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Sample records for prevention instrument project

  1. Instrument validation project

    International Nuclear Information System (INIS)

    Reynolds, B.A.; Daymo, E.A.; Geeting, J.G.H.; Zhang, J.

    1996-06-01

    Westinghouse Hanford Company Project W-211 is responsible for providing the system capabilities to remove radioactive waste from ten double-shell tanks used to store radioactive wastes on the Hanford Site in Richland, Washington. The project is also responsible for measuring tank waste slurry properties prior to injection into pipeline systems, including the Replacement of Cross-Site Transfer System. This report summarizes studies of the appropriateness of the instrumentation specified for use in Project W-211. The instruments were evaluated in a test loop with simulated slurries that covered the range of properties specified in the functional design criteria. The results of the study indicate that the compact nature of the baseline Project W-211 loop does not result in reduced instrumental accuracy resulting from poor flow profile development. Of the baseline instrumentation, the Micromotion densimeter, the Moore Industries thermocouple, the Fischer and Porter magnetic flow meter, and the Red Valve Pressure transducer meet the desired instrumental accuracy. An alternate magnetic flow meter (Yokagawa) gave nearly identical results as the baseline fischer and Porter. The Micromotion flow meter did not meet the desired instrument accuracy but could potentially be calibrated so that it would meet the criteria. The Nametre on-line viscometer did not meet the desired instrumental accuracy and is not recommended as a quantitative instrument although it does provide qualitative information. The recommended minimum set of instrumentation necessary to ensure the slurry meets the Project W-058 acceptance criteria is the Micromotion mass flow meter and delta pressure cells

  2. University of Houston Undergraduate Student Instrumentation Projects

    Science.gov (United States)

    Bering, E. A., III; Talbot, R. W.; Hampton, D. L.; Molders, N.; Millan, R. M.; Halford, A. J.; Dunbar, B.; Morris, G. A.; Prince, J.; Gamblin, R.; Ehteshami, A.; Lehnen, J. N.; Greer, M.; Porat, I.; Alozie, M.; Behrend, C. C.; Bias, C.; Fenton, A.; Gunawan, B.; Harrison, W.; Martinez, A.; Mathur, S.; Medillin, M.; Nguyen, T.; Nguyen, T. V.; Nowling, M.; Perez, D.; Pham, M.; Pina, M.; Thomas, G.; Velasquez, B.; Victor, L.

    2017-12-01

    The Undergraduate Student Instrumentation Project (USIP) is a NASA program to engage undergraduate students in rigorous scientific research, for the purposes of innovation and developing the next generation of professionals for an array of fields. The program is student led and executed from initial ideation to research to the design and deployment of scientific payloads. The University of Houston has been selected twice to participate in the USIP programs. The first program (USIP_UH I) ran from 2013 to 2016. USIP_UH II started in January of 2016, with funding starting at the end of May. USIP_UH I (USIP_UH II) at the University of Houston was (is) composed of eight (seven) research teams developing six (seven), distinct, balloon-based scientific instruments. These instruments will contribute to a broad range of geophysical sciences from Very Low Frequency recording and Total Electron Content to exobiology and ozone profiling. USIP_UH I had 12 successful launches with 9 recoveries from Fairbanks, AK in March 2015, and 4 piggyback flights with BARREL 3 from Esrange, Kiruna, Sweden in August, 2015. USIP_UH II had 8 successful launches with 5 recoveries from Fairbanks, AK in March 2017, 3 piggyback flights with BARREL 4 from Esrange, Kiruna, Sweden in August, 2016, and 1 flight each from CSBF and UH. The great opportunity of this program is capitalizing on the proliferation of electronics miniaturization to create new generations of scientific instruments that are smaller and lighter than ever before. This situation allows experiments to be done more cheaply which ultimately allows many more experiments to be done.

  3. Collaborative Elder Abuse Prevention Project Quarterly Report.

    Science.gov (United States)

    McDaniel, Garry L.

    The Texas Department of Human Services, in collaboration with 13 other public and private organizations, co-sponsored a statewide collaborative elder abuse prevention project, to prevent abuse of elderly and disabled adults. The goal of this project is to develop a comprehensive, long-range plan for the prevention of elder abuse, a method for…

  4. Preventive maintenance instrumentation results in Spanish nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Curiel, M. [Logistica y Acondicionamientos Industriales SAU, Sorolla Center, local 10, Av. de las Cortes Valencianas No. 58, 46015 Valencia (Spain); Palomo, M. J.; Verdu, G. [ISIRYM, Universidad Politecnica de Valencia, Camino de Vera s/n, Valencia (Spain); Arnaldos, A., E-mail: m.curiel@lainsa.co [TITANIA Servicios Tecnologicos SL, Sorolla Center, local 10, Av. de las Cortes Valencianas No. 58, 46015 Valencia (Spain)

    2010-10-15

    This paper is a recompilation of the most significance results in relation to the researching in preventive and predictive maintenance in critical nuclear instrumentation for power plant operation, which it is being developed by Logistica y Acondicionamientos Industriales and the Isirym Institute of the Polytechnic University of Valencia. Instrumentation verification and test, it is a priority of the power plants control and instrumentation department's technicians. These procedures are necessary information for the daily power plant work. It is performed according to different procedures and in different moments of the fuel cycle depending on the instrumentation critical state and the monitoring process. Normally, this study is developed taking into account the instantaneous values of the instrumentation measures and, after their conversion to physical magnitude, they are analyzed according to the power plant operation point. Moreover, redundant sensors measurements are taken into consideration to the equipment and/or power plant monitoring. This work goes forward and it is in advanced to the instrument analysis as it is, independently of the operation point, using specific signal analysis techniques for preventive and predictive maintenance, with the object to obtain not only information about possible malfunctions, but the degradation scale presented in the instrument or in the system measured. We present seven real case studies of Spanish nuclear power plants each of them shall give a significant contribution to problem resolution and power plant performance. (Author)

  5. Preventive maintenance instrumentation results in Spanish nuclear power plants

    International Nuclear Information System (INIS)

    Curiel, M.; Palomo, M. J.; Verdu, G.; Arnaldos, A.

    2010-10-01

    This paper is a recompilation of the most significance results in relation to the researching in preventive and predictive maintenance in critical nuclear instrumentation for power plant operation, which it is being developed by Logistica y Acondicionamientos Industriales and the Isirym Institute of the Polytechnic University of Valencia. Instrumentation verification and test, it is a priority of the power plants control and instrumentation department's technicians. These procedures are necessary information for the daily power plant work. It is performed according to different procedures and in different moments of the fuel cycle depending on the instrumentation critical state and the monitoring process. Normally, this study is developed taking into account the instantaneous values of the instrumentation measures and, after their conversion to physical magnitude, they are analyzed according to the power plant operation point. Moreover, redundant sensors measurements are taken into consideration to the equipment and/or power plant monitoring. This work goes forward and it is in advanced to the instrument analysis as it is, independently of the operation point, using specific signal analysis techniques for preventive and predictive maintenance, with the object to obtain not only information about possible malfunctions, but the degradation scale presented in the instrument or in the system measured. We present seven real case studies of Spanish nuclear power plants each of them shall give a significant contribution to problem resolution and power plant performance. (Author)

  6. The Pacific Obesity Prevention in Communities project

    DEFF Research Database (Denmark)

    Swinburn, B A; Millar, L; Utter, J

    2011-01-01

    , Tonga, New Zealand and Australia) designed to prevent adolescent obesity. This paper overviews the project and the methods common to the four countries. Each country implemented a community-based intervention programme promoting healthy eating, physical activity and healthy weight in adolescents......Obesity is increasing worldwide with the Pacific region having the highest prevalence among adults. The most common precursor of adult obesity is adolescent obesity making this a critical period for prevention. The Pacific Obesity Prevention in Communities project was a four-country project (Fiji....... The evaluation tools common to each are described. Additional analytical studies included economic, socio-cultural and policy studies. The project pioneered many areas of obesity prevention research: using multi-country collaboration to build research capacity; testing a capacity-building approach in ethnic...

  7. Pollution prevention projects in the Netherlands

    NARCIS (Netherlands)

    de Bruijn, Theo; Coenen, Franciscus H.J.M.; Lulofs, Kristiaan R.D.

    1996-01-01

    As part of its waste matter prevention policy, the Dutch government has tried over the past few years to stimulate pollution prevention in firms by means of so-called stimulation and learning projects. To be able to determine the effectiveness of future policies, an extensive evaluation study was

  8. The PIAFE project: instrumentation and beam studies

    International Nuclear Information System (INIS)

    Laamyem, M.

    1996-01-01

    The beam transport of low energy radioactive ions over long distances was a key problem for the PIAFE project. The construction of a 18 m long portion validated the technical choices. Problems dealing with the alignment of the beam transport line supports and the quadrupoles have been solved. The beam/residual gas interaction model was confirmed through the measurement of both the charge exchange cross section and the growth of the emittance due to coulomb scattering. This work shows that low energy exotic ions can be transported over long distances with a vacuum around 10 -8 mbar

  9. Preventive maintenance instrumentation results in Spanish nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Palomo Anaya, M. Jose; Verdu Martin, Gumersindo, E-mail: mpalomo@iqn.upv.es, E-mail: gverdu@iqn.upv.es [ISIRYM Universidad Politecnica de Valencia, Valencia (Spain); Arnaldos Gonzalvez, Adoracion, E-mail: a.arnaldos@titaniast.com [TITANIA Servicios Tecnologicos SL, Valencia (Spain); Nieva, Marcelino Curiel, E-mail: m.curiel@lainsa.com [Logistica y Acondicionamientos Industriales SAU (LAINSA), Valencia (Spain)

    2011-07-01

    This paper is a recompilation of the most significant results in relation to the researching in Preventive and Predictive Maintenance in critical nuclear instrumentation for power plant operation, which it is being developed by Logistica y Acondicionamientos Industriales and The Isirym Institute of the Polytechnic University of Valencia. Instrumentation verification and test, it is a priority of the Power Plants Control and Instrumentation Department technicians. These procedures are necessary information for the daily power plant work. It is performed according to different procedures and in different moments of the fuel cycle depending on the instrumentation critical state and the monitoring process. Normally, this study is developed taking into account the instantaneous values of the instrumentation measures and, after their conversion to physical magnitude, they are analyzed according to the power plant operation point. Moreover, redundant sensors measurements are taken into consideration to the equipment and/or power plant monitoring. This work goes forward and it is in advanced to the instrument analysis as it is, independently of the operation point, using specific signal analysis techniques for preventive and predictive maintenance, with the aim to obtain not only information about possible malfunctions, but the degradation scale presented in the instrument or in the system measured. We present seven real case studies of Spanish Nuclear Power Plants each of them shall give a significant contribution to problem resolution and power plant performance: Fluctuations in sensor lines (case 1), Air presence in feed water lines (case 2), Root valve partially closed (case 3), Sensor malfunctions (case 4), Electrical source malfunctions (case 5), RTD malfunctions (case 6) and LPRM malfunctions (case 7). (author)

  10. Preventive maintenance instrumentation results in Spanish nuclear power plants

    International Nuclear Information System (INIS)

    Palomo Anaya, M. Jose; Verdu Martin, Gumersindo; Arnaldos Gonzalvez, Adoracion; Nieva, Marcelino Curiel

    2011-01-01

    This paper is a recompilation of the most significant results in relation to the researching in Preventive and Predictive Maintenance in critical nuclear instrumentation for power plant operation, which it is being developed by Logistica y Acondicionamientos Industriales and The Isirym Institute of the Polytechnic University of Valencia. Instrumentation verification and test, it is a priority of the Power Plants Control and Instrumentation Department technicians. These procedures are necessary information for the daily power plant work. It is performed according to different procedures and in different moments of the fuel cycle depending on the instrumentation critical state and the monitoring process. Normally, this study is developed taking into account the instantaneous values of the instrumentation measures and, after their conversion to physical magnitude, they are analyzed according to the power plant operation point. Moreover, redundant sensors measurements are taken into consideration to the equipment and/or power plant monitoring. This work goes forward and it is in advanced to the instrument analysis as it is, independently of the operation point, using specific signal analysis techniques for preventive and predictive maintenance, with the aim to obtain not only information about possible malfunctions, but the degradation scale presented in the instrument or in the system measured. We present seven real case studies of Spanish Nuclear Power Plants each of them shall give a significant contribution to problem resolution and power plant performance: Fluctuations in sensor lines (case 1), Air presence in feed water lines (case 2), Root valve partially closed (case 3), Sensor malfunctions (case 4), Electrical source malfunctions (case 5), RTD malfunctions (case 6) and LPRM malfunctions (case 7). (author)

  11. The Esperance primary prevention of suicide project.

    Science.gov (United States)

    Slaven, Janine; Kisely, Stephen

    2002-10-01

    Suicide has been a major community concern in Esperance, a geographically isolated port on the south coast of Western Australia. To evaluate the effect of three evidence-based initiatives for the primary prevention of suicide: (i) providing suicide awareness sessions for staff members in health, education and social services; (ii) limiting the sale of over the counter analgesics (aspirin and paracetamol) to packets containing less than the minimum lethal dose; and (iii) implementing Commonwealth media guidelines in the reporting of suicides by media. Changes in knowledge, awareness, attitudes, comfort and use, before and after each intervention were assessed using standardized instruments and pro forma derived from previous work, such as the Youth Suicide Prevention Training Manual and Suicide Intervention Beliefs Scale. Percentage changes in the number of retail outlets selling over the counter analgesics to less than potentially lethal quantities (less than 8 g of paracetamol or aspirin) were also measured. Media representatives were interviewed to gain their perceptions of Commonwealth Guidelines for the reporting of suicide, and encouraged to consult the project team before reporting suicide related issues. The baseline survey illustrated that mental health staff and general practitioners were more aware of suicide issues, risk factors for suicide and awareness of professional and ethical responses than staff from other services, and were more willing to raise the issue with a person at risk. Thirty-three subjects participated in suicide awareness training of whom 21 (66%) returned questionnaires. There were significant increases in awareness of suicide-related issues and risk factors, as well as reported levels of knowledge of professional and ethical responses and comfort, competence and confidence levels when assisting a person at risk. Only three media representatives were aware of the Commonwealth Health Department Guidelines for reporting suicide and only

  12. Project B-610 instrument data base. Revision 6

    International Nuclear Information System (INIS)

    Silvan, G.R.

    1994-01-01

    The following technical information document contains the published data base listing for the instrumentation to be connected into the new MICON distributed control computer. Project B-610 PFP Instrument Upgrade (PFP HVAC Control Room Upgrade) will install the MICON system in PFP and provide for a new control room at the present site of the new SWP change room EDT-150750 1/11/93

  13. Instrumentation project of 3rd desalination plant at Tuas (Singapore)

    OpenAIRE

    Charco Iniesta, Sara

    2016-01-01

    This project consists on the description of instrumentation used in Tuas III desalination plant at Singapore and its flow process description. The project has been developed as part of the work of the instrumentation department of the responsible company of the engineering design of Tuas III desalination plant. First of all is important to know the water problems which suffer all the people who live in Singapore. Singapore is a city-state and is home to 5.5 million residents. The coun...

  14. Prevention of oiled wildlife project (POW)

    International Nuclear Information System (INIS)

    Harvey, T.C.

    1998-01-01

    The establishment of a project to analyse the nature and extent of the problem of marine oil spills and their impact on the wildlife in coastal Newfoundland was described. Pelagic seabirds were identified as the marine wildlife most affected by oil released into the ocean. The Prevention of Oiled Wildlife (POW) project was initiated by the Canadian Coast Guard, the lead agency for oil spills of unknown origin. Details of the POW project were provided. It was shown that the project serves as an interdepartmental approach to: (1) identifying past occurrences, probable sources, causes, effects and possible releases of oil into the marine environment, (2) identifying remedial measures undertaken to date to curb the release of oil, and (3) establishing a plan of action through legislation, education, detection, prosecution or any other means, to eliminate the release of oil. 14 refs., 4 tabs., 5 figs

  15. Project management for complex ground-based instruments: MEGARA plan

    Science.gov (United States)

    García-Vargas, María. Luisa; Pérez-Calpena, Ana; Gil de Paz, Armando; Gallego, Jesús; Carrasco, Esperanza; Cedazo, Raquel; Iglesias, Jorge

    2014-08-01

    The project management of complex instruments for ground-based large telescopes is a challenge itself. A good management is a clue for project success in terms of performance, schedule and budget. Being on time has become a strict requirement for two reasons: to assure the arrival at the telescope due to the pressure on demanding new instrumentation for this first world-class telescopes and to not fall in over-costs. The budget and cash-flow is not always the expected one and has to be properly handled from different administrative departments at the funding centers worldwide distributed. The complexity of the organizations, the technological and scientific return to the Consortium partners and the participation in the project of all kind of professional centers working in astronomical instrumentation: universities, research centers, small and large private companies, workshops and providers, etc. make the project management strategy, and the tools and procedures tuned to the project needs, crucial for success. MEGARA (Multi-Espectrógrafo en GTC de Alta Resolución para Astronomía) is a facility instrument of the 10.4m GTC (La Palma, Spain) working at optical wavelengths that provides both Integral-Field Unit (IFU) and Multi-Object Spectrograph (MOS) capabilities at resolutions in the range R=6,000-20,000. The project is an initiative led by Universidad Complutense de Madrid (Spain) in collaboration with INAOE (Mexico), IAA-CSIC (Spain) and Universidad Politécnica de Madrid (Spain). MEGARA is being developed under contract with GRANTECAN.

  16. Halden Reactor Project Workshop: Understanding Advanced Instrumentation and Controls Issues

    International Nuclear Information System (INIS)

    Beltracchi, L.

    1991-01-01

    A Halden Reactor Project Workshop on 'Understanding Advanced Instrumentation and Controls Issues' was held in Halden, Norway, during June 17-18, 1991. The objectives of the workshop were to (1) identify and prioritize the types of technical information that the Halden Project can produce to facilitate the development of man-machine interface guidelines and (2) to identify methods to effectively integrate and disseminate this information to signatory organizations. As a member of the Halden Reactor Project, the Nuclear Regulatory Commission (NRC) requested the workshop. This request resulted from the NRC's need for human factors guidelines for the evaluation of advanced instrumentation and controls. The Halden Reactor Project is a cooperative agreement among several countries belonging to the Organization for Economic Cooperation and Development (OECD). The US began its association with the Halden Project in 1958 through the Atomic Energy Commission. The project's activities are centered at the Halden heavy-water reactor and its associated man-machine laboratory in Halden, Norway. The research program conducted at Halden consists of studies on fuel performance and computer-based man-machine interfaces

  17. [How do Prevention Projects Reach their Target Groups? Results of a Survey with Prevention Projects].

    Science.gov (United States)

    Brand, T; Böttcher, S; Jahn, I

    2015-12-01

     The aim of this study was to assess methods used to access target groups in prevention projects funded within the prevention research framework by the German Federal Ministry of Education and Research.  A survey with prevention projects was conducted. Access strategies, communication channels, incentives, programme reach, and successful practical recruitment strategies were explored.  38 out of 60 projects took part in the survey. Most projects accessed their target group within structured settings (e. g., child day-care centers, schools, workplaces). Multiple communication channels and incentives were used, with written information and monetary incentives being used most frequently. Only few projects were able to report their programme reach adequately; programme reach was highest for programmes accessing the target groups in structured settings. The respondents viewed active recruitment via personal communication with the target group and key persons in the settings as the most successful strategy.  The paper provides an overview on recruitment strategies used in current preven-tion projects. More systematic research on programme reach is necessary. © Georg Thieme Verlag KG Stuttgart · New York.

  18. Project of an integrated calibration laboratory of instruments at IPEN

    International Nuclear Information System (INIS)

    Barros, Gustavo Adolfo San Jose

    2009-01-01

    The Calibration Laboratory of Instruments of Instituto de Pesquisas Energeticas e Nucleares offers calibration services of radiation detectors used in radioprotection, diagnostic radiology and radiotherapy, for IPEN and for external facilities (public and private). One part of its facilities is located in the main building, along with other laboratories and study rooms, and another part in an isolated building called Bunker. For the optimization, modernization and specially the safety, the laboratories in the main building shall be transferred to an isolated place. In this work, a project of an integrated laboratory for calibration of instruments was developed, and it will be an expansion of the current Calibration Laboratory of Instruments of IPEN. Therefore, a series of radiometric monitoring of the chosen localization of the future laboratory was realized, and all staff needs (dimensions and disposition of the study rooms and laboratories) were defined. In this project, the laboratories with X ray equipment, alpha and beta radiation sources were located at an isolated part of the building, and the wall shielding was determined, depending on the use of each laboratory. (author)

  19. A desk evaluation review of project RAF/4/004 nuclear instruments maintenance. Project desk evaluation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-04-15

    A Project Desk Evaluation (PDE) is an intensive review process, using agreed guidelines, of the design, implementation, and the outputs of a project. This project was originally intended for six selected countries in Africa, namely, Algeria, Egypt, Ghana, Libya, Zaire and Zambia. Ethiopia and Tanzania joined in 1993 and it has now been extended to two other countries, Madagascar and Sudan. This is a step forward towards developing the infrastructure for nuclear instrumentation and maintenance is as many countries in Africa as require this service. A project summary along with financial data and recommendations for improvements are given. A table where total assistance provided to ten selected african countries is included.

  20. A desk evaluation review of project RAF/4/004 nuclear instruments maintenance. Project desk evaluation

    International Nuclear Information System (INIS)

    1994-01-01

    A Project Desk Evaluation (PDE) is an intensive review process, using agreed guidelines, of the design, implementation, and the outputs of a project. This project was originally intended for six selected countries in Africa, namely, Algeria, Egypt, Ghana, Libya, Zaire and Zambia. Ethiopia and Tanzania joined in 1993 and it has now been extended to two other countries, Madagascar and Sudan. This is a step forward towards developing the infrastructure for nuclear instrumentation and maintenance is as many countries in Africa as require this service. A project summary along with financial data and recommendations for improvements are given. A table where total assistance provided to ten selected african countries is included

  1. The Development of an Instrument to Measure the Project Competences of College Students in Online Project-Based Learning

    Science.gov (United States)

    Lin, Chien-Liang

    2018-01-01

    This study sought to develop a self-report instrument to be used in the assessment of the project competences of college students engaged in online project-based learning. Three scales of the KIPSSE instrument developed for this study, namely, the knowledge integration, project skills, and self-efficacy scales, were based on related theories and…

  2. Flyover Modeling of Planetary Pits - Undergraduate Student Instrument Project

    Science.gov (United States)

    Bhasin, N.; Whittaker, W.

    2015-12-01

    On the surface of the moon and Mars there are hundreds of skylights, which are collapsed holes that are believed to lead to underground caves. This research uses Vision, Inertial, and LIDAR sensors to build a high resolution model of a skylight as a landing vehicle flies overhead. We design and fabricate a pit modeling instrument to accomplish this task, implement software, and demonstrate sensing and modeling capability on a suborbital reusable launch vehicle flying over a simulated pit. Future missions on other planets and moons will explore pits and caves, led by the technology developed by this research. Sensor software utilizes modern graph-based optimization techniques to build 3D models using camera, LIDAR, and inertial data. The modeling performance was validated with a test flyover of a planetary skylight analog structure on the Masten Xombie sRLV. The trajectory profile closely follows that of autonomous planetary powered descent, including translational and rotational dynamics as well as shock and vibration. A hexagonal structure made of shipping containers provides a terrain feature that serves as an appropriate analog for the rim and upper walls of a cylindrical planetary skylight. The skylight analog floor, walls, and rim are modeled in elevation with a 96% coverage rate at 0.25m2 resolution. The inner skylight walls have 5.9cm2 color image resolution and the rims are 6.7cm2 with measurement precision superior to 1m. The multidisciplinary student team included students of all experience levels, with backgrounds in robotics, physics, computer science, systems, mechanical and electrical engineering. The team was commited to authentic scientific experimentation, and defined specific instrument requirements and measurable experiment objectives to verify successful completion.This work was made possible by the NASA Undergraduate Student Instrument Project Educational Flight Opportunity 2013 program. Additional support was provided by the sponsorship of an

  3. Project SAIL: An Evaluation of a Dropout Prevention Program.

    Science.gov (United States)

    Thompson, John L.; And Others

    Project SAIL (Student Advocates Inspire Learning) is a Title IV-C Project located in Hopkins, Minnesota, designed to prevent students from dropping out of school by keeping them successfully involved in the mainstream environment. This study presents a review of other dropout prevention approaches, describes the intervention strategies involved in…

  4. [Development of an instrument for the surveillance of quality indicators in specialized training in Preventive Medicine and Public Health].

    Science.gov (United States)

    Gil-Borrelli, Christian Carlo; Latasa, Pello; Reques, Laura; Alemán, Guadalupe

    2015-01-01

    This study describes the process of developing an instrument intended for use in assessing satisfaction with the quality of training in preventive medicine and public health for resident physicians. To develop this instrument, the National Survey of Satisfaction with Medical Residency was adapted by an expert panel consisting of 23 resident physicians in preventive medicine and public health belonging to 9 autonomous communities in Spain. The adaptation of the survey to the specialty rotations included new dimensions and items and was evaluated with a 5-point Likert scale. The most important dimensions were planning and the achievement of specific objectives, supervision, delegation of responsibilities, resources and work environment, personal assessment, encouragement, support, and whether the rotation resulted in a publication or research project, etc. The development and utilization of this tool will enable future trainees in preventive medicine and public health to make an informed choice about their training itineraries. Copyright © 2015 SESPAS. Published by Elsevier Espana. All rights reserved.

  5. Validity and reliability of the Turkish version of the pressure ulcer prevention knowledge assessment instrument.

    Science.gov (United States)

    Tulek, Zeliha; Polat, Cansu; Ozkan, Ilknur; Theofanidis, Dimitris; Togrol, Rifat Erdem

    2016-11-01

    Sound knowledge of pressure ulcers is important to enable good prevention. There are limited instruments assessing pressure ulcer knowledge. The Pressure Ulcer Prevention Knowledge Assessment Instrument is among the scales of which psychometric properties have been studied rigorously and reflects the latest evidence. This study aimed to evaluate the validity and reliability of the Turkish version of the Pressure Ulcer Prevention Knowledge Assessment Instrument (PUPKAI-T), an instrument that assesses knowledge of pressure ulcer prevention by using multiple-choice questions. Linguistic validity was verified through front-to-back translation. Psychometric properties of the instrument were studied on a sample of 150 nurses working in a tertiary hospital in Istanbul, Turkey. The content validity index of the translated instrument was 0.94, intra-class correlation coefficients were between 0.37 and 0.80, item difficulty indices were between 0.21 and 0.88, discrimination indices were 0.20-0.78, and the Kuder Richardson for the internal consistency was 0.803. The PUPKAI-T was found to be a valid and reliable tool to evaluate nurses' knowledge on pressure ulcer prevention. The PUPKAI-T may be a useful tool for determining educational needs of nurses on pressure ulcer prevention. Copyright © 2016 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved.

  6. Instrumentation of air conditioning and ventilation system - R-5 project

    International Nuclear Information System (INIS)

    Kulkarni, P.B.; Naik, C.D.; Narasingha Rao, S.N.

    1977-01-01

    A detailed account of instrumentation proposed for airconditioning and ventilation system in the R-5, 100 MW thermal research reactor, under construction is presented. Controls and instrumentation provided in this system are electronic, pneumatic and hydraulic in nature depending on the application. They cater to the accurate operation of the system and maintain the conditions strictly within desired tolerances. (S.K.K.)

  7. AIDS prevention project among women in Uruguay.

    Science.gov (United States)

    Pesce, L

    1993-01-01

    The recommendations of a staff member of the Paulina Luisi Movement and member of the Women's Global Network for Reproductive Rights were six-fold. Being a woman was considered a risk factor for AIDS. AIDS and HIV infection prevention must concentrate on prevention of sexually transmitted diseases (STDs). 1) Women's organizations have the responsibility for sensitizing health professionals about STDs and AIDS and break the "culture of silence." 2) Women's health focus must actively include prevention of AIDS/HIV. 3) The Pap test must be included routinely as part of public and individual health services and conducted with high quality standards. 4) The flow of communication about women's health issues must be initiated between health professionals and women advocates with the objective of changing concepts and attitudes and of developing complementary strategies. 5) The strategy of promoting condom use and quality information does not address the larger issue of discrimination against women. Gender relations between spouses and between patient and doctor must be based on responsibility, reciprocity, and autonomy. Strategies must aim to combat the negativity in society that prevents responsible gender relations. 6) Professional women who have an awareness of gender issues must be engaged in international and governmental institutions with decision making power. Sex and women's health have been lesser priorities. The health system has responded to women as "objects" rather than subjects of attention. Women's position sexually and socially makes them more vulnerable to AIDS and HIV infections, which may be transmitted through a single sexual contact. STDs increase the risk of AIDS. Latin American women feel shame about STDS, while men respond to STDs as a condition of their sexual virility or potency. Treatment of STDS, much less AIDS prevention, is inadequate. The health system must stop treating women as objects and give them their right to health.

  8. Nuclear and fundamental physics instrumentation for the ANS project

    International Nuclear Information System (INIS)

    Robinson, S.J.; Faust, H.; Piotrowski, A.E.

    1996-05-01

    This report summarizes work carried out during the period 1991-1995 in connection with the refinement of the concepts and detailed designs for nuclear and fundamental physics research instrumentation at the proposed Advanced Neutron source at Oak Ridge National Laboratory. Initially, emphasis was placed on refining the existing System Design Document (SDD-43) to detail more accurately the needs and interfaces of the instruments that are identified in the document. The conceptual designs of these instruments were also refined to reflect current thinking in the field of nuclear and fundamental physics. In particular, the on-line isotope separator (ISOL) facility design was reconsidered in the light of the development of interest in radioactive ion beams within the nuclear physics community. The second stage of this work was to define those instrument parameters that would interface directly with the reactor systems so that these parameters could be considered for the ISOL facility and particularly for its associated ion source. Since two of these options involved ion sources internal to the long slant beam tube, these were studied in detail. In addition, preliminary work was done to identify the needs for the target holder and changing facility to be located in the tangential through-tube. Because many of the planned nuclear and fundamental physics instruments have similar needs in terms of detection apparatus, some progress was also made in defining the parameters for these detectors. 21 refs., 32 figs., 2 tabs

  9. Alberta Learning: Early Development Instrument Pilot Project Evaluation.

    Science.gov (United States)

    Meaney, Wanda; Harris-Lorenze, Elayne

    The Early Development Instrument (EDI) was designed by McMaster University to measure the outcomes of childrens early years as they influence their readiness to learn at school. The EDI was piloted in several Canadian cities in recent years through two national initiatives. Building on these initiatives, Alberta Learning piloted the EDI as a…

  10. The Development of an Instrument to Measure the Project Competences of College Students in Online Project-Based Learning

    Science.gov (United States)

    Lin, Chien-Liang

    2018-02-01

    This study sought to develop a self-report instrument to be used in the assessment of the project competences of college students engaged in online project-based learning. Three scales of the KIPSSE instrument developed for this study, namely, the knowledge integration, project skills, and self-efficacy scales, were based on related theories and the analysis results of three project advisor interviews. Those items of knowledge integration and project skill scales focused on the integration of different disciplines and technological skills separately. Two samples of data were collected from information technology-related courses taught with an online project-based learning strategy over different semesters at a college in southern Taiwan. The validity and reliability of the KIPSSE instrument were confirmed through item analysis and confirmatory factor analysis using structural equation modeling of two samples of students' online response sets separately. The Cronbach's alpha reliability coefficient for the entire instrument was 0.931; for each scale, the alpha ranged from 0.832 to 0.907. There was also a significant correlation ( r = 0.55, p < 0.01) between the KIPSSE instrument results and the students' product evaluation scores. The findings of this study confirmed the validity and reliability of the KIPSSE instrument. The confirmation process and related implications are also discussed.

  11. [HIV prevention program for young people--the WYSH Project as a model of "combination prevention"].

    Science.gov (United States)

    Ono-Kihara, Masako

    2010-03-01

    In face of the HIV pandemic that still grows, unsuccessful efforts of developing biomedical control measures or the failure of cognitive-behavioral approach to show sustained social level effectiveness, behavioral strategy is now expected to evolve into a structural prevention ("combination prevention") that involves multiple behavioral goals and multilevel approaches. WYSH Project is a combination prevention project for youth developed through socio-epidemiological approach that integrates epidemiology with social science such as social marketing and mixed method. WYSH Project includes mass education programs for youth in schools and programs for out-of-school youth through cyber network and peer communication. Started in 2002, it expanded nationwide with supports from related ministries and parent-teacher associations and has grown into a single largest youth prevention project in Japan.

  12. Translation of an instrument. The US-Nordic Family Dynamics Nursing Research Project.

    Science.gov (United States)

    White, M; Elander, G

    1992-01-01

    Translation of a research instrument questionnaire from English to another language is analyzed in relation to principles involved, procedures followed, and problems confronted by nurse researchers from the US-Nordic Family Dynamics Nursing Research Project. Of paramount importance in translation are translation equivalency, congruent value orientation, and careful use of colloquialisms. It is important to recognize that copyright guidelines apply in the translation of an instrument. Approaches to solving instrument translation problems are discussed.

  13. The Challenge '88 Project: Interfacing of Chemical Instruments to Computers.

    Science.gov (United States)

    Lyons, Jim; Verghese, Manoj

    The main part of this project involved using a computer, either an Apple or an IBM, as a chart recorder for the infrared (IR) and nuclear magnetic resonance (NMR) spectrophotometers. The computer "reads" these machines and displays spectra on its monitor. The graphs can then be stored for future reference and manipulation. The program to…

  14. A desk evaluation review of project VIE/4/009 design and production of nuclear instruments. Project desk evaluation

    International Nuclear Information System (INIS)

    1994-01-01

    A Project Desk Evaluation (PDE) is an intensive review process, using agreed guidelines, of the design, implementation, and the output of a project. This project is exclusively dealing with the design and production of nuclear instruments. The aim of this project would be to develop a viable capability for maintenance and repair of the nuclear instruments at the Dalat Research Institute (DNRI), the premier nuclear centre in Viet Nam, and also to meet the steadily increasing needs of DNRI, as well as of other national institutions, hospitals and universities engaged in the application of nuclear technologies, particularly in the southern part of the country. Project Summary with financial data is given along with training programme. 1 tab

  15. A desk evaluation review of project VIE/4/009 design and production of nuclear instruments. Project desk evaluation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-09

    A Project Desk Evaluation (PDE) is an intensive review process, using agreed guidelines, of the design, implementation, and the output of a project. This project is exclusively dealing with the design and production of nuclear instruments. The aim of this project would be to develop a viable capability for maintenance and repair of the nuclear instruments at the Dalat Research Institute (DNRI), the premier nuclear centre in Viet Nam, and also to meet the steadily increasing needs of DNRI, as well as of other national institutions, hospitals and universities engaged in the application of nuclear technologies, particularly in the southern part of the country. Project Summary with financial data is given along with training programme. 1 tab.

  16. Instrumentation

    International Nuclear Information System (INIS)

    Prieur, G.; Nadi, M.; Hedjiedj, A.; Weber, S.

    1995-01-01

    This second chapter on instrumentation gives little general consideration on history and classification of instrumentation, and two specific states of the art. The first one concerns NMR (block diagram of instrumentation chain with details on the magnets, gradients, probes, reception unit). The first one concerns precision instrumentation (optical fiber gyro-meter and scanning electron microscope), and its data processing tools (programmability, VXI standard and its history). The chapter ends with future trends on smart sensors and Field Emission Displays. (D.L.). Refs., figs

  17. Enabling strategic projects: assessment of key instruments for national spatial planning

    NARCIS (Netherlands)

    Savini, F.; Salet, W.; Majoor, S.

    2010-01-01

    This research focuses on the instruments and tools which national planning agencies have at their disposal to intervene and get involved in strategic projects. The research examines how strategic national visions are translated into interventions in local projects across the Dutch territory. This

  18. Instrumentation

    International Nuclear Information System (INIS)

    Decreton, M.

    2000-01-01

    SCK-CEN's research and development programme on instrumentation aims at evaluating the potentials of new instrumentation technologies under the severe constraints of a nuclear application. It focuses on the tolerance of sensors to high radiation doses, including optical fibre sensors, and on the related intelligent data processing needed to cope with the nuclear constraints. Main achievements in these domains in 1999 are summarised

  19. Instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Decreton, M

    2001-04-01

    SCK-CEN's research and development programme on instrumentation involves the assessment and the development of sensitive measurement systems used within a radiation environment. Particular emphasis is on the assessment of optical fibre components and their adaptability to radiation environments. The evaluation of ageing processes of instrumentation in fission plants, the development of specific data evaluation strategies to compensate for ageing induced degradation of sensors and cable performance form part of these activities. In 2000, particular emphasis was on in-core reactor instrumentation applied to fusion, accelerator driven and water-cooled fission reactors. This involved the development of high performance instrumentation for irradiation experiments in the BR2 reactor in support of new instrumentation needs for MYRRHA, and for diagnostic systems for the ITER reactor.

  20. Instrumentation

    International Nuclear Information System (INIS)

    Decreton, M.

    2001-01-01

    SCK-CEN's research and development programme on instrumentation involves the assessment and the development of sensitive measurement systems used within a radiation environment. Particular emphasis is on the assessment of optical fibre components and their adaptability to radiation environments. The evaluation of ageing processes of instrumentation in fission plants, the development of specific data evaluation strategies to compensate for ageing induced degradation of sensors and cable performance form part of these activities. In 2000, particular emphasis was on in-core reactor instrumentation applied to fusion, accelerator driven and water-cooled fission reactors. This involved the development of high performance instrumentation for irradiation experiments in the BR2 reactor in support of new instrumentation needs for MYRRHA, and for diagnostic systems for the ITER reactor

  1. Overview of the ultrasonic instrumentation research in the MYRRHA project

    Energy Technology Data Exchange (ETDEWEB)

    Dierckx, M.; Leysen, W.; Van Dyck, D. [Belgian Nuclear Research Center SCK.CEN (Belgium)

    2015-07-01

    The Belgian Nuclear Research Centre SCK.CEN is in the process of developing MYRRHA, a new generation IV fast flux research reactor to replace the aging BR2. MYRRHA is conceptualized as an accelerator driven system cooled with lead bismuth eutectic mixture (LBE). As LBE is opaque to visual light, ultrasonic measurement techniques are employed as the main technology to provide feedback where needed. This paper we will give an overview of the R and D at SCK.CEN with respect to ultrasonic instrumentation in heavy liquid metals. High temperature ultrasonic transducers are deployed into the reactor to generate and receive the required ultrasonic signals. The ultrasonic waves are generated and sensed by means of a piezo-electric disc at the heart of the transducer. The acoustic properties of commonly used piezo-electric materials match rather well with the acoustic properties of heavy liquid metals, simplifying the design and construction of high bandwidth ultrasonic transducers for use in heavy liquid metals. The ultrasonic transducers will operate in a liquid metal environment, where radiation and high temperature limit the choice of materials for construction. Moreover, the high surface tension of the liquid metal hinders proper wetting of the transducer, required for optimal transmission and reception of the ultrasonic waves. In a first part of the paper, we will discuss the effect of these parameters on the performance of the overall ultrasonic system. In the second part of the paper, past, present and future ultrasonic experiments in LBE will be reviewed. We will show the results of an experiment where a transducer is scanned near the free surface of an LBE pool to render ultrasonic images of objects submerged in the heavy liquid metal. Additionally, the preliminary results of an ongoing experiment that measures the evolution of LBE wetting on different types of metals and various surface conditions will be reported. The evolution of wetting is an important

  2. Financing Build, Operate and Transfer (BOT) Projects: The Case of Islamic Instruments

    OpenAIRE

    Khan, Tariqullah

    2002-01-01

    Several member countries of the Islamic Development Bank have embarked upon a program of developing and maintaining infrastructure projects by the private sector in the framework of build operate and transfer (BOT) mechanism and its various variants. The present paper reviews these experiences and the peculiar risks associated with investments in these projects as compared to the risks of traditional manufacturing sector and offers a framework for Islamic instruments to finance BOT projects.

  3. Assessment of instruments in facilitating investment in off-grid renewable energy projects

    International Nuclear Information System (INIS)

    Shi, Xunpeng; Liu, Xiying; Yao, Lixia

    2016-01-01

    Renewable off-grid solution plays a critical role in supporting rural electrification. However, off-grid Renewable Energy (OGRE) project financing faces significant challenges due to limited financing access, low affordability of consumers, high transactions costs and etc. Various supporting instruments have been implemented to facilitate OGRE investment. This study assesses the effectiveness of those instruments with a framework consists of three dimensions: feasibility, sustainability and replicability. The weights of each dimension in the framework and the scores of each instrument are assessed by expert surveys based on the Delphi method. It is suggested that all the three dimensions should be taken into consideration while assessing the instruments, among which feasibility and sustainability are considered as the most important dimensions in the assessment framework. Furthermore, the top-5 most effective instruments in facilitating OGRE investment are local engagement in operation and maintenance, loan guarantee, start-up grant, end user financing, and concessional finance. Developing countries that need to increase electrification, such as most of the ASEAN member states, could use these top scored instruments despite of their limited amount of public finance. - Highlights: •Assess the effectiveness of instruments for promoting financing for OGRE projects. •A three-dimension assessment framework: feasibility, sustainability, replicability. •Use online surveys and the Delphi method to collect experts’ assessment. •The most effective instruments: local engagement, loan guarantee, and start-up grant.

  4. Airlie House Pollution Prevention Technology Transfer pilot projects

    Energy Technology Data Exchange (ETDEWEB)

    Thuot, J.R.; Myron, H.; Gatrone, R.; McHenry, J.

    1996-08-01

    The projects were a series of pilot projects developed for DOE with the intention of transferring pollution prevention technology to private industry. The concept was to develop small technology transfer initiatives in partnership with the private sector. Argonne National Laboratory developed three projects: the microscale chemistry in education program, the microscale cost benefit study, and the Bethel New Life recycling trainee program. The two microscale chemistry projects focused on introducing microscale chemistry technologies to secondary and college education. These programs were inexpensive to develop and received excellent evaluations from participants and regulators. The recycle trainee project provided training for two participants and identified recycling and source reduction opportunities in Argonne`s solid waste stream. The pilot projects demonstrated that technology transfer initiatives can be developed and implemented with a small budget and within a short period of time. The essential components of the pilot projects were identification of target technologies that were already available, identification of target audiences, and a focus of effort to achieve a limited but defined objective.

  5. Instrumentation

    International Nuclear Information System (INIS)

    Decreton, M.

    2002-01-01

    SCK-CEN's R and D programme on instrumentation involves the development of advanced instrumentation systems for nuclear applications as well as the assessment of the performance of these instruments in a radiation environment. Particular emphasis is on the use of optical fibres as umbilincal links of a remote handling unit for use during maintanance of a fusion reacor, studies on the radiation hardening of plasma diagnostic systems; investigations on new instrumentation for the future MYRRHA accelerator driven system; space applications related to radiation-hardened lenses; the development of new approaches for dose, temperature and strain measurements; the assessment of radiation-hardened sensors and motors for remote handling tasks and studies of dose measurement systems including the use of optical fibres. Progress and achievements in these areas for 2001 are described

  6. Instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Decreton, M

    2002-04-01

    SCK-CEN's R and D programme on instrumentation involves the development of advanced instrumentation systems for nuclear applications as well as the assessment of the performance of these instruments in a radiation environment. Particular emphasis is on the use of optical fibres as umbilincal links of a remote handling unit for use during maintanance of a fusion reacor, studies on the radiation hardening of plasma diagnostic systems; investigations on new instrumentation for the future MYRRHA accelerator driven system; space applications related to radiation-hardened lenses; the development of new approaches for dose, temperature and strain measurements; the assessment of radiation-hardened sensors and motors for remote handling tasks and studies of dose measurement systems including the use of optical fibres. Progress and achievements in these areas for 2001 are described.

  7. Instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Decreton, M

    2000-07-01

    SCK-CEN's research and development programme on instrumentation aims at evaluating the potentials of new instrumentation technologies under the severe constraints of a nuclear application. It focuses on the tolerance of sensors to high radiation doses, including optical fibre sensors, and on the related intelligent data processing needed to cope with the nuclear constraints. Main achievements in these domains in 1999 are summarised.

  8. Instrumentation

    International Nuclear Information System (INIS)

    Umminger, K.

    2008-01-01

    A proper measurement of the relevant single and two-phase flow parameters is the basis for the understanding of many complex thermal-hydraulic processes. Reliable instrumentation is therefore necessary for the interaction between analysis and experiment especially in the field of nuclear safety research where postulated accident scenarios have to be simulated in experimental facilities and predicted by complex computer code systems. The so-called conventional instrumentation for the measurement of e. g. pressures, temperatures, pressure differences and single phase flow velocities is still a solid basis for the investigation and interpretation of many phenomena and especially for the understanding of the overall system behavior. Measurement data from such instrumentation still serves in many cases as a database for thermal-hydraulic system codes. However some special instrumentation such as online concentration measurement for boric acid in the water phase or for non-condensibles in steam atmosphere as well as flow visualization techniques were further developed and successfully applied during the recent years. Concerning the modeling needs for advanced thermal-hydraulic codes, significant advances have been accomplished in the last few years in the local instrumentation technology for two-phase flow by the application of new sensor techniques, optical or beam methods and electronic technology. This paper will give insight into the current state of instrumentation technology for safety-related thermohydraulic experiments. Advantages and limitations of some measurement processes and systems will be indicated as well as trends and possibilities for further development. Aspects of instrumentation in operating reactors will also be mentioned.

  9. Development of the evaluation instrument use CIPP on the implementation of project assessment topic optik

    Science.gov (United States)

    Asfaroh, Jati Aurum; Rosana, Dadan; Supahar

    2017-08-01

    This research aims to develop an evaluation instrument models CIPP valid and reliable as well as determine the feasibility and practicality of an evaluation instrument models CIPP. An evaluation instrument models CIPP to evaluate the implementation of the project assessment topic optik to measure problem-solving skills of junior high school class VIII in the Yogyakarta region. This research is a model of development that uses 4-D. Subject of product trials are students in class VIII SMP N 1 Galur and SMP N 1 Sleman. Data collection techniques in this research using non-test techniques include interviews, questionnaires and observations. Validity in this research was analyzed using V'Aikens. Reliability analyzed using ICC. This research uses 7 raters are derived from two lecturers expert (expert judgment), two practitioners (science teacher) and three colleagues. The results of this research is the evaluation's instrument model of CIPP is used to evaluate the implementation of the implementation of the project assessment instruments. The validity result of evaluation instrument have V'Aikens values between 0.86 to 1, which means a valid and 0.836 reliability values into categories so well that it has been worth used as an evaluation instrument.

  10. Instruments

    International Nuclear Information System (INIS)

    Buehrer, W.

    1996-01-01

    The present paper mediates a basic knowledge of the most commonly used experimental techniques. We discuss the principles and concepts necessary to understand what one is doing if one performs an experiment on a certain instrument. (author) 29 figs., 1 tab., refs

  11. Aviation Safety Program: Weather Accident Prevention (WxAP) Project Overview and Status

    Science.gov (United States)

    Nadell, Shari-Beth

    2003-01-01

    This paper presents a project overview and status for the Weather Accident Prevention (WxAP) aviation safety program. The topics include: 1) Weather Accident Prevention Project Background/History; 2) Project Modifications; 3) Project Accomplishments; and 4) Project's Next Steps.

  12. Pressure ulcers: development and psychometric evaluation of the attitude towards pressure ulcer prevention instrument (APuP).

    Science.gov (United States)

    Beeckman, D; Defloor, T; Demarré, L; Van Hecke, A; Vanderwee, K

    2010-11-01

    Pressure ulcers continue to be a significant problem in hospitals, nursing homes and community care settings. Pressure ulcer incidence is widely accepted as an indicator for the quality of care. Negative attitudes towards pressure ulcer prevention may result in suboptimal preventive care. A reliable and valid instrument to assess attitudes towards pressure ulcer prevention is lacking. Development and psychometric evaluation of the Attitude towards Pressure ulcer Prevention instrument (APuP). Prospective psychometric instrument validation study. A literature review was performed to design the instrument. Content validity was evaluated by nine European pressure ulcer experts and five experts in psychometric instrument validation in a double Delphi procedure. A convenience sample of 258 nurses and 291 nursing students from Belgium and The Netherlands participated in order to evaluate construct validity and stability reliability of the instrument. The data were collected between February and May 2008. A factor analysis indicated the construct of a 13 item instrument in a five factor solution: (1) attitude towards personal competency to prevent pressure ulcers (three items); (2) attitude towards the priority of pressure ulcer prevention (three items); (3) attitude towards the impact of pressure ulcers (three items); (4) attitude towards personal responsibility in pressure ulcer prevention (two items); and (5) attitude towards confidence in the effectiveness of prevention (two items). This five factor solution accounted for 61.4% of the variance in responses related to attitudes towards pressure ulcer prevention. All items demonstrated factor loadings over 0.60. The instrument produced similar results during stability testing [ICC=0.88 (95% CI=0.84-0.91, Ppressure ulcer prevention in patient care, education, and research. In further research, the association between attitude, knowledge and clinical performance should be explored. Copyright 2010 Elsevier Ltd. All rights

  13. Bringing in the Bard: Shakespearean Plays as Context for Instrumental Analysis Projects

    Science.gov (United States)

    Kloepper, Kathryn D.

    2015-01-01

    Scenes from the works of William Shakespeare were incorporated into individual and group projects for an upper-level chemistry class, instrumental analysis. Students read excerpts from different plays and then viewed a corresponding video clip from a stage or movie production. Guided-research assignments were developed based on these scenes. These…

  14. Instrumentation

    International Nuclear Information System (INIS)

    Muehllehner, G.; Colsher, J.G.

    1982-01-01

    This chapter reviews the parameters which are important to positron-imaging instruments. It summarizes the options which various groups have explored in designing tomographs and the methods which have been developed to overcome some of the limitations inherent in the technique as well as in present instruments. The chapter is not presented as a defense of positron imaging versus single-photon or other imaging modality, neither does it contain a description of various existing instruments, but rather stresses their common properties and problems. Design parameters which are considered are resolution, sampling requirements, sensitivity, methods of eliminating scattered radiation, random coincidences and attenuation. The implementation of these parameters is considered, with special reference to sampling, choice of detector material, detector ring diameter and shielding and variations in point spread function. Quantitation problems discussed are normalization, and attenuation and random corrections. Present developments mentioned are noise reduction through time-of-flight-assisted tomography and signal to noise improvements through high intrinsic resolution. Extensive bibliography. (U.K.)

  15. The Society for Implementation Research Collaboration Instrument Review Project: a methodology to promote rigorous evaluation.

    Science.gov (United States)

    Lewis, Cara C; Stanick, Cameo F; Martinez, Ruben G; Weiner, Bryan J; Kim, Mimi; Barwick, Melanie; Comtois, Katherine A

    2015-01-08

    Identification of psychometrically strong instruments for the field of implementation science is a high priority underscored in a recent National Institutes of Health working meeting (October 2013). Existing instrument reviews are limited in scope, methods, and findings. The Society for Implementation Research Collaboration Instrument Review Project's objectives address these limitations by identifying and applying a unique methodology to conduct a systematic and comprehensive review of quantitative instruments assessing constructs delineated in two of the field's most widely used frameworks, adopt a systematic search process (using standard search strings), and engage an international team of experts to assess the full range of psychometric criteria (reliability, construct and criterion validity). Although this work focuses on implementation of psychosocial interventions in mental health and health-care settings, the methodology and results will likely be useful across a broad spectrum of settings. This effort has culminated in a centralized online open-access repository of instruments depicting graphical head-to-head comparisons of their psychometric properties. This article describes the methodology and preliminary outcomes. The seven stages of the review, synthesis, and evaluation methodology include (1) setting the scope for the review, (2) identifying frameworks to organize and complete the review, (3) generating a search protocol for the literature review of constructs, (4) literature review of specific instruments, (5) development of an evidence-based assessment rating criteria, (6) data extraction and rating instrument quality by a task force of implementation experts to inform knowledge synthesis, and (7) the creation of a website repository. To date, this multi-faceted and collaborative search and synthesis methodology has identified over 420 instruments related to 34 constructs (total 48 including subconstructs) that are relevant to implementation

  16. A labview approach to instrumentation for the TFTR bumper limiter alignment project

    International Nuclear Information System (INIS)

    Skelly, G.N.; Owens, D.K.

    1992-01-01

    This paper reports on a project recently undertaken to measure the alignment of the TFTR bumper limiter in relation to the toroidal magnetic field axis. The process involved the measurement of the toroidal magnetic field, and the positions of the tiles that make up the bumper limiter. The basis for the instrument control and data acquisition system was National Instrument's LabVIEW 2. LabVIEW is a graphical programming system for developing scientific and engineering applications on a Macintosh. For this project, a Macintosh IIci controlled the IEEE-488 GPIB programmable instruments via an interface box connected to the SCSI port of the computer. With LabVIEW, users create graphical software modules called virtual instruments instead of writing conventional text-based code. To measure the magnetic field, the control system acquired data from two nuclear magnetic resonance magnetometers while the torroidal field coils were pulsed. To measure the position of the tiles on the limiter, an instrumented mechanical arm was used inside the vessel

  17. FEATURES OF AN ESTIMATION OF INVESTMENT PROJECTS AT THE ENTERPRISES OF AVIATION INSTRUMENT

    Directory of Open Access Journals (Sweden)

    Petr P. Dobrov

    2016-01-01

    Full Text Available The relevance of this study due to the fact that the current situation in Russia is complemented by the negative effects of market reforms in the economy and economic sanctions adopted against our country and in particular the different level companies. In view of this, to effectively manage the activities and the development of aviation instrument companies and enterprises of different ownership forms are highly relevant issues related to the assessment of investment projects. The general crisis that engulfed almost all industry in Russia, demanded the application of a new ideology of the organization and management of investment projects, as well as their assessment at the enterprises of aviation instrument. In Russia, began a new stage in the development of project management establishment of a domestic methodology, complex tools and training for professional project management on the basis of domestic achievements, global experience and creativity of its processing based on the actual conditions of our country. The need for the use of project management methodology in Russia is determined by two factors: the increasing complexity of projects and the organizations that operate them, and the fact that project management is widely used in countries with market economies. Projects at the enterprises of aviation instrument making and evaluation are characterized by complexity and uncertainty, a significant dependence on the dynamic environment, including socio-economic, political, financial, economic, legislative influence of both the state and competing companies. In this paper, a study of modern methods of evaluating investment projects at the enterprises of aviation instrument. Methodology. The methodological basis of this paper appeared comparative and economic-mathematical analysis methods. Results. As part of the presentation of the present article the author, it was found that the activity of modern companies is not linear and is

  18. General and preliminary thermohydraulic, hydrogen and aerosol instrumentation plan for the Phebus Fp-project

    International Nuclear Information System (INIS)

    Hampel, G.; Poss, G.; Frohlich, H.K.

    1989-10-01

    The objective of the project was to draw up an instrumentation plan for the French core melting programme PHEBUS FP. This instrumentation plan essentially was to include proven and reliable instruments for recording various thermohydraulic, aerosol and hydrogen phenomena. The candidate measuring methods, which are known mainly from reactor safety programmes, have been described and examined for their usefulness in PHEBUS. Each method and instrument has been described in detail under various aspects such as measuring principle, measuring range, technical design, evaluation model, calibration procedure, accuracy, previous experience, commercial availability, etc. Special attention has been paid to the behaviour of the measuring transducers when exposed to radiation. First, the performance of the instruments was compared with the requirements of PHEBUS. The results of this comparison served as the basis for a measuring concept in tabular form, giving the locations of the measurements, the measuring tasks, and the number and kind of instruments that are recommended. Redundancy and cost-benefit aspects have been taken into account in qualitative terms

  19. Risk prevention and management in cooperatives: An instrument to eliminate it or reduce it

    Directory of Open Access Journals (Sweden)

    María de Jesús Ribet-Cuadot

    2015-06-01

    Full Text Available The article exposes a methodological proposal that covers aspects to consider in the process of managing and preventing risks, which must be developed in any business or business association, for it constitutes an indispensable instrument for risk elimination or reduction that will further aid to achieve the desired goals.  This methodology comes from an investigation that had a precise question as starting point: How to contribute to the risk management and prevention in cooperatives? This was its fundamental problem. The idea comes, of course, from the sudden awakening and ever –growing use of this type of association in a difficult economical and financial context. Its general goal is to expose a methodology for risk management and prevention in cooperatives. The methodology has the necessary flexibility to be adjusted to the peculiarities of each cooperative. Its main advantage consists of assuring a systematic approach to management and prevention that begins with a diagnostic and later elaboration of a map of risks in each area, which will all ease into constant check up and reviewing. Furthermore, it allows to assess the positive impact regarding economics, society and ecology.

  20. Hearing Health in College Instrumental Musicians and Prevention of Hearing Loss.

    Science.gov (United States)

    Olson, Anna D; Gooding, Lori F; Shikoh, Fara; Graf, Julie

    2016-03-01

    College musicians exhibit greater declines in hearing than the general population and are at particular risk because they rehearse and perform daily in loud environments. Also, they engage in use of personal listening devices which increases the amount of "exposure" time. Despite increased risk, many do not use hearing protection devices (HPD). The purpose of this study was to (1) to identify the present level of education about hearing health, (2) identify the perceived advantages and disadvantages of using HPD, and (3) evaluate results among different musical instrument groups. A mixed-methods group design was used including both quantitative and qualitative instruments. SPSS was used to generate descriptive statistics, and non-parametric statistical analysis was performed on quantitative data. NVivo software was used to evaluate qualitative responses. Of the 90 college instrumental music students who participated, 12% reported a history of hearing loss, and over one-third reported tinnitus. Seventy-seven percent of participants had never received any training about hearing health and only a small percentage of students used HPD. The most cited reason for lack of protection use was its negative impact on sound quality. However, group differences were noted between brass, woodwind, and percussion musicians in terms of HPD uptake. Improving the type of information disseminated to college musicians may reduce the risk of ear-related deficits. Noise dosage information, HPD information, and prevention education grounded in theories like the Health Belief Model may increase awareness and promote greater use of HPDs in this population.

  1. FINANCIAL INSTRUMENTS OF THE STATE POLICY FOR THE PREVENTION OF TERRORIST ACTS IN UKRAINE

    Directory of Open Access Journals (Sweden)

    Mykola Bunchuk

    2017-11-01

    Full Text Available The article’s objective is to determine the mechanism for implementing the financial instruments of the state policy to counter terrorist acts in the territory not controlled by Ukrainian authorities in Donetsk and Luhansk regions. Methodology. Within the scientific research, for the most effective approaches at the national level to prevent the threat of international terrorism, under the conditions of the deep internal political crisis and extremely difficult economic situation, in order to improve the efficiency of public administration in developing and implementing the anti-terrorism state policies in Ukraine, the paper analyses international and domestic regulations on preventing the terrorist financing, considers factors that affect the deterioration of the social and economic situation of the temporarily occupied parts of Donbas. Results of the research allow formulating the definition of financial instruments of antiterrorist policies, the paper develops and proposes a series of organizational measures in order to prevent the terrorist financing in Ukraine. Practical implications. Based on the above, we propose an option of classification of main illegal mechanisms that may be used to finance terrorist activities in the territories of Donetsk and Luhansk regions uncontrolled by Ukrainian authorities, dividing them into internal and external. Given the above studied factors and classification of financing of terrorist acts in eastern Ukraine, we can assume that for the purpose of evading duty payable to relevant state bodies of Ukraine, external supplies of inventories in the uncontrolled areas of the Donetsk region, which are later obtained by illegal armed groups, are possibly carried out as follows: on behalf of a commercial entity registered in a foreign country for the Ukrainian commercial entity, registered in settlements located in the uncontrolled territory; crossing of international transit traffic that moves through the

  2. Preventing Elder Abuse: The Texas Plan for a Coordinated Service Delivery System. Collaborative Elder Abuse Prevention Project.

    Science.gov (United States)

    McDaniel, Garry L.

    The Texas Department of Human Services, in collaboration with 13 other public and private organizations, co-sponsored a statewide Collaborative Elder Abuse Prevention project. The goal of this project is to develop a comprehensive, long-range plan for the prevention of elder abuse, a method for achieving a coordinated service delivery system for…

  3. Developing Spent Fuel Assembly for Advanced NDA Instrument Calibration - NGSI Spent Fuel Project

    Energy Technology Data Exchange (ETDEWEB)

    Hu, Jianwei [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Gauld, Ian C. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Banfield, James [GE Hitachi Nuclear Energy, Wilmington, NC (United States); Skutnik, Steven [Univ. of Tennessee, Knoxville, TN (United States)

    2014-02-01

    This report summarizes the work by Oak Ridge National Laboratory to investigate the application of modeling and simulation to support the performance assessment and calibration of the advanced nondestructive assay (NDA) instruments developed under the Next Generation Safeguards Initiative Spent Fuel (NGSI-SF) Project. Advanced NDA instrument calibration will likely require reference spent fuel assemblies with well-characterized nuclide compositions that can serve as working standards. Because no reference spent fuel standard currently exists, and the practical ability to obtain direct measurement of nuclide compositions using destructive assay (DA) measurements of an entire fuel assembly is prohibitive in the near term due to the complexity and cost of spent fuel experiments, modeling and simulation will be required to construct such reference fuel assemblies. These calculations will be used to support instrument field tests at the Swedish Interim Storage Facility (Clab) for Spent Nuclear Fuel.

  4. The Heartfile Lodhran CVD prevention project--end of project evaluation.

    Science.gov (United States)

    Nishtar, Sania; Badar, Asma; Kamal, Mohammad Umer; Iqbal, Azhar; Bajwa, Rashid; Shah, Tauqeer; Larik, Zahid; Karim, Fazle; Mehmood, Mahmood ul Hassan; Jehangir, Haroon; Azam, Syed Iqbal; Mirza, Yasir Abbas; Khan, Shahzad Ali; Qayyum, Aamra; Aqeel, Fauzia; Bakir, Abdul; Rahim, Ejaz

    2007-01-01

    Mainstream preventive interventions often fail to reach poor populations with a high risk of cardiovascular diseases (CVDs) in Pakistan. A community-based CVD primary prevention project aimed at developing approaches to reduce risk factors in such populations was established by Heartfile in collaboration with the National Rural Support Program in the district of Lodhran. The project implemented a range of activities integrated with existing social and health service mechanisms during a three year intervention period 2000/01-03/04. These were targeted in 4 key settings: community health education, mass media interventions, training of health professionals and health education through Lady Health Workers. The project received support from the Department for International Development, U.K. At the community level, a pre-test-post-test quasi-experimental design was used for examining project outcomes related to the community component of the intervention. Pre and post-intervention (training) evaluations were conducted involving all health care providers in randomly selected workshops in order to determine baseline levels of knowledge and the impact of training on knowledge level. In order to assess practices of physician and non-physician health care providers patient interviews, with control comparisons were conducted at each health care facility. Significant positive changes were observed in knowledge levels at a community level in the district of intervention compared with baseline knowledge levels particularly in relation to a heart healthy diet, beneficial level of physical activity, the causes of high blood pressure and heart attack and the effects of high blood pressure and active and passive smoking on health. Significant changes in behaviors at a practice level were not shown in the district of intervention. However the project played a critical role in spurring national action for the prevention and control of non-communicable diseases and introducing

  5. Evaluation of an institutional project to improve venous thromboembolism prevention.

    Science.gov (United States)

    Minami, Christina A; Yang, Anthony D; Ju, Mila; Culver, Eckford; Seifert, Kathryn; Kreutzer, Lindsey; Halverson, Terri; O'Leary, Kevin J; Bilimoria, Karl Y

    2016-12-01

    Northwestern Memorial Hospital (NMH) was historically a poor performer on the venous thromboembolism (VTE) outcome measure. As this measure has been shown to be flawed by surveillance bias, NMH embraced process-of-care measures to ensure appropriate VTE prophylaxis to assess healthcare-associated VTE prevention efforts. To evaluate the impact of an institution-wide project aimed at improving hospital performance on VTE prophylaxis measures. A retrospective observational study. NMH, an 885-bed academic medical center in Chicago, Illinois PATIENTS: Inpatients admitted to NMH from January 1, 2013 to May 1, 2013 and from October 1, 2014 to April 1, 2015 were eligible for evaluation. Using the define-measure-analyze-improve-control (DMAIC) process-improvement methodology, a multidisciplinary team implemented and iteratively improved 15 data-driven interventions in 4 broad areas: (1) electronic medical record (EMR) alerts, (2) education initiatives, (3) new EMR order sets, and (4) other EMR changes. The Joint Commission's 6 core measures and the Surgical Care Improvement Project (SCIP) SCIP-VTE-2 measure. Based on 3103 observations (1679 from January 1, 2013 to May 1, 2013, and 1424 from October 1, 2014 to April 1, 2015), performance on the core measures improved. Performance on measure 1 (chemoprophylaxis) improved from 82.5% to 90.2% on medicine services, and from 94.4% to 97.6% on surgical services. The largest improvements were seen in measure 4 (platelet monitoring), with a performance increase from 76.7% adherence to 100%, and measure 5 (warfarin discharge instructions), with a performance increase from 27.4% to 88.8%. A systematic hospital-wide DMAIC project improved VTE prophylaxis measure performance. Sustained performance has been observed, and novel control mechanisms for continued performance surveillance have been embedded in the hospital system. Journal of Hospital Medicine 2016;11:S29-S37. © 2016 Society of Hospital Medicine. © 2016 Society of Hospital

  6. Estimating unbiased economies of scale of HIV prevention projects: a case study of Avahan.

    Science.gov (United States)

    Lépine, Aurélia; Vassall, Anna; Chandrashekar, Sudha; Blanc, Elodie; Le Nestour, Alexis

    2015-04-01

    Governments and donors are investing considerable resources on HIV prevention in order to scale up these services rapidly. Given the current economic climate, providers of HIV prevention services increasingly need to demonstrate that these investments offer good 'value for money'. One of the primary routes to achieve efficiency is to take advantage of economies of scale (a reduction in the average cost of a health service as provision scales-up), yet empirical evidence on economies of scale is scarce. Methodologically, the estimation of economies of scale is hampered by several statistical issues preventing causal inference and thus making the estimation of economies of scale complex. In order to estimate unbiased economies of scale when scaling up HIV prevention services, we apply our analysis to one of the few HIV prevention programmes globally delivered at a large scale: the Indian Avahan initiative. We costed the project by collecting data from the 138 Avahan NGOs and the supporting partners in the first four years of its scale-up, between 2004 and 2007. We develop a parsimonious empirical model and apply a system Generalized Method of Moments (GMM) and fixed-effects Instrumental Variable (IV) estimators to estimate unbiased economies of scale. At the programme level, we find that, after controlling for the endogeneity of scale, the scale-up of Avahan has generated high economies of scale. Our findings suggest that average cost reductions per person reached are achievable when scaling-up HIV prevention in low and middle income countries. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Royal Military College of Canada SLOWPOKE-2 facility. Integrated regulating and instrumentation system (SIRCIS) upgrade project

    International Nuclear Information System (INIS)

    Corcoran, W.P.; Nielsen, K.S.; Kelly, D.G.; Weir, R.D.

    2013-01-01

    The SLOWPOKE-2 Facility at the Royal Military College of Canada has operated the only digitally controlled SLOWPOKE reactor since 2001 (Version 1.0). The present work describes ongoing project development to provide a robust digital reactor control system that is consistent with Aging Management as summarized in the Facility's Life Cycle Management and Maintenance Plan. The project has transitioned from a post-graduate research activity to a comprehensively managed project supported by a team of RMCC professional and technical staff who have delivered an update of the V1.1 system software and hardware implementation that is consistent with best Canadian nuclear industry practice. The challenges associated with the implementation of Version 2.0 in February 2012, the lessons learned from this implementation, and the applications of these lessons to a redesign and rewrite of the RMCC SLOWPOKE-2 digital instrumentation and regulating system (Version 3) are discussed. (author)

  8. Summary of developments and future projects in nuclear power plant control and instrumentation in the Netherlands

    International Nuclear Information System (INIS)

    Plas, Y. van der

    1990-01-01

    A general view is given on the developments and trends due to instrumentation and control of the two nuclear power plants in the Netherlands around the year 1989. Several projects, under which for classification of systems and components and for emergency operating procedures, are executed in both plants. An OSART mission initiated a project to make possible the periodic test of safety commands during operation. An other large project concerned the replacement of the process presentation system in Nuclear Power Plant Borssele. In the article several other developments due to the application of I and C in existing plants are outlined generally. Since 1974, no new nuclear power plants have been constructed in the Netherlands. (author). 2 figs

  9. The Escaramujo Project: Instrumentation Courses During a Road Trip Across the Americas

    Energy Technology Data Exchange (ETDEWEB)

    Izraelevitch, Federico [Fermilab

    2016-11-25

    The Escaramujo Project was a series of eight hands-on laboratory courses on High Energy Physics and Astroparticle Instrumentation, in Latinamerican Institutions. The Physicist Federico Izraelevitch traveled on a van with his wife and dogs from Chicago to Buenos Aires teaching the courses. The sessions took place at Institutions in Mexico, Guatemala, Costa Rica, Colombia, Ecuador, Peru and Bolivia at an advanced undergraduate and graduate level. During these workshops, each group built a modern cosmic ray detector based on plastic scintillator and silicon photomultipliers, designed specifically for this project. After the courses, a functional detector remained at each institution to be used by the faculty to facilitate the training of future students and to support and enable local research activities. The five-days workshops covered topics such as elementary particle and cosmic ray Physics, radiation detection and instrumentation, low-level light sensing with solid state devices, front-end analog electronics and object-oriented data analysis (C++ and ROOT). Throughout this initiative, about a hundred of talented and highly motivated young students were reached. With the detector as a common thread, they were able to understand the designing principles and the underlying Physics involved in it, build the device, start it up, characterize it, take data and analyze it, mimicking the stages of a real elementary particle Physics experiment. Besides the aims to awaken vocations in science, technology and engineering, The Escaramujo Project was an effort to strengthen the integration of Latinamerican academic institutions into the international scientific community.

  10. Inter-laboratory project q calibration of SANS instruments using silver behenate

    International Nuclear Information System (INIS)

    Ikram, Abarrul; Gunawan; Edy Giri, Putra; Suzuki, Jun-ichi; Knott, Robert

    2000-01-01

    The inter-laboratory project for q-calibration of SANS (small angle neutron scattering) using silver behenate was carried out among Indonesia National Nuclear Energy Agency (BATAN), Japan Atomic Energy Research Institute (JAERI) and Australian Nuclear Science and Technology Organization (ANSTO). The standard sample of silver behenate, [CH 3 (CH 2 ) 20 COOAg](AgBE), has been assessed as an international standard for the calibration of both x-ray and neutron scattering instruments. The results indicate excellent agreement for q calibration obtained among the three laboratories, BATAN, JAERI and ANSTO. (Y. Kazumata)

  11. Shield calculation of project for instrument calibration integrated laboratory of IPEN-Sao Paulo, Brazil

    International Nuclear Information System (INIS)

    Barros, Gustavo A.S.J.; Caldas, Linda V.E.

    2009-01-01

    This work performed the shield calculation of the future rooms walls of the five X-ray equipment of the Instrument Calibration Laboratory of the IPEN, Sao Paulo, Brazil, which will be constructed in project of laboratory enlargement. The obtained results by application of a calculation methodology from an international regulation have shown that the largest thickness of shielding (25.7 cm of concrete or 7.1 mm of lead) will be of the wall which will receive the primary beam of the equipment with a 320 kV voltage. The cost/benefit analysis indicated the concrete as the best material option for the shielding

  12. Preliminary safety analysis report for project 89-GEB-610 Plutonium Finishing Plant instrumentation upgrade. Revision 1

    International Nuclear Information System (INIS)

    Huber, T.E.

    1995-01-01

    This document consists of an analysis of the MICON system upgrade. This project shall install a Micon Co. distributed process monitor and control system with Sparc Sun workstation operator interfaces. The Sparc workstations are housed in consoles custom designed to human factors specifications. The distributed control system (DCS) shall have the installed capacity to monitor and control all related instruments and equipment presently connected to the panels in the PFP Power Control Room 321A as listed in the input/output list. This also includes all devices monitored and controlled by the 2736-ZB Allen Bradley programmable logic controller. The system has since assumed the control and monitoring responsibilities for Projects B- 680H ''Low Level Waste Treatment Facility'' and C-031H ''PFP Liquid Effluent Facilities''. Part of the new en's change area in Building 234-5ZA, Room 712, has been remodeled to house two consoles and one supervisor console. Local control units containing the microprocontrollers and the input/output interface circuit boards shall be wired to the instrumentation and controlled equipment. These units communicate with the Sparc workstations via a redundant data communications highway and shall be strategic, throughout the PFP facility. The DCS has already been purchased from Micon Co., located in Houston Texas, presently on site

  13. Development of the Environmental Strategies Instrument to Measure Adolescent Alcohol Prevention-Related Outcomes in Community Settings

    Science.gov (United States)

    Cervantes, Richard C.; Goldbach, Jeremy; Yeung, Albert; Rey, Antonio

    2012-01-01

    Recently, evidence-based community policy approaches to preventing substance use and alcohol abuse, called environmental strategies, have gained in popularity. The environmental survey instrument (ESI) was developed to evaluate perceptions around drinking and related problems. Specifically, the authors were interested in assessing community…

  14. Environmental Friendly Coatings and Corrosion Prevention For Flight Hardware Project

    Science.gov (United States)

    Calle, Luz

    2014-01-01

    Identify, test and develop qualification criteria for environmentally friendly corrosion protective coatings and corrosion preventative compounds (CPC's) for flight hardware an ground support equipment.

  15. Pressure ulcer prevention is everyone's business: the PUPS project.

    Science.gov (United States)

    Blenman, Juliet; Marks-Maran, Di

    2017-03-23

    Prevention of pressure ulcers is one of the greatest healthcare challenges in terms of reducing patient harm. The literature shows that although numerous reports and policy documents have been published, pressure ulcer prevention remains an ongoing challenge. A number of innovations have been published offering practising nurses and managers ideas for raising awareness of skin care and preventing pressure ulcers. The majority of these have focused on patients in hospital settings with very little in the literature related to care-home and community initiatives. This article reports on an innovative approach to education for pressure ulcer prevention through collaboration between patients, carers and health and social care professionals.

  16. An Undergraduate Student Instrumentation Project (USIP) to Develop New Instrument Technology to Study the Auroral Ionosphere and Stratospheric Ozone Layer Using Ultralight Balloon Payloads

    Science.gov (United States)

    Nowling, M.; Ahmad, H.; Gamblin, R.; Guala, D.; Hermosillo, D.; Pina, M.; Marrero, E.; Canales, D. R. J.; Cao, J.; Ehteshami, A.; Bering, E. A., III; Lefer, B. L.; Dunbar, B.; Bias, C.; Shahid, S.

    2015-12-01

    This project is currently engaging twelve undergraduate students in the process of developing new technology and instrumentation for use in balloon borne geospace investigations in the auroral zone. Motivation stems from advances in microelectronics and consumer electronic technology. Given the technological innovations over the past 20 years it now possible to develop new instrumentation to study the auroral ionosphere and stratospheric ozone layer using ultralight balloon payloads for less than 6lbs and $3K per payload. The University of Houston Undergraduate Student Instrumentation Project (USIP) team has built ten such payloads for launch using 1500 gm latex weather balloons deployed in Houston, TX, Fairbanks, AK, and as well as zero pressure balloons launched from northern Sweden. The latex balloon project will collect vertical profiles of wind velocity, temperature, electrical conductivity, ozone, and odd nitrogen. This instrument payload will also produce profiles of pressure, electric field, and air-earth electric current. The zero pressure balloons will obtain a suite of geophysical measurements including: DC electric field, electric field and magnetic flux, optical imaging, total electron content of ionosphere via dual-channel GPS, X-ray detection, and infrared/UV spectroscopy. Students flew payloads with different combinations of these instruments to determine which packages are successful. Data collected by these instruments will be useful in understanding the nature of electrodynamic coupling in the upper atmosphere and how the global earth system is changing. Twelve out of the launched fifteen payloads were successfully launched and recovered. Results and best practices learned from lab tests and initial Houston test flights will be discussed.

  17. 76 FR 27649 - Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): Initial...

    Science.gov (United States)

    2011-05-12

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): Initial Review The meeting... Committee Act (Pub. L. 92-463), the Centers for Disease Control and Prevention (CDC) announces the...

  18. 75 FR 30410 - Disease, Disability, and Injury Prevention and Control Special Interest Project (SIP): Provider...

    Science.gov (United States)

    2010-06-01

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control Special Interest Project (SIP): Provider and Public Health... Federal Advisory Committee Act (Pub. L. 92-463), the Centers for Disease Control and Prevention (CDC...

  19. 75 FR 28626 - Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): SIP 10...

    Science.gov (United States)

    2010-05-21

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): SIP 10-029, Pilot Study... Act (Pub. L. 92-463), the Centers for Disease Control and Prevention (CDC) announces the...

  20. 77 FR 29351 - Disease, Disability, and Injury Prevention and Control; Special Interest Projects (SIPs): Initial...

    Science.gov (United States)

    2012-05-17

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control; Special Interest Projects (SIPs): Initial Review The meeting.... L. 92-463), the Centers for Disease Control and Prevention (CDC) announces the aforementioned...

  1. 75 FR 32190 - Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs...

    Science.gov (United States)

    2010-06-07

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): Examining the Impact of... Advisory Committee Act (Pub. L. 92-463), the Centers for Disease Control and Prevention (CDC) announces the...

  2. NEW INSTRUMENTS FOR MANAGEMENT OF CONSTRUCTION PROGRAMS AND PROJECTS IN THE NEW ECONOMY STRUCTURE

    Directory of Open Access Journals (Sweden)

    Silka Dmitriy Nikolaevich

    2017-11-01

    Full Text Available Subject: the new economy structure is directly related to the active application of digital technologies. Economic processes are more formalized and for making administrative decisions it becomes possible to operate in a greater degree with precise criteria and information than probabilistic assumptions. As a subject of research, new tools for managing construction programs and projects are presented. Research objectives: the purpose of the study is to formulate general principles and directions for the digitization of economic relations in investment and construction activities to ensure the effectiveness of implementation of new generation projects. Materials and methods: to achieve the goal, the article shows the composition of state programs and projects in the construction sector and the system problems of their implementation. Organizational methods of increasing their effectiveness are considered. Results: the most promising areas of implementation of new management tools for investment and construction programs and projects are identified. Conclusions: the article shows the current dynamics of changes in technical and socio-economic systems at the level of construction sector. It is pointed out that the tasks of socio-economic nature require the development of unique approaches since the peculiarities of Russian legislation, of the prevailing norms and rules of economic activity prevent the direct replication of successful foreign experience.

  3. Regulatory issues of digital instrumentation and control system in Lungmen project

    International Nuclear Information System (INIS)

    Chuang, C.F.; Chou, H.P.

    2004-01-01

    The Lungmen Nuclear Power Station (LNPS) is currently under construction in Taiwan, which consists of 2 advanced boiling water reactor (ABWR) units. The instrumentation and control (IC) systems of the LNPS are based on the state-of-the-art modernized fully integrated digital design. These IC systems possess many advantages and distinguished features comparing to traditional analog IC systems, they enjoy set-point stability, self-diagnostic and automatic testing ability, fault tolerance and avoidance, low power requirements, data handling and storage capability, as well as enhanced human-machine interfaces. This paper presents regulatory overviews, regulatory requirements, current major regulatory issues, as well as the areas of regulatory concerns and the lessons learned on the digital IC systems in the Lungmen Project

  4. The role of instrumentation and control systems in power uprating projects for nuclear power plants

    International Nuclear Information System (INIS)

    2008-01-01

    The IAEA's activities in nuclear power plant operating performance and life cycle management are aimed at increasing Member State capabilities in utilizing good engineering and management practices developed and transferred by the IAEA. In particular, the IAEA supports activities focusing on the improvement of nuclear power plant (NPP) performance, plant life management, training, power uprating, operational licence renewal, and the modernization of instrumentation and control (I and C) systems of NPPs in Member States. The subject of the I and C systems' role in power uprating projects in NPPs was suggested by the Technical Working Group on Nuclear Power Plant Control and Instrumentation in 2003. The subject was then approved by the IAEA and included in the programmes for 2004-2007. The increasing importance of power uprating projects can be attributed to the general worldwide tendency to the deregulation of the electricity market. The greater demand for electricity and the available capacity and safety margins, as well as the pressure from several operating NPPs resulted in requests for licence modification to enable operation at a higher power level, beyond the original licence provisions. A number of nuclear utilities have already gone through the uprating process for their nuclear reactors, and many more are planning to go through this modification process. In addition to mechanical and process equipment changes, parts of the electrical and I and C systems and components may also need to be altered to accommodate the new operating conditions and safety limits. This report addresses the role of I and C systems in NPP power uprating projects. The objective of the report is to provide guidance to utilities, safety analysts, regulators and others involved in the preparation, implementation and licensing of power uprating projects, with particular emphasis on the I and C aspects of these projects. As the average age of NPPs is increasing, it is becoming common for

  5. The NetQuakes Project - Research-quality Seismic Data Transmitted via the Internet from Citizen-hosted Instruments (Invited)

    Science.gov (United States)

    Luetgert, J. H.; Oppenheimer, D. H.; Hamilton, J.

    2010-12-01

    The USGS seeks accelerograph spacing of 5-10 km in selected urban areas of the US to obtain spatially un-aliased recordings of strong ground motions during large earthquakes. These dense measurements will improve our ability to make rapid post-earthquake assessments of expected damage and contribute to the continuing development of engineering standards for construction. To achieve this goal the USGS and its university partners are deploying “NetQuakes” seismographs, designed to record moderate to large earthquakes from the near field to about 100 km. The instruments have tri-axial Colibrys 2005SF MEMS sensors, clip at 3g, and have 18-bit resolution. These instruments are uniquely designed for deployment in private homes, businesses, public buildings and schools where there is an existing Broadband connection to the Internet. The NetQuakes instruments connect to a local network using WiFi and then via the Internet to USGS servers to a) upload triggered accelerograms in miniSEED format, P arrival times, and computed peak ground motion parameters immediately after an earthquake; b) download software updates; c) respond to requests for log files, execute UNIX scripts, and upload waveforms from long-term memory for quakes with peak motions below the trigger threshold; d) send state-of-health (SOH) information in XML format every 10 minutes; and e) synchronize instrument clocks to 1ms accuracy using the Network Time Protocol. NetQuakes instruments cost little to operate and save about $600/yr/site compared to instruments that transmit data via leased telemetry. After learning about the project through press releases, thousands of citizens have registered to host an instrument at http://earthquake.usgs.gov/netquakes using a Google Map interface that depicts where we seek instrument sites. The website also provides NetQuakes hosts access to waveform images recorded by instruments installed in their building. Since 3/2009, the NetQuakes project has installed over 100

  6. The Project Based Mechanisms of the Kyoto Protocol. Credible Instruments or Challenges to the Integrity of the Kyoto Protocol?

    Energy Technology Data Exchange (ETDEWEB)

    Takeuchi Waldegren, Linn

    2006-03-15

    The project based mechanisms of the Kyoto Protocol are innovative instruments which allow projects to earn credits for reducing greenhouse gas (GHG) emissions. The credits can in turn be used by countries to reach their emissions targets according to the Kyoto Protocol. The Project based mechanisms are known as the Clean Development Mechanism (CDM) and the Joint Implementation (JI). If the project based mechanisms are to be effective policy instruments they must ensure the integrity of the Kyoto Protocol, and their ability to promote and prove real emission reductions is critical. The environmental credibility of the project based mechanisms will also ensure their ability to promote cost effectiveness. Key concepts in this context are environmental and project additionality, and their role and value for the project based mechanisms are analyzed. Environmental additionality is established by comparing a project's emissions to a baseline. The baseline's credibility is thus vital. The concept of project additionality is somewhat controversial, but is nonetheless of equal importance. The case studies of CDM approved methodologies (AMs) and proposed projects suggest that there are credibility issues that need to be addressed if the project based mechanisms are to promote real emissions reductions.

  7. Pollution prevention program for new projects -- Lessons learned

    Energy Technology Data Exchange (ETDEWEB)

    Lum, J. [Dept. of Energy, Washington, DC (United States)

    1993-03-01

    The purpose of this presentation is to relay the experience of the Office of New Production Reactors (NP) in developing and implementing its pollution prevention program. NP was established to plan, design, and construct a new safe and environmentally acceptable nuclear reactor capacity necessary to provide an assured supply of tritium to maintain the nation`s long-term deterrent capability. The Program offered the Department of Energy an opportunity to demonstrate its commitment to environmental protection via minimization of environmental releases; new design offers the best opportunity for pollution prevention. The NP pollution prevention program was never fully implemented because NP`s tritium production design activity was recovery terminated. The information in this paper represented lessons learned from the last three years of NP operation.

  8. Performance Refactoring of Instrumentation, Measurement, and Analysis Technologies for Petascale Computing. The PRIMA Project

    Energy Technology Data Exchange (ETDEWEB)

    Malony, Allen D. [Univ. of Oregon, Eugene, OR (United States). Dept. of Computer and Information Science; Wolf, Felix G. [Wilhelm-Johnen-Strasse, Julich (Germany). Forschungszentrum Julich GmbH

    2014-01-31

    The growing number of cores provided by today’s high-­end computing systems present substantial challenges to application developers in their pursuit of parallel efficiency. To find the most effective optimization strategy, application developers need insight into the runtime behavior of their code. The University of Oregon (UO) and the Juelich Supercomputing Centre of Forschungszentrum Juelich (FZJ) develop the performance analysis tools TAU and Scalasca, respectively, which allow high-­performance computing (HPC) users to collect and analyze relevant performance data – even at very large scales. TAU and Scalasca are considered among the most advanced parallel performance systems available, and are used extensively across HPC centers in the U.S., Germany, and around the world. The TAU and Scalasca groups share a heritage of parallel performance tool research and partnership throughout the past fifteen years. Indeed, the close interactions of the two groups resulted in a cross-­fertilization of tool ideas and technologies that pushed TAU and Scalasca to what they are today. It also produced two performance systems with an increasing degree of functional overlap. While each tool has its specific analysis focus, the tools were implementing measurement infrastructures that were substantially similar. Because each tool provides complementary performance analysis, sharing of measurement results is valuable to provide the user with more facets to understand performance behavior. However, each measurement system was producing performance data in different formats, requiring data interoperability tools to be created. A common measurement and instrumentation system was needed to more closely integrate TAU and Scalasca and to avoid the duplication of development and maintenance effort. The PRIMA (Performance Refactoring of Instrumentation, Measurement, and Analysis) project was proposed over three years ago as a joint international effort between UO and FZJ to

  9. Performance Refactoring of Instrumentation, Measurement, and Analysis Technologies for Petascale Computing: the PRIMA Project

    Energy Technology Data Exchange (ETDEWEB)

    Malony, Allen D. [Department of Computer and Information Science, University of Oregon; Wolf, Felix G. [Juelich Supercomputing Centre, Forschungszentrum Juelich

    2014-01-31

    The growing number of cores provided by today’s high-end computing systems present substantial challenges to application developers in their pursuit of parallel efficiency. To find the most effective optimization strategy, application developers need insight into the runtime behavior of their code. The University of Oregon (UO) and the Juelich Supercomputing Centre of Forschungszentrum Juelich (FZJ) develop the performance analysis tools TAU and Scalasca, respectively, which allow high-performance computing (HPC) users to collect and analyze relevant performance data – even at very large scales. TAU and Scalasca are considered among the most advanced parallel performance systems available, and are used extensively across HPC centers in the U.S., Germany, and around the world. The TAU and Scalasca groups share a heritage of parallel performance tool research and partnership throughout the past fifteen years. Indeed, the close interactions of the two groups resulted in a cross-fertilization of tool ideas and technologies that pushed TAU and Scalasca to what they are today. It also produced two performance systems with an increasing degree of functional overlap. While each tool has its specific analysis focus, the tools were implementing measurement infrastructures that were substantially similar. Because each tool provides complementary performance analysis, sharing of measurement results is valuable to provide the user with more facets to understand performance behavior. However, each measurement system was producing performance data in different formats, requiring data interoperability tools to be created. A common measurement and instrumentation system was needed to more closely integrate TAU and Scalasca and to avoid the duplication of development and maintenance effort. The PRIMA (Performance Refactoring of Instrumentation, Measurement, and Analysis) project was proposed over three years ago as a joint international effort between UO and FZJ to accomplish

  10. Simple Screening Instruments for Chronic Disease & Personalised Prevention at the Workplace

    NARCIS (Netherlands)

    M.A.J. Niessen (Maurice)

    2014-01-01

    markdownabstract__Abstract__ Prevention refers to actions directed to preventing illness and promoting health. It includes the assessment of disease risk and early diagnosis. Preventive strategies are most commonly classified based on the level of selection being applied in the target group or

  11. Evidence-Based Practices Project for Suicide Prevention

    Science.gov (United States)

    Rodgers, Philip L.; Sudak, Howard S.; Silverman, Morton M.; Litts, David A.

    2007-01-01

    Suicide continues to be a serious public health problem. In response to this problem, a myriad of suicide prevention programs have been developed and employed across the United States. Unfortunately, the effectiveness of many of these programs is unknown because they have not been evaluated using rigorous methods. The Evidence-Based Practices…

  12. Nuclear instrumentation evaluation and analysis

    International Nuclear Information System (INIS)

    Park, Suk Jun; Han, Sang Joon; Chung, Chong Eun; Han, Kwang Soo; Kim, Dong Hwa; Park, Byung Hae; Moon, Je Sun; Lee, Chel Kwon; Song, Ki Sang; Choi, Myung Jin; Kim, Seung Bok; Kim, Jung Bok

    1986-12-01

    This project provides the program for improving instrumentation reliability as well as developing a cost-effective preventive maintenance activity through evaluation and analysis of nuclear instrumentation concerning pilot plants, large-scale test facilities and various laboratories on KAERI site. In addition, it discusses the program for enhancing safe operations and improving facility availability through establishment of maintenance technology. (Author)

  13. ExoGeoLab Pilot Project for Landers, Rovers and Instruments

    Science.gov (United States)

    Foing, Bernard

    2010-05-01

    We have developed a pilot facility with a Robotic Test Bench (ExoGeoLab) and a Mobile Lab Habitat (ExoHab). They can be used to validate concepts and external instruments from partner institutes. The ExoGeoLab research incubator project, has started in the frame of a collaboration between ILEWG (International Lunar Exploration working Group http://sci.esa.int/ilewg), ESTEC, NASA and academic partners, supported by a design and control desk in the European Space Incubator (ESI), as well as infrastructure. ExoGeoLab includes a sequence of technology and research pilot project activities: - Data analysis and interpretation of remote sensing and in-situ data, and merging of multi-scale data sets - Procurement and integration of geophysical, geo-chemical and astrobiological breadboard instruments on a surface station and rovers - Integration of cameras, environment and solar sensors, Visible and near IR spectrometer, Raman spectrometer, sample handling, cooperative rovers - Delivery of a generic small planetary lander demonstrator (ExoGeoLab lander, Sept 2009) as a platform for multi-instruments tests - Research operations and exploitation of ExoGeoLab test bench for various conceptual configurations, and support for definition and design of science surface packages (Moon, Mars, NEOs, outer moons) - Field tests of lander, rovers and instruments in analogue sites (Utah MDRS 2009 & 2010, Eifel volcanic park in Sept 2009, and future campaigns). Co-authors, ILEWG ExoGeoLab & ExoHab Team: B.H. Foing(1,11)*#, C. Stoker(2,11)*, P. Ehrenfreund(10,11), L. Boche-Sauvan(1,11)*, L. Wendt(8)*, C. Gross(8, 11)*, C. Thiel(9)*, S. Peters(1,6)*, A. Borst(1,6)*, J. Zavaleta(2)*, P. Sarrazin(2)*, D. Blake(2), J. Page(1,4,11), V. Pletser(5,11)*, E. Monaghan(1)*, P. Mahapatra(1)#, A. Noroozi(3), P. Giannopoulos(1,11) , A. Calzada(1,6,11), R. Walker(7), T. Zegers(1, 15) #, G. Groemer(12)# , W. Stumptner(12)#, B. Foing(2,5), J. K. Blom(3)#, A. Perrin(14)#, M. Mikolajczak(14)#, S. Chevrier(14

  14. Project Healthy Bones: An Osteoporosis Prevention Program for Older Adults.

    Science.gov (United States)

    Klotzbach-Shimomura, Kathleen

    2001-01-01

    Project Healthy Bones is a 24-week exercise and education program for older women and men at risk for or who have osteoporosis. The exercise component is designed to improve strength, balance, and flexibility. The education curriculum stresses the importance of exercise, nutrition, safety, drug therapy, and lifestyle factors. (SK)

  15. [Project summarize of "reestablishing disease prevention and control system of China"].

    Science.gov (United States)

    Hao, Mo; Yu, Jingjin; Yu, Mingzhu; Duan, Yong

    2005-01-01

    This paper introduced the project of "reestablishing the disease control and prevention system of China" in brief, including background, objectives, funding resources, researching objects and sampling methods. This project which funded by National Outstanding Younger Fund and the research fund of MOH aimed at nailing down the key problem existed in disease control and prevention system of China, demonstrating the reasons and mechanism of key problem, developing feasible policy idea and strategy. This paper also introduced some issues concerning the reestablishing of the disease control and prevention system of China: the definition of public function, the standard of human resource allocation and the standard of financing. The Centers for Disease Control and Prevention in 8 provinces, 80 cities and 80 counties have been sampled to provide information that project needed. In addition, this project also cited some data which come from the early study, in which 3 provinces, 12 counties, 49 towns, 179 villages and 9781 rural families have been sampled and investigated.

  16. Safety Research Experiment Facility Project. Conceptual design report. Volume VIII. Instrumentation and control

    International Nuclear Information System (INIS)

    1975-01-01

    Included are sections dealing with the following: nuclear instrumentation system, reactor control system, plant protection system, plant annunciator system, data acquisition system, and reactor cooling system instrumentation and control

  17. Long-term effects of adolescent marijuana use prevention on adult mental health services utilization: the midwestern prevention project.

    Science.gov (United States)

    Riggs, Nathaniel R; Pentz, Mary Ann

    2009-01-01

    Evaluated were effects of a drug abuse(1) prevention program, previously shown to prevent marijuana use in adolescence, on adulthood mental health service use. Analyses were conducted on 961 6th (41%) and 7th (59%) grade participants randomly assigned to intervention or control groups at baseline in 1984. These participants were followed-up through 2003 representing 15 waves of data collection. Eighty-five percent of participants were Caucasian and 56% were female. The hypothesis was that direct program effects on early adulthood mental health service use would be mediated by program effects on high school marijuana use trajectories. Structural equation models, imputing for missing data, demonstrated that MPP (Midwestern Prevention Project) program effects on mental health were mediated by the marijuana use growth curve intercept. Findings support the role of early adolescent drug use prevention programs in impacting later mental health problems. The study's limitations are noted.

  18. Community-based osteoporosis prevention: Physical activity in relation to bone density, fall prevention, and the effect of training programmes : The Vadstena Osteoporosis Prevention Project

    OpenAIRE

    Grahn Kronhed, Ann-Charlotte

    2003-01-01

    This thesis is based on studies of the ten-year community-based intervention programme entitled, the Vadstena Osteoporosis Prevention Project (VOPP). The specific aims of the research were to describe the effects of physical activity and training programmes on bone mass and balance performance in adults, to determine whether a fall risk prevention programme could motivate personal actions among the elderly, to ascertain whether the intervention programme could reduce the incidence of forearm ...

  19. A practical tablet-based hearing aid configuration as an exemplar project for students of instrumentation

    Directory of Open Access Journals (Sweden)

    Ricardo Simeoni

    2015-06-01

    Full Text Available This paper presents the configuration and digital signal processing details of a tablet-based hearing aid transmitting wirelessly to standard earphones, whereby the tablet performs full sound processing rather than solely providing a means of setting adjustment by streaming to conventional digital hearing aids. The presented device confirms the recognized advantages of this tablet-based approach (e.g., in relation to cost, frequency domain processing, amplification range, versatility of functionality, component battery rechargeability, and flags the future wider-spread availability of such hearing solutions within mainstream healthcare. The use of a relatively high sampling frequency was found to be beneficial for device performance, while the use of optional off-the-shelf add-on components (e.g., data acquisition device, high fidelity microphone, compact wireless transmitter/ receiver, wired headphones are also discussed in relation to performance optimization. The easy-to-follow configuration utilized is well suited to student learning/research instrumentation projects within the health and biomedical sciences. In this latter regard, the presented device was pedagogically integrated into a flipped classroom approach for the teaching of bioinstrumentation within an Allied Health Sciences School, with the subsequent establishment of positive student engagement outcomes.

  20. A Practical Tablet-Based Hearing Aid Configuration as an Exemplar Project for Students of Instrumentation.

    Science.gov (United States)

    Simeoni, Ricardo

    2015-06-11

    This paper presents the configuration and digital signal processing details of a tablet-based hearing aid transmitting wirelessly to standard earphones, whereby the tablet performs full sound processing rather than solely providing a means of setting adjustment by streaming to conventional digital hearing aids. The presented device confirms the recognized advantages of this tablet-based approach (e.g., in relation to cost, frequency domain processing, amplification range, versatility of functionality, component battery rechargeability), and flags the future wider-spread availability of such hearing solutions within mainstream healthcare. The use of a relatively high sampling frequency was found to be beneficial for device performance, while the use of optional off-the-shelf add-on components (e.g., data acquisition device, high fidelity microphone, compact wireless transmitter/receiver, wired headphones) are also discussed in relation to performance optimization. The easy-to-follow configuration utilized is well suited to student learning/research instrumentation projects within the health and biomedical sciences. In this latter regard, the presented device was pedagogically integrated into a flipped classroom approach for the teaching of bioinstrumentation within an Allied Health Sciences School, with the subsequent establishment of positive student engagement outcomes.

  1. Development of advanced instrumentation for the Phebus FP project-preliminary studies

    International Nuclear Information System (INIS)

    Hampel, G.; Poss, G.

    1989-10-01

    The objective of the project was to examine advanced measuring methods for on-line determination of aerosol, thermohydraulic and hydrogen parameters for their usefulness in the French core melting programme PHEBUS FP. Advanced methods that are known from reactor safety programmes as well as novel measuring techniques as used in related fields such as fuel reprocessing and in non-nuclear process technology have been described and analysed with a view to their potential application in the planned tests. Possibly necessary further developments and modifications have been identified and approaches to solution have been outlined. Special emphasis has been put on the present state of radiation resistant optical fibre wave-guides, which might be integrated in several instruments. As regards the particularly important on-line aerosol measurements in PHEBUS FP, a combined system is recommended as the most promising further development. This novel system configuration comprises the mass monitor of a MESA dust monitoring system and one or several photometers of EIR design

  2. 76 FR 28437 - Disease, Disability, and Injury Prevention and Control Special Interest Project (SIP): Initial...

    Science.gov (United States)

    2011-05-17

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control Special Interest Project (SIP): Initial Review The meeting... Disease or Treated by Assisted Reproductive Technology, SIP11-048, Panel F,'' initial review In accordance...

  3. 77 FR 30292 - Disease, Disability, and Injury Prevention and Control Special Interest Project (SIP): Initial...

    Science.gov (United States)

    2012-05-22

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control Special Interest Project (SIP): Initial Review The meeting...)(2) of the Federal Advisory Committee Act (Pub. L. 92-463), the Centers for Disease Control and...

  4. 75 FR 30410 - Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): Outcomes...

    Science.gov (United States)

    2010-06-01

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): Outcomes of Screening... 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92- 463), the Centers for Disease Control and...

  5. 75 FR 32190 - Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): SIP 10...

    Science.gov (United States)

    2010-06-07

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): SIP 10-033, Innovative... with Section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92-463), the Centers for Disease...

  6. Long-term preventive maintenance of instrumentation control equipment for PWR plants

    International Nuclear Information System (INIS)

    Sugitani, S.; Nanba, M.

    2006-01-01

    Since the PWR plants in Japan have been operated more than 30 years, main instrumentation control equipment of analog systems has been renewed to digital control systems. Renewal works had to be done in short period within periodical inspection term and for several facilities. The Mitsubishi LTD group had been provided with these market needs by its digital control system (MELTAC-NplusR 3) applicable to main instrumentation control equipment for primary and secondary systems and had already finished the renewal for practical plants. (T. Tanaka)

  7. Investigating the Quality of Project-Based Science and Technology Learning Environments in Elementary School: A Critical Review of Instruments

    Science.gov (United States)

    Thys, Miranda; Verschaffel, Lieven; Van Dooren, Wim; Laevers, Ferre

    2016-01-01

    This paper provides a systematic review of instruments that have the potential to measure the quality of project-based science and technology (S&T) learning environments in elementary school. To this end, a comprehensive literature search was undertaken for the large field of S&T learning environments. We conducted a horizontal bottom-up…

  8. OECD Health Care Quality Indicator Project. The expert panel on primary care prevention and health promotion

    NARCIS (Netherlands)

    Marshall, Martin; Klazinga, Niek; Leatherman, Sheila; Hardy, Charlie; Bergmann, Eckhard; Pisco, Luis; Mattke, Soeren; Mainz, Jan

    2006-01-01

    PURPOSE: This article describes a project undertaken as part of the Organization for Economic Co-operation and Development (OECD)'s Healthcare Quality Indicator (HCQI) Project, which aimed to develop a set of quality indicators representing the domains of primary care, prevention and health

  9. The Elder Abuse Prevention Project, Phase Two, Three and Four. Final Report.

    Science.gov (United States)

    Regina Univ. (Saskatchewan). Univ. Extension. Seniors Education Centre.

    This document presents the final report from an educational and community development program designed to raise awareness about the abuse and neglect of the elderly. The Elder Abuse Prevention Project is briefly described in terms of project goals, objectives, the model used, the target groups served, and the evaluation processes employed. It is…

  10. The Undergraduate Student Instrument Project (USIP) - building the STEM workforce by providing exciting, multi-disciplinary, student-led suborbital flight projects.

    Science.gov (United States)

    Dingwall, B. J.

    2015-12-01

    NASA's Science Mission Directorate (SMD) recognizes that suborbital carriers play a vital role in training our country's future science and technology leaders. SMD created the Undergraduate Student Instrument Project (USIP) to offer students the opportunity to design, build, and fly instruments on NASA's unique suborbital research platforms. This paper explores the projects, the impact, and the lessons learned of USIP. USIP required undergraduate teams to design, build, and fly a scientific instrument in 18 months or less. Students were required to form collaborative multidisciplinary teams to design, develop and build their instrument. Teams quickly learned that success required skills often overlooked in an academic environment. Teams quickly learned to share technical information in a clear and concise manner that could be understood by other disciplines. The aggressive schedule required team members to hold each other accountable for progress while maintaining team unity. Unanticipated problems and technical issues led students to a deeper understanding of the need for schedule and cost reserves. Students exited the program with a far deeper understanding of project management and team dynamics. Through the process of designing and building an instrument that will enable new research transforms students from textbook learners to developers of new knowledge. The initial USIP project funded 10 undergraduate teams that flew a broad range of scientific instruments on scientific balloons, sounding rockets, commercial rockets and aircraft. Students were required to prepare for and conduct the major reviews that are an integral part of systems development. Each project conducted a Preliminary Design Review, Critical Design Review and Mission Readiness review for NASA officials and flight platform providers. By preparing and presenting their designs to technical experts, the students developed a deeper understanding of the technical and programmatic project pieces that

  11. Evaluation of DELTA PREP: A Project Aimed at Integrating Primary Prevention of Intimate Partner Violence Within State Domestic Violence Coalitions

    Science.gov (United States)

    Freire, Kimberley E.; Zakocs, Ronda; Le, Brenda; Hill, Jessica A.; Brown, Pamela; Wheaton, Jocelyn

    2018-01-01

    Background Intimate partner violence (IPV) has been recognized as a public health problem since the late 20th century. To spur IPV prevention efforts nationwide, the DELTA PREP Project selected 19 state domestic violence coalitions to build organizational prevention capacity and catalyze IPV primary prevention strategies within their states. Objective DELTA PREP’s summative evaluation addressed four major questions: (1) Did coalitions improve their prevention capacity during the project period? (2) Did coalitions serve as catalysts for prevention activities within their states during the project period? (3) Was initial prevention capacity associated with the number of prevention activity types initiated by coalitions by the end of the project? (4) Did coalitions sustain their prevention activities 6 months after the end of the project period? Results DELTA PREP achieved its capacity-building goal, with all 19 participant coalitions integrating prevention within their organizations and serving as catalysts for prevention activities in their states. At 6 months follow up, coalitions had sustained almost all prevention activities they initiated during the project. Baseline prevention capacity (Beginner vs. Intermediate) was not associated with the number of prevention activity types coalitions implemented by the end of the project. Conclusion Service and treatment organizations are increasingly asked to integrate a full spectrum of prevention strategies. Selecting organizations that have high levels of general capacity and readiness for an innovation like integrating a public health approach to IPV prevention will likely increase success in building an innovation-specific capacity, and in turn implementing an innovation. PMID:26245932

  12. Prevention of homicidal violence in schools in Germany: the Berlin Leaking Project and the Networks Against School Shootings Project (NETWASS).

    Science.gov (United States)

    Leuschner, Vincenz; Bondü, Rebecca; Schroer-Hippel, Miriam; Panno, Jennifer; Neumetzler, Katharina; Fisch, Sarah; Scholl, Johanna; Scheithauer, Herbert

    2011-01-01

    Since 1999, Germany has experienced at least twelve serious cases of targeted school violence. This article describes two projects designed to fill the gap between universal prevention and emergency response in preventing severe forms of school violence in Germany. The Berlin Leaking Project examined the viability of preventive efforts based on early identification of leaking behavior that often precedes targeted school attacks. Leaking refers to any behavior or communication that indicates a student is preparing to carry out a violent attack. This would include explicit or implied threats of violence, apparent fascination with prior acts of violence such as Columbine, and any evidence of planning or preparation to carry out an attack. The NETWASS project will test a training program and intervention strategy based on those findings, examining the usefulness of a threat assessment approach to prevent violence by training teachers to recognize leaking behavior by students. This approach is extended by training teachers on a larger scale to identify leaking and then having a school-based team evaluate the student and initiate appropriate interventions, such as mental health services, and in some cases, law enforcement action. Copyright © 2011 Wiley Periodicals, Inc., A Wiley Company.

  13. Project C-018H, 242-A evaporator/PUREX Plant Process Condensate Treatment Facility Instrumentation and Control (I ampersand C)

    International Nuclear Information System (INIS)

    Dupuis, A.

    1995-01-01

    This Acceptance Test Procedure (ATP) has been prepared to demonstrate that the Collection System Instrumentation ampersand Control System for Project C-018H performs according to design. Specifically, this ATP is designed to verify the following overall system requirements: The input and outputs properly connected to the LCU terminal strips. The control system software conforms to the configuration specified by the logic diagrams, piping and instrumentation diagrams (P ampersand ID), and the LERF operating philosophy. Testing will be performed using actual signals. If actual signals are not available, then simulated signals will be used to complete the tests

  14. Project W-314 DST and DCRT instrument and control systems, initial assessment

    International Nuclear Information System (INIS)

    Acree, C.D.

    1996-01-01

    This report contains an assessment of the instrument and control systems in the Double Shell Tank Farms and the 244-A DCRT. The assessment report contains data from physical inspection activities and an overall engineering assessment of the instruments and control systems in use in the Double Shell Tanks

  15. Waste minimization and pollution prevention technology transfer : the Airlie House Projects

    International Nuclear Information System (INIS)

    Gatrone, R.; McHenry, J.; Myron, H.; Thout, J. R.

    1998-01-01

    The Airlie House Pollution Prevention Technology Transfer Projects were a series of pilot projects developed for the US Department of Energy with the intention of transferring pollution prevention technology to the private sector. The concept was to develop small technology transfer initiatives in partnership with the private sector. Argonne National Laboratory developed three projects: the microscale chemistry in education project, the microscale cost benefit study project, and the Bethel New Life recycling trainee project. The two microscale chemistry projects focused on introducing microscale chemistry technologies to secondary and college education. These programs were inexpensive to develop and received excellent evaluations from participants and regulators. The Bethel New Life recycling trainee project provided training for two participants who helped identify recycling and source reduction opportunities in Argonne National Laboratory's solid waste stream. The pilot projects demonstrated that technology transfer initiatives can be developed and implemented with a small budget and within a short period of time. The essential components of the pilot projects were identifying target technologies that were already available, identifying target audiences, and focusing on achieving a limited but defined objective

  16. Formative evaluation of the telecare fall prevention project for older veterans.

    Science.gov (United States)

    Miake-Lye, Isomi M; Amulis, Angel; Saliba, Debra; Shekelle, Paul G; Volkman, Linda K; Ganz, David A

    2011-05-23

    Fall prevention interventions for community-dwelling older adults have been found to reduce falls in some research studies. However, wider implementation of fall prevention activities in routine care has yielded mixed results. We implemented a theory-driven program to improve care for falls at our Veterans Affairs healthcare facility. The first project arising from this program used a nurse advice telephone line to identify patients' risk factors for falls and to triage patients to appropriate services. Here we report the formative evaluation of this project. To evaluate the intervention we: 1) interviewed patient and employee stakeholders, 2) reviewed participating patients' electronic health record data and 3) abstracted information from meeting minutes. We describe the implementation process, including whether the project was implemented according to plan; identify barriers and facilitators to implementation; and assess the incremental benefit to the quality of health care for fall prevention received by patients in the project. We also estimate the cost of developing the pilot project. The project underwent multiple changes over its life span, including the addition of an option to mail patients educational materials about falls. During the project's lifespan, 113 patients were considered for inclusion and 35 participated. Patient and employee interviews suggested support for the project, but revealed that transportation to medical care was a major barrier in following up on fall risks identified by nurse telephone triage. Medical record review showed that the project enhanced usual medical care with respect to home safety counseling. We discontinued the program after 18 months due to staffing limitations and competing priorities. We estimated a cost of $9194 for meeting time to develop the project. The project appeared feasible at its outset but could not be sustained past the first cycle of evaluation due to insufficient resources and a waning of local

  17. Formative evaluation of the telecare fall prevention project for older veterans

    Directory of Open Access Journals (Sweden)

    Saliba Debra

    2011-05-01

    Full Text Available Abstract Background Fall prevention interventions for community-dwelling older adults have been found to reduce falls in some research studies. However, wider implementation of fall prevention activities in routine care has yielded mixed results. We implemented a theory-driven program to improve care for falls at our Veterans Affairs healthcare facility. The first project arising from this program used a nurse advice telephone line to identify patients' risk factors for falls and to triage patients to appropriate services. Here we report the formative evaluation of this project. Methods To evaluate the intervention we: 1 interviewed patient and employee stakeholders, 2 reviewed participating patients' electronic health record data and 3 abstracted information from meeting minutes. We describe the implementation process, including whether the project was implemented according to plan; identify barriers and facilitators to implementation; and assess the incremental benefit to the quality of health care for fall prevention received by patients in the project. We also estimate the cost of developing the pilot project. Results The project underwent multiple changes over its life span, including the addition of an option to mail patients educational materials about falls. During the project's lifespan, 113 patients were considered for inclusion and 35 participated. Patient and employee interviews suggested support for the project, but revealed that transportation to medical care was a major barrier in following up on fall risks identified by nurse telephone triage. Medical record review showed that the project enhanced usual medical care with respect to home safety counseling. We discontinued the program after 18 months due to staffing limitations and competing priorities. We estimated a cost of $9194 for meeting time to develop the project. Conclusions The project appeared feasible at its outset but could not be sustained past the first cycle of

  18. Measurement of obesity prevention in childcare settings: A systematic review of current instruments.

    Science.gov (United States)

    Stanhope, Kaitlyn K; Kay, Christi; Stevenson, Beth; Gazmararian, Julie A

    The incidence of childhood obesity is highest among children entering kindergarten. Overweight and obesity in early childhood track through adulthood. Programs increasingly target children in early life for obesity prevention. However, the published literature lacks a review on tools available for measuring behaviour and environmental level change in child care. The objective is to describe measurement tools currently in use in evaluating obesity-prevention in preschool-aged children. Literature searches were conducted in PubMed using the keywords "early childhood obesity," "early childhood measurement," "early childhood nutrition" and "early childhood physical activity." Inclusion criteria included a discussion of: (1) obesity prevention, risk assessment or treatment in children ages 1-5 years; and (2) measurement of nutrition or physical activity. One hundred thirty-four publications were selected for analysis. Data on measurement tools, population and outcomes were abstracted into tables. Tables are divided by individual and environmental level measures and further divided into physical activity, diet and physical health outcomes. Recommendations are made for weighing advantages and disadvantages of tools. Despite rising numbers of interventions targeting obesity-prevention and treatment in preschool-aged children, there is no consensus for which tools represent a gold standard or threshold of accuracy. Copyright © 2016 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  19. Development and psychometric testing of a new instrument to measure factors influencing women's breast cancer prevention behaviors (ASSISTS).

    Science.gov (United States)

    Khazaee-Pool, Maryam; Majlessi, Fereshteh; Montazeri, Ali; Pashaei, Tahereh; Gholami, Ali; Ponnet, Koen

    2016-07-22

    Breast cancer preventive behaviors have an extreme effect on women's health. Despite the benefits of preventive behaviors regarding breast cancer, they have not been implemented as routine care for healthy women. To assess this health issue, a reliable and valid scale is needed. The aim of the present study is to develop and examine the psychometric properties of a new scale, called the ASSISTS, in order to identify factors that affect women's breast cancer prevention behaviors. A multi-phase instrument development method was performed to develop the questionnaire from February 2012 to September 2014. The item pool was generated based on secondary analyses of previous qualitative data. Then, content and face validity were applied to provide a pre-final version of the scale. The scale validation was conducted with a sample of women recruited from health centers affiliated with Tehran University of Medical Sciences. The construct validity (both exploratory and confirmatory), convergent validity, discriminate validity, internal consistency reliability and test-retest analysis of the questionnaire were tested. Fifty-eight items were initially extracted from the secondary analysis of previous qualitative data. After content validity, this was reduced to 49 items. The exploratory factor analysis revealed seven factors (Attitude, supportive systems, self-efficacy, information seeking, stress management, stimulant and self-care) containing 33 items that jointly accounted for 60.62 % of the observed variance. The confirmatory factor analysis showed a model with appropriate fitness for the data. The Cronbach's alpha coefficient for the subscales ranged from 0.68 to 0.85, and the Intraclass Correlation Coefficient (ICC) ranged from 0.71 to 0.98; which is well above the acceptable thresholds. The findings showed that the designed questionnaire was a valid and reliable instrument for assessing factors affecting women's breast cancer prevention behaviors that can be used both

  20. The PoET (Prevention of Error-Based Transfers) Project.

    Science.gov (United States)

    Oliver, Jill; Chidwick, Paula

    2017-01-01

    The PoET (Prevention of Error-based Transfers) Project is one of the Ethics Quality Improvement Projects (EQIPs) taking place at William Osler Health System. This specific project is designed to reduce transfers from long-term care to hospital that are caused by legal and ethical errors related to consent, capacity and substitute decision-making. The project is currently operating in eight long-term care homes in the Central West Local Health Integration Network and has seen a 56% reduction in multiple transfers before death in hospital.

  1. The Leadership Program’s Violence Prevention Project: Infusing the Arts into Conflict Resolution

    Directory of Open Access Journals (Sweden)

    Lisa M. Chauveron

    2012-06-01

    Full Text Available While the demand for youth violence prevention programs increases, the ability of the traditional school day schedule to accommodate violence prevention program time requirements has diminished. School reforms, such as No Child Left Behind, have pressed schools to focus more tightly on academics, often to the exclusion of subjects such as physical education and the arts. Viable violence prevention programs must offer components that supplement classroom curriculum as well as reduce violence and strike a balance between brevity and effectiveness. The Leadership Program’s (TLP universal Violence Prevention Project (VPP meets this call with a conflict resolution model for students in urban schools. The curriculum is based on a conceptual framework derived from prevention science and positive youth development delivered through the vehicle of the arts. Utilizing an engaging hybrid prevention program, this high quality 12 session model melds fidelity and adaptation to yield effective evaluation outcomes.

  2. Automated systems help prevent operator error during [reactor] I and C [instrumentation and control] testing

    International Nuclear Information System (INIS)

    Courcoux, R.

    1989-01-01

    On a nuclear steam supply system, even a minor failure can involve actuation of the whole reactor protection system (RPS). To reduce the likelihood of human error leading to unwanted trips during the maintenance of instrumentation and control systems, Framatome has been developing and installing various automated testing systems. Such automated systems are particularly helpful when periodic tests with a potential for RPS actuation have to be carried out, or when the test is on the critical path for the refuelling outage. The Sensitive Channel Programme described is an example of the sort of work that has been done. (author)

  3. Economic analysis of the CLC/FC regime as an oil pollution prevention instrument

    International Nuclear Information System (INIS)

    Hay, J.

    2006-09-01

    The aim of this research is to discuss the effectiveness of CLC/IOPC (Civil Liability Convention) liability regime in the field of oil pollution prevention. This study is mainly carried out from a law and economics perspective, although reference is also made to the economic analysis of international environmental agreements. The first two chapters explore the deterrent potential of the international regime in terms of oil spill prevention, from a theoretical and empirical perspective. The analysis of the effectiveness of the regime as such consists in, on the one hand, considering the ability of the international regime to compensate the entire social costs of oil spills (chapter 3) and, on the other hand, to examine the incentives given to operators in maritime oil transport to prevent accidental pollution (chapters 4 and 5). Sixth chapter considers the impacts of the voluntary nature of the international regime on its deterrent potential. The results obtained from this analysis enable to identify several mechanisms by which the deterrent effect of the existing regime could be increased. However, the overall effectiveness of the international regime appears to be limited by several factors that can not be corrected by means of a modification of the CLC and IOPC conventions. (author)

  4. Formative evaluation of the telecare fall prevention project for older veterans

    OpenAIRE

    Miake-Lye, Isomi M; Amulis, Angel; Saliba, Debra; Shekelle, Paul G; Volkman, Linda K; Ganz, David A

    2011-01-01

    Abstract Background Fall prevention interventions for community-dwelling older adults have been found to reduce falls in some research studies. However, wider implementation of fall prevention activities in routine care has yielded mixed results. We implemented a theory-driven program to improve care for falls at our Veterans Affairs healthcare facility. The first project arising from this program used a nurse advice telephone line to identify patients' risk factors for falls and to triage pa...

  5. Youths as partners in a community participatory project for substance use prevention.

    Science.gov (United States)

    Kulbok, Pamela A; Meszaros, Peggy S; Bond, Donna C; Thatcher, Esther; Park, Eunhee; Kimbrell, Monica; Smith-Gregory, Tracey

    2015-01-01

    This community-based participatory research project aimed to develop strategies to prevent youth substance use in a rural county. This article (1) describes the project phases, (2) examines unique contributions and considerations of youth involvement, and (3) explores the youths' perspective. Twelve youths, aged 16 to 18 years, joined parents, community leaders, and research specialists on the community-based participatory research team. The youths were integrally involved in all phases including the community assessment, community leader interviews, selection of a substance use prevention program, and program implementation. Youths reported sustained enthusiasm, experiences of authentic leadership, development of research skills, and greater awareness of their community.

  6. Error begat error: design error analysis and prevention in social infrastructure projects.

    Science.gov (United States)

    Love, Peter E D; Lopez, Robert; Edwards, David J; Goh, Yang M

    2012-09-01

    Design errors contribute significantly to cost and schedule growth in social infrastructure projects and to engineering failures, which can result in accidents and loss of life. Despite considerable research that has addressed their error causation in construction projects they still remain prevalent. This paper identifies the underlying conditions that contribute to design errors in social infrastructure projects (e.g. hospitals, education, law and order type buildings). A systemic model of error causation is propagated and subsequently used to develop a learning framework for design error prevention. The research suggests that a multitude of strategies should be adopted in congruence to prevent design errors from occurring and so ensure that safety and project performance are ameliorated. Copyright © 2011. Published by Elsevier Ltd.

  7. Rescue the problem project: a complete guide to identifying, preventing, and recovering from project failure

    National Research Council Canada - National Science Library

    Williams, Todd C

    2011-01-01

    ... vii American Management Association www.amanet.orgviii Contents Creating the Assignment's Statement of Work Defining the Responsibilities by Phase in the SOW Establishing the Recovery Manager's Authority Accepting the Role as a Recovery Manager Creating an Outline of the Recovery Chapter Takeaway 24 25 28 28 29 30 PART II Auditing the Project: Unde...

  8. Suicide and attempted suicide: epidemiological surveillance as a crucial means of a local suicide prevention project in Trento's Province.

    Science.gov (United States)

    Di Napoli, Wilma Angela; Della Rosa, Alberto

    2015-09-01

    The World Health Organization identifies suicide among the top 10 causes of death in many countries with an overall mortality rate of 16 per 100,000 inhabitants. Furthermore suicide attempts present a frequency 4-10 times greater than the suicidal events, representing also one of the main risk factors to lead to recurrent attempts of suicide. In 2008 the Autonomous Province of Trento launched a suicide prevention pogram called "Invitation to Life" which includes various interventions intended to counter the phenomenon of suicide in the region. Actually the epidemiological research upon the phenomenon of suicide in Trentino region is one of the main pillars of the project: it represents a fundamental requirement to identify risk and protective factors in the population in order to adopt more specific and effective preventive strategies. This article aims to present methods and instruments for epidemiological monitoring of suicide and attempted suicide which are applied in Trentino and to describe results after seven years from the beginning of the local prevention program "Invitation to life".

  9. Economic instruments for obesity prevention: results of a scoping review and modified delphi survey

    Directory of Open Access Journals (Sweden)

    LaFrance Jeffrey

    2011-10-01

    Full Text Available Abstract Background Comprehensive, multi-level approaches are required to address obesity. One important target for intervention is the economic domain. The purpose of this study was to synthesize existing evidence regarding the impact of economic policies targeting obesity and its causal behaviours (diet, physical activity, and to make specific recommendations for the Canadian context. Methods Arksey and O'Malley's (2005 methodological framework for conducting scoping reviews was adopted for this study and this consisted of two phases: 1 a structured literature search and review, and 2 consultation with experts in the research field through a Delphi survey and an in-person expert panel meeting in April 2010. Results Two key findings from the scoping review included 1 consistent evidence that weight outcomes are responsive to food and beverage prices. The debate on the use of food taxes and subsidies to address obesity should now shift to how best to address practical issues in designing such policies; and 2 very few studies have examined the impact of economic instruments to promote physical activity and clear policy recommendations cannot be made at this time. Delphi survey findings emphasised the relatively modest impact any specific economic instrument would have on obesity independently. Based on empirical evidence and expert opinion, three recommendations were supported. First, to create and implement an effective health filter to review new and current agricultural polices to reduce the possibility that such policies have a deleterious impact on population rates of obesity. Second, to implement a caloric sweetened beverage tax. Third, to examine how to implement fruit and vegetable subsidies targeted at children and low income households. Conclusions In terms of economic interventions, shifting from empirical evidence to policy recommendation remains challenging. Overall, the evidence is not sufficiently strong to provide clear policy

  10. Instrumentation and monitoring of the nextgen road infrastructure: Some results and perspectives from the R5G project

    Science.gov (United States)

    Hautière, Nicolas; Bourquin, Frédéric

    2017-04-01

    Through the centuries, the roads - which today constitute in France a huge transport network of 1 millions kilometers length - have always been able to cope with society needs and challenges. As a consequence, the next generation road infrastructure will have to take into account at least three societal transitions: ecological, energetic and digital. The goal of the 5th generation road project (R5G©) [1], led by Ifsttar in France, aligned with the Forever Open program [2], is to design and build demonstrators of such future road infrastructures. The goal of this presentation is to present different results related to the greening of road materials [3], the design of energy-positive roads [4, 5], the test of roads that self-diagnose [6], the design of roads adapted for connected [7], autonomous [8] and electrified vehicles [9], etc. In terms of perspectives, we will demonstrate that the road infrastructures will soon become a complex system: On one side road users will benefit from new services, on the other side such massively connected and instrumented infrastructures will potentially become an opportune sensor for knowledge development in geoscience, such as air quality, visibility and fog monitoring. References: [1] R5G project. r5g.ifsttar.fr [2] Forever Open Road project. www.foreveropenroad.eu [3] Biorepavation project. www.infravation.net/projects/BIOREPAVATION [4] N. Le Touz, J. Dumoulin. Numerical study of the thermal behavior of a new deicing road structure design with energy harvesting capabilities. EGU General Assembly 2015, Apr 2015, Vienne, Austria. [5] S. Asfour, F. Bernardin, E. Toussaint, J.-M. Piau. Hydrothermal modeling of porous pavement for its surface de-freezing. Applied Thermal Engineering. Volume 107, 25 August 2016, Pages 493-500 [6] LGV BPL Instrumentation. http://railenium.eu/wp-content/uploads/2016/08/INSTRUMENTATION-BPL-FR.pdf [7] SCOOP@F project. https://ec.europa.eu/inea/en/connecting-europe-facility/cef-transport/projects

  11. The merits of non-tradable quotas as a domestic policy instrument to prevent firm closure

    International Nuclear Information System (INIS)

    Hagem, Cathrine

    2001-05-01

    There is a concern in many countries that a domestic tradable quota system for greenhouse gases, where all emitters must pay for their quotas, may lead to closures of emissions-intensive industrial companies. Allocating quotas free of charge to companies operating in competitive markets has been suggested as a means to reduce the likelihood of closures. Two different designs of quota systems are studied within a two-period model: one where the quotas given free of charge are tradable, and one where the quotas are non-tradable. The two quota systems are compared with respect to their ability both to induce the firms to implement investment in abatement technology and to prevent or postpone closures. (author)

  12. Reconstructing Masculinity in the Locker Room: The Mentors in Violence Prevention Project.

    Science.gov (United States)

    Katz, Jackson

    1995-01-01

    The Mentors in Violence Prevention Project seeks to reduce violence against women by inspiring male athletes and other models of traditional masculinity to challenge norms that equate strength in men with dominance over women and to use their influence for positive behavior change. (SK)

  13. Protein Analysis Using Real-Time PCR Instrumentation: Incorporation in an Integrated, Inquiry-Based Project

    Science.gov (United States)

    Southard, Jonathan N.

    2014-01-01

    Instrumentation for real-time PCR is used primarily for amplification and quantitation of nucleic acids. The capability to measure fluorescence while controlling temperature in multiple samples can also be applied to the analysis of proteins. Conformational stability and changes in stability due to ligand binding are easily assessed. Protein…

  14. Asymptotics of diagonal elements of projection matrices under many instruments/regressors

    Czech Academy of Sciences Publication Activity Database

    Anatolyev, Stanislav; Yaskov, P.

    2017-01-01

    Roč. 33, č. 3 (2017), s. 717-738 ISSN 0266-4666 Institutional support: Progres-Q24 Keywords : instrumental variable estimation * inference * models Subject RIV: AH - Economics OBOR OECD: Applied Economics, Econometrics Impact factor: 1.011, year: 2016

  15. Asymptotics of diagonal elements of projection matrices under many instruments/regressors

    Czech Academy of Sciences Publication Activity Database

    Anatolyev, Stanislav; Yaskov, P.

    2017-01-01

    Roč. 33, č. 3 (2017), s. 717-738 ISSN 0266-4666 Institutional support: RVO:67985998 Keywords : instrumental variable estimation * inference * models Subject RIV: AH - Economics OBOR OECD: Applied Economics, Econometrics Impact factor: 1.011, year: 2016

  16. Project W-340 long reach arm retrieval system balance of plant instrumentation workshop engineering study

    International Nuclear Information System (INIS)

    Schneider, T.C.

    1994-01-01

    This engineering study documents the results of a workshop held to resolve Issue No. 26 generated at a Arm Based Retrieval Functional Analysis Value Engineering Session. The issue deals with the scope of the Balance of Plant Instrumentation needs for the LRARS

  17. A European Seal of Approval for 'gay' businesses: findings from an HIV-prevention pilot project.

    Science.gov (United States)

    Sherriff, Nigel; Gugglberger, Lisa

    2014-05-01

    'Gay' businesses can be important settings through which to deliver health promotion interventions to vulnerable populations, such as men who have sex with men (MSM) regarding HIV prevention. This article draws on data from the European Everywhere project, which represents the first scheme to develop and pre-test a common framework for HIV/STI prevention in 'gay' businesses across eight European countries. The scientific basis of the Everywhere framework was developed using a comprehensive consensus-building process over 30 months. This process included: formative scoping research; interviews with 54 'gay' businesses; meetings/workshops with representatives from project partners, 'gay' businesses, public health administrations and external experts; 15 interviews and three focus groups with project partners; a five-month pilot action phase in eight countries, together with support from the project's Advisory Group; and all Everywhere project partners including the Scientific Steering Committee. A voluntary European code setting out differentiated HIV/STI-prevention standards for 'gay' businesses (including sex venues, 'gay' and 'gay' friendly social spaces, travel agencies, hotels, dating websites) was developed and piloted in eight European cities. During a five-month pilot action, 83 'gay' businesses were certified with the Everywhere Seal of Approval representing a considerable increase on the expected pilot target of 30. Everywhere offers a major contribution to the public health and/or health promotion field in the form of a practical, policy-relevant, settings-based HIV-prevention framework for 'gay' businesses that is common across eight European countries. Findings suggest that a European-wide model of prevention is acceptable and feasible to businesses.

  18. Amoco-US Environmental Protection Agency, pollution prevention project, Yorktown, Virginia: Solid waste data

    International Nuclear Information System (INIS)

    Kizior, G.J.

    1991-01-01

    In late 1989 Amoco and the US Environmental Protection Agency initiated a joint project to review pollution prevention alternatives at Amoco Oil Company's Yorktown, Virginia, Refinery as a case study site. The report summarizes the solid waste emissions inventory, solids source identification, and the solid waste sampling program that was conducted at the Amoco Yorktown Refinery on September 25-27, 1990, in support of the Pollution Prevention Project. Major findings showed that the majority of solid waste generation occurs as end-of-pipe solids resulting from the treatment of wastewaters from the refinery sewer. Based on a regression analysis of the composition data for samples collected during this project, major upstream contributors to these solids appear to be soils. Solids from process units are also significant contributors

  19. Amoco-US Environmental Protection Agency, pollution prevention project, Yorktown, Virginia: Yorktown refinery project workplan

    International Nuclear Information System (INIS)

    Curran, L.; Grieves, C.; Browning, R.; Hanlon, D.; Crane, C.

    1990-09-01

    The report provides a detailed workplan for obtaining data and analyzing results for a 2-year pollution prevention study of Amoco Oil Company's Yorktown Virginia Refinery. The study was jointly sponsored as a cooperative effort of Amoco Corporation and the United States Environmental Protection Agency. The goals of the study include (1) a multi-media inventory of all releases entering the environment from the Refinery, (2) development of possible engineering options to reduce the releases, (3) analysis of each option in terms of release reduction potential, impact on human health risk, ecological impact, changes in future liability, etc. and (4) identification of obstacles and incentives for implementation of any of the options considered

  20. Code of Conduct for wind-power projects - Phases 1 and 2; Code of Conduct fuer windkraftprojekte. Phase 1 und 2 - Systemanalyse, Lessons Learned und Bewertung bestehender Instrumente

    Energy Technology Data Exchange (ETDEWEB)

    Strub, P. [Pierre Strub, freischaffender Berater, Binningen (Switzerland); Ziegler, Ch. [Inter Act, Basel (Switzerland)

    2008-08-15

    This paper discusses the results of the first two phases of a project concerning wind-power projects. The paper deals with the results of a system analysis, takes a look at lessons learned and presents an appraisal of existing instruments. A system-analysis of wind-power projects is presented with emphasis on social factors and the role of stakeholders. The success factors concerning social acceptance of wind-power projects and their special characteristics are discussed. Lessons learned are examined. Instruments for the sustainable implementation of projects are looked at, in particular with a focus on social acceptance

  1. Amoco-US Environmental Protection Agency, pollution prevention project, Yorktown, Virginia: Project peer review. Report of the Peer Review Committee of the Amoco/EPA Pollution Prevention Project at the Yorktown, Virginia refinery

    International Nuclear Information System (INIS)

    Klee, H.; Podar, M.

    1991-01-01

    The Amoco/EPA Pollution Prevention Project involved a number of representatives from federal and Virginia regulatory agencies, and Amoco's refining business. Participants believed that the Project could benefit from a broader perspective than these organizations along might provide. The Project Work Group selected an independent Peer Review Process which was conducted by Resource for the Future (RFF), a Washington DC think tank. A group of technical, policy and environmental experts from diverse backgrounds served as Peer Review members. The Peer Review Committee met on three occasions to discuss (1) the Project Work Plan (2) sampling data and interpretation and (3) project conclusions and recommendations. The focus of the meeting was on the general scope and content of the project

  2. Contributions of the SDR Task Network tool to Calibration and Validation of the NPOESS Preparatory Project instruments

    Science.gov (United States)

    Feeley, J.; Zajic, J.; Metcalf, A.; Baucom, T.

    2009-12-01

    The National Polar-orbiting Operational Environmental Satellite System (NPOESS) Preparatory Project (NPP) Calibration and Validation (Cal/Val) team is planning post-launch activities to calibrate the NPP sensors and validate Sensor Data Records (SDRs). The IPO has developed a web-based data collection and visualization tool in order to effectively collect, coordinate, and manage the calibration and validation tasks for the OMPS, ATMS, CrIS, and VIIRS instruments. This tool is accessible to the multi-institutional Cal/Val teams consisting of the Prime Contractor and Government Cal/Val leads along with the NASA NPP Mission team, and is used for mission planning and identification/resolution of conflicts between sensor activities. Visualization techniques aid in displaying task dependencies, including prerequisites and exit criteria, allowing for the identification of a critical path. This presentation will highlight how the information is collected, displayed, and used to coordinate the diverse instrument calibration/validation teams.

  3. Current activities and plans for polarized neutron instruments of the JSNS/J-PARC project

    International Nuclear Information System (INIS)

    Furusaka, M.

    2005-01-01

    Neutron polarization is one of the key technologies for the next generation megawatt-class pulsed spallation neutron sources, such as SNS in the US and the JSNS in Japan. To polarize or analyze neutron spin, several techniques are under development in Japan: a small d-spacing magnetic multilayer mirror, spin exchange type He-3 filter and a dynamical proton polarizer. Several application techniques related to polarized neutrons are also under development, such as, a microwave-induced optical nuclear polarization technique, which allows us to polarize protons in naphtalene doped with pentacene at 77 K; neutron focusing-SANS instrument utilizing a focusing magnet; a Drabkin spin-filter instrument that has two filters in series for neutron-pulse shaping

  4. Impacts and environmental administration in development projects: instruments for the political fixation

    International Nuclear Information System (INIS)

    Angel Sanint, Enrique

    1999-01-01

    Inside the scheme of the necessary environmental administration to evaluate, to mitigate, to correct and to compensate the environmental impacts of a development project the acting diagram is presented, belonging to the multi-objective analysis, like an interesting tool that contributes to consider restrictions and to keep in mind the economic aspect inside the process of politics fixation for the interaction between the environmental authority and the developers of projects in the three basic instances contemplated by the legislation like interaction points

  5. Evaluation of a 5-year cervical cancer prevention project in Indonesia: opportunities, issues, and challenges.

    Science.gov (United States)

    Kim, Young-Mi; Lambe, Fransisca Maria; Soetikno, Djoko; Wysong, Megan; Tergas, Ana Isabel; Rajbhandari, Presha; Ati, Abigael; Lu, Enriquito

    2013-06-01

    The Cervical and Breast Cancer Prevention (CECAP) Project sought to develop a national model for cervical cancer prevention in Indonesia based on visual inspection with acetic acid (VIA) to detect abnormal changes in the cervix. The purpose of this study was to evaluate a pilot project introducing VIA and cryotherapy in Indonesia and to identify lessons learned that could be applied to the national scale-up of cervical cancer prevention services. Fifty-four months (July 2007 to December 2011) of service records at 17 health centers were abstracted and analyzed. The data were used to calculate the proportion of all women aged 30-50 who received VIA screening, the VIA-positive rate, the treatment rate, and the interval between screening and treatment. The 45 050 women screened during the project included 24.4% of the total female population in the target age group in the catchment area. Throughout the 5-year project, 83.1% of VIA-positive women sought cryotherapy. During the last 18 months of the project, after data collection tools were revised to more accurately reflect when cryotherapy was received, 13% of women were treated on the same day that they were screened. Among the 74% of women treated within 1 month of screening, the mean interval between screening and treatment was 7.2 days. As cervical cancer prevention services are scaled up throughout Indonesia, changes in the service delivery model and program management are needed to increase screening coverage, promote a single-visit approach, and ensure the quality of services. © 2013 The Authors. Journal of Obstetrics and Gynaecology Research © 2013 Japan Society of Obstetrics and Gynecology.

  6. Assessing gait adaptability in people with a unilateral amputation on an instrumented treadmill with a projected visual context.

    Science.gov (United States)

    Houdijk, Han; van Ooijen, Mariëlle W; Kraal, Jos J; Wiggerts, Henri O; Polomski, Wojtek; Janssen, Thomas W J; Roerdink, Melvyn

    2012-11-01

    Gait adaptability, including the ability to avoid obstacles and to take visually guided steps, is essential for safe movement through a cluttered world. This aspect of walking ability is important for regaining independent mobility but is difficult to assess in clinical practice. The objective of this study was to investigate the validity of an instrumented treadmill with obstacles and stepping targets projected on the belt's surface for assessing prosthetic gait adaptability. This was an observational study. A control group of people who were able bodied (n=12) and groups of people with transtibial (n=12) and transfemoral (n=12) amputations participated. Participants walked at a self-selected speed on an instrumented treadmill with projected visual obstacles and stepping targets. Gait adaptability was evaluated in terms of anticipatory and reactive obstacle avoidance performance (for obstacles presented 4 steps and 1 step ahead, respectively) and accuracy of stepping on regular and irregular patterns of stepping targets. In addition, several clinical tests were administered, including timed walking tests and reports of incidence of falls and fear of falling. Obstacle avoidance performance and stepping accuracy were significantly lower in the groups with amputations than in the control group. Anticipatory obstacle avoidance performance was moderately correlated with timed walking test scores. Reactive obstacle avoidance performance and stepping accuracy performance were not related to timed walking tests. Gait adaptability scores did not differ in groups stratified by incidence of falls or fear of falling. Because gait adaptability was affected by walking speed, differences in self-selected walking speed may have diminished differences in gait adaptability between groups. Gait adaptability can be validly assessed by use of an instrumented treadmill with a projected visual context. When walking speed is taken into account, this assessment provides unique

  7. Joint implementation - project simulation and organisation. Operationalization of a new instrument of climate policy

    International Nuclear Information System (INIS)

    Luhmann, H.J.; Ott, H.E.; Beuermann, C.; Fischedick, M.; Hennicke, P.; Bakker, L.

    1997-01-01

    The study served to analyze the practical aspects of 'Joint Implementation' (JI) under the Framework Convention on Climate Change, in which measures to reduce greenhouse gas emissions are carried out jointly by several countries. As a first step, possible climate protection measures were assessed with respect to their suitability for JI and an overview of suitable JI projects was compiled. In a further step, carried out in cooperation with partners from industry, four specific projects (coal-fired power plant, solar-thermal power plant, cement factory, least-cost planning) were used to simulate JI. In this work, solutions were developed for the calculation of greenhouse gas emissions avoided as well as for project reporting. In addition, proposals were made with respect to the organizational and institutional design on an international JI mechanism. (orig.) [de

  8. Lithologic log and interpretation of instrument logs NURE project, Carson Sink, Nevada, borehole

    International Nuclear Information System (INIS)

    Horton, R.C.

    1978-04-01

    No uranium mineralization was penetrated by the drilling. The uranium content of the rock units are within the usual range for unmineralized rocks of the types penetrated. Although the instrument logs indicated ample porosity in the sedimentary section, drill-stem tests in the intervals 699 to 722 ft, 3,692 to 3,734 ft, and 3,920 to 3,995 ft failed to recover any formation fluid. The instrument logs generally indicated low porosity and permeability in the volcanic rocks. The low permeability may have prohibited the circulation of ground water and possible supergene enrichment. The Carson Sink is a closed basin and all water is lost by evaporation, although there may be minor subsurface interbasin transfer. As the basin subsided dense connate water (brines) may have been trapped within the sediments making circulation of less dense water impossible. At present, nonsaline water is found only at shallow depths and is underlain by saline water. The hydrologic regime of the basin is complex and general assumptions should be made with care. Detailed analysis of hydrologic data may reveal zones of deep circulation. Reducing conditions, as evidenced by thin beds of organic rich material and pyrite, are present at depth. However, the unconsolidated sediments are young (Pleistocene to Recent) and perhaps too youthful for substantial mineralization to have occurred. No further deep drilling is recommended until the complex prehistoric hydrologic regime is studied. The study should include the geologic structural history of the basin and influence of Pleistocene and earlier pluvial cycles

  9. Uranium Mill Tailings remedial action project waste minimization and pollution prevention awareness program plan

    International Nuclear Information System (INIS)

    1994-07-01

    The purpose of this plan is to establish a waste minimization and pollution prevention awareness (WM/PPA) program for the U.S. Department of Energy's (DOE) Uranium Mill Tailings Remedial Action (UMTRA) Project. The program satisfies DOE requirements mandated by DOE Order 5400.1. This plan establishes planning objectives and strategies for conserving resources and reducing the quantity and toxicity of wastes and other environmental releases

  10. Evaluation of DELTA PREP: A Project Aimed at Integrating Primary Prevention of Intimate Partner Violence within State Domestic Violence Coalitions

    Science.gov (United States)

    Freire, Kimberley E.; Zakocs, Ronda; Le, Brenda; Hill, Jessica A.; Brown, Pamela; Wheaton, Jocelyn

    2015-01-01

    Background: Intimate partner violence (IPV) has been recognized as a public health problem since the late 20th century. To spur IPV prevention efforts nationwide, the DELTA PREP Project selected 19 state domestic violence coalitions to build organizational prevention capacity and catalyze IPV primary prevention strategies within their states.…

  11. Determinants of participation in targeted preventive health checks: the TOF pilot project

    DEFF Research Database (Denmark)

    Bruun Larsen, Lars

    the identification and management of people at high risk in the population. Reach is a corner stone in the evaluation of preventive health checks. Even if the intervention is effective in itself, effect can only be expected if the intervention reaches persons who will benefit from the intervention. Objectives...... To examine the reach of a preventive healthcare intervention that systematically identifies patients at high risk of developing lifestyle-related disease, and provides targeted and coherent preventive services to these individuals. Material/Methods The study population comprises 8814 persons born between...... national registers concerning demographic information, prescriptions, and health care usage of the study population will be obtained from Statistics Denmark and analysed using logistic regression. Results Preliminary results show that 41 % consented to the project and 75 % here of participated in the joint...

  12. Project EX-India: A classroom-based tobacco use prevention and cessation intervention program.

    Science.gov (United States)

    Sidhu, Anupreet Kaur; Sussman, Steve; Tewari, Abha; Bassi, Shalini; Arora, Monika

    2016-02-01

    Tobacco use experimentation is most frequent between the ages of 15–24 in India. Therefore, programming to counteract tobacco use among adolescents is needed. There is a lack of evidence-based teen tobacco use prevention and cessation programs. The current study provides an outcome evaluation of the Project EX tobacco use prevention and cessation program among Indian adolescents (16–18 years). An eight-session classroom-based curriculum was adapted to the Indian context and translated from English to Hindi (local language). Next, it was tested using a quasi-experimental design with 624 Indian students at baseline, involving two program and two control schools, with a three-month post-program follow-up. Project EX involves motivation enhancement (e.g., talk shows and games) and coping skills (e.g., complementary and alternative medicine) components. Program participants rated complementary and alternative medicine (CAM) activities like meditation, yoga and healthy breathing higher than talk shows and games. Compared to the standard care control condition, the program condition revealed a prevention effect, but not a cessation effect. Implications for prevention/cessation programming among Indian teens are discussed. This study was approved by the Independent Ethics Committee, Mumbai.

  13. Outcomes of an infection prevention project focusing on hand hygiene and isolation practices.

    Science.gov (United States)

    Aragon, Daleen; Sole, Mary Lou; Brown, Scott

    2005-01-01

    Nosocomial infections are a major health problem for hospitalized patients and their families. Since the 1800s, hand hygiene has been recognized as the single best method to prevent the spread of pathogens and nosocomial infections. Despite this fact, many healthcare workers do not adhere to hand hygiene policies. The Centers for Disease Control and Prevention issued a guideline for hand hygiene practices in 2002. Multifaceted approaches to improve hand hygiene have been shown to increase compliance among healthcare workers and subsequently reduce infections. A performance improvement project was initiated to implement this guideline and other strategies to prevent nosocomial infection. This article summarizes the performance improvement processes and the preliminary outcomes on adherence to infection prevention policies related to hand hygiene and isolation practices. Clinically and statistically significant increases were noted for hand hygiene prior to patient care and in wearing masks when indicated. Nurses and patient care technicians had the greatest increases in compliance. Increases in hand hygiene after patient contact and wearing of gown and gloves were also noted, but results were not statistically significant. Nosocomial infection rates from antibiotic-resistant organisms decreased in the first surveillance, but rates increased during the 1-year surveillance. Consumption of alcohol-based foam disinfectant doubled from baseline. Findings are consistent with other published studies. The project will continue with further reinforcement and education over the second year.

  14. Technology Transfer Programme In Reactor Digital Instrumentation And Control System (REDICS) Project: Knowledge, Experiences And Future Expectations

    International Nuclear Information System (INIS)

    Nurfarhana Ayuni Joha; Mohamad Puad Abu; Izhar Abu Hussin; Ridzuan Abdul Mutalib; Zareen Khan Abdul Jalil Khan; Mohd Khairulezwan Abdul Manan; Mohd Sabri Minhat; Mohd Idris Taib

    2013-01-01

    The PUSPATI TRIGA MARK II research reactor in Malaysia was commissioned in 1982. After 31 years of operation, Nuclear Malaysia is taking an approach for a better research and development in nuclear radiations as well as the technical services that provided. Reactor TRIGA PUSPATI (RTP) is currently upgrading its control console from analogue to digital system. The Reactor Digital Instrumentation and Control System (ReDICS) project is done on cooperation with Korea Atomic Energy Research Institute (KAERI), Korea including the technical part from the design stage until commissioning as well as the Technology Transfer Program (TTP). TTP in this ReDICS project is a part of Human Resource and System Development Program. It was carried out from the design stage until the commissioning of the system. It covers all subjects related to the design on the digital system and the requirements for the operation of RTP. The objective of this paper is to share the knowledge and experiences gained through this ReDICS project. This paper will also discuss the future expectations from this ReDICS project for Nuclear Malaysia and its personnel, as well as to the country. (author)

  15. Development of a student engagement approach to alcohol prevention: the Pragmatics Project.

    Science.gov (United States)

    Buettner, Cynthia K; Andrews, David W; Glassman, Michael

    2009-01-01

    Significant involvement of students in the development and implementation of college alcohol prevention strategies is largely untested, despite recommendations by the National Institute of Alcohol Abuse and Alcoholism and others. The purpose of the Pragmatics Project was to test a student engagement model for developing and implementing alcohol intervention strategies. The Pragmatics Project involved 89 undergraduate students on a large Midwestern university campus in the design and implementation of projects focused on reducing harm associated with high-risk drinking and off-campus parties. The engagement model used an innovative course piloted in the Human Development and Family Science department. The course successfully involved both students and the community in addressing local alcohol issues. The course design described would fit well into a Master of Public Health, Community Psychology, Health Psychology, or interdisciplinary curricula as well as the service learning model, and it is applicable in addressing other health risk behaviors.

  16. Evaluation of future policy instruments - Sub-Project 2; Utvaerdering av framtida styrmedel - Delprojekt 2 inom projektet Perspektiv paa framtida avfallsbehandling

    Energy Technology Data Exchange (ETDEWEB)

    Bisaillon, Mattias; Dahlen, Lisa; Detterfelt, Lia; Edner, Stig; Toren, Johan

    2013-09-01

    There are several recently introduced and future possible policy instruments that are of great interest to study in order to understand the future for the Swedish waste treatment market. In the energy sector, the use of system analysis models has proven to be effective in order to understand the effects and consequences of policy instruments. In the waste sector, however, such analyses have only been conducted sporadically. This in spite of the introduction of highly influential policy instruments such as producer responsibility, landfill tax and landfill ban, which together have contributed to landfilling of Swedish household waste practically has ceased. The goal of this project was, by using system analysis models, to study and evaluate the newly introduced and future possible policy instruments which affect Swedish waste treatment. The assessment was made in terms of how policy instruments affect: - the distribution of treatment technologies, - waste amounts, - greenhouse gas emissions and - the economics of waste treatment. The project was performed during 2011 and 2012 as a part of the research project 'Perspectives on sustainable waste treatment (PFA)'. During the project, discussions have taken place within the working group and the reference group on which instruments are most interesting and relevant to study. Furthermore, opinions have been gathered from the association Swedish Waste Managements policy instrument group and from various players in the industry at conferences, presentations and workshops.

  17. OECD MCCI project enhancing instrumentation for reactor materials experiments, Rev. 0 September 3, 2002

    International Nuclear Information System (INIS)

    Lomperski, S.; Basu, S.

    2011-01-01

    Reactor safety experiments for studying the reactions of a molten core (corium) with water and/or concrete involve materials at extremely high temperature. Such high temperature severely restricts the types of sensors that can be employed to measure characteristics of the corium itself. Yet there is great interest in improving instrumentation so that the state of the melt can be established with more precision. In particular, it would be beneficial to increase both the upper range limit and accuracy of temperature measurements. The poor durability of thermocouples at high temperature is also an important issue. For experiments involving a water-quenched melt, direct measurements of the growth rate of the crust separating the melt and water would be of great interest. This is a key element in determining the nature of heat transfer between the melt and coolant. Despite its importance, no one has been able to directly measure the crust thickness during such tests. This paper considers three specialized sensors that could be introduced to enhance melt characterization: (1) A commercially fabricated, single point infrared temperature measurement with the footprint of a thermowell. A lens assembly and fiber optic cable linked to a receiver and amplifier measures the temperature at the base of a tungsten thermowell. The upper range limit is 3000 C and accuracy is ±0.25% of the reading. (2) In-house development of an ultrasonic temperature sensor that would provide multipoint measurements at temperatures up to ∼3000 C. The sensors are constructed from tungsten rods and have a high temperature durability that is superior to that of thermocouples. (3) In-house development of an ultrasonic probe to measure the growth rate of the corium crust. This ultrasonic sensor would include a tungsten waveguide that transmits ultrasonic pulses up through the corium melt towards the crust and detects reflections from the melt/crust interface. A measurement of the echo time delay would

  18. Design, Implementation, and Evaluation of the Adolescents and Surveillance System for the Obesity Prevention Project.

    Science.gov (United States)

    Tabacchi, Garden; Bianco, Antonino; Alessi, Nicola; Filippi, Anna Rita; Napoli, Giuseppe; Jemni, Monèm; Censi, Laura; Breda, João; Schumann, Nathali Lehmann; Firenze, Alberto; Vitale, Francesco; Mammina, Caterina

    2016-03-01

    The Adolescents Surveillance System for Obesity prevention (ASSO) Project aimed at developing standardized and web-based tools for collecting data on adolescents' obesity and its potential determinants. This has been implemented and piloted in the local area of Palermo city, Italy. The aim of the present study is to provide an overview of the Project's design, implementation, and evaluation, highlighting all the aspects for a potential scale-up of the surveillance system on the whole national territory and abroad, as a sustainable and effective source of data.The overall structure and management, the ASSO-toolkit, the ASSO-NutFit software, and all developed and used procedures for recruiting, training, and data collecting/analyzing are addressed. An interim evaluation has been performed through a feasibility study; a final Project evaluation has been performed reporting the Strengths, Weaknesses, Opportunities, and Threats (SWOT) and the attributes that a surveillance system should have.This article provides a detailed overview of the Project and highlights that ASSO can be considered a valid, logical, coherent, efficient, and sustainable surveillance system that is consistent with countries' needs and priorities.The system developed by the ASSO Project provides high-quality data and complies with several characteristics typical of a suitable surveillance system. It has a potential of being adopted within the National Health Service and other countries' Health Services for monitoring adolescents' obesity and its determinants, such as food intakes, behaviors, physical activity, and fitness profiles.

  19. A layout designer's data projection reticle. [for optimum indicator instrument location in aircraft

    Science.gov (United States)

    Haines, R. F.

    1977-01-01

    The designer's projection reticle is a modified surplus weapons sighting device consisting of a 3.5 cm diameter, 8.9 focal length coated objective lens. It is placed 1.5 cm in front of a clear flat glass plate on which the aluminized reflective pattern has been deposited. Reflected light passes through the objective lens, off the front surface of the coating, and off the rear coated surface of the objective lens. Several reticle patterns have been designed and tested, and other patterns are in the planning stage. The device may be used for a variety of applications including determining the optimum locations on a cockpit panel for luminous warning indicators requiring rapid manual responses.

  20. Advanced Instrumentation, Information and Control (II&C) Research and Development Facility Buildout and Project Execution of LWRS II&C Pilot Projects 1 and 3

    Energy Technology Data Exchange (ETDEWEB)

    Ronald Farris; Johanna Oxstrand; Gregory Weatherby

    2011-09-01

    results in plant status control, information management, knowledge management, and 'Real-Time-Truth' as it relates to the current plant conditions. The following report includes two attachments; each attachment represents Pilot Project 1 and 3. The two attachments also provide a report on two distinct milestones that were completed and are described below: M3L11IN06030307 - Complete initiation of two pilot projects Complete initiation of pilot projects on real-time configuration management and control to overcome limitations with existing permanent instrumentation and real-time awareness of plant configurations; two candidate projects that consider low-cost wireless technology for in situ configuration monitoring and candidate technologies and an information architecture for outage management and control will be initiated with utilities. M3L11IN06030309 - Complete data collection, R&D plans, and agreements needed to conduct the two pilot projects Complete data collection conducted at pilot project utilities to support real-time configuration management and outage control center pilot studies conducted; R&D plan for pilot projects produced and needed agreements established to support R&D activities.

  1. Advanced Instrumentation, Information and Control (II and C) Research and Development Facility Buildout and Project Execution of LWRS II and C Pilot Projects 1 and 3

    International Nuclear Information System (INIS)

    Farris, Ronald; Oxstrand, Johanna; Weatherby, Gregory

    2011-01-01

    in plant status control, information management, knowledge management, and 'Real-Time-Truth' as it relates to the current plant conditions. The following report includes two attachments; each attachment represents Pilot Project 1 and 3. The two attachments also provide a report on two distinct milestones that were completed and are described below: M3L11IN06030307 - Complete initiation of two pilot projects Complete initiation of pilot projects on real-time configuration management and control to overcome limitations with existing permanent instrumentation and real-time awareness of plant configurations; two candidate projects that consider low-cost wireless technology for in situ configuration monitoring and candidate technologies and an information architecture for outage management and control will be initiated with utilities. M3L11IN06030309 - Complete data collection, R and D plans, and agreements needed to conduct the two pilot projects Complete data collection conducted at pilot project utilities to support real-time configuration management and outage control center pilot studies conducted; R and D plan for pilot projects produced and needed agreements established to support R and D activities.

  2. Strategy For Implementing The UN "Zero-Gravity Instrument Project" To Promote Space Science Among School Children In Nigeria

    Science.gov (United States)

    Alabi, O.; Agbaje, G.; Akinyede, J.

    2015-12-01

    The United Nations "Zero Gravity Instrument Project" (ZGIP) is one of the activities coordinated under the Space Education Outreach Program (SEOP) of the African Regional Centre for Space Science and Technology Education in English (ARCSSTE-E) to popularize space science among pre-collegiate youths in Nigeria. The vision of ZGIP is to promote space education and research in microgravity. This paper will deliberate on the strategy used to implement the ZGIP to introduce school children to authentic scientific data and inquiry. The paper highlights how the students learned to collect scientific data in a laboratory environment, analyzed the data with specialized software, obtained results, interpreted and presented the results of their study in a standard format to the scientific community. About 100 school children, aged between 7 and 21 years, from ten public and private schools located in Osun State, Nigeria participated in the pilot phase of the ZGIP which commenced with a 1-day workshop in March 2014. During the inauguration workshop, the participants were introduced to the environment of outer space, with special emphasis on the concept of microgravity. They were also taught the basic principle of operation of the Clinostat, a Zero-Gravity Instrument donated to ARCSSTE-E by the United Nations Office for Outer Space Affairs (UN-OOSA), Vienna, under the Human Space Technology Initiative (UN-HSTI). At the end of the workshop, each school designed a project, and had a period of 1 week, on a planned time-table, to work in the laboratory of ARCSSTE-E where they utilized the clinostat to examine the germination of indigenous plant seeds in simulated microgravity conditions. The paper also documents the post-laboratory investigation activities, which included presentation of the results in a poster competition and an evaluation of the project. The enthusiasm displayed by the students, coupled with the favorable responses recorded during an oral interview conducted to

  3. Raman Lidar Measurements During the International H2O Project. 2; Instrument Comparisons and Case Studies

    Science.gov (United States)

    Whiteman, D. N.; Demoz, B.; DiGirolamo, P.; Corner, J.; Veselovskii, I.; Evans, K.; Wang, Z.; Sabatino, D.; Schwemmer, G.; Gentry, B.

    2005-01-01

    The NASA/GSFC Scanning Raman Lidar (SRL) participated in the International H2O Project (IHOP) that occurred in May and June, 2002 in the midwestern part of the U. S. The SRL system configuration and methods of data analysis were described in part I of this paper. In this second part, comparisons of SRL water vapor measurements and those of chilled mirror radiosonde and LASE airborne water vapor lidar are performed. Two case studies are presented; one for daytime and one for nighttime. The daytime case study is of a convectively driven boundary layer event and is used to characterize the SRL water vapor random error characteristics. The nighttime case study is of a thunderstorm-generated cirrus cloud case that is studied in it s meteorological context. Upper tropospheric humidification due to precipitation from the cirrus cloud is quantified as is the cirrus cloud ice water content and particle depolarization ratio. These detailed cirrus cloud measurements are being used in a cirrus cloud modeling study.

  4. Final report for EMP instrumentation project DNA IACRO 75-815: magnetic thin film sensors

    International Nuclear Information System (INIS)

    Hsieh, E.J.; Miller, D.E.; Vindelov, K.E.; Brown, T.G.

    1975-01-01

    The magnetic thin film current sensor/recorder is a passive device which responds to the peak current and pulse shape of a transient event. The transient current information becomes a permanent record on the film. The thin film device is small, low mass and reusable. It has been proven to be fast (less than 1/2 nanosecond response), radiation hard and applicable to peak current measurement of both CW and pulsed signals. The sensors were initially developed at LLL for pulse-energy measurement on exploding wires. Later the Defense Nuclear Agency sponsored the present project to develop the magnetic thin film devices as EMP diagnostic tools. The Air Force Weapons Lab supported the work to test the field capabilities of the thin film devices at ARES test facility, Kirtland AFB. Sandia Lab is now using a new version of the thin film sensors to monitor the transient current induced by intense radiation in their hybrid microcircuits. Also, a field test has been planned with Naval Electronics Laboratory Center where the thin film sensors are to be used to measure peak CW current caused by rf radiation. Research results are summarized

  5. Alberta's Tomorrow Project: adherence to cancer prevention recommendations pertaining to diet, physical activity and body size.

    Science.gov (United States)

    Whelan, Heather K; Xu, Jian-Yi; Vaseghi, Sanaz; Lo Siou, Geraldine; McGregor, S Elizabeth; Robson, Paula J

    2017-05-01

    To explore cross-sectional adherence to cancer prevention recommendations by adults enrolled in a prospective cohort in Alberta, Canada. Questionnaire data were used to construct a composite cancer prevention adherence score for each participant, based on selected personal recommendations published by the World Cancer Research Fund/American Institute for Cancer Research (2007). Data were self-reported on health and lifestyle, past-year physical activity and past-year FFQ. The scores accounted for physical activity, dietary supplement use, body size, and intakes of alcohol, fruit, vegetables and red meat. Tobacco exposure was also included. Scores ranged from 0 (least adherent) to 7 (most adherent). Alberta's Tomorrow Project; a research platform based on a prospective cohort. Adult men and women (n 24 988) aged 35-69 years recruited by random digit dialling and enrolled in Alberta's Tomorrow Project between 2001 and 2009. Of the cohort, 14 % achieved adherence scores ≥5 and 60 % had scores ≤3. Overall adherence scores were higher in women (mean (sd): 3·4 (1·1)) than in men (3·0 (1·2)). The extent of overall adherence was also associated with level of education, employment status, annual household income, personal history of chronic disease, family history of chronic disease and age. Reported adherence to selected personal recommendations for cancer prevention was low in this cohort of adults. In the short to medium term, these results suggest that more work is required to identify behaviours to target with cancer prevention strategies at a population level. Future work will explore the associations between adherence scores and cancer risk in this cohort.

  6. [KIPKEL--an interdisciplinary ambulatory prevention project for children with mentally ill parents].

    Science.gov (United States)

    Staets, S; Hipp, M

    2001-09-01

    Children of psychiatrically ill parents up to now have hardly been perceived as a risk group. In order to prevent these children form becoming psychiatrically ill the practice for art-therapy and psychotherapy and the social psychiatric service of the city of Hilden have developed a programme for parents having children under 18 years of age in which at least one parent suffers from endogenous psychosis or severe personality disorder. The two initiators of the KIPKEL project describe the experiences they had during the preparatory phase and while securing the financial basis and building up solid structures of cooperation. The conceptual basis of the project and problems of practical realization are presented. Finally an example of a family who participated in the programme is given. It illustrates the complex arrangement of interpersonal relationship and the course of the carework.

  7. Evaluation of Pacific Islands Early Childhood Caries Prevention Project: Republic of the Marshall Islands.

    Science.gov (United States)

    Milgrom, Peter; Tut, Ohnmar K

    2009-01-01

    This communication reports an outcomes evaluation of the Pacific Islands Early Childhood Caries Prevention Project. The evaluation includes children in three conditions: a) topical fluoride varnish three times per school year; b) varnish plus twice-per-day toothbrushing; and c) intervention 2 plus three-times-per-day xylitol containing gummy bear snacks at school and home visits to encourage parental involvement. For this evaluation, groups 2 and 3 have been combined. One year after project implementation, mean decayed, extracted, or filled primary teeth was 10.3 [standard deviation (SD)= 4.3] teeth for group 1, and 8.2 (SD = 4.0) teeth for the combination of groups 2 and 3 (P 0.05). Evaluation confirms the outcome of a program including both in-school twice-daily toothbrushing with fluoridated toothpaste and frequent applications of fluoride varnish.

  8. Community Awareness on Rabies Prevention and Control in Bicol, Philippines: Pre- and Post-Project Implementation

    Directory of Open Access Journals (Sweden)

    Toni Rose M. Barroga

    2018-02-01

    Full Text Available Rabies is endemic in the Philippines. To support the rabies campaign in the Bicol region at the southeastern part of Luzon, the BAI-OIE Stop Transboundary Animal Diseases and Zoonoses (STANDZ Rabies project was implemented in the pilot provinces of Camarines Norte, Camarines Sur, Albay, and Masbate. A community awareness survey was conducted with the residents of these provinces to determine their knowledge, attitude, and practices (KAP on rabies during the start and end of the project. Qualitative, descriptive research was done with a structured KAP questionnaire. Pet owners in the pilot provinces were chosen as respondents. Results showed that respondents know that they can acquire rabies in animals through the bite of a rabid dog (pre-project implementation (PRI: 19.6%, post-project implementation (POI: 38.0%. Vaccination was the top rabies preventive measure (PRI: 61.8%, POI: 92.8%. Biting incidents were noted in some respondents, and observing the dog and killing it immediately were some of the actions taken by bite victims. If a supposed rabid dog was seen, respondents would either: immediately kill the dog (PRI: 20.3%, POI: 13.7%, report it to authorities (PRI: 26.3%, POI: 63.1%, and capture and observe the dog concerned (PRI: 13.5%, POI: 6.0%. Pet owners increased their KAP about rabies prevention and control as compared to the pre-implementation study. However, certain gaps in their KAP need to be given attention; thus continuous education of pet owners must be done.

  9. CALIPSO Borehole Instrumentation Project at Soufriere Hills Volcano, Montserrat, BWI: Data Acquisition, Telemetry, Integration, and Archival Systems

    Science.gov (United States)

    Mattioli, G. S.; Linde, A. T.; Sacks, I. S.; Malin, P. E.; Shalev, E.; Elsworth, D.; Hidayat, D.; Voight, B.; Young, S. R.; Dunkley, P. N.; Herd, R.; Norton, G.

    2003-12-01

    The CALIPSO Project (Caribbean Andesite Lava Island-volcano Precision Seismo-geodetic Observatory) has greatly enhanced the monitoring and scientific infrastructure at the Soufriere Hills Volcano, Montserrat with the recent installation of an integrated array of borehole and surface geophysical instrumentation at four sites. Each site was designed to be sufficiently hardened to withstand extreme meteorological events (e.g. hurricanes) and only require minimum routine maintenance over an expected observatory lifespan of >30 y. The sensor package at each site includes: a single-component, very broad band, Sacks-Evertson strainmeter, a three-component seismometer ( ˜Hz to 1 kHz), a Pinnacle Technologies series 5000 tiltmeter, and a surface Ashtech u-Z CGPS station with choke ring antenna, SCIGN mount and radome. This instrument package is similar to that envisioned by the Plate Boundary Observatory for deployment on EarthScope target volcanoes in western North America and thus the CALIPSO Project may be considered a prototype PBO installation with real field testing on a very active and dangerous volcano. Borehole sites were installed in series and data acquisition began immediately after the sensors were grouted into position at 200 m depth, with the first completed at Trants (5.8 km from dome) in 12-02, then Air Studios (5.2 km), Geralds (9.4 km), and Olveston (7.0 km) in 3-03. Analog data from the strainmeter (50 Hz sync) and seismometer (200 Hz) were initially digitized and locally archived using RefTek 72A-07 data acquisition systems (DAS) on loan from the PASSCAL instrument pool. Data were downloaded manually to a laptop approximately every month from initial installation until August 2003, when new systems were installed. Approximately 0.2 Tb of raw data in SEGY format have already been acquired and are currently archived at UARK for analysis by the CALIPSO science team. The July 12th dome collapse and vulcanian explosion events were recorded at 3 of the 4

  10. The surgical care improvement project and prevention of post-operative infection, including surgical site infection.

    Science.gov (United States)

    Rosenberger, Laura H; Politano, Amani D; Sawyer, Robert G

    2011-06-01

    In response to inconsistent compliance with infection prevention measures, the Centers for Medicare & Medicaid Services collaborated with the U.S. Centers for Disease Control and Prevention on the Surgical Infection Prevention (SIP) project, introduced in 2002. Quality improvement measures were developed to standardize processes to increase compliance. In 2006, the Surgical Care Improvement Project (SCIP) developed out of the SIP project and its process measures. These initiatives, published in the Specifications Manual for National Inpatient Quality Measures, outline process and outcome measures. This continually evolving manual is intended to provide standard quality measures to unify documentation and track standards of care. Seven of the SCIP initiatives apply to the peri-operative period: Prophylactic antibiotics should be received within 1 h prior to surgical incision (1), be selected for activity against the most probable antimicrobial contaminants (2), and be discontinued within 24 h after the surgery end-time (3); (4) euglycemia should be maintained, with well-controlled morning blood glucose concentrations on the first two post-operative days, especially in cardiac surgery patients; (6) hair at the surgical site should be removed with clippers or by depilatory methods, not with a blade; (9) urinary catheters are to be removed within the first two post-operative days; and (10) normothermia should be maintained peri-operatively. There is strong evidence that implementation of protocols that standardize practices reduce the risk of surgical infection. The SCIP initiative targets complications that account for a significant portion of preventable morbidity as well as cost. One of the goals of the SCIP guidelines was a 25% reduction in the incidence of surgical site infections from implementation through 2010. Process measures are becoming routine, and as we practice more evidence-based medicine, it falls to us, the surgeons and scientists, to be active

  11. A reliability-based preventive maintenance methodology for the projection spot welding machine

    Directory of Open Access Journals (Sweden)

    Fayzimatov Ulugbek

    2018-06-01

    Full Text Available An effective operations of a projection spot welding (PSW machine is closely related to the effec-tiveness of the maintenance. Timely maintenance can prevent failures and improve reliability and maintainability of the machine. Therefore, establishing the maintenance frequency for the welding machine is one of the most important tasks for plant engineers. In this regard, reliability analysis of the welding machine can be used to establish preventive maintenance intervals (PMI and to identify the critical parts of the system. In this reliability and maintainability study, analysis of the PSW machine was carried out. The failure and repair data for analysis were obtained from automobile manufacturing company located in Uzbekistan. The machine was divided into three main sub-systems: electrical, pneumatic and hydraulic. Different distributions functions for all sub-systems was tested and their parameters tabulated. Based on estimated parameters of the analyzed distribu-tions, PMI for the PSW machines sub-systems at different reliability levels was calculated. Finally, preventive measures for enhancing the reliability of the PSW machine sub-systems are suggested.

  12. A childhood obesity prevention programme in Barcelona (POIBA Project): Study protocol of the intervention

    Science.gov (United States)

    Sánchez-Martínez, Francesca; Juárez, Olga; Serral, Gemma; Valmayor, Sara; Puigpinós, Rosa; Pasarín, María Isabel; Díez, Élia; Ariza, Carles

    2018-01-01

    Background Childhood obesity preventive interventions should promote a healthy diet and physical activity at home and school. This study aims to describe a school-based childhood obesity preventive programme (POIBA Project) targeting 8-to-12- year-olds. Design and methods Evaluation study of a school-based intervention with a pre-post quasi-experimental design and a comparison group. Schools from disadvantaged neighbourhoods are oversampled. The intervention consists of 9 sessions, including 58 activities of a total duration between 9 and 13 hours, and the booster intervention of 2 sessions with 8 activities lasting 3 or 4 hours. They are multilevel (individual, family and school) and multicomponent (classroom, physical activity and family). Data are collected through anthropometric measurements, physical fitness tests and lifestyle surveys before and after the intervention and the booster intervention. In the intervention group, families complete two questionnaires about their children’s eating habits and physical activity. The outcome variable is the cumulative incidence rate of obesity, obtained from body mass index values and body fat assessed by triceps skinfold thickness. The independent variables are socio-demographic, contextual, eating habits, food frequency, intensity of physical activity and use of new technologies. Expected impact for public health It is essential to implement preventive interventions at early ages and to follow its effects over time. Interventions involving diet and physical activity are the most common, being the most effective setting the school. The POIBA Project intervenes in both the school and family setting and focuses on the most disadvantaged groups, in which obesity is most pronounced and difficult to prevent. Significance for public health Overweight and obesity are a major public health concern that predispose affected individuals to the development of chronic diseases. Of importance, obesity is more common among

  13. Whole School Improvement and Restructuring as Prevention and Promotion: Lessons from STEP and the Project on High Performance Learning Communities.

    Science.gov (United States)

    Felner, Robert D.; Favazza, Antoinette; Shim, Minsuk; Brand, Stephen; Gu, Kenneth; Noonan, Nancy

    2001-01-01

    Describes the School Transitional Environment Project and its successor, the Project on High Performance Learning Communities, that have contributed to building a model for school improvement called the High Performance Learning Communities. The model seeks to build the principles of prevention into whole school change. Presents findings from…

  14. Project ECHO: A Telementoring Program for Cervical Cancer Prevention and Treatment in Low-Resource Settings

    Directory of Open Access Journals (Sweden)

    Melissa S. Lopez

    2017-10-01

    Full Text Available Cervical cancer incidence and mortality rates are significantly higher in low- and middle-income countries compared with the United States and other developed countries. This disparity is caused by decreased access to screening, often coupled with low numbers of trained providers offering cancer prevention and treatment services. However, similar disparities are also found in underserved areas of the United States, such as the Texas-Mexico border, where cervical cancer mortality rates are 30% higher than in the rest of Texas. To address these issues, we have adopted the Project ECHO (Extension for Community Healthcare Outcomes program, a low-cost telementoring model previously proven to be successful in increasing local capacity, improving patient management skills, and ultimately improving patient outcomes in rural and underserved areas. We use the Project ECHO model to educate local providers in the management of cervical dysplasia in a low-resource region of Texas and have adapted it to inform strategies for the management of advanced cervical and breast cancer in Latin America and sub-Saharan Africa. This innovative approach, using ECHO, is part of a larger strategy to enhance clinical skills and develop collaborative projects between academic centers and partners in low-resource regions.

  15. The Healthy Skin Project: changing nursing practice to prevent and treat hospital-acquired pressure ulcers.

    Science.gov (United States)

    Armour-Burton, Teri; Fields, Willa; Outlaw, Lanie; Deleon, Elvira

    2013-06-01

    Hospital-acquired pressure ulcers are serious clinical complications that can lead to increased length of stay, pain, infection, and, potentially, death. The surgical progressive care unit at Sharp Grossmont Hospital, San Diego, California, developed the multidisciplinary Healthy Skin Project to decrease the prevalence of hospital-acquired pressure ulcers. The previous treatment plan was reviewed and modified according to current evidence-based practice. The project consisted of 3 components: creation of a position for a unit-based wound liaison nurse, staff education, and involvement of the nursing assistants. The wound liaison nurse developed and conducted bimonthly skin audits, which revealed inconsistencies in clinical practice and documentation. Education for the staff was accomplished via a self-learning module, case presentations, and 1-on-1 training. In addition, a pressure ulcer algorithm tool was developed to demonstrate step-by-step wound management and documentation. From Spring 2003 through Summer 2006, the prevalence of hospital-acquired pressure ulcers ranged from 0.0% to 18.92%, with a mean of 4.85%. After implementation of the project, the prevalence decreased to 0.0% for 17 of 20 quarters, through 2011. Prevention and a multidisciplinary approach are effective in reducing the occurrence of hospital-acquired pressure ulcers.

  16. Allowing for MSD prevention during facilities planning for a public service: an a posteriori analysis of 10 library design projects.

    Science.gov (United States)

    Bellemare, Marie; Trudel, Louis; Ledoux, Elise; Montreuil, Sylvie; Marier, Micheline; Laberge, Marie; Vincent, Patrick

    2006-01-01

    Research was conducted to identify an ergonomics-based intervention model designed to factor in musculoskeletal disorder (MSD) prevention when library projects are being designed. The first stage of the research involved an a posteriori analysis of 10 recent redesign projects. The purpose of the analysis was to document perceptions about the attention given to MSD prevention measures over the course of a project on the part of 2 categories of employees: librarians responsible for such projects and personnel working in the libraries before and after changes. Subjects were interviewed in focus groups. Outcomes of the analysis can guide our ergonomic assessment of current situations and contribute to a better understanding of the way inclusion or improvement of prevention measures can support the workplace design process.

  17. Trials and projects on cervical cancer and human papillomavirus prevention in sub-Saharan Africa.

    Science.gov (United States)

    Adefuye, Peter O; Broutet, Nathalie J; de Sanjosé, Silvia; Denny, Lynette A

    2013-12-29

    Cervical cancer is the leading cause of cancer morbidity and mortality in women in sub-Saharan Africa (SSA), accounting for about 50,000 deaths annually. Until recently, cytology was the gold standard for screening and prevention of cervical cancer. This method of screening has not been successful in SSA due to a lack of human, financial and material resources and poor health care infrastructure. It is estimated that less than 5% of at risk women have ever being screened. In the past two decades alternative approaches to cytology for cervical cancer screening have been evaluated in low- and medium-income countries. Visual inspection with acetic acid (VIA) and/or Lugol's iodine (VILI) have been shown to have adequate sensitivity, although low specificity, in a number of cross-sectional research and demonstration projects. Visual inspection methods require minimal resources, are technologically accessible, and are feasible for screening for precancerous lesions. Linking screening with VIA/VILI to treatment with cryotherapy may enable screening and treatment to take place in one visit, but this is likely to result in large numbers of women being subjected to unnecessary treatment. A number of studies have shown that cryotherapy is not associated with significant side effects or complications and is well tolerated. Creating the infrastructure for screening of older women is considered desirable, despite the limitations of visual inspection methods as screening tests. Understanding the role of human papillomavirus (HPV) infection in the etiology of cervical cancer and the discovery of HPV rapid test kits, as well as the development of vaccines against the HPV oncogenic types, have created new opportunities for prevention of cervical cancer. Trials and projects have established (and are still ongoing) the feasibility of using these molecular tests for screening. The ultimate in prevention method is primary prevention, offered by the advent of prophylactic vaccines

  18. Project Protect” intervention. Testing a new approach for HIV prevention

    Directory of Open Access Journals (Sweden)

    Vasylyeva, Tetyana

    2012-07-01

    Full Text Available BACKGROUND. “Project Protect” aims to find highly infectious individuals through screening for acute/recent infection cases and prevent HIV transmission in the risk networks of these cases through contact tracing of these networks` participants, distributing community alerts about risk of acute infection among them and accurate post-test counseling.METHODS. An ongoing pilot phase of the intervention began in Kriviy Rig and Lviv, Ukraine in November, 2011. Participants are recruited through: 1 screening for cases of acute/recent infection at voluntary counseling and testing (VCT sites and in partner organizations (including AIDS-Centers which conduct VCT; 2 visits to drug use venues, chain-referral and contact tracing. Genscreen ultra HIV Ag-Ab “special-tests” are used to detect cases of acute infection. Recent infection is defined as positive test result and preceding negative result within 6 months and/or age younger than 21 years old.RESULTS. In the two cities 173 respondents were recruited to the project, 118 special tests were done. No cases of acute infection and eleven cases of recent infection were found (8 injection drug users (IDUs with preceding negative result within 6 months, 2 IDUs younger than 21 recruited by project team; one non-IDU with preceding negative result within 6 months referred from AIDS-Center. Six recent cases were recruited through screening at VCT sites, 5 others through contact tracing. Psychologists conducted 41 interviews with recent infection cases and their risk networks` members; 176 community alert flyers were distributed to members of risk networks during the interview by psychologist, at the venue by social worker and by participants themselves; 3 drug use venues were visited by project team with concomitant HIV-testing of people present at the venue. CONCLUSIONS. Network tracing seems to be feasible and to help find recently infected people. Further research is needed to tell whether this

  19. "Helping Communities To Help Themselves." Twenty 1989 Exemplary Prevention Programs for Preventing Alcohol and Other Drug Abuse. Project Summaries.

    Science.gov (United States)

    National Association of State Alcohol and Drug Abuse Directors, Inc.

    Twenty exemplary substance abuse prevention programs are presented in this document. These programs are included: (1) Tuba City, Arizona, Fetal Alcohol Syndrome (FAS) Prevention Program; (2) Chemical Addiction Course, University of Arkansas; (3) "Teens Are Concerned" of Arkansas; (4) "Dare to be You of Colorado"; (5) Winyan…

  20. A National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents.

    Science.gov (United States)

    Mody, Lona; Greene, M Todd; Meddings, Jennifer; Krein, Sarah L; McNamara, Sara E; Trautner, Barbara W; Ratz, David; Stone, Nimalie D; Min, Lillian; Schweon, Steven J; Rolle, Andrew J; Olmsted, Russell N; Burwen, Dale R; Battles, James; Edson, Barbara; Saint, Sanjay

    2017-08-01

    .95; 95% CI, 0.88-1.03; P = .26) in adjusted analyses. The number of urine cultures ordered for all residents decreased from 3.49 per 1000 resident-days to 3.08 per 1000 resident-days. Similarly, after adjustment, the rates were shown to decrease from 3.52 to 3.09 (IRR, 0.85; 95% CI, 0.77-0.94; P = .001). In a large-scale, national implementation project involving community-based nursing homes, combined technical and socioadaptive catheter-associated UTI prevention interventions successfully reduced the incidence of catheter-associated UTIs.

  1. The process evaluation of It's Your Move!, an Australian adolescent community-based obesity prevention project

    Directory of Open Access Journals (Sweden)

    Simmons Annie M

    2010-07-01

    Full Text Available Abstract Background Evidence on interventions for preventing unhealthy weight gain in adolescents is urgently needed. The aim of this paper is to describe the process evaluation for a three-year (2005-2008 project conducted in five secondary schools in the East Geelong/Bellarine region of Victoria, Australia. The project, 'It's Your Move!' aimed to reduce unhealthy weight gain by promoting healthy eating patterns, regular physical activity, healthy body weight, and body size perception amongst youth; and improve the capacity of families, schools, and community organisations to sustain the promotion of healthy eating and physical activity in the region. Methods The project was supported by Deakin University (training and evaluation, a Reference Committee (strategic direction, budgetary approval and monitoring and a Project Management Committee (project delivery. A workshop of students, teachers and other stakeholders formulated a 10-point action plan, which was then translated into strategies and initiatives specific to each school by the School Project Officers (staff members released from teaching duties one day per week and trained Student Ambassadors. Baseline surveys informed intervention development. Process data were collected on all intervention activities and these were collated and enumerated, where possible, into a set of mutually exclusive tables to demonstrate the types of strategies and the dose, frequency and reach of intervention activities. Results The action plan included three guiding objectives, four on nutrition, two on physical activity and one on body image. The process evaluation data showed that a mix of intervention strategies were implemented, including social marketing, one-off events, lunch time and curriculum programs, improvements in infrastructure, and healthy school food policies. The majority of the interventions were implemented in schools and focused on capacity building and healthy eating strategies as

  2. The process evaluation of It's Your Move!, an Australian adolescent community-based obesity prevention project.

    Science.gov (United States)

    Mathews, Louise B; Moodie, Marj M; Simmons, Annie M; Swinburn, Boyd A

    2010-07-30

    Evidence on interventions for preventing unhealthy weight gain in adolescents is urgently needed. The aim of this paper is to describe the process evaluation for a three-year (2005-2008) project conducted in five secondary schools in the East Geelong/Bellarine region of Victoria, Australia. The project, 'It's Your Move!' aimed to reduce unhealthy weight gain by promoting healthy eating patterns, regular physical activity, healthy body weight, and body size perception amongst youth; and improve the capacity of families, schools, and community organisations to sustain the promotion of healthy eating and physical activity in the region. The project was supported by Deakin University (training and evaluation), a Reference Committee (strategic direction, budgetary approval and monitoring) and a Project Management Committee (project delivery). A workshop of students, teachers and other stakeholders formulated a 10-point action plan, which was then translated into strategies and initiatives specific to each school by the School Project Officers (staff members released from teaching duties one day per week) and trained Student Ambassadors. Baseline surveys informed intervention development. Process data were collected on all intervention activities and these were collated and enumerated, where possible, into a set of mutually exclusive tables to demonstrate the types of strategies and the dose, frequency and reach of intervention activities. The action plan included three guiding objectives, four on nutrition, two on physical activity and one on body image. The process evaluation data showed that a mix of intervention strategies were implemented, including social marketing, one-off events, lunch time and curriculum programs, improvements in infrastructure, and healthy school food policies. The majority of the interventions were implemented in schools and focused on capacity building and healthy eating strategies as physical activity practices were seen by the teachers as

  3. Using logic models in a community-based agricultural injury prevention project.

    Science.gov (United States)

    Helitzer, Deborah; Willging, Cathleen; Hathorn, Gary; Benally, Jeannie

    2009-01-01

    The National Institute for Occupational Safety and Health has long promoted the logic model as a useful tool in an evaluator's portfolio. Because a logic model supports a systematic approach to designing interventions, it is equally useful for program planners. Undertaken with community stakeholders, a logic model process articulates the underlying foundations of a particular programmatic effort and enhances program design and evaluation. Most often presented as sequenced diagrams or flow charts, logic models demonstrate relationships among the following components: statement of a problem, various causal and mitigating factors related to that problem, available resources to address the problem, theoretical foundations of the selected intervention, intervention goals and planned activities, and anticipated short- and long-term outcomes. This article describes a case example of how a logic model process was used to help community stakeholders on the Navajo Nation conceive, design, implement, and evaluate agricultural injury prevention projects.

  4. Environmental Restoration Program pollution prevention checklist guide for the feasibility study project phase

    International Nuclear Information System (INIS)

    1993-09-01

    Feasibility studies (FS) determine what remedial alternatives are presented to regulators for site cleanup. A key consideration in this process is the waste to be generated. Minimizing the volume and toxicity of this waste will ultimately contribute to the selection of the best remedial option. The purpose of this checklist guide is to assist the user in incorporating pollution prevention/waste minimization (PP/WM) in all FS phase projects of the Environmental Restoration (ER) Program. This guide will help users document PP/WM activities for technology transfer and reporting requirements. Automated computer screens will be created from the checklist data to assist users with implementing and evaluating waste reduction. Users can then establish numerical performance measures to measure progress in planning, training, self-assessments, field implementation, documentation, and technology transfer. Cost savings result as users train and assess themselves and perform preliminary waste assessments

  5. Environmental Restoration Program pollution prevention checklist guide for the facility characterization project phase

    International Nuclear Information System (INIS)

    1993-09-01

    A facility characterization (FC) is conducted to determine the nature and extent contamination at a potential hazardous facility waste site. The information gathered during an FC includes (1) data on the volume and chemical nature of the waste, (2) information on the extent of contamination and the migration potential of the contaminants, (3) preliminary information on evaluation of alternative concepts that can or cannot be considered, and (4)supportive technical and cost data. For the purposes of identification, the following operational phases will be used for definition for this phase of the decommissioning and decontamination process (1) facility characterization before clean up, (2) characterization during clean up, (3) characterization of waste materials, and (4) site characterization after clean up. A key consideration in this process is the prevention of any waste to be generated from these characterization activities. The purpose of this checklist guide is to assist users with incorporating pollution prevention/waste minimization (PP/WM) in all FC phase projects of the Environmental Restoration (ER) Program. This guide will help users document PP/WM activities for technology transfer and reporting requirements. Automated computer screens will be created from the checklist data to assist users with implementing and evaluating waste reduction

  6. Environmental Restoration Program pollution prevention checklist guide for the surveillance and maintenance project phase

    International Nuclear Information System (INIS)

    1993-09-01

    DOE Order 5820.2 mandates that a surveillance and maintenance program be established in all shut-down facilities to ensure adequate containment of contamination, provide physical safety and security, and reduce potential public and environmental hazards. A key consideration in this process is the prevention of any waste to be generated from these activities. The purpose of this checklist guide is to assist the user with incorporating pollution prevention/waste minimization (PP/WM) in all Surveillance and Maintenance (S ampersand M) phase projects of the Environmental Restoration (ER) Program. This guide will help users document their PP/WM activities for technology transfer and reporting requirements. Automated computer screens will be created from the checklist data to assist users with implementing and evaluating waste reduction. Users can then establish numerical performance measures to measure progress in planning, training, self-assessments, field implementation, documentation, and technology transfer. Cost savings result as users train and assess themselves and perform preliminary waste assessments

  7. Prevented Mortality and Greenhouse Gas Emissions From Historical and Projected Nuclear Power

    Science.gov (United States)

    Kharecha, Pushker A.; Hansen, James E.

    2013-01-01

    In the aftermath of the March 2011 accident at Japan's Fukushima Daiichi nuclear power plant, the future contribution of nuclear power to the global energy supply has become somewhat uncertain. Because nuclear power is an abundant, low-carbon source of base-load power, it could make a large contribution to mitigation of global climate change and air pollution. Using historical production data, we calculate that global nuclear power has prevented an average of 1.84 million air pollution-related deaths and 64 gigatonnes of CO2-equivalent (GtCO2-eq) greenhouse gas (GHG) emissions that would have resulted from fossil fuel burning. On the basis of global projection data that take into account the effects of the Fukushima accident, we find that nuclear power could additionally prevent an average of 420 000-7.04 million deaths and 80-240 GtCO2-eq emissions due to fossil fuels by midcentury, depending on which fuel it replaces. By contrast, we assess that large-scale expansion of unconstrained natural gas use would not mitigate the climate problem and would cause far more deaths than expansion of nuclear power.

  8. PREVENTING POLLUTION USING ISO 14001 AT A PARTICLE ACCELERATOR THE RELATIVISTIC HEAVY ION COLLIDER PROJECT

    International Nuclear Information System (INIS)

    BRIGGS, S.L.K.; MUSOLINO, S.V.

    2001-01-01

    In early 1997 Brookhaven National Laboratory (BNL) discovered that the spent fuel pool of their High Flux Beam Reactor was leaking tritium into the groundwater. Community members, activist groups, politicians and regulators were outraged with the poor environmental management practices at BNL. The reactor was shut down and the Department of Energy (DOE) terminated the contract with the existing Management Company. At this same time, a major new scientific facility, the Relativistic Heavy Ion Collider (RHIC), was nearing the end of construction and readying for commissioning. Although environmental considerations had been incorporated into the design of the facility; some interested parties were skeptical that this new facility would not cause significant environmental impacts. RHIC management recognized that the future of its operation was dependent on preventing pollution and allaying concerns of its stakeholders. Although never done at a DOE National Laboratory before Brookhaven Science Associates, the new management firm, committed to implementing an Environmental Management System (EMS) and RHIC managers volunteered to deploy it within their facility on an extremely aggressive schedule. Several of these IS0 requirements contribute directly to preventing pollution, an area where particular emphasis was placed. This paper describes how Brookhaven used the following key IS0 14001 elements to institutionalize Pollution Prevention concepts: Environmental Policy, Aspects, Objectives and Targets, Environmental Management Program, Structure and Responsibility, Operational Controls, Training, and Management Review. In addition, examples of implementation at the RHIC Project illustrate how BNL's premiere facility was able to demonstrate to interested parties that care had been taken to implement technological and administrative controls to minimize environmental impacts, while at the same time reduce the applicability of regulatory requirements to their operations

  9. [Resource support as the basis of projects for the prevention of violence and addiction].

    Science.gov (United States)

    Keupp, Heiner

    2004-10-01

    Lastingly effective projects for the prevention of violence and addiction must ask which resources adolescents require for coping with their lives. A central criteria for a successful life is the creation of coherence in one's inner life and thus the basis for becoming capable of functioning in society. In earlier social eras, the readiness to take on ready-made identity packages was the central criteria for coping with life. Today, this depends on individual adaptation and identity work, and thus the capability for self-organisation, for "intentionality" or "embedding". Children and young people need "free spaces" in their worlds, in order to be able to outline themselves and to act formatively upon their everyday environment. The future prospects of adolescents depend upon their options for learning the "craft of freedom". Sustainable key qualifications for coping with life in globalised, digital capitalism must grasp education as a hard-headed process in which the subject's capacity for self-organisation is to be given optimal encouragement, so that the patchwork of their own identity can succeed as a self-determined creative project.

  10. The Help-line "Invito alla Vita": a new project for suicide prevention in Trentino region.

    Science.gov (United States)

    Di Napoli, Wilma; Andreatta, Olaf

    2014-11-01

    "Invito alla Vita" is a community-based suicide prevention project that officially started in Trentino in late 2008. The project was promoted by the local Health Services, trying from the beginning to involve other community subjects, and has been working over five years and a half in different directions, particularly promoting a phone help-line. The aims of the Invito alla Vita (IaV) Help Line have been clear from the beginning: decrease the sense of loneliness, offer encouragement and support, promote engagement with health services, reduce stigma and prejudice. Contrary to popular misconceptions, talking with people about suicide will not increase suicide risk, neither will it induce patients to commit suicide.The volunteers involved in the IaV help-line offer people empathic listening without judgment and easy tips, to reduce loneliness, sadness and supply reassurance that other people care. In this study we tried to deepen our knowledges about the volunteers' motivations and necessities to use them for creating a better system of support: we realized indeed that continuous training and supervision, along with official awards given by community institutions, are basic factors to sustain the volunteers' motives to cooperate with the help line.

  11. Knowledge exchange in the Pacific: The TROPIC (Translational Research into Obesity Prevention Policies for Communities) project

    Science.gov (United States)

    2012-01-01

    Background Policies targeting obesogenic environments and behaviours are critical to counter rising obesity rates and lifestyle-related non-communicable diseases (NCDs). Policies are likely to be most effective and enduring when they are based on the best available evidence. Evidence-informed policy making is especially challenging in countries with limited resources. The Pacific TROPIC (Translational Research for Obesity Prevention in Communities) project aims to implement and evaluate a tailored knowledge-brokering approach to evidence-informed policy making to address obesity in Fiji, a Pacific nation challenged by increasingly high rates of obesity and concomitant NCDs. Methods The TROPIC project draws on the concept of ‘knowledge exchange’ between policy developers (individuals; organisations) and researchers to deliver a knowledge broking programme that maps policy environments, conducts workshops on evidence-informed policy making, supports the development of evidence-informed policy briefs, and embeds evidence-informed policy making into organisational culture. Recruitment of government and nongovernment organisational representatives will be based on potential to: develop policies relevant to obesity, reach broad audiences, and commit to resourcing staff and building a culture that supports evidence-informed policy development. Workshops will increase awareness of both obesity and policy cycles, as well as develop participants’ skills in accessing, assessing and applying relevant evidence to policy briefs. The knowledge-broking team will then support participants to: 1) develop evidence-informed policy briefs that are both commensurate with national and organisational plans and also informed by evidence from the Pacific Obesity Prevention in Communities project and elsewhere; and 2) collaborate with participating organisations to embed evidence-informed policy making structures and processes. This knowledge broking initiative will be evaluated via

  12. Validity and Reliability of a Parental Self-Efficacy Instrument in the Healthy School Start Prevention Trial of Childhood Obesity

    Science.gov (United States)

    Bohman, Benjamin; Nyberg, Gisela; Sundblom, Elinor; Schäfer Elinder, Liselotte

    2014-01-01

    Introduction: Measures of parental self-efficacy (PSE) for healthy dietary or physical activity (PA) behaviors in children have been used in several studies; however, further psychometric validation of PSE for these behaviors is needed. The purpose of the present study was to evaluate the psychometric properties of a new PSE instrument. Methods:…

  13. Interdisciplinary Approach to Fall Prevention in a High-Risk Inpatient Pediatric Population: Quality Improvement Project.

    Science.gov (United States)

    Stubbs, Kendra E; Sikes, Lindsay

    2017-01-01

    Within a tertiary care pediatric medical center, the largest number of inpatient falls (8.84 falls per 1,000 patient days) occurred within a 14-bed rehabilitation/transitional care unit between February and September 2009. An interdisciplinary fall prevention program, called "Red Light, Green Light," was developed to better educate all staff and family members to ensure safety of transfers and ambulation of children with neurological impairments. The purpose of this study was to develop and implement an interdisciplinary pediatric fall prevention program to reduce total falls and falls with family members present in this population. Preintervention 2009 data and longitudinal data from 2010-2014 were obtained from retrospective review of event/incident reports. This quality improvement project was based on inpatient pediatric admissions to a rehabilitation care unit accommodating children with neurological impairments. Data extraction included: total falls, falls with caregiver (alone versus staff versus family), type of falls, and falls by diagnosis. Descriptive statistics were obtained on outcome measures; chi-square statistics were calculated on preintervention and postintervention comparisons. Total falls decreased steadily from 8.84 falls per 1,000 patient days in 2009 to 1.79 falls per 1,000 patient days in 2014 (χ12=3.901, P=.048). Falls with family members present decreased 50% postintervention. (χ12=6.26, P=.012). Limitations included unit size nearly doubled postintervention, event reporting changed to both uncontrolled and controlled therapy falls (safely lowering patient to bed, chair, or floor), and enhanced reporting increased numbers of postintervention falls. The Red Light, Green Light program has resulted in reductions in overall fall rates, falls with family members present, increased staff collaboration, heightened staff and family safety awareness, and a safer environment for patients at high risk for neurological or musculoskeletal impairments

  14. Is Project Towards No Drug Abuse (Project TND) an evidence-based drug and violence prevention program? A review and reappraisal of the evaluation studies.

    Science.gov (United States)

    Gorman, Dennis M

    2014-08-01

    This paper critically reviews the published evidence pertaining to Project Towards No Drug Abuse (Project TND). Publications from seven evaluation studies of Project TND are reviewed, and the results from these are discussed as related to the following outcomes: main effects on the use of cigarettes, alcohol and marijuana; main effects on the use of "hard drugs," defined in the evaluations as cocaine, hallucinogens, stimulants, inhalants, ecstasy and other drugs (e.g., depressants, PCP, steroids and heroin); subgroup and interaction analyses of drug use; and violence-related behaviors. Very few main effects have been found for cigarette, alcohol and marijuana use in the Project TND evaluations. While studies do report main effects for hard drug use, these findings are subject to numerous threats to validity and may be attributable to the data analyses employed. Similarly, while isolated subgroup and interaction effects were found for alcohol use among baseline nonusers and some violence-related behaviors in the early Project TND evaluations, these findings have not been replicated in more recent studies and may result from multiple comparisons between study conditions. In conclusion, there is little evidence to support the assertion that Project TND is an effective drug or violence prevention program. The broader implications of these findings for prevention science are discussed and suggestions are made as to how the quality of research in the field might be improved.

  15. Multicenter Quality Improvement Project to Prevent Sternal Wound Infections in Pediatric Cardiac Surgery Patients.

    Science.gov (United States)

    Woodward, Cathy; Taylor, Richard; Son, Minnette; Taeed, Roozbeh; Jacobs, Marshall L; Kane, Lauren; Jacobs, Jeffrey P; Husain, S Adil

    2017-07-01

    Children undergoing cardiac surgery are at risk for sternal wound infections (SWIs) leading to increased morbidity and mortality. Single-center quality improvement (QI) initiatives have demonstrated decreased infection rates utilizing a bundled approach. This multicenter project was designed to assess the efficacy of a protocolized approach to decrease SWI. Pediatric cardiac programs joined a collaborative effort to prevent SWI. Programs implemented the protocol, collected compliance data, and provided data points from local clinical registries using Society of Thoracic Surgery Congenital Heart Surgery Database harvest-compliant software or from other registries. Nine programs prospectively collected compliance data on 4,198 children. Days between infections were extended from 68.2 days (range: 25-82) to 130 days (range: 43-412). Protocol compliance increased from 76.7% (first quarter) to 91.3% (final quarter). Ninety (1.9%) children developed an SWI preprotocol and 64 (1.5%) postprotocol, P = .18. The 657 (15%) delayed sternal closure patients had a 5% infection rate with 18 (5.7%) in year 1 and 14 (4.3%) in year 2 P = .43. Delayed sternal closure patients demonstrated a trend toward increased risk for SWI of 1.046 for each day the sternum remained open, P = .067. Children who received appropriately timed preop antibiotics developed less infections than those who did not, 1.9% versus 4.1%, P = .007. A multicenter QI project to reduce pediatric SWIs demonstrated an extension of days between infections and a decrease in SWIs. Patients who received preop antibiotics on time had lower SWI rates than those who did not.

  16. "Smoking in Children's Environment Test": a qualitative study of experiences of a new instrument applied in preventive work in child health care

    OpenAIRE

    Carlsson, Noomi; Alehagen, Siw; Andersson G?re, Boel; Johansson, AnnaKarin

    2011-01-01

    Background Despite knowledge of the adverse health effects of passive smoking, children are still   being exposed. Children's nurses play an important role in tobacco preventive work   through dialogue with parents aimed at identifying how children can be protected from   environmental tobacco smoke (ETS) exposure. The study describes the experiences of   Child Health Care (CHC) nurses when using the validated instrument SiCET (Smoking   in Children's Environment Test) in dialogue with parent...

  17. Risk and direct protective factors for youth violence: results from the Centers for Disease Control and Prevention's Multisite Violence Prevention Project.

    Science.gov (United States)

    Henry, David B; Tolan, Patrick H; Gorman-Smith, Deborah; Schoeny, Michael E

    2012-08-01

    This study was conducted as part of a multisite effort to examine risk and direct protective factors for youth violence. The goal was to identify those factors in the lives of young people that increase or decrease the risk of violence. These analyses fill an important gap in the literature, as few studies have examined risk and direct protective factors for youth violence across multiple studies. Data on 4432 middle-school youth, from the CDC Multisite Violence Prevention Project were used. Evaluations were made of effects of variables coded as risk and direct protective factors in the fall of 6th grade on violence measured in spring of 7th and 8th grades. Factors tested included depression, delinquency, alcohol and drug involvement, involvement in family activities, academic achievement, attitudes toward school, truancy, and peer deviance. Most variables were coded with two sets of dummy variables indicating risk and protective directions of effects. Results showed that higher teacher-rated study skills were associated with lower subsequent violence across genders and ethnic groups. Affiliation with deviant peers was significantly associated with increased subsequent violence among youth reporting their race/ethnicity as white or other, marginally associated with increased violence among African-American youth, and unrelated among Latino youth. This study identified some factors than should be areas of interest for effective prevention programs. Some ethnic differences also should be considered in planning of prevention. The CDC Multisite Violence Prevention Project completed enrollment prior to July 2005. Copyright © 2012. Published by Elsevier Inc.

  18. Hearing loss prevention for carpenters: Part 2 - Demonstration projects using individualized and group training

    Directory of Open Access Journals (Sweden)

    Mark R Stephenson

    2011-01-01

    Full Text Available Two demonstration projects were conducted to evaluate the effectiveness of a comprehensive training program for carpenters. This training was paired with audiometry and counseling and a survey of attitudes and beliefs in hearing loss prevention. All participants received hearing tests, multimedia instruction on occupational noise exposure/hearing loss, and instruction and practice in using a diverse selection of hearing protection devices (HPDs. A total of 103 apprentice carpenters participated in the Year 1 training, were given a large supply of these HPDs, and instructions on how to get additional free supplies if they ran out during the 1-year interval between initial and follow-up training. Forty-two participants responded to the survey a second time a year later and completed the Year 2 training. Significant test-retest differences were found between the pre-training and the post-training survey scores. Both forms of instruction (individual versus group produced equivalent outcomes. The results indicated that training was able to bring all apprentice participants up to the same desired level with regard to attitudes, beliefs, and behavioral intentions to use hearing protection properly. It was concluded that the health communication models used to develop the educational and training materials for this effort were extremely effective.

  19. Amoco-US Environmental Protection Agency, pollution prevention project, Yorktown, Virginia: Surface water data

    International Nuclear Information System (INIS)

    Baloo, S.

    1991-08-01

    The report summarizes the surface water sampling program at the Amoco Refinery at Yorktown, Virginia. This was undertaken as a part of the joint project between Amoco Corporation and the United States Environmental Protection Agency to review pollution prevention alternatives at a petroleum refinery. The surface water data provides a snapshot of surface water pollutant generation and discharge from the refinery. Different process units contribute to the total wastewater flow of 460 GPM in the refinery. Water in the ditch system, which is non-process water, is free of organic contamination. Oil and grease, phenols, ammonia and sulfides are the significant components measured in the process wastewater. The concentrations of organics in most water streams leaving the individual process units are relatively low, in the 1-5 parts per million (ppm) range. A few individual streams such as the crude desalter brine and tank water draws have high pollutant loadings. Concentrations of metals in the refinery wastewater are very low. The wastewater treatment plant is very effective in reducing the pollutant loading in the water with overall removal efficiencies greater than 99% for most organics and inorganics

  20. Environmental restoration program pollution prevention checklist guide for the evaluation of alternatives project phase

    International Nuclear Information System (INIS)

    1993-09-01

    Evaluation of alternative studies determine what decontamination and decommissioning (D ampersand D) alternatives are presented to regulators for facility and site cleanup. A key consideration in this process is the waste to be generated. Minimizing the volume and toxicity of this waste will ultimately contribute to the selection of the best clean-up option. The purpose of this checklist guide is to assist the user with incorporating pollution prevention/waste minimization (PP/WM) in all Evaluation of Alternatives (EV) phase projects of the Environmental Restoration (ER) Program. This guide will assist users with documenting PP/WM activities for technology transfer and reporting requirements. Automated computer screens will be created from the checklist data to help users implement and evaluate waste reduction. Users can then establish numerical performance measures to measure progress in planning, training, self-assessments, field implementation, documentation, and technology transfer. Cost savings result as users train and assess themselves, eliminating expensive process waste assessments and audit teams

  1. Preventing diarrhoea with household ceramic water filters: assessment of a pilot project in Bolivia.

    Science.gov (United States)

    Clasen, Thomas F; Brown, Joseph; Collin, Simon M

    2006-06-01

    In an attempt to prevent diarrhoea in a rural community in central Bolivia, an international non-governmental organization implemented a pilot project to improve drinking water quality using gravity-fed, household-based, ceramic water filters. We assessed the performance of the filters by conducting a five-month randomized controlled trial among all 60 households in the pilot community. Water filters eliminated thermotolerant (faecal) coliforms from almost all intervention households and significantly reduced turbidity, thereby improving water aesthetics. Most importantly, the filters were associated with a 45.3% reduction in prevalence of diarrhoea among the study population (p = 0.02). After adjustment for household clustering and repeated episodes in individuals and controlling for age and baseline diarrhoea, prevalence of diarrhoea among the intervention group was 51% lower than controls, though the protective effect was only borderline significant (OR 0.49, 95% CI: 0.24, 1.01; p = 0.05). A follow-up survey conducted approximately 9 months after deployment of the filters found 67% being used regularly, 13% being used intermittently, and 21% not in use. Water samples from all regularly used filters were free of thermotolerant coliforms.

  2. The television, school, and family smoking prevention and cessation project. VIII. Student outcomes and mediating variables.

    Science.gov (United States)

    Flay, B R; Miller, T Q; Hedeker, D; Siddiqui, O; Britton, C F; Brannon, B R; Johnson, C A; Hansen, W B; Sussman, S; Dent, C

    1995-01-01

    This paper presents the student outcomes of a large-scale, social-influences-based, school and media-based tobacco use prevention and cessation project in Southern California. The study provided an experimental comparison of classroom delivery with television delivery and the combination of the two in a 2 x 2 plus 1 design. Schools were randomly assigned to conditions. Control groups included "treatment as usual" and an "attention control" with the same outcome expectancies as the treatment conditions. Students were surveyed twice in grade 7 and once in each of grades 8 and 9. The interventions occurred during grade 7. We observed significant effects on mediating variables such as knowledge and prevalence estimates, and coping effort. The knowledge and prevalence estimates effects decayed partially but remained significant up to a 2-year follow-up. The coping effort effect did not persist at follow-ups. There were significant main effects of both classroom training and TV programming on knowledge and prevalence estimates and significant interactions of classroom and TV programming on knowledge (negative), disapproval of parental smoking, and coping effort. There were no consistent program effects on refusal/self-efficacy, smoking intentions, or behavior. Previous reports demonstrated successful development and pilot testing of program components and measures and high acceptance of the program by students and parents. The lack of behavioral effects may have been the result of imperfect program implementation or low base rates of intentions and behavior.

  3. The Texts of the Instruments concerning the Agency's Assistance to Indonesia for the Continuation of a Research Reactor Project. A Third Supply Agreement and an Amendment to the Project Agreement

    International Nuclear Information System (INIS)

    1981-02-01

    As a sequel to the assistance with the Agency has provided to the Government of Indonesia for the continuation of a research reactor project, a Third Supply Agreement has been concluded between the Agency and the Governments of Indonesia and the United States of America. In this connection, an Amendment to the Project Agreement of 19 December 1969 has been concluded between the Agency and the Government of Indonesia. Both the Third Supply Agreement and the Amendment to the Project Agreement entered into force on 7 December 1979, pursuant to Article VI and IV respectively. The texts of both instruments are reproduced in this document for the information of all Members.

  4. A Mediation Analysis of a Tobacco Prevention Program for Adolescents in India: How Did Project MYTRI Work?

    Science.gov (United States)

    Stigler, Melissa Harrell; Perry, Cheryl L.; Smolenski, Derek; Arora, Monika; Reddy, K. Srinath

    2011-01-01

    This article presents the results of a mediation analysis of Project MYTRI (Mobilizing Youth for Tobacco Related Initiatives in India), a randomized, controlled trial of a multiple-component, school-based tobacco prevention program for sixth- to ninth-graders (n = 14,085) in Delhi and Chennai, India. A mediation analysis identifies "how"…

  5. Goal Attainment Scaling: A Primary Method of Treatment and Program Evaluation in Project SAIL - A Special Education Dropout Prevention Program.

    Science.gov (United States)

    Harris, Linda Hall; Thompson, John L.

    The manual discusses Project SAIL's (a special dropout prevention program) use of Goal Attainment Scaling as part of individualized education plans in the treatment of troubled adolescents and in overall program evaluation. The scaling is characterized as an explicit, respectful treatment contact through which the adolescent can learn to set…

  6. The TARGET project in Tuscany: the first disease management model of a regional project for the prevention of hip re-fractures in the elderly.

    Science.gov (United States)

    Piscitelli, Prisco; Brandi, Maria Luisa; Nuti, Ranuccio; Rizzuti, Carla; Giorni, Loredano; Giovannini, Valtere; Metozzi, Alessia; Merlotti, Daniela

    2010-09-01

    The official inquiry on osteoporosis in Italy, promoted by the Italian Senate in 2002 concluded that proper preventive strategies should be adopted at regional level in order to prevent osteoporotic fractures. Tuscany is the first Italian region who has promoted an official program (the TARGET project) aimed to reduce osteoporotic fractures by ensuring adequate treatment to all people aged ≥65 years old who experience a hip fragility fracture. this paper provides information concerning the implementation of TARGET project in Tuscany, assuming that it may represent an useful model for similar experiences to be promoted in other Italian Regions and across Europe. we have examined the model proposed for the regional program, and we have particularly analyzed the in-hospital and post-hospitalization path of hip fractured patients aged >65 years old in Tuscany after the adoption of TARGET project by Tuscany healthcare system and during its ongoing start-up phase. orthopaedic surgeons have been gradually involved in the project and are increasingly fulfilling all the clinical prescriptions and recommendations provided in the project protocol. Different forms of cooperation between orthopaedic surgeons and other clinical specialists have been adopted at each hospital for the treatment of hip fractured elderly patients. GPs involvement needs to be fostered both at regional and local level. The effort of Tuscany region to cope with hip fractures suffered from elderly people must be acknowledged as an interesting way of addressing this critical health problem. Specific preventive strategies modelled on the Tuscany TARGET project should be implemented in other Italian regions.

  7. Troubleshooting in nuclear instruments

    International Nuclear Information System (INIS)

    1987-06-01

    This report on troubleshooting of nuclear instruments is the product of several scientists and engineers, who are closely associated with nuclear instrumentation and with the IAEA activities in the field. The text covers the following topics: Preamplifiers, amplifiers, scalers, timers, ratemeters, multichannel analyzers, dedicated instruments, tools, instruments, accessories, components, skills, interfaces, power supplies, preventive maintenance, troubleshooting in systems, radiation detectors. The troubleshooting and repair of instruments is illustrated by some real examples

  8. Prevention

    DEFF Research Database (Denmark)

    Halken, S; Høst, A

    2001-01-01

    , breastfeeding should be encouraged for 4-6 months. In high-risk infants a documented extensively hydrolysed formula is recommended if exclusive breastfeeding is not possible for the first 4 months of life. There is no evidence for preventive dietary intervention neither during pregnancy nor lactation...... populations. These theories remain to be documented in proper, controlled and prospective studies. Breastfeeding and the late introduction of solid foods (>4 months) is associated with a reduced risk of food allergy, atopic dermatitis, and recurrent wheezing and asthma in early childhood. In all infants....... Preventive dietary restrictions after the age of 4-6 months are not scientifically documented....

  9. Development and evaluation of the OHCITIES instrument: assessing alcohol urban environments in the Heart Healthy Hoods project.

    Science.gov (United States)

    Sureda, Xisca; Espelt, Albert; Villalbí, Joan R; Cebrecos, Alba; Baranda, Lucía; Pearce, Jamie; Franco, Manuel

    2017-10-05

    To describe the development and test-retest reliability of OHCITIES, an instrument characterising alcohol urban environment in terms of availability, promotion and signs of consumption. This study involved: (1) developing the conceptual framework for alcohol urban environment by means of literature reviewing and previous alcohol environment research experience; (2) pilot testing and redesigning the instrument; (3) instrument digitalisation; (4) instrument evaluation using test-retest reliability. Data for testing the reliability of the instrument were collected in seven census sections in Madrid in 2016 by two observers. We computed per cent agreement and Cohen's kappa coefficients to estimate inter-rater and test-retest reliability for alcohol outlet environment measures. We calculated interclass coefficients and their 95% CIs to provide a measure of inter-rater reliability for signs of alcohol consumption measures. We collected information on 92 on-premise and 24 off-premise alcohol outlets identified in the studied areas about availability, accessibility and promotion of alcohol. Most per cent-agreement values for alcohol measures in on-premise and off-premise alcohol outlets were greater than 80%, and inter-rater and test-retest reliability values were generally above 0.80. Observers identified 26 streets and 3 public squares with signs of alcohol consumption. Intraclass correlation coefficient between observers for any type of signs of alcohol consumption was 0.50 (95% CI -0.09 to 0.77). Few items promoting alcohol unrelated to alcohol outlets were found on public spaces. The OHCITIES instrument is a reliable instrument to characterise alcohol urban environment. This instrument might be used to understand how alcohol environment associates with alcohol behaviours and its related health outcomes, and can help in the design and evaluation of policies to reduce the harm caused by alcohol. © Article author(s) (or their employer(s) unless otherwise stated in the

  10. Development and evaluation of the OHCITIES instrument: assessing alcohol urban environments in the Heart Healthy Hoods project

    Science.gov (United States)

    Sureda, Xisca; Espelt, Albert; Villalbí, Joan R; Cebrecos, Alba; Baranda, Lucía; Pearce, Jamie; Franco, Manuel

    2017-01-01

    Objectives To describe the development and test–retest reliability of OHCITIES, an instrument characterising alcohol urban environment in terms of availability, promotion and signs of consumption. Design This study involved: (1) developing the conceptual framework for alcohol urban environment by means of literature reviewing and previous alcohol environment research experience; (2) pilot testing and redesigning the instrument; (3) instrument digitalisation; (4) instrument evaluation using test–retest reliability. Setting Data for testing the reliability of the instrument were collected in seven census sections in Madrid in 2016 by two observers. Primary and secondary outcome measures We computed per cent agreement and Cohen’s kappa coefficients to estimate inter-rater and test–retest reliability for alcohol outlet environment measures. We calculated interclass coefficients and their 95% CIs to provide a measure of inter-rater reliability for signs of alcohol consumption measures. Results We collected information on 92 on-premise and 24 off-premise alcohol outlets identified in the studied areas about availability, accessibility and promotion of alcohol. Most per cent-agreement values for alcohol measures in on-premise and off-premise alcohol outlets were greater than 80%, and inter-rater and test–retest reliability values were generally above 0.80. Observers identified 26 streets and 3 public squares with signs of alcohol consumption. Intraclass correlation coefficient between observers for any type of signs of alcohol consumption was 0.50 (95% CI −0.09 to 0.77). Few items promoting alcohol unrelated to alcohol outlets were found on public spaces. Conclusions The OHCITIES instrument is a reliable instrument to characterise alcohol urban environment. This instrument might be used to understand how alcohol environment associates with alcohol behaviours and its related health outcomes, and can help in the design and evaluation of policies to reduce the

  11. 76 FR 28437 - Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): Initial...

    Science.gov (United States)

    2011-05-17

    ... Preventive Services for Older Adults SIP11-045, and Measuring Impact of Multi-Component Interventions to Prevent Older Adult Falls and Assessing Sustainability and Scalability, SIP 11-046, Panel D,'' initial... SIP11-045, and Measuring Impact of Multi- Component Interventions to Prevent Older Adult Falls and...

  12. Violence prevention in schools: Resilience promotion in the framework of a European practice research project

    Directory of Open Access Journals (Sweden)

    Katharina Rauh

    2014-12-01

    Full Text Available The following article presents the theoretical background, design and evaluation results of the international practice research project Strong implementing strategies of violence prevention in schools by means of resilience promotion. After presenting the results from the quantitative and qualitative results briefly, success factors for the implementation of a prevention strategy are highlighted. Este artigo apresenta o quadro teórico, a conceção e a avaliação dos resultados do projeto internacional Strong de investigação prática no que à implementação de estratégias de prevenção da violência nas escolas diz respeito através da promoção da resiliência. Após a apresentação breve dos resultados quantitativos e qualitativos, serão realçados os fatores de sucesso de uma estratégia de prevenção. En este artículo se presenta el marco teórico, el diseño y la evaluación de los resultados del proyecto internacional de investigación práctica Strong de la implementación de estrategias para prevenir la violencia en las escuelas mediante la promoción de la resiliencia. Después de la breve presentación de los resultados cuantitativos y cualitativos se destacarán los factores de éxito de una estrategia de prevención. Cet article présente le cadre théorique, la conception et l'évaluation des résultats du projet international de recherche pratique Strong dans la mise en œuvre de stratégies visant à prévenir la violence dans les écoles préoccupations en favorisant la résilience. Après la brève présentation des résultats quantitatifs et qualitatifs seront mis en évidence les facteurs de réussite d'une stratégie de prévention

  13. Process evaluation of a community-based adolescent obesity prevention project in Tonga.

    Science.gov (United States)

    Fotu, Kalesita F; Moodie, Marj M; Mavoa, Helen M; Pomana, Siosifa; Schultz, Jimaima T; Swinburn, Boyd A

    2011-05-09

    The rising burden of obesity in Tonga is alarming. The promotion of healthy behaviours and environments requires immediate urgent action and a multi-sectoral approach. A three-year community based study titled the Ma'alahi Youth Project (MYP) conducted in Tonga from 2005-2008 aimed to increase the capacity of the whole community (schools, churches, parents and adolescents) to promote healthy eating and regular physical activity and to reduce the prevalence of overweight and obesity amongst youth and their families. This paper reflects on the process evaluation for MYP, against a set of Best Practice Principles for community-based obesity prevention. MYP was managed by the Fiji School of Medicine. A team of five staff in Tonga were committed to planning, implementation and evaluation of a strategic plan, the key planks of which were developed during a two day community workshop. Intervention activities were delivered in villages, churches and schools, on the main island of Tongatapu. Process evaluation data covering the resource utilisation associated with all intervention activities were collected, and analysed by dose, frequency and reach for specific strategies. The action plan included three standard objectives around capacity building, social marketing and evaluation; four nutrition; two physical activity objectives; and one around championing key people as role models. While the interventions included a wide mix of activities straddling across all of these objectives and in both school and village settings, there was a major focus on the social marketing and physical activity objectives. The intervention reach, frequency and dose varied widely across all activities, and showed no consistent patterns. The adolescent obesity interventions implemented as part of the MYP program comprised a wide range of activities conducted in multiple settings, touched a broad spectrum of the population (wider than the target group), but the dose and frequency of activities were

  14. Process evaluation of a community-based adolescent obesity prevention project in Tonga

    Directory of Open Access Journals (Sweden)

    Pomana Siosifa

    2011-05-01

    Full Text Available Abstract Background The rising burden of obesity in Tonga is alarming. The promotion of healthy behaviours and environments requires immediate urgent action and a multi-sectoral approach. A three-year community based study titled the Ma'alahi Youth Project (MYP conducted in Tonga from 2005-2008 aimed to increase the capacity of the whole community (schools, churches, parents and adolescents to promote healthy eating and regular physical activity and to reduce the prevalence of overweight and obesity amongst youth and their families. This paper reflects on the process evaluation for MYP, against a set of Best Practice Principles for community-based obesity prevention. Methods MYP was managed by the Fiji School of Medicine. A team of five staff in Tonga were committed to planning, implementation and evaluation of a strategic plan, the key planks of which were developed during a two day community workshop. Intervention activities were delivered in villages, churches and schools, on the main island of Tongatapu. Process evaluation data covering the resource utilisation associated with all intervention activities were collected, and analysed by dose, frequency and reach for specific strategies. The action plan included three standard objectives around capacity building, social marketing and evaluation; four nutrition; two physical activity objectives; and one around championing key people as role models. Results While the interventions included a wide mix of activities straddling across all of these objectives and in both school and village settings, there was a major focus on the social marketing and physical activity objectives. The intervention reach, frequency and dose varied widely across all activities, and showed no consistent patterns. Conclusions The adolescent obesity interventions implemented as part of the MYP program comprised a wide range of activities conducted in multiple settings, touched a broad spectrum of the population (wider

  15. Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project.

    Science.gov (United States)

    2003-02-01

    International interest in clinical practice guidelines has never been greater but many published guidelines do not meet the basic quality requirements. There have been renewed calls for validated criteria to assess the quality of guidelines. To develop and validate an international instrument for assessing the quality of the process and reporting of clinical practice guideline development. The instrument was developed through a multi-staged process of item generation, selection and scaling, field testing, and refinement procedures. 100 guidelines selected from 11 participating countries were evaluated independently by 194 appraisers with the instrument. Following refinement the instrument was further field tested on three guidelines per country by a new set of 70 appraisers. The final version of the instrument contained 23 items grouped into six quality domains with a 4 point Likert scale to score each item (scope and purpose, stakeholder involvement, rigour of development, clarity and presentation, applicability, editorial independence). 95% of appraisers found the instrument useful for assessing guidelines. Reliability was acceptable for most domains (Cronbach's alpha 0.64-0.88). Guidelines produced as part of an established guideline programme had significantly higher scores on editorial independence and, after the publication of a national policy, had significantly higher quality scores on rigour of development (pinternationally. The instrument is sensitive to differences in important aspects of guidelines and can be used consistently and easily by a wide range of professionals from different backgrounds. The adoption of common standards should improve the consistency and quality of the reporting of guideline development worldwide and provide a framework to encourage international comparison of clinical practice guidelines.

  16. HIV prevention costs and program scale: data from the PANCEA project in five low and middle-income countries

    Directory of Open Access Journals (Sweden)

    Stanley Nicci

    2007-07-01

    Full Text Available Abstract Background Economic theory and limited empirical data suggest that costs per unit of HIV prevention program output (unit costs will initially decrease as small programs expand. Unit costs may then reach a nadir and start to increase if expansion continues beyond the economically optimal size. Information on the relationship between scale and unit costs is critical to project the cost of global HIV prevention efforts and to allocate prevention resources efficiently. Methods The "Prevent AIDS: Network for Cost-Effectiveness Analysis" (PANCEA project collected 2003 and 2004 cost and output data from 206 HIV prevention programs of six types in five countries. The association between scale and efficiency for each intervention type was examined for each country. Our team characterized the direction, shape, and strength of this association by fitting bivariate regression lines to scatter plots of output levels and unit costs. We chose the regression forms with the highest explanatory power (R2. Results Efficiency increased with scale, across all countries and interventions. This association varied within intervention and within country, in terms of the range in scale and efficiency, the best fitting regression form, and the slope of the regression. The fraction of variation in efficiency explained by scale ranged from 26% – 96%. Doubling in scale resulted in reductions in unit costs averaging 34.2% (ranging from 2.4% to 58.0%. Two regression trends, in India, suggested an inflection point beyond which unit costs increased. Conclusion Unit costs decrease with scale across a wide range of service types and volumes. These country and intervention-specific findings can inform projections of the global cost of scaling up HIV prevention efforts.

  17. The Texts of the Instruments connected with the Agency's Assistance to the Democratic Republic of the Congo in Continuing a Research Reactor Project Project. Extension Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1966-11-18

    The text of the Project Extension Agreement between the Agency and the Government of the Democratic Republic of the Congo in connection with the Agency's additional assistance to that Government in continuing a research reactor project is reproduced in this document for the information of all Members. This Agreement entered into force on 27 September 1966.

  18. Sustainable knowledge development across cultural boundaries: Experiences from the EU-project SILMAS (Toolbox for conflict solving instruments in Alpine Lake Management)

    Science.gov (United States)

    Fegerl, Michael; Wieden, Wilfried

    2013-04-01

    Increasingly people have to communicate knowledge across cultural and language boundaries. Even though recent technologies offer powerful communication facilities people often feel confronted with barriers which clearly reduce their chances of making their interaction a success. Concrete evidence concerning such problems derives from a number of projects, where generated knowledge often results in dead-end products. In the Alpine Space-project SILMAS (Sustainable Instruments for Lake Management in Alpine Space), in which both authors were involved, a special approach (syneris® ) was taken to avoid this problem and to manage project knowledge in sustainable form. Under this approach knowledge input and output are handled interactively: Relevant knowledge can be developed continuously and users can always access the latest state of expertise. Resort to the respective tools and procedures can also assist in closing knowledge gaps and in developing innovative responses to familiar or novel problems. This contribution intends to describe possible ways and means which have been found to increase the chances of success of knowledge communication across cultural boundaries. The process of trans-cultural discussions of experts to find a standardized solution is highlighted as well as the problem of dissemination of expert knowledge to variant stakeholders. Finally lessons learned are made accessible, where a main task lies in the creation of a tool box for conflict solving instruments, as a demonstrable result of the project and for the time thereafter. The interactive web-based toolbox enables lake managers to access best practice instruments in standardized, explicit and cross-linguistic form.

  19. The Texts of the Instruments connected with the Agency's Assistance to Finland in Establishing a Sub-Critical Assemblies Project

    International Nuclear Information System (INIS)

    1964-01-01

    The text of the Project Agreement between the Agency and the Government of Finland in connection with the Agency's assistance to that Government in establishing a sub-critical assemblies project is reproduced in Part I of this document for the information of all Members. This Agreement entered into force on 30 July 1963

  20. The Texts of the Instruments connected with the Agency's Assistance to Finland in Establishing a Sub-Critical Assemblies Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1964-02-10

    The text of the Project Agreement between the Agency and the Government of Finland in connection with the Agency's assistance to that Government in establishing a sub-critical assemblies project is reproduced in Part I of this document for the information of all Members. This Agreement entered into force on 30 July 1963.

  1. Project of an integrated calibration laboratory of instruments at IPEN; Projeto de um laboratorio integrado de calibracao de instrumentos no IPEN

    Energy Technology Data Exchange (ETDEWEB)

    Barros, Gustavo Adolfo San Jose

    2009-07-01

    The Calibration Laboratory of Instruments of Instituto de Pesquisas Energeticas e Nucleares offers calibration services of radiation detectors used in radioprotection, diagnostic radiology and radiotherapy, for IPEN and for external facilities (public and private). One part of its facilities is located in the main building, along with other laboratories and study rooms, and another part in an isolated building called Bunker. For the optimization, modernization and specially the safety, the laboratories in the main building shall be transferred to an isolated place. In this work, a project of an integrated laboratory for calibration of instruments was developed, and it will be an expansion of the current Calibration Laboratory of Instruments of IPEN. Therefore, a series of radiometric monitoring of the chosen localization of the future laboratory was realized, and all staff needs (dimensions and disposition of the study rooms and laboratories) were defined. In this project, the laboratories with X ray equipment, alpha and beta radiation sources were located at an isolated part of the building, and the wall shielding was determined, depending on the use of each laboratory. (author)

  2. Longitudinal and postural changes of blood pressure predict dementia: the Malmö Preventive Project.

    Science.gov (United States)

    Holm, Hannes; Nägga, Katarina; Nilsson, Erik D; Melander, Olle; Minthon, Lennart; Bachus, Erasmus; Fedorowski, Artur; Magnusson, Martin

    2017-04-01

    The role of blood pressure (BP) changes in dementia is debatable. We aimed to analyse how resting and postural BP changes relate to incident dementia over a long-term follow-up. In the prospective population-based Malmö Preventive Project, 18,240 study participants (mean age: 45 ± 7 years, 63% male) were examined between 1974 and 1992 with resting and standing BP measurement, and re-examined between 2002 and 2006 at mean age of 68 ± 6 years with resting BP. A total of 428 participants (2.3%) were diagnosed with dementia through Dec 31, 2009. The association of resting and postural BP changes with risk of dementia was studied using multivariable-adjusted Cox regression models controlling for traditional risk factors. Diastolic BP (DBP) decrease on standing indicated higher risk of dementia [Hazard ratio (HR) per 10 mmHg: 1.22; 95% confidence interval (CI) 1.01-1.44, p = 0.036], which was mainly driven by increased risk in normotensive individuals. Higher systolic (SBP) and diastolic BP at re-examination was associated with lower risk of dementia (HR per 10 mmHg: 0.94; 95% CI 0.89-0.99, p = 0.011; and 0.87; 0.78-0.96, p = 0.006, respectively). Extreme decrease in SBP/DBP between baseline and re-examination (4th quartile; -7 ± 12/-15 ± 7 mmHg, respectively) indicated higher risk of dementia (HR 1.46; 95% CI 1.11-1.93, p = 0.008, and 1.54; 95% CI 1.14-2.08, p = 0.005; respectively) compared with reference group characterised by pronounced BP increase over the same period (1st quartile; +44 ± 13/+15 ± 7 mmHg). Diastolic BP decrease on standing in the middle age, decline in BP between middle-and advanced age, and lower BP in advanced age are independent risk factors of developing dementia.

  3. Heat and health in Antwerp under climate change: Projected impacts and implications for prevention

    DEFF Research Database (Denmark)

    Sanchez Martinez, Gerardo; Diaz, Julio; Hooyberghs, Hans

    2018-01-01

    Background Excessive summer heat is a serious environmental health problem in several European cities. Heat-related mortality and morbidity is likely to increase under climate change scenarios without adequate prevention based on locally relevant evidence. Methods We modelled the urban climate...... climate, and the calibration of existing prevention activities in light of locally relevant evidence....

  4. Smoking Cessation and Relapse Prevention among Undergraduate Students: A Pilot Demonstration Project.

    Science.gov (United States)

    Ramsay, Jim; Hoffmann, Anne

    2004-01-01

    The prevalence of college students' tobacco use is widely recognized, but successful cessation and relapse-prevention programs for these smokers have drawn little attention. The authors, who explored the feasibility of training peers to lead cessation and relapse-prevention programs for undergraduates, found a quit rate of 88.2%, suggesting that…

  5. A coordinated school health approach to obesity prevention among Appalachian youth: the Winning with Wellness Pilot Project.

    Science.gov (United States)

    Schetzina, Karen E; Dalton, William T; Lowe, Elizabeth F; Azzazy, Nora; VonWerssowetz, Katrina M; Givens, Connie; Pfortmiller, Deborah T; Stern, H Patrick

    2009-01-01

    Childhood obesity has been an increasing problem in the United States, especially in rural areas. Effective prevention approaches are needed. This article describes the development, implementation, effectiveness, feasibility, and sustainability of a school-based obesity prevention pilot project, Winning with Wellness. The program was based on the coordinated school health model and included a community-based participatory research approach aimed at promoting healthy eating and physical activity in a rural Appalachian elementary school. Findings from this preliminary project revealed improvements in nutrition offerings and increased physical activity during the school day. In addition, the program was found to be acceptable to teachers, successfully implemented utilizing both existing and newly developed resources, and sustainable as evidenced in continued practice and expansion to other area schools.

  6. "Smoking in Children's Environment Test": a qualitative study of experiences of a new instrument applied in preventive work in child health care

    Directory of Open Access Journals (Sweden)

    Carlsson Noomi

    2011-12-01

    Full Text Available Abstract Background Despite knowledge of the adverse health effects of passive smoking, children are still being exposed. Children's nurses play an important role in tobacco preventive work through dialogue with parents aimed at identifying how children can be protected from environmental tobacco smoke (ETS exposure. The study describes the experiences of Child Health Care (CHC nurses when using the validated instrument SiCET (Smoking in Children's Environment Test in dialogue with parents. Method In an intervention in CHC centres in south-eastern Sweden nurses were invited to use the SiCET. Eighteen nurses participated in focus group interviews. Transcripts were reviewed and their contents were coded into categories by three investigators using the method described for focus groups interviews. Results The SiCET was used in dialogue with parents in tobacco preventive work and resulted in focused discussions on smoking and support for behavioural changes among parents. The instrument had both strengths and limitations. The nurses experienced that the SiCET facilitated dialogue with parents and gave a comprehensive view of the child's ETS exposure. This gave nurses the possibility of taking on a supportive role by offering parents long-term help in protecting their child from ETS exposure and in considering smoking cessation. Conclusion Our findings indicate that the SiCET supports nurses in their dialogue with parents on children's ETS exposure at CHC. There is a need for more clinical use and evaluation of the SiCET to determine its usefulness in clinical practice under varying circumstances.

  7. "Just dreaming of them": The Berlin Project for Primary Prevention of Child Sexual Abuse by Juveniles (PPJ).

    Science.gov (United States)

    Beier, Klaus M; Oezdemir, Umut C; Schlinzig, Eliza; Groll, Anna; Hupp, Elena; Hellenschmidt, Tobias

    2016-02-01

    The Berlin Project for Primary Prevention of Child Sexual Abuse by Juveniles (PPJ) offers diagnostic and therapeutic help to 12-to-18-year-old juveniles with a sexual preference for the prepubescent and/or early pubescent body of children and who apply for treatment on a voluntary basis. The project goal is to prevent primary or recurrent child sexual abuse as well as primary or recurrent use of child abuse images. Treatment aims to enable affected juveniles to obtain control over their conflictual sexual behaviors. In the present article, the origin of the PPJ; its main approach, including the conception of a media campaign; as well as results from the first year of a three-year study are presented. Further, initial characterizations of juveniles taking part in the project for the first 12 months are provided. The results confirmed that the group of 12-to-18-year-old juveniles with a sexual preference for prepubescent and/or early pubescent minors exists as a target group for primary preventive measures and that they can be assessed for their sexual preferences. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. Instrumentation maintenance

    International Nuclear Information System (INIS)

    Mack, D.A.

    1976-09-01

    It is essential to any research activity that accurate and efficient measurements be made for the experimental parameters under consideration for each individual experiment or test. Satisfactory measurements in turn depend upon having the necessary instruments and the capability of ensuring that they are performing within their intended specifications. This latter requirement can only be achieved by providing an adequate maintenance facility, staffed with personnel competent to understand the problems associated with instrument adjustment and repair. The Instrument Repair Shop at the Lawrence Berkeley Laboratory is designed to achieve this end. The organization, staffing and operation of this system is discussed. Maintenance policy should be based on studies of (1) preventive vs. catastrophic maintenance, (2) records indicating when equipment should be replaced rather than repaired and (3) priorities established to indicate the order in which equipment should be repaired. Upon establishing a workable maintenance policy, the staff should be instructed so that they may provide appropriate scheduled preventive maintenance, calibration and corrective procedures, and emergency repairs. The education, training and experience of the maintenance staff is discussed along with the organization for an efficient operation. The layout of the various repair shops is described in the light of laboratory space and financial constraints

  9. Cost-effectiveness of optimizing prevention in patients with coronary heart disease: the EUROASPIRE III health economics project.

    Science.gov (United States)

    De Smedt, Delphine; Kotseva, Kornelia; De Bacquer, Dirk; Wood, David; De Backer, Guy; Dallongeville, Jean; Seppo, Lehto; Pajak, Andrzej; Reiner, Zeljko; Vanuzzo, Diego; Georgiev, Borislav; Gotcheva, Nina; Annemans, Lieven

    2012-11-01

    The EUROASPIRE III survey indicated that the guidelines on cardiovascular disease prevention are poorly implemented in patients with established coronary heart disease (CHD). The purpose of this health economic project was to assess the potential clinical effectiveness and cost-effectiveness of optimizing cardiovascular prevention in eight EUROASPIRE III countries (Belgium, Bulgaria, Croatia, Finland, France, Italy, Poland, and the U.K.). METHODS AND RESULTS The individual risk for subsequent cardiovascular events was estimated, based on published Framingham equations. Based on the EUROASPIRE III data, the type of suboptimal prevention, if any, was identified for each individual, and the effects of optimized tailored prevention (smoking cessation, diet and exercise, better management of elevated blood pressure and/or LDL-cholesterol) were estimated. Costs of prevention and savings of avoided events were based on country-specific data. A willingness to pay threshold of €30,000/quality-adjusted life year (QALY) was used. The robustness of the results was validated by sensitivity analyses. Overall, the cost-effectiveness analyses for the eight countries showed mainly favourable results with an average incremental cost-effectiveness ratio (ICER) of €12,484 per QALY. Only in the minority of patients at the lowest risk for recurrent events, intensifying preventive therapy seems not cost-effective. Also, the single impact of intensified cholesterol control seems less cost-effective, possibly because their initial 2-year risk was already fairly low, hence the room for improvement is rather limited. These results underscore the societal value of optimizing prevention in most patients with established CHD, but also highlight the need for setting priorities towards patients more at risk and the need for more studies comparing intensified prevention with usual care in these patients.

  10. An assessment of self-reported physical activity instruments in young people for population surveillance: Project ALPHA

    Directory of Open Access Journals (Sweden)

    Pearson Natalie

    2011-01-01

    Full Text Available Abstract Background The assessment of physical activity is an essential part of understanding patterns and influences of behaviour, designing interventions, and undertaking population surveillance and monitoring, but it is particularly problematic when using self-report instruments with young people. This study reviewed available self-report physical activity instruments developed for use with children and adolescents to assess their suitability and feasibility for use in population surveillance systems, particularly in Europe. Methods Systematic searches and review, supplemented by expert panel assessment. Results Papers (n = 437 were assessed as potentially relevant; 89 physical activity measures were identified with 20 activity-based measures receiving detailed assessment. Three received support from the majority of the expert group: Physical Activity Questionnaire for Children/Adolescents (PAQ-C/PAQ-A, Youth Risk Behaviour Surveillance Survey (YRBS, and the Teen Health Survey. Conclusions Population surveillance of youth physical activity is strongly recommended and those involved in developing and undertaking this task should consider the three identified shortlisted instruments and evaluate their appropriateness for application within their national context. Further development and testing of measures suitable for population surveillance with young people is required.

  11. The Texts of the Instruments Concerning the Agency's Assistance to Indonesia for the Continuation of a Research Reactor Project

    International Nuclear Information System (INIS)

    1970-01-01

    The texts of the Supply Agreement between the Agency and the Governments of Indonesia and the United States of America, and of the Project Agreement between the Agency and the Government of Indonesia concerning the Agency's assistance to that Government for the continuation of a research reactor project, are reproduced in this document for the information of all Members. Both Agreements entered into force on 19 December 1969.

  12. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Establishing a Sub-Critical Assembly Project

    International Nuclear Information System (INIS)

    1966-01-01

    The texts of the Supply Agreement between the Agency and the Governments of Mexico and the United States of America, and of the Project Agreement between the Agency and the Government of Mexico in connection with the Agency's assistance to that Government in establishing a sub-critical assembly project.. are reproduced in this document for the information of all Members. Both Agreements entered into force on 20 June 1966

  13. The Texts of the Instruments connected with the Agency's Assistance to Finland in Establishing a Research Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1961-01-24

    The texts of the Supply Agreement between the Agency, the Government of Finland and the Government of the United States of America, and of the Project Agreement between the Agency and the Government of Finland, in connection with the Agency's assistance to the Government of Finland in establishing a research reactor project, are reproduced in this document for the information of all Members of the Agency. These agreements entered into force on 30 December 1960.

  14. The Texts of the Instruments connected with the Agency's Assistance to Pakistan in Establishing a Research Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1962-03-22

    The texts of the Supply Agreement between the Agency, the Government of Pakistan and the Government of the United States of America, and of the Project Agreement between the Agency and the Government of Pakistan, in connection with the Agency's assistance to the Government of Pakistan-in establishing a research reactor project, are reproduced in this document for the information of all Members of the Agency. These Agreements entered into force on 5 March 1962.

  15. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1961-11-24

    The texts of the Supply Agreement between the Agency, the Government of Yugoslavia and the Government of the United States of America, and of the Project Agreement between the Agency and the Government of Yugoslavia, in connection with the Agency's assistance to the Government of Yugoslavia in establishing a research reactor project, are reproduced in this document for the information of all Members of the Agency. These Agreements entered into force on 4 October 1961.

  16. The Texts of the Instruments Concerning the Agency's Assistance to Indonesia for the Continuation of a Research Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1970-02-08

    The texts of the Supply Agreement between the Agency and the Governments of Indonesia and the United States of America, and of the Project Agreement between the Agency and the Government of Indonesia concerning the Agency's assistance to that Government for the continuation of a research reactor project, are reproduced in this document for the information of all Members. Both Agreements entered into force on 19 December 1969.

  17. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Establishing a Research Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1964-01-30

    The texts of the Supply Agreement between the Agency and the Governments of Mexico and the United States of America, and of the Project Agreement between the Agency and the Government of Mexico, in connection with the Agency's assistance to that Government in establishing a research reactor project, are reproduced in this document for the information of all Members. These Agreements entered into force on 18 December 1963.

  18. The Texts of the Instruments connected with the Agency's Assistance to Iran in Establishing a Research Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1967-08-31

    The texts of the Supply Agreement between the Agency and the Governments of Iran and the United States of America, and of the Project Agreement between the Agency and the Government of Iran, connected with the Agency's assistance to the latter Government in establishing a research reactor project, are reproduced in this document for the information of all Members. The Agreements entered into force on 7 June and 10 May 1967 respectively.

  19. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Establishing a Sub-Critical Assembly Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1967-10-25

    The texts of the Supply Agreement between the Agency and the Governments of Mexico and the United States of America, and of the Project Agreement between the Agency and the Government of Mexico, connected with the Agency's assistance to the latter Government in establishing a sub-critical assembly project, are reproduced in this document for the information of all Members. Both Agreements entered into force on 23 August 1967.

  20. The Texts of the Instruments Concerning the Agency's Assistance to Chile for the Establishment of a Research Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1970-02-09

    The texts of the Supply Agreement between the Agency and the Governments of Chile and the United States of America, and of the Project Agreement between the Agency and the Government of Chile concerning the Agency's assistance to that Government for the establishment of a research reactor project, are reproduced in this document for the information of all Members. Both Agreements entered into force on 19 December 1969.

  1. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Establishing a Sub-Critical Assembly Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1966-07-07

    The texts of the Supply Agreement between the Agency and the Governments of Mexico and the United States of America, and of the Project Agreement between the Agency and the Government of Mexico in connection with the Agency's assistance to that Government in establishing a sub-critical assembly project.. are reproduced in this document for the information of all Members. Both Agreements entered into force on 20 June 1966.

  2. The Texts of the Instruments Concerning the Agency's Assistance to Venezuela for the Continuation of a Research Reactor Project

    International Nuclear Information System (INIS)

    1976-01-01

    The texts of the Title Transfer Agreement between the Agency and the Governments of the United States of America and Venezuela, and of the Project Agreement between the Agency and the Government of Venezuela concerning the Agency's assistance to that Government for the continuation of a research reactor project, are reproduced herein for the information of all Members. Both Agreements entered into force on 7 November 1975, pursuant to Articles IV and X respectively.

  3. The Texts of the Instruments Concerning the Agency's Assistance to Chile for the Establishment of a Research Reactor Project

    International Nuclear Information System (INIS)

    1970-01-01

    The texts of the Supply Agreement between the Agency and the Governments of Chile and the United States of America, and of the Project Agreement between the Agency and the Government of Chile concerning the Agency's assistance to that Government for the establishment of a research reactor project, are reproduced in this document for the information of all Members. Both Agreements entered into force on 19 December 1969.

  4. The Texts of the Instruments connected with the Agency's assistance to Uruguay in Establishing a Research Reactor Project

    International Nuclear Information System (INIS)

    1965-01-01

    The texts of the Supply Agreement between the Agency and the Governments of the United States of America and Uruguay, and of the Project Agreement between the Agency and the Government of Uruguay, in connection with the Agency's assistance to the latter Government in establishing a research reactor project, are reproduced in this document for the information of all Members. These Agreements entered into force on 24 September 1965

  5. The texts of the instruments concerning the Agency's assistance to Romania for the establishment of a research reactor project

    International Nuclear Information System (INIS)

    1991-08-01

    On June 15, 1990, the Agency and the Government of Romania signed a letter constituting an agreement amending the Project Agreement (IAEA-INFCIRC/206, Part II) concluded in connection with the Agency's assistance to Romania for the establishment of a research reactor project. The text of that letter, which was approved by the Board of Governors on June 15, 1990, is reproduced in this document. 1 tab

  6. The Texts of the Instruments connected with the Agency's assistance to Uruguay in Establishing a Research Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1965-12-09

    The texts of the Supply Agreement between the Agency and the Governments of the United States of America and Uruguay, and of the Project Agreement between the Agency and the Government of Uruguay, in connection with the Agency's assistance to the latter Government in establishing a research reactor project, are reproduced in this document for the information of all Members. These Agreements entered into force on 24 September 1965.

  7. The Texts of the Instruments concerning the Agency's Assistance to Greece for the continuation of a Research Reactor Project

    International Nuclear Information System (INIS)

    1972-01-01

    The texts of the Title Transfer Agreement between the Agency and the Governments of Greece and the United States of America, and of the Project Agreement between the Agency and the Government of Greece concerning the Agency's assistance to that Government for the continuation of a research reactor project, are reproduced herein for the information of all Members. Both Agreements entered into force on 1 March 1972

  8. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Establishing a Sub-Critical Assembly Project

    International Nuclear Information System (INIS)

    1967-01-01

    The texts of the Supply Agreement between the Agency and the Governments of Mexico and the United States of America, and of the Project Agreement between the Agency and the Government of Mexico, connected with the Agency's assistance to the latter Government in establishing a sub-critical assembly project, are reproduced in this document for the information of all Members. Both Agreements entered into force on 23 August 1967

  9. The Texts of the Instruments connected with the Agency's Assistance to Pakistan in Establishing a Research Reactor Project

    International Nuclear Information System (INIS)

    1962-01-01

    The texts of the Supply Agreement between the Agency, the Government of Pakistan and the Government of the United States of America, and of the Project Agreement between the Agency and the Government of Pakistan, in connection with the Agency's assistance to the Government of Pakistan-in establishing a research reactor project, are reproduced in this document for the information of all Members of the Agency. These Agreements entered into force on 5 March 1962

  10. The Texts of the Instruments connected with the Agency's Assistance to Finland in Establishing a Research Reactor Project

    International Nuclear Information System (INIS)

    1961-01-01

    The texts of the Supply Agreement between the Agency, the Government of Finland and the Government of the United States of America, and of the Project Agreement between the Agency and the Government of Finland, in connection with the Agency's assistance to the Government of Finland in establishing a research reactor project, are reproduced in this document for the information of all Members of the Agency. These agreements entered into force on 30 December 1960

  11. The Texts of the Instruments connected with the Agency's Assistance to Iran in Establishing a Research Reactor Project

    International Nuclear Information System (INIS)

    1967-01-01

    The texts of the Supply Agreement between the Agency and the Governments of Iran and the United States of America, and of the Project Agreement between the Agency and the Government of Iran, connected with the Agency's assistance to the latter Government in establishing a research reactor project, are reproduced in this document for the information of all Members. The Agreements entered into force on 7 June and 10 May 1967 respectively

  12. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project

    International Nuclear Information System (INIS)

    1961-01-01

    The texts of the Supply Agreement between the Agency, the Government of Yugoslavia and the Government of the United States of America, and of the Project Agreement between the Agency and the Government of Yugoslavia, in connection with the Agency's assistance to the Government of Yugoslavia in establishing a research reactor project, are reproduced in this document for the information of all Members of the Agency. These Agreements entered into force on 4 October 1961

  13. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Establishing a Research Reactor Project

    International Nuclear Information System (INIS)

    1964-01-01

    The texts of the Supply Agreement between the Agency and the Governments of Mexico and the United States of America, and of the Project Agreement between the Agency and the Government of Mexico, in connection with the Agency's assistance to that Government in establishing a research reactor project, are reproduced in this document for the information of all Members. These Agreements entered into force on 18 December 1963

  14. Balancing between feasibility and relationship : Interventions to prevent dysfunctionality of conflict in public private partnership projects

    NARCIS (Netherlands)

    Lousberg, L.H.M.J.

    2011-01-01

    Research shows that there are many bottle-necks in Public Private Partnership (PPP) Projects in Dutch spatial development. Due to the specific properties of Public Private Partnerships, these bottle-necks can lead to dysfunctional conflicts which are damaging the project. Hence the question is: how

  15. Sibanye Methods for Prevention Packages Program Project Protocol: Pilot Study of HIV Prevention Interventions for Men Who Have Sex With Men in South Africa.

    Science.gov (United States)

    McNaghten, Ad; Kearns, Rachel; Siegler, Aaron J; Phaswana-Mafuya, Nancy; Bekker, Linda-Gail; Stephenson, Rob; Baral, Stefan D; Brookmeyer, Ron; Yah, Clarence S; Lambert, Andrew J; Brown, Benjamin; Rosenberg, Eli; Blalock Tharp, Mondie; de Voux, Alex; Beyrer, Chris; Sullivan, Patrick S

    2014-10-16

    Human immunodeficiency virus (HIV) prevention intervention programs and related research for men who have sex with men (MSM) in the southern African region remain limited, despite the emergence of a severe epidemic among this group. With a lack of understanding of their social and sexual lives and HIV risks, and with MSM being a hidden and stigmatized group in the region, optimized HIV prevention packages for southern African MSM are an urgent public health and research priority. The objective of the Sibanye Health Project is to develop and evaluate a combination package of biomedical, behavioral, and community-level HIV prevention interventions and services for MSM in South Africa. The project consists of three phases: (1) a comprehensive literature review and summary of current HIV prevention interventions (Phase I), (2) agent-based mathematical modeling of HIV transmission in southern African MSM (Phase II), and (3) formative and stigma-related qualitative research, community engagement, training on providing health care to MSM, and the pilot study (Phase III). The pilot study is a prospective one-year study of 200 men in Cape Town and Port Elizabeth, South Africa. The study will assess a package of HIV prevention services, including condom and condom-compatible lubricant choices, risk-reduction counseling, couples HIV testing and counseling, pre-exposure prophylaxis (PrEP) for eligible men, and non-occupational post-exposure prophylaxis for men with a high risk exposure. The pilot study will begin in October 2014. Preliminary results from all components but the pilot study are available. We developed a literature review database with meta-data extracted from 3800 documents from 67 countries. Modeling results indicate that regular HIV testing and promotion of condom use can significantly impact new HIV infections among South African MSM, even in the context of high coverage of early treatment of HIV-positive men and high coverage of PrEP for at-risk HIV

  16. The first results of pilot project on combined preventive suplementation of iodine- and iron deficiency conditions in Tyumen region

    Directory of Open Access Journals (Sweden)

    G V Sharuho

    2010-12-01

    Full Text Available In 2008–2010 pilot project were realized in Tyumen region on combined preventive maintenance iodine deficiency and iron deficiency conditions, within the framework of which children from pilot of the territory got feeding, enriched premixes of the iodine and ferric while checking group has formed the children, getting monoprevention iodized salt. In study were examined 467 children. Frequency of the goiter on ultrasonography in pilot territory fell from 19.8 to 6.4%, in checking from 12.5 to 10.1%. In group teenager on background combined micronutrient preventive maintenance frequency tests ferritin less 15 mcg/l fell for 76 weeks in four times (p = 0.000, herewith average factors in 2010 above, than in 2008 (p = 0.114. In group teenager checking territory on background monoprevention frequency of the lowered tests ferritin more, than in group on background of the combined preventive maintenance in 2 times (p = 0.004, improvements for period of the study is not revealed.Dynamics indices of iodine deficiency conditions on background of the combined preventive maintenance and monoprevention confirms greater efficiency of the simultaneous using the products fortifications iodine and iron. Shown efficiency micronutrient preventive maintenances of the latent deficit ferric fortifications bread.

  17. The texts of the instruments concerning the Agency's assistance to Indonesia for the continuation of a research reactor project

    International Nuclear Information System (INIS)

    1994-08-01

    The text of the amendment to the Project Agreement between the International Atomic Energy Agency and the Government of the Republic of Indonesia for assistance by the Agency to Indonesia in continuing a research reactor project (Part I) and the Fourth Supply Agreement (Part II), which were approved by the Agency's Board of Governors on 4 December 1992 and concluded on 15 January 1993 between the Agency, the Governments of the Republic of Indonesia and the United States of America are reproduced herein for the information of all Members. The amendment to the Project Agreement and the Fourth Supply Agreement entered into force on 15 January 1993, pursuant to Articles VIII and VIII.1 respectively

  18. Supplement analysis for the proposed upgrades to the tank farm ventilation, instrumentation, and electrical systems under Project W-314 in support of tank farm restoration and safe operations

    International Nuclear Information System (INIS)

    1997-05-01

    The mission of the TWRS program is to store, treat, and immobilize highly radioactive tank waste in an environmentally sound, safe, and cost-effective manner. Within this program, Project W-314, Tank Farm Restoration and Safe Operations, has been established to provide upgrades in the areas of instrumentation and control, tank ventilation, waste transfer, and electrical distribution for existing tank farm facilities. Requirements for tank farm infrastructure upgrades to support safe storage were being developed under Project W-314 at the same time that the TWRS EIS alternative analysis was being performed. Project W-314 provides essential tank farm infrastructure upgrades to support continued safe storage of existing tank wastes until the wastes can be retrieved and disposed of through follow-on TWRS program efforts. Section4.0 provides a description of actions associated with Project W-314. The TWRS EIS analyzes the environmental consequences form the entire TWRS program, including actions similar to those described for Project W-314 as a part of continued tank farm operations. The TWRS EIS preferred alternative was developed to a conceptual level of detail to assess bounding impact areas. For this Supplement Analysis, in each of the potential impact areas for Project W-314, the proposed action was evaluated and compared to the TWRS EIS evaluation of the preferred alternative (Section 5.0). Qualitative and/or quantitative comparisons are then provided in this Supplement Analysis to support a determination on the need for additional National Environmental Policy Act (NEPA) analysis. Based on this Supplement Analysis, the potential impacts for Project W-314 would be small in comparison to and are bounded by the impacts assessed for the TWRS EIS preferred alternative, and therefore no additional NEPA analysis is required (Section 7.0)

  19. Safety evaluation for instrumentation and control system upgrading project of Malaysian TRIGA MARK II PUSPATI Research reactor

    International Nuclear Information System (INIS)

    Ridha Roslan; Nik Mohd Faiz Khairuddin

    2013-01-01

    Full-text: Malaysian TRIGA MARK II research reactor has been in safe operation since its first criticality in 1982. The reactor is licensed to be operated by Malaysian Nuclear Agency to perform training and research development related activities. Due to its extensive operation since last three decades, the option of modifications for safety and safety-related item and component become a necessary to replace the outdated equipment to a stat-of-art, reliable technologies. This paper will present the current regulatory activities performed by Atomic Energy Licensing Board (AELB) to ensure the upgrading of analogue to digital instrumentation and control system is implemented in safe manner. The review activity includes documentation review, manufacturer quality audit and on-site inspection for commissioning. The review performed by AELB is based on The International Atomic Energy Agency (IAEA) Safety Requirements NS-R-4, entitled Safety of Research Reactors. During this endeavour, AELB seeks technical cooperation from Korea Institute of Nuclear Safety (KINS), the nuclear experts organization of the country of origin of the instrumentation and control technology. The regulatory activity is still on-going and is expected to be completed by issuance of Authorization for Restart on December 2013. (author)

  20. Electrical/instrumentation acceptance test report for Project C-018H, 242-A Evaporator/PUREX Plant condensate treatment facility

    International Nuclear Information System (INIS)

    Compau, R.A. Jr.

    1995-01-01

    This project is part of the 200 Area Effluent Treatment Facility. The acceptance test procedure describes test methods for leak detection units, pump flow switches, pump level control valves, room air temperature monitor, leachate pump status contacts, basin pump status contacts, catch basin leak detector, leachate level monitors, and basin level monitors. These are all components of the C-018H Collection System

  1. The Text of the Instrument Concerning the Agency's Assistance to Argentina for the Establishment of a Training Reactor Project

    International Nuclear Information System (INIS)

    1971-01-01

    The text of the Agreement between the Agency and the Governments of Argentina and the Federal Republic of Germany concerning the Agency's assistance for the establishment of a training reactor project in Argentina is reproduced herein for the information of all Members. The Agreement entered into force on 13 March 1970.

  2. The Texts of the Instruments connected with the Agency's Assistance to Turkey in furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1966-07-20

    The texts of the Master Agreement between the Agency and the Government of Turkey and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials are reproduced in this document for the information of all Members. Both Agreements entered into force on 8 February 1966.

  3. The Texts of the Instruments connected with the Agency's Assistance to Turkey in furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1966-01-01

    The texts of the Master Agreement between the Agency and the Government of Turkey and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials are reproduced in this document for the information of all Members. Both Agreements entered into force on 8 February 1966

  4. The Texts of the Instruments connected with the Agency's Assistance to Greece in furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1971-01-01

    The texts of the Master Agreement between the Agency and the Government of Greece, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials are reproduced herein for the information of all Members. These Agreements entered into force on 2 June 1970 and 20 July 1970 respectively.

  5. The Texts of the Instruments connected with the Agency's Assistance to India in furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1967-01-01

    The texts of the Master Agreement between the Agency and the Government of India, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced in this document for the information of all Members. Both Agreements entered into force on 9 December 1966

  6. The Texts of the Instruments connected with the Agency's Assistance to Iraq in Furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1973-01-01

    The texts of the Master Agreement between the Agency and the Government of Iraq, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members

  7. The Texts of the Instruments connected with the Agency's Assistance to Brazil in Furthering Projects by the Supply of Material

    International Nuclear Information System (INIS)

    1971-01-01

    The texts of the Master Agreement between the Agency and the Government of Brazil, and of Supplementary Agreement No.1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. These Agreements entered into force on 20 November 1970 and 12 January 1971 respectively.

  8. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1973-11-28

    The texts of the Master Agreement between the Agency and the Government of Mexico, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members.

  9. The Texts of the Instruments connected with the Agency's Assistance to Greece in furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-05-27

    The texts of the Master Agreement between the Agency and the Government of Greece, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials are reproduced herein for the information of all Members. These Agreements entered into force on 2 June 1970 and 20 July 1970 respectively.

  10. The Texts of the Instruments connected with the Agency's Assistance to India in furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1967-06-09

    The texts of the Master Agreement between the Agency and the Government of India, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced in this document for the information of all Members. Both Agreements entered into force on 9 December 1966.

  11. The Texts of the Instruments connected with the Agency's Assistance to Brazil in Furthering Projects by the Supply of Material

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-05-20

    The texts of the Master Agreement between the Agency and the Government of Brazil, and of Supplementary Agreement No.1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. These Agreements entered into force on 20 November 1970 and 12 January 1971 respectively.

  12. The Texts of the Instruments connected with the Agency's Assistance to Iraq in Furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1973-11-28

    The texts of the Master Agreement between the Agency and the Government of Iraq, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members.

  13. The study of Parkinson's disease with biomedical instrumentation: a project for the classroom of Technology in secondary education

    Directory of Open Access Journals (Sweden)

    María Encarnación Micó-Amigo

    2017-05-01

    Full Text Available This project aims to engage young students of educación secundaria obligatoria (ESO and bachillerato (last levels of the compulsory high school education system in an experimental project based on the application of medical technology for the study of Parkinson’s disease (PD. The project consists of an informative session and two practical sessions, all to be carried on the classroom-workshop of the Technology course. At the initial and informative session, it is proposed to expose the context, challenges and current technical constraints in the field of neurology for the diagnosis and treatment of neurodegenerative diseases, with special focus on PD. The first practical session presents an interactive activity that includes the study, design, assembly and calibration of an inertial sensor (accelerometer or gyroscope. The second practical session requests the students to perform a measurement protocol with a commercial device of clinical use on all the students and involved teachers. The analysis of the obtained measures and the comparison of these with data corresponding to a cohort of patients with PD (provided by the teachers will lead to the proposal of ideas for the development of a diagnostic method for PD. With an experimental, innovative and pragmatic methodology, this projects aims to foster a constructivist learning, to boost a rational thinking, to stimulate the imagination and wit, to expand multidisciplinary knowledge, to raise awareness about a socially relevant reality, to develop social skills though a team work approach and to motivate and inspire the students.

  14. Investigation of the Use of "Cucumis Sativus" for Remediation of Chromium from Contaminated Environmental Matrices: An Interdisciplinary Instrumental Analysis Project

    Science.gov (United States)

    Butler, Lynsey R.; Edwards, Michael R.; Farmer, Russell; Greenly, Kathryn J.; Hensler, Sherri; Jenkins, Scott E.; Joyce, J. Michael; Mann, Jason A.; Prentice, Boone M.; Puckette, Andrew E.; Shuford, Christopher M.; Porter, Sarah E. G.; Rhoten, Melissa C.

    2009-01-01

    An interdisciplinary, semester-long project is presented in which students grow Cucumis sativus (cucumber) plants from seeds and study the ability of the plants to remediate a heavy metal from contaminated soil or water or both. Phytoremediation strategies for environmental cleanup are presented as possible alternatives to chemical based clean-up…

  15. The Text of the Instrument Concerning the Agency's Assistance to Argentina for the Establishment of a Training Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-02-23

    The text of the Agreement between the Agency and the Governments of Argentina and the Federal Republic of Germany concerning the Agency's assistance for the establishment of a training reactor project in Argentina is reproduced herein for the information of all Members. The Agreement entered into force on 13 March 1970.

  16. The study of KBP of road construction workers of highway AIDS prevention project before and after intervention.

    Science.gov (United States)

    Liu, Dan; Dong, Si-Ping; Gao, Guang-Ming; Fan, Ming-Yu; Zhang, Zong-Jiu; Fang, Peng-Qian

    2013-10-01

    To get scientific basis for further health education through the research of the road construction workers' KBP before and after the interventions of highway AIDS prevention project. Multi-stage random sampling method was employeed to select workers of 8 sites from 14 sites along highway to investigate their AIDS knowledge, belief and performance (KBP) before and after highway AIDS prevention project. Over 90% of the investigated workers had ever heard about AIDS, and the non-skilled workers of lower educational level improved more after intervention. The correct answer rate of the three transmitting ways of AIDS of drivers which is the focused group of highway before and after intervention had the obvious statistical significance (Proad construction workers is effective and further health education of HIV prevention should be carried out among the road construction workers to improve their knowledge and awareness of avoiding the high-risk behaviors. Copyright © 2013 Hainan Medical College. Published by Elsevier B.V. All rights reserved.

  17. OPERATION DOMINIC, FISH BOWL SERIES. Project Officer’s Report. Project 8B. Nuclear Weapon X-Ray Effects as Measured by Passive Instruments

    Science.gov (United States)

    1985-09-01

    different environ- ments of SF’ and Marshmallow . The data from the Marshmallow gages are reduced and reported in this section; comparison to SF...were adjusted accordingly. Failure of similar gages to fracture in the Marshmallow event made it appear desirable to increase the probability of...and Capt. Claude M. Gillespie; "Reentry Vehicle Composites (U)" POR-1853, Project 834, Operation Nougat, Shot Marshmallow , May 1963; Air Force

  18. Outcome results for the Ma'alahi Youth Project, a Tongan community-based obesity prevention programme for adolescents.

    Science.gov (United States)

    Fotu, K F; Millar, L; Mavoa, H; Kremer, P; Moodie, M; Snowdon, W; Utter, J; Vivili, P; Schultz, J T; Malakellis, M; McCabe, M P; Roberts, G; Swinburn, B A

    2011-11-01

    Tonga has a very high prevalence of obesity with steep increases during youth, making adolescence a critical time for obesity prevention. The Ma'alahi Youth Project, the Tongan arm of the Pacific Obesity Prevention in Communities project, was a 3-year, quasi-experimental study of community-based interventions among adolescents in three districts on Tonga's main island (Tongatapu) compared to the island of Vava'u. Interventions focused mainly on capacity building, social marketing, education and activities promoting physical activity and local fruit and vegetables. The evaluation used a longitudinal design (mean follow-up duration 2.4 years). Both intervention and comparison groups showed similar large increases in overweight and obesity prevalence (10.1% points, n = 815; 12.6% points, n = 897 respectively). Apart from a small relative decrease in percentage body fat in the intervention group (-1.5%, P Youth Project had no impact on the large increase in prevalence of overweight and obesity among Tongan adolescents. Community-based interventions in such populations with high obesity prevalence may require more intensive or longer interventions, as well as specific strategies targeting the substantial socio-cultural barriers to achieving a healthy weight. © 2011 The Authors. obesity reviews © 2011 International Association for the Study of Obesity.

  19. Project STYLE: a multisite RCT for HIV prevention among youths in mental health treatment.

    Science.gov (United States)

    Brown, Larry K; Hadley, Wendy; Donenberg, Geri R; DiClemente, Ralph J; Lescano, Celia; Lang, Delia M; Crosby, Richard; Barker, David; Oster, Danielle

    2014-03-01

    The study examined the efficacy of family-based and adolescent-only HIV prevention programs in decreasing HIV risk and improving parental monitoring and sexual communication among youths in mental health treatment. A randomized controlled trial (RCT) with 721 adolescents (ages 13-18 years) and their caregivers from mental health settings in three U.S. cities were randomly assigned to one of three theory-based, structured group interventions: family-based HIV prevention, adolescent-only HIV prevention, and adolescent-only health promotion. Interventions were delivered during an all-day workshop. Assessments were completed at baseline and three months postintervention. Compared with those in the health intervention, adolescents in the HIV prevention interventions reported fewer unsafe sex acts (adjusted rate ratio=.49, p=.01), greater condom use (adjusted relative change=59%, p=.01), and greater likelihood of avoiding sex (adjusted odds ratio=1.44, p=.05). They also showed improved HIV knowledge (pprevention interventions reduced sexual risk behavior over three months in a large, diverse sample of youths in mental health treatment and that the family-based intervention improved parental monitoring and communication with teens about sex. These interventions show promise.

  20. 77 FR 31358 - Disease, Disability, and Injury Prevention and Control Special Interest Projects (SIPs): Initial...

    Science.gov (United States)

    2012-05-25

    ... announced below concerns Research to Enhance Community- Based Fall Prevention among Older Adults, SIP12-058, and Developing a Compendium of Measures and Questions to Assess Mobility: A Focus on Older Adult... Older Adults, SIP12-058, and Developing a Compendium of Measures and Questions to Assess Mobility: A...

  1. Development of an instrument for community-level health related social capital among Japanese older people: The JAGES Project

    Directory of Open Access Journals (Sweden)

    Masashige Saito

    2017-05-01

    Full Text Available Background: We developed and validated an instrument to measure community-level social capital based on data derived from older community dwellers in Japan. Methods: We used cross-sectional data from the Japan Gerontological Evaluation Study, a nationwide survey involving 123,760 functionally independent older people nested within 702 communities (i.e., school districts. We conducted exploratory and confirmatory factor analyses on survey items to determine the items in a multi-dimensional scale to measure community social capital. Internal consistency was checked with Cronbach's alpha. Convergent construct validity was assessed via correlating the scale with health outcomes. Results: From 53 candidate variables, 11 community-level variables were extracted: participation in volunteer groups, sports groups, hobby activities, study or cultural groups, and activities for teaching specific skills; trust, norms of reciprocity, and attachment to one's community; received emotional support; provided emotional support; and received instrumental support. Using factor analysis, these variables were determined to belong to three sub-scales: civic participation (eigenvalue = 3.317, α = 0.797, social cohesion (eigenvalue = 2.633, α = 0.853, and reciprocity (eigenvalue = 1.424, α = 0.732. Confirmatory factor analysis indicated the goodness of fit of this model. Multilevel Poisson regression analysis revealed that civic participation score was robustly associated with individual subjective health (Self-Rated Health: prevalence ratio [PR] 0.96; 95% confidence interval [CI], 0.94–0.98; Geriatric Depression Scale [GDS]: PR 0.95; 95% CI, 0.93–0.97. Reciprocity score was also associated with individual GDS (PR 0.98; 95% CI, 0.96–1.00. Social cohesion score was not consistently associated with individual health indicators. Conclusions: Our scale for measuring social capital at the community level might be useful for future studies of older community dwellers.

  2. Instruments for the regulation of the electric power projects: An integrated vision of the socio-environmental aspects

    International Nuclear Information System (INIS)

    Regini Nutti, Miriam; Milazzo, Maria Luiza; Rodriguez Garcia, Eduardo; Menezes, Carlos Frederico; Pompeu Serran, Flavia; Sebastiao Costa, Luiz; Neves Mundim, Rogerio

    1999-01-01

    The process of institutional change in the Brazilian electric sector accelerated the revision or elaboration of relating normative documents to the elaboration of studies and generation projects and electric power transmission. These documents were produced in a cooperative way by initiative of the organ federal regulator, under the coordination of ELETROBRAS and with the collaboration of technical teams of about ten Brazilian companies of energy. The aspects socio-environmental was absorbed in the normative documents, starting from an integrated vision of content and of the activities proposed with the energy studies and of engineering, allowing to diminish the relating uncertainties to the implementation of the projects and to assist to the national and sector environmental politics

  3. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-05-27

    The texts of the Master Agreement between the Agency and the Government of Yugoslavia, and of Supplementary Agreements No. 1 and No. 2 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. These Agreements entered into force on 29 May 1970, 8 September 1970 and 2 February 1971 respectively.

  4. The Texts of the Instruments Connected with the Agency's Assistance to Chile in Furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1973-01-01

    The texts of the Master Agreement between the Agency and the Government of Chile, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. The Master Agreement entered into force on 16 March 1973, pursuant to its Article XIV, and the Supplementary Agreement on 14 June 1973, pursuant to its Article IV.

  5. The Texts of the Instruments connected with the Agency's Assistance to Romania in Furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1967-06-09

    The texts of the Master Agreement between the Agency and the Government of Romania, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced in this document for the information of all Members. The former Agreement entered into force on 22 April 1966, and the latter on 1 August 1966.

  6. The Texts of the Instruments Connected with the Agency's Assistance to Chile in Furthering Projects by the Supply of Materials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1973-11-29

    The texts of the Master Agreement between the Agency and the Government of Chile, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. The Master Agreement entered into force on 16 March 1973, pursuant to its Article XIV, and the Supplementary Agreement on 14 June 1973, pursuant to its Article IV.

  7. The texts of the instruments concerning the Agency's assistance to Romania for the establishment of a research reactor project

    International Nuclear Information System (INIS)

    1991-11-01

    As a sequel to the assistance which the Agency has provided to the Government of Romania in connection with a research reactor project (IAEA-INFCIRC/206, 206 Adds.1 and 2 and Mod.2), the Agency and the Governments of Romania and the United States of America, on 14 June 1991, concluded a Fourth Supply Agreement. The text of that Agreement, which was approved by the Board of Governors on 14 June 1991, is reproduced in this document

  8. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1971-01-01

    The texts of the Master Agreement between the Agency and the Government of Yugoslavia, and of Supplementary Agreements No. 1 and No. 2 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced herein for the information of all Members. These Agreements entered into force on 29 May 1970, 8 September 1970 and 2 February 1971 respectively.

  9. The Texts of the Instruments connected with the Agency's Assistance to Romania in Furthering Projects by the Supply of Materials

    International Nuclear Information System (INIS)

    1967-01-01

    The texts of the Master Agreement between the Agency and the Government of Romania, and of Supplementary Agreement No. 1 thereto, in connection with the Agency's assistance to that Government in furthering projects by the supply of materials, are reproduced in this document for the information of all Members. The former Agreement entered into force on 22 April 1966, and the latter on 1 August 1966

  10. The Text of the Instrument concerning the Agency's Assistance to Mexico for the Establishment of a Training Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1972-06-05

    The texts of the Agreement between the Agency the the Governments of the Federal Republic of Germany and Mexico concerning the Agency's assistance for the establishment of a training reactor project in Mexico, and of a letter relating thereto which the Resident Representative of the Federal Republic of Germany addressed to the Director General, are reproduced herein for the information of all Members. The Agreement entered into force on 21 December 1971.

  11. The PARAChute Project: Remote Monitoring of Posture and Gait for Fall Prevention

    Science.gov (United States)

    Hewson, David J.; Duchêne, Jacques; Charpillet, François; Saboune, Jamal; Michel-Pellegrino, Valérie; Amoud, Hassan; Doussot, Michel; Paysant, Jean; Boyer, Anne; Hogrel, Jean-Yves

    2007-12-01

    Falls in the elderly are a major public health problem due to both their frequency and their medical and social consequences. In France alone, more than two million people aged over 65 years old fall each year, leading to more than 9 000 deaths, in particular in those over 75 years old (more than 8 000 deaths). This paper describes the PARAChute project, which aims to develop a methodology that will enable the detection of an increased risk of falling in community-dwelling elderly. The methods used for a remote noninvasive assessment for static and dynamic balance assessments and gait analysis are described. The final result of the project has been the development of an algorithm for movement detection during gait and a balance signature extracted from a force plate. A multicentre longitudinal evaluation of balance has commenced in order to validate the methodologies and technologies developed in the project.

  12. The PARAChute Project: Remote Monitoring of Posture and Gait for Fall Prevention

    Directory of Open Access Journals (Sweden)

    Anne Boyer

    2007-01-01

    Full Text Available Falls in the elderly are a major public health problem due to both their frequency and their medical and social consequences. In France alone, more than two million people aged over 65 years old fall each year, leading to more than 9 000 deaths, in particular in those over 75 years old (more than 8 000 deaths. This paper describes the PARAChute project, which aims to develop a methodology that will enable the detection of an increased risk of falling in community-dwelling elderly. The methods used for a remote noninvasive assessment for static and dynamic balance assessments and gait analysis are described. The final result of the project has been the development of an algorithm for movement detection during gait and a balance signature extracted from a force plate. A multicentre longitudinal evaluation of balance has commenced in order to validate the methodologies and technologies developed in the project.

  13. Pressure ulcer prevention and healing using alternating pressure mattress at home: the PARESTRY project.

    Science.gov (United States)

    Meaume, S; Marty, M

    2015-08-01

    Specialised pressure-relieving supports reduce or relieve the interface pressure between the skin and the support surface. The comparative effectiveness of dynamic support surfaces is debated. The aim of this study is to examine the impact of using an alternating pressure air mattress (APAM) on pressure ulcer (PU) incidence in patients receiving home-based care. A second aim was to determine the level of patient/family satisfaction with comfort and gain the views of the care team that used the APAM. The PARESTRY study was a prospective observational study conducted in patients with a high risk of PUs (Braden score prevention groups consisted of patients with no PU at baseline who were in bed for at least 20 hours a day. Patients at baseline with a category 3 or 4 PU or a category 1 or 2 PU in association with poor general health or end-of-life status were included in the secondary prevention group. All patients were laid on an APAM. The primary end point was the % of patients with a worsening skin condition in the pressure area (heel, sacrum, ischium) at day 90 or at the end of the study. The primary analysis was done on the full analysis set (patients included with at least a second assessment), using the last observation carried forward technique to handle missing data, at day 90. A 95% confidence interval was calculated. Analysis was performed on 92 patients (30 in primary prevention and 62 in secondary prevention). The average time spent in bed was 22.7 (SD 2.7) hours a day and 22.6 (SD 2.2) hours in the primary and secondary prevention groups, respectively. At baseline, in the secondary group, 77% of patients had a sacral PU, 63% a heel PU, 8% an ischial tuberosity PU and 45% a PU in another area, a number of patients having multiple PUs. In the primary prevention group, 63% (19/30) of patients dropped out of the study (5 were hospitalised, 9 died, 5 other causes). In the secondary prevention group, 61% (38/62) dropped out (7 were hospitalised, 23 died, 8

  14. Assessment of family history of substance abuse for preventive interventions with patients experiencing chronic pain: A quality improvement project.

    Science.gov (United States)

    Pestka, Elizabeth; Nash, Virginia; Evans, Michele; Cronin, Joan; Bee, Susan; King, Susan; Osborn, Kristine; Gehin, Jessica; Weis, Karen; Loukianova, Larissa

    2016-04-01

    This quality improvement project demonstrates that RN Care Managers, in a chronic pain programme, can assess for a family history of substance abuse in 5-10 min. Information informs treatment based on specific high risk criteria. Benefits include heightened awareness of the genetic and environmental risks associated with a family history of substance abuse, an opportunity to participate in motivational interventions to prevent or minimize consequences of substance use disorders, and likely substantial overall health-care cost savings. © 2015 John Wiley & Sons Australia, Ltd.

  15. Assessing effects of a media campaign on HIV/AIDS awareness and prevention in Nigeria: results from the VISION Project.

    Science.gov (United States)

    Keating, Joseph; Meekers, Dominique; Adewuyi, Alfred

    2006-05-03

    In response to the growing HIV epidemic in Nigeria, the U.S. Agency for International Development (USAID) initiated the VISION Project, which aimed to increase use of family planning, child survival, and HIV/AIDS services. The VISION Project used a mass-media campaign that focused on reproductive health and HIV/AIDS prevention. This paper assesses to what extent program exposure translates into increased awareness and prevention of HIV/AIDS. This analysis is based on data from the 2002 and 2004 Nigeria (Bauchi, Enugu, and Oyo) Family Planning and Reproductive Health Surveys, which were conducted among adults living in the VISION Project areas. To correct for endogeneity, two-stage logistic regression is used to investigate the effect of program exposure on 1) discussion of HIV/AIDS with a partner, 2) awareness that consistent condom use reduces HIV risk, and 3) condom use at last intercourse. Exposure to the VISION mass media campaign was high: 59%, 47%, and 24% were exposed to at least 1 VISION radio, printed advertisement, or TV program about reproductive health, respectively. The differences in outcome variables between 2002 baseline data and the 2004 follow-up data were small. However, those with high program exposure were almost one and a half (Odds Ratio [O.R.] = 1.47, 95% Confidence Interval [C.I.] 1.01-2.16) times more likely than those with no exposure to have discussed HIV/AIDS with a partner. Those with high program exposure were over twice (O.R. = 2.20, C.I. 1.49-3.25) as likely as those with low exposure to know that condom use can reduce risk of HIV infection. Program exposure had no effect on condom use at last sex. The VISION Project reached a large portion of the population and exposure to mass media programs about reproductive health and HIV prevention topics can help increase HIV/AIDS awareness. Programs that target rural populations, females, and unmarried individuals, and disseminate information on where to obtain condoms, are needed to reduce

  16. Assessing effects of a media campaign on HIV/AIDS awareness and prevention in Nigeria: results from the VISION Project

    Directory of Open Access Journals (Sweden)

    Adewuyi Alfred

    2006-05-01

    Full Text Available Abstract Background In response to the growing HIV epidemic in Nigeria, the U.S. Agency for International Development (USAID initiated the VISION Project, which aimed to increase use of family planning, child survival, and HIV/AIDS services. The VISION Project used a mass-media campaign that focused on reproductive health and HIV/AIDS prevention. This paper assesses to what extent program exposure translates into increased awareness and prevention of HIV/AIDS. Methods This analysis is based on data from the 2002 and 2004 Nigeria (Bauchi, Enugu, and Oyo Family Planning and Reproductive Health Surveys, which were conducted among adults living in the VISION Project areas. To correct for endogeneity, two-stage logistic regression is used to investigate the effect of program exposure on 1 discussion of HIV/AIDS with a partner, 2 awareness that consistent condom use reduces HIV risk, and 3 condom use at last intercourse. Results Exposure to the VISION mass media campaign was high: 59%, 47%, and 24% were exposed to at least 1 VISION radio, printed advertisement, or TV program about reproductive health, respectively. The differences in outcome variables between 2002 baseline data and the 2004 follow-up data were small. However, those with high program exposure were almost one and a half (Odds Ratio [O.R.] = 1.47, 95% Confidence Interval [C.I.] 1.01–2.16 times more likely than those with no exposure to have discussed HIV/AIDS with a partner. Those with high program exposure were over twice (O.R. = 2.20, C.I. 1.49–3.25 as likely as those with low exposure to know that condom use can reduce risk of HIV infection. Program exposure had no effect on condom use at last sex. Conclusion The VISION Project reached a large portion of the population and exposure to mass media programs about reproductive health and HIV prevention topics can help increase HIV/AIDS awareness. Programs that target rural populations, females, and unmarried individuals, and

  17. Assessment and Evaluation Report on a Pilot Project on Preventive School Maintenance in Eritrea

    DEFF Research Database (Denmark)

    Vagnby, Bo Hellisen

    In 2002, efforts started on formulating a maintenance policy for schools and other social service facilities in Eritrea. Since then, an appropriate policy and related implementation strategies have been further developed. In 2003, a specific pilot project was designed covering a number of schools...... of a school based approach to school maintenance are presented in the report....

  18. Integrating ergonomic aspects into research and development projects as a preventive strategy in the food industries

    DEFF Research Database (Denmark)

    Hansen, Iben Posniak; Broberg, Ole

    1997-01-01

    As part of a national research and development programme for food technology it was formulated as a demand to applicants to describe the potential ergonomics impact of the research and development (R&D) projects. As the primary purpose of the research programme was to strengthen the Danish food...

  19. Multilevel perspectives on community intervention: an example from an Indo-US HIV prevention project in Mumbai, India.

    Science.gov (United States)

    Schensul, Stephen L; Saggurti, Niranjan; Singh, Rajendra; Verma, Ravi K; Nastasi, Bonnie K; Mazumder, Papiya Guha

    2009-06-01

    This paper explores the meaning and applicability of multilevel interventions and the role of ethnography in identifying intervention opportunities and accounting for research design limitations. It utilizes as a case example the data and experiences from a 6-year, NIMH-funded, intervention to prevent HIV/STI among married men in urban poor communities in Mumbai, India. The experiences generated by this project illustrate the need for multilevel interventions to include: (1) ethnographically driven formative research to delineate appropriate levels, stakeholders and collaborators; (2) identification of ways to link interventions to the local culture and community context; (3) the development of a model of intervention that is sufficiently flexible to be consistently applied to different intervention levels using comparable culturally congruent concepts and approaches; (4) mechanisms to involve community residents, community based organizations and community-based institutions; and (5) approaches to data collection that can evaluate the impact of the project on multiple intersecting levels.

  20. Fifteen-year follow-up of smoking prevention effects in the North Karelia youth project.

    Science.gov (United States)

    Vartiainen, E; Paavola, M; McAlister, A; Puska, P

    1998-01-01

    This study evaluated the long-term effects of a school- and community-based smoking prevention program in Finland. Four intervention schools from North Karelia and two control schools from another province were chosen for the evaluation. Students who received the intervention were taught to resist social pressures to smoke. The program began in 1978 with seventh-grade students and ran through 1980, with a 15-year follow-up. In North Karelia, a community-based smoking cessation program for adults was also carried out. Mean lifetime cigarette consumption was 22% lower among program subjects than among control subjects. Smoking and prevalence were lower up to the age of 21. Long-term smoking prevention effects can be achieved if a school-based program using a social influence model is combined with community and mass media interventions.

  1. Development of an instrument for community-level health related social capital among Japanese older people: The JAGES Project.

    Science.gov (United States)

    Saito, Masashige; Kondo, Naoki; Aida, Jun; Kawachi, Ichiro; Koyama, Shihoko; Ojima, Toshiyuki; Kondo, Katsunori

    2017-05-01

    We developed and validated an instrument to measure community-level social capital based on data derived from older community dwellers in Japan. We used cross-sectional data from the Japan Gerontological Evaluation Study, a nationwide survey involving 123,760 functionally independent older people nested within 702 communities (i.e., school districts). We conducted exploratory and confirmatory factor analyses on survey items to determine the items in a multi-dimensional scale to measure community social capital. Internal consistency was checked with Cronbach's alpha. Convergent construct validity was assessed via correlating the scale with health outcomes. From 53 candidate variables, 11 community-level variables were extracted: participation in volunteer groups, sports groups, hobby activities, study or cultural groups, and activities for teaching specific skills; trust, norms of reciprocity, and attachment to one's community; received emotional support; provided emotional support; and received instrumental support. Using factor analysis, these variables were determined to belong to three sub-scales: civic participation (eigenvalue = 3.317, α = 0.797), social cohesion (eigenvalue = 2.633, α = 0.853), and reciprocity (eigenvalue = 1.424, α = 0.732). Confirmatory factor analysis indicated the goodness of fit of this model. Multilevel Poisson regression analysis revealed that civic participation score was robustly associated with individual subjective health (Self-Rated Health: prevalence ratio [PR] 0.96; 95% confidence interval [CI], 0.94-0.98; Geriatric Depression Scale [GDS]: PR 0.95; 95% CI, 0.93-0.97). Reciprocity score was also associated with individual GDS (PR 0.98; 95% CI, 0.96-1.00). Social cohesion score was not consistently associated with individual health indicators. Our scale for measuring social capital at the community level might be useful for future studies of older community dwellers. Copyright © 2016 The Authors. Production and

  2. Development of an effective communication strategy for the prevention of burns in children: the PRIUS project.

    Science.gov (United States)

    Cedri, S; Briguglio, E; Cedri, C; Masellis, A; Crenca, A; Pitidis, A

    2015-06-30

    This study has developed a learning kit for the prevention of domestic burns in childhood. The main objective was to trial an educational package for children (nursery and primary classes), for the prevention of burns, to be implemented through education in schools. The educational kit comprises posters, information leaflets, comic books, and pre and post education evaluation materials for school children, parents and teachers. Recipients of the preliminary study were the students of nine schools in the eight Italian cities where Burn Centers are located. In order to reach the target groups of children, it was necessary to identify the most effective communication strategy to convey the burn prevention message. For nursery school children, it was not possible to use tools with written texts alone, as they were not yet literate. Moreover, even for older children, it was necessary to find an attractive tool to catch their attention and interest, promoting the understanding and memorization of lessons learned. The most suitable means was found to be comic strips, allowing the messages to be conveyed through images as well as words. A total of 370 children (195 from nurseries and 175 from primary schools) participated in the trial of the educational kit. Overall, for every environment represented in the evaluation table, the ability to recognize the dangers among both the pre-school and primary school children increased significantly after the training activity. In conclusion, the educational kit has been positively assessed.

  3. Development of an effective communication strategy for the prevention of burns in children: the PRIUS project

    Science.gov (United States)

    Cedri, S.; Briguglio, E.; Cedri, C.; Masellis, A.; Crenca, A.; Pitidis, A.

    2015-01-01

    Summary This study has developed a learning kit for the prevention of domestic burns in childhood. The main objective was to trial an educational package for children (nursery and primary classes), for the prevention of burns, to be implemented through education in schools. The educational kit comprises posters, information leaflets, comic books, and pre and post education evaluation materials for school children, parents and teachers. Recipients of the preliminary study were the students of nine schools in the eight Italian cities where Burn Centers are located. In order to reach the target groups of children, it was necessary to identify the most effective communication strategy to convey the burn prevention message. For nursery school children, it was not possible to use tools with written texts alone, as they were not yet literate. Moreover, even for older children, it was necessary to find an attractive tool to catch their attention and interest, promoting the understanding and memorization of lessons learned. The most suitable means was found to be comic strips, allowing the messages to be conveyed through images as well as words. A total of 370 children (195 from nurseries and 175 from primary schools) participated in the trial of the educational kit. Overall, for every environment represented in the evaluation table, the ability to recognize the dangers among both the pre-school and primary school children increased significantly after the training activity. In conclusion, the educational kit has been positively assessed. PMID:27252606

  4. The impact of a prevention delivery system on perceived social capital: the PROSPER project.

    Science.gov (United States)

    Chilenski, Sarah M; Ang, Patricia M; Greenberg, Mark T; Feinberg, Mark E; Spoth, Richard

    2014-04-01

    The current study examined the impact of the PROSPER delivery system for evidence-based prevention programs on multiple indicators of social capital in a rural and semi-rural community sample. Utilizing a randomized blocked design, 317 individuals in 28 communities across two states were interviewed at three time points over the course of 2.5 years. Bridging, linking, and the public life skills forms of social capital were assessed via community members' and leaders' reports on the perceptions of school functioning and the Cooperative Extension System, collaboration among organizations, communication and collaboration around youth problems, and other measures. Longitudinal mixed model results indicate significant improvements in some aspects of bridging and linking social capital in PROSPER intervention communities. Given the strength of the longitudinal and randomized research design, results advance prevention science by suggesting that community collaborative prevention initiatives can significantly impact community social capital in a rural and semi-rural sample. Future research should further investigate changes in social capital in different contexts and how changes in social capital relate to other intervention effects.

  5. The text of the instrument concerning the Agency's assistance to Argentina for the establishment of a training reactor project

    International Nuclear Information System (INIS)

    1998-01-01

    The document reproduces the text of the Protocol of 30 August 1996 suspending the application of safeguards under the Agreement between the Agency and the Government of Argentina and the Federal Republic of Germany concerning the Agency's assistance for the establishment of a training reactor project in Argentina, which entered into force on 13 March 1970, in light of the provisions for the application of safeguards pursuant to the quadripartite safeguards agreement between Argentina, Brazil, the Brazilian-Argentine Agency for the Accounting and Control of Nuclear Materials and the IAEA

  6. The texts of the instruments concerning the Agency's assistance to Romania for the establishment of a research reactor project

    International Nuclear Information System (INIS)

    1991-08-01

    As a sequel to the assistance which the Agency has provided to the Government of Romania in connection with a research reactor project (IAEA-INFCIRC/206, IAEA-INFCIRC/206/ Add.1 and IAEA-INFCIRC/206/Mod.2), the Agency, the Government of Romania and the United States of America, on June 15, 1990, signed a letter constituting the Third Supply Agreement. The text of that letter, which was approved by the Board of Governors on June 15, 1990, is reproduced in this document

  7. Assessment and prevention of acute health effects of weather conditions in Europe, the PHEWE project: background, objectives, design

    Directory of Open Access Journals (Sweden)

    Anderson Hugh

    2007-04-01

    Full Text Available Abstract Background The project "Assessment and prevention of acute health effects of weather conditions in Europe" (PHEWE had the aim of assessing the association between weather conditions and acute health effects, during both warm and cold seasons in 16 European cities with widely differing climatic conditions and to provide information for public health policies. Methods The PHEWE project was a three-year pan-European collaboration between epidemiologists, meteorologists and experts in public health. Meteorological, air pollution and mortality data from 16 cities and hospital admission data from 12 cities were available from 1990 to 2000. The short-term effect on mortality/morbidity was evaluated through city-specific and pooled time series analysis. The interaction between weather and air pollutants was evaluated and health impact assessments were performed to quantify the effect on the different populations. A heat/health watch warning system to predict oppressive weather conditions and alert the population was developed in a subgroup of cities and information on existing prevention policies and of adaptive strategies was gathered. Results Main results were presented in a symposium at the conference of the International Society of Environmental Epidemiology in Paris on September 6th 2006 and will be published as scientific articles. The present article introduces the project and includes a description of the database and the framework of the applied methodology. Conclusion The PHEWE project offers the opportunity to investigate the relationship between temperature and mortality in 16 European cities, representing a wide range of climatic, socio-demographic and cultural characteristics; the use of a standardized methodology allows for direct comparison between cities.

  8. A reanalysis of a behavioral intervention to prevent incident HIV infections: Including indirect effects in modeling outcomes of Project EXPLORE

    Science.gov (United States)

    Eaton, Lisa A.; Kalichman, Seth C.; Kenny, David A.; Harel, Ofer

    2013-01-01

    Background Project EXPLORE -- a large-scale, behavioral intervention tested among men who have sex with men (MSM) at-risk for HIV infection --was generally deemed as ineffective in reducing HIV incidence. Using novel and more precise data analytic techniques we reanalyzed Project EXPLORE by including both direct and indirect paths of intervention effects. Methods Data from 4,296 HIV negative MSM who participated in Project EXPLORE, which included ten sessions of behavioral risk reduction counseling completed from 1999-2005, were included in the analysis. We reanalyzed the data to include parameters that estimate the overtime effects of the intervention on unprotected anal sex and the over-time effects of the intervention on HIV status mediated by unprotected anal sex simultaneously in a single model. Results We found the indirect effect of intervention on HIV infection through unprotected anal sex to be statistically significant up through 12 months post-intervention, OR=.83, 95% CI=.72-.95. Furthermore, the intervention significantly reduced unprotected anal sex up through 18 months post-intervention, OR=.79, 95% CI=.63-.99. Discussion Our results reveal effects not tested in the original model that offer new insight into the effectiveness of a behavioral intervention for reducing HIV incidence. Project EXPLORE demonstrated that when tested against an evidence-based, effective control condition can result in reductions in rates of HIV acquisition at one year follow-up. Findings highlight the critical role of addressing behavioral risk reduction counseling in HIV prevention. PMID:23245226

  9. New urban and regional management instruments: Santo André and the Tamanduateí axis project case

    Directory of Open Access Journals (Sweden)

    Margarida Nobue Sakata

    2009-06-01

    Full Text Available From the end of twenty century, the crisis that came with to the end of the intensive capitalism system have been motivated much political and economical transformation at global scale. The post war breakdown reconstruction, oil crisis, the advances in informatics and telecommunication caused changes in the regional structure of many countries in the world. The movement of manufacturing activities of the old industrial metropolis occasioned the decadence and ascension of different urban regions. As an answer to these transformations, the paradigm of urban politics of many cities has been changed with the dismantling of the traditional planning system and accepting new management and urban intervention forms, as strategic planning, big urban projects, urban legislation flexibility, city marketing, etc. Recently many authors have done a critical review of this new urban management. This present work analyses the transformations suffered by Santo André, municipality of São Paulo metropolitan region and the implementation of Tamanduateí Axis Project, analyzing them in this context and these new urban management forms, evaluating its impacts and results.

  10. Retrospective evaluation of Project Envision: A community mobilization pilot program to prevent sexual violence in New York City.

    Science.gov (United States)

    Glenn, Lily; Fidler, Laura; O'Connor, Meghan; Haviland, Mary; Fry, Deborah; Pollak, Tamara; Frye, Victoria

    2018-02-01

    Sexual violence is a public health problem associated with short- and long-term physical and mental health consequences. Most interventions that aim to prevent sexual violence before it occurs target individual-level change or promote bystander training. Community-level interventions, while increasingly recommended in the sexual violence prevention field, are rarely documented in peer-reviewed literature. This paper is a targeted process evaluation of Project Envision, a 6-year pilot initiative to address social norms at the root of sexual violence through coalition building and community mobilization in three New York City neighborhoods, and reflects the perspectives of those charged with designing and implementing the program. Evaluation methods included a systematic literature review, archival source document review, and key informant interviews. Three themes emerged from the results: community identity and implications for engagement; capacity and readiness for community mobilization and consequences for implementation; and impacts on participants. Lessons learned include the limitations of using geographic boundaries to structure community interventions in urban settings; carefully considering whether communities should be mobilized around an externally-identified issue; translating theoretical frameworks into concrete tasks; assessing all coalition partners and organizations for readiness; critically evaluating available resources; and recognizing that community organizing is a skill that requires investment from funders. We conclude that Project Envision showed promise for shifting institutional norms towards addressing root causes of sexual violence in addition to providing victim services. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Psychosocial Predictors of Weight Loss among American Indian and Alaska Native Participants in a Diabetes Prevention Translational Project

    Directory of Open Access Journals (Sweden)

    Edward J. Dill

    2016-01-01

    Full Text Available The association of psychosocial factors (psychological distress, coping skills, family support, trauma exposure, and spirituality with initial weight and weight loss among American Indians and Alaska Natives (AI/ANs in a diabetes prevention translational project was investigated. Participants (n=3,135 were confirmed as prediabetic and subsequently enrolled in the Special Diabetes Program for Indians Diabetes Prevention (SDPI-DP demonstration project implemented at 36 Indian health care programs. Measures were obtained at baseline and after completing a 16-session educational curriculum focusing on weight loss through behavioral changes. At baseline, psychological distress and negative family support were linked to greater weight, whereas cultural spirituality was correlated with lower weight. Furthermore, psychological distress and negative family support predicted less weight loss, and positive family support predicted greater weight loss, over the course of the intervention. These bivariate relationships between psychosocial factors and weight remained statistically significant within a multivariate model, after controlling for sociodemographic characteristics. Conversely, coping skills and trauma exposure were not significantly associated with baseline weight or change in weight. These findings demonstrate the influence of psychosocial factors on weight loss in AI/AN communities and have substantial implications for incorporating adjunctive intervention components.

  12. The role of interpersonal communication in preventing unsafe abortion in communities: the dialogues for life project in Nepal.

    Science.gov (United States)

    Bingham, Allison; Drake, Jennifer Kidwell; Goodyear, Lorelei; Gopinath, C Y; Kaufman, Anne; Bhattarai, Sanju

    2011-03-01

    Legal, procedural, and institutional restrictions on safe abortion services-such as laws forbidding the practice or policies preventing donors from supporting groups who provide legal services-remain a major access barrier for women worldwide. However, even when abortion services are legal, women face social and cultural barriers to accessing safe abortion services and preventing unwanted pregnancy. Interpersonal communication interventions play an important role in overcoming these obstacles, including as part of broad educational- and behavioral-change efforts. This article presents results from an interpersonal communication behavior change pilot intervention, Dialogues for Life, undertaken in Nepal from 2004 to 2006, after abortion was legalized in 2002. The project aimed to encourage and enable women to prevent unplanned pregnancies and unsafe abortions and was driven by dialogue groups and select community events. The authors' results confirm that a dialogue-based interpersonal communication intervention can help change behavior and that this method is feasible in a low-resource, low-literacy setting. Dialogue groups play a key role in addressing sensitive and stigmatizing health issues such as unsafe abortion and in empowering women to negotiate for the social support they need when making decisions about their health.

  13. Effect of the long-term care prevention project on the motor functions and daily life activities of the elderly.

    Science.gov (United States)

    Wada, Yoshihiro; Sakuraba, Keisyoku; Kubota, Atsushi

    2015-01-01

    [Purpose] The purpose of this study was to verify the effects of the long-term care prevention project and develop an effective program. [Subjects] A total of 81 elderly people (age, 79 ± 5.1 years; height, 149.2 ± 9.2 cm; weight, 54.2 ± 11.4 kg). [Methods] Grip, knee extension muscular strength, 10 m walking speed, and Timed Up and Go time were measured for evaluation of motor functions, and the "Locomo 25", a 25-question risk assessment questionnaire, was used as the judgment criterion for evaluation of daily life activities, with measurements being taken at the beginning of the project and after three months. [Results] In the motor functions evaluation, significant differences were observed in 10 m walking speed, Timed Up and Go time, and knee extension strength. In the daily life activities evaluation, scores for pain, rising movement, standing movement, indoor walking, outdoor walking, and fear of falling were significantly reduced. In addition, a significant correlation was also observed between motor functions and daily life activities. [Conclusion] The result of this study indicated that the long-term care prevention project is effective in maintaining or improving muscular strength and mitigating pain in the elderly and that it is an effective program for maintaining daily life activities. We were also able to show that it would be effective to develop programs with a low exercise intensity that can be performed on a continuing by the elderly.

  14. Amoco/Environmental Protection Agency Pollution Prevention Project, Yorktown refinery. Refinery release inventory. Final report

    International Nuclear Information System (INIS)

    Klee, H.; Kizier, G.J.; Baloo, S.; Hockman, E.L.; Couzens-Roberts, C.

    1992-07-01

    The report volume summarizes physical data obtained during a 2-year pollution prevention study of Amoco Oil Company's Yorktown Virginia Refinery. The study was jointly sponsored as a cooperative effort of Amoco Corporation and the United States Environmental Protection Agency. A multi-media sampling program was used to identify potential pollution sources within the Refinery. Sampling and analysis included air, surface water, groundwater, and solid waste data. Public perceptions about environmental issues of concern in the vicinity of the Refinery were also surveyed. The inventory showed that nearly 99 percent of the releases were airborne at the facility. Most of the remainder involved land disposal of solid wastes. Specific sources of major pollutants are identified

  15. Healthy outcomes for teens project: diabetes prevention through distributed interactive learning.

    Science.gov (United States)

    Castelli, Darla M; Goss, David; Scherer, Jane; Chapman-Novakofski, Karen

    2011-03-01

    This study assessed whether distributed interactive learning via web-based modules and grounded in schema and social cognitive theory (treatment group, n = 101) would increase knowledge about diabetes prevention in adolescents from three middle schools to a greater extent than the control group (n = 80) and examined whether the school environment used to convey the education had an effect. The treatment group showed substantially greater increases in overall and individual modular content knowledge, with 72 voluntarily choosing to retake evaluations that significantly improved their scores. The treatment (t[3.8], β ≥ 0.30, P school, pull out from physical education, or health education curriculum) (t[3.41], β ≥ 0.24, P learning was more effective than its passive counterpart, and a more structured delivery enhanced knowledge, as did opportunities to self-regulate learning. Attention to these process components will facilitate effective interventions by educators in schools.

  16. Public health genomics and personalized prevention: lessons from the COGS project.

    Science.gov (United States)

    Pashayan, N; Hall, A; Chowdhury, S; Dent, T; Pharoah, P D P; Burton, H

    2013-11-01

    Using the principles of public health genomics, we examined the opportunities and challenges of implementing personalized prevention programmes for cancer at the population level. Our model-based estimates indicate that polygenic risk stratification can potentially improve the effectiveness and cost-effectiveness of screening programmes. However, compared with 'one-size-fits-all' screening programmes, personalized screening adds further layers of complexity to the organization of screening services and raises ethical, legal and social challenges. Before polygenic inheritance is translated into population screening strategy, evidence from empirical research and engagement with and education of the public and the health professionals are needed. © 2013 The Association for the Publication of the Journal of Internal Medicine.

  17. [Prevention of drink driving at academic festivals: «Tú decides» project].

    Science.gov (United States)

    Malveiro, Jorge; de Jesus, Saul Neves; Viseo, Joao; Pechorro, Pedro; Pacheco, Eusébio; Lima-Rodríguez, Joaquín Salvador; Lima-Serrano, Marta

    2015-01-01

    Alcohol consumption among university students has reached worrying levels, its effects on driving being highly dangerous. This aspect emphasizes the need to develop prevention programs, intended to raise subjects' awareness about the effects of alcohol on driving. The aim of the present research is to evaluate the effectiveness of the intervention program «Tú decides», implemented at the Algarve University during several students festivals, between 2010-2014. Quasi-experimental study, pre-post test without control group. A total of 5,079 participants were inquired. They were asked, at two different moments, before and after the measurement of the blood alcohol level and giving an information session with technical recommendations to prevent driving under alcohol effects. One factor ANOVA test used, in order to perform a mean comparison, as well as the Chi-square statistics, to perform a proportion comparison (p<.05). It was found that the intention to drive was lower at the second moment (42.1%) (χ(2)=2078.71; p=.000). This intention was influenced by blood alcohol level different levels (χ(2)=338.252; p=.000), gender (χ(2)=35.718; p=.000), age (χ(2)=62.805; p=.000) and professional situation of the participants (χ(2)=27.397; p=.001). We can affirm that the main objective of this intervention was achieved, since the participants followed the technical recommendations based on the blood alcohol level results. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  18. Prevention of Adolescent Problem Behavior: Longitudinal Impact of the Project P.A.T.H.S. in Hong Kong

    Directory of Open Access Journals (Sweden)

    Daniel T. L. Shek

    2011-01-01

    Full Text Available The present study attempts to examine the longitudinal impact of a curriculum-based positive youth development program, entitled the Project P.A.T.H.S. (Positive Adolescent Training through Holistic Social Programmes, on adolescent problem behavior in Hong Kong. Using a longitudinal randomized group design, six waves of data were collected from 19 experimental schools (n = 3,797 at Wave 1 in which students participated in the Project P.A.T.H.S. and 24 control schools (n = 4,049 at Wave 1. At each wave, students responded to questions asking about their current problem behaviors, including delinquency and use of different types of drugs, and their intentions of engaging in such behaviors in the future. Results based on individual growth curve modeling generally showed that the participants displayed lower levels of substance abuse and delinquent behavior than did the control students. Participants who regarded the program to be helpful also showed lower levels of problem behavior than did the control students. The present findings suggest that the Project P.A.T.H.S. is effective in preventing adolescent problem behavior in the junior secondary school years.

  19. Tachikawa project for prevention of posttraumatic stress disorder with polyunsaturated fatty acid (TPOP): study protocol for a randomized controlled trial.

    Science.gov (United States)

    Matsuoka, Yutaka; Nishi, Daisuke; Yonemoto, Naohiro; Hamazaki, Kei; Matsumura, Kenta; Noguchi, Hiroko; Hashimoto, Kenji; Hamazaki, Tomohito

    2013-01-05

    Preclinical and clinical studies suggest that supplementation with omega-3 fatty acids after trauma might reduce subsequent posttraumatic stress disorder (PTSD). To date, we have shown in an open trial that PTSD symptoms in critically injured patients can be reduced by taking omega-3 fatty acids, hypothesized to stimulate hippocampal neurogenesis. The primary aim of the present randomized controlled trial is to examine the efficacy of omega-3 fatty acid supplementation in the secondary prevention of PTSD following accidental injury, as compared with placebo. This paper describes the rationale and protocol of this trial. The Tachikawa Project for Prevention of Posttraumatic Stress Disorder with Polyunsaturated Fatty Acid (TPOP) is a double-blinded, parallel group, randomized controlled trial to assess whether omega-3 fatty acid supplementation can prevent PTSD symptoms among accident-injured patients consecutively admitted to an intensive care unit. We plan to recruit accident-injured patients and follow them prospectively for 12 weeks. Enrolled patients will be randomized to either the omega-3 fatty acid supplement group (1,470 mg docosahexaenoic acid and 147 mg eicosapentaenoic acid daily) or placebo group. Primary outcome is score on the Clinician-Administered PTSD Scale (CAPS). We will need to randomize 140 injured patients to have 90% power to detect a 10-point difference in mean CAPS scores with omega-3 fatty acid supplementation compared with placebo. Secondary measures are diagnosis of PTSD and major depressive disorder, depressive symptoms, physiologic response in the experiment using script-driven imagery and acoustic stimulation, serum brain-derived neurotrophic factor, health-related quality of life, resilience, and aggression. Analyses will be by intent to treat. The trial was initiated on December 13 2008, with 104 subjects randomized by November 30 2012. This study promises to be the first trial to provide a novel prevention strategy for PTSD among

  20. Modernization project of the rod control system and in-core instrumentation system for 34 units of the 900 MW French EDF fleet

    International Nuclear Information System (INIS)

    Tavolara, Ivan; Verburgh, Pierre; Menager, Antoine

    2010-01-01

    Rolls-Royce and Cegelec, in partnership, carry out a unique and considerable modernisation project of two Instrumentation and Control (I and C) systems for the entire 900 MWe fleet of Electricite De France (EDF). Both rod control (RCS) and reactor in-core measurement (RIC) systems are to be modernised in the frame of the third ten-year renovation of all 34 reactor units over 9 power plants. The RCS contributes to the control of nuclear power by actuating control rod drive mechanisms that allow insertion or withdrawal of control rods. The RCS has also monitoring functions such as controlling the actual rods' position as well as the functional consistency between commands and actual positions. The RIC system measures in-core neutron flux, providing useful information to the control room as well as to the reactor unit computer for further processing. The renovated systems shall replace the existing ageing analog technology by modern digital technology based on PLC (Programmable Logic Controllers) and FPGA (Field-Programmable Gate Array) in the case of power subassemblies of RCS. Both systems rely for certain functions on a common network linking the RCS and RIC networks, improving operations and maintenance thanks to a powerful Man Machine Interface at the different locations of the systems with an extensive suite of tools and diagnostic menus. The project whose design phase started in July 2006 is now in its deployment phase after the successful site implementation of both systems at the first units of Tricastin and Fessenheim power plants, respectively in August 2009 and February 2010. The deployment shall continue with the other 32 units until 2020. Rolls-Royce has a broad range of civil nuclear expertise, including work related to licensing and safety reviews, engineering design, supply chain management, manufacturing, installation and commissioning of the nuclear island systems and equipment, as well as operational management through life support. Cegelec, with

  1. First NASA Aviation Safety Program Weather Accident Prevention Project Annual Review

    Science.gov (United States)

    Colantonio, Ron

    2000-01-01

    The goal of this Annual Review was to present NASA plans and accomplishments that will impact the national aviation safety goal. NASA's WxAP Project focuses on developing the following products: (1) Aviation Weather Information (AWIN) technologies (displays, sensors, pilot decision tools, communication links, etc.); (2) Electronic Pilot Reporting (E-PIREPS) technologies; (3) Enhanced weather products with associated hazard metrics; (4) Forward looking turbulence sensor technologies (radar, lidar, etc.); (5) Turbulence mitigation control system designs; Attendees included personnel from various NASA Centers, FAA, National Weather Service, DoD, airlines, aircraft and pilot associations, industry, aircraft manufacturers and academia. Attendees participated in discussion sessions aimed at collecting aviation user community feedback on NASA plans and R&D activities. This CD is a compilation of most of the presentations presented at this Review.

  2. Study protocol. IDUS - Instrumental delivery & ultrasound: a multi-centre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery.

    LENUS (Irish Health Repository)

    Murphy, Deirdre J

    2012-01-01

    Instrumental deliveries are commonly performed in the United Kingdom and Ireland, with rates of 12 - 17% in most centres. Knowing the exact position of the fetal head is a pre-requisite for safe instrumental delivery. Traditionally, diagnosis of the fetal head position is made on transvaginal digital examination by delineating the suture lines of the fetal skull and the fontanelles. However, the accuracy of transvaginal digital examination can be unreliable and varies between 20% and 75%. Failure to identify the correct fetal head position increases the likelihood of failed instrumental delivery with the additional morbidity of sequential use of instruments or second stage caesarean section. The use of ultrasound in determining the position of the fetal head has been explored but is not part of routine clinical practice.

  3. Study Protocol. IDUS -- Instrumental delivery & ultrasound. A multi-centre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery

    LENUS (Irish Health Repository)

    Murphy, Deirdre J

    2012-09-13

    AbstractBackgroundInstrumental deliveries are commonly performed in the United Kingdom and Ireland, with rates of 12 – 17% in most centres. Knowing the exact position of the fetal head is a pre-requisite for safe instrumental delivery. Traditionally, diagnosis of the fetal head position is made on transvaginal digital examination by delineating the suture lines of the fetal skull and the fontanelles. However, the accuracy of transvaginal digital examination can be unreliable and varies between 20% and 75%. Failure to identify the correct fetal head position increases the likelihood of failed instrumental delivery with the additional morbidity of sequential use of instruments or second stage caesarean section. The use of ultrasound in determining the position of the fetal head has been explored but is not part of routine clinical practice.Methods\\/DesignA multi-centre randomised controlled trial is proposed. The study will take place in two large maternity units in Ireland with a combined annual birth rate of 13,500 deliveries. It will involve 450 nulliparous women undergoing instrumental delivery after 37 weeks gestation. The main outcome measure will be incorrect diagnosis of the fetal head position. A study involving 450 women will have 80% power to detect a 10% difference in the incidence of inaccurate diagnosis of the fetal head position with two-sided 5% alpha.DiscussionIt is both important and timely to evaluate the use of ultrasound to diagnose the fetal head position prior to instrumental delivery before routine use can be advocated. The overall aim is to reduce the incidence of incorrect diagnosis of the fetal head position prior to instrumental delivery and improve the safety of instrumental deliveries.Trial registrationCurrent Controlled Trials ISRCTN72230496

  4. Study Protocol. IDUS – Instrumental delivery & ultrasound. A multi-centre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery

    Directory of Open Access Journals (Sweden)

    Murphy Deirdre J

    2012-09-01

    Full Text Available Abstract Background Instrumental deliveries are commonly performed in the United Kingdom and Ireland, with rates of 12 – 17% in most centres. Knowing the exact position of the fetal head is a pre-requisite for safe instrumental delivery. Traditionally, diagnosis of the fetal head position is made on transvaginal digital examination by delineating the suture lines of the fetal skull and the fontanelles. However, the accuracy of transvaginal digital examination can be unreliable and varies between 20% and 75%. Failure to identify the correct fetal head position increases the likelihood of failed instrumental delivery with the additional morbidity of sequential use of instruments or second stage caesarean section. The use of ultrasound in determining the position of the fetal head has been explored but is not part of routine clinical practice. Methods/Design A multi-centre randomised controlled trial is proposed. The study will take place in two large maternity units in Ireland with a combined annual birth rate of 13,500 deliveries. It will involve 450 nulliparous women undergoing instrumental delivery after 37 weeks gestation. The main outcome measure will be incorrect diagnosis of the fetal head position. A study involving 450 women will have 80% power to detect a 10% difference in the incidence of inaccurate diagnosis of the fetal head position with two-sided 5% alpha. Discussion It is both important and timely to evaluate the use of ultrasound to diagnose the fetal head position prior to instrumental delivery before routine use can be advocated. The overall aim is to reduce the incidence of incorrect diagnosis of the fetal head position prior to instrumental delivery and improve the safety of instrumental deliveries. Trial registration Current Controlled Trials ISRCTN72230496

  5. Carbon Footprint Reduction Instruments

    Science.gov (United States)

    This page outlines the major differences between Renewable Energy Certificates (REC) and Project Offsets and what types of claims each instrument allows the organization to make in regards to environmental emissions claims.

  6. A proposed framework for conducting pollution prevention design assessments (P2DAs) on U.S. Department of Energy design projects

    International Nuclear Information System (INIS)

    Dorsey, J.A.

    1995-03-01

    The purpose of this manual is to provide a framework for project managers, engineers, and designers to integrate pollution prevention principles and features into DOE design projects. The framework suggested is referred to as the pollution prevention design assessment (P2DA). The P2DA is based on DOE's method for conducting pollution prevention opportunity assessments (PPOAs) on existing waste-generating operations, but the P2DA is modified because the facility or process it assesses does not physically exist during design. Before the P2DA framework is introduced in the manual, recommendations for establishing the P2DA team and budget are provided. Specific pollution prevention requirements and opportunities for each design stage as delineated in DOE Order 4700.1 Project Management System are also discussed and a sample format for drafting a P2DA report is provided in the appendix. The scope of this manual includes not only the P2DA framework, but also a background discussion of pollution prevention and related topics; the regulatory requirements mandating design for pollution prevention; the benefits and barriers of designing for pollution prevention; and the impact that pollution prevention and related environmental avoidance concepts have had on the engineering profession

  7. Development of photoacoustic water vapor and total water measuring instrument with a long term objective of becoming part of the IAGOS project

    Science.gov (United States)

    Tatrai, David; Bors, Noemi; Gulyas, Gabor; Szabo, Gabor; Smit, Herman G. J.; Petzold, Andreas; Bozoki, Zoltan

    2016-04-01

    Airborne hygrometry is one of the key topics in atmospheric and climate research that is why airborne hygrometers are almost always included in aircraft based measurement campaigns (see e.g. MOZAIC and CARIBIC). However for its successful application an airborne hygrometer has to be able to measure humidity in a wide range (1 60000 ppmV) at various total pressures with high accuracy and short response time. In addition, an instrument capable of measuring water vapor and condensed water selectively has considerable added value as the water content of clouds seems to be a very uncertain parameter in climate models. At the University of Szeged, a dual channel, photoacoustic spectroscopy based hygrometer system had been developed, that measures water vapor concentration and total water content simultaneously from the ground level up to cruising altitude [1, 2]. An early version of this system is the core hygrometer of the CARIBIC project. In the past few years efforts were made to improve further the performance and long term reliability of the system [3] while also reducing its size and weight. Most important of the recent achievements is a new data acquisition and control system with more precise control performance [4]. Many of these results have been proved by various laboratory (AquaVIT2a-b) and in-flight (DANCHAR-IFCC, AIRTOSS I-II) measurement campaigns. Based on these results the system received invitation into the IAGOS ESFRI project to become one of its core instruments. The presented work was funded by EUFAR contract no. 227159, by the Hungarian Research and Technology Innovation Fund (OTKA), project no. NN109679 and by the European Community's Seventh Framework Programme (FP7/2007-2013) under grant agreement n° 312311. [1] Szakáll, M et.al: Infrared Physics & Technology. 2006. 48, (3) 192-201 [2] Szakáll, M. et.al: Infrared Physics & Technology, 2007. 51, (2) 113-121 [3] Tátrai, D. et.al: Atmos. Meas. Tech., 8, 33-42, 2015 [4] Tátrai, D. et

  8. Evaluating the impact of a community developed collaborative project for the prevention of early childhood caries: the Healthy Smile Happy Child project.

    Science.gov (United States)

    Schroth, Robert J; Edwards, Jeanette M; Brothwell, Douglas J; Yakiwchuk, Carol A; Bertone, Mary F; Mellon, Bernadette; Ward, Jennifer; Ellis, Marion; Hai-Santiago, Khalida; Lawrence, Herenia P; Moffatt, Michael E

    2015-01-01

    To determine the effectiveness of the Healthy Smile Happy Child (HSHC) project, a community-developed initiative promoting early childhood oral health in Manitoba, Canada. Specific aims were to assess improvements in caregiver knowledge, attitudes, and behaviours relating to early childhood oral health, and the burden of early childhood caries (ECC) and severe ECC (S-ECC). A serial cross-sectional study design was selected to contrast findings following the Healthy Smile Happy Child (HSHC) campaign in four communities with the previous baseline data. One community was a remote First Nation in northern Manitoba and another was a rural First Nation in southern Manitoba. The other two communities were urban centres, one of which was located in northern Manitoba. A community-development approach was adopted for the project to foster community solutions to address ECC. Goals of the HSHC program were to promote the project in each community, use existing community-based programs and services to deliver the oral health promotion and ECC prevention activities, and recruit and train natural leaders to assist in program development and to deliver the ECC prevention program. The HSHC coordinator worked with communities to develop a comprehensive list of potential strategies to address ECC. Numerous activities occurred in each community to engage members and increase their knowledge of early childhood oral health and ultimately lead them to adopt preventive oral health practices for their young children. Children under 71 months of age and their primary caregivers participated in this follow-up study. A -value ≤0.05 was statistically significant. 319 children (mean age 38.2±18.6 months) and their primary caregivers participated. Significant improvements in caregiver knowledge and attitudes were observed following the HSHC campaign, including that baby teeth are important (98.8%), that decay involving primary teeth can impact on health (94.3%), and the importance of a dental

  9. Lifestyle changes and prevention of metabolic syndrome in the Heart of New Ulm Project

    Directory of Open Access Journals (Sweden)

    Jeffrey J. VanWormer

    2017-06-01

    Full Text Available Prior research has shown that unhealthy lifestyles increase the risk for developing a number of chronic diseases, but there are few studies examining how lifestyle changes impact metabolic syndrome. This study analyzed the association between two-year changes in key lifestyle risk metrics and incident metabolic syndrome in adults. A retrospective cohort study was conducted using data from metabolic syndrome free adults in the Heart of New Ulm Project (New Ulm, MN. The outcome was incident metabolic syndrome observed two years after baseline in 2009. The primary predictor was change in optimal lifestyle score based on four behavioral risk factors, including smoking, alcohol use, fruit/vegetable consumption, and physical activity. In the analytical sample of 1059 adults, 12% developed metabolic syndrome by 2011. Multivariable regression models (adjusted for baseline lifestyle score, age, sex, education, cardiovascular disease, and diabetes revealed that a two-year decrease in optimal lifestyle score was associated with significantly greater odds of incident metabolic syndrome (OR = 2.92; 95% CI: 1.69, 5.04; p < 0.001. This association was primarily driven by changes in obesity, fruit/vegetable consumption, and alcohol intake. As compared to improving poor lifestyle habits, maintaining a healthy lifestyle seemed to be most helpful in avoiding metabolic syndrome over the two-year study timeframe.

  10. Confronting structural violence in sex work: lessons from a community-led HIV prevention project in Mysore, India.

    Science.gov (United States)

    Argento, Elena; Reza-Paul, Sushena; Lorway, Robert; Jain, Jinendra; Bhagya, M; Fathima, Mary; Sreeram, S V; Hafeezur, Rahman Syed; O'Neil, John

    2011-01-01

    Evidence from community-led HIV prevention projects suggests that structural interventions may result in reduced rates of HIV and STIs. The complex relationship between empowerment and confronting stigma, discrimination and physical abuse necessitates further investigation into the impact that such interventions have on the personal risks for sex workers. This article aims to describe lived experiences of members from a sex worker's collective in Mysore, India and how they have confronted structural violence. The narratives highlight experiences of violence and the development and implementation of strategies that have altered the social, physical, and emotional environment for sex workers. Building an enabling environment was key to reducing personal risks inherent to sex work, emphasizing the importance of community-led structural interventions for sex workers in India.

  11. Marketing the 'Sex Check': evaluating recruitment strategies for a telephone-based HIV prevention project for gay and bisexual men.

    Science.gov (United States)

    McKee, Michael B; Picciano, Joseph F; Roffman, Roger A; Swanson, Fred; Kalichman, Seth C

    2006-04-01

    Designing effective marketing and recruitment strategies for HIV prevention research requires attention to cultural relevance, logistical barriers, and perceived psychosocial barriers to accessing services. McGuire's communication/persuasion matrix (1985) guided our evaluation, with particular attention to success of each marketing "channel" (i.e., strategy) vis-à-vis the number of all callers, eligible callers, and enrolled callers, as well as reaching so-called "hard-to-serve" individuals. Nearly all channels offered success in reaching specific subgroups. Latinos responded favorably to posters, bisexuals responded favorably to paid media in an alternative (non-gay) publication, and precontemplators responded to referrals by family and friends. Although multiple recruitment strategies were used, three were crucial to the success of the project: (a) recruiters' presence in gay venues, (b) referrals by family and friends (snowball technique), and (c) paid advertisements in alternative (non-gay) local newspapers. Resource allocation and costs are also presented for each channel.

  12. Corruption and compliance: preventive legislations and policies in international business projects

    Directory of Open Access Journals (Sweden)

    Harsh PATHAK

    2013-12-01

    Full Text Available This article seeks to provide an insight on the international phenomenon of corruption, dealing with its existence, and whether compliance is higher with Anti-Corruption laws or with corruption itself, resulting in anti-corruption laws being much less effective than the legislators intended it to be and the reasons for increasing demand worldwide for new governance standards and higher compliance controls and other effective anti-corruption laws and policies in light of rapid increase in corruption every year. This article further deals with the diagnosis and measures to deal with the cause of corruption – the short-comings in anti-corruption law – the reasons why corporations are willing to face continuing legal risks and adverse publicity but still indulge in corrupt practices and the extent of negative impact the prevailing levels of corruption ultimately have on international business and trade. Strict compliance controls are being introduced with increasing enforcement of anti-corruption laws internationally and nations have also started to focus on individual and corporate liability in cases of violation of anti-corruption laws, for both government and private organisations. In this context of far-reaching developments, whether European and South-east Asian Countries like India and International Business Organisations can act in ignorance or buck up and accept this trend, slowly and steadily moving towards a less corrupt nation and International business projects – if not towards a totally corruption free one, keeping in mind the growth of international trade and Commerce and its sustainability.

  13. Is a project needed to prevent urinary tract infection in patients admitted to spanish ICUs?

    Science.gov (United States)

    Álvarez Lerma, F; Olaechea Astigarraga, P; Nuvials, X; Gimeno, R; Catalán, M; Gracia Arnillas, M P; Seijas Betolaza, I; Palomar Martínez, M

    2018-02-06

    To analyze epidemiological data of catheter-associated urinary tract infection (CAUTI) in critically ill patients admitted to Spanish ICUs in order to assess the need of implementing a nationwide intervention program to reduce these infections. Non-intervention retrospective annual period prevalence analysis. Participating ICUs in the ENVIN-UCI multicenter registry between the years 2007-2016. Critically ill patients admitted to the ICU with catheter-associated urinary tract infection (CAUTI). Incidence rates per 1,000 catheter-days; urinary catheter utilization ratio; proportion of CAUTIs in relation to total health care-associated infections (HAIs). A total of 187,100 patients, 137,654 (73.6%) of whom had a urinary catheter in place during 1,215,673 days (84% of days of ICU stay) were included. In 4,539 (3.3%) patients with urinary catheter, 4,977 CAUTIs were diagnosed (3.6 episodes per 100 patients with urinary catheter). The CAUTI incidence rate showed a 19% decrease between 2007 and 2016 (4.69 to 3.8 episodes per 1,000 catheter-days), although a sustained urinary catheter utilization ratio was observed (0.84 [0.82-0.86]). The proportion of CAUTI increased from 23.3% to 31.9% of all HAIs controlled in the ICU. Although CAUTI rates have declined in recent years, these infections have become proportionally the first HAIs in the ICU. The urinary catheter utilization ratio remains high in Spanish ICUs. There is room for improvement, so that a CAUTI-ZERO project in our country could be useful. Copyright © 2018 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

  14. Gum-compliant uncertainty propagations for Pu and U concentration measurements using the 1st-prototype XOS/LANL hiRX instrument; an SRNL H-Canyon Test Bed performance evaluation project

    Energy Technology Data Exchange (ETDEWEB)

    Holland, Michael K. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); O' Rourke, Patrick E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2016-05-04

    An SRNL H-Canyon Test Bed performance evaluation project was completed jointly by SRNL and LANL on a prototype monochromatic energy dispersive x-ray fluorescence instrument, the hiRX. A series of uncertainty propagations were generated based upon plutonium and uranium measurements performed using the alpha-prototype hiRX instrument. Data reduction and uncertainty modeling provided in this report were performed by the SRNL authors. Observations and lessons learned from this evaluation were also used to predict the expected uncertainties that should be achievable at multiple plutonium and uranium concentration levels provided instrument hardware and software upgrades being recommended by LANL and SRNL are performed.

  15. Causes of blindness in rural Myanmar (Burma: Mount Popa Taung-Kalat Blindness Prevention Project

    Directory of Open Access Journals (Sweden)

    Arie Y Nemet

    2009-07-01

    Full Text Available Arie Y Nemet1, Pinhas Nemet2, Geoff Cohn3, Gina Sutton, Gerald Sutton4, Richard Rawson41Department of Ophthalmology, Sydney Hospital and Sydney Eye Hospital, Sydney, Australia; 2Sackler School of Medicine, Tel-Aviv University, Israel; 3Departments of Ophthalmology, University of New South Wales, Sydney, Australia; 4Department of Ophthalmology, University of Sydney, AustraliaPurpose: This study is a review of the major causes of visual impairment (VI and severe visual impairment/blindness (SVI/BL in Mount Popa Taung-Kalat, a rural region in Myanmar (Burma.Methods: A review of our clinical records of consecutive patients attending clinics was conducted. Participants of all ages (n = 650 of the population of Mount Popa Taung-Kalat and villages in its vicinity underwent ophthalmic interview and a detailed dilated ocular evaluation by trained Australian ophthalmologists and ophthalmic nurses. This evaluation included anterior segment examination with a slit lamp, intraocular pressure recording, and direct or indirect ophthalmoscopy. VI and SVI/BL were defined by the World Health Organization (WHO criteria. Results: Six hundred fifty subjects were screened, with a mean age of 49.0 ± 20.6 years (range, 1–99. One hundred five patients (16.2% were children (ages 1–18. Five hundred thirty-one eyes of the total 1,300 eyes (39.5% had VI/SVI/BL, and 40 eyes of the children (38.1% (average age 15.3 ± 13.3 had VI/SVI/BL. The leading causes of VI/SVI/BL were cataract with 288 cases (54.2%, glaucoma with 84 cases (15.8%, and corneal pathology with 78 cases (14.7%. Of all the VI/SVI/BL cases, 8.4% were preventable, 81.9% were treatable, and total of 90.5% were avoidable.Conclusions: In the current study, cataracts were the major cause of blindness and visual impairment, and most of the ophthalmic pathology causing blindness is avoidable. These results highlight the lack of basic ophthalmologist eye care and optician resources in rural regions in Myanmar

  16. Ion Exchange Technology Development in Support of the Urine Processor Assembly Precipitation Prevention Project for the International Space Station

    Science.gov (United States)

    Mitchell, Julie L.; Broyan, James L.; Pickering, Karen D.; Adam, Niklas; Casteel, Michael; Callahan, Michael; Carrier, Chris

    2012-01-01

    In support of the Urine Processor Assembly Precipitation Prevention Project (UPA PPP), multiple technologies were explored to prevent CaSO4 2H2O (gypsum) precipitation during the on-orbit distillation process. Gypsum precipitation currently limits the water recovery rate onboard the International Space Station (ISS) to 70% versus the planned 85% target water recovery rate. Due to its ability to remove calcium cations in pretreated augmented urine (PTAU), ion exchange was selected as one of the technologies for further development by the PPP team. A total of 13 ion exchange resins were evaluated in various equilibrium and dynamic column tests with solutions of dissolved gypsum, urine ersatz, PTAU, and PTAU brine at 85% water recovery. While initial evaluations indicated that the Purolite SST60 resin had the highest calcium capacity in PTAU (0.30 meq/mL average), later tests showed that the Dowex G26 and Amberlite FPC12H resins had the highest capacity (0.5 meq/mL average). Testing at the Marshall Spaceflight Center (MSFC) integrates the ion exchange technology with a UPA ground article under flight-like pulsed flow conditions with PTAU. To date, no gypsum precipitation has taken place in any of the initial evaluations.

  17. [The CHILT I project (Children's Health Interventional Trial). A multicomponent intervention to prevent physical inactivity and overweight in primary schools].

    Science.gov (United States)

    Graf, C; Dordel, S

    2011-03-01

    Child and juvenile obesity is increasing worldwide; therefore, effective preventive strategies are warranted. The stepwise project CHILT (Children's Health Interventional Trial) was initiated in 2000 and combines in its multicomponent school-based arm CHILT I health education and physical activity for primary school children to prevent physical inactivity and overweight. The effect on obesity and physical performance was studied in 12 primary schools (intervention schools, IS) compared with 5 control schools (CS). Anthropometric data were recorded. Physical performance was measured by a coordination test for children (the "Körperkoordinationstest für Kinder", KTK) and the 6-minute run. Anthropometric and motoric data of 436 children in IS (55.0% of the population) and 179 children in CS (62.8%) were available at baseline and at follow-up. No difference in the incidence of overweight was found between the IS and CS after 4 years of intervention. Remission of overweight was higher in IS (23.2% versus 19.2%), but not significant. The increase in BMI was significantly lower in IS, in which the program was regularly performed. There was an improvement in selected items of the KTK in IS. In particular, endurance performance tended to be higher at final examination. School-based preventive intervention seems to have a positive influence on physical motor skills and the remission of overweight. To optimize the effects, a consistent and quality assured implementation and the integration of the children's whole environment are warranted.

  18. SWE-based Observation Data Delivery from the Instrument to the User - Sensor Web Technology in the NeXOS Project

    Science.gov (United States)

    Jirka, Simon; del Rio, Joaquin; Toma, Daniel; Martinez, Enoc; Delory, Eric; Pearlman, Jay; Rieke, Matthes; Stasch, Christoph

    2017-04-01

    The rapidly evolving technology for building Web-based (spatial) information infrastructures and Sensor Webs, there are new opportunities to improve the process how ocean data is collected and managed. A central element in this development is the suite of Sensor Web Enablement (SWE) standards specified by the Open Geospatial Consortium (OGC). This framework of standards comprises on the one hand data models as well as formats for measurement data (ISO/OGC Observations and Measurement, O&M) and metadata describing measurement processes and sensors (OGC Sensor Model Language, SensorML). On the other hand the SWE standards comprise (Web service) interface specifications for pull-based access to observation data (OGC Sensor Observation Service, SOS) and for controlling or configuring sensors (OGC Sensor Planning Service, SPS). Also within the European INSPIRE framework the SWE standards play an important role as the SOS is the recommended download service interface for O&M-encoded observation data sets. In the context of the EU-funded Oceans of Tomorrow initiative the NeXOS (Next generation, Cost-effective, Compact, Multifunctional Web Enabled Ocean Sensor Systems Empowering Marine, Maritime and Fisheries Management) project is developing a new generation of in-situ sensors that make use of the SWE standards to facilitate the data publication process and the integration into Web based information infrastructures. This includes the development of a dedicated firmware for instruments and sensor platforms (SEISI, Smart Electronic Interface for Sensors and Instruments) maintained by the Universitat Politècnica de Catalunya (UPC). Among other features, SEISI makes use of OGC SWE standards such OGC-PUCK, to enable a plug-and-play mechanism for sensors based on SensorML encoded metadata. Thus, if a new instrument is attached to a SEISI-based platform, it automatically configures the connection to these instruments, automatically generated data files compliant with the ISO

  19. Addressing vulnerabilities of female sex workers in an HIV prevention intervention in Mumbai and Thane: experiences from the Aastha project

    Science.gov (United States)

    Ranebennur, Virupax; Gaikwad, Sanjeevsingh; Ramesh, Sowmya; Bhende, Amrita

    2014-01-01

    Background It is important for targeted interventions to consider vulnerabilities of female sex workers (FSWs) such as poverty, work-related mobility, and literacy, for effective human immunodeficiency virus (HIV) prevention. This paper describes and examines the association of the Aastha HIV/sexually transmitted infection (STI) prevention project in Mumbai and Thane, India, on the relationship between vulnerability and behavioral outcomes. Materials and methods Data were drawn from the Behavioural Tracking Survey, a cross-sectional behavioral study conducted in 2010 with 2,431 FSWs recruited in Mumbai and Thane. The key independent measures used were program exposure and “vulnerability index”, a composite index of literacy, factors of dependence (alternative livelihood options, current debt, and children), and aspects of sex work (mobility and duration in sex work). Dependent measures included service uptake, self-confidence, self-identity, and individual agency. Logistic regression analysis was used to examine the study objectives. Results Of the analytical sample of 2,431 FSWs, 1,295 (53.3%) were categorized as highly vulnerable. Highly vulnerable FSWs who were associated with the Aastha program for more than a year were more likely to have accessed crisis-response services in the past 6 months (adjusted odds ratio [AOR] 2.2, 95% confidence interval [CI] 1.4–3.6; P<0.001), to have visited a clinic to get a checkup for STI symptoms (AOR 2.4, 95% CI 1.2–4.8; P<0.015), not to be ashamed to disclose identity as an FSW to health workers (AOR 2.1, 95% CI 1.2–3.5; P<0.008), and to be confident in supporting a fellow FSW in crisis (AOR 1.7, 95% CI 1.0–2.8, P<0.033) compared to those less vulnerable with similar exposure to the Aastha program. Conclusion It is critical for HIV/STI interventions to consider vulnerabilities of FSWs at project inception and address them with focused strategies, including a segmented service-delivery model and community

  20. Peer-led Stress Prevention Seminars in the First Year of Medical School – A Project Report

    Directory of Open Access Journals (Sweden)

    Bugaj, Till Johannes

    2016-02-01

    Full Text Available Introduction: From the beginning of the first year of medical studies, increased psychological stress and elevated burnout prevalence rates can be registered compared to sample populations. Characterized by learning “on an equal footing”, the principle of peer-assisted learning (PAL is widely used in medical education. This report aims to showcase the development and evaluation of peer-led stress prevention seminars for first year medical students after one year of implementation.Project description: With each of the three sessions lasting 90 min., the stress prevention seminars took place in small groups (6-10 students in the period from November 2013 to January 2014 and from November 2014 to December 2014 at the Medical Faculty of Heidelberg. Led by trained peers, the seminar content ranged from psycho-educational elements, i.e. time management strategy development and test anxiety assistance, to relaxation techniques. All seminar sessions were evaluated via questionnaire. All questions were answered on a Likert scale ranging from 1 to 7 (1=strongly agree; 7=strongly disagree.Results: 75 students consented to participate in seminars (65% female; aged 20.5±3.3 years. The series of seminars was averagely given the school grade of 1.2±0.4 (1=very good to 6=unsatisfactory in WS 2013/14 and 1.5±0.5 in the following year and the peer tutors’ competence was evaluated as very high (1.4 to 1.5 approval rate on the Likert scale.Discussion: The seminar sessions’ importance to the students is underlined by their very positive evaluations. This offer seems to have benefited students especially during the demanding transitional phase at the start of their studies. Both the implementation of the preventive measure at an early stage as well as the use of PAL seem to have proven effective.Conclusion: PAL seems to be effective in the field of stress prevention. However, specific efficacy studies are still lacking.

  1. Efficacy of a group-based multimedia HIV prevention intervention for drug-involved women under community supervision: project WORTH.

    Science.gov (United States)

    El-Bassel, Nabila; Gilbert, Louisa; Goddard-Eckrich, Dawn; Chang, Mingway; Wu, Elwin; Hunt, Tim; Epperson, Matt; Shaw, Stacey A; Rowe, Jessica; Almonte, Maria; Witte, Susan

    2014-01-01

    This study is designed to address the need for evidence-based HIV/STI prevention approaches for drug-involved women under criminal justice community supervision. We tested the efficacy of a group-based traditional and multimedia HIV/STI prevention intervention (Project WORTH: Women on the Road to Health) among drug-involved women under community supervision. We randomized 306 women recruited from community supervision settings to receive either: (1) a four-session traditional group-based HIV/STI prevention intervention (traditional WORTH); (2) a four-session multimedia group-based HIV/STI prevention intervention that covered the same content as traditional WORTH but was delivered in a computerized format; or (3) a four-session group-based Wellness Promotion intervention that served as an attention control condition. The study examined whether the traditional or multimedia WORTH intervention was more efficacious in reducing risks when compared to Wellness Promotion; and whether multimedia WORTH was more efficacious in reducing risks when compared to traditional WORTH. Primary outcomes were assessed over the 12-month post-intervention period and included the number of unprotected sex acts, the proportion of protected sex acts, and consistent condom use. At baseline, 77% of participants reported unprotected vaginal or anal sex (n = 237) and 63% (n = 194) had multiple sex partners. Women assigned to traditional or multimedia WORTH were significantly more likely than women assigned to the control condition to report an increase in the proportion of protected sex acts (β = 0.10; 95% CI = 0.02-0.18) and a decrease in the number of unprotected sex acts (IRR = 0.72; 95% CI = 0.57-0.90). The promising effects of traditional and multimedia WORTH on increasing condom use and high participation rates suggest that WORTH may be scaled up to redress the concentrated epidemics of HIV/STIs among drug-involved women in the criminal justice system. Clinical

  2. 78 FR 33228 - Final Waiver and Extension of the Project Period for the National Dropout Prevention Center for...

    Science.gov (United States)

    2013-06-04

    ... the National Dropout Prevention Center for Students With Disabilities [Catalog of Federal Domestic... period enables the currently funded National Dropout Prevention Center for Students with Disabilities... Dropout Prevention Center for Students with Disabilities. The Center was funded under the Technical...

  3. Projectables

    DEFF Research Database (Denmark)

    Rasmussen, Troels A.; Merritt, Timothy R.

    2017-01-01

    CNC cutting machines have become essential tools for designers and architects enabling rapid prototyping, model-building and production of high quality components. Designers often cut from new materials, discarding the irregularly shaped remains. We introduce ProjecTables, a visual augmented...... reality system for interactive packing of model parts onto sheet materials. ProjecTables enables designers to (re)use scrap materials for CNC cutting that would have been previously thrown away, at the same time supporting aesthetic choices related to wood grain, avoiding surface blemishes, and other...... relevant material properties. We conducted evaluations of ProjecTables with design students from Aarhus School of Architecture, demonstrating that participants could quickly and easily place and orient model parts reducing material waste. Contextual interviews and ideation sessions led to a deeper...

  4. Radioisotope instruments

    CERN Document Server

    Cameron, J F; Silverleaf, D J

    1971-01-01

    International Series of Monographs in Nuclear Energy, Volume 107: Radioisotope Instruments, Part 1 focuses on the design and applications of instruments based on the radiation released by radioactive substances. The book first offers information on the physical basis of radioisotope instruments; technical and economic advantages of radioisotope instruments; and radiation hazard. The manuscript then discusses commercial radioisotope instruments, including radiation sources and detectors, computing and control units, and measuring heads. The text describes the applications of radioisotop

  5. Modernization project of the rod control system and in-core instrumentation system for 34 units of the 900 MW French EDF fleet

    International Nuclear Information System (INIS)

    Tavolara, Ivan; Desgeorge, Romain; Verburgh, Pierre

    2014-01-01

    Rolls-Royce and Cegelec, in partnership, carry out a unique and considerable modernisation project of two Instrumentation and Control (I and C) systems for the entire 900 MWe fleet of Electricite De France (EDF). Both rod control (RCS) and reactor in-core measurement (RIC) systems are to be modernised in the frame of the third ten-year renovation of all 34 reactor units over 9 power plants. The RCS contributes to the control of nuclear power by actuating control rod drive mechanisms that allow insertion or withdrawal of control rods. The RCS has also monitoring functions such as controlling the actual rods' position as well as the functional consistency between commands and actual positions. The RIC system measures in-core neutron flux, providing useful information to the control room as well as to the reactor unit computer for further processing. The renovated systems shall replace the existing ageing analog technology by modern digital technology based on PLC (Programmable Logic Controllers) and FPGA (Field-Programmable Gate Array) in the case of power subassemblies of RCS. Both systems rely for certain functions on a common network linking the RCS and RIC networks, improving operations and maintenance thanks to a powerful Man Machine Interface at the different locations of the systems with an extensive suite of tools and diagnostic menus. The project whose design phase started in July 2006 is now in its deployment phase after the successful site implementation of both systems at the first of kind units of Tricastin and Fessenheim power plants, respectively in August 2009 and February 2010. With 20 units in operation in 2014, the deployment shall continue with the other 14 until 2020. Rolls-Royce has a broad range of civil nuclear expertise, including work related to licensing and safety reviews, engineering design, supply chain management, manufacturing, installation and commissioning of the nuclear island systems and equipment, as well as operational

  6. Experimental studies and modelling of cation interactions with solid materials: application to the MIMICC project. (Multidimensional Instrumented Module for Investigations on chemistry-transport Coupled Codes)

    International Nuclear Information System (INIS)

    Hardin, Emmanuelle

    1999-01-01

    The study of cation interactions with solid materials is useful in order to define the chemistry interaction component of the MIMICC project (Multidimensional Instrumented Module for Investigations on chemistry-transport Coupled Codes). This project will validate the chemistry-transport coupled codes. Database have to be supplied on the cesium or ytterbium interactions with solid materials in suspension. The solid materials are: a strong cation exchange resin, a natural sand which presents small impurities, and a zirconium phosphate. The cation exchange resin is useful to check that the surface complexation theory can be applied on a pure cation exchanger. The sand is a natural material, and its isotherms will be interpreted using pure oxide-cation system data, such as pure silica-cation data. Then the study on the zirconium phosphate salt is interesting because of the increasing complexity in the processes (dissolution, sorption and co-precipitation). These data will enable to approach natural systems, constituted by several complex solids which can interfere on each other. These data can also be used for chemistry-transport coupled codes. Potentiometric titration, sorption isotherms, sorption kinetics, cation surface saturation curves are made, in order to obtain the different parameters relevant to the cation sorption at the solid surface, for each solid-electrolyte-cation system. The influence of different parameters such as ionic strength, pH, and electrolyte is estimated. All the experimental curves are fitted with FITEQL code based on the surface complexation theory using the constant capacitance model, in order to give a mechanistic interpretation of the ion retention phenomenon at the solid surface. The speciation curves of all systems are plotted, using the FITEQL code too. Systems with an increasing complexity are studied: dissolution, sorption and coprecipitation coexist in the cation-salt systems. Then the data obtained on each single solid, considered

  7. Radiological instrument

    International Nuclear Information System (INIS)

    Kronenberg, S.; McLaughlin, W.L.; Seibentritt, C.R. Jr.

    1986-01-01

    An instrument is described for measuring radiation, particularly nuclear radiation, comprising: a radiation sensitive structure pivoted toward one end and including a pair of elongated solid members contiguously joined together along their length dimensions and having a common planar interface therebetween. One of the pairs of members is comprised of radiochromic material whose index of refraction changes due to anomolous dispersion as a result of being exposed to nuclear radiation. The pair of members further has mutually different indices of refraction with the member having the larger index of refraction further being transparent for the passage of light and of energy therethrough; means located toward the other end of the structure for varying the angle of longitudinal elevation of the pair of members; means for generating and projecting a beam of light into one end of the member having the larger index of refraction. The beam of light is projected toward the planar interface where it is reflected out of the other end of the same member as a first output beam; means projecting a portion of the beam of light into one end of the member having the larger index of refraction where it traverses therethrough without reflection and out of the other end of the same member as a second output beam; and means adjacent the structure for receiving the first and second output beams, whereby a calibrated change in the angle of elevation of the structure between positions of equal intensity of the first and second output beams prior to and following exposure provides a measure of the radiation sensed due to a change of refraction of the radiochromic material

  8. IQuaD dental trial; improving the quality of dentistry: a multicentre randomised controlled trial comparing oral hygiene advice and periodontal instrumentation for the prevention and management of periodontal disease in dentate adults attending dental primary care

    OpenAIRE

    Clarkson, Jan E; Ramsay, Craig R; Averley, Paul; Bonetti, Debbie; Boyers, Dwayne; Campbell, Louise; Chadwick, Graham R; Duncan, Anne; Elders, Andrew; Gouick, Jill; Hall, Andrew F; Heasman, Lynne; Heasman, Peter A; Hodge, Penny J; Jones, Clare

    2013-01-01

    Background:\\ud Periodontal disease is the most common oral disease affecting adults, and although it is largely preventable it remains the major cause of poor oral health worldwide. Accumulation of microbial dental plaque is the primary aetiological factor for both periodontal disease and caries. Effective self-care (tooth brushing and interdental aids) for plaque control and removal of risk factors such as calculus, which can only be removed by periodontal instrumentation (PI), are considere...

  9. Instrumentation for Nuclear Applications

    International Nuclear Information System (INIS)

    1998-01-01

    The objective of this project was to develop and coordinate nuclear instrumentation standards with resulting economies for the nuclear and radiation fields. There was particular emphasis on coordination and management of the Nuclear Instrument Module (NIM) System, U.S. activity involving the CAMAC international standard dataway system, the FASTBUS modular high-speed data acquisition and control system and processing and management of national nuclear instrumentation and detector standards, as well as a modest amount of assistance and consultation services to the Pollutant Characterization and Safety Research Division of the Office of Health and Environmental Research. The principal accomplishments were the development and maintenance of the NIM instrumentation system that is the predominant instrumentation system in the nuclear and radiation fields worldwide, the CAMAC digital interface system in coordination with the ESONE Committee of European Laboratories, the FASTBUS high-speed system and numerous national and international nuclear instrumentation standards

  10. Knowledge-exchange in the Pacific: outcomes of the TROPIC (translational research for obesity prevention in communities) project.

    Science.gov (United States)

    Kremer, Peter; Mavoa, Helen; Waqa, Gade; Moodie, Marjory; McCabe, Marita; Swinburn, Boyd

    2017-04-26

    The Pacific TROPIC (Translational Research for Obesity Prevention in Communities) project aimed to design, implement and evaluate a knowledge-broking approach to evidence-informed policy making to address obesity in Fiji. This paper reports on the quantitative evaluation of the knowledge-broking intervention through assessment of participants' perceptions of evidence use and development of policy/advocacy briefs. Selected staff from six organizations - four government Ministries and two nongovernment organizations (NGOs) - participated in the project. The intervention comprised workshops and supported development of policy/advocacy briefs. Workshops addressed obesity and policy cycles and developing participants' skills in accessing, assessing, adapting and applying relevant evidence. A knowledge-broking team supported participants individually and/or in small groups to develop evidence-informed policy/advocacy briefs. A questionnaire survey that included workplace and demographic items and the self-assessment tool "Is Research Working for You?" (IRWFY) was administered pre- and post-intervention. Forty nine individuals (55% female, 69% 21-40 years, 69% middle-senior managers) participated in the study. The duration and level of participant engagement with the intervention activities varied - just over half participated for 10+ months, just under half attended most workshops and approximately one third produced one or more policy briefs. There were few reliable changes on the IRWFY scales following the intervention; while positive changes were found on several scales, these effects were small (d organizational-level change post-intervention. This study empirically evaluated a knowledge-broking program that aimed to extend evidence-informed policy making skills and development of a suite of national policy briefs designed to increase the enactment of obesity-related policies. The findings failed to indicate reliable improvements in research utilization at either

  11. Falls prevention in hospitals and mental health units: an extended evaluation of the FallSafe quality improvement project.

    Science.gov (United States)

    Healey, Frances; Lowe, Derek; Darowski, Adam; Windsor, Julie; Treml, Jonathan; Byrne, Lisa; Husk, Janet; Phipps, Jill

    2014-07-01

    inpatient falls are a major patient safety issue causing distress, injury and death. Systematic review suggests multifactorial assessment and intervention can reduce falls by 20-30%, but large-scale studies of implementation are few. This paper describes an extended evaluation of the FallSafe quality improvement project, which presented key components of multifactorial assessment and intervention as a care bundle. : data on delivery of falls prevention processes were collected at baseline and for 18 months from nine FallSafe units and nine control units. Data on falls were collected from local risk management systems for 24 months, and data on under-reporting through staff surveys. : in FallSafe units, delivery of seven care bundle components significantly improved; most improvements were sustained after active project support was withdrawn. Twelve-month moving average of reported fall rates showed a consistent downward trend in FallSafe units but not controls. Significant reductions in reported fall rate were found in FallSafe units (adjusted rate ratio (ARR) 0.75, 95% confidence interval (CI) 0.68-0.84 P control units (ARR 0.91, 95% CI 0.81-1.03 P = 0.13). No significant changes in injurious fall rate were found in FallSafe units (ARR 0.86, 95% CI 0.71-1.03 P = 0.11), or controls (ARR 0.88, 95% CI 0.72-1.08 P = 0.13). In FallSafe units, staff certain falls had been reported increased from 60 to 77%. : introducing evidence-based care bundles of multifactorial assessment and intervention using a quality improvement approach resulted in improved delivery of multifactorial assessment and intervention and significant reductions in fall rates, but not in injurious fall rates. © The Author 2013. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  12. Process evaluation of a community-based intervention program: Healthy Youth Healthy Communities, an adolescent obesity prevention project in Fiji.

    Science.gov (United States)

    Waqa, Gade; Moodie, Marj; Schultz, Jimaima; Swinburn, Boyd

    2013-12-01

    Nearly one-half of the adult population in Fiji between the ages of 15-64 years is either overweight or obese; and rates amongst school children have, on average, doubled during the last decade. There is an urgent need to scale up the promotion of healthy behaviors and environments using a multi-sectoral approach. The Healthy Youth Healthy Community (HYHC) project in Fiji used a settings approach in secondary schools and faith-based organizations to increase the capacity of the whole community, including churches, mosques and temples, to promote healthy eating and regular physical activity, and to prevent unhealthy weight gain in adolescents aged 13-18 years. The team consisted of a study manager, project coordinator and four research assistants (RAs) committed to planning, designing and facilitating the implementation of intervention programs in collaboration with other stakeholders, such as the wider school communities, government and non-governmental organizations and business partners. Process data were collected on all intervention activities and analyzed by dose, frequency and reach for each specific strategy. The Fiji Action Plan included nine objectives for the school settings; four were based on nutrition and two on physical activity in schools, plus three general objectives, namely capacity building, social marketing and evaluation. Long-term change in nutritional behavior was difficult to achieve; a key contributor to this was the unhealthy food served in the school canteens. Whilst capacity-building proved to be one of the best mechanisms for intervening, it is important to consider the cultural and social factors influencing health behaviors and affecting specific groups.

  13. The social marketing of project ARIES: overcoming challenges in recruiting gay and bisexual males for HIV prevention counseling.

    Science.gov (United States)

    Fisher, D S; Ryan, R; Esacove, A W; Bishofsky, S; Wallis, J M; Roffman, R A

    1996-01-01

    This paper reports on the development, implementation, and evaluation of a social marketing campaign designed to recruit clients Project ARIES, and AIDS prevention study funded by the National Institute of Mental Health. Marketing channels employed for the campaign included advertising in the gay press, generating coverage in the mainstream press, distributing materials to HIV testing centers and other health and social service providers, and displaying posters in gay bars and baths. While these approaches all succeeded in eliciting inquiries from individuals engaging in high risk sexual behaviors, they differed in several respects, including their ability to reach specific subgroups that are often underserved by more traditional programs, such as men of color, younger men, and men who self-report as being closeted. Promotional materials displayed in gay bars and baths resulted in the highest percentage of callers who, after inquiring about the program, decided to participate in the counseling. Coverage in the mainstream press was the most successful in reaching closeted men, men who were less active in the gay community, and individuals who did not self-identify as gay. Display and classified ads in the gay press produced the highest number of initial inquiries. Finally, recruitment of participants via materials distributed to HIV test sites and other service providers was the most effective in reaching men who were HIV-positive.

  14. [Manufacture of upholstered furniture and work-related upper limb musculoskeletal disorders: an industrial sector prevention project].

    Science.gov (United States)

    Di Leone, G; Carino, M; Nicoletti, S; Trani, G; Ambrosi, L

    2008-01-01

    In cooperation with the IRCCS Fondazione Maugeri and the IRCCS Fondazione Ospedale Maggiore Policlinico - EPM-CEMOC, of Milan, the Local Health Unit in Bari, Italy carried out a research project, sponsored partly by the Italian Ministry of Health, on upper limb work-related musculoskeletal disorders (UL-WMSDs) in a specific manufacturing sector, the upholstered furniture industry. This "sofa district" is widely represented with approximately 14,000 workers and 500 factories over a wide geographic area of southern Italy. Advanced technology in the manufacturing process is combined with workers performing intensive arm-hand tasks. The aim of the study included: a) assessment of exposure to repetitive strain and movements of the upper limb in a representative sample of the factories using the OCRA method, b) analysis of the annual prevalence and incidence rates, c) definition of possible improvement via ergonomic solutions in the various factories. Via a network of occupational physicians a total of more than 6000 subjects were examined over a 5-year period. Case-definition was assessed through standardized procedures. A detailed description of the manufacturing process of the upholstered furniture industry and of the characteristics of the working population is provided Exposed groups at risk were:filling preparation workers, leather-cutting operators, sewing and upholstery-assembly workers. Data collected in private companies of different size in this extensive industrial "sofa area" emphasize the importance of prevention through adequate ergonomic solutions and the need to improve training programmes covering the whole area.

  15. Instrumental interaction

    OpenAIRE

    Luciani , Annie

    2007-01-01

    International audience; The expression instrumental interaction as been introduced by Claude Cadoz to identify a human-object interaction during which a human manipulates a physical object - an instrument - in order to perform a manual task. Classical examples of instrumental interaction are all the professional manual tasks: playing violin, cutting fabrics by hand, moulding a paste, etc.... Instrumental interaction differs from other types of interaction (called symbolic or iconic interactio...

  16. An Evaluation of Immediate Outcomes and Fidelity of a Drug Abuse Prevention Program in Continuation High Schools: Project towards No Drug Abuse (TND)

    Science.gov (United States)

    Lisha, Nadra E.; Sun, Ping; Rohrbach, Louise A.; Spruijt-Metz, Donna; Unger, Jennifer B.; Sussman, Steve

    2012-01-01

    The present study provides an implementation fidelity, process, and immediate outcomes evaluation of Project Towards No Drug Abuse (TND), a drug prevention program targeting continuation high school youth (n = 1426) at risk for drug abuse. A total of 24 schools participated in three randomized conditions: TND Only, TND and motivational…

  17. Implementation of an Intersectoral Program to Eliminate Human and Canine Rabies: The Bohol Rabies Prevention and Elimination Project

    Science.gov (United States)

    Lapiz, Stella Marie D.; Miranda, Mary Elizabeth G.; Garcia, Romulo G.; Daguro, Leonida I.; Paman, Meydalyn D.; Madrinan, Frederick P.; Rances, Polizena A.; Briggs, Deborah J.

    2012-01-01

    Background The province of Bohol, located in the Visayas islands region in the Philippines has a human population of 1.13 million and was the 4th highest region for human rabies deaths in the country, averaging 10 per year, prior to the initiation of the Bohol Rabies Prevention and Elimination Project (BRPEP). Aims The BRPEP was initiated in 2007 with the goal of building a sustainable program that would prevent human rabies by eliminating rabies at its source, in dogs, by 2010. This goal was in line with the Philippine National Rabies Program whose objective is to eliminate rabies by 2020. Methods The intersectoral BRPEP was launched in 2007 and integrated the expertise and resources from the sectors of agriculture, public health and safety, education, environment, legal affairs, interior and local government. The program included: increasing local community involvement; implementing dog population control; conducting mass dog vaccination; improving dog bite management; instituting veterinary quarantine; and improving diagnostic capability, surveillance and monitoring. Funding was secured from the national government, provincial, municipal and village units, dog owners, NGOs, the regional office of the WHO, the UBS Optimus Foundation, and the Global Alliance for Rabies Control. The BRPEP was managed by the Bohol Rabies Prevention and Eradication Council (BRPEC) under the jurisdiction of the Governor of Bohol. Parallel organizations were created at the municipal level and village level. Community volunteers facilitated the institution of the program. Dog population surveys were conducted to plan for sufficient resources to vaccinate the required 70% of the dogs living in the province. Two island-wide mass vaccination campaigns were conducted followed by “catch up” vaccination campaigns. Registration of dogs was implemented including a small fee that was rolled back into the program to maintain sustainability. Children were educated by introducing rabies

  18. 78 FR 11803 - Proposed Waiver and Extension of the Project Period for the National Dropout Prevention Center...

    Science.gov (United States)

    2013-02-20

    ... the National Dropout Prevention Center for Students With Disabilities [Catalog of Federal Domestic... would enable the currently funded National Dropout Prevention Center for Students with Disabilities to... about dropout prevention for students with disabilities, and to develop a series of high-quality...

  19. Safety Research Program for Light Water Reactors. Technical report 2: BMFT support project RS 0036 B. Reflooding experiments with regard to primary circuits (PKL) instrumentation of experimental setup

    International Nuclear Information System (INIS)

    Schweickert, H.; Mandl, R.

    The reflooding of the hot core of a PWR will be investigated in a model of the complete primary system. The demands that the instrumentation must meet as well as a description of the measurement methods used in the circuit are described. Data on the efficiency of the instruments, error estimates and constructive solutions to design problems are also given

  20. Knowledge-exchange in the Pacific: outcomes of the TROPIC (translational research for obesity prevention in communities project

    Directory of Open Access Journals (Sweden)

    Peter Kremer

    2017-04-01

    Full Text Available Abstract Background The Pacific TROPIC (Translational Research for Obesity Prevention in Communities project aimed to design, implement and evaluate a knowledge-broking approach to evidence-informed policy making to address obesity in Fiji. This paper reports on the quantitative evaluation of the knowledge-broking intervention through assessment of participants’ perceptions of evidence use and development of policy/advocacy briefs. Methods Selected staff from six organizations - four government Ministries and two nongovernment organizations (NGOs - participated in the project. The intervention comprised workshops and supported development of policy/advocacy briefs. Workshops addressed obesity and policy cycles and developing participants’ skills in accessing, assessing, adapting and applying relevant evidence. A knowledge-broking team supported participants individually and/or in small groups to develop evidence-informed policy/advocacy briefs. A questionnaire survey that included workplace and demographic items and the self-assessment tool “Is Research Working for You?” (IRWFY was administered pre- and post-intervention. Results Forty nine individuals (55% female, 69% 21–40 years, 69% middle-senior managers participated in the study. The duration and level of participant engagement with the intervention activities varied – just over half participated for 10+ months, just under half attended most workshops and approximately one third produced one or more policy briefs. There were few reliable changes on the IRWFY scales following the intervention; while positive changes were found on several scales, these effects were small (d < .2 and only one individual scale (assess was statistically significant (p < .05. Follow up (N = 1 analyses of individual-level change indicated that while 63% of participants reported increased research utilization post-intervention, this proportion was not different to chance levels. Similar analysis

  1. Conducting rigorous research with subgroups of at-risk youth: lessons learned from a teen pregnancy prevention project in Alaska

    Directory of Open Access Journals (Sweden)

    Kathryn Hohman-Billmeier

    2016-12-01

    Full Text Available In 2010, Alaska Department of Health and Social Services (DHSS received federal funding to test an evidence-based teen pregnancy prevention program. The grant required a major modification to an existing program and a randomized control trial (RCT to test its effectiveness. As the major modifications, Alaska used peer educators instead of adults to deliver the program to youth aged 14–19 instead of the original curriculum intended age range of 12–14. Cultural and approach adaptations were included as well. After 4 years of implementation and data collection, the sample was too small to provide statistically significant results. The lack of findings gave no information about the modification, nor any explanation of how the curriculum was received, or reasons for the small sample. This paper reports on a case study follow-up to the RCT to better understand outcome and implementation results. For this study, researchers reviewed project documents and interviewed peer educators, state and local staff, and evaluators. Three themes emerged from the data: (a the professional growth of peer educators and development of peer education, (b difficulties resulting from curriculum content, especially for subpopulations of sexually active youth, youth identified as lesbian, gay, bisexual, transgender, queer, intersex and/or asexual, pregnant, and parenting youth and (c the appropriateness of an RCT with subpopulations of at-risk youth. Three recommendations emerged from the case study. First, including as many stakeholders as possible in the program and evaluation design phases is essential, and must be supported by appropriate funding streams and training. Second, there must be recognition of the multiple small subpopulations found in Alaska when adapting programs designed for a larger and more homogeneous population. Third, RCTs may not be appropriate for all population subgroups.

  2. The German Dunkelfeld project: a pilot study to prevent child sexual abuse and the use of child abusive images.

    Science.gov (United States)

    Beier, Klaus M; Grundmann, Dorit; Kuhle, Laura F; Scherner, Gerold; Konrad, Anna; Amelung, Till

    2015-02-01

    Sexual interest toward prepubescents and pubescents (pedophilia and hebephilia) constitutes a major risk factor for child sexual abuse (CSA) and viewing of child abusive images, i.e., child pornography offenses (CPO). Most child sexual exploitation involving CSA and CPO are undetected and unprosecuted in the "Dunkelfeld" (German: "dark field"). This study assesses a treatment program to enhance behavioral control and reduce associated dynamic risk factors (DRF) in self-motivated pedophiles/hebephiles in the Dunkelfeld. Between 2005 and 2011, 319 undetected help-seeking pedophiles and hebephiles expressed interest in taking part in an anonymous and confidential 1-year-treatment program using broad cognitive behavioral methodology in the Prevention Project Dunkelfeld. Therapy was assessed using nonrandomized waiting list control design (n=53 treated group [TG]; n=22 untreated control group [CG]). Self-reported pre-/posttreatment DRF changes were assessed and compared with CG. Offending behavior characteristics were also assessed via self-reporting. No pre-/postassessment changes occurred in the control group. Emotional deficits and offense-supportive cognitions decreased in the TG; posttherapy sexual self-regulation increased. Treatment-related changes were distributed unequally across offender groups. None of the offending behavior reported for the TG was identified as such by the legal authorities. However, five of 25 CSA offenders and 29 of 32 CPO offenders reported ongoing behaviors under therapy. Therapy for pedophiles/hebephiles in the Dunkelfeld can alter child sexual offending DRF and reduce-related behaviors. Unidentified, unlawful child sexual exploitative behaviors are more prevalent in this population than in officially reported recidivism. Further research into factors predictive of problematic sexual behaviors in the Dunkelfeld is warranted. © 2014 International Society for Sexual Medicine.

  3. Conducting rigorous research with subgroups of at-risk youth: lessons learned from a teen pregnancy prevention project in Alaska.

    Science.gov (United States)

    Hohman-Billmeier, Kathryn; Nye, Margaret; Martin, Stephanie

    2016-01-01

    In 2010, Alaska Department of Health and Social Services (DHSS) received federal funding to test an evidence-based teen pregnancy prevention program. The grant required a major modification to an existing program and a randomized control trial (RCT) to test its effectiveness. As the major modifications, Alaska used peer educators instead of adults to deliver the program to youth aged 14-19 instead of the original curriculum intended age range of 12-14. Cultural and approach adaptations were included as well. After 4 years of implementation and data collection, the sample was too small to provide statistically significant results. The lack of findings gave no information about the modification, nor any explanation of how the curriculum was received, or reasons for the small sample. This paper reports on a case study follow-up to the RCT to better understand outcome and implementation results. For this study, researchers reviewed project documents and interviewed peer educators, state and local staff, and evaluators. Three themes emerged from the data: (a) the professional growth of peer educators and development of peer education, (b) difficulties resulting from curriculum content, especially for subpopulations of sexually active youth, youth identified as lesbian, gay, bisexual, transgender, queer, intersex and/or asexual, pregnant, and parenting youth and (c) the appropriateness of an RCT with subpopulations of at-risk youth. Three recommendations emerged from the case study. First, including as many stakeholders as possible in the program and evaluation design phases is essential, and must be supported by appropriate funding streams and training. Second, there must be recognition of the multiple small subpopulations found in Alaska when adapting programs designed for a larger and more homogeneous population. Third, RCTs may not be appropriate for all population subgroups.

  4. Advancing a smart air cushion system for preventing pressure ulcers using projection Moiré for large deformation measurements

    Science.gov (United States)

    Cheng, Sheng-Lin; Tsai, Tsung-Heng; Lee, Carina Jean-Tien; Hsu, Yu-Hsiang; Lee, Chih-Kung

    2016-03-01

    A pressure ulcer is one of the most important concerns for wheelchair bound patients with spinal cord injuries. A pressure ulcer is a localized injury near the buttocks that bear ischial tuberosity oppression over a long period of time. Due to elevated compression to blood vessels, the surrounding tissues suffer from a lack of oxygen and nutrition. The ulcers eventually lead to skin damage followed by tissue necrosis. The current medical strategy is to minimize the occurrence of pressure ulcers by regularly helping patients change their posture. However, these methods do not always work effectively or well. As a solution to fundamentally prevent pressure ulcers, a smart air cushion system was developed to detect and control pressure actively. The air cushion works by automatically adjusting a patient's sitting posture to effectively relieve the buttock pressure. To analyze the correlation between the dynamic pressure profiles of an air cell with a patient's weight, a projection Moiré system was adopted to measure the deformation of an air cell and its associated stress distribution. Combining a full-field deformation imaging with air pressure measured within an air cell, the patient's weight and the stress distribution can be simultaneously obtained. By integrating a full-field optical metrology with a time varying pressure sensor output coupled with different active air control algorithms for various designs, we can tailor the ratio of the air cells. Our preliminary data suggests that this newly developed smart air cushion has the potential to selectively reduce localized compression on the tissues at the buttocks. Furthermore, it can take a patient's weight which is an additional benefit so that medical personnel can reference it to prescribe the correct drug dosages.

  5. The impact of occupational health and safety regulations on prevention through design in construction projects: Perspectives from Spain and the United Kingdom.

    Science.gov (United States)

    Martínez-Aires, María Dolores; Rubio Gámez, María Carmen; Gibb, Alistair

    2015-01-01

    Since the mid-1990 s, Prevention through Design (PtD) has become increasingly prevalent in the built environment. The acceptance of PtD has largely been due to the removal or reduction of risks during the execution phase of construction projects. European States have had the added impetus of national legislation. This paper analyzes the influence of European Union Directive 92/57/EEC on occupational safety and health injury prevention in the project design phase. Qualitative methods comprised individual semi-structured interviews and focus groups with a panel of experts. Sixty individuals from construction and related professions (architects, engineers, constructors, developers, and other construction experts) answered 17 key questions to establish national perceptions of the effectiveness of Directive 92/57/EEC in Spain and the United Kingdom (UK). The implementation of PtD in the project design phase in the UK is clearer since the regulations explicitly state the obligations of project designers as well as those of the coordinator. Interviews with Spanish experts show that, in Spain, the prevention culture is less frequently realized. The most significant differences between the European Directive and national regulations which influence PtD are linked to the Health and Safety Coordinator, and Health and Safety documents.

  6. Instrumentation Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Provides instrumentation support for flight tests of prototype weapons systems using a vast array of airborne sensors, transducers, signal conditioning and encoding...

  7. Het Nederlands signaleringscentrum kindergeneeskunde; een kwaliteitsinstrument voor preventie en onderzoek [The Dutch Paediatric Surveillance System; a quality-focused instrument for prevention and research

    NARCIS (Netherlands)

    Hirasing, R.A.; Rodrigues Pereira, R.

    2002-01-01

    The Dutch Paediatric Surveillance System was initiated by the Dutch Paediatric Society and is housed within the TNO Prevention and Health office. The purpose of the surveillance system is (a) to gain insight on a population level into the prevalence of rare and new diseases in youths (0-18 year),

  8. Observance of Sterilization Protocol Guideline Procedures of Critical Instruments for Preventing Iatrogenic Transmission of Creutzfeldt-Jakob Disease in Dental Practice in France, 2017

    Directory of Open Access Journals (Sweden)

    Denis Bourgeois

    2018-04-01

    Full Text Available Effective sterilization of reusable instruments contaminated by Creutzfeldt–Jakob disease in dental care is a crucial issue for public health. The present cross-sectional study investigated how the recommended procedures for sterilization were implemented by French dental practices in real-world settings. A sample of dental practices was selected in the French Rhône-Alpes region. Data were collected by a self-questionnaire in 2016. Sterilization procedures (n = 33 were classified into 4 groups: (1 Pre-sterilization cleaning of reusable instruments; (2 Biological verification of sterilization cycles—Monitoring steam sterilization procedures; (3 Autoclave performance and practitioner knowledge of autoclave use; (4 Monitoring and documentation of sterilization procedures—Tracking and tracing the instrumentation. Answers were provided per procedure, along with the global implementation of procedures within a group (over 80% correctly performed. Then it was verified how adherence to procedure groups varied with the size of the dental practice and the proportion of dental assistants within the team. Among the 179 questionnaires available for the analyses, adherence to the recommended procedures of sterilization noticeably varied between practices, from 20.7% to 82.6%. The median percentages of procedures correctly implemented per practice were 58.1%, 50.9%, 69.2% and 58.2%, in Groups 1, 2, 3 and 4, respectively (corresponding percentages for performing over 80% of the procedures in the group: 23.4%, 6.6%, 46.6% and 38.6%. Dental practices ≥ 3 dental units performed significantly better (>80% procedures of Groups 2 and 4 (p = 0.01 and p = 0.002, respectively, while no other significant associations emerged. As a rule, practices complied poorly with the recommended procedures, despite partially improved results in bigger practices. Specific training regarding sterilization procedures and a better understanding of the reasons leading to their

  9. SISCAL project

    Science.gov (United States)

    Santer, Richard P.; Fell, Frank

    2003-05-01

    ), combining satellite data, evaluation algorithms and value-adding ancillary digital information. This prevents the end user from investing funds into expensive equipment or to hire specialized personnel. The data processor shall be a generic tool, which may be applied to a large variety of operationally gathered satellite data. In the frame of SISCAL, the processor shall be applied to remotely sensed data of selected coastal areas and lakes in Central Europe and the Eastern Mediterranean, according to the needs of the end users within the SISCAL consortium. A number of measures are required to achieve the objective of the proposed project: (1) Identification and specification of the SISCAL end user needs for NRT water related data products accessible to EO techniques. (2) Selection of the most appropriate instruments, evaluation algorithms and ancillary data bases required to provide the identified data products. (3) Development of the actual Near-Real-Time data processor for the specified EO data products. (4) Development of the GIS processor adding ancillary digital information to the satellite images and providing the required geographical projections. (5) Development of a product retrieval and management system to handle ordering and distribution of data products between the SISCAL server and the end users, including payment and invoicing. (6) Evaluation of the derived data products in terms of accuracy and usefulness by comparison with available in-situ measurements and by making use of the local expertise of the end users. (7) Establishing an Internet server dedicated to internal communication between the consortium members as well as presenting the SISCAL project to a larger public. (8) Marketing activities, presentation of data processor to potential external customers, identification of their exact needs. The innovative aspect of the SISCAL project consists in the generation of NRT data products on water quality parameters from EO data. This article mainly deals

  10. European recommendations for primary prevention of congenital anomalies: a joined effort of EUROCAT and EUROPLAN projects to facilitate inclusion of this topic in the National Rare Disease Plans.

    Science.gov (United States)

    Taruscio, Domenica; Arriola, Larraitz; Baldi, Francesca; Barisic, Ingeborg; Bermejo-Sánchez, Eva; Bianchi, Fabrizio; Calzolari, Elisa; Carbone, Pietro; Curran, Rhonda; Garne, Ester; Gatt, Miriam; Latos-Bieleńska, Anna; Khoshnood, Babak; Irgens, Lorentz; Mantovani, Alberto; Martínez-Frías, Maria Luisa; Neville, Amanda; Rißmann, Anke; Ruggeri, Stefania; Wellesley, Diana; Dolk, Helen

    2014-01-01

    Congenital anomalies (CA) are the paradigm example of rare diseases liable to primary prevention actions due to the multifactorial etiology of many of them, involving a number of environmental factors together with genetic predispositions. Yet despite the preventive potential, lack of attention to an integrated preventive strategy has led to the prevalence of CA remaining relatively stable in recent decades. The 2 European projects, EUROCAT and EUROPLAN, have joined efforts to provide the first science-based and comprehensive set of recommendations for the primary prevention of CA in the European Union. The resulting EUROCAT-EUROPLAN 'Recommendations on Policies to Be Considered for the Primary Prevention of Congenital Anomalies in National Plans and Strategies on Rare Diseases' were issued in 2012 and endorsed by EUCERD (European Union Committee of Experts on Rare Diseases) in 2013. The recommendations exploit interdisciplinary expertise encompassing drugs, diet, lifestyles, maternal health status, and the environment. The recommendations include evidence-based actions aimed at reducing risk factors and at increasing protective factors and behaviors at both individual and population level. Moreover, consideration is given to topics specifically related to CA (e.g. folate status, teratogens) as well as of broad public health impact (e.g. obesity, smoking) which call for specific attention to their relevance in the pre- and periconceptional period. The recommendations, reported entirely in this paper, are a comprehensive tool to implement primary prevention into national policies on rare diseases in Europe. © 2014 S. Karger AG, Basel.

  11. Advanced instrumentation and teleoperation

    International Nuclear Information System (INIS)

    Decreton, M.

    1998-01-01

    SCK-CEN's advanced instrumentation and teleoperation project aims at evaluating the potential of a telerobotic approach in a nuclear environment and, in particular, the use of remote-perception systems. Main achievements in 1997 in the areas of R and D on radiation tolerance for remote sensing, optical fibres and optical-fibre sensors, and computer-aided teleoperation are reported

  12. Quantitative assessment of selected policy instruments using the Western European MARKAL model. Phase III EU SAVE White and Green Project: Comparison of market-based instruments to promote energy efficiency

    International Nuclear Information System (INIS)

    Mundaca, Luis; Santi, Federico

    2004-01-01

    This report summarises the modelling exercise carried out in order to assess the implications of selected policy instruments using the energy model of Western Europe (WEU) generated by the Market Allocation (MARKAL) modelling tool. The chosen methodology was the usage of the WEU MARKAL model for analysing the response of this energy system to the following policy instruments: White Certificates, Green Certificates, and Carbon Dioxide (CO 2 ) emissions trading. Results show that the order of magnitude of the effects of the analysed instruments depends on the target/cap that is applied. For the case of White Certificates, it can be observed that up to certain level (i.e., around 15% of cumulated energy savings by 2020 compared to the base case) energy savings are obtained at negative costs. Major savings occur in the residential sector for all the applied targets. Results for CO 2 emissions appear to be robust for the years 2015 and 2020, but it should also be observed that these emission trends are less robust for the years 2005 and 2010. Energy efficiency improvements for the WEU economy that are policy-induced around 6%, 9% and 15% for the low, medium and high target scenarios respectively. For the case of Green Certificates, results show that the sustained penetration of renewable energy sources is dominated by wind and biomass. By examining the autonomous fossil fuel intensity of the WEU economy, energy efficiency improvements that are policy induced account for around 1%, 4% and 6% for each scenario respectively. All the targets are technically possible. For the case of CO 2 emissions trading, due to the fact that these results address just the power sector, they must be seen as complementary of other modelling works that deal with a wider industrial coverage. In our case, the more ambitious the cap is, the lower the share of fossil fuels in electricity production becomes. The different trends for the electricity production seem to be less robust. Compared to

  13. Instrumentation development

    International Nuclear Information System (INIS)

    Ubbes, W.F.; Yow, J.L. Jr.

    1988-01-01

    Instrumentation is developed for the Civilian Radioactive Waste Management Program to meet several different (and sometimes conflicting) objectives. This paper addresses instrumentation development for data needs that are related either directly or indirectly to a repository site, but does not touch on instrumentation for work with waste forms or other materials. Consequently, this implies a relatively large scale for the measurements, and an in situ setting for instrument performance. In this context, instruments are needed for site characterization to define phenomena, develop models, and obtain parameter values, and for later design and performance confirmation testing in the constructed repository. The former set of applications is more immediate, and is driven by the needs of program design and performance assessment activities. A host of general technical and nontechnical issues have arisen to challenge instrumentation development. Instruments can be classed into geomechanical, geohydrologic, or other specialty categories, but these issues cut across artificial classifications. These issues are outlined. Despite this imposing list of issues, several case histories are cited to evaluate progress in the area

  14. Initiatives for proliferation prevention

    International Nuclear Information System (INIS)

    1997-04-01

    Preventing the proliferation of weapons of mass destruction is a central part of US national security policy. A principal instrument of the Department of Energy's (DOE's) program for securing weapons of mass destruction technology and expertise and removing incentives for scientists, engineers and technicians in the newly independent states (NIS) of the former Soviet Union to go to rogue countries or assist terrorist groups is the Initiatives for Proliferation Prevention (IPP). IPP was initiated pursuant to the 1994 Foreign Operations Appropriations Act. IPP is a nonproliferation program with a commercialization strategy. IPP seeks to enhance US national security and to achieve nonproliferation objectives by engaging scientists, engineers and technicians from former NIS weapons institutes; redirecting their activities in cooperatively-developed, commercially viable non-weapons related projects. These projects lead to commercial and economic benefits for both the NIS and the US IPP projects are funded in Russian, Ukraine, Kazakhstan and Belarus. This booklet offers an overview of the IPP program as well as a sampling of some of the projects which are currently underway

  15. Give Water a Hand. School Site Action Guide. Organizing Water Conservation and Pollution Prevention Service Projects in Your Community.

    Science.gov (United States)

    Wisconsin Univ., Madison. Coll. of Agricultural and Life Sciences.

    Students grades 4-8 can use this guide to explore the topics of water, and water conservation at a school site, while conducting an environmental community service project. Youth groups, led by a group leader, work with local experts from business, government, or environmental organizations to complete the project. Nine activity sections involve…

  16. Give Water a Hand. Community Site Action Guide. Organizing Water Conservation and Pollution Prevention Service Projects in Your Community.

    Science.gov (United States)

    Wisconsin Univ., Madison. Coll. of Agricultural and Life Sciences.

    Students grades 4-8 can use this guide to explore the topics of water, and water conservation within a community, while conducting an environmental community service project. Youth groups, led by a group leader, work with local experts from business, government, or environmental organizations to complete the project. Nine activity sections involve…

  17. Give Water a Hand. Home Site Action Guide. Organizing Water Conservation and Pollution Prevention Service Projects in Your Community.

    Science.gov (United States)

    Wisconsin Univ., Madison. Coll. of Agricultural and Life Sciences.

    Students grades 4-8 can use this guide to explore the topics of water and water conservation within the home while conducting an environmental community service project. Youth groups, led by a group leader, work with local experts from business, government, or environmental organizations to complete the project. Nine activity sections involve…

  18. Instrumental analysis

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Seung Jae; Seo, Seong Gyu

    1995-03-15

    This textbook deals with instrumental analysis, which consists of nine chapters. It has Introduction of analysis chemistry, the process of analysis and types and form of the analysis, Electrochemistry on basic theory, potentiometry and conductometry, electromagnetic radiant rays and optical components on introduction and application, Ultraviolet rays and Visible spectrophotometry, Atomic absorption spectrophotometry on introduction, flame emission spectrometry and plasma emission spectrometry. The others like infrared spectrophotometry, X-rays spectrophotometry and mass spectrometry, chromatography and the other instrumental analysis like radiochemistry.

  19. Instrumental analysis

    International Nuclear Information System (INIS)

    Kim, Seung Jae; Seo, Seong Gyu

    1995-03-01

    This textbook deals with instrumental analysis, which consists of nine chapters. It has Introduction of analysis chemistry, the process of analysis and types and form of the analysis, Electrochemistry on basic theory, potentiometry and conductometry, electromagnetic radiant rays and optical components on introduction and application, Ultraviolet rays and Visible spectrophotometry, Atomic absorption spectrophotometry on introduction, flame emission spectrometry and plasma emission spectrometry. The others like infrared spectrophotometry, X-rays spectrophotometry and mass spectrometry, chromatography and the other instrumental analysis like radiochemistry.

  20. LOFT instrumentation

    International Nuclear Information System (INIS)

    Bixby, W.W.

    1979-01-01

    A description of instrumentation used in the Loss-of-Fluid Test (LOFT) large break Loss-of-Coolant Experiments is presented. Emphasis is placed on hydraulic and thermal measurements in the primary system piping and components, reactor vessel, and pressure suppression system. In addition, instrumentation which is being considered for measurement of phenomena during future small break testing is discussed. (orig.) 891 HP/orig. 892 BRE [de

  1. The effectiveness of maritime safety policy instruments from the Finnish maritime experts’ point of view – case Gulf of Finland and prevention of an oil accident

    Directory of Open Access Journals (Sweden)

    Jouni Lappalainen

    2013-09-01

    Full Text Available Sea accidents are aimed to be prevented with an extensive amount of maritime safety regulation. The purpose of this paper is to present the findings of a questionnaire study that was targeted at Finnish maritime experts and addressed the question: how to prevent an oil accident in the Gulf of Finland. This study also includes a literature study about the problems of the current maritime safety regime. The findings of the questionnaire study are compared to the findings of the literature study. The questionnaire study showed that many kinds of policies have improved maritime safety, and they are needed to ensure maritime safety. For instance, ship construction, fairway maintenance, nautical charts and rules of the road at sea can be considered the cornerstones of maritime safety. However, the results ranked voluntary activities of companies as the most effective way to improve maritime safety in the future. Self-regulative approaches could solve some problems connected to more traditional policy-making.

  2. Preventable coronary heart disease events from control of cardiovascular risk factors in US adults with diabetes (projections from utilizing the UKPDS risk engine).

    Science.gov (United States)

    Wong, Nathan D; Patao, Christopher; Malik, Shaista; Iloeje, Uchenna

    2014-04-15

    Type 2 diabetes mellitus (T2DM) carries significant risks for coronary heart disease (CHD). We examined the potential US population impact of single and composite risk factor control. Among US adults with diagnosed T2DM aged≥30 years in the National Health and Nutrition Examination Survey 2007 to 2012, we assessed CHD events preventable using the United Kingdom Prospective Diabetes Study CHD risk engine. We examined in all those not at goal the impact of statistical control of smoking, glycated hemoglobin, systolic blood pressure, and total and high-density lipoprotein cholesterol, according to the predefined criteria setting risk factors at different levels of control representing (1) "All to Goal," (2) at "Nominal Control," or (3) at "Aggressive Control." Preventable CHD events represented the difference between the number of events estimated from the control of these risk factors versus current levels of the risk factors. Of 606 men (representing 6.2 million) and 603 women (6.3 million) with DM and no previous CHD, 1.3 million men and 0.7 million women would develop a CHD event within 10 years if left uncontrolled. Controlling all risk factors to goal was projected to prevent 35% and 45% of CHD events in men and women, respectively. Nominal risk factor control was projected to prevent 36% and 38% and aggressive control 51% and 61% of CHD events, respectively. In conclusion, a significant proportion of CHD events in adults with T2DM could be prevented from composite control of risk factors often not at goal. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. The determinants of technical efficiency of a large scale HIV prevention project: application of the DEA double bootstrap using panel data from the Indian Avahan.

    Science.gov (United States)

    Lépine, Aurélia; Vassall, Anna; Chandrashekar, Sudhashree

    2015-01-01

    In 2004, the largest HIV prevention project (Avahan) conducted globally was implemented in India. Avahan was implemented by NGOs supported by state lead partners in order to provide HIV prevention services to high-risk population groups. In 2007, most of the NGOs reached full coverage. Using a panel data set of the NGOs that implemented Avahan, we investigate the level of technical efficiency as well as the drivers of technical inefficiency by using the double bootstrap procedure developed by Simar & Wilson (2007). Unlike the two-stage traditional method, this method allows valid inference in the presence of measurement error and serial correlation. We find that over the 4 years, Avahan NGOs could have reduced the level of inputs by 43% given the level of outputs reached. We find that efficiency of the project has increased over time. Results indicate that main drivers of inefficiency come from the characteristics of the state lead partner, the NGOs and the catchment area. These organisational factors are important to explicitly consider and assess when designing and implementing HIV prevention programmes and in setting benchmarks in order to optimise the use and allocation of resources. C14, I1.

  4. Instrumental Capital

    Directory of Open Access Journals (Sweden)

    Gabriel Valerio

    2007-07-01

    Full Text Available During the history of human kind, since our first ancestors, tools have represented a mean to reach objectives which might otherwise seemed impossibles. In the called New Economy, where tangibles assets appear to be losing the role as the core element to produce value versus knowledge, tools have kept aside man in his dairy work. In this article, the author's objective is to describe, in a simple manner, the importance of managing the organization's group of tools or instruments (Instrumental Capital. The characteristic conditions of this New Economy, the way Knowledge Management deals with these new conditions and the sub-processes that provide support to the management of Instrumental Capital are described.

  5. The SISTA pilot project: understanding the training and technical assistance needs of community-based organizations implementing HIV prevention interventions for African American women--implications for a capacity building strategy.

    Science.gov (United States)

    Fuller, Taleria R; Brown, Mari; King, Winifred; Prather, Cynthia; Cazaubon, Janine; Mack, Justin; Russell, Brandi

    2007-01-01

    The disproportionate rates of HIV/AIDS among African American women in the U.S. signify the ongoing need for targeted HIV prevention interventions. Additionally, building the capacity of service providers to sustain prevention efforts is a major concern. The Centers for Disease Control and Prevention (CDC) conducted a pilot project to disseminate the Sisters Informing Sisters about Topics on AIDS (SISTA), an HIV prevention intervention designed for African American women. The project was to inform the diffusion process and examine the training and technical assistance needs of participating community-based organizations. Results demonstrated a need for extensive pre-planning and skills-building prior to implementation.

  6. Instrumentation requirements for the ESF thermomechanical experiments

    International Nuclear Information System (INIS)

    Pott, J.; Brechtel, C.E.

    1992-01-01

    In situ thermomechanical experiments are planned as part of the Yucca Mountain Site Characterization Project that require instruments to measure stress and displacement at temperatures that exceed the typical specifications of existing geotechnical instruments. A high degree of instrument reliability will also be required to satisfy the objectives of the experiments, therefore a study was undertaken to identify areas where improvement in instrument performance was required. A preliminary list of instruments required for the experiments was developed, based on existing test planning and analysis. Projected temperature requirements were compared to specifications of existing instruments to identify instrumentation development needs. Different instrument technologies, not currently employed in geotechnical instrumentation, were reviewed to identify potential improvements of existing designs for the high temperature environment. Technologies with strong potentials to improve instrument performance with relatively high reliability include graphite fiber composite materials, fiber optics, and video imagery

  7. Innovative instrumentation

    International Nuclear Information System (INIS)

    Anon.

    1983-01-01

    At this year's particle physics conference at Brighton, a parallel session was given over to instrumentation and detector development. While this work is vital to the health of research and its continued progress, its share of prime international conference time is limited. Instrumentation can be innovative three times — first when a new idea is outlined, secondly when it is shown to be feasible, and finally when it becomes productive in a real experiment, amassing useful data rather than operational experience. Hyams' examples showed that it can take a long time for a new idea to filter through these successive stages, if it ever makes it at all

  8. Innovative instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1983-11-15

    At this year's particle physics conference at Brighton, a parallel session was given over to instrumentation and detector development. While this work is vital to the health of research and its continued progress, its share of prime international conference time is limited. Instrumentation can be innovative three times — first when a new idea is outlined, secondly when it is shown to be feasible, and finally when it becomes productive in a real experiment, amassing useful data rather than operational experience. Hyams' examples showed that it can take a long time for a new idea to filter through these successive stages, if it ever makes it at all.

  9. Instrumental aspects

    Directory of Open Access Journals (Sweden)

    Qureshi Navid

    2017-01-01

    Full Text Available Every neutron scattering experiment requires the choice of a suited neutron diffractometer (or spectrometer in the case of inelastic scattering with its optimal configuration in order to accomplish the experimental tasks in the most successful way. Most generally, the compromise between the incident neutron flux and the instrumental resolution has to be considered, which is depending on a number of optical devices which are positioned in the neutron beam path. In this chapter the basic instrumental principles of neutron diffraction will be explained. Examples of different types of experiments and their respective expectable results will be shown. Furthermore, the production and use of polarized neutrons will be stressed.

  10. The Texts of the Instruments Concerning the Agency's Assistance to Pakistan in connection with the Establishment of a Nuclear Power Reactor Project

    International Nuclear Information System (INIS)

    1968-01-01

    The terms of the Supply Agreement between the Agency and the Governments of Pakistan and the United States of America, and of the Project Agreement between the Agency and the Government of Pakistan concerning the Agency's assistance to that Government in connection with the establishment of a nuclear power reactor project, are reproduced herein for the information of all Members. Both Agreements entered into force on 17 June 1968

  11. The Texts of the Instruments relating to a Project for a Joint Agency-Norwegian Program of Research with the Zero Power Reactor 'NORA'

    International Nuclear Information System (INIS)

    1961-01-01

    The text of the Supply Agreement between the Agency and the Governments of Norway and of the United States of America, and the text of the related Project Agreement between the Agency and the Government of Norway concerning an Agency project for cooperation in carrying out a joint program of research in reactor physics with the zero power reactor 'NORA', are reproduced in this document for the information of all Members of the Agency

  12. The Texts of the Instruments relating to a Project for a Joint Agency-Norwegian Program of Research with the Zero Power Reactor 'NORA'

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1961-06-22

    The text of the Supply Agreement between the Agency and the Governments of Norway and of the United States of America, and the text of the related Project Agreement between the Agency and the Government of Norway concerning an Agency project for cooperation in carrying out a joint program of research in reactor physics with the zero power reactor 'NORA', are reproduced in this document for the information of all Members of the Agency.

  13. The Texts of the Instruments Concerning the Agency's Assistance to Pakistan in connection with the Establishment of a Nuclear Power Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1968-09-06

    The terms of the Supply Agreement between the Agency and the Governments of Pakistan and the United States of America, and of the Project Agreement between the Agency and the Government of Pakistan concerning the Agency's assistance to that Government in connection with the establishment of a nuclear power reactor project, are reproduced herein for the information of all Members. Both Agreements entered into force on 17 June 1968.

  14. The Texts of the Instruments connected with the Agency's Assistance to Argentina in Establishing a Research and Isotope Production Reactor Project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1965-11-04

    The texts of the Title Transfer Agreement between the Agency and the Governments of Argentina and the United States of America, and of the Project Agreement between the Agency and the Government of Argentina, in connection with the Agency's assistance to that Government in establishing a research and isotope production reactor project, are reproduced in this document for the information of all Members. These Agreements entered into force on 2 December 1964.

  15. The Texts of the Instruments connected with the Agency's Assistance to Argentina in Establishing a Research and Isotope Production Reactor Project

    International Nuclear Information System (INIS)

    1965-01-01

    The texts of the Title Transfer Agreement between the Agency and the Governments of Argentina and the United States of America, and of the Project Agreement between the Agency and the Government of Argentina, in connection with the Agency's assistance to that Government in establishing a research and isotope production reactor project, are reproduced in this document for the information of all Members. These Agreements entered into force on 2 December 1964

  16. A structured women's preventive health clinic for residents: a quality improvement project designed to meet training needs and improve cervical cancer screening rates.

    Science.gov (United States)

    Singh, Mamta K; Einstadter, Douglas; Lawrence, Renee

    2010-10-01

    Multiple resident-related factors contribute to 'missed opportunities' in providing comprehensive preventive care for female patients, including comfort level, knowledge and experience--all of which are compounded by resident turnover rates. Of particular concern among Internal Medicine (IM) residents is their knowledge and comfort level in performing pelvic exams. To evaluate the impact of a quality improvement project of implementing a Women's Preventive Health Clinic (WPHC) on addressing gaps identified by needs assessments: residents' comfort and knowledge with female preventive care and cervical cancer screening. The WPHC, a multidisciplinary weekly clinic, focused on preventive services for women with chronic conditions. The alternating didactic and clinic sessions emphasised women's preventive health topics for IM residents. Sixty-three IM residents participated in WPHC between 2002 and 2005. Pre- and post-test design was used to assess resident knowledge and comfort levels. Cervical cancer screening rates of residents' patients were assessed pre- and post-WPHC initiation. There was a significant improvement in general knowledge (64% correct at pretest vs 73% at post-test, p=0.0002), resident comfort level in discussing women's health topics and performing gynaecological exams (p<0.0002). Cervical cancer screening rates among IM residents' patients improved from 54% (pre-WPHC initiation) to 65% (post-WPHC initiation period). The results indicate that a focused resident preventive programme can meet gaps identified by education and needs assessments, and simultaneously have a positive impact on cervical cancer screening rates and thus may serve as a model for other residency programmes.

  17. Effectiveness of Non-Pharmacological Interventions to Prevent Falls in Older People: A Systematic Overview. The SENATOR Project ONTOP Series

    Science.gov (United States)

    Rimland, Joseph M.; Abraha, Iosief; Dell’Aquila, Giuseppina; Cruz-Jentoft, Alfonso; Soiza, Roy; Gudmusson, Adalsteinn; Petrovic, Mirko; O’Mahony, Denis; Todd, Chris; Cherubini, Antonio

    2016-01-01

    Background Falls are common events in older people, which cause considerable morbidity and mortality. Non-pharmacological interventions are an important approach to prevent falls. There are a large number of systematic reviews of non-pharmacological interventions, whose evidence needs to be synthesized in order to facilitate evidence-based clinical decision making. Objectives To systematically examine reviews and meta-analyses that evaluated non-pharmacological interventions to prevent falls in older adults in the community, care facilities and hospitals. Methods We searched the electronic databases Pubmed, the Cochrane Database of Systematic Reviews, EMBASE, CINAHL, PsycINFO, PEDRO and TRIP from January 2009 to March 2015, for systematic reviews that included at least one comparative study, evaluating any non-pharmacological intervention, to prevent falls amongst older adults. The quality of the reviews was assessed using AMSTAR and ProFaNE taxonomy was used to organize the interventions. Results Fifty-nine systematic reviews were identified which consisted of single, multiple and multifactorial non-pharmacological interventions to prevent falls in older people. The most frequent ProFaNE defined interventions were exercises either alone or combined with other interventions, followed by environment/assistive technology interventions comprising environmental modifications, assistive and protective aids, staff education and vision assessment/correction. Knowledge was the third principle class of interventions as patient education. Exercise and multifactorial interventions were the most effective treatments to reduce falls in older adults, although not all types of exercise were equally effective in all subjects and in all settings. Effective exercise programs combined balance and strength training. Reviews with a higher AMSTAR score were more likely to contain more primary studies, to be updated and to perform meta-analysis. Conclusions The aim of this overview of

  18. Sexual Behavior, Risk Compensation, and HIV Prevention Strategies Among Participants in the San Francisco PrEP Demonstration Project: A Qualitative Analysis of Counseling Notes.

    Science.gov (United States)

    Carlo Hojilla, J; Koester, Kimberly A; Cohen, Stephanie E; Buchbinder, Susan; Ladzekpo, Deawodi; Matheson, Tim; Liu, Albert Y

    2016-07-01

    Pre-exposure prophylaxis (PrEP) is a viable HIV prevention strategy but risk compensation could undermine potential benefits. There are limited data that examine this phenomenon outside of clinical trials. We conducted a qualitative analysis of counseling notes from the San Francisco site of the US PrEP demonstration project to assess how men who have sex with men used PrEP as a prevention strategy and its impact on their sexual practices. Four major themes emerged from our analysis of 130 distinct notes associated with 26 participants. Prevention strategy decision-making was dynamic, often influenced by the context and perceived risk of a sexual encounter. Counselors noted that participants used PrEP in conjunction with other health promotion strategies like condoms, asking about HIV status of their sex partners, and seroadaptation. With few exceptions, existing risk reduction strategies were not abandoned upon initiation of PrEP. Risk-taking behavior was 'seasonal' and fluctuations were influenced by various personal, psychosocial, and health-related factors. PrEP also helped relieve anxiety regarding sex and HIV, particularly among serodiscordant partners. Understanding sexual decision-making and how PrEP is incorporated into existing prevention strategies can help inform future PrEP implementation efforts.

  19. Development of CAMAC and Fastbus instrumentation

    International Nuclear Information System (INIS)

    Venkateswaran, Aruna; Behere, Anita; Ghodgaonkar, M.D.; Bairi, B.R.

    1987-01-01

    This report describes the work being done towards the development of CAMAC and Fast Bus Instrumentation under the VII Five Year Plan Project 'Modernisation of Reactor Control Instrumentation and Development of CAMAC and FAST BUS Instrumentation'. The report summarises the goals, objectives, principles and concepts of CAMAC and Fast Bus Instrumentation. While emphasizing the motivation behind the development of CAMAC and Fast Bus Instrumentation, the report brings out the current status and future plans of this development program. (author)

  20. Evidence-based development of school-based and family-involved prevention of overweight across Europe: The ENERGY-project's design and conceptual framework

    Directory of Open Access Journals (Sweden)

    Klepp Knut

    2010-05-01

    Full Text Available Abstract Background There is an urgent need for more carefully developed public health measures in order to curb the obesity epidemic among youth. The overall aim of the "EuropeaN Energy balance Research to prevent excessive weight Gain among Youth" (ENERGY-project is the development and formative evaluation of a theory-informed and evidence-based multi-component school-based and family-involved intervention program ready to be implemented and evaluated for effectiveness across Europe. This program aims at promoting the adoption or continuation of health behaviors that contribute to a healthy energy balance among school-aged children. Earlier studies have indicated that school and family environments are key determinants of energy-balance behaviors in schoolchildren. Schools are an important setting for health promotion in this age group, but school-based interventions mostly fail to target and involve the family environment. Methods Led by a multidisciplinary team of researchers from eleven European countries and supported by a team of Australian experts, the ENERGY-project is informed by the Environmental Research Framework for Weight gain Prevention, and comprises a comprehensive epidemiological analysis including 1 systematic reviews of the literature, 2 secondary analyses of existing data, 3 focus group research, and 4 a cross European school-based survey. Results and discussion The theoretical framework and the epidemiological analysis will subsequently inform stepwise intervention development targeting the most relevant energy balance-related behaviors and their personal, family-environmental and school-environmental determinants applying the Intervention Mapping protocol. The intervention scheme will undergo formative and pilot evaluation in five countries. The results of ENERGY will be disseminated among key stakeholders including researchers, policy makers and the general population. Conclusions The ENERGY-project is an international

  1. Surgical Instrument

    NARCIS (Netherlands)

    Dankelman, J.; Horeman, T.

    2009-01-01

    The present invention relates to a surgical instrument for minimall-invasive surgery, comprising a handle, a shaft and an actuating part, characterised by a gastight cover surrounding the shaft, wherein the cover is provided with a coupler that has a feed- through opening with a loskable seal,

  2. Weather Instruments.

    Science.gov (United States)

    Brantley, L. Reed, Sr.; Demanche, Edna L.; Klemm, E. Barbara; Kyselka, Will; Phillips, Edwin A.; Pottenger, Francis M.; Yamamoto, Karen N.; Young, Donald B.

    This booklet presents some activities to measure various weather phenomena. Directions for constructing a weather station are included. Instruments including rain gauges, thermometers, wind vanes, wind speed devices, humidity devices, barometers, atmospheric observations, a dustfall jar, sticky-tape can, detection of gases in the air, and pH of…

  3. Instrument Remote Control via the Astronomical Instrument Markup Language

    Science.gov (United States)

    Sall, Ken; Ames, Troy; Warsaw, Craig; Koons, Lisa; Shafer, Richard

    1998-01-01

    The Instrument Remote Control (IRC) project ongoing at NASA's Goddard Space Flight Center's (GSFC) Information Systems Center (ISC) supports NASA's mission by defining an adaptive intranet-based framework that provides robust interactive and distributed control and monitoring of remote instruments. An astronomical IRC architecture that combines the platform-independent processing capabilities of Java with the power of Extensible Markup Language (XML) to express hierarchical data in an equally platform-independent, as well as human readable manner, has been developed. This architecture is implemented using a variety of XML support tools and Application Programming Interfaces (API) written in Java. IRC will enable trusted astronomers from around the world to easily access infrared instruments (e.g., telescopes, cameras, and spectrometers) located in remote, inhospitable environments, such as the South Pole, a high Chilean mountaintop, or an airborne observatory aboard a Boeing 747. Using IRC's frameworks, an astronomer or other scientist can easily define the type of onboard instrument, control the instrument remotely, and return monitoring data all through the intranet. The Astronomical Instrument Markup Language (AIML) is the first implementation of the more general Instrument Markup Language (IML). The key aspects of our approach to instrument description and control applies to many domains, from medical instruments to machine assembly lines. The concepts behind AIML apply equally well to the description and control of instruments in general. IRC enables us to apply our techniques to several instruments, preferably from different observatories.

  4. Shield calculation of project for instrument calibration integrated laboratory of IPEN-Sao Paulo, Brazil; Calculo das blindagens do projeto de um laboratorio integrado de calibracao de instrumentos no IPEN - Sao Paulo, Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Barros, Gustavo A.S.J.; Caldas, Linda V.E., E-mail: gustavaobarros@gmail.co, E-mail: lcaldas@ipen.b [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2009-07-01

    This work performed the shield calculation of the future rooms walls of the five X-ray equipment of the Instrument Calibration Laboratory of the IPEN, Sao Paulo, Brazil, which will be constructed in project of laboratory enlargement. The obtained results by application of a calculation methodology from an international regulation have shown that the largest thickness of shielding (25.7 cm of concrete or 7.1 mm of lead) will be of the wall which will receive the primary beam of the equipment with a 320 kV voltage. The cost/benefit analysis indicated the concrete as the best material option for the shielding

  5. [Preventing cardiovascular diseases through a screening modelling applicable to wide population groups: results from the first phase of the project].

    Science.gov (United States)

    Ferro, Antonio; Cinquetti, Sandro; Moro, Alessandro; Siddu, Andrea; Trimarchi, Antonino; Penon, Maria Gabriella; Pavan, Pierpaolo; Camillotto, Raffaella; Rossetto, Luca; Volpe, Valter; Zevrain, Simone; Brusaferro, Silvio

    2014-01-01

    evaluate, through active call, lifestyles of an asymptomatic population in order to identify hyperglycaemic subjects and/or high-blood pressure sufferers to dispatch to their GP to perform suitable checking, and subjects to invite to a cardiovascular disease prevention programme because of their lifestyles. between January 2009 and July 2012, all healthy residents in the Local Health Authority of Este (ULSS 17 Este) aged 45-59 years were invited to join a cardiovascular disease prevention programme. all participants were evaluated through an administered lifestyle questionnaire. Parameters such as blood pressure (BP), glycaemia, waist circumference and body mass index were collected and recorded. Participants also received counseling, informational materials on lifestyle and were invited to individual or group health promotion initiatives in relation to personal risk factors. among the invited, 55.5% (3,922/7,071) adhered. Women (58.8%) responded significantly better than men (51.9%) (p diseases.

  6. Targeted prevention of lifestyle related diseases in the primary care sector – results from the TOF pilot project

    DEFF Research Database (Denmark)

    Bruun Larsen, Lars; Thilsing, Trine

    This abstract reports on the results of a non-randomized pilot study carried out to test the acceptability, feasibility and short-term effects of a healthcare intervention in primary care. The intervention is designed to systematically identify persons at risk of developing lifestyle-related dise...... is facilitated by a digital support system. The pilot makes use of both quantitative and qualitative research methods....... prevention and health promotion is required. This has been attempted in past efforts by offering individual preventive health checks to the general population. However, the evidence on the effectiveness of this approach is mixed. Several systematic reviews, on the other hand, suggest that health checks......This abstract reports on the results of a non-randomized pilot study carried out to test the acceptability, feasibility and short-term effects of a healthcare intervention in primary care. The intervention is designed to systematically identify persons at risk of developing lifestyle...

  7. The EUVAC-NET project: creation and operation of a surveillance community network for vaccine preventable infectious diseases.

    Science.gov (United States)

    Glismann, S; Rønne, T; Tozzi, A

    2001-06-01

    The EUVAC-NET network is in charge of the epidemiological surveillance and control of vaccine preventable diseases. It is coordinated by the SSI in Denmark, in collaboration with the ISS in Italy. The two main diseases targeted by the network are measles and pertussis. A collaboration is planned with the PHLS for the monitoring of Haemophilus influenzae b. EUVAC-NET includes the Member States of the European Union, and Iceland, Norway and Switzerland.

  8. Data acquisition instruments: Psychopharmacology

    Energy Technology Data Exchange (ETDEWEB)

    Hartley, D.S. III

    1998-01-01

    This report contains the results of a Direct Assistance Project performed by Lockheed Martin Energy Systems, Inc., for Dr. K. O. Jobson. The purpose of the project was to perform preliminary analysis of the data acquisition instruments used in the field of psychiatry, with the goal of identifying commonalities of data and strategies for handling and using the data in the most advantageous fashion. Data acquisition instruments from 12 sources were provided by Dr. Jobson. Several commonalities were identified and a potentially useful data strategy is reported here. Analysis of the information collected for utility in performing diagnoses is recommended. In addition, further work is recommended to refine the commonalities into a directly useful computer systems structure.

  9. The text of the instruments connected with the Agency's assistance to Argentina in establishing a research and isotope production reactor project

    International Nuclear Information System (INIS)

    1995-01-01

    The Agreement between the Republic of Argentina, the Federative Republic of Brazil, the Brazilian-Argentine Agency for Accounting and Control of Nuclear Materials and the International Atomic Energy Agency for the Application of Safeguards came into force on 4 March 1994. As a result of the coming into force of the aforesaid Agreement for Argentina, the application of safeguards under the Project Agreement of 2 December 1964 between Argentina and the IAEA in connection with the Agency's assistance to Argentina in establishing a research and isotope production reactor project has been suspended

  10. Reducing Cancer Health Disparities through Community Engagement: Working with Faith-Based Organizations (Project CHURCH) | Division of Cancer Prevention

    Science.gov (United States)

    Speaker | "Reducing Cancer Health Disparities through Community Engagement: Working with Faith-Based Organizations (Project CHURCH)" will be presented by Lorna H. McNeill, PhD, MPH, Chair of the Department of Health Disparities at the University of Texas MD Anderson Cancer Center in Houston, TX. Date: 2/20/2018; Time: 11:00am - 12:00pm; Location: NCI Shady Grove Campus,

  11. The Texts of the Instruments concerning the Agency's Assistance to Greece for the Continuation of a Research Reactor Project. A Second Title Transfer Agreement

    International Nuclear Information System (INIS)

    1974-01-01

    As a sequel to the assistance which the Agency has provided to the Government of Greece in connection with a research reactor project, a Second Title Transfer Agreement has been concluded between the Agency and the Governments of Greece and the United States of America

  12. The Text of the Instrument connected with the Agency's Assistance to the United Arab Republic in Establishing a Project for Training and Medical Applications

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1967-06-09

    The text of the Agreement between the Agency and the Government of the United Arab Republic in connection with the Agency's assistance to that Government in establishing a project for training and medical applications of atomic energy is reproduced in this document for the information of all Members.

  13. The Texts of the Instruments connected with the Agency's Assistance to Pakistan in Establishing a Research Reactor Project. A Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1968-01-12

    As a sequel to the assistance which the Agency provided to the Government of Pakistan in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Governments of Pakistan and the United States of America. This Agreement entered into force on 19 October 1967, and the text is reproduced herein for the information of all Members.

  14. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. A Fourth Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1970-02-05

    As a sequel to the assistance which the Agency provided to the Government of Finland in connection with a research reactor project, a fourth Supply Agreement has been concluded between the Agency and the Governments of Finland and the United States of America. This Agreement entered into force on 27 November 1969, and the text is reproduced herein for the information of all Members.

  15. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project. Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1968-08-28

    As a sequel to the assistance which the Agency provided to the Government of Yugoslavia in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Governments of the United States of America and Yugoslavia. The Agreement entered into force on 20 February 1968, and the text is reproduced herein for the information of all Members.

  16. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. A Third Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1968-01-12

    As a sequel to the assistance which the Agency provided to the Government of Finland in connection with a research reactor project), a third Supply Agreement has been concluded between the Agency and the Governments of Finland and the United States of America. This Agreement entered into force on 5 November 1967, and the text) is reproduced herein for the information of all Members.

  17. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project. Third Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-03-11

    As a sequel to the assistance which the Agency provided to the Government of Yugoslavia in connection with a research reactor project, a third Supply Agreement has been concluded between the Agency and the Governments of the United States of America and Yugoslavia. This Agreement entered into force on 30 December 1970, and the text is reproduced herein for the information of all Members.

  18. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1966-07-25

    As a sequel to the assistance which the Agency provided to the Government of Finland in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Government of Finland and the United States of America. This Agreement entered into force on 8 July 1966, and the text is reproduced herein for the information of all Members.

  19. The Text of the Instrument connected with the Agency's Assistance to the United Arab Republic in Establishing a Project for Training and Medical Applications

    International Nuclear Information System (INIS)

    1967-01-01

    The text of the Agreement between the Agency and the Government of the United Arab Republic in connection with the Agency's assistance to that Government in establishing a project for training and medical applications of atomic energy is reproduced in this document for the information of all Members

  20. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. A Third Supply Agreement

    International Nuclear Information System (INIS)

    1968-01-01

    As a sequel to the assistance which the Agency provided to the Government of Finland in connection with a research reactor project), a third Supply Agreement has been concluded between the Agency and the Governments of Finland and the United States of America. This Agreement entered into force on 5 November 1967, and the text) is reproduced herein for the information of all Members

  1. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project. Third Supply Agreement

    International Nuclear Information System (INIS)

    1971-01-01

    As a sequel to the assistance which the Agency provided to the Government of Yugoslavia in connection with a research reactor project, a third Supply Agreement has been concluded between the Agency and the Governments of the United States of America and Yugoslavia. This Agreement entered into force on 30 December 1970, and the text is reproduced herein for the information of all Members

  2. The Texts of the Instruments connected with the Agency's Assistance to Pakistan in Establishing a Research Reactor Project. A Second Supply Agreement

    International Nuclear Information System (INIS)

    1968-01-01

    As a sequel to the assistance which the Agency provided to the Government of Pakistan in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Governments of Pakistan and the United States of America. This Agreement entered into force on 19 October 1967, and the text is reproduced herein for the information of all Members

  3. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. A Fourth Supply Agreement

    International Nuclear Information System (INIS)

    1970-01-01

    As a sequel to the assistance which the Agency provided to the Government of Finland in connection with a research reactor project, a fourth Supply Agreement has been concluded between the Agency and the Governments of Finland and the United States of America. This Agreement entered into force on 27 November 1969, and the text is reproduced herein for the information of all Members

  4. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project. Second Supply Agreement

    International Nuclear Information System (INIS)

    1968-01-01

    As a sequel to the assistance which the Agency provided to the Government of Yugoslavia in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Governments of the United States of America and Yugoslavia. The Agreement entered into force on 20 February 1968, and the text is reproduced herein for the information of all Members

  5. The Texts of the Instruments connected with the Agency's Assistance to Finland in relation to a Research Reactor Project. Second Supply Agreement

    International Nuclear Information System (INIS)

    1966-01-01

    As a sequel to the assistance which the Agency provided to the Government of Finland in establishing a research reactor project, a second Supply Agreement has been concluded between the Agency and the Government of Finland and the United States of America. This Agreement entered into force on 8 July 1966, and the text is reproduced herein for the information of all Members

  6. Process evaluation of Project WebHealth: a nondieting Web-based intervention for obesity prevention in college students.

    Science.gov (United States)

    Dour, Colleen A; Horacek, Tanya M; Schembre, Susan M; Lohse, Barbara; Hoerr, Sharon; Kattelmann, Kendra; White, Adrienne A; Shoff, Suzanne; Phillips, Beatrice; Greene, Geoffrey

    2013-01-01

    To evaluate the motivational effect of the Project WebHealth study procedures and intervention components on weight-related health behavior changes in male and female college students. Process evaluation. Eight universities in the United States. Project WebHealth participants (n = 653; 29% men). Participants rated motivational effects of study procedures and intervention components. Participants were grouped into outcome-based health behavior categories based on achievement of desired targets for fruit and vegetable intake, physical activity, and/or body weight. Differences in motivation from each procedure and component were analyzed by gender- and outcome-based health behavior category. Women were generally more motivated than men. Compared to those who did not meet any target health behaviors, men with improved health outcomes (68%) were significantly more motivated by the skills to fuel the body lesson, goal setting, and research snippets. Their female counterparts (63%) were significantly more motivated by the lessons on body size and eating enjoyment, and by the suggested weekly activities. Specific study procedures and components of Project WebHealth motivated study participants to improve their weight-related health behaviors, and they differed by gender. Findings support the need for gender-tailored interventions in this population. Copyright © 2013 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  7. Nuclear instrumentation

    International Nuclear Information System (INIS)

    Weill, Jacky; Fabre, Rene.

    1981-01-01

    This article sums up the Research and Development effort at present being carried out in the five following fields of applications: Health physics and Radioprospection, Control of nuclear reactors, Plant control (preparation and reprocessing of the fuel, testing of nuclear substances, etc.), Research laboratory instrumentation, Detectors. It also sets the place of French industrial activities by means of an estimate of the French market, production and flow of trading with other countries [fr

  8. Divided Instruments

    Science.gov (United States)

    Chapman, A.; Murdin, P.

    2000-11-01

    Although the division of the zodiac into 360° probably derives from Egypt or Assyria around 2000 BC, there is no surviving evidence of Mesopotamian cultures embodying this division into a mathematical instrument. Almost certainly, however, it was from Babylonia that the Greek geometers learned of the 360° circle, and by c. 80 BC they had incorporated it into that remarkably elaborate device gener...

  9. Instrumentation development

    International Nuclear Information System (INIS)

    Anon.

    1976-01-01

    Areas being investigated for instrumentation improvement during low-level pollution monitoring include laser opto-acoustic spectroscopy, x-ray fluorescence spectroscopy, optical fluorescence spectroscopy, liquid crystal gas detectors, advanced forms of atomic absorption spectroscopy, electro-analytical chemistry, and mass spectroscopy. Emphasis is also directed toward development of physical methods, as opposed to conventional chemical analysis techniques for monitoring these trace amounts of pollution related to energy development and utilization

  10. Exploring overweight, obesity and their behavioural correlates among children and adolescents: results from the Health-promotion through Obesity Prevention across Europe project.

    Science.gov (United States)

    Brug, Johannes; Lien, Nanna; Klepp, Knut-Inge; van Lenthe, Frank J

    2010-10-01

    The Health-promotion through Obesity Prevention across Europe (HOPE) project aims to bring the European scientific knowledge on overweight, obesity and their determinants together and use the expertise of researchers across Europe to contribute to tackling the obesity epidemic. This special issue of Public Health Nutrition presents important results from one of the work packages of the HOPE project that aims at gaining and integrating knowledge on the determinants of nutrition, physical activity and obesity among schoolchildren and adolescents (aged 10-18 years) in different European regions. It includes contributions from Northern Europe (Norway), Central and Eastern Europe (Germany, Poland and the Czech Republic), Southern Europe (Greece) and Western Europe (Belgium and The Netherlands), as well as an overview of the availability of good-quality data on prevalence rates and trends in overweight (including obesity) among adolescents in European Union (EU) countries. The studies that are included report prevalence differences, data on relevant nutrition and physical activity behaviours, as well as potential physical and environmental behavioural determinants. These papers provide further evidence on differences in obesity and overweight prevalence among different EU regions and countries, and contribute to the further exploration of risk factors that may or should be addressed in obesity prevention efforts for school-aged children and adolescents in EU countries.

  11. Strategies and actions of multi-purpose health communication on vaccine preventable infectious diseases in order to increase vaccination coverage in the population: The ESCULAPIO project.

    Science.gov (United States)

    Bechini, Angela; Bonanni, Paolo; Lauri, Sara; Tiscione, Emilia; Levi, Miriam; Prato, Rosa; Fortunato, Francesca; Martinelli, Domenico; Gasparini, Roberto; Panatto, Donatella; Amicizia, Daniela; Coppola, Rosa Cristina; Pellizzari, Barbara; Tabacchi, Garden; Costantino, Claudio; Vitale, Francesco; Iannazzo, Stefania; Boccalini, Sara

    2017-02-01

    The ESCULAPIO Project aims at increasing awareness on vaccine preventable infectious diseases (VPID) and vaccinations in different target populations and to spread the culture of prevention. Information/training interventions on VPID have been developed and health promotion activities for the general population, students and their parents, teachers and health care workers (HCWs) were set up. In Tuscany, educational courses on VPID in high schools were organized and students were stimulated to prepare informative materials on VPID for lower grade school pupils. In Liguria, an educational card game (named 'Vaccine at the Fair') was presented to children of primary schools. Stands in shopping centers were used in Palermo to distribute the regional vaccination schedule and gadgets, also providing indications on reliable websites where to find correct information on vaccinations. A music video played by health care workers (HCWs) was created and used in the University Hospital of Cagliari to promote the anti-flu vaccination campaign in HCWs. In Apulia, meetings with the general population were organized to collect controversial issues about vaccinations and a national call center was launched to create a direct line from the general population to experts in vaccines and vaccination strategies. In Veneto, meetings in the birth centers and home visits for subjects refusing vaccination have been organized. All activities are useful and effective tools to increase knowledge about VPID and confidence in vaccination, which are crucial aspects in order to increase vaccine uptake. The project was funded by the Italian Ministry of Health, Center for Disease Prevention and Control (CCM) in 2013.

  12. The Texts of the Instruments Concerning the Agency's Assistance to Indonesia for the Continuation of a Research Reactor Project. The Second Supply Agreement. An Amendment

    International Nuclear Information System (INIS)

    1975-01-01

    On 7 April 1975 the Agency and the Governments of Indonesia and the United States of America amended by letter of agreement Article I of the Second Supply Agreement, concluded in connection with the Agency's assistance to Indonesia for the continuation of a research reactor project and reproduced in document INFCIRC/136/Add. 1, to provide for Indonesia to purchase the enriched uranium which is the subject thereof direct from the manufacturer.

  13. The Texts of the Instruments Concerning the Agency's Assistance to Indonesia for the Continuation of a Research Reactor Project. A Second Supply Agreement

    International Nuclear Information System (INIS)

    1972-01-01

    As a sequel to the assistance which the Agency has provided to the Government of Indonesia in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Indonesia and the United States of America. This Agreement entered into force on 14 September 1972, and the text is reproduced herein for the information of all Members.

  14. The Texts of the Instruments concerning the Agency's Assistance to Pakistan in connection with the Establishment of a Nuclear Power Reactor Project. A Second Supply Agreement

    International Nuclear Information System (INIS)

    1971-01-01

    As a sequel to the assistance which the Agency provided to the Government of Pakistan in connection with a nuclear power reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Pakistan and the United States of America. This Agreement entered into force on 22 June 1971, and the text is reproduced herein for the information of all Members

  15. The Texts of the Instruments connected with the Agency's Assistance to India in Furthering Projects by the Supply of Materials. Supplementary Agreements Nos 4, 5 and 6

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1972-04-14

    As a sequel to the assistance which the Agency has provided to the Government of India in furthering projects by the supply of materials, three additional Supplementary Agreements to the Master Agreement concerning the provision of that assistance have been concluded between the Agency and the Government. These Supplementary Agreements entered into force on 1 July 1971, 20 August 1971 and 1 October 1971 respectively, and the texts are reproduced herein for the information of all Members.

  16. The Texts of the Instruments connected with the Agency's Assistance to India in Furthering Projects by the Supply of Materials. Supplementary Agreements Nos 4, 5 and 6

    International Nuclear Information System (INIS)

    1972-01-01

    As a sequel to the assistance which the Agency has provided to the Government of India in furthering projects by the supply of materials, three additional Supplementary Agreements to the Master Agreement concerning the provision of that assistance have been concluded between the Agency and the Government. These Supplementary Agreements entered into force on 1 July 1971, 20 August 1971 and 1 October 1971 respectively, and the texts are reproduced herein for the information of all Members

  17. The Texts of the Instruments connected with the Agency's Assistance to India in Furthering Projects by the Supply of Materials. Second and Third Supplementary Agreements

    International Nuclear Information System (INIS)

    1971-01-01

    As a sequel to the assistance which the Agency has provided to the Government of India in furthering projects by the supply of materials, two additional Supplementary Agreements to the Master Agreement concerning the provision of that assistance have been concluded between the Agency and the Government. These Supplementary Agreements entered into force on 2 July 1970 and 16 November 1970 respectively, and the texts are reproduced herein for the information of all Members

  18. The Texts of the Instruments connected with the Agency's Assistance to the Democratic Republic of the Congo in Continuing a Research Reactor Project. A Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-10-04

    As a sequel to the assistance which the Agency provided to the Government of the Democratic Republic of the Congo in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of the Congo and the United States of America. This Agreement entered into force on 15 April 1971, and the text is reproduced herein for the information of all Members.

  19. The Texts of the Instruments Concerning the Agency's Assistance to Indonesia for the Continuation of a Research Reactor Project. A Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1972-11-17

    As a sequel to the assistance which the Agency has provided to the Government of Indonesia in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Indonesia and the United States of America. This Agreement entered into force on 14 September 1972, and the text is reproduced herein for the information of all Members.

  20. The Texts of the Instruments concerning the Agency's Assistance to Pakistan in connection with the Establishment of a Nuclear Power Reactor Project. A Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1971-10-08

    As a sequel to the assistance which the Agency provided to the Government of Pakistan in connection with a nuclear power reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Pakistan and the United States of America. This Agreement entered into force on 22 June 1971, and the text is reproduced herein for the information of all Members.

  1. The Texts of the Instruments connected with the Agency's Assistance to the Democratic Republic of the Congo in Continuing a Research Reactor Project. A Second Supply Agreement

    International Nuclear Information System (INIS)

    1971-01-01

    As a sequel to the assistance which the Agency provided to the Government of the Democratic Republic of the Congo in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of the Congo and the United States of America. This Agreement entered into force on 15 April 1971, and the text is reproduced herein for the information of all Members

  2. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Establishing a Research Reactor Project. A Second Supply Agreement

    International Nuclear Information System (INIS)

    1972-01-01

    As a sequel to the assistance which the Agency has provided to the Government of Mexico in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Mexico and the United States of America. This Agreement entered into force on 4 October 1972, and the text is reproduced herein for the information of all Members

  3. The Texts of the Instruments connected with the Agency's Assistance to Romania in Furthering Projects by the Supply of Materials. Second and Third Supplementary Agreements

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1970-02-06

    As a sequel to the assistance which the Agency has provided to the Government of Romania in furthering projects by the supply of materials, two additional Supplementary Agreements to the Master Agreement concerning the provision of that assistance have been concluded between the Agency and the Government. These Agreements entered into force on 4 June 1968 and 21 August 1968 respectively, and the texts are reproduced herein for the information of all Members.

  4. The Texts of the Instruments connected with the Agency's Assistance to Romania in Furthering Projects by the Supply of Materials. Second and Third Supplementary Agreements

    International Nuclear Information System (INIS)

    1970-01-01

    As a sequel to the assistance which the Agency has provided to the Government of Romania in furthering projects by the supply of materials, two additional Supplementary Agreements to the Master Agreement concerning the provision of that assistance have been concluded between the Agency and the Government. These Agreements entered into force on 4 June 1968 and 21 August 1968 respectively, and the texts are reproduced herein for the information of all Members

  5. The Texts of the Instruments connected with the Agency's Assistance to Mexico in Establishing a Research Reactor Project. A Second Supply Agreement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1972-11-17

    As a sequel to the assistance which the Agency has provided to the Government of Mexico in connection with a research reactor project, a Second Supply Agreement has been concluded between the Agency and the Governments of Mexico and the United States of America. This Agreement entered into force on 4 October 1972, and the text is reproduced herein for the information of all Members.

  6. The Texts of the Instruments connected with the Agency's Assistance to Pakistan in Establishing a Research Reactor Project. A Third Supply Agreement

    International Nuclear Information System (INIS)

    1974-01-01

    As a sequel to the assistance which the Agency has provided to the Government of Pakistan in connection with a research reactor project, a Third Supply Agreement has been concluded between the Agency and the Governments of Pakistan and the United States of America. The Agreement entered into force on 14 June 1974 pursuant to Article V, and the text is reproduced herein for the information of all Members

  7. Prevention of DNA contamination during forensic medical examinations in a clinical forensic medical service: A best practice implementation project.

    Science.gov (United States)

    Lutz, Tasha

    2015-01-01

    Contamination of forensic specimens can have significant and detrimental effects on cases presented in court. In 2010 a wrongful conviction in Australia resulted in an inquiry with 25 recommendations to minimize the risk of DNA contamination of forensic specimens. DNA decontamination practices in a clinical forensic medical service currently attempt to comply with these recommendations. Evaluation of these practices has not been undertaken. The aim of this project was to audit the current DNA decontamination practices of forensic medical and nursing examiners in the forensic medical examination process and implement changes based on the audit findings. A re-audit following implementation would be undertaken to identify change and inform further research. The Joanna Briggs Institute's Practical Application of Clinical Evidence System and Getting Research into Practice were used as the audit tool in this project. A baseline audit was conducted; analysis of this audit process was then undertaken. Following education and awareness training targeted at clinicians, a re-audit was completed. There were a total of 24 audit criteria; the baseline audit reflected 20 of these criteria had 100% compliance. The remaining 4 audit criteria demonstrated compliance between 65% and 90%. Education and awareness training resulted in improved compliance in 2 of the 4 audit criteria, with the remaining 2 having unchanged compliance. The findings demonstrated that education and raising awareness can improve clinical practice; however there are also external factors outside the control of the clinicians that influence compliance with best practice.

  8. [A cooperative project in the district of Mettmann: preventive assistance for mentally ill parents and their children].

    Science.gov (United States)

    Hipp, Michael; Schatte, Dirk; Altrogge, Birgit

    2010-01-01

    Mentally ill parents are impaired in their ability to care for their children. To support the affected families from the perspective of the parents and the children alike a close cooperation between the institutions of psychiatry and child-welfare is of utmost importance. In the district of Mettmann a cooperation agreement was concluded to realize a cross-system concept to care for the families with mentally ill parents. To prevent children from developing psychiatric disorders the taboo of the psychiatric diseases has to be overcome, an early diagnostic clarification to be reached, and multiinstitutional help to be implemented. In the article the experience in dealing with the affected families in a multidisciplinary context is described.

  9. HIV rapid testing in the framework of an STI prevention project on a cohort of vulnerable Italians and immigrants.

    Science.gov (United States)

    Uccella, Ilaria; Petrelli, Alessio; Vescio, Maria Fenicia; De Carolis, Silvia; Fazioli, Cecilia; Pezzotti, Patrizio; Rezza, Gianni

    2017-08-01

    Uptake of HIV tests is a challenging issue in vulnerable populations including immigrants, normally using standard diagnostic tools. Objectives of this study were to evaluate the acceptability of HIV rapid test; estimate the percentage of newly HIV diagnoses and evaluate knowledge, attitudes and perception (KAP) about HIV/AIDS and other STIs in a specific set of immigrants and vulnerable population in Rome (Italy). All immigrant and Italian people, aged 16-70 years, attending the infectious disease outpatient clinic of the National Institute for Health, Migration and Poverty (INMP) in Rome (Italy), during the period December 2012 to December 2013 were enrolled. HIV rapid testing was provided for free and patients were asked to fill in a questionnaire evaluating KAP about HIV/STIs. All patients with risky sexual behaviours or with a recent diagnosis of STIs were invited to come back after 3-6 months and a post-counselling questionnaire was offered. Out of the total sample, 99.2% (n = 825) accepted the "rapid test" and 10 new HIV diagnoses were found (1.22%; 95% CI 0.58%-2.22%). Three hundred and eighty-five participants (47%) answered the entry questionnaire and 58 (15%) completed the follow-up. Overall, we found high knowledge about HIV/AIDS; however, lower educational level and immigrant status were associated with poor knowledge about HIV, other STIs and prevention methods. Immigrants have lower perception of sexual risk and higher prejudice than Italians. Our study showed high acceptance of rapid test in this specific vulnerable population and this allowed to identify new HIV diagnoses in unaware people. Socioeconomic inequalities observed in the KAP questionnaire suggest the need for actions to support the reduction of cultural differences in knowledge of HIV/AIDS and for policies aimed at improving access to health services and preventions programmes of marginalized populations.

  10. Air pollution prevention through urban heat island mitigation: An update on the urban heat island pilot project

    Energy Technology Data Exchange (ETDEWEB)

    Gorsevski, V.; Taha, H.; Quattrochi, D.; Luvall, J.

    1998-07-01

    Urban heat islands increase the demand for cooling energy and accelerate the formation of smog. They are created when natural vegetation is replaced by heat-absorbing surfaces such as building roofs and walls, parking lots, and streets. Through the implementation of measures designed to mitigate the urban heat island, communities can decrease their demand for energy and effectively cool the metropolitan landscape. In addition to the economic benefits, using less energy leads to reductions in emission of CO{sub 2}--a greenhouse gas--as well as ozone (smog) precursors such as NOx and VOCs. Because ozone is created when NOx and VOCs photochemically combine with heat and solar radiation, actions taken to lower ambient air temperature can significantly reduce ozone concentrations in certain areas. Measures to reverse the urban heat island include afforestation and the widespread use of highly reflective surfaces. To demonstrate the potential benefits of implementing these measures, EPA has teamed up with NASA and LBNL to initiate a pilot project with three US cities. As part of the pilot, NASA will use remotely-sensed data to quantify surface temperature, albedo, the thermal response number and NDVI vegetation of each city. This information will be used by scientists at Lawrence Berkeley National Laboratory (LBNL) along with other data as inputs to model various scenarios that will help quantify the potential benefits of urban heat island mitigation measures in terms of reduced energy use and pollution. This paper will briefly describe this pilot project and provide an update on the progress to date.

  11. Pancreatitis Quality of Life Instrument: Development of a new instrument

    Directory of Open Access Journals (Sweden)

    Wahid Wassef

    2014-02-01

    Full Text Available Objectives: The goal of this project was to develop the first disease-specific instrument for the evaluation of quality of life in chronic pancreatitis. Methods: Focus groups and interview sessions were conducted, with chronic pancreatitis patients, to identify items felt to impact quality of life which were subsequently formatted into a paper-and-pencil instrument. This instrument was used to conduct an online survey by an expert panel of pancreatologists to evaluate its content validity. Finally, the modified instrument was presented to patients during precognitive testing interviews to evaluate its clarity and appropriateness. Results: In total, 10 patients were enrolled in the focus groups and interview sessions where they identified 50 items. Once redundant items were removed, the 40 remaining items were made into a paper-and-pencil instrument referred to as the Pancreatitis Quality of Life Instrument. Through the processes of content validation and precognitive testing, the number of items in the instrument was reduced to 24. Conclusions: This marks the development of the first disease-specific instrument to evaluate quality of life in chronic pancreatitis. It includes unique features not found in generic instruments (economic factors, stigma, and spiritual factors. Although this marks a giant step forward, psychometric evaluation is still needed prior to its clinical use.

  12. Cost-effectiveness of a cardiovascular disease primary prevention programme in a primary health care setting. Results of the Polish part of the EUROACTION project.

    Science.gov (United States)

    Sović, Nevena; Pająk, Andrzej; Jankowski, Piotr; Duenas, Alejandra; Kawecka-Jaszcz, Kalina; Wolfshaut-Wolak, Renata; Stepaniak, Urszula; Kawalec, Paweł

    2013-01-01

    Well designed cardiovascular disease (CVD) prevention programmes appear to be generally applicable and effective in reducing exposure to risk factors and the incidence of disease. However, introducing them broadly into clinical practice would have a significant impact on the healthcare budget, and requires careful consideration. The purpose of this health economic analysis was to assess the potential cost-effectiveness of the model nurse-led, comprehensive CVD primary prevention programme which was prepared and introduced in the EUROACTION project, in high-risk patients in Poland. A Markov model was developed to assess the long-term costs of preventive intervention. The health states modelled were: event-free (all patients at the beginning of observation), stable angina first year, acute myocardial infarction, stable angina subsequent year, myocardial infarction subsequent year, CVD death, and other causes of death. Health benefits from the reduction in risk factors were estimated based on Framingham risk function assuming the probability of defined health states according to British registers. The time horizon of the analysis was ten years, and one Markov cycle length was one year. The analysis was prepared from the healthcare payer's perspective. A willingness to pay threshold of three gross domestic product (GDP) per capita / quality-adjusted life years (QALY) was used. Univariate sensitivity analysis was conducted. Results were presented as an incremental cost-effectiveness ratio (ICER) expressed as an incremental cost per QALY. In Poland, EUROACTION intervention resulted mainly in reductions in the prevalence of smoking (by 14%) and high blood pressure (by 7%). Intervention on other risk factors, including blood lipids, was found to be less effective. Estimated ICERs were 19,524 PLN for men and 82,262 PLN for women. The programme was even more cost-effective in smokers i.e. estimated ICERs were 12,377 PLN in men and 53,471 PLN in women. The results were most

  13. Using the intervention mapping protocol to develop a community-based intervention for the prevention of childhood obesity in a multi-centre European project: the IDEFICS intervention.

    Science.gov (United States)

    Verbestel, Vera; De Henauw, Stefaan; Maes, Lea; Haerens, Leen; Mårild, Staffan; Eiben, Gabriele; Lissner, Lauren; Moreno, Luis A; Frauca, Natalia Lascorz; Barba, Gianvincenzo; Kovács, Eva; Konstabel, Kenn; Tornaritis, Michael; Gallois, Katharina; Hassel, Holger; De Bourdeaudhuij, Ilse

    2011-08-01

    The prevalence of childhood obesity has increased during the past decades and is now considered an urgent public health problem. Although stabilizing trends in obesity prevalence have been identified in parts of Europe, preventive efforts in children are still needed. Using the socio-ecological approach as the underlying theoretical perspective, the IDEFICS project aimed to develop, implement and evaluate a community-based intervention for the prevention of childhood obesity in eight European countries. The aim of the present manuscript was to describe the content and developmental process of the IDEFICS intervention. The intervention mapping protocol (IMP) was used to develop the community-based intervention for the prevention of childhood obesity in 3 to 10 years old children. It is a theory- and evidence-based tool for the structured planning and development of health promotion programs that requires the completion of six different steps. These steps were elaborated by two coordinating centers and discussed with the other participating centers until agreement was reached. Focus group research was performed in all participating centers to provide an informed basis for intervention development. The application of the IMP resulted in an overall intervention framework with ten intervention modules targeting environmental and personal factors through the family, the school and the community. The summary results of the focus group research were used to inform the development of the overall intervention. The cultural adaptation of the overall intervention was realised by using country specific focus group results. The need for cultural adaptation was considered during the entire process to improve program adoption and implementation. A plan was developed to evaluate program effectiveness and quality of implementation. The IDEFICS project developed a community-based intervention for the prevention of childhood obesity by using to the intervention mapping heuristic. The

  14. The Texts of the Instruments connected with the Agency's Assistance to Yugoslavia in Establishing a Research Reactor Project. The Third Supply Agreement. Amendments

    International Nuclear Information System (INIS)

    1975-01-01

    On 29 December 1972 the Agency and the Governments of the United States of America and Yugoslavia amended by letter of agreement Sections l(i), 4 and 5 of the Third Supply Agreement, concluded in connection with the Agency's assistance to Yugoslavia for the continuation of a research reactor project and reproduced in document INFCIRC/32/Add. 3, to provide for the transfer to Yugoslavia of up to a total net amount of 4800 grams of uranium-23 5 contained in uranium enriched up to approximately 70 per cent in the isotope uranium-235, and for payment by Yugoslavia within 20 days from the date of the invoice received from the Agency and by the Agency within 30 days from the date of the invoice received from the United States Atomic Energy Commission

  15. Project Date SMART: a Dating Violence (DV) and Sexual Risk Prevention Program for Adolescent Girls with Prior DV Exposure.

    Science.gov (United States)

    Rizzo, Christie J; Joppa, Meredith; Barker, David; Collibee, Charlene; Zlotnick, Caron; Brown, Larry K

    2018-05-01

    This study assessed the initial feasibility, acceptability, and efficacy of an intervention aimed at reducing dating violence and sexual risk behavior in a sample of adolescent girls (ages 14-17) with prior exposure to physical dating violence (DV). One hundred and nine girls were randomly assigned to Date SMART (Skills to Manage Aggression in Relationships for Teens) or a Knowledge-only (KO) comparison group. Both intervention arms consisted of six, weekly 2-h sessions and one "booster" session 6 weeks later. Based on principles of cognitive behavioral therapy, the Date SMART intervention was designed to target common underlying skills deficits linked to both DV and sexual risk behavior in adolescent females: depression, self-regulation deficits, and interpersonal skills deficits. Assessments were administered at four time points (baseline, 3, 6, and 9 months). The Date SMART group was effective as reducing sexual DV involvement across the 9-month follow-up period. Both groups evidenced clinically meaningful reductions in physical, emotional, and digital DV involvement, total time in dating relationships, as well as reductions in depression. Findings indicate that delivering a DV and sexual risk prevention intervention to DV-affected adolescent girls is feasible and well-received. Furthermore, a skills-based approach that addresses the co-occurrence of DV and sexual risk behavior may be particularly useful for promoting reductions of sexual DV among high-risk adolescent girls. A future, large-scale trial with an inactive comparison condition is needed to evaluate the efficacy of Date SMART further. Clinical Trials, NCT01326195, and http://www.clinicaltrials.gov.

  16. Soil intervention as a strategy for lead exposure prevention: The New Orleans lead-safe childcare playground project

    Energy Technology Data Exchange (ETDEWEB)

    Mielke, Howard W., E-mail: howard.mielke@gmail.com [Department of Chemistry, Tulane University, New Orleans, LA 70118 (United States); Center for Bioenvironmental Research at Tulane and Xavier Universities, 1430 Tulane Avenue SL-3, New Orleans, LA 70112 (United States); Covington, Tina P. [Charity School of Nursing, Delgado Community College, New Orleans, LA 70112-1397 (United States); College of Nursing, University of South Alabama, Doctor of Nursing Practice Program (student), Mobile AL 36688-0002 (United States); Mielke, Paul W. [Department of Statistics, Colorado State University, Fort Collins, CO 80523-1877 (United States); Wolman, Fredericka J. [Director of Pediatrics, Department of Children and Families, State of Connecticut, Hartford, CT 06473 (United States); Powell, Eric T.; Gonzales, Chris R. [Lead Lab, Inc., New Orleans, LA 70179-1125 (United States)

    2011-08-15

    The feasibility of reducing children's exposure to lead (Pb) polluted soil in New Orleans is tested. Childcare centers (median = 48 children) are often located in former residences. The extent of soil Pb was determined by selecting centers in both the core and outlying areas. The initial 558 mg/kg median soil Pb (range 14-3692 mg/kg) decreased to median 4.1 mg/kg (range 2.2-26.1 mg/kg) after intervention with geotextile covered by 15 cm of river alluvium. Pb loading decreased from a median of 4887 {mu}g/m{sup 2} (454 {mu}g/ft{sup 2}) range 603-56650 {mu}g/m{sup 2} (56-5263 {mu}g/ft{sup 2}) to a median of 398 {mu}g/m{sup 2} (37 {mu}g/ft{sup 2}) range 86-980 {mu}g/m{sup 2} (8-91 {mu}g/ft{sup 2}). Multi-Response Permutation Procedures indicate similar (P-values = 0.160-0.231) soil Pb at childcare centers compared to soil Pb of nearby residential communities. At {approx}$100 per child, soil Pb and surface loading were reduced within hours, advancing an upstream intervention conceptualization about Pb exposure prevention. - Highlights: > Upstream thinking refers to attending to causative agents that affect outcomes. > New Orleans has a high density soil Pb map of all residential communities. > Many childcare centers are located in Pb polluted residential communities. > Evaluation of childcare center playground soils substantiated severe Pb pollution. > Pursuing upstream thinking, low Pb soil was put on playgrounds to protect children. - Within hours, at a cost of about U.S. $100 (2010) per child, it is feasible to transform exterior play areas at childcare centers from Pb contaminated to Pb-safe with a large margin of safety.

  17. Childhood obesity prevention and control in city recreation centres and family homes: the MOVE/me Muevo Project.

    Science.gov (United States)

    Elder, J P; Crespo, N C; Corder, K; Ayala, G X; Slymen, D J; Lopez, N V; Moody, J S; McKenzie, T L

    2014-06-01

    Interventions to prevent and control childhood obesity have shown mixed results in terms of short- and long-term changes. 'MOVE/me Muevo' was a 2-year family- and recreation centre-based randomized controlled trial to promote healthy eating and physical activity among 5- to 8-year-old children. It was hypothesized that children in the intervention group would demonstrate lower post-intervention body mass index (BMI) values and improved obesity-related behaviours compared with the control group children. Thirty recreation centres in San Diego County, California, were randomized to an intervention or control condition. Five hundred forty-one families were enrolled and children's BMI, diet, physical activity and other health indicators were tracked from baseline to 2 years post-baseline. Analyses followed an intent-to-treat approach using mixed-effects models. No significant intervention effects were observed for the primary outcomes of child's or parent's BMI and child's waist circumference. Moderator analyses, however, showed that girls (but not boys) in the intervention condition reduced their BMI. At the 2-year follow-up, intervention condition parents reported that their children were consuming fewer high-fat foods and sugary beverages. Favourable implementation fidelity and high retention rates support the feasibility of this intervention in a large metropolitan area; however, interventions of greater intensity may be needed to achieve effects on child's BMI. Also, further research is needed to develop gender-specific intervention strategies so that both genders may benefit from such efforts. © 2013 The Authors. Pediatric Obesity © 2013 International Association for the Study of Obesity.

  18. Fall prevention and safety communication training for foremen: report of a pilot project designed to improve residential construction safety.

    Science.gov (United States)

    Kaskutas, Vicki; Dale, Ann Marie; Lipscomb, Hester; Evanoff, Brad

    2013-02-01

    Falls from heights account for 64% of residential construction worker fatalities and 20% of missed work days. We hypothesized that worker safety would improve with foremen training in fall prevention and safety communication. Training priorities identified through foreman and apprentice focus groups and surveys were integrated into an 8-hour training. We piloted the training with ten foremen employed by a residential builder. Carpenter trainers contrasted proper methods to protect workers from falls with methods observed at the foremen's worksites. Trainers presented methods to deliver toolbox talks and safety messages. Results from worksite observational audits (n=29) and foremen/crewmember surveys (n=97) administered before and after training were compared. We found that inexperienced workers are exposed to many fall hazards that they are often not prepared to negotiate. Fall protection is used inconsistently and worksite mentorship is often inadequate. Foremen feel pressured to meet productivity demands and some are unsure of the fall protection requirements. After the training, the frequency of daily mentoring and toolbox talks increased, and these talks became more interactive and focused on hazardous daily work tasks. Foremen observed their worksites for fall hazards more often. We observed increased compliance with fall protection and decreased unsafe behaviors during worksite audits. Designing the training to meet both foremen's and crewmembers' needs ensured the training was learner-centered and contextually-relevant. This pilot suggests that training residential foremen can increase use of fall protection, improve safety behaviors, and enhance on-the-job training and safety communication at their worksites. Construction workers' training should target safety communication and mentoring skills with workers who will lead work crews. Interventions at multiple levels are necessary to increase safety compliance in residential construction and decrease falls

  19. Methodology of a diabetes prevention translational research project utilizing a community-academic partnership for implementation in an underserved Latino community

    Directory of Open Access Journals (Sweden)

    Ma Yunsheng

    2009-03-01

    Full Text Available Abstract Background Latinos comprise the largest racial/ethnic group in the United States and have 2–3 times the prevalence of type 2 diabetes mellitus as Caucasians. Methods and design The Lawrence Latino Diabetes Prevention Project (LLDPP is a community-based translational research study which aims to reduce the risk of diabetes among Latinos who have a ≥ 30% probability of developing diabetes in the next 7.5 years per a predictive equation. The project was conducted in Lawrence, Massachusetts, a predominantly Caribbean-origin urban Latino community. Individuals were identified primarily from a community health center's patient panel, screened for study eligibility, randomized to either a usual care or a lifestyle intervention condition, and followed for one year. Like the efficacious Diabetes Prevention Program (DPP, the LLDPP intervention targeted weight loss through dietary change and increased physical activity. However, unlike the DPP, the LLDPP intervention was less intensive, tailored to literacy needs and cultural preferences, and delivered in Spanish. The group format of the intervention (13 group sessions over 1 year was complemented by 3 individual home visits and was implemented by individuals from the community with training and supervision by a clinical research nutritionist and a behavioral psychologist. Study measures included demographics, Stern predictive equation components (age, gender, ethnicity, fasting glucose, systolic blood pressure, HDL-cholesterol, body mass index, and family history of diabetes, glycosylated hemoglobin, dietary intake, physical activity, depressive symptoms, social support, quality of life, and medication use. Body weight was measured at baseline, 6-months, and one-year; all other measures were assessed at baseline and one-year. All surveys were orally administered in Spanish. Results A community-academic partnership enabled the successful recruitment, intervention, and assessment of Latinos at

  20. Community-based prevention leads to an increase in condom use and a reduction in sexually transmitted infections (STIs among men who have sex with men (MSM and female sex workers (FSW: the Frontiers Prevention Project (FPP evaluation results

    Directory of Open Access Journals (Sweden)

    Gutierrez Juan-Pablo

    2010-08-01

    Full Text Available Abstract Background India has an estimated 2.0 million to 3.1 million people living with HIV; it has the highest number of HIV-positive people in Asia and ranks third in the world. The Frontiers Prevention Project (FPP was implemented in 2002 to conduct targeted prevention intervention geared towards female sex workers (FSW and men who have sex with men (MSM in the state of Andhra Pradesh (AP. This paper reports the overall changes in behaviour and STI outcomes between 2003/4 and 2007 and also describes the changes attributed to the FPP. Methods The evaluation used two cross-sectional surveys among MSM and FSW at 24 sites in AP. Surveys were implemented using a similar methodology. Univariate analyses were conducted by comparing means: baseline vs. four-year follow-up and FPP vs. non-FPP. For both MSM and FSW, random and fixed-effects logit regression models at the site level were estimated for condom use with last partner, syphilis sero-positivity and HSV 2 sero-positivity. In addition, for FSW we estimated models for condom use with regular partner, and for MSM we estimated models for condom use with last female partner. Results Among MSM, fixed-effects analysis revealed that FPP was positively correlated with the probability of condom use with last female sexual partner and negatively correlated with the individual probability of sero-positivity to syphilis and HSV 2. Among FSW, the FPP intervention was significantly correlated with increased condom use with regular partners and with lower probability of STI sero-positivity. Discussion Important changes in behaviours related to an increase in prevention activities translated to reductions in STI sero-prevalence in AP, India. In contrast with non-FPP sites, the FPP sites experienced an intense community approach as part of the FPP intervention, and the general increase in condom use and its effect on STI sero-prevalence reflected the efficacy of these intense prevention activities focused on

  1. Developing community-based preventive interventions in Hong Kong: a description of the first phase of the family project

    Directory of Open Access Journals (Sweden)

    Stewart Sunita M

    2012-02-01

    Full Text Available Abstract Background This paper describes the development of culturally-appropriate family-based interventions and their relevant measures, to promote family health, happiness and harmony in Hong Kong. Programs were developed in the community, using a collaborative approach with community partners. The development process, challenges, and the lessons learned are described. This experience may be of interest to the scientific community as there is little information currently available about community-based development of brief interventions with local validity in cultures outside the West. Methods The academic-community collaborative team each brought strengths to the development process and determined the targets for intervention (parent-child relationships. Information from expert advisors and stakeholder discussion groups was collected and utilized to define the sources of stress in parent-child relationships. Results Themes emerged from the literature and discussion groups that guided the content of the intervention. Projects emphasized features that were appropriate for this cultural group and promoted potential for sustainability, so that the programs might eventually be implemented at a population-wide level. Challenges included ensuring local direction, relevance and acceptability for the intervention content, engaging participants and enhancing motivation to make behavior changes after a brief program, measurement of behavior changes, and developing an equal partner relationship between academic and community staff. Conclusions This work has public health significance because of the global importance of parent-child relationships as a risk-factor for many outcomes in adulthood, the need to develop interventions with strong evidence of effectiveness to populations outside the West, the potential application of our interventions to universal populations, and characteristics of the interventions that promote dissemination, including minimal

  2. Developing community-based preventive interventions in Hong Kong: a description of the first phase of the family project.

    Science.gov (United States)

    Stewart, Sunita M; Fabrizio, Cecilia S; Hirschmann, Malia R; Lam, Tai Hing

    2012-02-07

    This paper describes the development of culturally-appropriate family-based interventions and their relevant measures, to promote family health, happiness and harmony in Hong Kong. Programs were developed in the community, using a collaborative approach with community partners. The development process, challenges, and the lessons learned are described. This experience may be of interest to the scientific community as there is little information currently available about community-based development of brief interventions with local validity in cultures outside the West. The academic-community collaborative team each brought strengths to the development process and determined the targets for intervention (parent-child relationships). Information from expert advisors and stakeholder discussion groups was collected and utilized to define the sources of stress in parent-child relationships. Themes emerged from the literature and discussion groups that guided the content of the intervention. Projects emphasized features that were appropriate for this cultural group and promoted potential for sustainability, so that the programs might eventually be implemented at a population-wide level. Challenges included ensuring local direction, relevance and acceptability for the intervention content, engaging participants and enhancing motivation to make behavior changes after a brief program, measurement of behavior changes, and developing an equal partner relationship between academic and community staff. This work has public health significance because of the global importance of parent-child relationships as a risk-factor for many outcomes in adulthood, the need to develop interventions with strong evidence of effectiveness to populations outside the West, the potential application of our interventions to universal populations, and characteristics of the interventions that promote dissemination, including minimal additional costs for delivery by community agencies, and high

  3. Student public commitment in a school-based diabetes prevention project: impact on physical health and health behavior

    Directory of Open Access Journals (Sweden)

    Solomon Sara

    2011-09-01

    Full Text Available Abstract Background As concern about youth obesity continues to mount, there is increasing consideration of widespread policy changes to support improved nutritional and enhanced physical activity offerings in schools. A critical element in the success of such programs may be to involve students as spokespeople for the program. Making such a public commitment to healthy lifestyle program targets (improved nutrition and enhanced physical activity may potentiate healthy behavior changes among such students and provide a model for their peers. This paper examines whether student's "public commitment"--voluntary participation as a peer communicator or in student-generated media opportunities--in a school-based intervention to prevent diabetes and reduce obesity predicted improved study outcomes including reduced obesity and improved health behaviors. Methods Secondary analysis of data from a 3-year randomized controlled trial conducted in 42 middle schools examining the impact of a multi-component school-based program on body mass index (BMI and student health behaviors. A total of 4603 students were assessed at the beginning of sixth grade and the end of eighth grade. Process evaluation data were collected throughout the course of the intervention. All analyses were adjusted for students' baseline values. For this paper, the students in the schools randomized to receive the intervention were further divided into two groups: those who participated in public commitment activities and those who did not. Students from comparable schools randomized to the assessment condition constituted the control group. Results We found a lower percentage of obesity (greater than or equal to the 95th percentile for BMI at the end of the study among the group participating in public commitment activities compared to the control group (21.5% vs. 26.6%, p = 0.02. The difference in obesity rates at the end of the study was even greater among the subgroup of students who

  4. Bullying Prevention

    Science.gov (United States)

    Kemp, Patrice

    2016-01-01

    The focus of the milestone project is to focus on bridging the gap of bullying and classroom instruction methods. There has to be a defined expectations and level of accountability that has to be defined when supporting and implementing a plan linked to bullying prevention. All individuals involved in the student's learning have to be aware of…

  5. JHR Project: a future Material Testing Reactor working as an International user Facility: The key-role of instrumentation in support to the development of modern experimental capacity

    Energy Technology Data Exchange (ETDEWEB)

    Bignan, G. [CEA, DEN, DER, JHR user Facility Interface Manager' , Cadarache, F-13108 St-Paul-Lez-Durance (France); Gonnier, C. [CEA, DEN, DER, SRJH Jules Horowitz Reactor Service, Cadarache, F-13108 St-Paul-Lez-Durance (France); Lyoussi, A.; Villard, J.F.; Destouches, C. [CEA, DEN, DER, Instrumentation Sensors and Dosimetry Laboratory, Cadarache, F-13108 St-Paul-Lez-Durance (France); Chauvin, J.P. [CEA,DEN, DER, SPEX, Experimental Physics Service, Cadarache, F-13108 St-Paul-Lez-Durance (France); Maugard, B. [CEA, DEN, DER, Reactor Department Studies, Cadarache, F-13108 St-Paul-Lez-Durance (France)

    2015-07-01

    Research and development on fuel and material behaviour under irradiation is a key issue for sustainable nuclear energy in order to meet specific needs by keeping the best level of safety. These needs mainly deal with a constant improvement of performances and safety in order to optimize the fuel cycle and hence to reach nuclear energy sustainable objectives. A sustainable nuclear energy requires a high level of performances in order to meet specific needs such as: - Pursuing improvement of the performances and safety of present and coming water cooled reactor technologies. This will require a continuous R and D support following a long-term trend driven by the plant life management, safety demonstration, flexibility and economics improvement. Experimental irradiations of structure materials are necessary to anticipate these material behaviours and will contribute to their optimisation. - Upgrading continuously nuclear fuel technology in present and future nuclear power plants to achieve better performances and to optimise the fuel cycle keeping the best level of safety. Fuel evolution for generation II, III and III+ is a key stake requiring developments, qualification tests and safety experiments to ensure the competitiveness and safety: experimental tests exploring the full range of fuel behaviour determine fuel stability limits and safety margins, as a major input for the fuel reliability analysis. To perform such accurate and innovative progress and developments, specific and ad hoc instrumentation, irradiation devices, measurement methods are necessary to be set up inside or beside the material testing reactor (MTR) core. These experiments require beforehand in situ and on line sophisticated measurements to accurately determine different key parameters such as thermal and fast neutron fluxes and nuclear heating in order to precisely monitor and control the conducted assays. The new Material Testing Reactor JHR (Jules Horowitz Reactor) currently under

  6. Design of the Balance@Work project: systematic development, evaluation and implementation of an occupational health guideline aimed at the prevention of weight gain among employees

    Directory of Open Access Journals (Sweden)

    Weel Andre NH

    2009-12-01

    Full Text Available Abstract Background Occupational health professionals may play an important role in preventive health promotion activities for employees. However, due to a lack of knowledge and evidence- and practice based methods and strategies, interventions are hardly being implemented by occupational physicians to date. The aim of the Balance@Work project is to develop, evaluate, and implement an occupational health guideline aimed at the prevention of weight gain among employees. Methods Following the guideline development protocol of the Netherlands Society of Occupational Medicine and the Intervention Mapping protocol, the guideline was developed based on literature, interviews with relevant stakeholders, and consensus among an expert group. The guideline consists of an individual and an environmental component. The individual component includes recommendations for occupational physicians on how to promote physical activity and healthy dietary behavior based on principles of motivational interviewing. The environmental component contains an obesogenic environment assessment tool. The guideline is evaluated in a randomised controlled trial among 20 occupational physicians. Occupational physicians in the intervention group apply the guideline to eligible workers during 6 months. Occupational physicians in the control group provide care as usual. Measurements take place at baseline and 6, 12, and 18 months thereafter. Primary outcome measures include waist circumference, daily physical activity and dietary behavior. Secondary outcome measures include sedentary behavior, determinants of behavior change, body weight and body mass index, cardiovascular disease risk profile, and quality of life. Additionally, productivity, absenteeism, and cost-effectiveness are assessed. Discussion Improving workers' daily physical activity and dietary behavior may prevent weight gain and subsequently improve workers' health, increase productivity, and reduce absenteeism

  7. Design of the Balance@Work project: systematic development, evaluation and implementation of an occupational health guideline aimed at the prevention of weight gain among employees.

    Science.gov (United States)

    Verweij, Lisanne M; Proper, Karin I; Weel, Andre N H; Hulshof, Carel T J; van Mechelen, Willem

    2009-12-14

    Occupational health professionals may play an important role in preventive health promotion activities for employees. However, due to a lack of knowledge and evidence- and practice based methods and strategies, interventions are hardly being implemented by occupational physicians to date. The aim of the Balance@Work project is to develop, evaluate, and implement an occupational health guideline aimed at the prevention of weight gain among employees. Following the guideline development protocol of the Netherlands Society of Occupational Medicine and the Intervention Mapping protocol, the guideline was developed based on literature, interviews with relevant stakeholders, and consensus among an expert group. The guideline consists of an individual and an environmental component. The individual component includes recommendations for occupational physicians on how to promote physical activity and healthy dietary behavior based on principles of motivational interviewing. The environmental component contains an obesogenic environment assessment tool. The guideline is evaluated in a randomised controlled trial among 20 occupational physicians. Occupational physicians in the intervention group apply the guideline to eligible workers during 6 months. Occupational physicians in the control group provide care as usual. Measurements take place at baseline and 6, 12, and 18 months thereafter. Primary outcome measures include waist circumference, daily physical activity and dietary behavior. Secondary outcome measures include sedentary behavior, determinants of behavior change, body weight and body mass index, cardiovascular disease risk profile, and quality of life. Additionally, productivity, absenteeism, and cost-effectiveness are assessed. Improving workers' daily physical activity and dietary behavior may prevent weight gain and subsequently improve workers' health, increase productivity, and reduce absenteeism. After an effect- and process evaluation the guideline will be

  8. Development of instrumentation and technological procedures for industrial and medical applications of ionizing radiation. Final project report, October 2001 - September 2004

    International Nuclear Information System (INIS)

    Osmera, B.; Posta, S.; Jansky, B.

    2004-01-01

    The project consisted of the following stages (Stage symbol; Stage name; Stage output; Fields of application): E01; Neutron detection and spectrometry using doped scintillators; A spectrometry system for fast neutron measurements in low neutron intensity fields; Fuel storage facilities, analysis of samples contaminated by uranium and transuranium elements, university teaching. E02; Neutron and gamma spectrometry in mixed neutron/gamma fields; A system for the spectrometry of mixed neutron/gamma fields; Neutron and gamma spectrometry in working environment, radiation protection of military equipment, metrology in neutron/gamma fields, university teaching. E03; Neutron detection methods based on fission fragment track counting; A system for neutron fluence determination based on fission fragment track counting; Storage cask monitoring, radiation protection, university teaching. E04; Calibration methods for gamma scanning of fuel assemblies; A calibration system for fuel pin inspection via gamma distribution measurement; Nuclear fuel burnup assessment, BUC technology implementation, spent fuel processing. E05; Optimization of the neutron capture therapy method at the LVR-15 reactor; Treatment of selected tumorous and non-tumorous diseases; Radiotherapy - novel therapy methods in oncology, novel methods of non-tumorous disease therapy, operation of the irradiation facilities of the LVR-15 reactor with simultaneous neutron capture therapy procedures. Details of each of the stages are given. (P.A.)

  9. Opto-mechanical design for transmission optics in cryogenic space instrumentation

    Science.gov (United States)

    Kroes, Gabby; Venema, Lars; Navarro, Ramón

    2017-11-01

    NOVA is involved in the development and realization of various optical astronomical instruments for groundbased as well as space telescopes, with a focus on nearand mid-infrared instrumentation. NOVA has developed a suite of scientific instruments with cryogenic optics for the ESO VLT and VLTI instruments: VISIR, MIDI, the SPIFFI 2Kcamera for SINFONI, X-shooter and MATISSE. Other projects include the cryogenic optics for MIRI for the James Webb Space Telescope and several E-ELT instruments. Mounting optics is always a compromise between firmly fixing the optics and preventing stresses within the optics. The fixing should ensure mechanical stability and thus accurate positioning in various gravity orientations, temperature ranges, during launch, transport or earthquake. On the other hand, the fixings can induce deformations and sometimes birefringence in the optics and thus cause optical errors. Even cracking or breaking of the optics is a risk, especially when using brittle infrared optical materials at the cryogenic temperatures required in instruments for infrared astronomy, where differential expansion of various materials amounts easily to several millimeters per meter. Special kinematic mounts are therefore needed to ensure both accurate positioning and low stress. This paper concentrates on the opto-mechanical design of optics mountings, especially for large transmission optics in cryogenic circumstances in space instruments. It describes the development of temperature-invariant ("a-thermal") kinematic designs, their implementation in ground based instrumentation and ways to make them suitable for space instruments.

  10. Experience and lessons from health impact assessment guiding prevention and control of HIV/AIDS in a copper mine project, northwestern Zambia.

    Science.gov (United States)

    Knoblauch, Astrid M; Divall, Mark J; Owuor, Milka; Nduna, Kennedy; Ng'uni, Harrison; Musunka, Gertrude; Pascall, Anna; Utzinger, Jürg; Winkler, Mirko S

    2017-07-04

    To avoid or mitigate potential project-related adverse health effects, the Trident copper project in Kalumbila, northwestern Zambia, commissioned a health impact assessment. HIV was identified a priority health issue based on the local vulnerability to HIV transmission and experience from other mining projects in Africa. Hence, an HIV/AIDS management plan was developed, including community and workplace interventions, with HIV testing and counselling (HTC) being one of the key components. We present trends in HTC data over a 4-year period. In 13 communities affected by the Trident project, HTC was implemented from 2012 onwards, using rapid diagnostic tests, accompanied by pre- and post-test counselling through trained personnel. In addition, HTC was initiated in the project workforce in 2013, coinciding with the launch of the mine development. HTC uptake and HIV positivity rates were assessed in the study population and linked to demographic factors using regression analysis. In total, 11,638 community members and 5564 workers have taken up HTC with an increase over time. The HIV positivity rate in the community was 3.0% in 2012 and 3.4% in 2015, while positivity rate in the workforce was 5.2% in 2013 and 4.3% in 2015. Females showed a significantly higher odds of having a positive test result than males (odds ratio (OR) = 1.96, 95% confidence interval (CI): 1.55-2.50 among women in the community and OR = 2.90, 95% CI: 1.74-4.84 among women in the workforce). HTC users in the 35-49 years age group were most affected by HIV, with an average positivity rate of 6.6% in the community sample and 7.9% in the workforce sample. These study groups had 4.50 and 4.95 higher odds of being positive, respectively, compared to their younger counterparts (15-24 years). While HTC uptake increased five-fold in the community and almost three-fold in the workplace, the HIV positivity rates were insignificantly higher in 2015 compared to 2012. Our data can be used alongside other

  11. DimeRisk Project: Development of an educational and training program for the prevention and mitigation of seismic risk in Spain

    Science.gov (United States)

    Martín-González, Fidel; Martín-Velazquez, Silvia; Giner-Robles, Jorge; Martínez-Díaz, Jose Jesus; Rodríguez-Pascua, Miguel Angel; Béjar, Marta; Pérez-López, Raul; López, Jose Antonio; Morales, Javier; Barranco, Ana; Palomo, Isabel

    2014-05-01

    In Spain, due to the low recurrence of earthquakes in the last century, there is no awareness of seismic risk and prevention plans. For this reason, moderate magnitude earthquakes have generated significant damage and casualties. However, the risk is evident, in Spain during the nineteenth century there were more than five destructive earthquakes with intensities greater than VIII (e.g. Arenas del Rey IX-X, Torrevieja IX-X). A recent example was the 2011 Lorca earthquake, that with moderate magnitudes and intensities (magnitude Mw 5.2, intensity VI) it struck a populated area with old historic buildings and a population unprepared (9 victims, 324 injured, 1,200 million in reparations). In this earthquake many errors were found in the behavior of the population and in the basic self-protection measures. Many countries have educational programs that significantly reduce the damage and losses caused by earthquakes. The objective of this project (Dimerisk project) is to generate training and educational materials that help mitigate the damage and losses caused by earthquakes. This project is based on plans of experienced countries (e.g. U.S.A., Italy, Mexico, New Zealand) but having into account the mistakes made in the last earthquake in Spain, and also the characteristics of the Spanish educational system and building characteristics. This project has been founded by FUNDACION MAPFRE. The team is formed by geologist, earthquake researchers and teachers at secondary schools and universities. The ultimate goal is to generate material that can inform about the seismic and geological processes that participate in an earthquake and the basics of self-protection against earthquakes. This project has focused on scenarios (offices, factories, homes, education centers) and educational levels (schools, colleges and universities). Educational materials have been also developed for different educational levels with basic concepts related to seismicity, how to behave during an

  12. [THE RESULTS OF IMPLEMENTATION OF THE INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT LOAN PROJECT "PREVENTION, DIAGNOSIS, AND TREATMENT OF TUBERCULOSIS AND AIDS", A "TUBERCULOSIS" COMPONENT].

    Science.gov (United States)

    2010-01-01

    Due to the implementation of the International Bank for Reconstruction and Development (IBRD) loan project "Prevention, diagnosis, treatment of tuberculosis and AIDS", a "Tuberculosis" component that is an addition to the national tuberculosis control program in 15 subjects of the Russian Federation, followed up by the Central Research Institute of Tuberculosis, Russian Academy of Medical Sciences, the 2005-2008 measures stipulated by the Project have caused substantial changes in the organization of tuberculosis control: implementation of Orders Nos. 109, 50, and 690 and supervision of their implementation; modernization of the laboratories of the general medical network and antituberbulosis service (404 kits have been delivered for clinical diagnostic laboratories and 12 for bacteriological laboratories, including BACTEC 960 that has been provided in 6 areas); 91 training seminars have been held at the federal and regional levels; 1492 medical workers have been trained in the detection, diagnosis, and treatment of patients with tuberculosis; 8 manuals and guidelines have been prepared and sent to all areas. In the period 2005-2008, the tuberculosis morbidity and mortality rates in the followed-up areas reduced by 1.2 and 18.6%, respectively. The analysis of patient cohorts in 2007 and 2005 revealed that the therapeutic efficiency evaluated from sputum smear microscopy increased by 16.3%; there were reductions in the proportion of patients having ineffective chemotherapy (from 16.1 to 11.1%), patients who died from tuberculosis (from 11.6 to 9.9%), and those who interrupted therapy ahead of time (from 11.8 to 7.8%). Implementation of the IBR project has contributed to the improvement of the national strategy and the enhancement of the efficiency of tuberculosis control.

  13. Seismic instrumentation

    International Nuclear Information System (INIS)

    1984-06-01

    RFS or Regles Fondamentales de Surete (Basic Safety Rules) applicable to certain types of nuclear facilities lay down requirements with which compliance, for the type of facilities and within the scope of application covered by the RFS, is considered to be equivalent to compliance with technical French regulatory practice. The object of the RFS is to take advantage of standardization in the field of safety, while allowing for technical progress in that field. They are designed to enable the operating utility and contractors to know the rules pertaining to various subjects which are considered to be acceptable by the Service Central de Surete des Installations Nucleaires, or the SCSIN (Central Department for the Safety of Nuclear Facilities). These RFS should make safety analysis easier and lead to better understanding between experts and individuals concerned with the problems of nuclear safety. The SCSIN reserves the right to modify, when considered necessary, any RFS and specify, if need be, the terms under which a modification is deemed retroactive. The aim of this RFS is to define the type, location and operating conditions for seismic instrumentation needed to determine promptly the seismic response of nuclear power plants features important to safety to permit comparison of such response with that used as the design basis

  14. Meteorological instrumentation

    International Nuclear Information System (INIS)

    1982-06-01

    RFS or ''Regles Fondamentales de Surete'' (Basic Safety Rules) applicable to certain types of nuclear facilities lay down requirements with which compliance, for the type of facilities and within the scope of application covered by the RFS, is considered to be equivalent to compliance with technical French regulatory practice. The object of the RFS is to take advantage of standardization in the field of safety , while allowing for technical progress in that field. They are designed to enable the operating utility and contractors to know the rules pertaining to various subjects which are considered to be acceptable by the ''Service Central de Surete des Installations Nucleaires'' or the SCSIN (Central Department for the Safety of Nuclear Facilities). These RFS should make safety analysis easier and lead to better understanding between experts and individuals concerned with the problems of nuclear safety. The SCSIN reserves the right to modify, when considered necessary any RFS and specify, if need be, the terms under which a modification is deemed retroactive. The purpose of this RFS is to specify the meteorological instrumentation required at the site of each nuclear power plant equipped with at least one pressurized water reactor

  15. COMET- co-ordination and implementation of a pan-European instrument for radioecology - COMET- co-ordination and implementation of a pan-European project for radioecology

    Energy Technology Data Exchange (ETDEWEB)

    Vandenhove, Hildegarde [SCK.CEN, Belgian Nuclear Research Centre, Boeretang 200, 2400 Mol (Belgium); Muikku, Maarit [STUK, Radiation and Nuclear Safety Authority, P.O. Box 14, FI-00881 Helsinki (Finland); Liland, Astrid [NRPA, Norwegian Radiation Protection Authority, Grini Naeringspark 13, Oesteraas, 1332 (Norway); Adam-Guillermin, Christelle [IRSN-Institut de Radioprotection et de Surete Nucleaire, 31, Avenue de la Division Leclerc, 92260 Fontenay-Aux-Roses (France); Howard, Brenda [NERC Centre for Ecology and Hydrology, Lancaster Environment Centre, Library Av., Bailrigg, Lancaster, LA1 4AP (United Kingdom)

    2014-07-01

    The EC-FP7 project COMET (June 2013 - May 2017) intends to strengthen the pan-European research initiative on the impact of radiation on man and the environment by facilitating the integration of 'radioecological' research. The COMET consortium currently has thirteen partners; eight from EU member states, two from Norway, two from Ukraine and one from Japan. COMET operates in close association with the FP7-STAR Network of Excellence[1]and the Radioecology Alliance[2], COMET will develop initiatives to encourage organisations from the European (and larger) radioecological research community to join the Radioecology Alliance to help address the priorities identified in the Strategic Research Agenda (SRA) for radioecological research. Capacity, competence and skills in radioecology will thus be strengthened at a pan-European level. Mechanisms for knowledge exchange, dissemination and training will be established to enhance and maintain European capacity, competence and skills in radioecology, partially through an open access web site, topical workshops and training activities. COMET will develop innovative mechanisms for joint programming and implementation of radioecological research. Mechanisms for planning and carrying out joint research activities in radioecology will be developed based on the scientific requirements identified in the SRA and via interaction with a wide range of stakeholders. COMET will strengthen the bridge with other radiation protection and ecological communities. A roadmap and associated implementation plan is being developed in collaboration with the Radioecology Alliance and the allied platforms on low dose risk research (MELODI[3]), and emergency management research (NERIS[4]) and the radioecology community at large who is invited to become associated to the development of roadmap and implementation plan. COMET will initiate innovative research on key needs identified by the radioecology community, the (post) emergency management

  16. The prevention and reduction of weight loss in an acute tertiary care setting: protocol for a pragmatic stepped wedge randomised cluster trial (the PRoWL project)

    Science.gov (United States)

    2013-01-01

    Background Malnutrition, with accompanying weight loss, is an unnecessary risk in hospitalised persons and often remains poorly recognised and managed. The study aims to evaluate a hospital-wide multifaceted intervention co-facilitated by clinical nurses and dietitians addressing the nutritional care of patients, particularly those at risk of malnutrition. Using the best available evidence on reducing and preventing unplanned weight loss, the intervention (introducing universal nutritional screening; the provision of oral nutritional supplements; and providing red trays and additional support for patients in need of feeding) will be introduced by local ward teams in a phased way in a large tertiary acute care hospital. Methods/Design A pragmatic stepped wedge randomised cluster trial with repeated cross section design will be conducted. The unit of randomisation is the ward, with allocation by a random numbers table. Four groups of wards (n = 6 for three groups, n = 7 for one group) will be randomly allocated to each intervention time point over the trial. Two trained local facilitators (a nurse and dietitian for each group) will introduce the intervention. The primary outcome measure is change in patient’s body weight, secondary patient outcomes are: length of stay, all-cause mortality, discharge destinations, readmission rates and ED presentations. Patient outcomes will be measured on one ward per group, with 20 patients measured per ward per time period by an unblinded researcher. Including baseline, measurements will be conducted at five time periods. Staff perspectives on the context of care will be measured with the Alberta Context Tool. Discussion Unplanned and unwanted weight loss in hospital is common. Despite the evidence and growing concern about hospital nutrition there are very few evaluations of system-wide nutritional implementation programs. This project will test the implementation of a nutritional intervention across one hospital system using a

  17. IQuaD dental trial; improving the quality of dentistry: a multicentre randomised controlled trial comparing oral hygiene advice and periodontal instrumentation for the prevention and management of periodontal disease in dentate adults attending dental primary care.

    Science.gov (United States)

    Clarkson, Jan E; Ramsay, Craig R; Averley, Paul; Bonetti, Debbie; Boyers, Dwayne; Campbell, Louise; Chadwick, Graham R; Duncan, Anne; Elders, Andrew; Gouick, Jill; Hall, Andrew F; Heasman, Lynne; Heasman, Peter A; Hodge, Penny J; Jones, Clare; Laird, Marilyn; Lamont, Thomas J; Lovelock, Laura A; Madden, Isobel; McCombes, Wendy; McCracken, Giles I; McDonald, Alison M; McPherson, Gladys; Macpherson, Lorna E; Mitchell, Fiona E; Norrie, John Dt; Pitts, Nigel B; van der Pol, Marjon; Ricketts, David Nj; Ross, Margaret K; Steele, James G; Swan, Moira; Tickle, Martin; Watt, Pauline D; Worthington, Helen V; Young, Linda

    2013-10-26

    Periodontal disease is the most common oral disease affecting adults, and although it is largely preventable it remains the major cause of poor oral health worldwide. Accumulation of microbial dental plaque is the primary aetiological factor for both periodontal disease and caries. Effective self-care (tooth brushing and interdental aids) for plaque control and removal of risk factors such as calculus, which can only be removed by periodontal instrumentation (PI), are considered necessary to prevent and treat periodontal disease thereby maintaining periodontal health. Despite evidence of an association between sustained, good oral hygiene and a low incidence of periodontal disease and caries in adults there is a lack of strong and reliable evidence to inform clinicians of the relative effectiveness (if any) of different types of Oral Hygiene Advice (OHA). The evidence to inform clinicians of the effectiveness and optimal frequency of PI is also mixed. There is therefore an urgent need to assess the relative effectiveness of OHA and PI in a robust, sufficiently powered randomised controlled trial (RCT) in primary dental care. This is a 5 year multi-centre, randomised, open trial with blinded outcome evaluation based in dental primary care in Scotland and the North East of England. Practitioners will recruit 1860 adult patients, with periodontal health, gingivitis or moderate periodontitis (Basic Periodontal Examination Score 0-3). Dental practices will be cluster randomised to provide routine OHA or Personalised OHA. To test the effects of PI each individual patient participant will be randomised to one of three groups: no PI, 6 monthly PI (current practice), or 12 monthly PI.Baseline measures and outcome data (during a three year follow-up) will be assessed through clinical examination, patient questionnaires and NHS databases.The primary outcome measures at 3 year follow up are gingival inflammation/bleeding on probing at the gingival margin; oral hygiene self

  18. IQuaD dental trial; improving the quality of dentistry: a multicentre randomised controlled trial comparing oral hygiene advice and periodontal instrumentation for the prevention and management of periodontal disease in dentate adults attending dental primary care

    Science.gov (United States)

    2013-01-01

    Background Periodontal disease is the most common oral disease affecting adults, and although it is largely preventable it remains the major cause of poor oral health worldwide. Accumulation of microbial dental plaque is the primary aetiological factor for both periodontal disease and caries. Effective self-care (tooth brushing and interdental aids) for plaque control and removal of risk factors such as calculus, which can only be removed by periodontal instrumentation (PI), are considered necessary to prevent and treat periodontal disease thereby maintaining periodontal health. Despite evidence of an association between sustained, good oral hygiene and a low incidence of periodontal disease and caries in adults there is a lack of strong and reliable evidence to inform clinicians of the relative effectiveness (if any) of different types of Oral Hygiene Advice (OHA). The evidence to inform clinicians of the effectiveness and optimal frequency of PI is also mixed. There is therefore an urgent need to assess the relative effectiveness of OHA and PI in a robust, sufficiently powered randomised controlled trial (RCT) in primary dental care. Methods/Design This is a 5 year multi-centre, randomised, open trial with blinded outcome evaluation based in dental primary care in Scotland and the North East of England. Practitioners will recruit 1860 adult patients, with periodontal health, gingivitis or moderate periodontitis (Basic Periodontal Examination Score 0–3). Dental practices will be cluster randomised to provide routine OHA or Personalised OHA. To test the effects of PI each individual patient participant will be randomised to one of three groups: no PI, 6 monthly PI (current practice), or 12 monthly PI. Baseline measures and outcome data (during a three year follow-up) will be assessed through clinical examination, patient questionnaires and NHS databases. The primary outcome measures at 3 year follow up are gingival inflammation/bleeding on probing at the

  19. Construction of a multisite DataLink using electronic health records for the identification, surveillance, prevention, and management of diabetes mellitus: the SUPREME-DM project.

    Science.gov (United States)

    Nichols, Gregory A; Desai, Jay; Elston Lafata, Jennifer; Lawrence, Jean M; O'Connor, Patrick J; Pathak, Ram D; Raebel, Marsha A; Reid, Robert J; Selby, Joseph V; Silverman, Barbara G; Steiner, John F; Stewart, W F; Vupputuri, Suma; Waitzfelder, Beth

    2012-01-01

    Electronic health record (EHR) data enhance opportunities for conducting surveillance of diabetes. The objective of this study was to identify the number of people with diabetes from a diabetes DataLink developed as part of the SUPREME-DM (SUrveillance, PREvention, and ManagEment of Diabetes Mellitus) project, a consortium of 11 integrated health systems that use comprehensive EHR data for research. We identified all members of 11 health care systems who had any enrollment from January 2005 through December 2009. For these members, we searched inpatient and outpatient diagnosis codes, laboratory test results, and pharmaceutical dispensings from January 2000 through December 2009 to create indicator variables that could potentially identify a person with diabetes. Using this information, we estimated the number of people with diabetes and among them, the number of incident cases, defined as indication of diabetes after at least 2 years of continuous health system enrollment. The 11 health systems contributed 15,765,529 unique members, of whom 1,085,947 (6.9%) met 1 or more study criteria for diabetes. The nonstandardized proportion meeting study criteria for diabetes ranged from 4.2% to 12.4% across sites. Most members with diabetes (88%) met multiple criteria. Of the members with diabetes, 428,349 (39.4%) were incident cases. The SUPREME-DM DataLink is a unique resource that provides an opportunity to conduct comparative effectiveness research, epidemiologic surveillance including longitudinal analyses, and population-based care management studies of people with diabetes. It also provides a useful data source for pragmatic clinical trials of prevention or treatment interventions.

  20. Construction of a Multisite DataLink Using Electronic Health Records for the Identification, Surveillance, Prevention, and Management of Diabetes Mellitus: The SUPREME-DM Project

    Science.gov (United States)

    Desai, Jay; Elston Lafata, Jennifer; Lawrence, Jean M.; O’Connor, Patrick J.; Pathak, Ram D.; Raebel, Marsha A.; Reid, Robert J.; Selby, Joseph V.; Silverman, Barbara G.; Steiner, John F.; Stewart, W.F.; Vupputuri, Suma; Waitzfelder, Beth

    2012-01-01

    Introduction Electronic health record (EHR) data enhance opportunities for conducting surveillance of diabetes. The objective of this study was to identify the number of people with diabetes from a diabetes DataLink developed as part of the SUPREME-DM (SUrveillance, PREvention, and ManagEment of Diabetes Mellitus) project, a consortium of 11 integrated health systems that use comprehensive EHR data for research. Methods We identified all members of 11 health care systems who had any enrollment from January 2005 through December 2009. For these members, we searched inpatient and outpatient diagnosis codes, laboratory test results, and pharmaceutical dispensings from January 2000 through December 2009 to create indicator variables that could potentially identify a person with diabetes. Using this information, we estimated the number of people with diabetes and among them, the number of incident cases, defined as indication of diabetes after at least 2 years of continuous health system enrollment. Results The 11 health systems contributed 15,765,529 unique members, of whom 1,085,947 (6.9%) met 1 or more study criteria for diabetes. The nonstandardized proportion meeting study criteria for diabetes ranged from 4.2% to 12.4% across sites. Most members with diabetes (88%) met multiple criteria. Of the members with diabetes, 428,349 (39.4%) were incident cases. Conclusion The SUPREME-DM DataLink is a unique resource that provides an opportunity to conduct comparative effectiveness research, epidemiologic surveillance including longitudinal analyses, and population-based care management studies of people with diabetes. It also provides a useful data source for pragmatic clinical trials of prevention or treatment interventions. PMID:22677160

  1. Nuclear electronic instrumentation

    International Nuclear Information System (INIS)

    Ramirez J, F. J.

    2010-01-01

    The activities carried out in the Instituto Nacional de Investigaciones Nucleares (ININ) in the field of the nuclear electronic instrumentation included those activities corresponding to the design and production of nuclear instruments in a first stage, as well as the internal activities of design, repair and maintenance that have supported to other projects of the institution during many years. It is mentioned of the presence and constant collaboration of the ININ with the IAEA in different projects and programs. Also, it is mentioned on the establishment of the Radiation Detectors Laboratory, which for their characteristics and repair capacities of radiation detectors of cooled semiconductor, it is only in their specialty. It is emphasized the investigation and the development in the field of new radiation detectors and applications, as well as the important contribution in this field, in institutions like: Mexican Petroleum, National Commission of Nuclear Safety and Safeguards and Federal Commission of Electricity. Finally a position of the future of these activities is made, considering the speed of the advances of the electronic and nuclear technology. (Author)

  2. Audit of preventive activities in 16 inner London practices using a validated measure of patient population, the 'active patient' denominator. Healthy Eastenders Project.

    Science.gov (United States)

    Robson, J; Falshaw, M

    1995-01-01

    BACKGROUND. Reliable comparison of the results of audit between general practices and over time requires standard definitions of numerators and denominators. This is particularly relevant in areas of high population turnover and practice list inflation. Without simple validation to remove supernumeraries, population coverage and professional activity may be underestimated. AIM. This audit study aimed to define a standard denominator, the 'active patient' denominator, to enable comparison of professional activity and population coverage for preventive activities between general practices and over time. It also aimed to document the extent to which computers were used for recording such activities. METHOD. A random sample of people in the age group 30-64 years was drawn from the computerized general practice registers of the 16 inner London general practices that participated in the 'healthy eastenders project'. A validation procedure excluded those patients who were likely to have died or moved away, or who for administrative reasons were unable to contribute to the numerator; this allowed the creation of the active patient denominator. An audit of preventive activities with numerators drawn from both paper and computerized medical records was carried out and results were presented so that practices could compare their results with those of their peers and over time. RESULTS. Of the original sample of 2331 people, 25% (practice range 13%-37%) were excluded as a result of the validation procedure. A denominator based on the complete, unexpurgated practice register rather than the validated active patient denominator would have reduced the proportion of people with blood pressure recorded within the preceding five years from 77% to 61%, recording of smoking status from 68% to 53% and recording of cervical smears from 80% to 66%. Only 53% of the last recordings, within the preceding five years, of blood pressure and only 54% of those of smoking status were recorded on

  3. Rationale and design of the DP-TRANSFERS project: diabetes prevention-transferring findings from European research to society in Catalonia.

    Science.gov (United States)

    Costa, Bernardo; Castell, Conxa; Cos, Xavier; Solé, Claustre; Mestre, Santiago; Canela, Marta; Boquet, Antoni; Cabré, Joan-Josep; Barrio, Francisco; Flores-Mateo, Gemma; Ferrer-Vidal, Daniel; Lindström, Jaana

    2016-04-27

    Compelling evidence has been accumulated to support the effectiveness of intensive lifestyle intervention in delaying progression to Type 2 diabetes even in people identified as being at high risk determined by the Finnish diabetes risk score. The DE-PLAN-CAT project (diabetes in Europe-prevention using lifestyle, physical activity and nutritional intervention-Catalonia) evidenced that intensive lifestyle intervention was feasible and cost-effective on a short scale in real-life primary care settings, at least over 4 years. However, transferring such lifestyle interventions to society remains the major challenge of research in the field of diabetes prevention. The derived DP-TRANSFERS (diabetes prevention-transferring findings from European research to society) is a large scale national programme aimed at translating a tailored lifestyle intervention to the maximum of primary care centres where feasible through a core proposal agreed with all the partners. The method is built upon a 3-step (screening, intervention and follow-up) real-life, community-wide structure on the basis of a dual intensity lifestyle intervention (basic and continuity modules) and supported by a 4-channel transfer strategy (institutional relationships, facilitators' workshops, collaborative groupware and programme WEB page). Participation will initially cover nine health departments (7 million inhabitants) through nine coordinating centres located in metropolitan (3.2 million), semi-urban (2.9 million) and rural (0.9 million) areas from which it is expected accessing 25 % of all primary care settings, equivalent to 90 associated centres (1.6-1.8 million people) with an estimate of 0.32 million participants aged 45-75 years at high risk of future development of diabetes. To ascertain sustainability, effect, satisfaction and quality of the translation programme statistical analyses will be performed from both the entire population (facilitators and participants) and a stratified

  4. Scientific Instruments and Epistemology Engines

    Czech Academy of Sciences Publication Activity Database

    Dvořák, Tomáš

    2012-01-01

    Roč. 34, č. 4 (2012), s. 529-540 ISSN 1210-0250 R&D Projects: GA ČR(CZ) GAP401/11/2338 Institutional support: RVO:67985955 Keywords : material culture of science * scientific instruments * epistemology engines * experimental systems Subject RIV: AA - Philosophy ; Religion

  5. Mexsyco project: representation of power plan control-instrumentation functions. Bibliographical analysis and conclusions; Projet Mexsyco: representation des fonctions de controle-commande des centrales. Analyse bibliographique et conclusions

    Energy Technology Data Exchange (ETDEWEB)

    Brunet, M

    1994-03-01

    The study covered in this paper is designed to review the current situation in terms of functional analysis, in order to find a functional analysis method for mechanical parts able to serve as a substrate for expressing operating safety constraints, time-related performance or any other tag of function description. This paper comprises three parts: The first is devoted to general notions of the formats used by the various functional analyses. It attempts to explain the three types of format: behavioural, structural and functional. It tackles the notions of trees and bottom-up and top-down approaches. It proposes examining the link between the expected functions of the systems and the hardware supporting these functions. It attempts to make a distinction between ``operators`` and ``operands`` enabling the notion of object to be linked to that of the three types of format seen above. It ends with a reminder of the distinction between semi-formal and formal. The second part analyses the current situation of functional analysis of the mechanical and control-instrumentation parts of power production plants, through a bibliographical search. The results of this second part are however disappointing. The purpose of the third part of the study is a prototype format built up from the considerations of the first two parts. This format meets our requirements better than those of the bibliographical analysis, but it could doubtless be improved: application of this format to RCV highlights its advantages, but also underlines the improvements needed. Given the deadlines of the Mexsyco project, the decision was taken to suspend development of this format for the time being and use a method currently being produced and based on use of the current functional breakdown (basic plant systems) and of a modular tree-structure representation of the control-instrumentation of a basic plant system. (author). 12 refs., 4 annexes.

  6. IAEA programme on maintenance of nuclear instruments

    International Nuclear Information System (INIS)

    Vuister, P.H.

    1986-01-01

    The Medical Applications Section in the Division of Life Sciences of the International Atomic Energy Agency has been engaged since 1975 in activities aimed at the more effective use of nuclear instruments. Activities and achievements are described concerning the conditioning of laboratories, preventive maintenance and repair of instruments, the management thereof, space parts and the promotion of local training in these subjects. (author)

  7. FY 1999 report on the results of the research and development project for the photon-aided instrumentation and processing technologies. R and D of the photon-aided instrumentation and processing technologies; 1999 nendo photon keisoku kako gijutsu seika hokokusho. Photon keisoku kako gijutsu no kenkyu kaihatsu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    Described herein are the FY 1999 results of development of the photon-aided instrumentation and processing technologies. The photon technologies will be widely applicable to various industrial areas, e.g., medical, diagnostic, communication, transmission and chemical areas, in addition to instrumentation and processing, and the FY 1999 project is directed to the survey and analysis of the information, and prediction of their effects. The high-sensitivity light-receiving elements enlarged up to 5mm diameter (effective area) are developed, based on the technologies to grow the thin films using an MOVPE (metal-organic vapor-phase epitaxy) device and the results of development of the infrared ray-receiving InGaAs photodiode sensitive in a 2.5 to 2.7{mu}m wavelength range. The surface roughness of 0.4nmRMS is achieved by the bowl feed liquid polishing method, to develop the processing technologies for high-precision substrates for optical mirrors. The results are used to develop the prototype X-ray mirrors with surface accuracy of {lambda}/10 to {lambda}/20 and roughness of 0.3 to 0.5nmRMS. In the development of the technologies for the light sources which can sufficiently supply photons for exciting semiconductor lasers, the technologies are developed to efficiently converge the laser beams. Also developed are the apparatus which can converge the beams to a diameter of around 0.6mm, and the apparatus which uses optical fibers to evaluate the beam diameter. (NEDO)

  8. A mixed-method evaluation of the New York State Eat Well Play Hard Community Projects: Building local capacity for sustainable childhood obesity prevention.

    Science.gov (United States)

    Reid, Kaydian S; Sekhobo, Jackson P; Gantner, Leigh A; Holbrook, MaryEllen K; Allsopp, Marie; Whalen, Linda B; Koren-Roth, Amy

    2018-04-01

    This study used a mixed-method, comparative case study approach to assess the level of capacity built for childhood obesity prevention among seven New York State Eat Well Play Hard-Community Projects (EWPH-CP). Data were collected through a self-reported survey in 2007, semi-structured interviews in 2009, and EWPH-CP program documentation throughout the 2006-2010 funding cycle. Quantitative and qualitative analyses were used along with an integrative framework for assessing local capacity building to characterize the capacity built by the study coalitions. Four coalitions rated membership characteristics as a challenge at the beginning of the funding cycle. Towards the end of the funding cycle, all seven coalitions reported activities that were initially focused on building their membership (i.e., member capacity) or positive working relationships (i.e. relational capacity), before eventually pursuing support and resources (i.e., organizational capacity) for implementing their chosen community-oriented programmatic goals (i.e., programmatic capacity). Five coalitions reported environmental changes aimed at increasing physical activity or fruit and vegetable intake. Technical assistance provided to coalitions was credited with contributing to the achievement of programmatic goals. These results suggest that the coalitions succeeded in building local capacity for increasing age-appropriate physical activity or fruit and vegetables intake in the target communities. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Co-ordinated research project on isotopic evaluations of maternal and child health nutrition to help prevent stunting. Report on the 1. research co-ordination meeting

    International Nuclear Information System (INIS)

    1999-01-01

    The concept for the Co-ordinated Research Programme on isotopic evaluations of maternal and child nutrition to help prevent stunting was a consequence of discussions held between IAEA staff and participants in a regional training course on 'Isotope Techniques in Human Nutrition' held in Lima, Peru in June 1996. The intention then was to develop research on factors influencing the success of lactation and the consequent effects on the breast-fed child. The project would have Latin American participants to promote regional exchange of expertise and ideas. Initial participation was from Argentina, Chile, Mexico, Peru and Venezuela. Brazil and Pakistan have now been added to these. There are three Specific Research Objectives: (1) To develop stable isotope methods for measuring breast-milk intake using regionally available equipment. (2) To apply the methodology in the assessment of milk intake in infants in relation to maternal nutrition, socio-economic status and education, and infant nutrition and intake of macro- and micro-nutrients. (3) To use information gathered at 2) to determine the need for supplementation programmes for mothers and/or infants, and educational programmes for the mothers

  10. Co-ordinated research project on isotopic evaluations of maternal and child health nutrition to help prevent stunting. Report on the 1. research co-ordination meeting

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-09-01

    The concept for the Co-ordinated Research Programme on isotopic evaluations of maternal and child nutrition to help prevent stunting was a consequence of discussions held between IAEA staff and participants in a regional training course on `Isotope Techniques in Human Nutrition` held in Lima, Peru in June 1996. The intention then was to develop research on factors influencing the success of lactation and the consequent effects on the breast-fed child. The project would have Latin American participants to promote regional exchange of expertise and ideas. Initial participation was from Argentina, Chile, Mexico, Peru and Venezuela. Brazil and Pakistan have now been added to these. There are three Specific Research Objectives: (1) To develop stable isotope methods for measuring breast-milk intake using regionally available equipment. (2) To apply the methodology in the assessment of milk intake in infants in relation to maternal nutrition, socio-economic status and education, and infant nutrition and intake of macro- and micro-nutrients. (3) To use information gathered at 2) to determine the need for supplementation programmes for mothers and/or infants, and educational programmes for the mothers Refs, figs, tabs, graphs

  11. An examination of the social determinants of health as factors related to health, healing and prevention of foetal alcohol spectrum disorder in a northern context--the Brightening Our Home Fires Project, Northwest Territories, Canada.

    Science.gov (United States)

    Badry, Dorothy; Felske, Aileen Wight

    2013-01-01

    The Brightening Our Home Fires (BOHF) project was conceptualized as an exploratory project to examine the issue of the prevention of foetal alcohol spectrum disorder (FASD) from a women's health perspective in the Northwest Territories (NT). While dominant discourse suggests that FASD is preventable by abstention from alcohol during pregnancy, a broader perspective would indicate that alcohol and pregnancy is a far more complex issue, that is, bound in location, economics, social and cultural views of health. This project was prevention focused and a social determinant of health (SDH) perspective informed this research. The BOHF project was a qualitative research project using a participatory action research framework to examine women's health and healing in the north. The methodology utilized was Photovoice. Women were provided training in digital photography and given cameras to use and keep. The primary research question utilized was: What does health and healing look like for you in your community? Women described their photos, individually or in groups around this central topic. This research was FASD informed, and women participants were aware this was an FASD prevention funded project whose approach focused on a broader context of health and lived experience. This project drew 30 participants from: Yellowknife, Lutsel 'ke, Behchokö and Ulukhaktok. These four different communities across the NT represented Dene and Inuit culture. The qualitative data analysis offered themes of importance to women's health in the north including: land and tradition; housing; poverty; food; family; health, mental health and trauma, and travel. Photovoice provides a non-threatening way to engage in dialogue on complex health and social issues.

  12. Navy Seabees: Versatile Instruments of Power Projection

    Science.gov (United States)

    2013-04-16

    Bay Area, Hurricane Hugo in Florida, Northridge Earthquake in Southern California, Hurricane Andrew in Homestead Florida, and many other significant...to the Hurricane Katrina disaster in between deployments from Iraq and Afghanistan in 2005. 1 Seabees cleared debris from roads and harbors...normal capacity. During the biggest and costliest natural disaster in recent history, Hurricane Katrina demonstrated the difficulty of local and federal

  13. Behavioral and Cognitive Effects of a Worksite-Based Weight Gain Prevention Program: The NHF-NRG In Balance-Project

    NARCIS (Netherlands)

    Kwak, L.; Kremers, S.P.J.; Visscher, T.L.S.; Baak, van M.A.; Brug, J.

    2009-01-01

    OBJECTIVE:: Examine the effectiveness of the worksite-based weight gain prevention program Netherlands Heart Foundation-Netherlands Research program weight Gain prevention In Balance, with regard to behavioral changes and corresponding cognitive determinants. METHODS:: A nonrandomized

  14. Evaluating musical instruments

    International Nuclear Information System (INIS)

    Campbell, D. Murray

    2014-01-01

    Scientific measurements of sound generation and radiation by musical instruments are surprisingly hard to correlate with the subtle and complex judgments of instrumental quality made by expert musicians

  15. Prevention of diabetes in overweight/obese children through a family based intervention program including supervised exercise (PREDIKID project): study protocol for a randomized controlled trial.

    Science.gov (United States)

    Arenaza, Lide; Medrano, María; Amasene, María; Rodríguez-Vigil, Beatriz; Díez, Ignacio; Graña, Manuel; Tobalina, Ignacio; Maiz, Edurne; Arteche, Edurne; Larrarte, Eider; Huybrechts, Inge; Davis, Catherine L; Ruiz, Jonatan R; Ortega, Francisco B; Margareto, Javier; Labayen, Idoia

    2017-08-10

    The global pandemic of obesity has led to an increased risk for prediabetes and type-2 diabetes (T2D). The aims of the current project are: (1) to evaluate the effect of a 22-week family based intervention program, including supervised exercise, on insulin resistance syndrome (IRS) risk in children with a high risk of developing T2D and (2) to identify the profile of microRNA in circulating exosomes and in peripheral blood mononuclear cells in children with a high risk of developing T2D and its response to a multidisciplinary intervention program including exercise. A total of 84 children, aged 8-12 years, with a high risk of T2D will be included and randomly assigned to control (N = 42) or intervention (N = 42) groups. The control group will receive a family based lifestyle education and psycho-educational program (2 days/month), while the intervention group will attend the same lifestyle education and psycho-educational program plus the exercise program (3 days/week, 90 min per session including warm-up, moderate to vigorous aerobic activities, and strength exercises). The following measurements will be evaluated at baseline prior to randomization and after the intervention: fasting insulin, glucose and hemoglobin A1c; body composition (dual-energy X-ray absorptiometry); ectopic fat (magnetic resonance imaging); microRNA expression in circulating exosomes and in peripheral blood mononuclear cells (MiSeq; Illumina); cardiorespiratory fitness (cardiopulmonary exercise testing); dietary habits and physical activity (accelerometry). Prevention and identification of children with a high risk of developing T2D could help to improve their cardiovascular health and to reduce the comorbidities associated with obesity. ClinicalTrials.gov, ID: NCT03027726 . Registered on 16 January 2017.

  16. Long-term prediction of prostate cancer diagnosis and death using PSA and obesity related anthropometrics at early middle age: data from the malmö preventive project.

    Science.gov (United States)

    Assel, Melissa J; Gerdtsson, Axel; Thorek, Daniel L J; Carlsson, Sigrid V; Malm, Johan; Scardino, Peter T; Vickers, Andrew; Lilja, Hans; Ulmert, David

    2018-01-19

    To evaluate whether anthropometric parameters add to PSA measurements in middle-aged men for risk assessment of prostate cancer (PCa) diagnosis and death. After adjusting for PSA, both BMI and weight were significantly associated with an increased risk of PCa death with the odds of a death corresponding to a 10 kg/m2 or 10 kg increase being 1.58 (95% CI 1.10, 2.28; p = 0.013) and 1.14 (95% CI 1.02, 1.26; p = 0.016) times greater, respectively. AUCs did not meaningfully increase with the addition of weight or BMI to prediction models including PSA. In 1974 to 1986, 22,444 Swedish men aged 44 to 50 enrolled in Malmö Preventive Project, Sweden, and provided blood samples and anthropometric data. Rates of PSA screening in the cohort were very low. Documentation of PCa diagnosis and disease-specific death up to 2014 was retrieved through national registries. Among men with anthropometric measurements available at baseline, a total of 1692 men diagnosed with PCa were matched to 4190 controls, and 464 men who died of disease were matched to 1390 controls. Multivariable conditional logistic regression was used to determine whether diagnosis or death from PCa were associated with weight and body mass index (BMI) at adulthood after adjusting for PSA. Men with higher BMI and weight at early middle age have an increased risk of PCa diagnosis and death after adjusting for PSA. However, in a multi-variable numerical statistical model, BMI and weight do not importantly improve the predictive accuracy of PSA. Risk-stratification of screening should be based on PSA without reference to anthropometrics.

  17. Project Shikamana: Baseline Findings From a Community Empowerment-Based Combination HIV Prevention Trial Among Female Sex Workers in Iringa, Tanzania.

    Science.gov (United States)

    Kerrigan, Deanna; Mbwambo, Jessie; Likindikoki, Samuel; Beckham, Sarah; Mwampashi, Ard; Shembilu, Catherine; Mantsios, Andrea; Leddy, Anna; Davis, Wendy; Galai, Noya

    2017-01-01

    Community empowerment approaches have been found to be effective in responding to HIV among female sex workers (FSWs) in South Asia and Latin America. To date, limited rigorous evaluations of these approaches have been conducted in sub-Saharan Africa. A phase II community randomized controlled trial is being conducted in Iringa, Tanzania, to evaluate the effectiveness of a community empowerment-based combination HIV prevention model (Project Shikamana) among a stratified sample of HIV-infected and HIV-uninfected FSWs. Cohort members were recruited from entertainment venues across 2 communities in the region using time-location sampling. All study participants gave consent, and were surveyed and screened for HIV at baseline. Primary biological study outcomes are viral suppression among the HIV-infected and remaining free of HIV among HIV-uninfected women. A cohort of 496 FSWs was established and is currently under follow-up. Baseline HIV prevalence was 40.9% (203/496). Among HIV-infected FSWs, 30.5% (62/203) were previously aware of their HIV status; among those who were aware, 69.4% were on antiretroviral therapy (43/62); and for those on antiretroviral therapy, 69.8% (30/43) were virally suppressed. Factors associated with both HIV infection and viral suppression at baseline included community, age, number of clients, and substance use. Amount of money charged per client and having tested for sexually transmitted infection in the past 6 months were protective for HIV infection. Social cohesion among FSWs was protective for viral suppression. Significant gaps exist in HIV service coverage and progress toward reaching the 90-90-90 goals among FSWs in Iringa, Tanzania. Community empowerment approaches hold promise given the high HIV prevalence, limited services and stigma, discrimination, and violence.

  18. Portable musical instrument amplifier

    Science.gov (United States)

    Christian, David E.

    1990-07-24

    The present invention relates to a musical instrument amplifier which is particularly useful for electric guitars. The amplifier has a rigid body for housing both the electronic system for amplifying and processing signals from the guitar and the system's power supply. An input plug connected to and projecting from the body is electrically coupled to the signal amplifying and processing system. When the plug is inserted into an output jack for an electric guitar, the body is rigidly carried by the guitar, and the guitar is operatively connected to the electrical amplifying and signal processing system without use of a loose interconnection cable. The amplifier is provided with an output jack, into which headphones are plugged to receive amplified signals from the guitar. By eliminating the conventional interconnection cable, the amplifier of the present invention can be used by musicians with increased flexibility and greater freedom of movement.

  19. Instrumented Pipeline Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Thomas Piro; Michael Ream

    2010-07-31

    This report summarizes technical progress achieved during the cooperative agreement between Concurrent Technologies Corporation (CTC) and U.S. Department of Energy to address the need for a for low-cost monitoring and inspection sensor system as identified in the Department of Energy (DOE) National Gas Infrastructure Research & Development (R&D) Delivery Reliability Program Roadmap.. The Instrumented Pipeline Initiative (IPI) achieved the objective by researching technologies for the monitoring of pipeline delivery integrity, through a ubiquitous network of sensors and controllers to detect and diagnose incipient defects, leaks, and failures. This report is organized by tasks as detailed in the Statement of Project Objectives (SOPO). The sections all state the objective and approach before detailing results of work.

  20. Support tube of in-core instruments

    International Nuclear Information System (INIS)

    Suzumura, Takeshi; Saito, Shozo; Yasuda, Tetsuo; Shirosaki, Kiyotaka.

    1975-01-01

    Object: To permit satisfactory output measurement by preventing the bending of a in-core instrument tube within a reactor due to vibrations by means of a spring and thereby preventing mechanical damage of an adjacent fuel channel box. Structure: At a corner of a channel box of a fuel assembly, a in-core instrument tube is arranged along a channel box and has its surface provided with a plurality of removable leaf springs arranged in the direction of axis of the in-core instrument tube and each having an arcular tip. Thus, when the in-core instrument tube is inserted into the reactor, the arcular tip portions of the leaf springs are brought into plane contact with the corner of the channel box so that the in-core instrument tube is elastically supported on the channel box. Thus, there is no possibility of causing damage to the adjacent fuel channel box. (Kamimura, M.)