide-reaching connections accelerating both domestic and international travel. To understand human movement patterns on the network and their socioeconomic, environmental and epidemiological implications, information on passenger flow is required. However, comprehensive data on global passenger flow remain difficult and expensive to obtain, prompting researchers to rely on scheduled flight seat capacity data or simple models of flow. This study describes the construction of an open-access modeled passenger flow matrix for all airports with a host city-population of more than 100,000 and within two transfers of air travel from various publicly available air travel datasets. Data on network characteristics, city population, and local area GDP amongst others are utilized as covariates in a spatial interaction framework to predict the air transportation flows between airports. Training datasets based on information from various transportation organizations in the United States, Canada and the European Union were assembled. A log-linear model controlling the random effects on origin, destination and the airport hierarchy was then built to predict passenger flows on the network, and compared to the results produced using previously published models. Validation analyses showed that the model presented here produced improved predictive power and accuracy compared to previously published models, yielding the highest successful prediction rate at the global scale. Based on this model, passenger flows between 1,491 airports on 644,406 unique routes were estimated in the prediction dataset. The airport node characteristics and estimated passenger flows are freely available as part of the Vector-Borne Disease Airline Importation Risk (VBD-Air project at: www.vbd-air.com/data.

  12. A fragmentation model of earthquake-like behavior in internet access activity

    Science.gov (United States)

    Paguirigan, Antonino A.; Angco, Marc Jordan G.; Bantang, Johnrob Y.

    We present a fragmentation model that generates almost any inverse power-law size distribution, including dual-scaled versions, consistent with the underlying dynamics of systems with earthquake-like behavior. We apply the model to explain the dual-scaled power-law statistics observed in an Internet access dataset that covers more than 32 million requests. The non-Poissonian statistics of the requested data sizes m and the amount of time τ needed for complete processing are consistent with the Gutenberg-Richter-law. Inter-event times δt between subsequent requests are also shown to exhibit power-law distributions consistent with the generalized Omori law. Thus, the dataset is similar to the earthquake data except that two power-law regimes are observed. Using the proposed model, we are able to identify underlying dynamics responsible in generating the observed dual power-law distributions. The model is universal enough for its applicability to any physical and human dynamics that is limited by finite resources such as space, energy, time or opportunity.

  13. Evaluation of the ACCESS – chemistry–climate model for the Southern Hemisphere

    Directory of Open Access Journals (Sweden)

    K. A. Stone

    2016-02-01

    Full Text Available Chemistry–climate models are important tools for addressing interactions of composition and climate in the Earth system. In particular, they are used to assess the combined roles of greenhouse gases and ozone in Southern Hemisphere climate and weather. Here we present an evaluation of the Australian Community Climate and Earth System Simulator – chemistry–climate model (ACCESS-CCM, focusing on the Southern Hemisphere and the Australian region. This model is used for the Australian contribution to the international Chemistry–Climate Model Initiative, which is soliciting hindcast, future projection and sensitivity simulations. The model simulates global total column ozone (TCO distributions accurately, with a slight delay in the onset and recovery of springtime Antarctic ozone depletion, and consistently higher ozone values. However, October-averaged Antarctic TCO from 1960 to 2010 shows a similar amount of depletion compared to observations. Comparison with model precursors shows large improvements in the representation of the Southern Hemisphere stratosphere, especially in TCO concentrations. A significant innovation is seen in the evaluation of simulated vertical profiles of ozone and temperature with ozonesonde data from Australia, New Zealand and Antarctica from 38 to 90° S. Excess ozone concentrations (greater than 26 % at Davis and the South Pole during winter and stratospheric cold biases (up to 10 K at the South Pole during summer and autumn outside the period of perturbed springtime ozone depletion are seen during all seasons compared to ozonesondes. A disparity in the vertical location of ozone depletion is seen: centred around 100 hPa in ozonesonde data compared to above 50 hPa in the model. Analysis of vertical chlorine monoxide profiles indicates that colder Antarctic stratospheric temperatures (possibly due to reduced mid-latitude heat flux are artificially enhancing polar stratospheric cloud formation at high altitudes

  14. Evaluation of the ACCESS - chemistry-climate model for the Southern Hemisphere

    Science.gov (United States)

    Stone, Kane A.; Morgenstern, Olaf; Karoly, David J.; Klekociuk, Andrew R.; French, W. John; Abraham, N. Luke; Schofield, Robyn

    2016-02-01

    Chemistry-climate models are important tools for addressing interactions of composition and climate in the Earth system. In particular, they are used to assess the combined roles of greenhouse gases and ozone in Southern Hemisphere climate and weather. Here we present an evaluation of the Australian Community Climate and Earth System Simulator - chemistry-climate model (ACCESS-CCM), focusing on the Southern Hemisphere and the Australian region. This model is used for the Australian contribution to the international Chemistry-Climate Model Initiative, which is soliciting hindcast, future projection and sensitivity simulations. The model simulates global total column ozone (TCO) distributions accurately, with a slight delay in the onset and recovery of springtime Antarctic ozone depletion, and consistently higher ozone values. However, October-averaged Antarctic TCO from 1960 to 2010 shows a similar amount of depletion compared to observations. Comparison with model precursors shows large improvements in the representation of the Southern Hemisphere stratosphere, especially in TCO concentrations. A significant innovation is seen in the evaluation of simulated vertical profiles of ozone and temperature with ozonesonde data from Australia, New Zealand and Antarctica from 38 to 90° S. Excess ozone concentrations (greater than 26 % at Davis and the South Pole during winter) and stratospheric cold biases (up to 10 K at the South Pole during summer and autumn) outside the period of perturbed springtime ozone depletion are seen during all seasons compared to ozonesondes. A disparity in the vertical location of ozone depletion is seen: centred around 100 hPa in ozonesonde data compared to above 50 hPa in the model. Analysis of vertical chlorine monoxide profiles indicates that colder Antarctic stratospheric temperatures (possibly due to reduced mid-latitude heat flux) are artificially enhancing polar stratospheric cloud formation at high altitudes. The model's inability to

  15. Choosing a New Telephone System for Your Medical Practice.

    Science.gov (United States)

    Metherell, Brian

    2016-01-01

    E-mail may rule the world in other types of businesses, but for medical practices, the telephone remains the primary mode of communication with patients, specialists, and pharmacies. From making appointments to calling in prescriptions, telephones are essential to patient care. With technology changing very quickly and new capabilities coming into the medical practice, such as telemedicine and Skype, you need to know your options when choosing a new telephone system. The possibilities include on-site, cloud, and hybrid networked solutions. A wide variety of features and capabilities are available, from dozens of vendors. Of course, no matter what telephone solution you choose, you must meet regulatory compliance, particularly HIPAA, and Payment Card Industry Data Security Standard if you take credit cards. And it has to be affordable, reliable, and long lasting. This article explores what medical practices need to know when choosing a new business telephone system in order to find the right solutions for their businesses.

  16. Telephone: The Old Technology that is Never Old

    Directory of Open Access Journals (Sweden)

    Olubunmi Philip Aborisade

    2012-09-01

    Full Text Available Telephone technology is a technology that stands the test of time. Since it was invented in 1876 by Alexander Graham Belle, it remains the technology of all time. This article reports the major finding of a recent research, how technology transforms citizen journalism business in Nigeria. According to the research, Telephone technology has over the years emerged the major tool with which ordinary citizens in Nigeria without journalism and media background or affiliation participate in the process of news gathering, reporting and distribution. Guided by the recent use of telephone around the world by ordinary citizens to report themselves during protests through different social media outlets-Facebook, Tweeter, Youtube, the article illuminates the evergreen nature of the telephone. The article therefore concluded that the telephone technology invented in 1876 has survived the test of time. Instead of being obsolete, it blends with emerging communications technology to improve on its performance.

  17. 78 FR 54201 - Misuse of Internet Protocol (IP) Captioned Telephone Service; Telecommunications Relay Services...

    Science.gov (United States)

    2013-09-03

    ...In this document, the Commission seeks comment on further possible actions necessary to improve internet protocol captioned telephone relay service (IP CTS), to ensure that it is used exclusively by eligible individuals, and to develop a better methodology for calculating the compensation rate paid to IP CTS providers. This action is necessary to ensure that persons with hearing disabilities have access to relay services that address their unique needs, in furtherance of the objectives of section 225 of the Communications Act of 1934, as amended (Act), to provide relay services in a manner that is functionally equivalent to conventional telephone voice services, while at the same time protecting the interstate telecommunications relay service (TRS) Fund for all forms of TRS.

  18. 28 CFR 25.6 - Accessing records in the system.

    Science.gov (United States)

    2010-07-01

    ... through the FBI NICS Operations Center. FFLs may contact the NICS Operations Center by use of a toll-free telephone number, only during its regular business hours. In addition to telephone access, toll-free...; (ii) Assign a NICS Transaction Number (NTN) to a valid inquiry and provide the NTN to the FFL; (iii...

  19. A Comparison of Telephone Genetic Counseling and In-Person Genetic Counseling from the Genetic Counselor's Perspective.

    Science.gov (United States)

    Burgess, Kelly R; Carmany, Erin P; Trepanier, Angela M

    2016-02-01

    Growing demand for and limited geographic access to genetic counseling services is increasing the need for alternative service delivery models (SDM) like telephone genetic counseling (TGC). Little research has been done on genetic counselors' perspectives of the practice of TGC. We created an anonymous online survey to assess whether telephone genetic counselors believed the tasks identified in the ABGC (American Board of Genetic Counseling) Practice Analysis were performed similarly or differently in TGC compared to in person genetic counseling (IPGC). If there were differences noted, we sought to determine the nature of the differences and if additional training might be needed to address them. Eighty eight genetic counselors with experience in TGC completed some or all of the survey. Respondents identified differences in 13 (14.8%) of the 88 tasks studied. The tasks identified as most different in TGC were: "establishing rapport through verbal and nonverbal interactions" (60.2%; 50/83 respondents identified the task as different), "recognizing factors affecting the counseling interaction" (47.8%; 32/67), "assessing client/family emotions, support, etc." (40.1%; 27/66) and "educating clients about basic genetic concepts" (35.6%; 26/73). A slight majority (53.8%; 35/65) felt additional training was needed to communicate information without visual aids and more effectively perform psychosocial assessments. In summary, although a majority of genetic counseling tasks are performed similarly between TGC and IPGC, TGC counselors recognize that specific training in the TGC model may be needed to address the key differences.

  20. A Cerebellar-model Associative Memory as a Generalized Random-access Memory

    Science.gov (United States)

    Kanerva, Pentti

    1989-01-01

    A versatile neural-net model is explained in terms familiar to computer scientists and engineers. It is called the sparse distributed memory, and it is a random-access memory for very long words (for patterns with thousands of bits). Its potential utility is the result of several factors: (1) a large pattern representing an object or a scene or a moment can encode a large amount of information about what it represents; (2) this information can serve as an address to the memory, and it can also serve as data; (3) the memory is noise tolerant--the information need not be exact; (4) the memory can be made arbitrarily large and hence an arbitrary amount of information can be stored in it; and (5) the architecture is inherently parallel, allowing large memories to be fast. Such memories can become important components of future computers.

  1. Computational Package for Copolymerization Reactivity Ratio Estimation: Improved Access to the Error-in-Variables-Model

    Directory of Open Access Journals (Sweden)

    Alison J. Scott

    2018-01-01

    Full Text Available The error-in-variables-model (EVM is the most statistically correct non-linear parameter estimation technique for reactivity ratio estimation. However, many polymer researchers are unaware of the advantages of EVM and therefore still choose to use rather erroneous or approximate methods. The procedure is straightforward but it is often avoided because it is seen as mathematically and computationally intensive. Therefore, the goal of this work is to make EVM more accessible to all researchers through a series of focused case studies. All analyses employ a MATLAB-based computational package for copolymerization reactivity ratio estimation. The basis of the package is previous work in our group over many years. This version is an improvement, as it ensures wider compatibility and enhanced flexibility with respect to copolymerization parameter estimation scenarios that can be considered.

  2. CCBuilder 2.0: Powerful and accessible coiled-coil modeling.

    Science.gov (United States)

    Wood, Christopher W; Woolfson, Derek N

    2018-01-01

    The increased availability of user-friendly and accessible computational tools for biomolecular modeling would expand the reach and application of biomolecular engineering and design. For protein modeling, one key challenge is to reduce the complexities of 3D protein folds to sets of parametric equations that nonetheless capture the salient features of these structures accurately. At present, this is possible for a subset of proteins, namely, repeat proteins. The α-helical coiled coil provides one such example, which represents ≈ 3-5% of all known protein-encoding regions of DNA. Coiled coils are bundles of α helices that can be described by a small set of structural parameters. Here we describe how this parametric description can be implemented in an easy-to-use web application, called CCBuilder 2.0, for modeling and optimizing both α-helical coiled coils and polyproline-based collagen triple helices. This has many applications from providing models to aid molecular replacement for X-ray crystallography, in silico model building and engineering of natural and designed protein assemblies, and through to the creation of completely de novo "dark matter" protein structures. CCBuilder 2.0 is available as a web-based application, the code for which is open-source and can be downloaded freely. http://coiledcoils.chm.bris.ac.uk/ccbuilder2. We have created CCBuilder 2.0, an easy to use web-based application that can model structures for a whole class of proteins, the α-helical coiled coil, which is estimated to account for 3-5% of all proteins in nature. CCBuilder 2.0 will be of use to a large number of protein scientists engaged in fundamental studies, such as protein structure determination, through to more-applied research including designing and engineering novel proteins that have potential applications in biotechnology. © 2017 The Authors Protein Science published by Wiley Periodicals, Inc. on behalf of The Protein Society.

  3. Cloud-based calculators for fast and reliable access to NOAA's geomagnetic field models

    Science.gov (United States)

    Woods, A.; Nair, M. C.; Boneh, N.; Chulliat, A.

    2017-12-01

    While the Global Positioning System (GPS) provides accurate point locations, it does not provide pointing directions. Therefore, the absolute directional information provided by the Earth's magnetic field is of primary importance for navigation and for the pointing of technical devices such as aircrafts, satellites and lately, mobile phones. The major magnetic sources that affect compass-based navigation are the Earth's core, its magnetized crust and the electric currents in the ionosphere and magnetosphere. NOAA/CIRES Geomagnetism (ngdc.noaa.gov/geomag/) group develops and distributes models that describe all these important sources to aid navigation. Our geomagnetic models are used in variety of platforms including airplanes, ships, submarines and smartphones. While the magnetic field from Earth's core can be described in relatively fewer parameters and is suitable for offline computation, the magnetic sources from Earth's crust, ionosphere and magnetosphere require either significant computational resources or real-time capabilities and are not suitable for offline calculation. This is especially important for small navigational devices or embedded systems, where computational resources are limited. Recognizing the need for a fast and reliable access to our geomagnetic field models, we developed cloud-based application program interfaces (APIs) for NOAA's ionospheric and magnetospheric magnetic field models. In this paper we will describe the need for reliable magnetic calculators, the challenges faced in running geomagnetic field models in the cloud in real-time and the feedback from our user community. We discuss lessons learned harvesting and validating the data which powers our cloud services, as well as our strategies for maintaining near real-time service, including load-balancing, real-time monitoring, and instance cloning. We will also briefly talk about the progress we achieved on NOAA's Big Earth Data Initiative (BEDI) funded project to develop API

  4. CCBuilder 2.0: Powerful and accessible coiled‐coil modeling

    Science.gov (United States)

    Wood, Christopher W.

    2017-01-01

    Abstract The increased availability of user‐friendly and accessible computational tools for biomolecular modeling would expand the reach and application of biomolecular engineering and design. For protein modeling, one key challenge is to reduce the complexities of 3D protein folds to sets of parametric equations that nonetheless capture the salient features of these structures accurately. At present, this is possible for a subset of proteins, namely, repeat proteins. The α‐helical coiled coil provides one such example, which represents ≈ 3–5% of all known protein‐encoding regions of DNA. Coiled coils are bundles of α helices that can be described by a small set of structural parameters. Here we describe how this parametric description can be implemented in an easy‐to‐use web application, called CCBuilder 2.0, for modeling and optimizing both α‐helical coiled coils and polyproline‐based collagen triple helices. This has many applications from providing models to aid molecular replacement for X‐ray crystallography, in silico model building and engineering of natural and designed protein assemblies, and through to the creation of completely de novo “dark matter” protein structures. CCBuilder 2.0 is available as a web‐based application, the code for which is open‐source and can be downloaded freely. http://coiledcoils.chm.bris.ac.uk/ccbuilder2. Lay Summary We have created CCBuilder 2.0, an easy to use web‐based application that can model structures for a whole class of proteins, the α‐helical coiled coil, which is estimated to account for 3–5% of all proteins in nature. CCBuilder 2.0 will be of use to a large number of protein scientists engaged in fundamental studies, such as protein structure determination, through to more‐applied research including designing and engineering novel proteins that have potential applications in biotechnology. PMID:28836317

  5. Telecentres, Access and Development: Experience and Lessons ...

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

    Universal access is a common policy goal in which 100% of a population is able to make use of a publicly available resource, such as information and communication technologies (ICTs): telephone, fax, and Internet/e-mail. Universal access to ICTs has in recent years become a policy goal for many national governments, ...

  6. The contribution of atom accessibility to site of metabolism models for cytochromes P450

    DEFF Research Database (Denmark)

    Rydberg, Patrik; Rostkowski, M.; Gloriam, D.E.

    2013-01-01

    Three different types of atom accessibility descriptors are investigated in relation to site of metabolism predictions. To enable the integration of local accessibility we have constructed 2DSASA, a method for the calculation of the atomic solvent accessible surface area that is independent of 3D...

  7. Health Care Accessibility Modeling: Effects of Change in Spatial Representation of Demand for Primary Health Care Services

    Directory of Open Access Journals (Sweden)

    Jankowski Piotr

    2014-09-01

    Full Text Available Health care accessibility can be measured by the number of prospective patients who could reach a medical facility within a prescribed time limit. The representation of health care demand in estimating accessibility is an important consideration since different spatial aggregations of demand have different consequences with regard to accessibility estimates. This article examines the effects of aggregating population demand for primary health care, ranging from census tract to aggregated census block, on estimates of primary health care accessibility. Spatial representations of aggregated demand were incorporated into a location-allocation model in order to determine a measure of accessibility represented by the unmet demand for primary health care services. The model was implemented for the U.S. State of Idaho, based on the allocation of Idaho residents’ demand for primary health care to the state’s existing primary health care facilities. The results confirm a relationship between the level of demand aggregation and the level of potential accessibility. In case of a rural state such as Idaho the relationship is positive; higher levels of aggregation result in higher measures of accessibility.

  8. The PEcAn Project: Accessible Tools for On-demand Ecosystem Modeling

    Science.gov (United States)

    Cowdery, E.; Kooper, R.; LeBauer, D.; Desai, A. R.; Mantooth, J.; Dietze, M.

    2014-12-01

    Ecosystem models play a critical role in understanding the terrestrial biosphere and forecasting changes in the carbon cycle, however current forecasts have considerable uncertainty. The amount of data being collected and produced is increasing on daily basis as we enter the "big data" era, but only a fraction of this data is being used to constrain models. Until we can improve the problems of model accessibility and model-data communication, none of these resources can be used to their full potential. The Predictive Ecosystem Analyzer (PEcAn) is an ecoinformatics toolbox and a set of workflows that wrap around an ecosystem model and manage the flow of information in and out of regional-scale TBMs. Here we present new modules developed in PEcAn to manage the processing of meteorological data, one of the primary driver dependencies for ecosystem models. The module downloads, reads, extracts, and converts meteorological observations to Unidata Climate Forecast (CF) NetCDF community standard, a convention used for most climate forecast and weather models. The module also automates the conversion from NetCDF to model specific formats, including basic merging, gap-filling, and downscaling procedures. PEcAn currently supports tower-based micrometeorological observations at Ameriflux and FluxNET sites, site-level CSV-formatted data, and regional and global reanalysis products such as the North American Regional Reanalysis and CRU-NCEP. The workflow is easily extensible to additional products and processing algorithms.These meteorological workflows have been coupled with the PEcAn web interface and now allow anyone to run multiple ecosystem models for any location on the Earth by simply clicking on an intuitive Google-map based interface. This will allow users to more readily compare models to observations at those sites, leading to better calibration and validation. Current work is extending these workflows to also process field, remotely-sensed, and historical

  9. The EV Project Price/Fee Models for Publicly Accessible Charging

    Energy Technology Data Exchange (ETDEWEB)

    Francfort, James Edward [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-12-01

    As plug-in electric vehicles (PEVs) are introduced to the market place and gain more consumer acceptance, it is important for a robust and self-sustaining non-residential infrastructure of electric vehicle supply equipment (EVSE) to be established to meet the needs of PEV drivers. While federal and state financial incentives for electric vehicles were in place and remain so today, future incentives are uncertain. In order for PEVs to achieve mainstream adoption, an adequate and sustainable commercial or publicly available charging infrastructure was pursued by The EV Project to encourage increased PEV purchases by alleviating range anxiety, and by removing adoption barriers for consumers without a dedicated overnight parking location to provide a home-base charger. This included determining a business model for publicly accessible charge infrastructure. To establish this business model, The EV Project team created a fee for charge model along with various ancillary offerings related to charging that would generate revenue. And after placing chargers in the field the Project rolled out this fee structure.

  10. Telephonic analysis of the snoring sound spectrum.

    Science.gov (United States)

    Seren, Erdal; Ilhanlı, Ilker; Bayar Muluk, Nuray; Cingi, Cemal; Hanci, Deniz

    2014-11-01

    Snoring is a sound caused by vibration of collapsed and/or unsteady airway walls of the pharynx and soft palate. We compared stored spectra of snoring sounds recorded via cell phone (CP) and a microphone placed over the head (head phone [HP]). Thirty-four snoring patients were included in this prospective study. Groups were identified by reference to body mass index (BMI) values: group 1, BMI Snoring sounds were recorded using CPs and HPs and digitally analyzed. We identified the frequencies with the highest snoring powers (F(max) values) and snoring sound intensity levels (SSILs). F(max) ranged from 520 to 985 Hz in HP recordings and from 845 to 1645 Hz in CP recordings. Snoring sound intensity level values increased in proportion to BMI and were 6 to 24 dB in HP recordings and 19 to 52 dB in CP recordings. Thus, the CP values of F(max) and SSIL were higher than the HP values. In obese patients of group 3, almost all F(max) and SSIL values were higher than those of groups 1 and 2. In particular, the CP F(max) values were elevated in such patients. The advanced technologies used in modern CPs may allow some snoring sounds in susceptible individuals to be defined as oronasal. Cell phone technology allows snoring to be evaluated in patients located in areas remote from a hospital. To explore the intensity of snoring and to postoperatively monitor the efficacy of surgery used to treat snoring, telephonic sound analysis is both new and effective and reduces the need for patient attendance at a hospital. Those experiencing severe snoring and/or who are obese should be told of what can be done to solve such problems. © The Author(s) 2014.

  11. Comparative Costs of Base Administrative Telephone Service Provided by Commercial and Government Telephone Plants.

    Science.gov (United States)

    1979-11-01

    By lock numbtifer)rmReot! ABST.RACT ~ a \\ CmprtieCotofBseAAFitrtv Telephone Service Provedp byn CommrilansoetenseehoePat C’T -iroeo h td a oeaut h...8217’~’~L!u V0 to h uU Iz4 02 P4 >44 <~~ u -0~ 0 a, 0 ON 0’ 0 94 e ~ 4 040>404 >4 04-0A: 00 g4 00 0 U) o 0 U ~~~~ 1Z4 4 I 4~ z C 00 0~ P - " 0 L) EN H 0

  12. Hub and spoke model: making rural healthcare in India affordable, available and accessible.

    Science.gov (United States)

    Devarakonda, Srichand

    2016-01-01

    Quality health care should be within everyone's reach, especially in a developing country. While India has the largest private health sector in the world, only one-fifth of healthcare expenditure is publically financed; it is mostly an out-of-pocket expense. About 70% of Indians live in rural areas making about $3 per day, and a major portion of that goes towards food and shelter and, thus, not towards health care. Transportation facilities in rural India are poor, making access to medical facilities difficult, and infrastructure facilities are minimal, making the available medical care insufficient. The challenge presented to India was to provide health care that was accessible, available and affordable to people in rural areas and the low-income bracket. The intent of this article is to determine whether the hub and spoke model (HSM), when implemented in the healthcare industry, can expand the market reach and increase profits while reducing costs of operations for organizations and, thereby, cost to customers. This article also discusses the importance of information and communications technologies (ICT) in the HSM approach, which the handful of published articles in this topic have failed to discuss. This article opts for an exploratory study, including review of published literature, web articles, viewpoints of industry experts, published journals, and in-depth interviews. This article will discuss how and why the HSM works in India's healthcare industry while isolating its strengths and weaknesses, and analyzing the impact of India's success. India's HSM implementation has become a paramount example of an acceptable model that, while exceeding the needs and expectations of its patients, is cost-effective and has obtained operational and health-driven results. Despite being an emerging nation, India takes the top spot in terms of affordability of ICT as well as for having the highest number of computer-literate graduates and healthcare workers in the world

  13. Implementing telephone triage in general practice: a process evaluation of a cluster randomised controlled trial.

    Science.gov (United States)

    Murdoch, Jamie; Varley, Anna; Fletcher, Emily; Britten, Nicky; Price, Linnie; Calitri, Raff; Green, Colin; Lattimer, Valerie; Richards, Suzanne H; Richards, David A; Salisbury, Chris; Taylor, Rod S; Campbell, John L

    2015-04-10

    Telephone triage represents one strategy to manage demand for face-to-face GP appointments in primary care. However, limited evidence exists of the challenges GP practices face in implementing telephone triage. We conducted a qualitative process evaluation alongside a UK-based cluster randomised trial (ESTEEM) which compared the impact of GP-led and nurse-led telephone triage with usual care on primary care workload, cost, patient experience, and safety for patients requesting a same-day GP consultation. The aim of the process study was to provide insights into the observed effects of the ESTEEM trial from the perspectives of staff and patients, and to specify the circumstances under which triage is likely to be successfully implemented. Here we report perspectives of staff. The intervention comprised implementation of either GP-led or nurse-led telephone triage for a period of 2-3 months. A qualitative evaluation was conducted using staff interviews recruited from eight general practices (4 GP triage, 4 Nurse triage) in the UK, implementing triage as part of the ESTEEM trial. Qualitative interviews were undertaken with 44 staff members in GP triage and nurse triage practices (16 GPs, 8 nurses, 7 practice managers, 13 administrative staff). Staff reported diverse experiences and perceptions regarding the implementation of telephone triage, its effects on workload, and on the benefits of triage. Such diversity were explained by the different ways triage was organised, the staffing models used to support triage, how the introduction of triage was communicated across practice staff, and by how staff roles were reconfigured as a result of implementing triage. The findings from the process evaluation offer insight into the range of ways GP practices participating in ESTEEM implemented telephone triage, and the circumstances under which telephone triage can be successfully implemented beyond the context of a clinical trial. Staff experiences and perceptions of telephone

  14. Investigating the validity and usability of an interactive computer programme for assessing competence in telephone-based mental health triage.

    Science.gov (United States)

    Sands, Natisha; Elsom, Stephen; Keppich-Arnold, Sandra; Henderson, Kathryn; King, Peter; Bourke-Finn, Karen; Brunning, Debra

    2016-02-01

    Telephone-based mental health triage services are frontline health-care providers that operate 24/7 to facilitate access to psychiatric assessment and intervention for people requiring assistance with a mental health problem. The mental health triage clinical role is complex, and the populations triage serves are typically high risk; yet to date, no evidence-based methods have been available to assess clinician competence to practice telephone-based mental health triage. The present study reports the findings of a study that investigated the validity and usability of the Mental Health Triage Competency Assessment Tool, an evidence-based, interactive computer programme designed to assist clinicians in developing and assessing competence to practice telephone-based mental health triage. © 2015 Australian College of Mental Health Nurses Inc.

  15. Short assessment of the Big Five: robust across survey methods except telephone interviewing.

    Science.gov (United States)

    Lang, Frieder R; John, Dennis; Lüdtke, Oliver; Schupp, Jürgen; Wagner, Gert G

    2011-06-01

    We examined measurement invariance and age-related robustness of a short 15-item Big Five Inventory (BFI-S) of personality dimensions, which is well suited for applications in large-scale multidisciplinary surveys. The BFI-S was assessed in three different interviewing conditions: computer-assisted or paper-assisted face-to-face interviewing, computer-assisted telephone interviewing, and a self-administered questionnaire. Randomized probability samples from a large-scale German panel survey and a related probability telephone study were used in order to test method effects on self-report measures of personality characteristics across early, middle, and late adulthood. Exploratory structural equation modeling was used in order to test for measurement invariance of the five-factor model of personality trait domains across different assessment methods. For the short inventory, findings suggest strong robustness of self-report measures of personality dimensions among young and middle-aged adults. In old age, telephone interviewing was associated with greater distortions in reliable personality assessment. It is concluded that the greater mental workload of telephone interviewing limits the reliability of self-report personality assessment. Face-to-face surveys and self-administrated questionnaire completion are clearly better suited than phone surveys when personality traits in age-heterogeneous samples are assessed.

  16. Physical Therapists, Telephone Coaches, and Patients With Knee Osteoarthritis: Qualitative Study About Working Together to Promote Exercise Adherence.

    Science.gov (United States)

    Hinman, Rana S; Delany, Clare M; Campbell, Penelope K; Gale, Janette; Bennell, Kim L

    2016-04-01

    Integrated models of care are recommended for people with knee osteoarthritis (OA). Exercise is integral to management, yet exercise adherence is problematic. Telephone-based health coaching is an attractive adjunct to physical therapist-prescribed exercise that may improve adherence. Little is known about the perceptions and interpretations of physical therapists, telephone coaches, and patients engaged in this model of care. The purpose of this study was to explore how stakeholders (physical therapists, telephone coaches, and patients) experienced, and made sense of, being involved in an integrated program of physical therapist-supervised exercise and telephone coaching for people with knee OA. A cross-sectional qualitative design drawing from symbolic interactionism was used. Semistructured interviews with 10 physical therapists, 4 telephone coaches, and 6 patients with painful knee OA. Interviews were audiorecorded, transcribed, and analyzed using thematic analysis informed by grounded theory. Four themes emerged: (1) genuine interest and collaboration, (2) information and accountability, (3) program structure, and (4) roles and communication in teamwork. Patients reported they appreciated personalized, genuine interest from therapists and coaches and were aware of their complementary roles. A collaborative approach, with defined roles and communication strategies, was identified as important for effectiveness. All participants highlighted the importance of sharing information, monitoring, and being accountable to others. Coaches found the lack of face-to-face contact with patients hampered relationship building. Therapists and coaches referred to the importance of teamwork in delivering the intervention. The small number of physical therapists and telephone coaches who delivered the intervention may have been biased toward favorable experiences with the intervention and may not be representative of their respective professions. Integrated physical therapy and

  17. A Case-Series Test of the Interactive Two-Step Model of Lexical Access: Predicting Word Repetition from Picture Naming

    Science.gov (United States)

    Dell, Gary S.; Martin, Nadine; Schwartz, Myrna F.

    2007-01-01

    Lexical access in language production, and particularly pathologies of lexical access, are often investigated by examining errors in picture naming and word repetition. In this article, we test a computational approach to lexical access, the two-step interactive model, by examining whether the model can quantitatively predict the repetition-error…

  18. Making interdisciplinary solid Earth modeling and analysis tools accessible in a diverse undergraduate and graduate classroom

    Science.gov (United States)

    Becker, T. W.

    2011-12-01

    I present results from ongoing, NSF-CAREER funded educational and research efforts that center around making numerical tools in seismology and geodynamics more accessible to a broader audience. The goal is not only to train students in quantitative, interdisciplinary research, but also to make methods more easily accessible to practitioners across disciplines. I describe the two main efforts that were funded, the Solid Earth Research and Teaching Environment (SEATREE, geosys.usc.edu/projects/seatree/), and a new Numerical Methods class. SEATREE is a modular and user-friendly software framework to facilitate using solid Earth research tools in the undergraduate and graduate classroom and for interdisciplinary, scientific collaboration. We use only open-source software, and most programming is done in the Python computer language. We strive to make use of modern software design and development concepts while remaining compatible with traditional scientific coding and existing, legacy software. Our goals are to provide a fully contained, yet transparent package that lets users operate in an easy, graphically supported "black box" mode, while also allowing to look under the hood, for example to conduct numerous forward models to explore parameter space. SEATREE currently has several implemented modules, including on global mantle flow, 2D phase velocity tomography, and 2D mantle convection and was used at the University of Southern California, Los Angeles, and at a 2010 CIDER summer school tutorial. SEATREE was developed in collaboration with engineering and computer science undergraduate students, some of which have gone on to work in Earth Science projects. In the long run, we envision SEATREE to contribute to new ways of sharing scientific research, and making (numerical) experiments truly reproducible again. The other project is a set of lecture notes and Matlab exercises on Numerical Methods in solid Earth, focusing on finite difference and element methods. The

  19. Towards developing a compact model for magnetization switching in straintronics magnetic random access memory devices

    Science.gov (United States)

    Barangi, Mahmood; Erementchouk, Mikhail; Mazumder, Pinaki

    2016-08-01

    Strain-mediated magnetization switching in a magnetic tunneling junction (MTJ) by exploiting a combination of piezoelectricity and magnetostriction has been proposed as an energy efficient alternative to spin transfer torque (STT) and field induced magnetization switching methods in MTJ-based magnetic random access memories (MRAM). Theoretical studies have shown the inherent advantages of strain-assisted switching, and the dynamic response of the magnetization has been modeled using the Landau-Lifshitz-Gilbert (LLG) equation. However, an attempt to use LLG for simulating dynamics of individual elements in large-scale simulations of multi-megabyte straintronics MRAM leads to extremely time-consuming calculations. Hence, a compact analytical solution, predicting the flipping delay of the magnetization vector in the nanomagnet under stress, combined with a liberal approximation of the LLG dynamics in the straintronics MTJ, can lead to a simplified model of the device suited for fast large-scale simulations of multi-megabyte straintronics MRAMs. In this work, a tensor-based approach is developed to study the dynamic behavior of the stressed nanomagnet. First, using the developed method, the effect of stress on the switching behavior of the magnetization is investigated to realize the margins between the underdamped and overdamped regimes. The latter helps the designer realize the oscillatory behavior of the magnetization when settling along the minor axis, and the dependency of oscillations on the stress level and the damping factor. Next, a theoretical model to predict the flipping delay of the magnetization vector is developed and tested against LLG-based numerical simulations to confirm the accuracy of findings. Lastly, the obtained delay is incorporated into the approximate solutions of the LLG dynamics, in order to create a compact model to liberally and quickly simulate the magnetization dynamics of the MTJ under stress. Using the developed delay equation, the

  20. Towards developing a compact model for magnetization switching in straintronics magnetic random access memory devices

    Energy Technology Data Exchange (ETDEWEB)

    Barangi, Mahmood, E-mail: barangi@umich.edu; Erementchouk, Mikhail; Mazumder, Pinaki [Department of Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, Michigan 48109-2121 (United States)

    2016-08-21

    Strain-mediated magnetization switching in a magnetic tunneling junction (MTJ) by exploiting a combination of piezoelectricity and magnetostriction has been proposed as an energy efficient alternative to spin transfer torque (STT) and field induced magnetization switching methods in MTJ-based magnetic random access memories (MRAM). Theoretical studies have shown the inherent advantages of strain-assisted switching, and the dynamic response of the magnetization has been modeled using the Landau-Lifshitz-Gilbert (LLG) equation. However, an attempt to use LLG for simulating dynamics of individual elements in large-scale simulations of multi-megabyte straintronics MRAM leads to extremely time-consuming calculations. Hence, a compact analytical solution, predicting the flipping delay of the magnetization vector in the nanomagnet under stress, combined with a liberal approximation of the LLG dynamics in the straintronics MTJ, can lead to a simplified model of the device suited for fast large-scale simulations of multi-megabyte straintronics MRAMs. In this work, a tensor-based approach is developed to study the dynamic behavior of the stressed nanomagnet. First, using the developed method, the effect of stress on the switching behavior of the magnetization is investigated to realize the margins between the underdamped and overdamped regimes. The latter helps the designer realize the oscillatory behavior of the magnetization when settling along the minor axis, and the dependency of oscillations on the stress level and the damping factor. Next, a theoretical model to predict the flipping delay of the magnetization vector is developed and tested against LLG-based numerical simulations to confirm the accuracy of findings. Lastly, the obtained delay is incorporated into the approximate solutions of the LLG dynamics, in order to create a compact model to liberally and quickly simulate the magnetization dynamics of the MTJ under stress. Using the developed delay equation, the

  1. Towards developing a compact model for magnetization switching in straintronics magnetic random access memory devices

    International Nuclear Information System (INIS)

    Barangi, Mahmood; Erementchouk, Mikhail; Mazumder, Pinaki

    2016-01-01

    Strain-mediated magnetization switching in a magnetic tunneling junction (MTJ) by exploiting a combination of piezoelectricity and magnetostriction has been proposed as an energy efficient alternative to spin transfer torque (STT) and field induced magnetization switching methods in MTJ-based magnetic random access memories (MRAM). Theoretical studies have shown the inherent advantages of strain-assisted switching, and the dynamic response of the magnetization has been modeled using the Landau-Lifshitz-Gilbert (LLG) equation. However, an attempt to use LLG for simulating dynamics of individual elements in large-scale simulations of multi-megabyte straintronics MRAM leads to extremely time-consuming calculations. Hence, a compact analytical solution, predicting the flipping delay of the magnetization vector in the nanomagnet under stress, combined with a liberal approximation of the LLG dynamics in the straintronics MTJ, can lead to a simplified model of the device suited for fast large-scale simulations of multi-megabyte straintronics MRAMs. In this work, a tensor-based approach is developed to study the dynamic behavior of the stressed nanomagnet. First, using the developed method, the effect of stress on the switching behavior of the magnetization is investigated to realize the margins between the underdamped and overdamped regimes. The latter helps the designer realize the oscillatory behavior of the magnetization when settling along the minor axis, and the dependency of oscillations on the stress level and the damping factor. Next, a theoretical model to predict the flipping delay of the magnetization vector is developed and tested against LLG-based numerical simulations to confirm the accuracy of findings. Lastly, the obtained delay is incorporated into the approximate solutions of the LLG dynamics, in order to create a compact model to liberally and quickly simulate the magnetization dynamics of the MTJ under stress. Using the developed delay equation, the

  2. Biomedical Big Data: New Models of Control Over Access, Use and Governance.

    Science.gov (United States)

    Vayena, Effy; Blasimme, Alessandro

    2017-12-01

    Empirical evidence suggests that while people hold the capacity to control their data in high regard, they increasingly experience a loss of control over their data in the online world. The capacity to exert control over the generation and flow of personal information is a fundamental premise to important values such as autonomy, privacy, and trust. In healthcare and clinical research this capacity is generally achieved indirectly, by agreeing to specific conditions of informational exposure. Such conditions can be openly stated in informed consent documents or be implicit in the norms of confidentiality that govern the relationships of patients and healthcare professionals. However, with medicine becoming a data-intense enterprise, informed consent and medical confidentiality, as mechanisms of control, are put under pressure. In this paper we explore emerging models of informational control in data-intense healthcare and clinical research, which can compensate for the limitations of currently available instruments. More specifically, we discuss three approaches that hold promise in increasing individual control: the emergence of data portability rights as means to control data access, new mechanisms of informed consent as tools to control data use, and finally, new participatory governance schemes that allow individuals to control their data through direct involvement in data governance. We conclude by suggesting that, despite the impression that biomedical big data diminish individual control, the synergistic effect of new data management models can in fact improve it.

  3. TTLEM: Open access tool for building numerically accurate landscape evolution models in MATLAB

    Science.gov (United States)

    Campforts, Benjamin; Schwanghart, Wolfgang; Govers, Gerard

    2017-04-01

    Despite a growing interest in LEMs, accuracy assessment of the numerical methods they are based on has received little attention. Here, we present TTLEM which is an open access landscape evolution package designed to develop and test your own scenarios and hypothesises. TTLEM uses a higher order flux-limiting finite-volume method to simulate river incision and tectonic displacement. We show that this scheme significantly influences the evolution of simulated landscapes and the spatial and temporal variability of erosion rates. Moreover, it allows the simulation of lateral tectonic displacement on a fixed grid. Through the use of a simple GUI the software produces visible output of evolving landscapes through model run time. In this contribution, we illustrate numerical landscape evolution through a set of movies spanning different spatial and temporal scales. We focus on the erosional domain and use both spatially constant and variable input values for uplift, lateral tectonic shortening, erodibility and precipitation. Moreover, we illustrate the relevance of a stochastic approach for realistic hillslope response modelling. TTLEM is a fully open source software package, written in MATLAB and based on the TopoToolbox platform (topotoolbox.wordpress.com). Installation instructions can be found on this website and the therefore designed GitHub repository.

  4. Super simple telephone projects inspiring & educational science activities

    CERN Document Server

    Kuskowski, Alex

    2015-01-01

    Readers will discover the science behind the telephone invention and learn about Alexander Graham Bell in Super Simple Telephone Projects. Then do the science-based telephone projects like making a faraday box or creating sound waves. This book has a timeline, easy-to-follow steps, how-to pictures, and, best of all, it's written for kids! Aligned to Common Core Standards and correlated to state standards. Applied to STEM & STEAM Concepts of Learning Principles. Super Sandcastle is an imprint of Abdo Publishing, a division of ABDO.

  5. Teaching the iPhone with Voiceover Accessibility to People with Visual Impairments

    Science.gov (United States)

    Celusnak, Brian M.

    2016-01-01

    Moving from a conventional telephone keypad to a cellular telephone with a touchscreen can seem quite challenging for some people. When one is visually impaired, there is always the option of using VoiceOver, the iPhone's built-in access technology that is designed to allow individuals with visual impairments the ability to access the visual…

  6. A randomized pilot trial of a telephone-based collaborative care management program for caregivers of individuals with dementia.

    Science.gov (United States)

    Mavandadi, Shahrzad; Wright, Erin M; Graydon, Meagan M; Oslin, David W; Wray, Laura O

    2017-02-01

    Dementia care is largely provided in primary care settings. This article describes a pilot project aimed at evaluating the effectiveness of an accessible, telephone-based, patient- and caregiver (CG)-centered, collaborative care management program that involves CG education and psychosocial support in improving CG and patient outcomes. CGs (n = 75) of older veterans with dementia receiving care from Veterans Affairs (VA) Medical Center primary care practices were randomized to receive either dementia care management or usual care (UC). Of interest in this study were the frequency and severity of patients' dementia-related symptom, CG distress related to patients' behavioral and neuropsychiatric symptoms (primary outcomes), and CG coping and mastery (secondary outcomes). Adjusted, intention-to-treat longitudinal models suggest that CGs receiving care management reported significantly greater reductions in distress due to patients' dementia-related (p = .05) and neuropsychiatric (p = .01) symptoms compared with CGs in UC. Additionally, CGs in the intervention reported significantly larger improvements in their ability to cope (p = .03) and caregiving mastery (p = .03). No significant group differences were found in CG burden or patients' dementia-related symptom frequency or severity over time. Findings suggest that CGs of veterans with dementia may benefit from a telephone-delivered, care management program in improving CG-related outcomes. Further research of care management programs for CG of veterans with dementia in addressing barriers to care and reducing CG burden is warranted. These findings highlight the potential for such programs as adjuncts to dementia care offered in primary care practices. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  7. Systems configured to distribute a telephone call, communication systems, communication methods and methods of routing a telephone call to a service representative

    Science.gov (United States)

    Harris, Scott H.; Johnson, Joel A.; Neiswanger, Jeffery R.; Twitchell, Kevin E.

    2004-03-09

    The present invention includes systems configured to distribute a telephone call, communication systems, communication methods and methods of routing a telephone call to a customer service representative. In one embodiment of the invention, a system configured to distribute a telephone call within a network includes a distributor adapted to connect with a telephone system, the distributor being configured to connect a telephone call using the telephone system and output the telephone call and associated data of the telephone call; and a plurality of customer service representative terminals connected with the distributor and a selected customer service representative terminal being configured to receive the telephone call and the associated data, the distributor and the selected customer service representative terminal being configured to synchronize, application of the telephone call and associated data from the distributor to the selected customer service representative terminal.

  8. Evaluating the impact of climate policies on regional food availability and accessibility using an Integrated Assessment Model

    Science.gov (United States)

    Gilmore, E.; Cui, Y. R.; Waldhoff, S.

    2015-12-01

    Beyond 2015, eradicating hunger will remain a critical part of the global development agenda through the Sustainable Development Goals (SDG). Efforts to limit climate change through both mitigation of greenhouse gas emissions and land use policies may interact with food availability and accessibility in complex and unanticipated ways. Here, we develop projections of regional food accessibility to 2050 under the alternative futures outlined by the Shared Socioeconomic Pathways (SSPs) and under different climate policy targets and structures. We use the Global Change Assessment Model (GCAM), an integrated assessment model (IAM), for our projections. We calculate food access as the weighted average of consumption of five staples and the portion of income spend on those commodities and extend the GCAM calculated universal global producer price to regional consumer prices drawing on historical relationships of these prices. Along the SSPs, food access depends largely on expectations of increases in population and economic status. Under a more optimistic scenario, the pressures on food access from increasing demand and rising prices can be counterbalanced by faster economic development. Stringent climate policies that increase commodity prices, however, may hinder vulnerable regions, namely Sub-Saharan Africa, from achieving greater food accessibility.

  9. An Agent-Based Model for Addressing the Impact of a Disaster on Access to Primary Care Services.

    Science.gov (United States)

    Guclu, Hasan; Kumar, Supriya; Galloway, David; Krauland, Mary; Sood, Rishi; Bocour, Angelica; Hershey, Tina Batra; van Nostrand, Elizabeth; Potter, Margaret

    2016-06-01

    Hurricane Sandy in the Rockaways, Queens, forced residents to evacuate and primary care providers to close or curtail operations. A large deficit in primary care access was apparent in the immediate aftermath of the storm. Our objective was to build a computational model to aid responders in planning to situate primary care services in a disaster-affected area. Using an agent-based modeling platform, HAZEL, we simulated the Rockaways population, its evacuation behavior, and primary care providers' availability in the aftermath of Hurricane Sandy. Data sources for this model included post-storm and community health surveys from New York City, a survey of the Rockaways primary care providers, and research literature. The model then tested geospatially specific interventions to address storm-related access deficits. The model revealed that areas of high primary care access deficit were concentrated in the eastern part of the Rockaways. Placing mobile health clinics in the most populous census tracts reduced the access deficit significantly, whereas increasing providers' capacity by 50% reduced the deficit to a lesser degree. An agent-based model may be a useful tool to have in place so that policy makers can conduct scenario-based analyses to plan interventions optimally in the event of a disaster. (Disaster Med Public Health Preparedness. 2016;10:386-393).

  10. Increasing access to specialty surgical care: application of a new resource allocation model to bariatric surgery.

    Science.gov (United States)

    Leroux, Eric J; Morton, John M; Rivas, Homero

    2014-08-01

    To calculate the public health impact and economic benefit of using ancillary health care professionals for routine postoperative care. The need for specialty surgical care far exceeds its supply, particularly in weight loss surgery. Bariatric surgery is cost-effective and the only effective long-term weight loss strategy for morbidly obese patients. Without clinically appropriate task shifting, surgeons, hospitals, and untreated patients incur a high opportunity cost. Visit schedules, time per visit, and revenues were obtained from bariatric centers of excellence. Case-specific surgeon fees were derived from published Current Procedural Terminology data. The novel Microsoft Excel model was allowed to run until a steady state was evident (status quo). This model was compared with one in which the surgeon participates in follow-up visits beyond 3 months only if there is a complication (task shifting). Changes in operative capacity and national quality-adjusted life years (QALYs) were calculated. In the status quo model, per capita surgical volume capacity equilibrates at 7 surgical procedures per week, with 27% of the surgeon's time dedicated to routine long-term follow-up visits. Task shifting increases operative capacity by 38%, resulting in 143,000 to 882,000 QALYs gained annually. Per surgeon, task shifting achieves an annual increase of 95 to 588 QALYs, $5 million in facility revenue, 48 cases of cure of obstructive sleep apnea, 44 cases of remission of type 2 diabetes mellitus, and 35 cases of cure of hypertension. Optimal resource allocation through task shifting is economically appealing and can achieve dramatic public health benefit by increasing access to specialty surgery.

  11. Assessment of real exposure to GSM mobile telephones using the SYRPOM

    International Nuclear Information System (INIS)

    Picard, D.; Fouquet, L.; Chauvin, S.

    2013-01-01

    A mobile telephone user's exposure to the radio-frequency electromagnetic field depends heavily on the power their telephone radiates, which can vary widely according to requests from the base station. This study presents the design and development of a system called System for Radiated Power Measurement (SYRPOM), which measures the power radiated by a mobile telephone. This study also describes the tests carried out on the system itself and gives the results of two measuring campaigns it has been possible to perform in this way. The first such campaign consisted of assessing the mean power received by a typical mobile telephone user carrying out various activities. The second campaign was aimed at (1) comparing the mean radiated power when stationary and when moving and (2) assessing and contrasting different models of handsets in terms of the mean radiated power. The SYRPOM has proved to be a flexible, easy-to-use high-performance and innovative tool for carrying out this kind of studies. (authors)

  12. The Importance of Non-accessible Crosslinks and Solvent Accessible Surface Distance in Modeling Proteins with Restraints From Crosslinking Mass Spectrometry*

    Science.gov (United States)

    Bullock, Joshua Matthew Allen; Schwab, Jannik; Thalassinos, Konstantinos; Topf, Maya

    2016-01-01

    Crosslinking mass spectrometry (XL-MS) is becoming an increasingly popular technique for modeling protein monomers and complexes. The distance restraints garnered from these experiments can be used alone or as part of an integrative modeling approach, incorporating data from many sources. However, modeling practices are varied and the difference in their usefulness is not clear. Here, we develop a new scoring procedure for models based on crosslink data—Matched and Nonaccessible Crosslink score (MNXL). We compare its performance with that of other commonly-used scoring functions (Number of Violations and Sum of Violation Distances) on a benchmark of 14 protein domains, each with 300 corresponding models (at various levels of quality) and associated, previously published, experimental crosslinks (XLdb). The distances between crosslinked lysines are calculated either as Euclidean distances or Solvent Accessible Surface Distances (SASD) using a newly-developed method (Jwalk). MNXL takes into account whether a crosslink is nonaccessible, i.e. an experimentally observed crosslink has no corresponding SASD in a model due to buried lysines. This metric alone is shown to have a significant impact on modeling performance and is a concept that is not considered at present if only Euclidean distances are used. Additionally, a comparison between modeling with SASD or Euclidean distance shows that SASD is superior, even when factoring out the effect of the nonaccessible crosslinks. Our benchmarking also shows that MNXL outperforms the other tested scoring functions in terms of precision and correlation to Cα-RMSD from the crystal structure. We finally test the MNXL at different levels of crosslink recovery (i.e. the percentage of crosslinks experimentally observed out of all theoretical ones) and set a target recovery of ∼20% after which the performance plateaus. PMID:27150526

  13. Direct Telephonic Communication in a Heart Failure Transitional Care Program: An observational study.

    Science.gov (United States)

    Ota, Ken S; Beutler, David S; Sheikh, Hassam; Weiss, Jessica L; Parkinson, Dallin; Nguyen, Peter; Gerkin, Richard D; Loli, Akil I

    2013-10-01

    This study investigated the trend of phone calls in the Banner Good Samaritan Medical Center (BGSMC) Heart Failure Transitional Care Program (HFTCP). The primary goal of the HFTCP is to reduce 30-Day readmissions for heart failure patients by using a multi-pronged approach. This study included 104 patients in the HFTCP discharged over a 51-week period who had around-the-clock telephone access to the Transitionalist. Cellular phone records were reviewed. This study evaluated the length and timing of calls. A total of 4398 telephone calls were recorded of which 39% were inbound and 61% were outbound. This averaged to 86 calls per week. During the "Weekday Daytime" period, Eighty-five percent of the totals calls were made. There were 229 calls during the "Weekday Nights" period with 1.5 inbound calls per week. The "Total Weekend" calls were 10.2% of the total calls which equated to a weekly average of 8.8. Our experience is that direct, physician-patient telephone contact is feasible with a panel of around 100 HF patients for one provider. If the proper financial reimbursements are provided, physicians may be apt to participate in similar transitional care programs. Likewise, third party payers will benefit from the reduction in unnecessary emergency room visits and hospitalizations.

  14. Telephone-Based Coaching: A Comparison of Tobacco Cessation Programs in an Integrated Health Care System

    Science.gov (United States)

    Boccio, Mindy; Sanna, Rashel S.; Adams, Sara R.; Goler, Nancy C.; Brown, Susan D.; Neugebauer, Romain S.; Ferrara, Assiamira; Wiley, Deanne M.; Bellamy, David J.; Schmittdiel, Julie A.

    2016-01-01

    Purpose Many Americans continue to smoke, increasing their risk of disease and premature death. Both telephone-based counseling and in-person tobacco cessation classes may improve access for smokers seeking convenient support to quit. Little research has assessed whether such programs are effective in real-world clinical populations. Design Retrospective cohort study comparing wellness coaching participants with two groups of controls. Setting Kaiser Permanente, Northern California (KPNC), a large integrated health care delivery system. Subjects 241 patients who participated in telephonic tobacco cessation coaching from 1/1/2011–3/31/2012, and two control groups: propensity-score matched controls, and controls who participated in a tobacco cessation class during the same period. Wellness coaching participants received an average of two motivational interviewing based coaching sessions that engage the patient, evoke their reason to consider quitting and help them establish a quit plan. Measures Self-reported quitting of tobacco and fills of tobacco cessation medications within 12 months of follow-up. Analysis Logistic regressions adjusting for age, gender, race/ethnicity, and primary language. Results After adjusting for confounders, tobacco quit rates were higher among coaching participants vs. matched controls (31% vs. 23%, PTelephonic wellness coaching was as effective as in-person classes and was associated with higher rates of quitting compared to no treatment. The telephonic modality may increase convenience and scalability for health care systems looking to reduce tobacco use and improve health. PMID:26559720

  15. Patient Telephone Appointment System for High Volume Primary Care Sites

    National Research Council Canada - National Science Library

    Worthington, Francine

    2000-01-01

    The purpose of this research is to design a patient telephone appointment system for use in the Naval Medical Center San Diego's high volume Primary Care sites, which will reduce variation and ensure...

  16. Prospects of Genomic Prediction in the USDA Soybean Germplasm Collection: Historical Data Creates Robust Models for Enhancing Selection of Accessions

    Directory of Open Access Journals (Sweden)

    Diego Jarquin

    2016-08-01

    Full Text Available The identification and mobilization of useful genetic variation from germplasm banks for use in breeding programs is critical for future genetic gain and protection against crop pests. Plummeting costs of next-generation sequencing and genotyping is revolutionizing the way in which researchers and breeders interface with plant germplasm collections. An example of this is the high density genotyping of the entire USDA Soybean Germplasm Collection. We assessed the usefulness of 50K single nucleotide polymorphism data collected on 18,480 domesticated soybean (Glycine max accessions and vast historical phenotypic data for developing genomic prediction models for protein, oil, and yield. Resulting genomic prediction models explained an appreciable amount of the variation in accession performance in independent validation trials, with correlations between predicted and observed reaching up to 0.92 for oil and protein and 0.79 for yield. The optimization of training set design was explored using a series of cross-validation schemes. It was found that the target population and environment need to be well represented in the training set. Second, genomic prediction training sets appear to be robust to the presence of data from diverse geographical locations and genetic clusters. This finding, however, depends on the influence of shattering and lodging, and may be specific to soybean with its presence of maturity groups. The distribution of 7608 nonphenotyped accessions was examined through the application of genomic prediction models. The distribution of predictions of phenotyped accessions was representative of the distribution of predictions for nonphenotyped accessions, with no nonphenotyped accessions being predicted to fall far outside the range of predictions of phenotyped accessions.

  17. Cellular telephone use among primary school children in Germany

    International Nuclear Information System (INIS)

    Boehler, Eva; Schuez, Joachim

    2004-01-01

    Background: There is some concern about potential health risks of cellular telephone use to children. We assessed data on how many children own a cellular telephone and on how often they use it in a population-based sample. Methods: We carried out a cross-sectional study among children in their fourth elementary school year, with a median-age of 10 years. The study was carried out in Mainz (Germany), a city with about 200,000 inhabitants. The study base comprised all 37 primary schools in Mainz and near surroundings. Altogether, 1933 children from 34 primary schools took part in the survey (participation rate of 87.8%). Results: Roughly a third of all children (n = 671, 34.7%) reported to own a cellular telephone. Overall, 119 (6.2%) children used a cellular telephone for making calls at least once a day, 123 (6.4%) used it several times a week and 876 (45.3%) children used it only once in a while. The remaining 805 (41.6%) children had never used a cellular telephone. The probability of owning a cellular telephone among children was associated with older age, being male, having no siblings, giving full particulars to height and weight, more time spent watching TV and playing computer games, being picked up by their parents from school by car (instead of walking or cycling) and going to bed late. The proportion of cellular telephone owners was somewhat higher in classes with more children from socially disadvantaged families. Conclusions: Our study shows that both ownership of a cellular telephone as well as the regular use of it are already quite frequent among children in the fourth grade of primary school. With regard to potential long-term effects, we recommend follow-up studies with children

  18. Telephone Support During Overseas Deployment for Military Spouses

    Science.gov (United States)

    2015-04-01

    test a behavioral caregiving intervention that has been used successfully for dementia and SCI/D caregivers to provide services to stressed and...Telephone Support Groups ) –Telephone support groups provided. Completed May, 2014. Task 7: Intervention 2 (Online Education/Webinar Sessions) – Webinar...parents, have contacted us to request assistance while their children are deployed and after deployment.  Interventions for Parent Caregivers of

  19. Simple models of network access, with applications to the design of joint rate and admission control

    NARCIS (Netherlands)

    Mandjes, M.R.H.; Mitra, Debasis; Scheinhardt, Willem R.W.

    2002-01-01

    At the access to networks, in contrast to the core, distances and feedback delays, as well as link capacities are small, which has network engineering implications that are investigated in this paper. We consider a single point in the access network which multiplexes several bursty users. The users

  20. Attitude Accessibility and Motivation as Determinants of Biased Processing: A Test of the MODE Model.

    Science.gov (United States)

    Schuette, Robert A.; Fazio, Russell H.

    1995-01-01

    Examined hypothesis that attitude accessibility and motivational level moderate the relation between attitudes and information processing. Found that the attitude/judgment relation depended on both attitude accessibility and motivation. Only subjects who reiterated their attitude and who lacked motivation to consider the information thoroughly…

  1. Ongoing spontaneous activity controls access to consciousness: a neuronal model for inattentional blindness.

    Directory of Open Access Journals (Sweden)

    Stanislas Dehaene

    2005-05-01

    Full Text Available Even in the absence of sensory inputs, cortical and thalamic neurons can show structured patterns of ongoing spontaneous activity, whose origins and functional significance are not well understood. We use computer simulations to explore the conditions under which spontaneous activity emerges from a simplified model of multiple interconnected thalamocortical columns linked by long-range, top-down excitatory axons, and to examine its interactions with stimulus-induced activation. Simulations help characterize two main states of activity. First, spontaneous gamma-band oscillations emerge at a precise threshold controlled by ascending neuromodulator systems. Second, within a spontaneously active network, we observe the sudden "ignition" of one out of many possible coherent states of high-level activity amidst cortical neurons with long-distance projections. During such an ignited state, spontaneous activity can block external sensory processing. We relate those properties to experimental observations on the neural bases of endogenous states of consciousness, and particularly the blocking of access to consciousness that occurs in the psychophysical phenomenon of "inattentional blindness," in which normal subjects intensely engaged in mental activity fail to notice salient but irrelevant sensory stimuli. Although highly simplified, the generic properties of a minimal network may help clarify some of the basic cerebral phenomena underlying the autonomy of consciousness.

  2. Ongoing spontaneous activity controls access to consciousness: a neuronal model for inattentional blindness.

    Science.gov (United States)

    Dehaene, Stanislas; Changeux, Jean-Pierre

    2005-05-01

    Even in the absence of sensory inputs, cortical and thalamic neurons can show structured patterns of ongoing spontaneous activity, whose origins and functional significance are not well understood. We use computer simulations to explore the conditions under which spontaneous activity emerges from a simplified model of multiple interconnected thalamocortical columns linked by long-range, top-down excitatory axons, and to examine its interactions with stimulus-induced activation. Simulations help characterize two main states of activity. First, spontaneous gamma-band oscillations emerge at a precise threshold controlled by ascending neuromodulator systems. Second, within a spontaneously active network, we observe the sudden "ignition" of one out of many possible coherent states of high-level activity amidst cortical neurons with long-distance projections. During such an ignited state, spontaneous activity can block external sensory processing. We relate those properties to experimental observations on the neural bases of endogenous states of consciousness, and particularly the blocking of access to consciousness that occurs in the psychophysical phenomenon of "inattentional blindness," in which normal subjects intensely engaged in mental activity fail to notice salient but irrelevant sensory stimuli. Although highly simplified, the generic properties of a minimal network may help clarify some of the basic cerebral phenomena underlying the autonomy of consciousness.

  3. Intermittent ethanol access schedule in rats as a preclinical model of alcohol abuse

    Science.gov (United States)

    Carnicella, Sebastien; Ron, Dorit; Barak, Segev

    2014-01-01

    One of the major challenges in preclinical studies of alcohol abuse and dependence remains the development of paradigms that will elicit high ethanol intake and mimic the progressive transition from low or moderate social drinking to excessive alcohol consumption. Exposure of outbred rats to repeated cycles of free-choice ethanol intake and withdrawal with the use of intermittent access to 20% ethanol in a 2-bottle choice procedure (IA2BC) has been shown to induce a gradual escalation of voluntary ethanol intake and preference, eventually reaching ethanol consumption levels of 5–6 g/kg/24 h, and inducing pharmacologically relevant blood ethanol concentrations (BECs). This procedure has recently been gaining popularity due to its simplicity, high validity, and reliable outcomes. Here we review experimental and methodological data related to IA2BC, and discuss the usefulness and advantages of this procedure as a valuable pre-training method for initiating operant ethanol self-administration of high ethanol intake, as well as conditioned place preference (CPP). Despite some limitations, we provide evidence that IA2BC and related operant procedures provide the possibility to operationalize multiple aspects of alcohol abuse and addiction in a rat model, including transition from social-like drinking to excessive alcohol consumption, binge drinking, alcohol seeking, relapse, and neuroadaptations related to excessive alcohol intake. Hence, IA2BC appears to be a useful and relevant procedure for preclinical evaluation of potential therapeutic approaches against alcohol abuse disorders. PMID:24721195

  4. Access to rat kidney with minimal anesthesia and surgery: a new experimental model.

    Science.gov (United States)

    Sadowski, J; Kompanowska-Jezierska, E; Walkowska, A

    1996-01-01

    Chronic surgical explantation of the left rat kidney out of the abdominal cavity under the flank skin enabled easy access to the organ and ipsilateral urine collection under light chloralose anesthesia without virtually any surgical intervention. The glomerular filtration rate, urine flow and osmolality, sodium excretion, and medullary tissue hypertonicity were similar in the explanted and in the contralateral kidney, whereas p-aminohippurate clearance was 14% lower. The function of the explanted kidney was also compared with that of the kidney acutely exposed in rats under thiobutabarbital anesthesia and rendered euvolemic by isoncotic albumin infusion. Again, in both preparations renal function was comparable except that over time urine osmolality remained stable in the former and fell from 1,385 +/- 195 to 835 +/- 167 mosmol/kgH2O (P < 0.02) in the latter, indicating deterioration of urine concentration. Laser-Doppler probes could be easily applied in the explanted kidney to measure cortical and medullary blood flow. The new experimental model offers some advantages, both over studies using conscious rats and over experiments involving deep anesthesia and acute surgery.

  5. ATLAS Event Data Organization and I/O Framework Capabilities in Support of Heterogeneous Data Access and Processing Models

    CERN Document Server

    Malon, David; The ATLAS collaboration; van Gemmeren, Peter

    2016-01-01

    Choices in persistent data models and data organization have significant performance ramifications for data-intensive scientific computing. In experimental high energy physics, organizing file-based event data for efficient per-attribute retrieval may improve the I/O performance of some physics analyses but hamper the performance of processing that requires full-event access. In-file data organization tuned for serial access by a single process may be less suitable for opportunistic sub-file-based processing on distributed computing resources. Unique I/O characteristics of high-performance computing platforms pose additional challenges. This paper describes work in the ATLAS experiment at the Large Hadron Collider to provide an I/O framework and tools for persistent data organization to support an increasingly heterogenous array of data access and processing models.

  6. ATLAS Event Data Organization and I/O Framework Capabilities in Support of Heterogeneous Data Access and Processing Models

    CERN Document Server

    AUTHOR|(INSPIRE)INSPIRE-00219732; The ATLAS collaboration; Cranshaw, Jack; van Gemmeren, Peter; Nowak, Marcin

    2016-01-01

    Choices in persistent data models and data organization have significant performance ramifications for data-intensive scientific computing. In experimental high energy physics, organizing file-based event data for efficient per-attribute retrieval may improve the I/O performance of some physics analyses but hamper the performance of processing that requires full-event access. In-file data organization tuned for serial access by a single process may be less suitable for opportunistic sub-file-based processing on distributed computing resources. Unique I/O characteristics of high-performance computing platforms pose additional challenges. The ATLAS experiment at the Large Hadron Collider employs a flexible I/O framework and a suite of tools and techniques for persistent data organization to support an increasingly heterogeneous array of data access and processing models.

  7. Microwave radiation safety assessment around mobile telephone base station (MTBS) in Peninsular Malaysia

    International Nuclear Information System (INIS)

    Mohd Yusof Mohd Ali; Rozaimah Abd Rahim; Roha Tukimin; Mohd Anuar Abd Majid; Mohamad Amirul Nizam Mohamad Thari; Ahmad Fazli Ahmad Sanusi; Roslan Md Dan; Sahirudden Mohd Nor

    2006-01-01

    Mobile telephone is one of the fastest popular consumer product introduced in the market. Since more people are using mobile telephone, the number of mobile telephone base station (MTBS) in Malaysia had also increased in order to provide a better coverage services to consumer. The antennas that are required for the mobile (or cellular) telephone network are located at MTBS. This antenna emits radio frequency (RF) and microwave (MW) radiation. Due to the concerns that has been raised by the people that are living or working nearby to MTBS about the possibility of adverse health effects that might occur due to the exposure of this radiation, a project of microwave radiation safety assessment around MTBS by MINT was carried out (September 2003 - January 2006). It was involved with 128 MTBS from three biggest service providers in Malaysia. This assessment is required to establish a baseline data in term of pattern and trend of the radiation emission from the facilities as well as to develop a public confident. In this paper, it will describe the fact that radiation is critical to the MTBS system and without the radiation, the MTBS system is functionless. It will also highlight the result of the assessment's work that has been carried out by MINT around MTBS mounted on the rooftops and towers. The average reading varies between the detection limit of the instrument 2 ( 2 (7.204 V/m). The highest average reading corresponds to about 2.0% of the Suruhanjaya Komunikasi dan Multimedia Malaysia (MCMC) exposure limit for public. The finding of this measurement confirms that the presence of RF and MW radiation in public accessible area around the base station was very low and comparable to the radiation levels in other places away from MTBS. There is also no evidence, from any laboratory or epidemiology studies that the exposure to RF energy levels recommended limits has any health significance for humans. (Author)

  8. Effects of Using Licensed Practical Nurses to Assist with Telephone Consultation Management

    National Research Council Canada - National Science Library

    Wiley, Jennifer L

    2006-01-01

    .... The study compared means of pre- and post-implementation provider overall job satisfaction, provider satisfaction with the telephone consult process, average daily hours providers spent on telephone...

  9. ARTIMIS Telephone Travel Information Service : current use patterns and user satisfaction : evaluation of ARTIMIS Telephone Information System

    Science.gov (United States)

    1999-06-01

    This report summarizes the results of a phone survey that evaluated the user satisfaction of the telephone traveler information service, ARTIMIS (Advanced Regional Traffic Interactive Management and Information System), in Cincinnati / Northern Kentu...

  10. Influence of D-net (EUROPEAN GSM-standard) cellular telephones on implanted pacemakers in children.

    Science.gov (United States)

    Elshershari, Huda; Celiker, Alpay; Ozer, Sema; Ozme, Sencan

    2002-09-01

    This study was designed to evaluate possible interactions between digital cellular telephones and implanted pacemakers in children. The study comprised 95 patients (53 males and 42 females) with a mean age of 11.5 +/- 4.6 years (range 1-22 years). The average time from pacemaker implantation was 2.5 years (range 1 month-12 years). Fourteen (15%) devices were dual chamber and the remaining were single chamber pacemakers. The following companies manufactured the pacemakers tested: Medtronic (n = 42), Telectronics (n = 9), Vitatron (n = 16), Pacesetter (n = 19), CPI (n = 8), and Biotronik (n = 1). All the patients were tested in the supine position during continuous ECG monitoring. After completion of the routine pacemaker check, the effects of the European Global system for mobile communication (GSM) was tested using two cellular telephone models (Ericsson GA 628 and Siemens S 25, 2-W power). For this purpose, atrial and ventricular sensitivity settings were programmed to the most sensitive values, and the tests were carried out in the unipolar and bipolar sensing modes. The evaluation was performed during ringing, switching on/off, and conversation phase with the cellular telephone positioned over the pulse generator and around the pacemaker pocket. A malfunction of the pacemaker was not observed in any patient. Only 1 (1%) of 95 patients showed a brief oversensing problem during calls with the cellular telephone. In this case, an AAIR pacemaker was implanted transvenously in a subcutaneous pocket and the sensing defect occurred only with the unipolar sensing mode and was not reproducible. Once the source of interference was removed, no sensing defect was detected and the patient remained asymptomatic. No symptoms were experienced in this study. The authors believe that pacemaker dependent patients with nonprotected pulse generators manufactured at the beginning of 1990s may be tested by their physicians for possible interferences before they use a digital cellular

  11. Using Developmental Theory: When Not to Play Telephone Games

    Directory of Open Access Journals (Sweden)

    Sara Nora Ross

    2008-06-01

    Full Text Available As a powerful way to help understand the behaviors of people and social groupings of all kinds, developmental stage theory attracts attention and use outside of purely academic environments. These uses take the form of written materials and many kinds of interventions. The level of accuracy of developmental theory information generated and used outside of academe demonstrates wide variety. This variety is reflected in materials and interventions. The information used in materials and interventions becomes increasingly distorted as it becomes further removed from original theoretical sources. This has major implications for the ethics and expertise issues that are inherent in applied developmental theory. A classification scheme of information-use behaviors, many of which contribute to distortion processes, is used to code actual cases of creating and disseminating distorted developmental theory information, invoking the metaphor of telephone games. Case evidence indicates that casual, illustrative figures in a 2006 book by Wilber were used by others for various serious and theoretical purposes, and resulted in major distortions of developmental theory. Wilber’s figures represent problematic issues and errors, including distortion of theory, if they are used—as they indeed were—for any purpose more serious than his original purpose. Stemming from those issues and errors, a highly distorted picture of cognitive development and a pseudo-version of Commons and Richards’ Model of Hierarchical Complexity theory emerged, telephone game-like, in the cases discussed. Errors were widely propagated on the internet. Because outside of academe, specialized expertise in developmental theory is difficult to acquire, the sub-field of applied developmental theory requires not only accurate information but also strong communication ethics to govern behaviors of information providers. Such providers need to protect themselves at the same time they protect

  12. Using Developmental Theory: When Not to Play Telephone Games

    Directory of Open Access Journals (Sweden)

    Sara Nora Ross

    2008-06-01

    Full Text Available As a powerful way to help understand the behaviors of people and socialgroupings of all kinds, developmental stage theory attracts attention and use outside ofpurely academic environments. These uses take the form of written materials and manykinds of interventions. The level of accuracy of developmental theory informationgenerated and used outside of academe demonstrates wide variety. This variety isreflected in materials and interventions. The information used in materials andinterventions becomes increasingly distorted as it becomes further removed from originaltheoretical sources. This has major implications for the ethics and expertise issues that areinherent in applied developmental theory. A classification scheme of information-usebehaviors, many of which contribute to distortion processes, is used to code actual casesof creating and disseminating distorted developmental theory information, invoking themetaphor of telephone games. Case evidence indicates that casual, illustrative figures in a2006 book by Wilber were used by others for various serious and theoretical purposes,and resulted in major distortions of developmental theory. Wilber’s figures representproblematic issues and errors, including distortion of theory, if they are used—as theyindeed were—for any purpose more serious than his original purpose. Stemming fromthose issues and errors, a highly distorted picture of cognitive development and a pseudoversionof Commons and Richards’ Model of Hierarchical Complexity theory emerged,telephone game-like, in the cases discussed. Errors were widely propagated on theinternet. Because outside of academe, specialized expertise in developmental theory isdifficult to acquire, the sub-field of applied developmental theory requires not onlyaccurate information but also strong communication ethics to govern behaviors ofinformation providers. Such providers need to protect themselves at the same time theyprotect and inform consumers of

  13. Estimation and Evaluation of Future Demand and Supply of Healthcare Services Based on a Patient Access Area Model

    Directory of Open Access Journals (Sweden)

    Shunsuke Doi

    2017-11-01

    Full Text Available Accessibility to healthcare service providers, the quantity, and the quality of them are important for national health. In this study, we focused on geographic accessibility to estimate and evaluate future demand and supply of healthcare services. We constructed a simulation model called the patient access area model (PAAM, which simulates patients’ access time to healthcare service institutions using a geographic information system (GIS. Using this model, to evaluate the balance of future healthcare services demand and supply in small areas, we estimated the number of inpatients every five years in each area and compared it with the number of hospital beds within a one-hour drive from each area. In an experiment with the Tokyo metropolitan area as a target area, when we assumed hospital bed availability to be 80%, it was predicted that over 78,000 inpatients would not receive inpatient care in 2030. However, this number would decrease if we lowered the rate of inpatient care by 10% and the average length of the hospital stay. Using this model, recommendations can be made regarding what action should be undertaken and by when to prevent a dramatic increase in healthcare demand. This method can help plan the geographical resource allocation in healthcare services for healthcare policy.

  14. Supporting Indoor Navigation Using Access Rights to Spaces Based on Combined Use of IndoorGML and LADM Models

    NARCIS (Netherlands)

    Alattas, A.F.M.; Zlatanova, S.; van Oosterom, P.J.M.; Chatzinikolaou, Efstathia; Lemmen, Christiaan; Li, Ki Joune

    2017-01-01

    The aim of this research is to investigate the combined use of IndoorGML and the Land Administration Domain Model (LADM) to define the accessibility of the indoor spaces based on the ownership and/or the functional right for use. The users of the indoor spaces create a relationship with the space

  15. World Wide Web Access to Fluid Inclusion Data for Computational Modelling and Simulation

    Science.gov (United States)

    Mernagh, T. P.; Bastrakov, E.; Percival, D.; Girvan, S.; Wyborn, L. A.

    2007-12-01

    Accurate constraints on the chemistry of hydrothermal fluids are critical in our capacity to computationally model and simulate how ore deposits form. To maximize results and subsequent interpretation the fluid inclusion populations should be fully characterized using standardised observational and processing techniques. A Virtual Centre for Geofluids and Thermodynamic Data, which includes the fluid inclusion (FIncs) system, has been established to achieve this. The FIncs system is designed to pull together fluid inclusion data from many individual, often disparate studies. The FIncs database and web applications allow researchers to search and retrieve fluid inclusion data and images via a web browser interface. The database will help standardise the way fluid inclusion data and associated metadata are stored. Furthermore, it follows the principles outlined by the Open Geospatial Consortium (OGC) for the Observation and Measurement application schema. It is tightly coupled to enable formalisation of the observations and measurements made on fluid inclusions, and to standardise how these measurements are processed to achieve consistent constraints for geochemical models. FIncs uses both domain factual knowledge and problem-solving knowledge by providing a choice of models (equations of state) for obtaining additional fluid properties via a web-based calculator, which allows researchers to calculate isochoric T&P values and other chemical and physical properties (e.g. salinity, density, etc.). This method has the benefit of ensuring that all derived data are produced and standardised by a selected set of routines. It also enables data from multiple sources to be quickly reprocessed by new routines as they become available and are added to the database toolkit. The database is being developed as an "open" project, which intends to bring together researchers interested in the properties of geological fluids or fluid inclusions. The ultimate goal of the Virtual Centre

  16. Access is mainly a second-order process: SDT models whether phenomenally (first-order) conscious states are accessed by reflectively (second-order) conscious processes.

    Science.gov (United States)

    Snodgrass, Michael; Kalaida, Natasha; Winer, E Samuel

    2009-06-01

    Access can either be first-order or second-order. First order access concerns whether contents achieve representation in phenomenal consciousness at all; second-order access concerns whether phenomenally conscious contents are selected for metacognitive, higher order processing by reflective consciousness. When the optional and flexible nature of second-order access is kept in mind, there remain strong reasons to believe that exclusion failure can indeed isolate phenomenally conscious stimuli that are not so accessed. Irvine's [Irvine, E. (2009). Signal detection theory, the exclusion failure paradigm and weak consciousness-Evidence for the access/phenomenal distinction? Consciousness and Cognition.] partial access argument fails because exclusion failure is indeed due to lack of second-order access, not insufficient phenomenally conscious information. Further, the enable account conforms with both qualitative differences and subjective report, and is simpler than the endow account. Finally, although first-order access may be a distinct and important process, second-order access arguably reflects the core meaning of access generally.

  17. Supporting Indoor Navigation Using Access Rights to Spaces Based on Combined Use of IndoorGML and LADM Models

    Directory of Open Access Journals (Sweden)

    Abdullah Alattas

    2017-11-01

    Full Text Available The aim of this research is to investigate the combined use of IndoorGML and the Land Administration Domain Model (LADM to define the accessibility of the indoor spaces based on the ownership and/or the functional right for use. The users of the indoor spaces create a relationship with the space depending on the type of the building and the function of the spaces. The indoor spaces of each building have different usage functions and associated users. By defining the user types of the indoor spaces, LADM makes it possible to establish a relationship between the indoor spaces and the users. LADM assigns rights, restrictions, and responsibilities to each indoor space, which indicates the accessible spaces for each type of user. The three-dimensional (3D geometry of the building will be impacted by assigning such functional rights, and will provide additional knowledge to path computation for an individual or a group of users. As a result, the navigation process will be more appropriate and simpler because the navigation path will avoid all of the non-accessible spaces based on the rights of the party. The combined use of IndoorGML and LADM covers a broad range of information classes: (indoor 3D cell spaces, connectivity, spatial units/boundaries, (access/use rights and restrictions, parties/persons/actors, and groups of them. The new specialized classes for individual students, individual staff members, groups of students, groups of staff members are able to represent cohorts of education programmes and the organizational structure (organogram: faculty, department, group. The model is capable to represent the access times to lecture rooms (based on education/teaching schedules, use rights of meeting rooms, opening hours of offices, etc. The two original standard models remain independent in our approach, we do not propose yet another model, but applications can fully benefit of the potential of the combined use, which is an important contribution

  18. Evaluation of a flexible column-based access control security model ...

    African Journals Online (AJOL)

    Journal of Computer Science and Its Application. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 22, No 1 (2015) >. Log in or Register to get access to full text downloads.

  19. Stuttering inhibition via altered auditory feedback during scripted telephone conversations.

    Science.gov (United States)

    Hudock, Daniel; Kalinowski, Joseph

    2014-01-01

    Overt stuttering is inhibited by approximately 80% when people who stutter read aloud as they hear an altered form of their speech feedback to them. However, levels of stuttering inhibition vary from 60% to 100% depending on speaking situation and signal presentation. For example, binaural presentations of delayed auditory feedback (DAF) and frequency-altered feedback (FAF) have been shown to reduce stuttering by approximately 57% during scripted telephone conversations. To examine stuttering frequency under monaural auditory feedback with one combination of DAF with FAF (COMBO-2) and two combinations of DAF with FAF (COMBO-4) during scripted telephone conversations. Nine adult participants who stutter called 15 local businesses during scripted telephone conversations; each condition consisted of five randomized telephone calls. Conditions consisted of (1) baseline (i.e. non-altered feedback), (2) COMBO-2 (i.e. 50-ms delay with a half octave spectral shift up), and (3) COMBO-4 (i.e. 200-ms delay and a half octave spectral shift down in addition to the COMBO-2). Participants wore a supra-aural headset with a dynamic condenser microphone while holding a receiver to their contralateral ear when making telephone calls. Stuttering was significantly reduced during both altered auditory feedback (AAF) conditions by approximately 65%. Furthermore, a greater reduction in stuttering was revealed during the COMBO with four effects (74%) as compared with the COMBO with two effects (63%). Results from the current study support prior research reporting decreased stuttering under AAF during scripted telephone conversations. Findings that stuttering was significantly reduced to a greater extent under the COMBO with four effects condition suggest that second signals reduce stuttering along a continuum. Additionally, findings support prior research results of decreased stuttering frequency under AAF during hierarchically difficult speaking situations. Clinical application of these

  20. Implementing an Open Access Policy – Modeling KAUST in the Region

    KAUST Repository

    Baessa, Mohamed A.

    2014-11-12

    The presentation will discuss different open access approaches, and what can well-fit academic and governmental institutions. As a case study of KAUST, presenters will discuss how it can be initiated in a university set-up, how to get academic stakeholder engaged with support, and how the final stage is reached. Details about the KAUST Open Access Policy for research articles, theses and dissertations and the required tools and workflow to implement the policies will be highlighted.

  1. The Long-Run Impact on Population and Income of Open Access to Land in a Model with Parental Altruism

    OpenAIRE

    Jon D. Harford

    2000-01-01

    Steady state levels of population and per capita income are examined using a Becker-Barro (1988) style of model of an economy with identical altruistic parents bearing costly children who receive bequests of capital and land. Inspired by the work of North (1981) and others, the problem of open access land with ancillary negative effects on private (but not public) productivity of capital is examined. It is seen that open access to land can lead to overpopulation in a ceteris paribus sense, an...

  2. Intermittent ethanol access schedule in rats as a preclinical model of alcohol abuse.

    Science.gov (United States)

    Carnicella, Sebastien; Ron, Dorit; Barak, Segev

    2014-05-01

    One of the major challenges in preclinical studies of alcohol abuse and dependence remains the development of paradigms that will elicit high ethanol intake and mimic the progressive transition from low or moderate social drinking to excessive alcohol consumption. Exposure of outbred rats to repeated cycles of free-choice ethanol intake and withdrawal with the use of intermittent access to 20% ethanol in a 2-bottle choice procedure (IA2BC) has been shown to induce a gradual escalation of voluntary ethanol intake and preference, eventually reaching ethanol consumption levels of 5-6 g/kg/24 h, and inducing pharmacologically relevant blood ethanol concentrations (BECs). This procedure has recently been gaining popularity due to its simplicity, high validity, and reliable outcomes. Here we review experimental and methodological data related to IA2BC, and discuss the usefulness and advantages of this procedure as a valuable pre-training method for initiating operant ethanol self-administration of high ethanol intake, as well as conditioned place preference (CPP). Despite some limitations, we provide evidence that IA2BC and related operant procedures provide the possibility to operationalize multiple aspects of alcohol abuse and addiction in a rat model, including transition from social-like drinking to excessive alcohol consumption, binge drinking, alcohol seeking, relapse, and neuroadaptations related to excessive alcohol intake. Hence, IA2BC appears to be a useful and relevant procedure for preclinical evaluation of potential therapeutic approaches against alcohol abuse disorders. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. Microbiota-accessible carbohydrates suppress Clostridium difficile infection in a murine model.

    Science.gov (United States)

    Hryckowian, Andrew J; Van Treuren, William; Smits, Samuel A; Davis, Nicole M; Gardner, Jackson O; Bouley, Donna M; Sonnenburg, Justin L

    2018-04-23

    Clostridium difficile is an opportunistic diarrhoeal pathogen, and C. difficile infection (CDI) represents a major health care concern, causing an estimated 15,000 deaths per year in the United States alone 1 . Several enteric pathogens, including C. difficile, leverage inflammation and the accompanying microbial dysbiosis to thrive in the distal gut 2 . Although diet is among the most powerful available tools for affecting the health of humans and their relationship with their microbiota, investigation into the effects of diet on CDI has been limited. Here, we show in mice that the consumption of microbiota-accessible carbohydrates (MACs) found in dietary plant polysaccharides has a significant effect on CDI. Specifically, using a model of antibiotic-induced CDI that typically resolves within 12 days of infection, we demonstrate that MAC-deficient diets perpetuate CDI. We show that C. difficile burdens are suppressed through the addition of either a diet containing a complex mixture of MACs or a simplified diet containing inulin as the sole MAC source. We show that switches between these dietary conditions are coincident with changes to microbiota membership, its metabolic output and C. difficile-mediated inflammation. Together, our data demonstrate the outgrowth of MAC-utilizing taxa and the associated end products of MAC metabolism, namely, the short-chain fatty acids acetate, propionate and butyrate, are associated with decreased C. difficile fitness despite increased C. difficile toxin expression in the gut. Our findings, when placed into the context of the known fibre deficiencies of a human Western diet, provide rationale for pursuing MAC-centric dietary strategies as an alternate line of investigation for mitigating CDI.

  4. A flowsheet model of a coal-fired MHD/steam combined electricity generating cycle, using the access computer model

    International Nuclear Information System (INIS)

    Davison, J.E.; Eldershaw, C.E.

    1992-01-01

    This document forms the final report on a study of a coal-fired magnetohydrodynamic (MHD)/steam electric power generation system carried out by British Coal Corporation for the Commission of the European Communities. The study objective was to provide mass and energy balances and overall plant efficiency predictions for MHD to assist the Commission in their evaluation of advanced power generation technologies. In early 1990 the British Coal Corporation completed a study for the Commission in which a computer flowsheet modelling package was used to predict the performance of a conceptual air blown MHD plant. Since that study was carried out increasing emphasis has been placed on the possible need to reduce CO 2 emissions to counter the so-called greenhouse effect. Air blown MHD could greatly reduce CO 2 emissions per KWh by virtue of its high thermal efficiency. However, if even greater reductions in CO 2 emissions were required the CO 2 produced by coal combustion may have to be disposed of, for example into the deep ocean or underground caverns. To achieve this at minimum cost a concentrated CO 2 flue gas would be required. This could be achieved in an MHD plant by using a mixture of high purity oxygen and recycled CO 2 flue gas in the combustor. To assess this plant concept the European Commission awarded British Coal a contract to produce performance predictions using the access computer program

  5. Uptake of BRCA1/2 Genetic Testing in a Randomized Trial of Telephone Counseling

    OpenAIRE

    Butrick, Morgan; Kelly, Scott; Peshkin, Beth N.; Luta, George; Nusbaum, Rachel; Hooker, Gillian W.; Graves, Kristi; Feeley, Lisa; Isaacs, Claudine; B.Valdimarsdottir, Heiddis; Jandorf, Lina; DeMarco, Tiffani; Wood, Marie; McKinnon, Wendy; Garber, Judy

    2014-01-01

    Purpose As genetic counseling and testing become more fully-integrated into clinical care, alternative delivery models are increasingly prominent. This study examines predictors of genetic testing for hereditary breast/ovarian cancer among high-risk women in a randomized trial of in-person vs. telephone-based genetic counseling. Methods Methods include multivariable logistic regression and interaction analyses. Results Of the 669 participants, 600 completed counseling and 523 received test re...

  6. Dynamic chromatin accessibility modeled by Markov process of randomly-moving molecules in the 3D genome.

    Science.gov (United States)

    Wang, Yinan; Fan, Caoqi; Zheng, Yuxuan; Li, Cheng

    2017-06-02

    Chromatin three-dimensional (3D) structure plays critical roles in gene expression regulation by influencing locus interactions and accessibility of chromatin regions. Here we propose a Markov process model to derive a chromosomal equilibrium distribution of randomly-moving molecules as a functional consequence of spatially organized genome 3D structures. The model calculates steady-state distributions (SSD) from Hi-C data as quantitative measures of each chromatin region's dynamic accessibility for transcription factors and histone modification enzymes. Different from other Hi-C derived features such as compartment A/B and interaction hubs, or traditional methods measuring chromatin accessibility such as DNase-seq and FAIRE-seq, SSD considers both chromatin-chromatin and protein-chromatin interactions. Through our model, we find that SSD could capture the chromosomal equilibrium distributions of activation histone modifications and transcription factors. Compared with compartment A/B, SSD has higher correlations with the binding of these histone modifications and transcription factors. In addition, we find that genes located in high SSD regions tend to be expressed at higher level. Furthermore, we track the change of genome organization during stem cell differentiation, and propose a two-stage model to explain the dynamic change of SSD and gene expression during differentiation, where chromatin organization genes first gain chromatin accessibility and are expressed before lineage-specific genes do. We conclude that SSD is a novel and better measure of dynamic chromatin activity and accessibility. © The Author(s) 2017. Published by Oxford University Press on behalf of Nucleic Acids Research.

  7. Telephone Crisis Support Workers' Psychological Distress and Impairment.

    Science.gov (United States)

    Kitchingman, Taneile A; Wilson, Coralie J; Caputi, Peter; Wilson, Ian; Woodward, Alan

    2018-01-01

    In order to respond to crises with appropriate intervention, crisis workers are required to manage their own needs as well as the needs of those they respond to. A systematic review of the literature was conducted to examine whether telephone crisis support workers experience elevated symptoms of psychological distress and are impaired by elevated symptoms. Studies were identified in April 2015 by searching three databases, conducting a gray literature search, and forward and backward citation chaining. Of 113 identified studies, seven were included in the review. Results suggest that that telephone crisis support workers experience symptoms of vicarious traumatization, stress, burnout, and psychiatric disorders, and that they may not respond optimally to callers when experiencing elevated symptoms of distress. However, definitive conclusions cannot be drawn due to the paucity and methodological limitations of available data. While the most comprehensive search strategy possible was adopted, resource constraints meant that conference abstracts were not searched and authors were not contacted for additional unpublished information. There is an urgent need to identify the impact of telephone crisis support workers' role on their well-being, the determinants of worker well-being in the telephone crisis support context, and the extent to which well-being impacts their performance and caller outcomes. This will help inform strategies to optimize telephone crisis support workers' well-being and their delivery of support to callers.

  8. The macroeconomic consequences of renouncing to universal access to antiretroviral treatment for HIV in Africa: a micro-simulation model.

    Science.gov (United States)

    Ventelou, Bruno; Arrighi, Yves; Greener, Robert; Lamontagne, Erik; Carrieri, Patrizia; Moatti, Jean-Paul

    2012-01-01

    Previous economic literature on the cost-effectiveness of antiretroviral treatment (ART) programs has been mainly focused on the microeconomic consequences of alternative use of resources devoted to the fight against the HIV pandemic. We rather aim at forecasting the consequences of alternative scenarios for the macroeconomic performance of countries. We used a micro-simulation model based on individuals aged 15-49 selected from nationally representative surveys (DHS for Cameroon, Tanzania and Swaziland) to compare alternative scenarios : 1-freezing of ART programs to current levels of access, 2- universal access (scaling up to 100% coverage by 2015, with two variants defining ART eligibility according to previous or current WHO guidelines). We introduced an "artificial" ageing process by programming methods. Individuals could evolve through different health states: HIV negative, HIV positive (with different stages of the syndrome). Scenarios of ART procurement determine this dynamics. The macroeconomic impact is obtained using sample weights that take into account the resulting age-structure of the population in each scenario and modeling of the consequences on total growth of the economy. Increased levels of ART coverage result in decreasing HIV incidence and related mortality. Universal access to ART has a positive impact on workers' productivity; the evaluations performed for Swaziland and Cameroon show that universal access would imply net cost-savings at the scale of the society, when the full macroeconomic consequences are introduced in the calculations. In Tanzania, ART access programs imply a net cost for the economy, but 70% of costs are covered by GDP gains at the 2034 horizon, even in the extended coverage option promoted by WHO guidelines initiating ART at levels of 350 cc/mm(3) CD4 cell counts. Universal Access ART scaling-up strategies, which are more costly in the short term, remain the best economic choice in the long term. Renouncing or

  9. Assessment of communication technology and post-operative telephone surveillance during global urology mission.

    Science.gov (United States)

    Rapp, David E; Colhoun, Andrew; Morin, Jacqueline; Bradford, Timothy J

    2018-02-21

    Compliance with post-operative follow-up in the context of international surgical trips is often poor. The etiology of this problem is multifactorial and includes lack of local physician involvement, transportation costs, and work responsibilities. We aimed to better understand availability of communication technologies within Belize and use this information to improve follow-up after visiting surgical trips to a public hospital in Belize City. Accordingly, a 6-item questionnaire assessing access to communication technologies was completed by all patients undergoing evaluation by a visiting surgical team in 2014. Based on this data, a pilot program for patients undergoing surgery was instituted for subsequent missions (2015-2016) that included a 6-week post-operative telephone interview with a visiting physician located in the United States. Fifty-four (n = 54) patients were assessed via survey with 89% responding that they had a mobile phone. Patients reported less access to home internet (59%), local internet (52%), and email (48%). Of 35 surgical patients undergoing surgery during 2 subsequent surgical trips, 18 (51%) were compliant with telephone interview at 6-week follow-up. Issues were identified in 3 (17%) patients that allowed for physician assistance. The cost per patient interview was $10 USD.

  10. BRICK v0.2, a simple, accessible, and transparent model framework for climate and regional sea-level projections

    Science.gov (United States)

    Wong, Tony E.; Bakker, Alexander M. R.; Ruckert, Kelsey; Applegate, Patrick; Slangen, Aimée B. A.; Keller, Klaus

    2017-07-01

    Simple models can play pivotal roles in the quantification and framing of uncertainties surrounding climate change and sea-level rise. They are computationally efficient, transparent, and easy to reproduce. These qualities also make simple models useful for the characterization of risk. Simple model codes are increasingly distributed as open source, as well as actively shared and guided. Alas, computer codes used in the geosciences can often be hard to access, run, modify (e.g., with regards to assumptions and model components), and review. Here, we describe the simple model framework BRICK (Building blocks for Relevant Ice and Climate Knowledge) v0.2 and its underlying design principles. The paper adds detail to an earlier published model setup and discusses the inclusion of a land water storage component. The framework largely builds on existing models and allows for projections of global mean temperature as well as regional sea levels and coastal flood risk. BRICK is written in R and Fortran. BRICK gives special attention to the model values of transparency, accessibility, and flexibility in order to mitigate the above-mentioned issues while maintaining a high degree of computational efficiency. We demonstrate the flexibility of this framework through simple model intercomparison experiments. Furthermore, we demonstrate that BRICK is suitable for risk assessment applications by using a didactic example in local flood risk management.

  11. Earth System Model Development and Analysis using FRE-Curator and Live Access Servers: On-demand analysis of climate model output with data provenance.

    Science.gov (United States)

    Radhakrishnan, A.; Balaji, V.; Schweitzer, R.; Nikonov, S.; O'Brien, K.; Vahlenkamp, H.; Burger, E. F.

    2016-12-01

    There are distinct phases in the development cycle of an Earth system model. During the model development phase, scientists make changes to code and parameters and require rapid access to results for evaluation. During the production phase, scientists may make an ensemble of runs with different settings, and produce large quantities of output, that must be further analyzed and quality controlled for scientific papers and submission to international projects such as the Climate Model Intercomparison Project (CMIP). During this phase, provenance is a key concern:being able to track back from outputs to inputs. We will discuss one of the paths taken at GFDL in delivering tools across this lifecycle, offering on-demand analysis of data by integrating the use of GFDL's in-house FRE-Curator, Unidata's THREDDS and NOAA PMEL's Live Access Servers (LAS).Experience over this lifecycle suggests that a major difficulty in developing analysis capabilities is only partially the scientific content, but often devoted to answering the questions "where is the data?" and "how do I get to it?". "FRE-Curator" is the name of a database-centric paradigm used at NOAA GFDL to ingest information about the model runs into an RDBMS (Curator database). The components of FRE-Curator are integrated into Flexible Runtime Environment workflow and can be invoked during climate model simulation. The front end to FRE-Curator, known as the Model Development Database Interface (MDBI) provides an in-house web-based access to GFDL experiments: metadata, analysis output and more. In order to provide on-demand visualization, MDBI uses Live Access Servers which is a highly configurable web server designed to provide flexible access to geo-referenced scientific data, that makes use of OPeNDAP. Model output saved in GFDL's tape archive, the size of the database and experiments, continuous model development initiatives with more dynamic configurations add complexity and challenges in providing an on

  12. Long-term vascular access ports as a means of sedative administration in a rodent fMRI survival model

    Science.gov (United States)

    Hettinger, Patrick C.; Li, Rupeng; Yan, Ji-Geng; Matloub, Hani S.; Cho, Younghoon R.; Pawela, Christopher P.; Rowe, Daniel B.; Hyde, James S.

    2011-01-01

    The purpose of this study is to develop a rodent functional magnetic resonance imaging (fMRI) survival model with the use of heparin-coated vascular access devices. Such a model would ease the administration of sedative agents, reduce the number of animals required in a survival experiment, and eliminate animal-to-animal variability seen in previous designs. Seven male Sprague-Dawley rats underwent surgical placement of an MRI-compatible vascular access port, followed by implantable electrode placement on the right median nerve. Functional MRI during nerve stimulation and resting-state functional connectivity MRI (fcMRI) were performed at times 0, 2, 4, 8, and 12 weeks postoperatively using a 9.4 T scanner. Anesthesia was maintained using intravenous dexmedetomidine and reversed using atipamezole. There were no fatalities or infectious complications during this study. All vascular access ports remained patent. Blood oxygen level dependent (BOLD) activation by electrical stimulation of the median nerve using implanted electrodes was seen within the forelimb sensory region (S1FL) for all animals at all time points. The number of activated voxels decreased at time points 4 and 8 weeks, returning to a normal level at 12 weeks, which is attributed to scar tissue formation and resolution around the embedded electrode. The applications of this experiment extend far beyond the scope of peripheral nerve experimentation. These vascular access ports can be applied to any survival MRI study requiring repeated medication administration, intravenous contrast, or blood sampling. PMID:21726581

  13. Usage of Data-Encoded Web Maps with Client Side Color Rendering for Combined Data Access, Visualization and Modeling Purposes

    Science.gov (United States)

    Pliutau, Denis; Prasad, Narashimha S.

    2013-01-01

    Current approaches to satellite observation data storage and distribution implement separate visualization and data access methodologies which often leads to the need in time consuming data ordering and coding for applications requiring both visual representation as well as data handling and modeling capabilities. We describe an approach we implemented for a data-encoded web map service based on storing numerical data within server map tiles and subsequent client side data manipulation and map color rendering. The approach relies on storing data using the lossless compression Portable Network Graphics (PNG) image data format which is natively supported by web-browsers allowing on-the-fly browser rendering and modification of the map tiles. The method is easy to implement using existing software libraries and has the advantage of easy client side map color modifications, as well as spatial subsetting with physical parameter range filtering. This method is demonstrated for the ASTER-GDEM elevation model and selected MODIS data products and represents an alternative to the currently used storage and data access methods. One additional benefit includes providing multiple levels of averaging due to the need in generating map tiles at varying resolutions for various map magnification levels. We suggest that such merged data and mapping approach may be a viable alternative to existing static storage and data access methods for a wide array of combined simulation, data access and visualization purposes.

  14. Validation of a telephone screening test for Alzheimer's disease.

    Science.gov (United States)

    Camozzato, Ana Luiza; Kochhann, Renata; Godinho, Claudia; Costa, Amanda; Chaves, Marcia L

    2011-03-01

    Financial constraints, mobility issues, medical conditions, crime in local areas can make cognitive assessment difficult for elders and telephone interviews can be a good alternative. This study was carried out to evaluate the reliability, validity and clinical utility of a Brazilian telephone version of the Mini Mental State Examination (Braztel-MMSE) in a community sample of healthy elderly participants and AD patients. The MMSE and the Braztel-MMSE were applied to 66 AD patients and 67 healthy elderly participants. The test-retest reliability was strong and significant (r = .92, p = .01), and the correlation between the Braztel-MMSE and the MMSE were significant (p = .01) and strong (r = .92). The general screening ability of the Braztel-MMSE was high (AUC = 0.982; CI95% = 0.964-1.001). This telephone version can therefore be used as a screening measure for dementia in older adults that need neuropsychological screening and cannot present for an evaluation.

  15. Modelling of capital requirements in the energy sector: capital market access. Final memorandum

    Energy Technology Data Exchange (ETDEWEB)

    1978-04-01

    Formal modelling techniques for analyzing the capital requirements of energy industries have been performed at DOE. A survey has been undertaken of a number of models which forecast energy-sector capital requirements or which detail the interactions of the energy sector and the economy. Models are identified which can be useful as prototypes for some portion of DOE's modelling needs. The models are examined to determine any useful data bases which could serve as inputs to an original DOE model. A selected group of models are examined which can comply with the stated capabilities. The data sources being used by these models are covered and a catalog of the relevant data bases is provided. The models covered are: capital markets and capital availability models (Fossil 1, Bankers Trust Co., DRI Macro Model); models of physical capital requirements (Bechtel Supply Planning Model, ICF Oil and Gas Model and Coal Model, Stanford Research Institute National Energy Model); macroeconomic forecasting models with input-output analysis capabilities (Wharton Annual Long-Term Forecasting Model, Brookhaven/University of Illinois Model, Hudson-Jorgenson/Brookhaven Model); utility models (MIT Regional Electricity Model-Baughman Joskow, Teknekron Electric Utility Simulation Model); and others (DRI Energy Model, DRI/Zimmerman Coal Model, and Oak Ridge Residential Energy Use Model).

  16. Effectiveness of telephone-based aftercare case management for adult patients with unipolar depression compared to usual care: A randomized controlled trial.

    Directory of Open Access Journals (Sweden)

    Laura Kivelitz

    Full Text Available Patients with depression often have limited access to outpatient psychotherapy following inpatient treatment. The objective of the study was to evaluate the long-term effectiveness of a telephone-based aftercare case management (ACM intervention for patients with depression.We performed a prospective randomized controlled trial in four psychotherapeutic inpatient care units with N = 199 patients with major depression or dysthymia (F32.x, F33.x, F34.1, according to the ICD-10. The ACM consisted of six phone contacts at two-week intervals performed by trained and certified psychotherapists. The control group received usual care (UC. The primary outcome was depressive symptom severity (BDI-II at 9-month follow-up, and secondary outcomes were health-related quality of life (SF-8, EQ-5D, self-efficacy (SWE, and the proportion of patients initiating outpatient psychotherapy. Mixed model analyses were conducted to compare improvements between treatment groups.Regarding the primary outcome of symptom severity, the groups did not significantly differ after 3 months (p = .132; ES = -0.23 or at the 9-month follow-up (p = .284; ES = -0.20. No significant differences in health-related quality of life or self-efficacy were found between groups. Patients receiving ACM were more likely to be in outpatient psychotherapy after 3 months (OR: 3.00[1.12-8.07]; p = .029 and 9 months (OR: 4.78 [1.55-14.74]; p = .006 than those receiving UC.Although telephone-based ACM did not significantly improve symptom severity, it seems to be a valuable approach for overcoming treatment barriers to the clinical pathways of patients with depression regarding their access to outpatient psychotherapy.

  17. Maintenance of the telephone exchange in building 40

    CERN Multimedia

    2006-01-01

    In order to secure the power supply of the telephone exchange in building 40, a maintenance will be done on the 18th of December from 7.30 am to 8 am. During this intervention, the fixed telephony services in building 39 and 40 will be interrupted. The fixed telephony services in other CERN buildings won't be affected by this maintenance. The mobile telephony services (GSM) won't be affected. For more details, please send your questions to Standard.Telephone@cern.ch Telecom Services IT/CS

  18. Medical applications of analogue and digital telephone data links.

    Science.gov (United States)

    Hill, D W; Mable, S E; Payne, J P

    1976-07-20

    The increasing use of digital computer techniques for the analysis of signals such as the EEG, ECG, plethysmograms and cardiac output curves has led to the use of multichannel analogue frequency modulation telephone data links in the forward direction from the patient to the computer and digital links in the return direction. Single-channel analogue links are also being used for the surveillance of cardiac pacemaker patients and the television Viewphone offers the possibility of a visual contact between two centers. Examples will be given of the use of these various forms of telephone link.

  19. Telephone screening for mild cognitive impairment in hispanics using the Alzheimer's questionnaire.

    Science.gov (United States)

    Salazar, Ricardo; Velez, Carlos E; Royall, Donald R

    2014-01-01

    BACKGROUND/STUDY CONTEXT: There is a need for a simple and reliable screening test to detect individuals with mild cognitive impairment (MCI). The authors analyzed the relationship between performance of the Alzheimer's Questionnaire (AQ), an informant-rated measure of dementia-related behaviors, relative to the Telephone Interview for Cognitive Status-modified (TICS-m), Memory Impairment Scale-telephone version (MIS-t), and the Telephone Executive Assessment (TEXAS) as predictors of MCI. Comparative cross-sectional design, with data collected from participants in the Texas Alzheimer's Research and Care Consortium's (TARCC) San Antonio site. One-hundred percent of our sample was Hispanic. The San Antonio subset of TARCC sample is highly enriched with Mexican Americans (MAs). Fifty-five percent of the interviews were conducted in Spanish. Of the 184 persons enrolled, 124 were normal controls (NCs), and 60 participants had MCI. MCI status and Clinical Dementia Rating Scale Sum of Boxes (CDR-SOB) were determined through clinical consensus and performed blind to telephone assessments. Controlling for age, gender, education, and language of interview, the association between telephone measures and CDR-SOB was evaluated by multivariate regression. AQ scores were not affected by education, gender, and language of interview, but subject's age did show a positive correlation with informant AQ ratings. The AQ predicted CDR-SOB independently of the cognitive measures, adding variance above and beyond demographics. The TICS-m and the TEXAS appear to have additive value in improving the detection of cognitively impaired patients. The MIS-t failed to contribute significantly to CDR-SOB, independent of the other measures. The AQ may have utility as a culture-fair telephone screening for MCI. The AQ was able to modestly distinguish MCI from NCs. The TEXAS adds variance to a model of dementia severity independent of the AQ, suggesting that the latter may weakly assess that

  20. Interactive User Modeling for Personalized Access to Museum Collections: The Rijksmuseum Case Study

    NARCIS (Netherlands)

    Y. Wang (Yanjing); L. Aroyo (Lora); N. Stash; L. Rutledge (Lloyd); C. Conati; K. McCoy; J. Paliouras

    2007-01-01

    htmlabstractIn this paper we present an approach for personalized access to museum collections. We use a RDF/OWL specification of the Rijksmuseum Amsterdam collections as a driver for an interactive dialog. The user gives his/her judgment on the artefacts, indicating likes or dislikes. The elicited

  1. WAYFINDING AND ACCESSIBILITY IN THE SAN ANTONIO RIVERWALK: A MODEL FOR URBAN DESIGN EDUCATION

    Directory of Open Access Journals (Sweden)

    Azza Kamal

    2010-07-01

    Full Text Available The San Antonio RiverWalk is an exquisite and dynamic destination for tourists from Texas, as well as from other states in the US. Because of its location in downtown area, the entire area including the RiverWalk, has been incorporated into various guides and maps, all of which seem to be disregarding the interrelationship between the RiverWalk level and the street level. While most maps show either the street level or river level, there are none that illustrate the accessibility the RiverWalk offers to major attractions and buildings at both levels, and none offer an orientation for pedestrians to the destinations on the RiverWalk level, which encountered the lack of visual clarity due to the multilayered terrain. This study investigates the visual obstacles of wayfinding in, and accessibility to the East RiverWalk area. This study, which represents the first phase of a multi-phase analysis of a broader research, emerged from urban research undertaken by a group of architecture educators and students which sought to allow students to become more involved in empirical and action research. A number of tools to investigate pedestrians’ ease of wayfinding and efficiency of identifying accessible transition points in the East RiverWalk area were developed. These tools categorize a number of spatial urban and accessibility features (i.e., entryways, ramps, staircases, and circulation elements which were used to create 3-D virtual environments demonstrated on two focus groups. The study concluded with a number of recommendations for improving the existing visual and graphic tools, enhancing planning and design considerations, and incorporating the voice of community businesses in addressing wayfinding and accessibility concerns. This study and its outcomes not only engage architecture students in urban research, but also emphasize the significance of the RiverWalk in creating a more livable downtown San Antonio.

  2. Research & Development in the Telecommunication Industry in Prewar Japan -Automatic Telephone Switchboard-

    OpenAIRE

    Yuki Nakajima

    2006-01-01

    The telephone system was not sufficiently developed in prewar Japan. This study examines the technological development of automatic telephone switchboard (ATS) to clarify the problems of telephone system in prewar Japan. Ministry of Communication(MOC) introduced automatic telephone system in 1923. From the standpoint of the telephone exchange service, it was a very opportune decision; however, it was technologically premature. Although they had conducted research on the system before WW1, the...

  3. Tumour risk associated with use of cellular telephones or cordless desktop telephones

    Directory of Open Access Journals (Sweden)

    Söderqvist Fredrik

    2006-10-01

    Full Text Available Abstract Background The use of cellular and cordless telephones has increased dramatically during the last decade. There is concern of health problems such as malignant diseases due to microwave exposure during the use of these devices. The brain is the main target organ. Methods Since the second part of the 1990's we have performed six case-control studies on this topic encompassing use of both cellular and cordless phones as well as other exposures. Three of the studies concerned brain tumours, one salivary gland tumours, one non-Hodgkin lymphoma (NHL and one testicular cancer. Exposure was assessed by self-administered questionnaires. Results Regarding acoustic neuroma analogue cellular phones yielded odds ratio (OR = 2.9, 95 % confidence interval (CI = 2.0–4.3, digital cellular phones OR = 1.5, 95 % CI = 1.1–2.1 and cordless phones OR = 1.5, 95 % CI = 1.04–2.0. The corresponding results were for astrocytoma grade III-IV OR = 1.7, 95 % CI = 1.3–2.3; OR = 1.5, 95 % CI = 1.2–1.9 and OR = 1.5, 95 % CI = 1.1–1.9, respectively. The ORs increased with latency period with highest estimates using > 10 years time period from first use of these phone types. Lower ORs were calculated for astrocytoma grade I-II. No association was found with salivary gland tumours, NHL or testicular cancer although an association with NHL of T-cell type could not be ruled out. Conclusion We found for all studied phone types an increased risk for brain tumours, mainly acoustic neuroma and malignant brain tumours. OR increased with latency period, especially for astrocytoma grade III-IV. No consistent pattern of an increased risk was found for salivary gland tumours, NHL, or testicular cancer.

  4. Investigating the Spatial Dimension of Food Access

    Directory of Open Access Journals (Sweden)

    Jackie Yenerall

    2017-08-01

    Full Text Available The purpose of this article is to investigate the sensitivity of food access models to a dataset’s spatial distribution and the empirical definition of food access, which contributes to understanding the mixed findings of previous studies. Data was collected in the Dan River Region in the United States using a telephone survey for individual-level variables (n = 784 and a store audit for the location of food retailers and grocery store quality. Spatial scanning statistics assessed the spatial distribution of obesity and detected a cluster of grocery stores overlapping with a cluster of obesity centered on a grocery store suggesting that living closer to a grocery store increased the likelihood of obesity. Logistic regression further examined this relationship while controlling for demographic and other food environment variables. Similar to the cluster analysis results, increased distance to a grocery store significantly decreased the likelihood of obesity in the urban subsample (average marginal effects, AME = −0.09, p-value = 0.02. However, controlling for grocery store quality nullified these results (AME = −0.12, p-value = 0.354. Our findings suggest that measuring grocery store accessibility as the distance to the nearest grocery store captures variability in the spatial distribution of the health outcome of interest that may not reflect a causal relationship between the food environment and health.

  5. Publically accessible decision support system of the spatially referenced regressions on watershed attributes (SPARROW) model and model enhancements in South Carolina

    Science.gov (United States)

    Celeste Journey; Anne B. Hoos; David E. Ladd; John W. brakebill; Richard A. Smith

    2016-01-01

    The U.S. Geological Survey (USGS) National Water Quality Assessment program has developed a web-based decision support system (DSS) to provide free public access to the steady-stateSPAtially Referenced Regressions On Watershed attributes (SPARROW) model simulation results on nutrient conditions in streams and rivers and to offer scenario testing capabilities for...

  6. A randomized comparison of online- and telephone-based care management with internet training alone in adult patients with poorly controlled type 2 diabetes.

    Science.gov (United States)

    McMahon, Graham T; Fonda, Stephanie J; Gomes, Helen E; Alexis, George; Conlin, Paul R

    2012-11-01

    Care management may improve the quality of diabetes care by enhancing contact between high-risk patients and their providers. This prospective, longitudinal, randomized trial sought to investigate whether telephone or online care management improves diabetes-related outcomes over time compared with usual care supplemented with Internet access and training. One hundred fifty-one adult subjects with type 2 diabetes mellitus and an elevated hemoglobin A1c (A1c) level (≥8.5%) were randomly assigned to online care management (n=51), telephone-based care management (n=51), or Web training (n=49) groups. Online and telephone participants interacted with a care manager through a diabetes education and care management Web site and by telephone, respectively. The Web training group was provided with online diabetes self-management resources but no care management support. The primary outcome measure was A1c measured every 3 months for a year. A1c declined significantly and substantially in all groups over 12 months. A1c declined linearly at a rate of 0.32% (Ponline group, 0.36% (POnline, telephone-based care management, and Web training for diabetes patients with elevated A1c were each associated with a substantial improvement in A1c over a 1-year period. Internet access and training alone may be as effective as care management in patients with poorly controlled diabetes.

  7. Comparison of perceived and modelled geographical access to accident and emergency departments: a cross-sectional analysis from the Caerphilly Health and Social Needs Study

    Directory of Open Access Journals (Sweden)

    Christie Stephen

    2006-04-01

    Full Text Available Abstract Background Assessment of the spatial accessibility of hospital accident and emergency departments as perceived by local residents has not previously been investigated. Perceived accessibility may affect where, when, and whether potential patients attend for treatment. Using data on 11,853 respondents to a population survey in Caerphilly county borough, Wales, UK, we present an analysis comparing the accessibility of accident and emergency departments as reported by local residents and drive-time to the nearest accident and emergency department modelled using a geographical information system (GIS. Results Median drive-times were significantly shorter in the lowest perceived access category and longer in the best perceived access category (p Conclusion This study provides evidence that the accessibility of hospital-based health care services as perceived by local residents is related to measures of spatial accessibility modelled using GIS. For studies that aim to model geographical separation in a way that correlates well with the perception of local residents, there may be minimal advantage in using sophisticated measures. Straight-line distance, which can be calculated without GIS, may be as good as GIS-modelled drive-time or distance for this purpose. These findings will be of importance to health policy makers and local planners who seek to obtain local information on access to services through focussed assessments of residents' concerns over accessibility and GIS modelling.

  8. Is the Short Version of the Big Five Inventory (BFI-S Applicable for Use in Telephone Surveys?

    Directory of Open Access Journals (Sweden)

    Brust Oliver A.

    2016-09-01

    Full Text Available The inclusion of psychological indicators in survey research has become more common because they offer the possibility of explaining much of the variance in sociological variables. The Big Five personality dimensions in particular are often used to explain opinions, attitudes, and behavior. However, the short versions of the Big Five Inventory (BFI-S were developed for face-to-face surveys. Studies have shown distortions in the identification of the Big Five factor structure in subsamples of older respondents in landline telephone surveys. We applied the same BFI-S but with a shorter rating scale in a telephone survey with two subsamples (landline and mobile phone. Using exploratory structural equation modeling (ESEM, we identified the Big Five structure in the subsamples and the age groups. This finding leads us to conclude that the BFI-S is a powerful means of including personality characteristics in telephone surveys.

  9. Accessibility assessment of Houston's roadway network during Harvey through integration of observed flood impacts and hydrologic modeling

    Science.gov (United States)

    Gidaris, I.; Gori, A.; Panakkal, P.; Padgett, J.; Bedient, P. B.

    2017-12-01

    The record-breaking rainfall produced over the Houston region by Hurricane Harvey resulted in catastrophic and unprecedented impacts on the region's infrastructure. Notably, Houston's transportation network was crippled, with almost every major highway flooded during the five-day event. Entire neighborhoods and subdivisions were inundated, rendering them completely inaccessible to rescue crews and emergency services. Harvey has tragically highlighted the vulnerability of major thoroughfares, as well as neighborhood roads, to severe inundation during extreme precipitation events. Furthermore, it has emphasized the need for detailed accessibility characterization of road networks under extreme event scenarios in order to determine which areas of the city are most vulnerable. This analysis assesses and tracks the accessibility of Houston's major highways during Harvey's evolution by utilizing road flood/closure data from the Texas DOT. In the absence of flooded/closure data for local roads, a hybrid approach is adopted that utilizes a physics-based hydrologic model to produce high-resolution inundation estimates for selected urban watersheds in the Houston area. In particular, hydrologic output in the form of inundation depths is used to estimate the operability of local roads. Ultimately, integration of hydrologic-based estimation of road conditions with observed data from DOT supports a network accessibility analysis of selected urban neighborhoods. This accessibility analysis can identify operable routes for emergency response (rescue crews, medical services, etc.) during the storm event.

  10. Browsing for the Best Internet Access Provider?

    Science.gov (United States)

    Weil, Marty

    1996-01-01

    Highlights points to consider when choosing an Internet Service Provider. Serial Line Internet Protocol (SLIP) and Point to Point Protocol (PPP) are compared regarding price, performance, bandwidth, speed, and technical support. Obtaining access via local, national, consumer online, and telephone-company providers is discussed. A pricing chart and…

  11. Innovative practice model to optimize resource utilization and improve access to care for high-risk and BRCA+ patients.

    Science.gov (United States)

    Head, Linden; Nessim, Carolyn; Usher Boyd, Kirsty

    2017-02-01

    Bilateral prophylactic mastectomy (BPM) has demonstrated breast cancer risk reduction in high-risk/ BRCA + patients. However, priority of active cancers coupled with inefficient use of operating room (OR) resources presents challenges in offering BPM in a timely manner. To address these challenges, a rapid access prophylactic mastectomy and immediate reconstruction (RAPMIR) program was innovated. The purpose of this study was to evaluate RAPMIR with regards to access to care and efficiency. We retrospectively reviewed the cases of all high-risk/ BRCA + patients having had BPM between September 2012 and August 2014. Patients were divided into 2 groups: those managed through the traditional model and those managed through the RAPMIR model. RAPMIR leverages 2 concurrently running ORs with surgical oncology and plastic surgery moving between rooms to complete 3 combined BPMs with immediate reconstruction in addition to 1-2 independent cases each operative day. RAPMIR eligibility criteria included high-risk/ BRCA + status; BPM with immediate, implant-based reconstruction; and day surgery candidacy. Wait times, case volumes and patient throughput were measured and compared. There were 16 traditional patients and 13 RAPMIR patients. Mean wait time (days from referral to surgery) for RAPMIR was significantly shorter than for the traditional model (165.4 v. 309.2 d, p = 0.027). Daily patient throughput (4.3 v. 2.8), plastic surgery case volume (3.7 v. 1.6) and surgical oncology case volume (3.0 v. 2.2) were significantly greater in the RAPMIR model than the traditional model ( p = 0.003, p < 0.001 and p = 0.015, respectively). A multidisciplinary model with optimized scheduling has the potential to improve access to care and optimize resource utilization.

  12. A hybrid of traditional telephone service and computer based ...

    African Journals Online (AJOL)

    Abstract. A Hybrid of Traditional Telephony and Internet Telephony is a communications network that integrates the traditional Public Switched Telephone, Network (PSTN) and the Internet Protocol (IP) based packet switched network. In this work various types of hybrid PSTN-IP telephony connections including the currently ...

  13. AIDS and condoms in Brasilia: a telephone survey.

    Science.gov (United States)

    Chequer, P; VanOss Marín, B; Paiva, L; Hudes, E S; Piazza, T; Rodrigues, L; Hearst, N

    1997-10-01

    A telephone survey was conducted to measure AIDS knowledge, media usage and condom attitudes and behaviors among 500 adults aged 18 to 49 in Brasilia, as well as to evaluate the feasibility of the telephone survey method in a developing country. The response rate was 91.6%. Respondents had good knowledge about correct modes of HIV transmission and prevention but also believed HIV was transmitted through blood donation, public toilets, swimming pools, and mosquito bites. TV and newspapers were the most important sources of information on health matters and AIDS, though health workers were considered the most credible sources of such information. Only 19% of sexual encounters in the 4 weeks prior to the survey included condoms. Single and younger respondents and those with more positive attitudes used condoms more frequently. More work is needed to identify appropriate messages to motivate people to use condoms. Telephone surveys regarding AIDS and sexual attitudes and behaviors are feasible in Brasilia, a planned community with universal telephone coverage.

  14. 47 CFR 64.1505 - Restrictions on collect telephone calls.

    Science.gov (United States)

    2010-10-01

    ... SERVICES (CONTINUED) MISCELLANEOUS RULES RELATING TO COMMON CARRIERS Interstate Pay-Per-Call and Other Information Services § 64.1505 Restrictions on collect telephone calls. (a) No common carrier shall provide interstate transmission or billing and collection services to an entity offering any service within the scope...

  15. Electrocardiograph transmitted by RF and telephone links in emergency situations

    Science.gov (United States)

    Carpenter, L. R.; Lewis, C. E., Jr.; Mc Donald, R. T.

    1968-01-01

    Electrocardiograph of an injured human subject is transmitted by RF and telephone links from the ambulance at the emergency scene, to the hospital emergency facilities. This system eliminates delay in the diagnosis of required therapy, thereby enhancing emergency and rescue operations.

  16. Willingness to Pay for Rural Telephone Services: Implications for ...

    African Journals Online (AJOL)

    Global Approaches to Extension Practice: A Journal of Agricultural Extension ... This study assessed Willingness to Pay (WTP) for rural telephone services and the implications for agricultural technology transfer in Southeast Nigeria. ... The sample was made up of 240 agro-based entrepreneurs and 60 extension staff.

  17. Possible effects of botswana's telephone number change on design ...

    African Journals Online (AJOL)

    The Botswana Telecommunications Corporation recently changed the structure of the national telephone numbers to seven digits. The change introduces two digit area codes in Botswana. The change also provides an increased exchange numbering range, and an effective and efficient management system for the growing ...

  18. [Telephone triage by the general practitioner: not a smart move

    NARCIS (Netherlands)

    Schers, H.J.; Assendelft, W.J.J.

    2018-01-01

    In the Telephone First approach that has been introduced in the UK, within a few hours of patients contacting their GP practice a general practitioner will call back all patients who want to make an appointment within a few hours. We think that it is not wise to introduce this system in the

  19. An Administrator's Guide to Installing a Telephone System.

    Science.gov (United States)

    Forbes, Phyllis Rossiter

    1986-01-01

    Guidelines for administrators concerning installation of a new campus telephone system address these issues: where to start; location and emergency power; the project team; paperwork; communication among those involved in installation; working with the local operating company; existing wiring; the external cable plant; special needs; and training…

  20. Self-rated worry in acute care telephone triage

    DEFF Research Database (Denmark)

    Gamst-Jensen, Hejdi; Huibers, Linda; Pedersen, Kristoffer

    2018-01-01

    worried). Qualitative data consisted of audio-recorded telephone calls. RESULTS: Most callers (170 out of 180) were able to scale their worry when contacting the out-of-hours service (median = 3, interquartile range = 2-4, mean = 2.76). Degree of worry was associated with female sex (odds ratio [OR] 1...

  1. An enquiry into the prospects of mobile telephone for agricultural ...

    African Journals Online (AJOL)

    This study was carried out to investigate the prospects of mobile telephone in dissemination of agricultural information in Ondo state, Nigeria. A multistage sampling technique was used for the study, both descriptive and inferential statistics were used to analyse results. The study revealed that the majority (85%) of the ...

  2. Open access models of publications: a strategy for improving 3R information retrieval?

    OpenAIRE

    Vullioud-Marcacci, Sylvie

    2013-01-01

    Accessing 3R information for fundamental research is difficult for many reasons: the titles, abstracts, and author keywords of scientific articles do not contain the terms 3R, Reduce, Refine, Replace, alternatives or replacement. Mesh terms in Pubmed or thesaurus terms in Embase are rare and are not systematically attributed to scientific articles using animal experimentation or substitution methods. Reporting of animal conditions, animal and cell strains used for fundamental research are oft...

  3. Towards a Uniform Framework for Dynamic Analysis of Access Control Models

    OpenAIRE

    Amthor, Peter

    2017-01-01

    Security-critical system requirements are increasingly enforced through mandatory access control systems. These systems are controlled by security policies, highly sensitive system components, which emphasizes the paramount importance of formally verified security properties regarding policy correctness. For the class of safety-properties, addressing potential dynamic right proliferation, a number of known and tested formal analysis methods and tools already exist. Unfortunately, these method...

  4. Microsoft Access Small Business Solutions State-of-the-Art Database Models for Sales, Marketing, Customer Management, and More Key Business Activities

    CERN Document Server

    Hennig, Teresa; Linson, Larry; Purvis, Leigh; Spaulding, Brent

    2010-01-01

    Database models developed by a team of leading Microsoft Access MVPs that provide ready-to-use solutions for sales, marketing, customer management and other key business activities for most small businesses. As the most popular relational database in the world, Microsoft Access is widely used by small business owners. This book responds to the growing need for resources that help business managers and end users design and build effective Access database solutions for specific business functions. Coverage includes::; Elements of a Microsoft Access Database; Relational Data Model; Dealing with C

  5. Teaching patient-centered communication skills: a telephone follow-up curriculum for medical students

    Directory of Open Access Journals (Sweden)

    George W. Saba

    2014-04-01

    Full Text Available Background: To encourage medical students’ use of patient-centered skills in core clerkships, we implemented and evaluated a Telephone Follow-up Curriculum focusing on three communication behaviors: tailoring education to patients’ level of understanding, promoting adherence by anticipating obstacles, and ensuring comprehension by having patients repeat the plans. Methods: The intervention group consisted of two different cohorts of third-year medical students in longitudinal clerkships (n=41; traditional clerkship students comprised the comparison group (n =185. Intervention students telephoned one to four patients 1 week after seeing them in outpatient clinics or inpatient care to follow up on recommendations. We used surveys, focus groups, and clinical performance examinations to assess student perception, knowledge and skills, and behavior change. Results: Students found that the curriculum had a positive impact on patient care, although some found the number of calls excessive. Students and faculty reported improvement in students’ understanding of patients’ health behaviors, knowledge of patient education, and attitudes toward telephone follow-up. Few students changed patient education behaviors or called additional patients. Intervention students scored higher in some communication skills on objective assessments. Conclusion: A patient-centered communication curriculum can improve student knowledge and skills. While some intervention students perceived that they made too many calls, our data suggest that more calls, an increased sense of patient ownership, and role modeling by clerkship faculty may ensure incorporation and application of skills.

  6. Teaching patient-centered communication skills: a telephone follow-up curriculum for medical students.

    Science.gov (United States)

    Saba, George W; Chou, Calvin L; Satterfield, Jason; Teherani, Arianne; Hauer, Karen; Poncelet, Ann; Chen, Huiju Carrie

    2014-01-01

    To encourage medical students' use of patient-centered skills in core clerkships, we implemented and evaluated a Telephone Follow-up Curriculum focusing on three communication behaviors: tailoring education to patients' level of understanding, promoting adherence by anticipating obstacles, and ensuring comprehension by having patients repeat the plans. The intervention group consisted of two different cohorts of third-year medical students in longitudinal clerkships (n=41); traditional clerkship students comprised the comparison group (n = 185). Intervention students telephoned one to four patients 1 week after seeing them in outpatient clinics or inpatient care to follow up on recommendations. We used surveys, focus groups, and clinical performance examinations to assess student perception, knowledge and skills, and behavior change. Students found that the curriculum had a positive impact on patient care, although some found the number of calls excessive. Students and faculty reported improvement in students' understanding of patients' health behaviors, knowledge of patient education, and attitudes toward telephone follow-up. Few students changed patient education behaviors or called additional patients. Intervention students scored higher in some communication skills on objective assessments. A patient-centered communication curriculum can improve student knowledge and skills. While some intervention students perceived that they made too many calls, our data suggest that more calls, an increased sense of patient ownership, and role modeling by clerkship faculty may ensure incorporation and application of skills.

  7. Accessing Data Bases Through Interface Views Using a Unified Graph-Oriented Entity-Relationship Model

    DEFF Research Database (Denmark)

    Kraft, Peter; Sørensen, Jens Otto

    with a unified graphic model is more efficient and less error-prone than working with more complex ER models and models based on lexical description. Key terms: Entity-relationship model, path expressions, entity-relationship language, derived interface view, view updates, graphical models.......Interface Abstract: The paper describes an Entity Relationship (ER) model with a diagrammed schema and extensions modeled into a graph. The semantics of schema symbols are fundamentally simple implying a unified model where given conceptualizations of environments are diagrammed uniquely...

  8. Randomized Controlled Trial of Telephone-Delivered Cognitive Behavioral Therapy for Chronic Insomnia

    Science.gov (United States)

    Arnedt, J. Todd; Cuddihy, Leisha; Swanson, Leslie M.; Pickett, Scott; Aikens, James; Chervin, Ronald D.

    2013-01-01

    Study Objectives: To compare the efficacy of telephone-delivered cognitive-behavioral therapy for insomnia to an information pamphlet control on sleep and daytime functioning at pretreatment, posttreatment, and 12-wk follow-up. Design: Randomized controlled parallel trial. Setting: N/A. Participants: Thirty individuals with chronic insomnia (27 women, age 39.1 ± 14.4 years, insomnia duration 8.7 ± 10.7 years). Interventions: Cognitive behavioral therapy for insomnia (CBTI) delivered in up to eight weekly telephone sessions (CBTI-Phone, n = 15) versus an information pamphlet control (IPC, n = 15). Measurements and Results: Sleep/wake diary, sleep-related questionnaires (Insomnia Severity Index, Pittsburgh Sleep Quality Index, 16-item Dysfunctional Beliefs and Attitudes about Sleep), and daytime symptom assessments (fatigue, depression, anxiety, and quality of life) were completed at pretreatment, posttreatment, and 12-wk follow-up. Linear mixed models indicated that sleep/wake diary sleep efficiency and total sleep time improved significantly at posttreatment in both groups and remained stable at 12-wk follow-up. More CBTI-Phone than IPC patients showed posttreatment improvements in unhelpful sleep-related cognitions (P insomnia at follow-up (P treatment of chronic insomnia. Future larger-scale studies with more diverse samples are warranted. Some individuals with insomnia may also benefit from pamphlet-delivered CBTI with brief telephone support. Citation: Arnedt JT; Cuddihy L; Swanson LM; Pickett S; Aikens J; Chervin RD. Randomized controlled trial of telephone-delivered cognitive behavioral therapy for chronic insomnia. SLEEP 2013;36(3):353-362. PMID:23450712

  9. Comparison of perceived and modelled geographical access to accident and emergency departments: a cross-sectional analysis from the Caerphilly Health and Social Needs Study

    Science.gov (United States)

    Fone, David L; Christie, Stephen; Lester, Nathan

    2006-01-01

    Background Assessment of the spatial accessibility of hospital accident and emergency departments as perceived by local residents has not previously been investigated. Perceived accessibility may affect where, when, and whether potential patients attend for treatment. Using data on 11,853 respondents to a population survey in Caerphilly county borough, Wales, UK, we present an analysis comparing the accessibility of accident and emergency departments as reported by local residents and drive-time to the nearest accident and emergency department modelled using a geographical information system (GIS). Results Median drive-times were significantly shorter in the lowest perceived access category and longer in the best perceived access category (p public transport and among those reporting a recent accident and emergency attendance for injury treatment compared to other respondents. Correlation coefficients did not vary substantially by levels of household income. Drive-time, road distance and straight-line distance were highly inter-correlated and substituting road distance or straight-line distance as the GIS modelled spatial accessibility measure only marginally decreased the magnitude of the correlations between perceived and GIS modelled access. Conclusion This study provides evidence that the accessibility of hospital-based health care services as perceived by local residents is related to measures of spatial accessibility modelled using GIS. For studies that aim to model geographical separation in a way that correlates well with the perception of local residents, there may be minimal advantage in using sophisticated measures. Straight-line distance, which can be calculated without GIS, may be as good as GIS-modelled drive-time or distance for this purpose. These findings will be of importance to health policy makers and local planners who seek to obtain local information on access to services through focussed assessments of residents' concerns over accessibility

  10. Tracking cellular telephones as an input for developing transport models

    CSIR Research Space (South Africa)

    Cooper

    2010-08-01

    Full Text Available stream_source_info Cooper_2010.pdf.txt stream_content_type text/plain stream_size 109 Content-Encoding ISO-8859-1 stream_name Cooper_2010.pdf.txt Content-Type text/plain; charset=ISO-8859-1 /var...

  11. Evaluation of a speech-driven telephone information serviceusing the PARADISE framework: a closer look at subjectivemeasures

    NARCIS (Netherlands)

    Smeele, P.M.T.; Waals, J.A.J.S.

    2003-01-01

    For the evaluation of a speech-driven telephone flight information service we applied the PARADISE model developed by Walker and colleagues [1] in order to gain insight into the factors affecting the user satisfaction of this service. We conducted an experiment in which participants were asked to

  12. Telephone Care Management of Fall Risk:: A Feasibility Study.

    Science.gov (United States)

    Phelan, Elizabeth A; Pence, Maureen; Williams, Barbara; MacCornack, Frederick A

    2017-03-01

    Care management has been found to be more effective than usual care for some chronic conditions, but few studies have tested care management for prevention of elder falls. This study aimed to assess the feasibility and preliminary efficacy of telephone care management of older adults presenting for medical attention due to a fall. The setting was an independent practice association in western Washington serving 1,300 Medicare Advantage-insured patients. Patients aged ≥65 years treated for a fall in an emergency department or their primary care provider's office were contacted via telephone by a care manager within 48 hours of their fall-related visit and invited to participate in a telephone-administered interview to identify modifiable fall risk factors and receive recommendations and follow-up to address identified risk factors. Data from care manager records, patient medical records, and healthcare claims for the first 6 months (November 2009-April 2010) of program implementation were analyzed in 2011. The feasibility of screening and management of fall risk factors over the telephone and the effect on medically attended falls were assessed. Twenty-two patients eligible for fall care management were reached and administered the protocol. Administration took 15-20 minutes and integrated easily with the care manager's other responsibilities. Follow-through on recommendations varied, from 45% for those for whom exercise participation was recommended to 100% for other recommendations. No medically attended falls occurred over 6 months of follow-up. Telephone care management of fall risk appears feasible and may reduce falls requiring medical attention. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  13. GYNOTEL: telephone advice to gynaecological surgical patients after discharge.

    Science.gov (United States)

    Caljouw, Monique A A; Hogendorf-Burgers, Marja E H J

    2010-12-01

    To investigate in surgical gynaecological patients the types of health problems arising or persisting up to six weeks after discharge and the effectiveness of telephone advice. The decreasing length of hospital stay has increased the need for specific instructions about the postdischarge period. Telephone advice could be a valuable tool to address this problem. To our knowledge, postdischarge health problems and the value of telephone advice have not been investigated among gynaecological patients. Randomised controlled trial. Gynaecological patients expected to stay in the ward longer than 24 hour were invited to participate. A pilot study showed that wound healing, pain, mobility, urination, defecation and vaginal bleeding were the most common health problems postdischarge. Based on that information, guidelines were formulated that were used by trained nurses to give telephone advice to the intervention group (n=235), in addition to the usual care. The control group of gynaecological patients (n=233) received usual care only. Of all 468 participants, about 50% were operated for general gynaecology. At discharge, wound pain (56%), mobility problems (54%) and constipation (27%) were the most frequently mentioned problems in both groups. Participants who completely followed the advice with regard to wound healing (p=0.02), pain (p=0.01), vaginal bleeding (p=0.03) and mobility (p=0.04) experienced greater improvement than participants who did not follow, or only partly followed, the advice. The telephone advice appears to make a significant contribution to help gynaecological surgical patients to solve or reduce their postdischarge health problems. The positive effect of such advice can be interpreted as an improvement in the quality of life of the postoperative gynaecological patient. © 2010 Blackwell Publishing Ltd.

  14. A telephone survey of low vision services in U.S. schools for the blind and visually impaired.

    Science.gov (United States)

    Kran, Barry S; Wright, Darick W

    2008-07-01

    The scope of clinical low vision services and access to comprehensive eye care through U.S. schools for the blind and visually impaired is not well known. Advances in medicine and educational trends toward inclusion have resulted in higher numbers of visually impaired children with additional cognitive, motor, and developmental impairments enrolled in U.S. schools for the blind and visually impaired. The availability and frequency of eye care and vision education services for individuals with visual and multiple impairments at schools for the blind is explored in this report using data collected in a 24-item telephone survey from 35 of 42 identified U.S. schools for the blind. The results indicate that 54% of the contacted schools (19) offer clinical eye examinations. All of these schools provide eye care to the 6 to 21 age group, yet only 10 schools make this service available to children from birth to 3 years of age. In addition, two thirds of these schools discontinue eye care when the students graduate or transition to adult service agencies. The majority (94.7%) of eye care is provided by optometrists or a combination of optometry and ophthalmology, and 42.1% of these schools have an affiliation with an optometric institution. When there is a collaborative agreement, clinical services for students are available more frequently. The authors find that questions emerge regarding access to care, identification of appropriate models of care, and training of educational/medical/optometric personnel to meet the needs of a very complex patient population.

  15. Randomized noninferiority trial of telephone versus in-person genetic counseling for hereditary breast and ovarian cancer.

    Science.gov (United States)

    Schwartz, Marc D; Valdimarsdottir, Heiddis B; Peshkin, Beth N; Mandelblatt, Jeanne; Nusbaum, Rachel; Huang, An-Tsun; Chang, Yaojen; Graves, Kristi; Isaacs, Claudine; Wood, Marie; McKinnon, Wendy; Garber, Judy; McCormick, Shelley; Kinney, Anita Y; Luta, George; Kelleher, Sarah; Leventhal, Kara-Grace; Vegella, Patti; Tong, Angie; King, Lesley

    2014-03-01

    Although guidelines recommend in-person counseling before BRCA1/BRCA2 gene testing, genetic counseling is increasingly offered by telephone. As genomic testing becomes more common, evaluating alternative delivery approaches becomes increasingly salient. We tested whether telephone delivery of BRCA1/2 genetic counseling was noninferior to in-person delivery. Participants (women age 21 to 85 years who did not have newly diagnosed or metastatic cancer and lived within a study site catchment area) were randomly assigned to usual care (UC; n = 334) or telephone counseling (TC; n = 335). UC participants received in-person pre- and post-test counseling; TC participants completed all counseling by telephone. Primary outcomes were knowledge, satisfaction, decision conflict, distress, and quality of life; secondary outcomes were equivalence of BRCA1/2 test uptake and costs of delivering TC versus UC. TC was noninferior to UC on all primary outcomes. At 2 weeks after pretest counseling, knowledge (d = 0.03; lower bound of 97.5% CI, -0.61), perceived stress (d = -0.12; upper bound of 97.5% CI, 0.21), and satisfaction (d = -0.16; lower bound of 97.5% CI, -0.70) had group differences and confidence intervals that did not cross their 1-point noninferiority limits. Decision conflict (d = 1.1; upper bound of 97.5% CI, 3.3) and cancer distress (d = -1.6; upper bound of 97.5% CI, 0.27) did not cross their 4-point noninferiority limit. Results were comparable at 3 months. TC was not equivalent to UC on BRCA1/2 test uptake (UC, 90.1%; TC, 84.2%). TC yielded cost savings of $114 per patient. Genetic counseling can be effectively and efficiently delivered via telephone to increase access and decrease costs.

  16. The macroeconomic consequences of renouncing to universal access to antiretroviral treatment for HIV in Africa: a micro-simulation model.

    Directory of Open Access Journals (Sweden)

    Bruno Ventelou

    Full Text Available AIM: Previous economic literature on the cost-effectiveness of antiretroviral treatment (ART programs has been mainly focused on the microeconomic consequences of alternative use of resources devoted to the fight against the HIV pandemic. We rather aim at forecasting the consequences of alternative scenarios for the macroeconomic performance of countries. METHODS: We used a micro-simulation model based on individuals aged 15-49 selected from nationally representative surveys (DHS for Cameroon, Tanzania and Swaziland to compare alternative scenarios : 1-freezing of ART programs to current levels of access, 2- universal access (scaling up to 100% coverage by 2015, with two variants defining ART eligibility according to previous or current WHO guidelines. We introduced an "artificial" ageing process by programming methods. Individuals could evolve through different health states: HIV negative, HIV positive (with different stages of the syndrome. Scenarios of ART procurement determine this dynamics. The macroeconomic impact is obtained using sample weights that take into account the resulting age-structure of the population in each scenario and modeling of the consequences on total growth of the economy. RESULTS: Increased levels of ART coverage result in decreasing HIV incidence and related mortality. Universal access to ART has a positive impact on workers' productivity; the evaluations performed for Swaziland and Cameroon show that universal access would imply net cost-savings at the scale of the society, when the full macroeconomic consequences are introduced in the calculations. In Tanzania, ART access programs imply a net cost for the economy, but 70% of costs are covered by GDP gains at the 2034 horizon, even in the extended coverage option promoted by WHO guidelines initiating ART at levels of 350 cc/mm(3 CD4 cell counts. CONCLUSION: Universal Access ART scaling-up strategies, which are more costly in the short term, remain the best economic

  17. 78 FR 23192 - Wireline Competition Bureau Adds New Discussion Topic to Connect America Cost Model Virtual Workshop

    Science.gov (United States)

    2013-04-18

    ... 20554, telephone (800) 378-3160 or (202) 863-2893, facsimile (202) 863-2898, or via the Internet at http://www.bcpiweb.com . In addition, the Virtual Workshop may be accessed via the Internet at http://www.fcc... anonymous comments posted during the workshop in reaching decisions regarding the model. Participants should...

  18. Improving access to oral health care for pregnant women. A private practice model.

    Science.gov (United States)

    Kerpen, Steven J; Burakoff, Ronald

    2009-11-01

    This article describes a project in which the prenatal oral health recommendations of the New York State Department of Health are implemented. It explores how providing access to oral care to an underserved population of pregnant women can be achieved in a private practice setting. Implementation of this program requires close cooperation and communication between oral care and prenatal care providers. This is accomplished through education, conferences and written communication. A protocol for this treatment is outlined. Challenges and barriers to providing oral care to this target population in a private practice setting, including reimbursement issues, are discussed.

  19. Are transnational tobacco companies' market access strategies linked to economic development models? A case study of South Korea.

    Science.gov (United States)

    Lee, Sungkyu; Holden, Chris; Lee, Kelley

    2013-01-01

    Transnational tobacco companies (TTCs) have used varied strategies to access previously closed markets. Using TTCs' efforts to enter the South Korean market from the late 1980s as a case study, this article asks whether there are common patterns in these strategies that relate to the broader economic development models adopted by targeted countries. An analytical review of the existing literature on TTCs' efforts to access emerging markets was conducted to develop hypotheses relating TTCs' strategies to countries' economic development models. A case study of Korea was then undertaken based on analysis of internal tobacco industry documents. Findings were consistent with the hypothesis that TTCs' strategies in Korea were linked to Korea's export-oriented economic development model and its hostile attitude towards foreign investment. A fuller understanding of TTCs' strategies for expansion globally can be derived by locating them within the economic development models of specific countries or regions. Of foremost importance is the need for governments to carefully balance economic and public health policies when considering liberalisation.

  20. Are transnational tobacco companies’ market access strategies linked to economic development models? A case study of South Korea

    Science.gov (United States)

    Lee, Sungkyu; Holden, Chris; Lee, Kelley

    2013-01-01

    Transnational tobacco companies (TTCs) have used varied strategies to access previously closed markets. Using TTCs’ efforts to enter the South Korean market from the late 1980s as a case study, this article asks whether there are common patterns in these strategies that relate to the broader economic development models adopted by targeted countries. An analytical review of the existing literature on TTCs’ efforts to access emerging markets was conducted to develop hypotheses relating TTCs’ strategies to countries’ economic development models. A case study of Korea was then undertaken based on analysis of internal tobacco industry documents. Findings were consistent with the hypothesis that TTCs’ strategies in Korea were linked to Korea’s export-oriented economic development model and its hostile attitude toward foreign investment. A fuller understanding of TTCs’ strategies for expansion globally can be derived by locating them within the economic development models of specific countries or regions. Of foremost importance is the need for governments to carefully balance economic and public health policies when considering liberalisation. PMID:23327486

  1. 16 CFR 308.6 - Access to information.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Access to information. 308.6 Section 308.6... RULE PURSUANT TO THE TELEPHONE DISCLOSURE AND DISPUTE RESOLUTION ACT OF 1992 § 308.6 Access to information. Any common carrier that provides telecommunication services to any provider of pay-per-call...

  2. Computer and telephone delivered interventions to support caregivers of people with dementia: a systematic review of research output and quality

    Directory of Open Access Journals (Sweden)

    Amy Waller

    2017-11-01

    Full Text Available Abstract Background To assess the scope, volume and quality of research on the acceptability, utilisation and effectiveness of telephone- and computer-delivered interventions for caregivers of people living with dementia. Methods Medline, EMBASE, CINAHL and Cochrane databases were searched (Jan 1990 – Dec 2016. Eligible papers were classified as data-based descriptive, measurement or intervention studies. Intervention studies were first categorised according to mode of delivery (e.g. telephone, computer; then assessed against the Effective Practice and Organisation of Care (EPOC methodological criteria for research design. Impact on health-related outcomes; and the acceptability, feasibility and utilisation of interventions were also assessed. Results The number of publications increased by 13% each year (p < 0.001. Half were descriptive studies (n = 92, 50% describing caregiver views on acceptability, access or utilization of technology. The remainder (n = 89, 48% reported on interventions designed to improve caregiver outcomes. Only 34 met EPOC design criteria. Interventions were delivered via computer (n = 10, multiple modalities (n = 9 or telephone (n = 15. Interventions that incorporated various elements of psycho-education, peer support, skills training and health assessments led to improvements in caregiver wellbeing. While largely acceptable, utilisation of computer-based interventions was variable, with use often decreasing over time. Conclusion Interventions delivered via telephone and computer have the potential to augment existing dementia care. High-quality trials are required to make clear recommendations about the types of interventions that are most effective. Those that provide caregivers with: access to practical strategies to manage care of the person with dementia and their own wellbeing, advice and support from peers and/or clinicians; and that target the dyad should be explored.

  3. Enterprise Dynamic Access Control (EDAC)

    National Research Council Canada - National Science Library

    Fernandez, Richard

    2005-01-01

    .... Resources can represent software applications, web services and even facility access. An effective access control model should be capable of evaluating resource access based on user characteristics and environmentals...

  4. MAGPIE: Simplifying access and execution of computational models in the life sciences.

    Science.gov (United States)

    Baldow, Christoph; Salentin, Sebastian; Schroeder, Michael; Roeder, Ingo; Glauche, Ingmar

    2017-12-01

    Over the past decades, quantitative methods linking theory and observation became increasingly important in many areas of life science. Subsequently, a large number of mathematical and computational models has been developed. The BioModels database alone lists more than 140,000 Systems Biology Markup Language (SBML) models. However, while the exchange within specific model classes has been supported by standardisation and database efforts, the generic application and especially the re-use of models is still limited by practical issues such as easy and straight forward model execution. MAGPIE, a Modeling and Analysis Generic Platform with Integrated Evaluation, closes this gap by providing a software platform for both, publishing and executing computational models without restrictions on the programming language, thereby combining a maximum on flexibility for programmers with easy handling for non-technical users. MAGPIE goes beyond classical SBML platforms by including all models, independent of the underlying programming language, ranging from simple script models to complex data integration and computations. We demonstrate the versatility of MAGPIE using four prototypic example cases. We also outline the potential of MAGPIE to improve transparency and reproducibility of computational models in life sciences. A demo server is available at magpie.imb.medizin.tu-dresden.de.

  5. ClimatePipes: User-Friendly Data Access, Manipulation, Analysis & Visualization of Community Climate Models

    Science.gov (United States)

    Chaudhary, A.; DeMarle, D.; Burnett, B.; Harris, C.; Silva, W.; Osmari, D.; Geveci, B.; Silva, C.; Doutriaux, C.; Williams, D. N.

    2013-12-01

    The impact of climate change will resonate through a broad range of fields including public health, infrastructure, water resources, and many others. Long-term coordinated planning, funding, and action are required for climate change adaptation and mitigation. Unfortunately, widespread use of climate data (simulated and observed) in non-climate science communities is impeded by factors such as large data size, lack of adequate metadata, poor documentation, and lack of sufficient computational and visualization resources. We present ClimatePipes to address many of these challenges by creating an open source platform that provides state-of-the-art, user-friendly data access, analysis, and visualization for climate and other relevant geospatial datasets, making the climate data available to non-researchers, decision-makers, and other stakeholders. The overarching goals of ClimatePipes are: - Enable users to explore real-world questions related to climate change. - Provide tools for data access, analysis, and visualization. - Facilitate collaboration by enabling users to share datasets, workflows, and visualization. ClimatePipes uses a web-based application platform for its widespread support on mainstream operating systems, ease-of-use, and inherent collaboration support. The front-end of ClimatePipes uses HTML5 (WebGL, Canvas2D, CSS3) to deliver state-of-the-art visualization and to provide a best-in-class user experience. The back-end of the ClimatePipes is built around Python using the Visualization Toolkit (VTK, http://vtk.org), Climate Data Analysis Tools (CDAT, http://uv-cdat.llnl.gov), and other climate and geospatial data processing tools such as GDAL and PROJ4. ClimatePipes web-interface to query and access data from remote sources (such as ESGF). Shown in the figure is climate data layer from ESGF on top of map data layer from OpenStreetMap. The ClimatePipes workflow editor provides flexibility and fine grained control, and uses the VisTrails (http

  6. Salting our landscape: An integrated catchment model using readily accessible data to assess emerging road salt contamination to streams

    International Nuclear Information System (INIS)

    Jin Li; Whitehead, Paul; Siegel, Donald I.; Findlay, Stuart

    2011-01-01

    A new integrated catchment model for salinity has been developed to assess the transport of road salt from upland areas in watersheds to streams using readily accessible landscape, hydrologic, and meteorological data together with reported salt applications. We used Fishkill Creek (NY) as a representative watershed to test the model. Results showed good agreement between modeled and measured stream water chloride concentrations. These results suggest that a dominant mode of catchment simulation that does not entail complex deterministic modeling is an appropriate method to model salinization and to assess effects of future applications of road salt to streams. We heuristically increased and decreased salt applications by 100% and results showed that stream chloride concentrations increased by 13% and decreased by 7%, respectively. The model suggests that future management of salt application can reduce environmental concentrations, albeit over some time. - Highlights: → A new Integrated Catchment Model (INCA-Cl) is developed to simulate salinity. → Road salt application is important in controlling stream chloride concentration. → INCA-Cl can be used to manage and forecast the input and transport of chloride to the rivers. - A newly developed integrated catchment model for salinity can be used to manage and forecast the inputs and transport of chloride to streams.

  7. The role of decentralized systems in providing universal electricity access in Sub-Saharan Africa – A model-based approach

    NARCIS (Netherlands)

    Dagnachew, Anteneh G.; Lucas, Paul L.; Hof, Andries F.; Gernaat, David E.H.J.; de Boer, Harmen Sytze; van Vuuren, Detlef P.

    2017-01-01

    Poverty and lack of access to electricity are highly correlated. In Sub-Saharan Africa, one of the poorest regions in the world, two in every three people have no access to electricity. This paper describes a purpose designed model to explore and project the development in the Sub-Saharan African

  8. ViSA: a neurodynamic model for visuo-spatial working memory, attentional blink, and conscious access.

    Science.gov (United States)

    Simione, Luca; Raffone, Antonino; Wolters, Gezinus; Salmas, Paola; Nakatani, Chie; Belardinelli, Marta Olivetti; van Leeuwen, Cees

    2012-10-01

    Two separate lines of study have clarified the role of selectivity in conscious access to visual information. Both involve presenting multiple targets and distracters: one simultaneously in a spatially distributed fashion, the other sequentially at a single location. To understand their findings in a unified framework, we propose a neurodynamic model for Visual Selection and Awareness (ViSA). ViSA supports the view that neural representations for conscious access and visuo-spatial working memory are globally distributed and are based on recurrent interactions between perceptual and access control processors. Its flexible global workspace mechanisms enable a unitary account of a broad range of effects: It accounts for the limited storage capacity of visuo-spatial working memory, attentional cueing, and efficient selection with multi-object displays, as well as for the attentional blink and associated sparing and masking effects. In particular, the speed of consolidation for storage in visuo-spatial working memory in ViSA is not fixed but depends adaptively on the input and recurrent signaling. Slowing down of consolidation due to weak bottom-up and recurrent input as a result of brief presentation and masking leads to the attentional blink. Thus, ViSA goes beyond earlier 2-stage and neuronal global workspace accounts of conscious processing limitations. PsycINFO Database Record (c) 2012 APA, all rights reserved.

  9. Accent modulates access to word meaning: Evidence for a speaker-model account of spoken word recognition.

    Science.gov (United States)

    Cai, Zhenguang G; Gilbert, Rebecca A; Davis, Matthew H; Gaskell, M Gareth; Farrar, Lauren; Adler, Sarah; Rodd, Jennifer M

    2017-11-01

    Speech carries accent information relevant to determining the speaker's linguistic and social background. A series of web-based experiments demonstrate that accent cues can modulate access to word meaning. In Experiments 1-3, British participants were more likely to retrieve the American dominant meaning (e.g., hat meaning of "bonnet") in a word association task if they heard the words in an American than a British accent. In addition, results from a speeded semantic decision task (Experiment 4) and sentence comprehension task (Experiment 5) confirm that accent modulates on-line meaning retrieval such that comprehension of ambiguous words is easier when the relevant word meaning is dominant in the speaker's dialect. Critically, neutral-accent speech items, created by morphing British- and American-accented recordings, were interpreted in a similar way to accented words when embedded in a context of accented words (Experiment 2). This finding indicates that listeners do not use accent to guide meaning retrieval on a word-by-word basis; instead they use accent information to determine the dialectic identity of a speaker and then use their experience of that dialect to guide meaning access for all words spoken by that person. These results motivate a speaker-model account of spoken word recognition in which comprehenders determine key characteristics of their interlocutor and use this knowledge to guide word meaning access. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  10. Initial experiments on the effectiveness of telephone access to government services

    CSIR Research Space (South Africa)

    Cloete, Jacob PL

    2004-08-01

    Full Text Available - and post-experiment interviews and an observed experiment. The experiments were performed at the Department of Labour in Pretoria, South Africa, in November 2003. Unscreened participants were solicited from the queue of UIF applicants. 14 callers used... users with various educational levels ranging from 25 to 54 years in age participated. Most participants had previous exposure to technology. The experiment did not lend itself to detailed statistical analysis of system usage and success. However...

  11. Creating three-dimensional models for the inclusion of accessibility requirements in architecture.

    Directory of Open Access Journals (Sweden)

    Silvana da Rocha Rodrigues

    2013-12-01

    Full Text Available Este artículo presenta un conjunto de herramientas que ayuda al arquitecto en la representación gráfica de sus proyectos de accesibilidad. La propuesta visa la dificultad de los profesionales de Arquitectura para presentar sus proyectos a los clientes, ya que estos no tienen el repertorio técnico necesario a la comprensión de los dibujos técnicos tradicionales. Para minimizar esas dificultades, se ha desarrollado una herramienta llamada SketchUp_Access, la que integra una biblioteca de modelos de accesibilidad para el software SketchUp y ofrece un conjunto de herramientas que, dadas las normas de ccesibilidad, auxilia al arquitecto en la representación gráfica de su proyecto.

  12. Broadband Access

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. Broadband Access. Worldwide market for broadband access $30 Billion! Over 200 million broadband subscribers worldwide! Various Competing Broadband access. Digital Subscriber line; Wireless; Optical Fiber.

  13. Lowering the Barrier to Cross-Disciplinary Scientific Data Access via a Brokering Service Built Around a Unified Data Model

    Science.gov (United States)

    Lindholm, D. M.; Wilson, A.

    2012-12-01

    The steps many scientific data users go through to use data (after discovering it) can be rather tedious, even when dealing with datasets within their own discipline. Accessing data across domains often seems intractable. We present here, LaTiS, an Open Source brokering solution that bridges the gap between the source data and the user's code by defining a unified data model plus a plugin framework for "adapters" to read data from their native source, "filters" to perform server side data processing, and "writers" to output any number of desired formats or streaming protocols. A great deal of work is being done in the informatics community to promote multi-disciplinary science with a focus on search and discovery based on metadata - information about the data. The goal of LaTiS is to go that last step to provide a uniform interface to read the dataset into computer programs and other applications once it has been identified. The LaTiS solution for integrating a wide variety of data models is to return to mathematical fundamentals. The LaTiS data model emphasizes functional relationships between variables. For example, a time series of temperature measurements can be thought of as a function that maps a time to a temperature. With just three constructs: "Scalar" for a single variable, "Tuple" for a collection of variables, and "Function" to represent a set of independent and dependent variables, the LaTiS data model can represent most scientific datasets at a low level that enables uniform data access. Higher level abstractions can be built on top of the basic model to add more meaningful semantics for specific user communities. LaTiS defines its data model in terms of the Unified Modeling Language (UML). It also defines a very thin Java Interface that can be implemented by numerous existing data interfaces (e.g. NetCDF-Java) such that client code can access any dataset via the Java API, independent of the underlying data access mechanism. LaTiS also provides a

  14. Code-switched English Pronunciation Modeling for Swahili Spoken Term Detection (Pub Version, Open Access)

    Science.gov (United States)

    2016-05-03

    resourced Languages, SLTU 2016, 9-12 May 2016, Yogyakarta, Indonesia Code-switched English Pronunciation Modeling for Swahili Spoken Term Detection Neil...Abstract We investigate modeling strategies for English code-switched words as found in a Swahili spoken term detection system. Code switching...et al. / Procedia Computer Science 81 ( 2016 ) 128 – 135 Our research focuses on pronunciation modeling of English (embedded language) words within

  15. Geographical accessibility and spatial coverage modeling of the primary health care network in the Western Province of Rwanda

    Directory of Open Access Journals (Sweden)

    Huerta Munoz Ulises

    2012-09-01

    Full Text Available Abstract Background Primary health care is essential in improving and maintaining the health of populations. It has the potential to accelerate achievement of the Millennium Development Goals and fulfill the “Health for All” doctrine of the Alma-Ata Declaration. Understanding the performance of the health system from a geographic perspective is important for improved health planning and evidence-based policy development. The aims of this study were to measure geographical accessibility, model spatial coverage of the existing primary health facility network, estimate the number of primary health facilities working under capacity and the population underserved in the Western Province of Rwanda. Methods This study uses health facility, population and ancillary data for the Western Province of Rwanda. Three different travel scenarios utilized by the population to attend the nearest primary health facility were defined with a maximum travelling time of 60 minutes: Scenario 1 – walking; Scenario 2 – walking and cycling; and Scenario 3 – walking and public transportation. Considering these scenarios, a raster surface of travel time between primary health facilities and population was developed. To model spatial coverage and estimate the number of primary health facilities working under capacity, the catchment area of each facility was calculated by taking into account population coverage capacity, the population distribution, the terrain topography and the travelling modes through the different land categories. Results Scenario 2 (walking and cycling has the highest degree of geographical accessibility followed by Scenario 3 (walking and public transportation. The lowest level of accessibility can be observed in Scenario 1 (walking. The total population covered differs depending on the type of travel scenario. The existing primary health facility network covers only 26.6% of the population in Scenario 1. In Scenario 2, the use of a bicycle

  16. Geographical accessibility and spatial coverage modeling of the primary health care network in the Western Province of Rwanda.

    Science.gov (United States)

    Huerta Munoz, Ulises; Källestål, Carina

    2012-09-17

    Primary health care is essential in improving and maintaining the health of populations. It has the potential to accelerate achievement of the Millennium Development Goals and fulfill the "Health for All" doctrine of the Alma-Ata Declaration. Understanding the performance of the health system from a geographic perspective is important for improved health planning and evidence-based policy development. The aims of this study were to measure geographical accessibility, model spatial coverage of the existing primary health facility network, estimate the number of primary health facilities working under capacity and the population underserved in the Western Province of Rwanda. This study uses health facility, population and ancillary data for the Western Province of Rwanda. Three different travel scenarios utilized by the population to attend the nearest primary health facility were defined with a maximum travelling time of 60 minutes: Scenario 1--walking; Scenario 2--walking and cycling; and Scenario 3--walking and public transportation. Considering these scenarios, a raster surface of travel time between primary health facilities and population was developed. To model spatial coverage and estimate the number of primary health facilities working under capacity, the catchment area of each facility was calculated by taking into account population coverage capacity, the population distribution, the terrain topography and the travelling modes through the different land categories. Scenario 2 (walking and cycling) has the highest degree of geographical accessibility followed by Scenario 3 (walking and public transportation). The lowest level of accessibility can be observed in Scenario 1 (walking). The total population covered differs depending on the type of travel scenario. The existing primary health facility network covers only 26.6% of the population in Scenario 1. In Scenario 2, the use of a bicycle greatly increases the population being served to 58% of inhabitants

  17. Moderators of Response to Telephone Continuing Care for Alcoholism

    Science.gov (United States)

    Lynch, Kevin G.; Van Horn, Deborah; Drapkin, Michelle; Ivey, Megan; Coviello, Donna; McKay, James R.

    2011-01-01

    Objectives To evaluate potential moderators of the effect of adding extended telephone monitoring (TM) and telephone monitoring and counseling (TMC) continuing care to treatment as usual (TAU) for alcoholism. Continuing care was predicted to be more effective for patients with severe substance-use histories, poor initial response to treatment, and other risk factors for relapse. Methods Randomized study with 18-month follow-up. Outcomes were frequency of drinking and any drinking. Results Main effects favored TMC over TAU on alcohol outcomes. However, none of the 11 variables examined moderated these effects. Conversely, main effect and moderator analyses indicated TM was more beneficial than TAU only for women and for participants with lower readiness to change. Conclusions TMC improves drinking outcomes when added to standard care, regardless of alcohol use history, early response to treatment, or other risk factors for relapse. TM is recommended for women and less motivated patients. PMID:20604702

  18. Evaluation of routine telephone transmission of nuclear medicine studies

    International Nuclear Information System (INIS)

    Orlin, J.A.; Tal, I.; Parker, J.A.; Front, D.; Israel, O.; Kolodny, G.M.

    1989-01-01

    Rapid and reliable transmission of nuclear medicine studies using conventional telephone lines and commercially available modems and computer systems has been accomplished through use of software developed within the authors' hospital. Original digital images of all-night and weekend studies, acquired on any of the acquisition computers from different manufacturers, are now routinely sent for remote reading at the physician's home. Data, software, and letters are routinely exchanged using modems and standard telephone lines with a sister institution in Haifa, Israel. The software has been designed to achieve no loss data compression and minimal turnaround time loss. Thus, an average lung perfusion image or gallbladder study requires about 1-3 minutes of transmission time. Full analysis and display software is available on the remote computer

  19. Self-rated worry in acute care telephone triage

    DEFF Research Database (Denmark)

    Gamst-Jensen, Hejdi; Huibers, Linda; Pedersen, Kristoffer

    2018-01-01

    BACKGROUND: Telephone triage is used to assess acute illness or injury. Clinical decision making is often assisted by triage tools that lack callers' perspectives. This study analysed callers' perception of urgency, defined as degree of worry in acute care telephone calls. AIM: To explore...... the caller's ability to quantify their degree of worry, the association between degree of worry and variables related to the caller, the effect of degree of worry on triage outcome, and the thematic content of the caller's worry. DESIGN AND SETTING: A mixed-methods study with simultaneous convergent design...... combining descriptive statistics and thematic analysis of 180 calls to a Danish out-of-hours service. METHOD: The following quantitative data were measured: age of caller, sex, reason for encounter, symptom duration, triage outcome, and degree of worry (rated from 1 = minimally worried to 5 = extremely...

  20. New schedule for the update of CERN telephone network

    CERN Multimedia

    2003-01-01

    The continuation of ours tasks to update the network is scheduled as follows: Date Change type Affected area May 6 Update of switch N4 Meyrin Ouest May 8 Update of switch N6 Prévessin Site May 12 Update of switch N7 Building 39 and 40 We would like to remind you that disturbances or even interruptions of telephony services may occur from 18:30 to 00:00 on the above mentioned dates. CERN divisions are invited to avoid any change requests (set-ups, move or removals) of telephones and fax machines until 12th May. Should you need more details, please send us your questions by email to Standard.Telephone@cern.ch.

  1. New schedule for the update of CERN telephone network

    CERN Multimedia

    2003-01-01

    The continuation of ours tasks to update the network is scheduled as follows: Date Change type Affected area April 28 Update of switch in LHC 1 LHC 1 Point April 29 Update of switch in LHC 5 LHC 5 Point May 6 Update of switch N4 Meyrin Ouest May 8 Update of switch N6 Prévessin Site May 12 Update of switch N7 Building 39 and 40 We would like to remind you that disturbances or even interruptions of telephony services may occur from 18:30 to 00:00 on the above mentioned dates. CERN divisions are invited to avoid any change requests (set-ups, move or removals) of telephones and fax machines until 12th May. Should you need more details, please send us your questions by email to Standard.Telephone@cern.ch.

  2. Collecting household water usage data: telephone questionnaire or diary?

    Science.gov (United States)

    O'Toole, Joanne E; Sinclair, Martha I; Leder, Karin

    2009-11-09

    Quantitative Microbial Risk Assessment (QMRA), a modelling approach, is used to assess health risks. Inputs into the QMRA process include data that characterise the intensity, frequency and duration of exposure to risk(s). Data gaps for water exposure assessment include the duration and frequency of urban non-potable (non-drinking) water use. The primary objective of this study was to compare household water usage results obtained using two data collection tools, a computer assisted telephone interview (CATI) and a 7-day water activity diary, in order to assess the effect of different methodological survey approaches on derived exposure estimates. Costs and logistical aspects of each data collection tool were also examined. A total of 232 households in an Australian dual reticulation scheme (where households are supplied with two grades of water through separate pipe networks) were surveyed about their water usage using both a CATI and a 7-day diary. Householders were questioned about their use of recycled water for toilet flushing, garden watering and other outdoor activities. Householders were also questioned about their water use in the laundry. Agreement between reported CATI and diary water usage responses was assessed. Results of this study showed that the level of agreement between CATI and diary responses was greater for more frequent water-related activities except toilet flushing and for those activities where standard durations or settings were employed. In addition, this study showed that the unit cost of diary administration was greater than for the CATI, excluding consideration of the initial selection and recruitment steps. This study showed that it is possible to successfully 'remotely' coordinate diary completion providing that adequate instructions are given and that diary recording forms are well designed. In addition, good diary return rates can be achieved using a monetary incentive and the diary format allows for collective recording, rather

  3. Towards effective telephone-based delivery of government services

    CSIR Research Space (South Africa)

    Barnard, E

    2003-09-01

    Full Text Available normal telephone, and requiring no more than the ability to understand and respond to spoken commands. Such a verbal interface is highly appropriate from a cultural perspective in South Africa, where a strong oral tradition exists amongst a substantial... technology that will enable such service delivery. The project is being undertaken by CSIR in South Africa and the Fraunhofer-Gesellschaft: Research Institute for Open Communication Systems (FOKUS) in Germany. FOKUS has developed the Enago Open...

  4. Demographic corrections for the modified Telephone Screening for Cognitive Status

    OpenAIRE

    Dennett, Kathryn; Tometich, Danielle; Duff, Kevin

    2013-01-01

    Despite the growing use of the modified Telephone Interview for Cognitive Status (mTICS) as a cognitive screening instrument, it does not yet have demographic corrections. Demographic data, mTICS, and a neuropsychological battery were collected from 274 community dwelling older adults with intact cognition or mild cognitive impairments. Age, education, premorbid intellect, and depression were correlated with mTICS scores. Using regression equations, age and education significantly predicted m...

  5. Telephone Enrollment in the VA Healthcare System. Interim final rule.

    Science.gov (United States)

    2016-03-16

    This rulemaking amends VA's medical regulations to allow veterans to complete applications for health care enrollment by telephone by providing application information to a VA employee, agreeing to VA's provisions regarding copayment liability and assignment of third-party insurance benefits, and attesting to the accuracy and authenticity of the information provided over the phone. This action will make it easier for veterans to apply to enroll and will speed VA processing of applications.

  6. Design, development and trials of an airline passenger telephone system

    Science.gov (United States)

    Schoenenberger, Jim; Mckinlay, Roger

    1988-01-01

    The design, development and trials of a satellite telephone system for airline passengers is described. The requirements for ground and space infrastructure are discussed and the aeronautical system is described. Design criteria for the antennas and avionic boxes are given and system operation and technical flight trial requirements are discussed, together with test methodology and development towards fully commercial trials. Finally, an indication of development requirements to achieve the desired aims of airline users is given.

  7. Android Access Control Extension

    Directory of Open Access Journals (Sweden)

    Anton Baláž

    2015-12-01

    Full Text Available The main objective of this work is to analyze and extend security model of mobile devices running on Android OS. Provided security extension is a Linux kernel security module that allows the system administrator to restrict program's capabilities with per-program profiles. Profiles can allow capabilities like network access, raw socket access, and the permission to read, write, or execute files on matching paths. Module supplements the traditional Android capability access control model by providing mandatory access control (MAC based on path. This extension increases security of access to system objects in a device and allows creating security sandboxes per application.

  8. Policies to Spur Energy Access. Executive Summary; Volume 1, Engaging the Private Sector in Expanding Access to Electricity; Volume 2, Case Studies to Public-Private Models to Finance Decentralized Electricity Access

    Energy Technology Data Exchange (ETDEWEB)

    Walters, Terri [National Renewable Energy Lab. (NREL), Golden, CO (United States); Rai, Neha [International Institute for Environment and Development (IIED), London (England); Esterly, Sean [National Renewable Energy Lab. (NREL), Golden, CO (United States); Cox, Sadie [National Renewable Energy Lab. (NREL), Golden, CO (United States); Reber, Tim [National Renewable Energy Lab. (NREL), Golden, CO (United States); Muzammil, Maliha [Univ. of Oxford (United Kingdom); Mahmood, Tasfiq [International Center for Climate Change and Development, Baridhara (Bangladesh); Kaur, Nanki [International Institute for Environment and Development (IIED), London (England); Tesfaye, Lidya [Echnoserve Consulting (Ethiopia); Mamuye, Simret [Echnoserve Consulting (Ethiopia); Knuckles, James [Univ. of London (England). Cass Business School; Morris, Ellen [Columbia Univ., New York, NY (United States); de Been, Merijn [Delft Univ. of Technology (Netherlands); Steinbach, Dave [International Institute for Environment and Development (IIED), London (England); Acharya, Sunil [Digo Bikas Inst. (Nepal); Chhetri, Raju Pandit [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bhushal, Ramesh [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2015-09-01

    Government policy is one of the most important factors in engaging the private sector in providing universal access to electricity. In particular, the private sector is well positioned to provide decentralized electricity products and services. While policy uncertainty and regulatory barriers can keep enterprises and investors from engaging in the market, targeted policies can create opportunities to leverage private investment and skills to expand electricity access. However, creating a sustainable market requires policies beyond traditional electricity regulation. The report reviews the range of policy issues that impact the development and expansion of a market for decentralized electricity services from establishing an enabling policy environment to catalyzing finance, building human capacity, and integrating energy access with development programs. The case studies in this report show that robust policy frameworks--addressing a wide range of market issues--can lead to rapid transformation in energy access. The report highlights examples of these policies in action Bangladesh, Ethiopia, Mali, Mexico, and Nepal.

  9. Alternative Models of Entrance Exams and Access to Higher Education: The Case of the Czech Republic

    Science.gov (United States)

    Konecny, Tomas; Basl, Josef; Myslivecek, Jan; Simonova, Natalie

    2012-01-01

    The study compares the potential effects of a university admission exam model based on program-specific knowledge and an alternative model relying on general study aptitude (GSA) in the context of a strongly stratified educational system with considerable excess of demand over supply of university education. Using results of the "Sonda…

  10. Nurses' perceptions of providing advice via a telephone care line.

    Science.gov (United States)

    Ström, Mayvor; Marklund, Bertil; Hildingh, Cathrine

    The provision of advice over the telephone in the health service has become more common in the Western world and in Sweden this task is allocated to nurses. There are several million calls a year to the medical care telephone helpline. Nurses answer the calls, provide advice and direct the flow of patients to the most appropriate treatment level. The aim of this study was to describe how nurses perceive their job of providing telephone advice to patients. Interviews with 12 nurses were analyzed using a phenomenographic approach. The nurses perceived their work as stimulating, autonomous and challenging. They also felt exposed because extensive knowledge is required and there is a risk of being criticized, as they are in a front-line position. Nurses who are responsive, determined and not anxious about their prestige can carry out the work well, provided they have a good level of self-awareness. Personal qualities and the confidence of superiors make even an exposed position with considerable requirements manageable.

  11. Effect of a telephonic intervention on the adherence of patients

    Directory of Open Access Journals (Sweden)

    A. V. Stewart

    2003-01-01

    Full Text Available The effectiveness of a telephonic intervention in increasingpatients’ adherence to a health behaviour modification programme was tested. Patients were randomly assigned to two groups, the Experimental group receiving the telephonic intervention. Patients in the Experimental group showed greater adherence to the programme than the Control group (p=0.007. Their knowledge of hypertension improved (p=0.001 and was better than the control group (p=0.03, their exercise capacity improved (p=0.003 but not significantly more than the control group (p=0.09. They had a greater reduction in weight (p=0.004 which was significantly different from the Control group (p= 0.03. They were significantly less tired than the Control group (p=0.008. The Experimental group showed a reduction inthe number of patients with headaches (p=0.05 and dizziness (p=0.001. These changes were significant within the Experimental group but not between the two groups. The self reported risk factor modification revealed that more patients in the Experimental group could control their stress (p=0.05; more were controlling their salt intake (p=0.02 and more knew and were adhering to their medication regime (p=0.05. Both groups showed small reductions in blood pressure. The telephonic intervention involving the support of a health-care practitioner and a family member appeared to be effective in changing aspects of health behaviour.

  12. The Atmospheric Chemistry and Canopy Exchange Simulation System (ACCESS: model description and application to a temperate deciduous forest canopy

    Directory of Open Access Journals (Sweden)

    R. D. Saylor

    2013-01-01

    Full Text Available Forest canopies are primary emission sources of biogenic volatile organic compounds (BVOCs and have the potential to significantly influence the formation and distribution of secondary organic aerosol (SOA mass. Biogenically-derived SOA formed as a result of emissions from the widespread forests across the globe may affect air quality in populated areas, degrade atmospheric visibility, and affect climate through direct and indirect forcings. In an effort to better understand the formation of SOA mass from forest emissions, a 1-D column model of the multiphase physical and chemical processes occurring within and just above a vegetative canopy is being developed. An initial, gas-phase-only version of this model, the Atmospheric Chemistry and Canopy Exchange Simulation System (ACCESS, includes processes accounting for the emission of BVOCs from the canopy, turbulent vertical transport within and above the canopy and throughout the height of the planetary boundary layer (PBL, near-explicit representation of chemical transformations, mixing with the background atmosphere and bi-directional exchange between the atmosphere and canopy and the atmosphere and forest floor. The model formulation of ACCESS is described in detail and results are presented for an initial application of the modeling system to Walker Branch Watershed, an isoprene-emission-dominated forest canopy in the southeastern United States which has been the focal point for previous chemical and micrometeorological studies. Model results of isoprene profiles and fluxes are found to be consistent with previous measurements made at the simulated site and with other measurements made in and above mixed deciduous forests in the southeastern United States. Sensitivity experiments are presented which explore how canopy concentrations and fluxes of gas-phase precursors of SOA are affected by background anthropogenic nitrogen oxides (NOx. Results from these experiments suggest that the

  13. 76 FR 61279 - Communications Common Carriers, Reporting and Recordkeeping Requirements, Telephone...

    Science.gov (United States)

    2011-10-04

    ... Carriers, Reporting and Recordkeeping Requirements, Telephone, Telecommunications, Uniform System of..., and 69 Communications common carriers, reporting and Recordkeeping requirements, Telephone, Telecommunications, Uniform system of accounts. Federal Communications Commission. Marlene H. Dortch, Secretary. [FR...

  14. Diesel Engine Cold-Starting Studies: Optically Accessible Engine Experiments and Modeling

    National Research Council Canada - National Science Library

    Henein, Naeim

    1997-01-01

    .... The pre-ignition chemistry showed great sensitivity to the compressed air temperature. KIVA with a modified shell model responds accordingly to the change of inlet air temperatures and fuel injection parameters...

  15. AFSC/REFM: Isolation by distance (IBD) Alaskan fish stock structure modeling (NCEI Accession 0130929)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This model study examines several management strategies for two marine fish species subject to isolation-by-distance (IBD): Pacific cod in the Aleutian Islands (AI)...

  16. Stochastic geometry model for multi-channel fog radio access networks

    KAUST Repository

    Emara, Mostafa

    2017-06-29

    Cache-enabled base station (BS) densification, denoted as a fog radio access network (F-RAN), is foreseen as a key component of 5G cellular networks. F-RAN enables storing popular files at the network edge (i.e., BS caches), which empowers local communication and alleviates traffic congestions at the core/backhaul network. The hitting probability, which is the probability of successfully transmitting popular files request from the network edge, is a fundamental key performance indicator (KPI) for F-RAN. This paper develops a scheduling aware mathematical framework, based on stochastic geometry, to characterize the hitting probability of F-RAN in a multi-channel environment. To this end, we assess and compare the performance of two caching distribution schemes, namely, uniform caching and Zipf caching. The numerical results show that the commonly used single channel environment leads to pessimistic assessment for the hitting probability of F-RAN. Furthermore, the numerical results manifest the superiority of the Zipf caching scheme and quantify the hitting probability gains in terms of the number of channels and cache size.

  17. Evaluation of PCMH Model Adoption on Teamwork and Impact on Patient Access and Safety.

    Science.gov (United States)

    Khanna, Niharika; Shaya, Fadia T; Gaitonde, Priyanka; Abiamiri, Andrea; Steffen, Ben; Sharp, David

    2017-04-01

    Each of the participating patient-centered medical home (PCMH) received coaching and participated in learning collaborative for improving teamwork. The objective of the study was to assess the impact of trainings on patient-centered teamwork. The Teamwork Perception Questionnaire (TPQ) was administered once in spring 2014 and then in fall 2015. The TPQ consists of 35 questions across 5 domains: mutual support, situation monitoring, communication, team structure, and leadership. Based on our objective we compared the frequencies of strongly agree/agree by domain. The difference was tested using chi-square test. We compared the scores on each domain (strongly agree/agree = 1; maximum score = 7) via Wilcoxon rank sum test. The response rate for this survey was n = 29 (80.6%) in spring 2014, and n = 31 (86.1%) in fall 2015. We found that the practice members significantly ( P teamwork specifically in communication and in leadership. This we believe will continue to result in enhanced patient access to care and safety.

  18. The benefit of non contrast-enhanced magnetic resonance angiography for predicting vascular access surgery outcome: a computer model perspective.

    Science.gov (United States)

    Merkx, Maarten A G; Huberts, Wouter; Bosboom, E Mariëlle H; Bode, Aron S; Bescós, Javier Oliván; Tordoir, Jan H M; Breeuwer, Marcel; van de Vosse, Frans N

    2013-01-01

    Vascular access (VA) surgery, a prerequisite for hemodialysis treatment of end-stage renal-disease (ESRD) patients, is hampered by complication rates, which are frequently related to flow enhancement. To assist in VA surgery planning, a patient-specific computer model for postoperative flow enhancement was developed. The purpose of this study is to assess the benefit of non contrast-enhanced magnetic resonance angiography (NCE-MRA) data as patient-specific geometrical input for the model-based prediction of surgery outcome. 25 ESRD patients were included in this study. All patients received a NCE-MRA examination of the upper extremity blood vessels in addition to routine ultrasound (US). Local arterial radii were assessed from NCE-MRA and converted to model input using a linear fit per artery. Venous radii were determined with US. The effect of radius measurement uncertainty on model predictions was accounted for by performing Monte-Carlo simulations. The resulting flow prediction interval of the computer model was compared with the postoperative flow obtained from US. Patients with no overlap between model-based prediction and postoperative measurement were further analyzed to determine whether an increase in geometrical detail improved computer model prediction. Overlap between postoperative flows and model-based predictions was obtained for 71% of patients. Detailed inspection of non-overlapping cases revealed that the geometrical details that could be assessed from NCE-MRA explained most of the differences, and moreover, upon addition of these details in the computer model the flow predictions improved. The results demonstrate clearly that NCE-MRA does provide valuable geometrical information for VA surgery planning. Therefore, it is recommended to use this modality, at least for patients at risk for local or global narrowing of the blood vessels as well as for patients for whom an US-based model prediction would not overlap with surgical choice, as the

  19. The benefit of non contrast-enhanced magnetic resonance angiography for predicting vascular access surgery outcome: a computer model perspective.

    Directory of Open Access Journals (Sweden)

    Maarten A G Merkx

    Full Text Available INTRODUCTION: Vascular access (VA surgery, a prerequisite for hemodialysis treatment of end-stage renal-disease (ESRD patients, is hampered by complication rates, which are frequently related to flow enhancement. To assist in VA surgery planning, a patient-specific computer model for postoperative flow enhancement was developed. The purpose of this study is to assess the benefit of non contrast-enhanced magnetic resonance angiography (NCE-MRA data as patient-specific geometrical input for the model-based prediction of surgery outcome. METHODS: 25 ESRD patients were included in this study. All patients received a NCE-MRA examination of the upper extremity blood vessels in addition to routine ultrasound (US. Local arterial radii were assessed from NCE-MRA and converted to model input using a linear fit per artery. Venous radii were determined with US. The effect of radius measurement uncertainty on model predictions was accounted for by performing Monte-Carlo simulations. The resulting flow prediction interval of the computer model was compared with the postoperative flow obtained from US. Patients with no overlap between model-based prediction and postoperative measurement were further analyzed to determine whether an increase in geometrical detail improved computer model prediction. RESULTS: Overlap between postoperative flows and model-based predictions was obtained for 71% of patients. Detailed inspection of non-overlapping cases revealed that the geometrical details that could be assessed from NCE-MRA explained most of the differences, and moreover, upon addition of these details in the computer model the flow predictions improved. CONCLUSIONS: The results demonstrate clearly that NCE-MRA does provide valuable geometrical information for VA surgery planning. Therefore, it is recommended to use this modality, at least for patients at risk for local or global narrowing of the blood vessels as well as for patients for whom an US-based model

  20. Towards a quality-controlled and accessible Pitzer model for seawater and related systems

    Directory of Open Access Journals (Sweden)

    David Turner

    2016-09-01

    Full Text Available We elaborate the need for a quality-controlled chemical speciation model for seawater and related natural waters, work which forms the major focus of SCOR Working Group 145. Model development is based on Pitzer equations for the seawater electrolyte and trace components. These equations can be used to calculate activities of dissolved ions and molecules and, in combination with thermodynamic equilibrium constants, chemical speciation. The major tasks to be addressed are ensuring internal consistency of the Pitzer model parameters (expressing the interactions between pairs and triplets of species, which ultimately determines the calculated activities, assessing uncertainties, and identifying important data gaps that should be addressed by new measurements. It is recognised that natural organic matter plays an important role in many aquatic ecosystems, and options for including this material in a Pitzer-based model are discussed. The process of model development begins with the core components which include the seawater electrolyte and the weak acids controlling pH. This core model can then be expanded by incorporating additional chemical components, changing the standard seawater composition and/or broadening the range of temperature and pressure, without compromising its validity. Seven important areas of application are identified: open ocean acidification; micro-nutrient biogeochemistry and geochemical tracers; micro-nutrient behaviour in laboratory studies; water quality in coastal and estuarine waters; cycling of nutrients and trace metals in pore waters; chemical equilibria in hydrothermal systems; brines and salt lakes.

  1. A Hybrid Networking Model for the Access Layer of the Communication Network for Distribution in Smart Grid

    Directory of Open Access Journals (Sweden)

    Wang Hao

    2016-01-01

    Full Text Available The access layer in the communication network for distribution is an important link in the automation of smart distribution power grid. In current access layer of communication network for distribution in Chinese power grid systems, several communication methods like optical fiber, mediumvoltage carrier communication, 1.8GHz TD-LTE power private wireless network, 230MHz TD-LTE power private wireless network, public wireless network are constructed concurrently and running simultaneously in an identical power supply area. This traditional networking model will cause repeated construction and operation and maintenance difficulties in the communication network of power grid. On the basis of giving a detailed analysis of the radio link budget of TD-LTE power private wireless network in two frequencies, this paper present a multi-communication methods hybrid networking model, which gives a clear boundary for different communication methods based on the isoline with equal signal strength of the TD-LTE power private wireless network and accomplish the optimization of communication resources for distribution.

  2. Utilizing Free and Open Source Software to access, view and compare in situ observations, EO products and model output data

    Science.gov (United States)

    Vines, Aleksander; Hamre, Torill; Lygre, Kjetil

    2014-05-01

    The GreenSeas project (Development of global plankton data base and model system for eco-climate early warning) aims to advance the knowledge and predictive capacities of how marine ecosystems will respond to global change. A main task has been to set up a data delivery and monitoring core service following the open and free data access policy implemented in the Global Monitoring for the Environment and Security (GMES) programme. The aim is to ensure open and free access to historical plankton data, new data (EO products and in situ measurements), model data (including estimates of simulation error) and biological, environmental and climatic indicators to a range of stakeholders, such as scientists, policy makers and environmental managers. To this end, we have developed a geo-spatial database of both historical and new in situ physical, biological and chemical parameters for the Southern Ocean, Atlantic, Nordic Seas and the Arctic, and organized related satellite-derived quantities and model forecasts in a joint geo-spatial repository. For easy access to these data, we have implemented a web-based GIS (Geographical Information Systems) where observed, derived and forcasted parameters can be searched, displayed, compared and exported. Model forecasts can also be uploaded dynamically to the system, to allow modelers to quickly compare their results with available in situ and satellite observations. We have implemented the web-based GIS(Geographical Information Systems) system based on free and open source technologies: Thredds Data Server, ncWMS, GeoServer, OpenLayers, PostGIS, Liferay, Apache Tomcat, PRTree, NetCDF-Java, json-simple, Geotoolkit, Highcharts, GeoExt, MapFish, FileSaver, jQuery, jstree and qUnit. We also wanted to used open standards to communicate between the different services and we use WMS, WFS, netCDF, GML, OPeNDAP, JSON, and SLD. The main advantage we got from using FOSS was that we did not have to invent the wheel all over again, but could use

  3. 47 CFR 22.757 - Channels for basic exchange telephone radio systems.

    Science.gov (United States)

    2010-10-01

    ... Systems § 22.757 Channels for basic exchange telephone radio systems. The channels listed in § 22.725 are also allocated for paired assignment to transmitters in basic exchange telephone radio systems. [70 FR... 47 Telecommunication 2 2010-10-01 2010-10-01 false Channels for basic exchange telephone radio...

  4. 46 CFR 167.40-7 - Voice tubes, telephone, and telegraph systems.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Voice tubes, telephone, and telegraph systems. 167.40-7... systems. (b) A voice tube or telephone system between the radio room and the navigating bridge shall be... NAUTICAL SCHOOL SHIPS Certain Equipment Requirements § 167.40-7 Voice tubes, telephone, and telegraph...

  5. 75 FR 21979 - NRC Region II Address and Main Telephone Number Changes

    Science.gov (United States)

    2010-04-27

    ... Region II Address and Main Telephone Number Changes AGENCY: Nuclear Regulatory Commission. ACTION: Final... address for its Region II office and to update the main telephone number. The Region II office move and... update the NRC Region II office street address and office main telephone number. The physical location of...

  6. Accessing and constructing driving data to develop fuel consumption forecast model

    Science.gov (United States)

    Yamashita, Rei-Jo; Yao, Hsiu-Hsen; Hung, Shih-Wei; Hackman, Acquah

    2018-02-01

    In this study, we develop a forecasting models, to estimate fuel consumption based on the driving behavior, in which vehicles and routes are known. First, the driving data are collected via telematics and OBDII. Then, the driving fuel consumption formula is used to calculate the estimate fuel consumption, and driving behavior indicators are generated for analysis. Based on statistical analysis method, the driving fuel consumption forecasting model is constructed. Some field experiment results were done in this study to generate hundreds of driving behavior indicators. Based on data mining approach, the Pearson coefficient correlation analysis is used to filter highly fuel consumption related DBIs. Only highly correlated DBI will be used in the model. These DBIs are divided into four classes: speed class, acceleration class, Left/Right/U-turn class and the other category. We then use K-means cluster analysis to group to the driver class and the route class. Finally, more than 12 aggregate models are generated by those highly correlated DBIs, using the neural network model and regression analysis. Based on Mean Absolute Percentage Error (MAPE) to evaluate from the developed AMs. The best MAPE values among these AM is below 5%.

  7. Compositional Models for Video Event Detection: A Multiple Kernel Learning Latent Variable Approach (Open Access)

    Science.gov (United States)

    2014-03-03

    segments that correspond to scenes observed within the event category (e.g., for wed - ding ceremony videos, outdoor park scenes or people danc- ing...several subcategories (e.g., a wedding 1186 11, zt 22, zt SS zt , lφ lφ lφ Global Models Scene Type Models .... .... 2b Cb1b gφ gφ gφ XVideo Figure 2...in a video is denoted by ts. ceremony at a church, house, or park). Further, it is assumed that a particular video corresponds to only one subcategory

  8. An accessible method for implementing hierarchical models with spatio-temporal abundance data

    Science.gov (United States)

    Ross, Beth E.; Hooten, Melvin B.; Koons, David N.

    2012-01-01

    A common goal in ecology and wildlife management is to determine the causes of variation in population dynamics over long periods of time and across large spatial scales. Many assumptions must nevertheless be overcome to make appropriate inference about spatio-temporal variation in population dynamics, such as autocorrelation among data points, excess zeros, and observation error in count data. To address these issues, many scientists and statisticians have recommended the use of Bayesian hierarchical models. Unfortunately, hierarchical statistical models remain somewhat difficult to use because of the necessary quantitative background needed to implement them, or because of the computational demands of using Markov Chain Monte Carlo algorithms to estimate parameters. Fortunately, new tools have recently been developed that make it more feasible for wildlife biologists to fit sophisticated hierarchical Bayesian models (i.e., Integrated Nested Laplace Approximation, ‘INLA’). We present a case study using two important game species in North America, the lesser and greater scaup, to demonstrate how INLA can be used to estimate the parameters in a hierarchical model that decouples observation error from process variation, and accounts for unknown sources of excess zeros as well as spatial and temporal dependence in the data. Ultimately, our goal was to make unbiased inference about spatial variation in population trends over time.

  9. Modelling public transport route choice with multiple access and egress modes

    NARCIS (Netherlands)

    Brands, Ties; de Romph, E.; Veitch, T.; Cook, J.

    2013-01-01

    The current traffic system faces well known problems like congestion, environmental impact and use of public space. Public transport (PT) is an important mode to alleviate these problems. To be able to assess the effects of policy measures properly, it is important to model the behaviour of the

  10. Modelling Public Transport Route Choice, with Multiple Access and Egress Modes

    NARCIS (Netherlands)

    Brands, T.; De Romph, E.; Veitch, T.; Cook, J.

    2014-01-01

    Public transport (PT) is important, because the current traffic system faces well known problems like congestion, environmental impact and use of public space. To be able to assess the effects of policy measures properly, it is necessary to model the behavior of the (PT) traveler in a realistic way.

  11. Toward a Multifaceted Model of Internet Access for Understanding Digital Divides: An Empirical Investigation

    NARCIS (Netherlands)

    van Deursen, Alexander Johannes Aloysius Maria; van Dijk, Johannes A.G.M.

    2015-01-01

    In this investigation, a multifaceted model of Internet appropriation that encompasses four types of access—motivational, material, skills, and usage—is tested with a representative sample of the Dutch population. The analysis indicates that while the digital divide policies' focus has moved to

  12. Making Digital Elevation ModelsAccessible, Comprehensible, and Engaging through Real-Time Visualization

    DEFF Research Database (Denmark)

    Kjeldsen, Thomas Kim; Mikkelsen, Peter Trier; Mosegaard, Jesper

    2015-01-01

    In this paper we present our initial experiments with the new high quality digital elevation model, “Danmarks Højdemodel-2015” (DHM) exposed as an interactive 3D visualization on web and in virtual reality. We argue that such data has great opportunities to spawn new business and new insight for ...

  13. Modelling public transport route choice, with multiple access and egress modes

    NARCIS (Netherlands)

    Brands, Ties; de Romph, E.; Veitch, T.; Cook, J.

    2014-01-01

    Public transport (PT) is important, because the current traffic system faces well known problems like congestion, environmental impact and use of public space. To be able to assess the effects of policy measures properly, it is necessary to model the behavior of the (PT) traveler in a realistic way.

  14. Analysis of safety impacts of access management alternatives using the surrogate safety assessment model : final report.

    Science.gov (United States)

    2017-06-01

    The purpose of this study was to evaluate if the Surrogate Safety Assessment Model (SSAM) could be used to assess the safety of a highway segment or an intersection in terms of the number and type of conflicts and to compare the safety effects of mul...

  15. Application of PIP data in health economic models for market access

    Directory of Open Access Journals (Sweden)

    Nadine van Dongen

    2010-11-01

    Full Text Available Nadine van Dongen1, Mark JC Nuijten21Van Dongen Research Ltd, London, UK; 2Ars Accessus Medica, Amsterdam, The NetherlandsAbstract: Cost-effectiveness data from a state of the art health economic analysis should permit reliable, reproducible, and verifiable insights into the effectiveness of a drug and the possible savings that might be achieved relative to other drugs and/or treatments. The data for a model may come from a variety of sources and are subject to varying degrees of uncertainty. The reliability of the estimates depends on the choice of the data sources. Data sources for the variables being used in a model may be clinical trials, databases, medical records, and Delphi panels. A limitation of these data sources is that they often lack the input from the patient’s perspective. Patient Intelligence applications can provide data to be used in health economic models for any given situation regarding treatment of persons suffering from a disorder, disease, or complaint. The objective of this paper to explore the opportunity of integrating patient data generated by Patient Intelligence applications as an alternative data source for a Delphi panel and databases in health economic models.Keywords: effectiveness, Patient Intelligence, data source, Delphi panel

  16. Archive Access to the THORPEX Interactive Grand Global Ensemble (TIGGE) Suite of Model Output

    Science.gov (United States)

    Rutledge, G. K.; Schuster, D.; Worley, S.; Stepaniak, D.; Toth, Z.; Zhu, Y.; Bougeault, P.; Anthony, S.

    2008-05-01

    The World Meteorological Organization (WMO) Observing System Research and Predictability EXperiment (THORPEX) Programme (THORPEX) Interactive Grand Global Ensemble (TIGGE), is a key component of the World Weather Research Programme intended to accelerate improvements in 1-day to 2-week weather forecasts. Centralized archives of ensemble model forecast data, from many international centers, are being used to enable extensive data sharing and research during Phase I of the project. The designated TIGGE archive centers include the Chinese Meteorological Administration (CMA), The European Center for Medium-Range Weather Forecasts (ECMWF), and The National Center for Atmospheric Research (NCAR). Scientific data requirements and archive planning solidified in late 2005, and archive collection was initiated in October 2006 with receipt of partial sets of parameters from multiple data providers. Ten operational weather forecasting centers producing daily global ensemble forecasts to 1-2 weeks ahead have agreed to deliver in near-real-time a selection of forecast data to the TIGGE data archives at CMA, ECMWF and NCAR. The objective of TIGGE (GEO task WE-06-03) is to establish closer cooperation between the academic and operational community by encouraging use of operational products for research, and to explore actively the concept and benefits of multi- model probabilistic weather forecasts, with a particular focus on severe weather prediction. The future operational use of the TIGGE infrastructure as part of a "Global Interactive Forecasting System" will be considered, subject to positive results from research undertaken with the TIGGE data archives. The Unidata Internet Data Distribution (IDD) system is the primary mode used to transport ensemble model data from the data providers to the archive centers. ECMWF acts as one initial collection point to collect model output from the Japanese Meteorological Agency (JMA), Korea Meteorological Administration (KMA), Meteo

  17. [The permanence of access to health care: a tradition of hospitality and innovative organizational model].

    Science.gov (United States)

    Georges-Tarragano, C

    2015-01-01

    The PASS ("Permanence d'Accès aux Soins de Santé") are hospital-based units providing primary care services to patients who lack health care coverage. Using a "whole person" approach and providing a combination of health and social care, the PASS offer an appropriately adapted response to complex health problems within a context of marked social vulnerability and contribute to reducing health inequalities. The PASS are an example of an interdisciplinary approach to health care which contrasts with the segmentary approach typical of conventional hospital departments. Operating at the interface between primary and secondary care, the PASS have the potential to become key players in developing models of patient pathways. Their presence reduces inappropriate emergency attendances and hospitalisation by offering medical care in a timely fashion, in an outpatient-type setting. The PASS can provide a resource for research into optimum models of health care, where the social context of health needs are fully recognized and inform medical treatment appropriately. According to their potential development, PASS are living labs of an innovative organizational model of care. Copyright © 2014 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  18. Pro Access 2010 Development

    CERN Document Server

    Collins, Mark

    2011-01-01

    Pro Access 2010 Development is a fundamental resource for developing business applications that take advantage of the features of Access 2010 and the many sources of data available to your business. In this book, you'll learn how to build database applications, create Web-based databases, develop macros and Visual Basic for Applications (VBA) tools for Access applications, integrate Access with SharePoint and other business systems, and much more. Using a practical, hands-on approach, this book will take you through all the facets of developing Access-based solutions, such as data modeling, co

  19. Fresh produce consumption and the association between frequency of food shopping, car access, and distance to supermarkets

    Science.gov (United States)

    Gustat, Jeanette; O'Malley, Keelia; Luckett, Brian G.; Johnson, Carolyn C.

    2015-01-01

    Background Fresh fruit and vegetables are important components of a healthy diet. Distance to a supermarket has been associated with the ability to access fresh produce. Methods A randomly sampled telephone survey was conducted with the main shopper for 3000 households in New Orleans, Louisiana in 2011. Individuals were asked where and how often they shopped for groceries, frequency of consumption of a variety of foods, and whether they had access to a car. Bivariate models assessed the relationship between four outcomes: car access, distance to the store patronized by the respondent, number of monthly shopping trips, and daily servings of produce. Structural equation modeling (SEM) was used to distinguish direct and indirect effects. Results In bivariate models, car access was positively associated with number of shopping trips and produce consumption while distance was inversely associated with shopping trips. In SEM models, produce consumption was not associated with car access or distance, but to the number of monthly shopping trips. Conclusion The frequency of shopping is associated with car access but a further distance deters it. Access to stores closer to the shopper may promote more frequent shopping and consumption of produce. PMID:26844049

  20. Financial performance monitoring of the technical efficiency of critical access hospitals: a data envelopment analysis and logistic regression modeling approach.

    Science.gov (United States)

    Wilson, Asa B; Kerr, Bernard J; Bastian, Nathaniel D; Fulton, Lawrence V

    2012-01-01

    From 1980 to 1999, rural designated hospitals closed at a disproportionally high rate. In response to this emergent threat to healthcare access in rural settings, the Balanced Budget Act of 1997 made provisions for the creation of a new rural hospital--the critical access hospital (CAH). The conversion to CAH and the associated cost-based reimbursement scheme significantly slowed the closure rate of rural hospitals. This work investigates which methods can ensure the long-term viability of small hospitals. This article uses a two-step design to focus on a hypothesized relationship between technical efficiency of CAHs and a recently developed set of financial monitors for these entities. The goal is to identify the financial performance measures associated with efficiency. The first step uses data envelopment analysis (DEA) to differentiate efficient from inefficient facilities within a data set of 183 CAHs. Determining DEA efficiency is an a priori categorization of hospitals in the data set as efficient or inefficient. In the second step, DEA efficiency is the categorical dependent variable (efficient = 0, inefficient = 1) in the subsequent binary logistic regression (LR) model. A set of six financial monitors selected from the array of 20 measures were the LR independent variables. We use a binary LR to test the null hypothesis that recently developed CAH financial indicators had no predictive value for categorizing a CAH as efficient or inefficient, (i.e., there is no relationship between DEA efficiency and fiscal performance).